1992 WINTER - CIPHI Ontario · _1992 Winter i Ontario Branch News WINTER 1992 €>ciphi, ,_st DECEMBER-JANUARY-FEBRUARY Volume XIV Number 1, 1992 ISSN Number 1 0710 345X

_1992 Winteri

Ontario Branch NewsWINTER 1992

€>ciphi, ,_st

DECEMBER - JANUARY - FEBRUARY

Volume XIV Number 1, 1992ISSN Number 1 0710 345X

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ciphi o.T.,oBRANCH NEWSVOLUME XIV NUMBER 1, 1992

EDITOR INDEXJohnOrr This Quarter .Pg. 4

President's Annual Report .......................... Pg. 4ONTARIO BRANCH EXECUTIVE Ontario Branch Statement of Mission ............... ..Pg. 5

PRESIDENT President's Executive Report ........................ Pg. 6HenryChong Secretary-Treasurer's Report ........................ Pg. 6

ScarboroughH.U.= 416-396-7431 General Government Report ......................... Pg. 8PASTPRESIDENT Regional Chapter's Report .......................... Pg. 8

KlausSeeger [ O1 Membership Report ...... ". ......... ; ............... Pg. 9HuronCountyH.U. • 519-482-3416_,__/ Project's Report. .Pg. 10FAy _'/_- _,_--";'._-_;,

SEC.- TREASURER Salary Survey ..................................... Pg. 11BenVacca Area Chairperson's Report .......................... Pg. 12

NiagaraRegionalH.U. • 416-688-3762 Plumbing Association Liaison Report .................. Pg. 13Health Environments Report ........................ Pg. 13

COUNCILLORS1991- 1993 Food & Water Report .............................. Pg. 13MikeGianfrancescoSouthwesternArea Community Food Advisor Program Report ............. Pg. 15WaterlooRegionalH.U. • 519-747-2006

7 _/7 _3 _9 _ Communicable Disease Report ...................... Pg. 15MikeReid NorthwesternArea Ontario Branch News Report ........................ Pg. 16ThunderBay.l_istric=tH.U. • 807-824-24.1.3

_('F_ _07-_2_(_ __l_ Conference Liaison Report. . Pg. 16RichardNavackas CentralArea Conference Highlights . Pg. 17SimcoeCountyDistrictH.U. • 705-721-7330 ............................

1993 Conference Planned ........................... Pg. 20Ad Hoc Health Promotion Report . Pg. 20

COUNCILLORS1992- 1994 OPHA Liaison Report . Pg. 22JaneShimizu SouthwesternArea ..............................YorkCityH,U, • 416-394-2436 Community & Corporate Liaison Report ............... Pg. 23

JohnMacDonaldWesternArea Branch Executive Christmas Wish .............. ...... Pg. 29OxfordCountyBoardofHealth• 519-539-6121 Home Based Food Premises - Risk Report ............. Pg. 32

AudreyDowner EasternArea Probe Thermometer Promotion - Porcupine ............ Pg. 33Ottawa-CarletonRegionalH.ll_,_x.613-722..-22q_,

JohnOrr Western_rea_/'/'q-'41HI Western Area Minutes .............................. Pg. 33HuronCountyH.U. • 519-482-3416 Letter to Editor- Rabid Amphibians .................. Pg. 34

/-,_,_ d/e- __ - "2_, Curling - PHI Bonsplel Notification ................... Pg. 35

HISTORIAN PHI - Crossword Puzzle ............................ Pg. 36BillO'DonnellAlgomaHealthUnit Membership Application ..................... ;, ..... Pg. 37

705-759-5286 Payroll Deduction Form ........................ ?...Pg. 38The Institute - What Is It? .Pg. 39

COMMITTEE CHAIRPERSONS

HealthyEnvironmentDivision ArticleSubmissionDeadlinefor the Summerissueis February15, 1993.Mike Gianfrancesco PublishedQuarterlyby the Canadian Instituteof PublicHealth°inspectors(ONTARIO BRANCH) INC. Box

1120, CLINTON, ONTARIO, N0M 1L0. Telephone 1-519-482-3416,EDITOR, JOHN ORR. The OpinionsProject Division expressedherein are those of the authors and are not necessarilythose of members of the C.I.P.H.I.

John MacDonald ..ONTARIO BRANCH. Full rightsare reserved.Material may be reproducedwithpermissionof the Editor

_. _:l_-s_-_f£1 I'_v_1_'.3"]_ "_..0_ andAuthor. Subscdptionis $12. peryear. PublicationsMailRegis_rationNo.J0350heldatGoderich, Ont.Regional Chapter Division Change_ of address, undeliverablecopies and ordersfor subscriptions,to be sentto OntarioBranchNews, Box1120, Clinton,Ont. N0M 1L0.JohnOrr

Food & Water Division

AudreyDownerl MikeReid EXECUTIVE AT AREA MEETINGSGeneralGovernmentDivision

Rick Navackas Any "Area" of theOntarioBranchthatwishesan executivemembertoattendanyoftheirmeetingstocommentonBranch

CommunicableDiseaseDivision businessoranyotherreasonshouldfeelfreetocontactJohnJaneShimizu Orr,ChairpersonofRegionalChapters.Johnmaybecontacted

at theHuronCountyHealthUnit.CorporateandCommunityLiaisonDivision

KlausSeeger

page 4 Ontario Branch News

This Quarter .... executive members in dealing with your Branch's issues.I appreciated getting a letter to the editor from Jim Chan,

. from the EtobicokeHealth Departmentaboutone of his moreamusing professionalexperiences. Thank you, Jim.

Thanks to Bruce Fortin of the PorcupineHealth Unit forhis item of interest.

Thank youso muchto Laura Farrell and Tim Jaynes forsharingthe Crossword Puzzle that youcreated. I think it'spresenceadds anotherinterestingdimensionto this issue.

.' f Thanks Laura & Tim.I encourageany of the membershipto share anythingyou

have done with others in this publication.It wasa whileagothat I wroteto someone ineach Health

ED]:-TOR Unitasking them to be a correspondent to OBN about those_ funny experiences, births, marriages, etc. that would be of

_" II interest to others in the profession.John Orr .. . , ...... Well the offer still stands and the opportunity is availablefor. any of you to express your opinions in the OBN. It

As you can see this issue contains a lot of material. Since concerned me that a member stated at the Annual Generalthese economic times excluded many of you from attending Meeting that the Executive was not listening to it'sthe BranchConference and AnnualGeneral Meeting, it has membership. I was so_e.,whatsurprised at the commentbeendecidedto copythe AnnualReportsfor youand I have becauseof the lack of lettersand communicationreceivedincludedthe updated reports immediatelyfollowingthem. by thisexecutivememberwho has a perfect opportunitytoThoseof uswhowereable to attendthe NiagaraConference shareyour ideas and commentshad nothad that messageenjoyedthemselves,asyoucansee inthreepagesof photos Conveyedto me before.chosenfor your pleasure. Let's keep this communicationlink effective.

Ourlast executivemeetingwasheld onNovember19, 20, Best Wishes from the Orr family for a Festive Christmas21, 1992. The feeling of the group at the meetingwas very and a Happy New Year and a productivechallengingyearpositive and I look forward to associatingwith the other in 1993.

I .

President's Report1992 Branch Annual General Meeting

September 17, 1992

by Henry Chong, Ontario Branch President

On behalf of the executiveit is my pleasure tOweicomeall delegates, spouses and friends to our Branch's 53rdAnnualConference.The settingof ourConferenceat oneofthe world's most beautiful naturalwonders, Niagara Falls,providesa perfect backdropto personifythe theme of thisyear's Conference.

"Racing towardsa Healthy Planet", expoundsthe visionthat our organization is strivingtowards. The educationalsessions and networking opportunity_,,providedat this for effective environmentalmanagement.conferencewillnodoubtenrichthe growthof thistheme.As Duringthe past year your BranchExecutivetook up thewe enter intothe future, we the guardiansof this planet will challenge of operationalizingthe New Branch Standinghave to take-upthe challenge, like the bicycleridersin the Committeesstructureas adopted at last year's A.G.M.. Aslogo, over-comingall obstacles to ensuringa healthy life youwill notein thisAnnual Reportthe new s.tructureis nowsustainingplanet, inplace.The newlyadoptedStandingCommitteesReporting

Our affiliation with other organizations/associations format will provide you with an insight of the activitiesprovides the effective networkingneeded to achieve our conductedbythe BranchaspresentedinthisAnnualReport.vson Our representation on groups such as OPHA, With this new structure, there were many achievementsASPHIO, ALOHA, CCO, OPIA, i,and,!_il_p_i_i(S._ho.oIof completed by the Standing Committees.Environmenta Health) assisteci Us.greatl_::i_i}ocusing our The Food Safety and Water Quality Division, co-chairedvision.The Instituteis currentlyexpandingthis network by by Mike Gianfrancesco andRichard Navackas, conductedopening communicativelinks with new allies such as the the jointMinistryof Healthandour Branch- H.A.C.C.P.PublicNiagara Institute, Ontario Food Protection Association, Health InspectorTraining WorkshopsacrossOntario. ThisOntario Society of Environmental Management and the major under-takingwas an overwhelmingsuccess.The topOntarioAssociationof HealthPromotionSpecialistsin Public notchqualityof presentationby the H.A.C.C.P. CommitteeHealth.These professionalorganizationsshareourvisionof membersprovidedthe participantswiththe knowledgetheya healthyLIFEsustainingplanetby promotingthe importance needed to implementthe H.A.C.C.P. conceptat the Health

WINTER Volume 14 No. 1 1992 page 5

Units.The H.A.C.C.P.Committeewillbeassistingthe Ministry Nationallevel. Our sincerestthanksto Mike for his longofHealthto evaluatethe implementationofH.A.C.C.P. inthe standingdedicationto our profession•province.

The Communityand CorporateLiaison Division,Chaired -- Mr. Tom Cathcart representedourBranchonthe Ministryby Immediate-PastPresidentKlau$ Seeger, has been the of Health Recreational Water Quality GuidelinesbusiestStandingCommittee•Past PresidentSeegertookon Committee•the challengeof representingour interestin manyareas as m Mr. DanMcMillan representedour Branchonthe Ontarioyouwillnotein hisreport.Ourthanksto Klausfor hisefforts Ministry of Agriculture and Food - Community Foodinbringingto the Ministryof Healththe concernsfor the lack Advisory Committee. •of qualifiedPublicHealth Inspectorsto fillvacanciesandtheshortageof fundsto allowfor HealthUnitsto providetraining -- Mrs. Jane Shimizu represented our Branch on theof studentPHI's• Throughhiseffortson the ALOHA - CIPHI Ministryof Health DiscussionPaperonthe Role of Public- PHIShortageCommitteeadraft Documentwillbe presented Health Nursingin Ontario•Jane is alsothe Chairpersonto the Ministrylater this year. for the CentralArea of the Institute.

The StrategicPlanningCommittee,Chairedby Councillor --Ms. Maureen Howes is a member of the Ad-hoc(Past President) Jane Urquhart, requested Mr. Peter Environmental Health Education and PromotionWillmott to assistthe Committee to developan operational Committee as well as a member of the H•A.C.C•P.plan for the Branch. With the help of Mr. Willmott, the Committee of the Branch•Committeehas developedthree distinctoperationalGoals•These Goals will be part of the fu_ure vision of your These membersgot involvedand enriched the wealth ofprofessioi_alorganization._ _= ..... our branchby contributingtheir expertiseand experience.

AsyouperusethroughthisAnfi_al Re'l_ortyo_will seethe The Branchwishestothankthem aswell asmanyotherswhochallengesthat havebeentackledwiththe tirelesseffortput alsogot involvedthisyear. The Branchwillbe seekingyourforwardbyyourBranchExecutive.As ourorganizationgrows, involvementin the future•we would anticipatemore active involvementby you, the The Branchwill missthe followingCouncillorswho havemembership, to contributeideas or to participate on the decidednotto seekre-election:Mrs. Siobhan Lehmann, Mr.variousCommitteesthat are cryingout for your help. "Ask Ed Wierzbicki, and Ms. Jane Urquhart. The Branchwishesnot for whatyour Institutecan do for you, but, whatcan you toexpressourdeepestgratitudeandappreciationto Siobhan,do to support your Institute.".This phrase is obviously a Ed and Jane for their hard work and contributionto thevariationof a quotebut nonethelessexpressesthe need for bettermentof our branch. Our best wishesto Siobhan, Edyour involvement, and Jane in their future endeavours•

The BranchExecutivewishesto recognizethe following On behalf of the BranchExecutive,we hope this year'smembers for gettinginvolved: Conference will provideyou with both an educationaland

Mr. Hugh Goodfellow represented our Branch on the rewardingexperience•OntarioPlumbingInspectorsAssociationsince1989. Mr.Goodfellowhas recentlyresignedfrom thiscapacity.We

wish to thank Hughey for all his help and continuing By working faithfully eight hours a day,support for our Institute•

Mr. Mike Gravel chairedthe Branch'sQualityAssurance yOUmay eventuallyget to be a bossCommittee.Mr. GravelhassupportedthisInstituteinmany and work twelve hours a day.capacities not only at theBranch level but also at the ,,,

Canadian Institute of STATEMENT OF PHILOSOPHYPublic Health Inspectors As Membersof the Institute:-

(Ontario Branch) WeBelieve:-1• That we have an obligation to maintain professional

competency.2, That we. have, an obligation to maintain the highest

standardsof professionalconduct.STATEMENT"=vr MISSION 3. That we should, at all times, attempt to maintain the

--'_;,_, " , • integrityof the profession.4. That we should strive to ensure optimal health for the

residents of ,Ontario through the maintenance of theTo advance,promote, and uphold the profession of public highest standards of environmental quality.health inspection and to ensurethe attainment of the highest

professional standardsof practice for its members- and in so 5. That we shouldendeavourto keepthe public/our employersdoing - to facilitate the achievementof optimal health for all aware of the importance of maintaining a high qualitypersons who live, work or visit in Ontario by promoting environment.excellence in environmentalmanagementthrough education, 6. That all decisions made in the course of professionaladvocacyand research, practice shall bebased on the best available scientifically

valid data.

• 7. That effective environmental management can only be• achievedthrough amulti,disciplinary approachto resolving

environmental issues.

page 6 OntarioBranch News

Ontario Branch Executive Meeting has decided to delay implementation of the HealthyNovember 20.2f, 1992 EnvironmentsProgramfor twoor possiblythree years.This

program is part of the strategy as identified under thePRESIDENT'S REPORT MandatoryProgram and Services Guidelinewhich set-out

by Henry Chong Guidelines for Health Unit Programming. The HealthyEnvironmentsProgramstrategyhas a great impact on the

Ithas been busyat our Branchsincemy lastreport to the futurerole of the PublicHealth Inspectorsin Ontario. Sincemembership. The Branch hosted this year's Annual Dr. Schabas's presentation,your Executivehave begantheConferenceat beautifulNiagaraFalls, Ontario.Withthe down processof lobbyingour allies to convince Dr. Schabasandturn inthe economy,your Executivewasconcernedwiththe the Ministry of Healthto reconsiderthe deferral of thisvitalpossiblelackofdelegates to attendour Conference.Butour Program for the Community.concernswere dispelled.We had 65 full-time and 3 daily As part of our Branchimprovementon the administrativeregistrantsalong with 8 spouses,rThis combinedwith the process,we have developedan orientationpackage for ourrevenuesfromour exhibitorsand advertisers,wecan declare new incomingCouncilmembers:This package is a muchour 1992 Conference an overwhelming success. Our neededcomponenttoensureourCouncilmembersare awareConference Co-Chairs, Sec.-Treasurer Ben Vacca and of their duties and responsibilitiesto the membership. WeCouncillorJane Urquhart, deserve the credits for putting wishtocongratulateand welcomethe newlyelectedmemberstogethera top notch program for the Conference. to the Branch Executive Council.

At ourAGM held onSeptember 17, 1992, an electiontookplace to replace out-going Councillors Ed Wierzbicki,Siobhan Lehman, and (PastPresident)Jane Urquhart. Anissuewas raisedat the meetingin respectto the Ballotsfor Secretary.Treasurer Reportthe election being inappropriateand may contravene the by BenVaccaBranch Bylaws. However, after a lengthy debate, it wasdecided by a majority vote of the assembly to accept the The following financial statement has been prepared toBallotsandcontinuedwiththe electionprocess.The outcome show the membershipthe Branch's financialactivitiesintheof the election resulted in the following members being previouscalendaryear (January 1, 1991 to December 31,elected as BranchCouncillors: 1991.)

(Incumbent)Mr..John Orr, from Huron County Health Unit CURRENT ACCOUNTMs, Audrey Downer, from Ottawa-CarletonHealth Unit Opening Balance 8,855.74Mr. John MacDonald, from Oxford County Health UnitMrs. Jane Shimizu, from City of York Health Unit REVENUE

In respecttothe controversyconcerningthe Ballots,newly MembershipDues 21,580.00Education _ 4,775.00appointedGeneralGovernmentsDivisionalChair(Councillor) Newsletter 523.00Richard Navakas, PastPresidentKlau$ Seeger and myselfhave met to determinewhat caused the problemand have Conference 25,500.00identifiedstepstopreventthissituationfromoccurringagain. Pamphlets 2,748.25The Branchwishestothankthe membershipfortheirpatience ResourceCommittee 1,855.50duringour assessmentof this situation.

We wishto apologizeto the Candidateswhoparticipated TOTAL REVENUE 56,981.75inthe electionprocessfor any misunderstandingcreated bythe Ballotingprocess.The error of, "names not appearing EXPENSESin alphabeticalorder" as identified at the AGM was clearly Signal-Star 4,667.12an error of intepretationof the By-lawrespectinglistingof Goderich Print 1,314.83names on theBallots. Newsletter 362.61

In the future, all names of Candidates will be listed in Ontario Branch News 6,344.56Alphabetical' order regardless if the Candidate(s) areincumbent(s)_fromthe ExecutiveCouncil. Any Candidate Meals 926.17seekingelection must file their NominationForms in clear Room(s) 2,951.20legibleprintingortyped to eliminateerror from transferring Mileage/AirFare 1,262.55of informationfromFormto NoticesandBallots.An auditwillbe conducted by the Chair of the General Government Registration 2,360.00Divisionto ensure the informationon the NominationForm BranchConference ,_ _ 7,499.92is properlytransferredto the NoticesandBallotsandaccuratebefore submission to the general membership for President'sExpense 720.80consideration. Secretary-Treasurer

The Executive hopes that the actions identified will Expense 1,200.00eliminateany problemof this naturein futureelections.TheBranchwishto thankthe Candidateswhoran inthe election Meals 2,048.50process, but lost, for showingtheir support to the Institute. Room(s) 2;559.74The Executive encourage you to participate in our other Mileage/Parking 4,341.86endeavour and help our organizationgrow. Air Fare 1,186.55

The Branch will be addressinga concern surveyto the Film 49.51delegatesatour ConferencebyDr. Richard Schabas, Chief Branch Executive 10,186.16MedicalOfficerof Health for Ontario.The Ministryof Health

r=_;_;i ....

WINTERVolume14No. 11992page7AdvisoryCommittee M.O.E. 0.00 REVENUE -Advisory- Ryerson 189.98 JobProfileConference Liaison 0.00 FoodFitness 75.00

" ConferenceCommittee 750.00 DrinkingWater 225.00OPHA 1,919.00 The PHI 30.00LiaisonCommittee M.O.E. 0.00 Salmonellosis 70.00ASPHIO 0.00 HepA 00.00Education 199.44 HepB 00.00Membership 35.10 Shigellosis 00.00Area Meeting 606.91 Amoebiasis "00.00Nominationsand By-Laws 788.81 Campylobacter 70.00Projects 2,443.60 Yersinosis 7.00Proxies 0.00 E. Coil 21.00PublicPolicy 0.00 Giardiasis 21..00Public Information 171.05 Pamphlets 519.00ResourceCommittee 186.20 MEMBERSHIP 6,620.00Salary Survey 21.40 CONFERENCE(1992) 5,197.00RyersonAward 200.00 SEEDMONEY 803.00Historian 233.83 EDUCATION 4,600.00Bank Charges 47.35 ADVERTISINGOBN 595.00Postage 167.32 SUBSCRIPTIONS ;36.00Miscellaneous ._ 1,465.00 ONTARIOBRANCHNEWS 631.00

TOTALREVENUE 18,370,00Meals 125.00Room(s) 572.24 EXPENSES ---Mileage/A. Fare 1,372.08 President'sExpenses 64.66'National Expenses 2,069.32 Secretary-Treasurer'sExpenses 600.00

Meals 372.36Meals 166.00 Hotel 558.88Room 483.00 Mileage/Parking 1,185.34Mileage/Air Fare 1,110.20 AirFare 262.58Registration 0.00 BranchExecutiveExpenses 2,379.16National Conference 1,759.20 ConferenceSeedMoney 1,000.00

Meals 941.00EnvironmentalHealth Hotel 2,893.06Review 75.00 Mileage 1,294.22Office Supplies & Equipment 1,684.74 AirFare 332.42National Supplies 212.64 ConferenceRegistration 2,950.00Telephone 496.69 BranchConference 8,410.70Conservation Con. of Ont. 1,337.75 AdvisoryRyerson 71.60HarpwoodTrophies 497.13 EducationPartVII 30.48Commercial Printers 2,981.38 Membership 0.00Allan Graphics 539.35 AreaMeetings 132.40Donations 476.50 Nominations& By-Laws 897.86Annual Conference Report 1,023.81 Proxies 42.50

Purolator 219.88TOTAL EXPENSE 48,529.98 CCO 300.00CLOSING BALANCE 17,688.46 NiagaraInstitute 435.00

PostagelPurolator 000.00Mileage 72.80

The FinancialStatementandgeneraljournalwere audited Meals 50.00byAndy Liinve andNorine Louleof the ScarboroughHealth Projects 857.80Unit. RyersonAwards 211.20

Postage 170.32The followingfinancial statement has been prepared to BankCharge 39.70

showthe ExecutivetheBranch's financial activitiesfor the SuppliesandEquipment 1,164.84period June 1, 1992 to October 31, 1992. BellCanada 462.31

Meals 104.00CURRENT ACCOUNT Opening Balance -- $18,940.04 Hotel

Mileage/Park 142.00CURRENT ASSETS Air Fare 444.62OntarioBranchNews (-3,039.64) NationalExecutiveExpenses 690.62

,_ RoyalBank 11,116.11 ConferenceReg. 000.00Pamphlets 917.70 Meals 210.00CashTotal 8,994.17 Hotel 657.36Part VIII 4,600.00 Mileage/Park 120.00AccountsReceivable 60.00 Air Fare 326.69

SilentAuction 000.00TOTALCURRENTASSETS 13,654.17

NationalConferenceExpenses 1,314,05

I.......................................................

page8 OntarioBranchNewsF

NationalSupplies -979.99 was forced to raise the cost of enteric pads from $5.00 toInsurance/Bond 000.00 $7.00.Donations 000.00 The followingis a list of items for sale by the Institute:Typing 71.00 P.H.I. Job Profile E. Coil 0157:H7Photocopying 947.40 DrinkingWater Safety AmoebiasisBinding 95.31 Food Fitness .YersiniosisCover 51.98 The Public Health Inspector Viral HepatitisAAnnualReport 1,165.69 Salmonellosis Viral Hepatit!s B

• CommercialPrinters 4,311.25 Shigellosis GiardiasisSignal-Star 2,287.58 CampylobacterGoderichPrintShop 505.19Newsletter 200.00 'Film 15.83Postage 24.93 Your Ontario BranchOntarioBranchNews 3,033.53EconoPrint 00.00 Provides Educational MaterialsMiscellaneousExpenses 767.65 FOR MORE INFORMATION CONTACT:A.S.P.H.I.O. 000.00Harpwood 431.25 Ben VaccaStrategicPlanning 148.00 6144 Belair Avenue,

TOTALEXPENSES 22,326.21 Niagara_Falls, Ontario •L2H 1V2

Res. 416-374-1024

General Government Committee Work. 416-688-3762 Ext. 216

Annual Report Fax.416-682-3901September 17, 1992

by John Orr

STRATEGIC PLANNING Notice of MotionCouncillor Jane Urquhart has been instrumental in

assistingthepresentexecutivethroughtheStrategicPlanning WHEREAS underSection30 of the By-Law#4of the Ontario•process. BranchBy-Lawdoesnot state as to howmany meetingsa

The task has been an onerous one. The work that is councillorcan miss or be absent at.

necessary is strategicplanningrequiresa greatdealof critical WHEREAS as the ExecutiveCouncillorattends3 Executivereflection to assessour presentroleas branchexecutiveto meetingsand 1 Annual General Meeting per year.see whether our goal is desirable,achievable, measurableends orientedand specific.At presentthe executiveis very WHEREAS councillorsagrees to the time and placeof themuch involvedinthe day to day operationof the branch. It next meeting, they are notified by mail via minutes of theis hopedthat other memberswill becomemore involvedin meetingandare alsosenta reminderof the meeting6 weeksbranch committeesin the future, in advance.

Thank you for your guidance,Jane. WHEREAS circumstance hasarisen where part of an• Executivemeetingcouldnotbe conductedbecauseaquorum

_.NOTICES OF MOTION & NOMINATIONS was not obtained.•The bulkof the clericalworkinvolvedindealingthe notices

of motion,preparingthe annualreport, noticeof the annual THEREFORE BE IT RESOLVED THAT: the following bemeeting and nominations has been done by Secretary- added to Section30 of By-Law#4 of the OntarioBranchBy-Treasurer BenVacca. I knowthat the extra clericalworkis Law.Shouldan ExecutiveCouncillormiss oris absent froman additionalload. Thank you Ben_ twoconsecutivemeetingswithoutsufficientnotice(twoweek

The Branch by-lawswere• reviewed the two notices of notice;)the resignationof the Councillormay be asked bymotionhavebeenmovedbythe undersignedinorderto bring the Presidentand or the ExecutiveCouncil.

-the Ontario Branchby-laws•up to date.Ben Vacca has indicated 'his intention to run for Moved by: Ben Vacca

Secretary-Treasurer. Second by: Joanne Godin . :., ,_The members that have filed for the four positionsas

councillor include:Audrey Downer, Gerry Gosselin, Mike EDITOR'S NOTE: The notice of motionwas passed.Minor,Andre La Flamme, Jane Shimizu,John MacDonald,John Orr, Tim Worton and Gerald Roy. Regional Chapters

EDITOR'S NOTE: Audrey Downer, John MacDonald, John Committee Report 'Orr and Jane Shimizu were the successfulcandidates, by Siobhan Lehmann

Ben Vacca was acclaimed as Secretary-Treasurer. Ryerson Advisory CommitteeThe Institutewishesto extend its best wishes and many

Public Information Report thanksto Mr. Tim Sly, for his supportand encouragement_, The demand for the Institute'seducationalmaterial has overthe last five years,during whichtime he was the Headremainedconsistent.Dueto G.S.T.and inflation,the Institute of the EnvironmentalHealth Programat Ryerson. Mr. Sly

WINTERVolume14No.1 1992page9

returns to his position as a full-time faculty member in their staff members. As well, a big THANK YOU to allSeptember 1993. Good luck. members of the Institute for their continuing participation.

A big welcome is extended to Ms. PatRobinson,on behalfof the Institute, for her appointment as the next head of the

Environmental Health Program. We all look forward to Membe..hz_.:oP Reportworking with Ms. Robinson for the next five years.

CONGRATULATIONS. The following eleven Health Units will be receiving award

Ryerson Liaison Committee plaques for 100% membership in Niagara Falls on Monday,As representativeof the Instituteat RyersonPolytechnical September 14, 1992.

Institute, I was in close contact with many of the 1. Haldimand-Norfolk Regional Health DepartmentEnvironmental Health students over the past year. Many 2. Kingston, Frontenac and Lennox and Addington Healthconcerns have beenvoiced to us with regardsto lack of field Unit

training placement opportunities, as well as the apparent 3. Muskoka-Perry Sound Health Unitshortage of full-time positions in this economic time. TheCanadian Institute of Public Health Inspectors would like to 4. Northwestern Health Unitreassure all students that we are aware of the issues, and 5. North Bay District Health Unitwe are doing our best to try to help in any way we can. 6. Oxford County Board of Health

The Institute would like to thank all student members for 7. Simcoe County District Health Unittheir continued support over the past year, and we look 8. Sudbury and District Health Unitsforward to all future liaisons.

9. Timiskaming Health Unit

• Area Membership 10. InspectionDepartmentof the ThunderBayDistrictHealthUnitCommittee Report 11. City of York Health Unit

The membershipsurveyrevealed11ofthe 42 HealthUnits 121 City of TorontoDepartment of Health; EasternHealthto have 100% membership.Congratulationstothem for their Areacontinued support in sustaining full membership amongst

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HealthUnit Name # of # of # non # of at last year's conference,Insp. Mem. Mere. Mem. omittedfrom publication) 1991Staff Graham Edward Sudbury DistrictHealth Unit

received last year via mail,AIgoma 12 10 O2 90O/o omitted from publication 1992Brant 09 05 04 55.55o/0 John Hoover Retired 1992Bruce-Grey-OwenSound 18 11 07 61.10/0 Roger Koski Sudbury DistrictHealth Unit 1992Durham 27 07 20 25'93% Larry Lychowyd North York 1992EastYork 04 02 02 50% John Park Retired 1992Eastern 11 07 04 63% William Pasichnyk Sudbury & DistrictHealth Unit 1988Elgin/St.Thomas 07 03 04 42.85% Henry Rood Haliburton-Kawartha PineEtobicoke 29 95 14 30% Ridge Health Unit 1991Haldimand/Norfolk 11 11 00 100o/0 Howard Schaub Retired _' 1992Haliburton/Kawartha 21 15 06 71o/0 T.A. Williams Region of York 1992

Pine-Ridge Gerald Zangari Sudbury DistrictHealth Unit 1992Halton 16 11 05 69% Ron Zinkewich Hamilton-WentworthRegionalHamilton/Wentworth 32.5 10 22.5 31O/o Health Unit 1991Hastings& PrinceEdward 15 03 12 20%Huron'County 07 06 01 81%

KentlChatham 09 05 04 55% 'Kingston,Frontenac&

Lennox& Addington 14 14 00 100O/o =/IDro,_oc_l,g _l_ejll_oll_Lambton 09 06 03 66.6O/o by Mike ReidLeeds,Grenville& 15 13 02 87o/0

Lanark At our lastconference in HamiltoninOctoberof 1991, theLondon 23 09 00 39o/0 variouscommittees underwhichthe BranchoperatedwereMuskoka-ParrySound 10 10 00 100O/o changed.Niagara 26 22 04 85O/o The ProjectCommitteenolongercoveredthe areas it hadNorthBay& District 05 05 O0 100% in the past, but concentrated on any special projects theNorthwestern 07 07 00 100% Branch under took.NorthYork(Cityof) 29 10 19 35% There are four special projectscurrently underway andOttawa-Carleton 31 07 24 22% their reportsare attached.Oxford 08 08 O0 100o/0 They are as follows:Peel 33 09 24 28%Perth 04 04 O0 100% 1. How How is the Water in your Home?PeterboroughCounty 09 05 04 56%Porcupine 10 03 07 33% 2. Update of the "Red Book".RenfrewCounty 13 09 04 69% 3. Ad-Hoc EnvironmentalHealth PromotionCommittee.Scarborough(Cityof) 22 12 10 55O/oSimcoeCounty 31 31 00 100O/o 4. A facilitatedmulti-stakeholderprocesson environmentalSudbury& District 21 21 00 100% assessmentof products.ThunderBayDistrict 10 10 00 100%Timiskaming 04 04 O0 100%TorontoTorontoDowntown 18 03 15 16% How Hot is the Water in Your Home?TorontoEastern 11 05 06 40% As the membershipmighthave noticedfrom the minutesTorontoNorthern 16 04 12 25% ofourlastfew ExecutiveMeetingsI didn'thave muchsuccessTorontoWestern 13 05 08 36% in dealing with Ontario Hydro at the local level to have aWaterloo 20 07 13 35% pamphletjointlyprintedanddistributedregardingthe effectsWellington-Dufferin- of scaldingwater burns in the home.Guelph 11 03 08 27% This projectwasgoingtobe pursuedfurtherwithcontactsWindsor 17 16 01 97% inTorontoanddealingwithOntario Hydroat the mainoffice.YorkHealth 07 07 00 I00% How,ever with a change occurringon our Executive in theYorkRegional 25 16 09 64% Torontoarea this project is on hold for the time beinguntil

after this Annual Meeting.

EDITOR'S NOTE: The followingmembersjoined the 25 yearpin club. Directory of Inspection Personnel

"THE RED BOOK"25 Year Pin Club The updated version of the Directory of Inspection

Personnel, "The Red Book" has been completed.Name Place of Employment Year Wordperfect5.1, andan I.B.M. compatiblecomputerhavePhilip Barton Retired 1992 been utilized in this project and copies of the new DirectoryDon Bertrand Simcoe County District are available on both 51/4and 31/2inch floppies. For those :-'

Health Unit 1992 Health Unitsnot usingI.B.M. compatiblemachines,printedMilan Bilbija Retired 1992 copies will be made available.William Cocker Retired 1992 We wouldlikeany updatesor changes made throughtheEdward Fleming Sudbury DistrictHealth Unit 1992 OntarioBranchNews. In thisway each Organizationwill beIvan Gough North Bay DistrictHealth responsiblefor their changes as wellasupdating their own

Council (received in Hamilton Book.

q

t.

WINTERVolume14No. 11992page11

Salary m_nn t For thesalarysurvey,35 of the 42 Health Unitsparticipated.Survey .._,._r_ The remaining7 Healtheitherdeclined,or had notyetsettled

by Siobhan Lehmann their' contractsfor the presentyear.

SALARY SURVEY

HEALTH UNIT DIRECTOR ASS. DIR. SUPER. P.H.I.ALGOMA NOT SETTLED

BRANT 51,935 - 61,100 44,540 - 52,400 34,680 - 40,800

BRUCE-GREY 58,000 41,696 - 48,279 35,127 - 45,022 33,027 - 42,922

DURHAM 57,244 - 71,544 41,043 - 51,305 36,447 - 43,041

EAST YORK 52,381 - 65,288 43,942 - 56,282 37,291 - 45,656

EASTERN ONTARIO NIL NIL 42,050 - 49,470 32,878 - 38,684

ELGIN ST. THOMAS 54,272 - 61,661 45,736 - 51,997 33,797 - 40,240

ETOBICOKE 55,635 - 65,315 46,005 - 54,790 38,650- 45,955HALDIMAND 47,755 - 53,717 42,697 - 48,028 31,740 - 35,417"

HALIBURTON 62,345 - 67,625 47,213 - 52,535 36,088 - 43,948HALTON NOT SUPPLIED

HAMILTON 56,217 - 66,242 47,400 - 55,811 43,484 - 51,205 38,824 - 45,842

HASTINGS 49,161 - 57,147 38,903 - 46,226 32,814 - 38,713HURON NOT SETTLED 40,485 33,524 - 39,621

KENT 43,483 - 58,803 39,034 - 52,777 34,305 - 38,701

KINGSTON 54,346 - 60,002 42,610 - 50,608 40,545 - 43,814"* 34,005 - 41,525LAMPTON 46,205 - 56,315 34,479 - 42,436

LEEDS 51,429 - 57,547 40,659 - 48,403 32,448 - 38,825LONDON

MUSKOKA 49,752 - 58,436 39,904 - 46,850 36,593 - 43,050

NIAGARA 55,101 - 66,744 51,450 - 62,306 41,572 - 50,299 30,333 - 38,528

NORTH BAY 50,962 - 56,672 42,587 - 48,450 35,275 - 41,161

NORTHWESTERN 50,803 - 62,876 43,400 - 50,930** 33,639 - 43,318NORTH YORK 63,353 - 79,083 57,571 - 72,034 56,141 - 67,838 43,245 - 48,167

OTTAWA 63,150 - 75,311 49,292 - 58,767 46,356 - 55,266 39,075 - 45,-718

OXFORD 50,515 - 56,980 42,840 - 48,437 42,008 - 43,409 36,674 - 41,657PEEL NIL NIL NIL 37,775 - 46,321

PERTH 50,953 - 58,943 32,500 - 40,395

PETERBOROUGH 00,000 - 63,494 00,000 - 53,494 37,658 - 43,109PORCUPINE NOT SETTLEDRENFREW • NOT SETTLED

SCARBOROUGH 55,721 - 69,652 50,444 - 63,056 44,276 - 54,904 38,275 - 47,638

SIMCOE 54,873 - 65,592 48,375 - 57,439 44,007 - 52,052 39,603 - 46,592SUDBURY 59,370 - 68,276 44,756 - 51,469 32,939 - 39,881THUNDER BAY NOT SETTLED

TIMISKAMING 62,962 - 69,888 32,864 - 48,533

TORONTO 68,403 - 85,558 50,681 - 56,107 47,100 - 52,490

WATERLOO 59,524 .-77,380 44,721 - 58,138 39,968 - 45,425WELLINGTON 52,560 - 60,660 42,515 - 50,013 37,073 - 43,625WINDSOR 59,746 -68,785 50,018 - 55,597 33,289 - 41,296

YORK HEALTH 65,942 - 78,680 42,177 - 52,461

YORK REGIONAL 53,797 - 64,700 43,175 - 53,153 35,801 - 41,965


Area Chairperson's Healthy EnvironmentsCommittee Report by Ed Wierzbicki

by Siobhan Lehmann The year 1991-92 has been a year of growth for theexecutive.The restructuringof the InstitutethroughStrategic

The Current list of Area Chairpersons and Secretary- Planningwas a progressiveadventure. As chairpersonofTreasurers are as follows: Health EnvironmentsI have been able to become more

involvedin specificissues.CENTRAL AREA: In earlyNovember1991, the Ministryof Health circulated.Jane Shimizu,Area Chairperson, DurhamRegionalHealth the latestdraft ofthe newMandatoryProgramStandardsfor•Unit HealthyEnvironmentsforreviewandcomment.The Institute

congratulatedDr. Leebia F. Smith and the committeeforMargaret Breen, Secretary-Treasurer, Toronto •Health compilinga comprehensivereport. Althoughthe Institute'sDepartment positionwaspositivesomeconcernswere addressed.Firstly,

effortsshouldnotbe made to dominatenor duplicateotherEASTERN AREA: governmentprograms.Secondly,a strongcommunicationAudrey Downer, Area Chairperson, Ottawa-Carleton Health link would have to be implemented to enhance the iUnit multidisciplinarymachine.Thirdly,guidelineswouldhavetoJudy deGros Bois,Secretary, Ottawa-CarletonHealth Unit be developedto provideuniformityand direction.Lastof a!l,

program implementation will require additional training, _NORTHERN AREA: staffing,resourcesand funding.Patrick O'Donnell, Area Chairperson, Sudbury & District In response to my letter dated September 6, 1991,Health Unit investigating the status of the On-Site Sewage System

Advisory Committee, Mr. J.R. Bray, Director, ApprovalsNORTHWESTERN AREA: •Branch Ministry of Environment and Chair of OSSAC

• Michael Morrison, Area Chairperson,Thunder Bay District attributed the lack of meetings to unprecedenteddemandsHealth Unit upon the limited resources of the On-Site Sewage Systems

Unit and the lack of suggested agenda items. He stated thatWESTERN AREA: OSSAC was established for the purpose of identification,Larry ArneiU,Area Chairperson, Oxford County Health Unit discussion and the resolution of matters related to theManuel DeFreitas, Secretary-Treasurer, Oxford County Administrationof the Part VIII Program.Health Unit In March of 1991the president of ASPHIO (Association of

Supervisors of Public Health Inspectors of Ontario) sent RuthSOUTHWESTERN AREA: Grier, Ministerof the Environment, recommendationsfromPeter Wilmott, Acting Area Chairperson, Halton Regional a survey dealing withthe future of the Part VIII Program.AHealth Unit similar letter was sent by Klaus Seeger on behalf of the

InstituteinAugust1991. As a result,OSSAC metonOctoberRYERSON: 7, 1991. The meetingwas titled ASPHIO Day. Many of the•Greg Stevenson concernsmentionedinASPHIO's report to Ruth Grier were

discussed.Mr. B. Hatton, Directorof the WaterlooRegionalEXECUTIVE CHAIRMAN: Health Unit, explained that more money was needed toSiobhan Lehmann,BranchCouncillor,ScarboroughHealth effectivelycarry out the Part VII Program. He exPressedDepartment seriousconcernthat HealthUnitswillsoondropthe program.

The Ministryof Environmentspokespersonsuggestedraisingapplicationfees.

A Ministryof EnvironmentPart .VII Review Committee,Klaus Seeger as the OntarioBranch's representative,met

Many thanks to the Area Chairpersonsand Secretary- in March 1992. The committeediscussedthe streamliningTreasurers for their time and effort to making this year's of transferpaymentprocessing;settingupof uniformP.H.I.'sregionalmeetingsboth educationaland informativeon the and additionaltechnicalsupportfor health unitsfor programInstitute'sbehalf. The Area Chairperson'sassistanceto the delivery.Environment Health PromotionAd-hoc Committee in the Health Units must continue to upgrade. The Part VIIIProvincialResourceSharing Programhas created a basis Programheldatthe Universityof GuelphonApril27, 28 andfor developing a greater network of educational material 29th, 1992, had seventyone registrants(53 inspectors,18informationexchange in the province, consultants).A summaryof the evaluationsindicatedthatthe

SUPPORT THE ONLY ORGANIZATION THAT SPEAKSFOR P.H.I.'S ON PUBLIC HEALTH ISSUES.GET A NON-MEMBER TO JOIN THE C.I.P'H.I. SUPPORT YOUR

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course was well planned with the subject matter beingpertinentto the informationrequired for the presentday SUMMARY OF RECOMMENDATIONS:approval process. It also indicated a need for future 1. The Ministryof the Environmentmustbe encouragedtoworkshops.MikeGianfrancesco'scommitmenttothe PartVIII upgradeOntarioRegulation374/81.

In-ServiceProgramhasbeeninvaluable.I congratulateMike 2. The Ministryof the Environmentmustbe encouragedtoGianfranceaco for hiscommitmenttofurtheringeducation, upgrade the guidelines for private sewage disposal

In September 1991, amendmentsto PlumbingCode systemsandthat a sectionbe includedinthe minimumOntario Regulation 401191, stated that "The Minimum standardsandapplicationprocessfor septictanksystemseparation distance betweena buried service pipe (any suitabilitystudies in support of proposed plans ofprivatewaterline)anda sewagesystemsubjectto PartVIII subdivision.

of theEnvironmentalProtectionActshallbe at least50 feet." 3. Prior to Draft Plan Approval,a detailed geotechnicalMr. H. Goodfellow,CIPHI(C),the Institutesrepresentative investigationandhydrogeologicalassessmentshouldbeof the OntarioPlumbingInspectorsAssociationplayed a

strong role in expressing the Institute's concerns. As preparedin supportof all plans of subdivision.chairpersonof HealthyEnvironmentsa letterwassentto the 4. Qualifiedengineersshouldbe requiredtodesign,inspectCode TechnicalChairman,Ministryof Housing,Plumbing and certify all private sewage disposalsystemswithinDivisionstatingthatsuchrestrictionscouldheavilyaffectthe plans of subdivision.developmentof existingproperties.InMarch 1992the code 5. Public Health Inspectors,consultantsand contractorswas revisedstatingthata bariedwaterservicepipeshallbe should be better educated with regard to the designseparatedfrom a sewagesystemby notlessthaneightfeet approvaland operationof individualsewagesystems.measuredhorizontallywhereitshallbeconstructedof asingle 6. A copyof thisreportshouldbe submittedto the Ministryrun of pipe withnojointsor fittings, of the EnvironmentApprovalsBranchin orderthat they

In May 1992 my employer,Sudburyand DistrictHealth mayconsiderthisinformationto makerecommendationsUnit, metwith the M.O.E. Part VIII area co-ordinator.on policychanges.We wereinformedof thefollowingguidelines."Assessment

of GroundwaterImpactFromIndividualSepticSystems"and 7. A copyof thisreportshouldbe circulatedto each of the"Water SupplyAssessmentfor PriVateWells" whichwould participatingHealth Units.

be availablebeforeyear end. 8. The programshoulddevelopan informationpackageforI wouldliketothanktheInstituteandthe Sudbury& District new homeowners explaining the operation and

HealthUnitforthe opportunitytoserve asa councillorthese maintenanceof an on-sitesewagedisposalsystem.(Infopastfouryears.My experienceshavehelpedmetogrowboth packagebegunby privateconsultingfirm).professionallyand personally.I hope to remain an active 9. TheOntarioNewHomeWarrantyProgramshoulddevelopmemberof theCanadianInstituteofPublicHealthInspectors. a referencebookletto betterinstructitsmembersandtheir

agentsinthe design,constructionand approvalprocessAnnual Statement for ruralsubdivisiondevelopmentandindividualsystems.

Ontario Plumbing Inspectors Assoc.by Hugh Goodfellow Food and Water Committee Report

The associationmeetsquarterlyand holdstheirmeetings by Mike Gianfrancescoon Saturdays at the Ministryof EnvironmentOffices in The OntarioBranchof C.I.P.H.I., in partnershipwiththeRexdale. The O.P.I.A. is very active in certification of PublicHealth Branchof the Ministryof Health,agreed toplumbers,legislationrelatedtothe buildingcodeandinpublic developand deliverthe HACCP programto publichealtheducation.Theyare verysupportiveof our professionand inspectorsthroughoutOntario.have offered assistance in production of our public Tocarryoutthisfunction,an ad-hoccommitteewasformededucationalmaterials.Presentlythey are workingwith the andthe first meetingtookplace on January 8, 1991.Government in trying to legislatethe requirement that The Committee'sfirst concernswere to determinewhatplumbinginspectorsthroughoutOntariomustbecertifiedand levelof HACCPwas alreadyin place,whattype of trainingI trustthat each of us willworkin supportof thiswithinour manualto develop, whowouldattendthe workshopsandjurisdiction.Havinga representativeon the O.P.I.A. also where wouldthe workshopsbe held.allows us a working relationshipwith the C.S.A. and The committee prepared and distributed a surveyMechanical ContractorsAssociationof Ontario: Recent questionnaireon HACCPimplementationto allHealthUnitschangesinourworkinglegislationsuchasthe FoodPremises and,whileawaitingthe results,beganbuildingthe frameworkRegulationsand SwimmingPool Regulationemphasises for programdevelopmentand delivery.The surveyresultsoncemorethatweallshoulddevelopaworkingrelationship indicated that HACCP implementationranged from anwith our local plumbinginspectionauthorities. It was my advancedmodifiedapplicationto non-existent.Specifically,pleasure to represent you with the Ontario Plumbing approximatelyten Health Units were usingsome formofInspectorsAssociationthispast term and I trustwe will be HACCP conceptwhilethe rest were waitingfor Provincialableto continueto developa coordinatedrelationshipwith direction.them. Fromthe surveyresults,thecommitteeconcludedthat it

could not begin at the level achieved by the existingHEALTHY ENVIRONMENTS programs,but woulddesignthe manualand workshopsasPROGRAM an introductorycourse in the basic conceptsof HACCP

by Mike Gianfrancesco applicationswith a view to the future to hold advancedworkshopsoncethe processis in placeand evaluated.November 21, 1992 To further investigateHACCP implementationin local

REPORT ON: HealthUnits,the committeeinvitedpublichealthinspectorsSurveyconductedbythe OntarioNew HomeWarranty withHACCPexperienceto meetingsfor their inputintoourProgramwith respect to Private Sewage Disposal process. In addition to experienced invited guests, theSystemsin the Provinceof Ontario. committee also drew on the experience of committee

page 14Ontario Branch News

members who initiated'HACCP at their Health Units. developed operational plan for H.A.C.C.P. committee

This process kept the committee informed on reviewed material for manual contentenhancements, failures, changes and evaluation information prepared results of workshops presentation evaluationsthat was analyzed and used to direct the formulation of themanual content. Patricia Powell --

As the manual content evolved, so did the strategy for the Hamilton-Wentworth Regional Health Unitworkshops and who the target group would be. developed material for critical control pointssection of the

The committee decided that the workshopswould be inthe manualform of a train-the-trainer concept aimed at approximately two reviewed material for manual contentpublic health inspectors in every Health Unit who were in the presented at six workshopsFood Safety Program throughout Ontario. The representa-tives attending would be given a training manual and Shawn Zentner-instructions on how to train the remainder of their staff. To Waterloo Regional Health Unitsupport this concept, the HACCP committee would be development of the H.A.C.C.P. demonstration videoavailable for problem solving and consultation followingtheir acted in the H.A.C.C.P. demonstration videorespective staff training sessions, reviewed material for manual content

presented at four workshopsHACCP Committee support for workshop presentation

The development and_ presentation of the H.A.C.C.P.program succeeded because of the commitment and Maureen Howesdedication from all of the committee members as well as the York Regional Health Unitdonation of their personal time and effort needed to complete developed the operations guide section of the manual andthis project. Congratulations to all who participated in the strategy for its presentationcreation of the manual and workshops presentation, reviewed material for manual content

The following is a list of all of the committee members and presented at all seven workshopstheir main functions in putting the program together.

Mike Gianfrancesco m OTHER CONTRIBUTORS

Chair; Waterloo Regional Health Unit Mike Bradyco-ordinated functions relating to budget, committee Hamilton-Wentworth Regional Health Unitmeetings, manual development, production design, co-ordinated the filming and production of the H.A.C.C.P.assembly and distribution demonstration videoco-ordinated workshop site locations liaison with video production firm

Dr. Charles LeBer -- Vito Chiefary --Ministry of Health Representative Simcoe County & District Health Unit

provided invaluable support for the development of theassisted inthe productionof the H.A.C.C.P. demonstration

H.A.C.C.P. program videoreviewed manual contentliaison with video production firmprovision of H.A.C.C.P. inspection, audit and worksheet

forms and related use and ordering narrative for manualcontent Rob Nickolliaison for other Ministry of Health related functions Ministry of Healthprovided Ministry representation at London, Hamilton and provided Ministry of Health representation at the OttawaScarborough workshops and Belleville workshops

Rick Navackas -- Dr. Steve Styliadisdeveloped strategy for protocol presentation and Ministry of HealthH.A.C.C.P. demonstration video production provided Ministry of Health representation at the Thunderco-ordinated all workshops presentations and related Bay and North Bay workshopsworkshop functionsreviewed material for manual content

H.A.C.O.P. WORKSHOPSpresented all seven workshops _._

The H.A.C.C.P. program was presented in a one day

Henry Chong -- workshops format at seven locationsthroughout Ontario.Scarborough Health Department The first workshops took place in London on May 11,1992,

reviewed material for manual content developed internal then Hamilton, May 12, 1992, Scarborough May 20, 1992,implementation strategy for manual content Belleville May 25, 1992, Ottawa May 26, 1992, Thunder Baypresented at Scarborough workshops June 8, 1992 and the last workshops in North Bay June 10,

1992.

Siobhan Lehmann -- A request for the H.A.C.C.P. workshops was made by the

Toronto City Health Department Environmental Health Divisionof Prince Edward Island. I wasreviewed material for manual content able to fulfil their request and conducted the one daydeveloped registration and agenda form H.A.C.C.P. workshops in Charlottetown on June 25, 1992.co-ordinated site setting for H.A.C.C.P. committee Attending were Health Division staff, Department ofmeetings Agriculture staff, Department of Fisheries staff and two _

representatives from the Nova Scotia Department of Health.

Jane Urquhart- The Ontario H.A.C.C.P. workshops were attended byNorth Bay and District Health Unit and Toronto City Health representatives from every Health Unit as well asDepartment representatives from the Ministry of Health Laboratories and


some community colleges. The total number attending all can be adopted by every Health Unit and stresses theworkshopswas approximatley175. The topics covered were importance of uniformity and the food safety programas follows: throughout Ontario. The H.A.C.C.P. program is a major

initiative by the Ministry of Health ad the Ontario Branch of1. Ministry of Health Protocol the CanadianInstitute of Public Health Inspectorsand I urge

This section dealt with the background definitions, goals, your support inensuring the success of the program.objectives, implementation strategies, risk assessment,andfood safetystrategies of the Hazard Analysis CriticalControl PointsProtocol. Community Food AdvisorAlso the use of the new H.A.C.C.P. inspection form Program Reportdetailingcriticalandnon-criticalitemswas demonstrated by Dan McMillanalong with instructionson how to order these formsprovidedfreebytheMinistryof Healthforall HealthUnits.

As the representativefor the Ontario Branch on the2. UnderstandingCritical Control Points CommunityFoodadvisorySteeringCommittee,I am pleased

ThissectionexplainedCriticalControlPointsandcritical to reportthatthisprogramhasprogressedfromthe planningcontrolmeasuresand establishedtheir relationshipsto stage and is now moving toward province widecross-contamination, ingredients, time-temperature implementation.control,personalhygieneand disinfectionprinciples. The firststepinthe implementationprocesshasbeenthe

selectionof threepilotsiteswherethe programwillbetested3. Case Studies Demonstration Videos and evaluatedbefore expandingacrossthe province.The

In thissectiontwofood preparationprocesseswereviewed Committee received several excellent applications for pilotand the audience was instructed on how to conduct a sites and it wasvery difficult to choosethe three communitiesH.A.C.C.P. audit and how to fill out the new Ministry of where the program will be tested. The pilot sites are fundedHealth audit forms and audit worksheet created for this by Ontario Ministry of Agriculture and Food and the Ministrypurpose. These forms are also provided free of charge of Healthwith local sponsoringorganizations responsibleforfrom the Ministry of Health for all Health Units. volunteer recruitment, training and supervision. The Guelph

program is sponsored by the Wellington-Dufferin-Guelph4. Operators Guide to H.A.C.C.P. Health Unit, in London the London-RegionInteragency

This sectiondealt withthe applicationof the document NutritionCouncil(LINC)is the sponsoringorganizationand"CountdowntoZero" createdbythe YorkRegionalHealth inKingstonit'sthe Frontenac,Lennox,andAddingtonHealthUnit.ThisfoodSafetyAssuranceProgramwasdeveloped Unit.for food service operatorsin order for them to clearly These three programs are at different stages ofunderstandthe principlesof H.A.C.C.P. implementation,butall expectto be in full operationearly

in 1993.

5. Internal and External Implementation Althoughthe SteeringCommitteewillcontinueto meettoThissectiondealtwithtrainingstrategiesfor foodsafety evaluatethe pilotprogramsand to plan for provincewidestaffand implementationof the programfor foodservice implementation,itwouldappearthat the bulkofourworkisestablishments, done.We nowwaitandwatch(notunlikeproud,butnervous

parents)while the pilotgroupstake their first independent6. Evaluation steps.

A fifteen minutetime periodwasallowedto completethe I lookforwardto reportingonthe progressof these pilotworkshopsevaluationform.Theresultof theseevaluations programs during 1993 and I encourage public healthwilldetermineneedsandfuturedirectionfor the program, inspectorsin the Guelph, Londonand Kingstonareas to

becomeinvolvedasresourcepeopletotheCommunityFood7. Open Forum Advisorsin their areas. I am sure youwill find it to be an

At theendof thepresentations,the H.A.C.C.P.committee interestingand rewardingexperience.presentersand the Ministryof Health representativesansweredquestionsdealingwiththeissuesthatwerenotcovered,newconceptsandshared practicalexPeriences Communicable Diseasewith H.A.C.C.P. implementation. Committee

1992 Annual ReportOverall the committeefelt that the program was wellreceivedand supportedby those attendingthe workshops, by Jane Urquhart

The committeehasalreadyestablishedsomeareasof future We havecompletedthe firstyear of the newDiseaseanddirectionsuchas a follow-upevaluationat 6 monthsand12 InfectionControlCommittee,a standingcommitteeof themonthsafterthe June'92 workshops.Also,anotheroneday OntarioBranchExecutive.workshop approximately12-18 months after June '92 The purposeof this committeeis to bring togethertwodependingon resultsof the evaluationshas beenplanned, program areas to provide our members with current

In orderto supportthe program,discussionand funding information,provideeducationaltrainingand to respondtofor a resourcemanualhastakenplaceandwillproceedagain areas of concernregardingcommunicablediseasecontroldependingon the desirabilityof sucha document, bothinthe communityaswellasin the institutionalsettings

With respectto a H.A.C.C.P. trainingvideo,discussions withinOntario.have begun with the Canadian Restaurant and Food We encourageour memberswithspecialinterestintheseAssociationto modifytheir existingH.A.C.C.P. video. areasto participateinworkinggroups,to presentinformation

At each workshopthe attendeeswere advisedthat the to the committeeon newtrendsandto makepresentationsH.A.C.C.P. committeewouldbe availableto helpwithstaff to government committees, community groups, mediatrainingquestionsandotherimplementationconcerns.The releasesand promotionalactivities.H.A.C.C.P. committeebelievesthat the programdelivered TheOntarioMinistryofHealthinconjunctionwithMcMaster


University Medical School will be presenting an Infection Several yearsago the branch applied for third class mailingControl in-service for Public Health Inspectors to be held in status and the application was rejected by Canada Post.Thethe Fall of 1992. Ms. Trish Powell is a member of the Executive has directed me to try again. The mailing re-planning committee as the Institute's representativeand has classification would greatly reduce the postage in the OBNworked with the committee over the past year. (report circulation however the mail would have to be sortedattached), according to postal code before taking the publication to

We are beginning to work with other agencies, both in the Canada Post.private and public sector, to promote awareness in diseasecontrol and to provide external groups with Public HealthInspectionexpertise. November 21, 1992

Any memberwishingto participateis stronglyencouragedtO contact any member of the committee. We need your The costsof producingthe sixteenpage Fall Issueof theexpertise. Ontario Branch News was: $1,382.73.

Report to CIPHI Editors Stipend $100.00

(Ontario Branch) Goderich Print ShopTypesetting & PMT's $192.75by Patricia Powell

GoderichSignal-StarInfection Control in the '90's -- Partners in Prevention PublishingLimited

The planning committeemet on July 7, 1992 to finalize Printing 282.93speaker commitmentsforthisupcomingin-service.We have Camera Work 64.00had speaker confirmationfrom the Ministryof Health, the Binding 142.50institutionalsector,the OntarioHospitalAssociation,andthe Envelopesat 10€ 48.50teachinghealthunits.Thisgreatspeakersupporthasallowed Labour 71.50usto developa programwhichaddressesa varietyof issues Postage 409.72that have been raised by infectioncontrolpractionersfrom G.S.T. 70.83public health units and institutions - concerns about

TOTAL $1,089,98clarification of mandate and roles, barriers to programimplementation, and techniques to achieve interagencycooperationto name a few. An advertisementrenewalof $595.00 was received.Four

Registrations are coming in quickly! We have already subscriptionrenewalswere received amountingto $48.00.registered28 participantsand the crossCanada mailinghas Total incomesincethe annual general meeting is $643.00.justbeencompleted.Anyoneinterestedinattendingisurged SecondClassMail Issue:-- Good newshas beenreceivedto act nowto ensure they will not be disappointed fromCanada Post.The OBN has beenreviewedforcontent

andhasbeenapprovedforsecondclassmail status.NationalAugust Update CIPHI isabletoprovidea mailinglistaccordingtopostalcode.

As of August 11, 1992, 41 peoplewere already registered The Goderich Signal-Star is satisfiedwith the mailing listforthisconference.It isencouragingto notethat 21 of those format so that bundlesof newsletterscan be made to makeregistrants are Public Health Inspectors! As well as bundles of OBN so that Canada Post won't have to handleparticipating in the organization of this event, P.H.I.'s have the OBN issues separately. I am waiting for the official mailingalso given direction as to topics to be presented and issues account number before using it.to be addressed by our speakers. Clearly, the roleof infection The second class mail status wili result in a major savingcontrol liaison is one that Public Health Inspectors are well to the branch. The last issue was sent out at 84¢ per unit,suited for and it is through involvementwith conferences such by using second class the same package is delivered foras this that they,,can become better prepared to fulfil it. about 10€each.

Conference Liaison ReportOntario Branch News by Ben Vacca

by John Orr:,_,_ The 1992 Conference Committee of the Ontario Branch

Our journal, the Ontario Branch News has been published extends a warm welcome to all delegates and guests to thefour times since the last annual meeting. It is encouraging 53rd Canadian Instituteof Public Health Inspection Educationto.receivethe letters to the editor; so keep those cards, letters Conference. A great deal of work was endured to make thisand articles coming, conference informative and enjoyable. Following is a listing

Subscription renewals generated $132.00 for the branch, of the people involved in the program:The revenue generated through advertising was $1,088.00.It seems that the slump in the economy is reflected in the CONFERENCE COMMITTEE:reductionof advertisers'financialsupportof the branchand Chair Ben Vacca

of the promotionof their products. Program Chair Jane Urquhart

The four issues cost: Fall '91 $1,594.36 Advertising Russell AllegraWinter '91 $1,550.96 Ben VaccaSpring '92 $1,494.87 Golf Mike ReidSummer '92 $1,610.04 Dave YoungTOTAL: $6,250.23 Exhibiting Russell Allegra

Ben VaccaEach issue was twenty-fourpages in length. Rick Navackas

Continued on Page 20


Branch HostsConference inNiagara Falls


Conference inFalls

i


Branch Hosts SuccessfulConference inNiagara Falls

L

page20OntarioBranchNews .... _'

Media Klaus SeegerGuest Program Siobhan Lehmann WHERE CHANGE IS THEJoanne GodinSocial Ed Wierzbicki NEW WAY OF DOING THINGS!Photographer John Orr c.i.P.H.I.'s NATiONAL/ONTARIORegistration Siobhan Lehmann BRANCH CONFERENCE

Ben VaccaJULY 20 - 23, 1993

Ontario Branch Hosts London, Ontario, CanadaSuccessful Conference PIONEERINGCHANGEIN ENVIRONMENTALHEALTH;

in Niagara Falls UNIQUESOLUTIONSTO EXISTINGCHALLENGESby John Orr Conference delegates will be .part of an exciting

assemblyaimed at discussinginnovativeways ofJane UrquhartandBenVacca did a great job on behalf dealingwithenvironmentalhealth Challenges.

of the Branch Executive in putting a great Educational InternalandExternalchangeshavecausedallof usConference in Niagara Falls. to examinewhat and howwe do things. Innovative

BenVaccacertainlyshowedthathe knowshowtoarrange strategieshave resulted.As a dynamic professional,great hospitalityat the Park Hotel. CarlosO'Brien's Fine youwant to hear aboutthese uniquesolutions.Cuisine and Karaoke and at the Branch's Hospitalityin The Conference hosts, the Middlesex-LondonNiagara. The spouse's programmeswas very good, my TeachingHealthUnit, inviteabstractsforpresentationspouse told me so. Thank You, Ben, on behalf of the in concurrentsessions.Papersshouldrelatedto thedelegatesand the BranchExecutive. ConferenceTheme.

Jane Urquhart reallyknowsa lot of'peoplein the knowand she knowshow to get them togetherto providean Especiallywelcomeare abstractsfocusingon:excellenteducationcomponentforthedelegates-- Thanks, -- Health PromotionJane for an excellentprogramme. -- Risk Assessmentand Risk Management

The executiveall did their part to pull the eventoff ,- Thank -- Environmental Health Enforcementyou to Henry and the other members of our executive. -- Management Issues

I am sure that I echo the sentiments of the Executive, that _ Research Opportunitiesis we feel that we are very busy in conducting the affairs ofthe branch on your behalf and we would prefer that local Abstracts should be submittedby January 30, 1993to:HealthAgencies would hosteducational conferences in the Middlesex-London Teaching Health Unitfuture. Jim Reffle ischairing the '93 Conference Committee c/o Jim Refflein London, for which we are very pleased. However no one 50 King Streetis standing in line to offer to host the conferences to follow London, Ontario, Canadain.'94, '95, 96, etc. Members please consider this a request N6A 5L7Hosting A Conference -- wouldn't it be fun to spend a fewdays in Stratford, Barrie, Sarnia, Windsor, Brantford at aconference-- well, please considerthe requestand let me Ad-Hoc Environmentalknow if you would like more information to act on. Health Promotion Committee

by Ben Vacca

This committee consists of NINE members workingtogether to, as the name implies promote environmentalhealth.Currently we have a number of projects underwaytomeet our objectives.

One such project is the annual Information Sharing Dayheld in the Fall. Last year's Info Sharing Day was acombinationof HealthUnitsdiscussingtheir health promotionprojects being conducted at their health units. We also hadthe chance to view material collected for the ProvincialResource Sharing Program.

Maureen Howes will once again take on the task ofexpanding the Provincial Resourcessharing Program. Shewill be sending letters out to all Health Unita, tosubmit anynew materialproduced to their Area Chairperson. Theymustsubmit five copiesof new material for the Area Chairperson.This material will be distributed at the Area Chairpersonmeeting on September 14, 1992 at the Park Hotel.

The "Article ReleaseNetwork" (ARN)has been placedonhold until we can recruit new members into this organization.

We have approximately two new projects on the gofor the _'year 1992-1993and they are:

mAnyone sitting here?"1. EARTH DAY: CHAIRPERSON -- Klaus Seeger2. CLASS ACT: CHAIRPERSON --, Maureen Howes


The current Ad-Hoc Environmental Health Promotion BRENDANJ. KILLACKEYCommitteeincludesthe followingmembers: Supervisor,Technology& Product

DevelopmentUnit,TechnologySectionVitoChiefary SimcoeCountyDistrictHealthUnit Waste Reductionof MOEPamCook Cityof TorontoDept.of Health 101 BloorSt•, West, Suite 201JoeGibbons Haldimand--NorfolkHealthUnit Toronto,OntarioMaureenHowes YorkRegiona!HealthUnitBridgetteMcEIhone Wellington-Guelph KARENHAMILTONLynnRichardson ScarboroughHealthUnit The Divisionof MissionRomanaTariamis PeelRegionalHealthUnit in Canada,The UnitedChurchof CanadaKlausSeeger HuronCountyHealthUnit c/oBenVacca NiagaraHealthServicesDepartment 630 HillsdaleAve. East

Toronto,Ontario M4S 1V3NEW MEMBERSBEGINNING NOVEMBER1992: (416) 482-2128 or (403) 624-2887 (fax)PeterJekel MuskokaParrySoundTedKing KingstonHealthUnit SHARON E. KRUSHELPatriciaPowell Hamilton-WentworthRegionalHealthUnit Coordinatorof Publication& DistributionDonnaTaylor PerthDistrictHealthUnit "Alternativesin Diapering"

(ResourceBookletfor Parents)A Facilitated Multi.Stakeholder 7117- 100 St.

Peave River,Alberta T8S 1B1Process on Environmental (403)624-1647Assessment of Products

BARBARAKYLEby Ben Vacca Directorof LaundryServices

I wasaskedby PresidentSeekertorepresentthe Institute IzaakWaltonKillamHospitalFor Childrenon thisprojectwhichdealswithdisposablediapers•At the 5850 UniversityAve.presenttimewe areinthe processof writingourrecommen- Halifax, NovaScotia B3J 3G9dationsonthe product•Asa groupwecompareddisposable (902) 428-8111or (902)425-1818 (fax)diapersvsclothvs diaperservices. RUTH LOTZKAR

The Committeemembersare as follows: ChairpersonEnvironmentallySound PackagingCoalition

RONI BREGMAN 2150 Maple St.KooshieWashableDiapers Vancouver,B.C. V6J 3T3336 Green Road (604) 736-3644or (604)736-7822 (fax)StoneyCreek, Ont• L8E 2B2(416)662-4281 or (416) 662-8723 (fax) ELAINEMACDONALD

ProductManagerJOHN HARRISON WeyerhaeuserCanadaPast-President,Assoc.of Municipalitiesof Ont• 1600 Clark Boulevard

Brampton,Ontario L6T 3V7148 Eagle St•, Box98 (416) 793-8737 Ext. 244Delhi, Ontario N4B 2W8(519) 582-1900or (519) 582-4978 (fax) (416)793-5141 (fax)

(416) 730-4122 (fax)DENNIS DARBYManagerof Environmental GLENN PARKERRegulatoryServices AssociateProductDevelopmentManagerProcter& GambleInc. Procter& Gamble Inc.

P•O• Box355, StationA _.._1Yonge St.• Box355, StationA4711 Yonge St.(416) 734-4090or (416) 730-4282 (fax) Toronto,Ontario M5W 1C5

(416) 730-4476

COLIN ISSACS KARENPATRICKSeniorConsultingAssociate, WorldwideHomeThe NiagaraInstitute Environmentalists'NetworkEnvironmentalPolicyConsultant (when)Personnel.BranchContemporaryInformationAnalysis 2244 GordonAve.61 MutualStreet,Suite201 West Vancouver,B.C. V7V 1W3Toronto,Ontario (604) 922-4179

(416) 726-8015 or (416)863-6230 (fax) (604) 926-5079.(fax)or (403)422-2978 (fax)PATRICIADIMOND PEGGY SZUMLASStorkDiaperService OccupationalHealth Specialist109 Judge Road Alberta Transportationand UtilitiesToronto,Ontario M8Z 5B5 2nd fir• TwinAtria Bldgs.(416) 236-7795 4999-98 AvenueM5S 1P7 Edmonton,Alberta T6B 2X8(416) 325-4435or (416) 325-4437 (fax) (403)427-0746


its missions.The mission of OPHA is to strengthen theBEN VACCA impactof peoplewho areactive in communityand publicSecretary/Treasurer health throughout Ontario.CanadianInstituteof Key issues or OPHA include supportingthe shift toPublicHealth Inspectors communitybasesservices,the promotionof environmentalP.O. BOX 3040 health,equitableaccessto healthcareservices,partnership573 GlenridgeAve. and non-violence,strategiesrelatedto AIDS, tobaccoandSt. Catharines,Ont. L2R 7E3 healthycommunities,andthe effectsof economicsandsocial(416) 688-3762 Ext. 216 or (416)682-3901 (fax) justiceon health.

The shiftfroma primarilyinstitutionalbasedtreatmentandLESLIE WHITBY caretoone focusedoncommunityandpublichealthservicesPrivyCouncilOffice integratesan "assessmentof the determinantsof healthBlackburnBldg.,Room 614 (income, housing, food, employment, education) with85 SparksSt. preventionpracticessuch as self-managementskillsandOTTAWA, ONTARIO healthpromotingpracticeswithservicedelivery-- resultinginan investmentwhichempowerspeopleto makeinformedK1A0A3 choicesabouttheirhealthandtakepositivehealth-enhancing(613) 957-5067 or (613) 957-5154 (fax) actionwellbeyondthe interventionperiod." (froman OPHA

brief to the Treasurerof Ontario,92/2/7). The overallfocusMICHAEL C. WILLS of OPHA activitieswill be in the contestto achievingthe1478 DanforthAve. determinantsof health.Toronto,Ontario M4J 1N4 The health goals for Ontario support the facilitationof(416) 778-4394 programstowardsachievingthe determinantsof health.The(416) 778-6557 (fax) Health Goals for Ontario were announcedbythe Minister(416) 468-4271or (416)468-5671 (fax) of HealththispastJanuaryasa partofOntario'shealthreform

agenda for the next three to five years and have beenBILLWILTON endorsedby OPHA:The Niagara InstituteP.O. Box1041176 John St. EastNiagara-on-the-Lake,Ontario 1. Shift the emphasisto health promotionanddiseaseLOS 1J0 prevention.

2. Fosterstrongandsupportivefamiliesandcommunities.PROGRAMCOORDINATORDARKAJENSEN 3. Ensure a safe, high-qualityphysical environment.The Niagara Institute 4. Increasethe numberof years of goodhealthfor the(416) 468-4271 citizensof Ontarioby reducingillness,disabilityand(416) 468-5671 (fax) prematuredeath.Mississauga,Ontario 5. Provide accessible, affordable, appropriate healthL5M 2H3 servicesfor all.(416) 821-5793 or (416) 821-5177 (fax) I -

GLEN WOOD

Venture Manager The health goals are part of the vision of healthDu PontCanada Inc. developed by the Premier's Council of Health Strategy.7070 MississaugaRoad In my opinion, if the Ministry of Health wants toBox2200, Streetsville accomplishthe health goals notedabove then additional

support (resources, training and FTE's) should beThis report will be publishedonly when there is an forthcomingtoenhancetherolethatPHl'sareperforming

agreementbetweenall multi-stakeholders, now and in the future. (ie. 3-5 years).The second actionPrior to approvalthe report will be distributedto all the which needs to take place, if health promotion is toExecutiveMembersfortheir comments, receive the emphasis it deserves, is to amalgamatethe

Health PromotionBranchwith the PublicHealth Branchto adequatelyprovidethe supportneededby publichealthprofessionalsonthe front line and reducethe duplication

Ontario Public Health Assoc, - which is presentlytakingplace.ClPHI (Ontario Branch) The OPHA in collaboration with its ConstituentSocleUeswill be makingpresentationsthroughoutOntario

Inc. Constituent Society as a dialogue on health to increase understandingandby Klaus Seeger acknowledgement of the determinants of health. The

presentationswill take place during the next eighteen

During the past year the Ontario Public Health months.Association(OPHA)has continuedto buildon its abilityto Along with the OPHA Board of Directors, I wish toidentifyissuesandadvocatefor changethroughlobbyingof welcome two new Constituent Societies - the Ontariodecisionmakers;provisionof educationopportunitiesforthe Society of Public Health Dentists (OSPHD) and thecommunityandpublichealthprofessionals.Asa Constituent Association of Health Promotion Specialists in PublicSocietymemberonthe Boardof Directorsthe CIPHI(Ontario Health (AHPSPH). I look forward to working withBranch)Inc. endorsesand participatesin this strategy, representatives of both groups to further our common

OPHA activitieshavesupportedand fulfilledthe intentof goals in public health.


Community and Corporate Liaison sourcesor types of pollutioninthe communitywhichhave1992 Annual Report demonstrableadversehealth impactson the residents."

The ConservationCouncilof Ontario had developedaby Klaus Seeger, Past President "CommunityActionPlan" asa template"allow communities

to developtheirownpriorities,onthebasisof localconditionsThroughtheworkoftheCommunityandCorporateLiaison and the interests and expertise available within the

Committee the Ontario Branch intends to establishand community" (from the Ontario ConservationNews). Themaintainactiveliaisonandcommunicationlinkswithvarious CommunityActionPlanwhenadoptedby ourowncommunitygovernmentsministriesandagencies;industryassociations wouldbe the idealsituationforus to becomeinvolvedwith.andagencies;professionalassociations;andthecommunity The PHI hasexpertisein manyofthe issueareasidentifiedin general.Theselinkswouldworktogetherby poolingour in the Community Action Plan including:Pollution -expertiseandknowledgeto helpensurea healthysustainable householdtoxics,airquality;Waterobeaches,drinkingwater,environment. Over the past number of years contact, urbanstreams,conservation;Waste Reduction- packaging,representation,andlinkinghasbeenestablishedandnurtured composting,recycling;Land Use - communityplanning,with:the ConservationCouncilof Ontario,the OntarioPublic regionalplanning. Each municipalityin Ontario will beHealth Association, the Ontario Plumbing Inspectors approachedbythe CCO andencouragedto adoptand useAssociation,andtheAssociationof SupervisoryPublicHealth the Community Action Plan. I encourage all PHI's toInspectorsof Ontario. participateandofferyourperspectiveonenvironmentalhealth

Activiteswithgovernmentinclude:a liaisonwiththepublic issueswhen the CommunityActionPlan is adoptedor ishealth branch;a committeeto confirmthe "Public Health offeredinyourmunicipality.Write'yourthoughtsdownafterInspector" as a professionalunderthe Regulated•HealthProfessionsAct; a joint committeesponsorshipwith the readingMarguerite Wong and Richard Boehnke's reportAssociationof LocalOfficialHealthAgencies(ALOHA)tofind and send them to Henry Chong, President. If you are

interestedin participatingin a CommunityActionPlan, letsolutionsto addressthe shortageof publichealthinspectors us know.inOntario;representationtothe Ministryof Environmenton Thereare 32 memberorganizationswhoparticipateintheissuesrespectingPartVIII;andrepresentationto theMinistry

ConservationCouncilofOntarioandany informationoractionof MunicipalAffairsDisentanglementSteeringCommittee. plantheOntarioBranchdevelopscouldhavebroadexposure

Activitieswithindustryare alsobeingestablishedandan and support from all areas of Ontario. The memberexcellentexampleistheOntarioBranch'sparticipationwiththe Niagara Institutewhich has been dealing with the organizationslist follows.disposablediaperissue.Referto BenVacca'e report found Member Organizationof the ConservationCouncilunder "Projects." Through the work of our dedicatedmembersweare veryinvolvedwithallof theaboveprojects, of OntarioDetailedreportsare included.Herearethe highlightsto spur BruceTrail Associationyou on to furtherreading. CanadianInstituteof Forestry (SouthernOnt. section)

CanadianInstituteof PHI's (Ont. Brch)Inc..................... CanadianLand ReclamationAssociation(Ont.Chapter)

CanadianSocietyof Env. Biologists(Ont.Chapter)Ad hoc PHI-Regulated Canoe Ontario, Env.ConcernsCommitteeHealth ProfessionsAct Committee Councilof OutdoorEducatorsof Ontario

The report of the Ad hoc PHI-Regulated Health Federationof OntarioCottagers'AssociationInc.ProfessionsAct Committee,Chairedby PaulCallananmay Federationof OntarioHikingTrailAssoc.(Hike Ont.)be foundin thissection.Paul Callananand Pam Scharfe, Federationof OntarioNaturaliststheASPHIO representative,havecompleteda largeamount Ont. Assoc.of LandscapeArchitectsofworkonourprofession'sbehalf.AllMPP's inOntariowere OntarioCampingAssociationsent a copy of the presentationmade to the Legislative OntarioFederationof AgricultureAssemblyStandingCommitteeonSocialDevelopmentand OntarioFederationof Laboura copyofthe "PHI-Profile." I encourageallmembersto read OntarioForestryAssociationPaul's report. The presentationmade to the Standing OntarioInstituteof AgrologistsCommitteeon SocialDevelopmentand the questionsand OntarioMedicalAssociationcommentsfromthe committeemembersas recordedinthe Ont. ProfessionalForestersAssoc.legislativeHansard,anda lettertothecommitteeinresponse Ont. ProfessionalPlannersInst.to their comments,is alsoincluded. Ont. Societyfor Env. Management

TheRegulatedHealthProfessionsAct(RHPA)isscheduled The Garden Clubsof Ontarioto receiveroyalassentandbe proclaimedinearlyspringof Junior Farmer'sAssociation1993. The RHPA providesfor an AdvisoryCouncilto be MetropolitanTorontoZooestablishedwhich, will rule on the applic3ationsfor self- NationalCampers& HikersAssoc.of Ontarioregulation as submitted by non-regulatedprofessions. NorthernOnt. TouristOutfittersAssoc.MemberstotheAdvisoryCouncilunderRHPAare dueto be Ont. Soil & Crop ImprovementAssoc.appointedthisfall.TheOntarioBranch,viaPaul'scommittee, Ont. Workers'OccupationalSafety & HealthCentrewillbeableto addresstheAdvisorycouncil,oncetheprocess PollutionControlAssociationhas been established. The Sierra Club of Ontario

WildlandsLeague(Cdn Parksand WildernessSociety)

ConservationCouncilof Ontario Asyoucan imagineasyouperusethe listabove,thereareRichardBoehnkeandMarguedteWong, OntarioBranch many opportunities for sharing our solutions to the

representativeson the Conservation Council of Ontario environmentalissueswe deal with frequentlyand also for(CCO), recommendintheir reportthat the Instituteand its mobilizinglarge numbersof like minded people aroundmembersshould take more "direct action positionson commonissuesand concerns.


Disentanglement Steering Committee Supervisors of Public Health Inspectors inOntario (ASPHIO);A few years ago the Ministry of Municipal Affairs began Emilia Gilmour - Registered Nurses Association of Ontario

looking at the various overlapping of services between the (RNAO) - Community Health Nurses Interest Group; Ralphprovincial and municipal levels of government. The result of Stanley - OPHA Environmental and Occupational Healththe first stage was a document which became known as the Division; Klaus Seeger, Chair - ClPHI (Ontario Branch) Inc.Hopcroft report. Many of you are aware that the Hopcroft"Report of the Advisory Committee to the Minister ofMunicipal Affairs on the Provincial - Municipal Financial ClPHI/ALOHA PHI Shortage Advisory CommitteeRelationship" has given birth to the Disentanglement During the Ontario Branch annual general meeting atSteering Committee. Thunder Bay 1990 a resolution was endorsed by the

This committeeis co-sponsoredwith the Associationof membershipto requestthe Ministryof Healthto establishanMunicipalitiesof Ontario (AMO). There are six members advisorycommitteeon publichealth inspectortrainingand(municipalpoliticians)from AMO andsix Ontariogovernment recruitment on a provincial level with specificMinistry Ministers ie. Environment, Education,Transportation, recommendations for implementation over the short and longCommunity and Social Services, Deputy Premier and term.Treasurerof Ontario, and Municipal Affairs.This joint steering A letter was sent to Dr. Schabas, Director and Chiefcommittee will guide the reform of the provincial-municipal Medical Officer of Health, emphasizing our concerns onrelationship and will involve a realignment of roles and fiscal recruitment issues and the perceived shortage of PHrs inresponsibilities between the province and the municipal the field and potential staffing implications of the Mandatorysector. ProgrammeGuidelines.The Ministry of Health conducteda

A copyof the letterssent on behalfof the membershipto surveyto determinethe extentof the shortage. Inthe Springthe HonourableDave Cooke,Ministerof MunicipalAffairsand of 1991the PublicHealthBranchreleasedthe resultswhichthe membersof the DisentanglementSteeringCommittee indicatedthat theoverallvacancyrateWas7% provincewidemay be found elsewhere in this section. As the with a greaterdisparityinthe northernareas. Two tothreedisentanglementprocessadvances,the details of how the percent is considered to be high in other public healthresultsmay affect our professionwill be reported to you. If professionswith action pending.necessary, a lobbyingexercise may be needed with your Meetingsbetweenthe PublicHealth Branchandthe CIPHIinvolvementto emphasize our viewpoint. (OntarioBranch)resultedinthe establishmentofan Advisory

Committee of stakeholders' in collaboration with theAssociationof LocalOfficial Health Agencies(ALOHA).The

Ontario PublicHealth Association members of the committee are: Chair, Dr. lan JohnsonDuring the past year the Ontario Public Health (representingthe MOH section of ALOHA), Bob Carson

Association (OPHA) has continuedto buildon its abilityto (CIPHI, Boardof Certification),Tim Sly and Brian Clarenceidentifyissuesandadvocate for change throughlobbyingof (Ryerson),Klaus Seeger (OntarioBranchof the CIPHI), Robdecisionmakers;provisionofeducationopportunitiesfor the Nickol (Min. of Health), Isobel Lawson (Board of Healthcommunityand publichealthprofessionals.As a Constituent sectionALOHA) and Bob McGeein (ASPHIO).Societymemberof the Boardof Directors,the CIPHI (Ontario The Public Health Branch providedthe funding for thisBranch) Inc. endorsesand participatesin this strategy, project.

OPHA activies have supported and fulfilled the intent of The final report of the committee is due to be releasedits mission. The mission of OPHA is to strengthen the impact during September 1992. There are close "to 30of people who are active in the community and public health recommendations providing solutions for the supply of Publicthroughout Ontario. Health Inspectors; recruitmentof PHI's; the retention of PHrs;

Key issues for OPHA include supporting the shift to and reducing the remuneration disparity between differentcommunity based services, the promotion of environmental areas of Ontario. Both long and short term options werehealth, equitable access to health care services, partnership recommended as solutions. Once the report has beenand non-violence, strategies related to AIDS, tobacco and released the details will be published for your information.healthycommunities, and the effects of economicsand social It is important to note here that the committee endorsed ourjustice on health, quest to become self-regulating under the Regulated Health

Professions Act and recommends that ALOHA support theClPHI application for inclusion under the Act.

OPHA - Legislative Review CommitteeThe mandate of the OPHA - Legislative Review Community and Corporate Liaison

Committee is to respond to issues and concerns raised by 1992 Annual Reportpublic health professionals in the field relating to theinterpretationof legislationwhichare creatinginconsistencies by Paul R. Callananor becomingredundant.Areas of workwhich are becominga public health concern and do not have specific legislation Report on the Activities of the Ad hoc P.H.I. -for support wouldalsobe of interestto the committee,i.e., Regulated Health Professions Act CommitteeWaterhaulerguidelines/regulations,orrequirementsfor thereceivingwaters of water slides. Pare Scharfe (Cook) and I met a number of times last

Membersof the OntarioBranchneedto utilizethisavenue springandsummerresearchingandpreparinga submissioninitiatingchangeinthe fieldof publichealth.PHI's inthe field onbehalfof the OntarioBranchandASPHIO to the provincialknowbestwhichareas andissuesneed to changewithnew government'sStanding Committeeon Social Developmentlegislationor amendments.Regionalarea meetingsshould , regardingthe RegulatedHealth ProfessionsAct. A copyofbe utilizedby membersto initiatethe process.Members of oursubmissionanda subsequentletteraddressinga numberthe committee are representativesof OPHA Constituent of questionsarisingfromourpresentationonAugust20, 1991Societies and Divisions:Audrey Gilpin - Associationof is attached.NursingDirectorsand SupervisorsinOntarioOfficialHealth The Health ProfessionsLegislationReviewwascreatedinAgencies (ANDSOOHA); Pamela Scharfe - Associationof 1982 by the Ministerof Health of the day. The mandateof

WINTER Volume 14 No. 1 1992 page 25the Reviewwasto make recommendations,in the formofdraft legislation,regardingwhich professionsshouldbe CANADIAN INSTITUTEOF PUBLICHEALTHregulatedandhow.That is, theHealthDisciplinesAct, 1974 INSPECTORS(ONTARIOBRANCH)wasto be revisedor a newstructuredevelopedto regulatehealthprofessions. ASSOCIATIONOF SUPERVISORSOF PUBLIC

AnOntarioBranchCommitteerecommendedto theHealth HEALTH INSPECTORSOF ONTARIOProfessionsLegislationReviewin 1984that public health The Chair: [ would like to call now the Canadianinspectorsshouldbedesignatedandregulatedunderthenew Instituteof Public Health Inspectors(Ontario Branch)andlegislation.Thatrecommendationwasrejectedandpublic theAssociationof Supervisorsof PublicHealthInspectorshealthinspectorswerenotincludedinthe listof24 health of Ontario.I askthatyoupleaseintroduceyourselves.YouprofessionsthattheMinisterannouncedin 1986wouldbe have20 minutesforyour presentation.I askthatyoubegingrantedself-regulation.

Bill 43, the Regulated Health Professions Act, was now, and if you would leave a few minutes at the end forintroducedintheLegislativeAssembly,notforthefirsttime, questionsfrom committeemembers,we wouldappreciateonApril2, 1991.TheBillreceivedsecondreadingforthefirst that.time on May29, 1991, after which it was referredto the Mr Callanan: Thank you. My name is Paul CallananStandingCommitteeonSocialDevelopmentfordebate.The and I representthe Canadian Institute of Public Healthpurposeof ourpresentationwasto reaffirmthe interestofpublichealthinspectorsin becomingself-regulating. Inspectors(OntarioBranch).PamelaCook representsthe

I felt that a numberof MPP'swerequiteinterestedand Association of Supervisors of Public Health Inspectorsseemedrathersupportiveof ourposition.It quicklybecame of Ontario. Klaus Seeger is the president of the of the

apparent, however, that it was the intent of the committee Canadian Institute of Public Health Inspectors (Ontarioto consider only minorchanges to the Billto accommodate Branch).variousinterestgroups.The24healthprofessionswhichwere

Thank you for this opportunity to address you on Billincludedin the draftof Bill43 are the health professions nowregulated in the Act. 43. The purpose of our presentation is to affirm the interest

Forthe reasons described in oursubmission, and others, of public health inspectors in being designated under thewe feel that the public health inspection profession should legislation. It is our understanding that from the outset thebe self-regulating, if not by means of the Regulated Health primary purpose of regulating health care professionalsProfessions Act, then in some other way. The Regulated was to advance the public interest by protecting consumersHealth Professions Act providedfor the establishment of an from unqualified, incompetent or unethical health profes-advisorycouncilto the Ministerof Health,partofthe purpose sionals. Public health inspectors are currently unregulated.of which is to advise the Ministeron whether unregulatedprofessions should become regulated. We understand that It is our position that this is not in the best interests of thethe advisory council will be appointed shortly. Once the citizens of Ontario.advisory process becomes clear and the council had been Our submission details briefly the role of the publicappointedwe can reassess our effortsto become designated, health inspector, education requirements, the need for and

PHI's/EHO's in BritishColumbiawere granted registration benefits of public health inspector registration and registra-under the Society Act of B.C. in 1989 and are currently tion in other provinces. We will try to be brief and, in theseeking designation under the Health Professions Act. The interest of time, we will perhaps skip over a few sectionsbackgroundinformationandadviceprovidedusbythe B.C. in our brief.Branchhasbeeninvaluabletodateandwewillcontinuetobenefit from their current experience seeking designation. Contemporary preventive health care is a highly com-

As Pare and I suggested, many of our Branch members plex, multidisciplinary system. Public health inspectors actwrote to their MPP's last summer making them aware ofthe independently in fulfilling many diverse program responsi-interest of publichealth inspectors in becoming designated, bilities, and their supervisors must rely on their soundWhile we were unsuccessful in our bid, we feel that the judgement, integrity and competence as they serve thepresentation and lettershave laidthe groundwork for further public in a myriad of ways each day. Designation andpresentations. In order to be successful we feel that a establishment of a college would assist program directorscoordinatedand concerted political lobby willbe required, and the medical officer of health in providing the highest

quality of service to the public.

Legislative Assembly of Ontario In 1989,a national studyof the professionestablishedthat the nationalpercentageof public health inspectors

First Session, 35th Parliament weremonitoringoradvisingwith respecttoa widevarietyof environmenthealthprogramareas,someof which are

Official Report of Debates listedin ourpresentation.

(Hansard) At appendix A, you will find a generic job profile for apublic health inspector, as prepared by the Ontario branch

Tuesday 20 August 1991 of the Canadian Institute of Public Health Inspectors_Citzens place their health, and often their financial se-

.• STANDING COMMITTEE ON curity, in the hands of the public health inspector whenSOCIAL DEVELOPMENT dealing with problems such as contaminatedwater, un-

RegulatedHealthProfessionsAct, 1991 wholesomefood, food poisoninginvestigationsandvail-andcompanionlegislation ous land development issues. The citizen cannot be

expected to know if the advice is correct or if the publicChair: ElinorCaplan health inspector is competent and acting ethically. The dif-Clerk: Lynn Mellor ficulty the public has in screening practitioners---and the


same difficulty faces employers--increasingly imposes an ogies and new health issues.obligation on the part of the profession to ensure that mini- In addition, certified inspectors may re-enter the pro-mum standards of conduct and competence are main- fession after an absence of many years without adequatetained, but in order to do so effectively, however, retraining. We maintain that the public is not well servedprofessions must be legally mandated, by a system that does not ensure that public health inspec-

Subsection 26(1) of Bill 43 provides that: tors, in addition to other health professionals, are trained to"No person shall perform a controlled act set out in current standards. The field Of environmental health is

subsection (2) in the course of providing health care ser- complex and rapidly changing and a requirement for con-vices to an individual unless, tinuing education should be enshrined in the profession.

"(a) the person is a member authorized by a health The Canadian institute is not currently mandated to requireprofession act to perform the controlled act." continuing education for its members, but designation in

Subsection 26(2) goes on to list controlled acts, one of Bill 43 would allow standards of continuing education towhich is "communicating to the individual or his or her be established by the college.

personal representative a conclusion identifying a dis- Ms Cook: Turning to the need for registration, it isease, disorder or dysfunction as the cause of symp- our belief that designation of public health inspectors istoms." It is part of the job of a public health inspector to necessary to protect the public from harm resulting from"communicate a conclusion identifying a disease, disorder this conduct. A number of examples of public harm wereor dysfunction as a cause of symptoms," and it is certainly discovered during preparation of this position paper. In oneforeseeable that the conclusion will be relied upon by the case, a public health inspector issued a number of certifi-client. A few examples include food-borne and water- cates of approval to construct private sewage systemsborne disease investigations, communicable disease fol- which were contrary to requirements of the subdivisionlow-ups such as bacterial meningitis, and infections agreement and the Environmental Protection Act and regu-resulting from drinking contaminated well water or swim- lations. Each applicant was directed to deal with one par-ming in contaminated water, titular contractor, who allegedly extended financial

The public health inspector might indicate, "You had rewards to the inspector for the business.food poisoning caused by salmonella enteritidis," or, in In another example, a public health inspector who alsoanother example: "The lab report indicates your well water owned a private business allegedly used confidential infor-is contaminated. Your symptoms result from drinking con- mation gained from public duties to arrange contracts fortaminated water." Yet another example is, "It is possible his business. He also allegedly issued approvals contrarythat you contracted conjunctivitis from swimming in a to the regulation in return for personal benefits. In anotherpool with unchlorinated water." In each of these examples, case, a public health inspector routinely coerced a restaura-members of the public relying upon the information pro- tour to cash cheques, all of which were returned NSE Thevided by the public health inspector are exposed to harm if restaurant operator permitted a number of NSF cheques,the information is in error, being concerned about reprisals by the public health in-

In addition, physicians often refer their patients to spector if he reported the inspector. Unfortunately, therehealth units and public health inspectors when they suspect are other examples.a patient's symptoms may result from environmental expo- In some of the cases of misconduct we uncovered, thesure. Examples include blood lead level studies, inspectors were dismissed once the malfeasance wasmethaemglobinaemia investigations and carbon monoxide brought to the attention of his or her employer. This doesexposures. An incomplete investigation in any of these not, however, prevent employment as a public health in-cases poses a significant risk of harm to the patient, spector with another agency and the possibility for further1030 public harm.

Sanctions for the offence of performing a controlled Without disciplinary authority or procedures, the Cana-act contrary to section 26 include fines of up to $25,000, dian Institute of Public Health Inspectors is powerless toimprisonment or both. Public health inspectors are justifi- control its eligibility for rehire. The public deserves theably concerned about,,their potential liability. Moreover, right to independent investigation of public complaints re-since public health in__ectors perform controlled acts and garding public health inspectors. The field of environmen-since there is a risk of harm resulting from the perfor- tal health and the role of the public health inspector havemance of these acts, public health inspectors should be changed significantly in recent years, and their certifica-designated in order to protect the public from harm. tion by the Canadian institute, which is required to practise

Education requirements: The current requirement to as a public health inspector in Canada, is insufficient topractise as a public health inspector in Canada is certifica- regulate the conduct and competency of a public healthtion by the Canadian Institute of Public Health Inspectors. inspector once practising.Certification follows university education, an apprentice- The self-regulation envisioned by Bill 43 would allowship period and successful completion of oral and written establishment of a system of continuing education whichexaminations. Continuing education is an essential part of will ensure that only competent public health inspectorsthe life of a professional person. Once practising, there is practise in Ontario. In addition to health care consumers,no requirement that the public health inspectors in Ontario employers in the public health inspection profession wouldmaintain minimum standards of competence, however, also benefit from designation. Employers would benefitPublic health inspectors who received training many years from a system designed to strengthen the abilities andago may not be adequately familiar with changing technol- competence of existing staff and ensure the competence of

WINTERVolume14No.1 1992page27new employees who may have been working in other inspectors. The employer benefits from a system whichfields for a number of years, ensures it a constant supply of well-qualified, competent,

Formalized standards of practice and a code of ethics professional staff. Further, when problems such as incom-would also assist the employer in establishing expectations petence or unethical behaviour arise, the emp!oyer is as-of employees. If designated, the public health inspection sisted in dealing with these. Professionals benefit throughprofession would also benefit from a new-found ability to the support and guidance they receive regarding maintain-deal effectively with complaints of misconduct or incom- ing their competence and adherence to established profes-petent practitioners who may cause the reputation of the sional standards. The profession will benefit from a systemprofession to fall into disrepute. The impartial review pro- which permits unqualified, unethical or unscrupulous practi-cess contemplated by the legislation would provide for a tioners to be suspended, penalized or even barred from prac-thorough review of any complaints while at the same time tising. The ability to regulate the public health professionalprotecting members from frivolous and vexatious alle- helps to protect the health and safety of the public bygations. Members would also benefit, through greater setting standards for education, training and practice.employeesupportfor continuingeducation, to maintain Mr Wessenger:Thank you verymuchfor yourpre-minimum standards of competence, sentation. Are you aware that under this act there will be a

Turning to registration in other provinces, Bill 43 pro- health professions advisory council created to which youvides Ontario the opportunity to show leadership by desig- can apply for designation?hating public health inspectors, thereby requiring Ms Cook: Weare aware of that.self-regulation with appurtenant public benefits. Otherprovinces, however, have already granted self-regulation Ms Haeck: I definitely appreciate the kind of workto public health inspectors. By a 1985 amendment to the you do out in the field, which basically is the foundation ofSociety Act of British Columbia, registration was granted my question at the present time. As a public health inspec-to public health inspectors, tor, in most instances, would a physician be referring a situa-

A board of registration which is affiliated with, but acts tion to you for investigation, or what is the process by whichautonomously from, the CIPHI British Columbia branch, you would be doing your examinations and investigations?

is empowered to administer all matters respecting the reg- Mr Callanan: In most cases, programs are specific-istration of members, including qualifications for member- ally mandated under the Health Protection and Promotionship, continuing education, conduct of members, ethics Act. Mandatory programs dealing with areas such as foodand standards of practice and sanctions of misconduct, in- safety, water supply, communicable disease control, etc are

very specific to public health inspectors. In other casescluding suspension or expulsion from the membership.The BC branch has developed standards of professional physicians, the medical officer of health, associate medicalpractice which are outlined in appendix B. Similarly, legis- officer of health or, more often, private physicians referlation has already been passed in Alberta, and public health patients to the health unit and public health inspectors forassessment of environmental exposures. I would say that,inspectors in Saskatchewan and Quebec have requested in comparing the two, the bulk of our work is mandatedregistration, and it is presently under consideration inManitoba, Newfoundland and Atlantic branches of the programs.institute. 1040

The Health Professions Legislation Review criteria Ms Haeck: You are going in to look at restaurants, orwere developed to address four basic issues. While the you might have received a complaint from the public, butOntario branch of the CIPHI addressed the four criteria in in other instances it is just part of your regular inspection

our 1984 submission to the Health Professions Legislation program. When you made the comment about providing aReview, we found it may be useful to review our position diagnosis or an assessment whereby someone might havein this paper, and these have been, outlined for you in food poisoning caused by salmonellawand I will leave theappendix C. rest of the description to you---or when you were saying,

In conclusion, public health inspectors are key players "Your symptoms are the result of drinking contaminatedin the increasingly technical world of health care. They are water," would that then be under the bulk of the points ofpart of a team but do not share the same protection as other those situations where you would be making those exami-members of the team. Consequently, the public cannot be nations? Would somebody be going to you directly, orassured that all practitioners they come into contact with would the person have been referred to you by his or herhave met with the same minimum standards. Designation doctor?of public health inspectors is necessary to ensure that the Mr Callanan: Generally they would contact us di-public has access to competent and professional public rectly. Those would be complaints situations such as: "I atehealth inspection services, in X restaurant and was sick. Would you please check it

Inclusion in the health professions legislation will out."bring benefits to the following: The public will be better Mr J. Wilson: Under current circumstances, has yourprotected through a system designed to ensure the ongoing institute thought of any way of decertifying public healthmaintenance of competence of public health inspectors it inspectors for misconduct, or some of the cases youturns to for advice and guidance; and inclusion in the legis- brought forward as examples of misconduct, for instance?lation will ensure the highest standard of service to the Ms Cook: No, we do not.

public. The employer will benefit from a system designed Mr J. Wilson: None whatsoever?to strengthen the abilities and competence of public health

page 28 OntarioBranchNews

Ms Cook: Once you arecertified, you arecertified for you arefocusing on.life. That is what we are saying; we are unregulatedand Mr Callanan: In that particular case, yes. In anotherwe would like to be regulated to give us the authorityto example thepersonwould call us andsay: "I think Iwas illdealwith those ty.pesof instances, as aresultof eatinginthis restaurant.Wouldyou pleaseinvesti-

Mr J. Wilson: I see in the appendixof BC examples gate?"Thatiswherewe woulddiagnosefoodpoisoning.of codes of practicethereareno teeth to enforce those. Mr Hope: Would they not go to a doctor first to find

Ms Cook: Not atthis pointin time. out why they were ill and the doctorwould say, "You haveMr Seeger: In addition to that, if I wish, I can leave food poisoning," and then call you and say, "Check that

the field for 10 years, come back in 10 years and find restaurantout"?anotherjob within a health unit. There is no mechanismin Mr Cailanan: The doctordoes notnormallycall us inplace fight now to find outff-I'am still up to date. There is a situationlike that. Normally the person would call usnothing to control that and that is where we see being first. Sometimes they would call their doctorand the dec-designated as a way of at least requiring that person to torwould say: "Call the health unit. I have no jurisdictionbecome up to date. over restaurants."In cases like that we would take speci-

Ms Cook: There is presently a 7% nationalvacancy mens from both the person and food samples from therateof public health inspectorsacross the country.We are restaurant,andthe diagnosis would be based on the resultsconcerned that more desperate health units will hire in- of those laboratoryreports.specters within other fields for longer than five years. MrHope: Wouldthat be on the orderofa doctor?There have been many instances, and it is incumbent upon The Chair: I am sorry. Is that a serious question to thethat health department to retrain those people, but we areconcerned about their competency sta.rting out. We are not parliamentary assistant?convinced that every health department has taken it upon Mr Hope: Yes, because I would like to know, if aitself to retrain people properly, doctor says it is out of his jurisdiction and refers you to a

Mr J. Wilson: I notice in the brief that one of the public health officer, would that be on the order of thedoctor?reasons the review board did not feel it was the time to

include you in the act was that there were not documented Mr Wessenger: I will ask staff to answer th_it.cases of serious harm. Have you made strides in docu- Ms Bohnen: I think it is unlikely that the physician ismenting those cases? You mentioned some today, actually delegating to the public health inspector the re-

Ms Cook: Yes, there are several country-wide now sponsibility to diagnose what is wrong with the patientthat we do have. who is complaining of various symptoms, in terms of

Mr J. Wilson: You should have a good crack at it in identifying a disease that is causing this patient's syrup-future, toms. That situation described, where somebody calls up

and he has various symptoms and the patient suspects it isMr Hope: I was looking over the job descriptions and related to eating particular food in the restaurant, and then

I guess there is the certification of public health officers, the inspector obtains samples from both the patient and theDo you not work on a broader aspect dealing with environ- restaurant and then discovers the bacteria and draws amental acts, water acts or whatever they may be? Are you causal connection between the two, is not a diagnosis cap-working on a broader scope? I am not sure where the tured by this legislation.health professions regulations all come into place. I am

The Chair: Thank you for your presentation.trying to get a better understanding of exactly what you aredoing. Are you upholding laws, food standards and what-ever else? I am really not sure where it comes into play August30, 1991with the health professions.

TO: Lynn MellorMr Callanan: Most of our work is mandatory pro-

grams under the Health Protection and Promotion Act, in Clerk of the Standing Committeeessence dealing with health hazards: What is a health haz- on Social Developmentard? What may be a health hazard? Taking action to miti-gate or eliminate health hazards. Regulations such as the RE: Canadian Institute of PublicHealth Inspectorsfood premises regulations are enacted under those types of (OntarioBranch)and Associationof SupervisoryPublicHealthInspectorsof Ontarioprovisions.In ourestimation,diagnosingwhat is a health Presentationto theStandingCommitteehazard and what is not a health hazard is where we fit into on Social DevelopmentBill 43. If we make an error in judgement, for example, RegardingBill43 - August20, 1991during a restaurant inspection, by not condemning foodthat has been left at room temperature for a period of time Time constraints did not permit full explanation andthat contains pathogenic bacteria and someone gets sick as discussion of a number of questions posed by Committeea result of it, the error in judgement of the public health members as a result ofour presentation onAugust20, 1991.This submissionis to providefurtherclarificationof ourinspector affects the public, positionthat publichealthinspectors(PHI's)shouldbe

Mr Hope: So you are not diagnosing the individual; designatedundertheRegulatedHealthProfessionsAct.you are diagnosing the product or the area that you are Ms.Haeck and Mr.Hoperaised questions aboutthe workconcentrating on. You are not diagnosing the individual as of PHI's:the sourceandnatureof referralsto PHI's;whetherhaving food poisoning, but you are diagnosing the area ornotPHIinvestigationsare "delegated" bya physicianand

WINTERVolume14No. 11992page29

sampling and testing done by order of a physician; whether controlied acts as section 26(2)1 is currently worded: "Youor not PHI's actually "diagnose" diseases, had food poisoning caused by Campylobacter jejuni, a type

Section 7 of the Health Protection and Promotion Act of bacteria"; "Your symptoms result from drinkingrequiresthat every boardof health ensure the provisionof contaminated water"; "You may have contractedmandatoryprogramsand servicesspecifiedin the Act. The conjunctivitisfromswimmingin an unchlorinatedswimmingMinistry of Health has established Mandatory Health pool". In each of these cases, membersof the public areprograms and Services Guideline (April 1989) which exposedto harmif the informationprovidedby the PHI is inestablish four healthgoals for the province:Health Growth error.

and Development,Health Lifestyles,CommunicableDisease Investigationsof this nature arise from complaints orControl and Healthy Environments.Within thisframework, inquiriesdirectlyfrom the public or via referralsby private20 individualprogramstandardsare mandatedto healthunits physicians.The investigation,however,includingsubmissionas minimumpublichealthservices. PHI's assume the lead ofsamplesto the PublicHealthLaboratorybythe PHI, is notrole in several mandatory programs,includingfood safety, "by order": of eithera privatephysicianorthe medicalofficerwaterquality,rabiescontrol,infectioncontrolin institutions, of health and the PHI's diagnosisis communicateddirectlynon-communicabledisease investigationand emergency to the patientby the PHI. The patient's physicianis advisedresponse, of the results as a courtesy.

As Mr. Hope pointed out, Someof the work of the PHI is Supplementary to Mr. Hope's questioning, Ministry ofenforcementof provincial regulations under the Act. However, Health staff suggested that it was not the intention of Bill 43a distinct portion of theresponsibilities of the PHI within these to capture this type of diagnosis. In our experience, however,programs involves performance of the first controlled act in the judiciary gives greater consideration to the syntax of theBill 43, law in rendering decisions than to the intentions of the

architects of the law.Communicating to the individual or his or her personal The intent of the statute is often the subject of somedebaterepresentative a conclusion identifying a disease, during litigation and such debate is usually resolved by thedisorder of dysfunction as the cause of symptoms of lowest common denominator, the wording of the law. Thisthe individual incircumstances in which it is reasonably being the case, PHI's are concerned with their potentialforeseeable that the person or his or her personal liability if Bill 43 is enacted as section 26(2)1 is currentlyrepresentative will rely on the conclusion, worded. PHI's perform controlled, acts but, we are not at

As we indicated during our presentation, PHIs conduct a present authorized by a health profession act to perform suchnumber of different types of investigations resulting in acts as required by section 26(1).communication of a specific diagnosisto the client and it is It is our hope that the Committee will see the wisdom inforeseeable that the diagnosis will be relied upon. designating PHI's under the Regulated Health Professions

The following examples must surely be considered Act. We have provided adetailed explanation of our position

May your days be healthy,Merry and Bright.

\

!

- From Henry Chong, President your Executive BenVacca, Klaus Seeger, Jane Shimizu, Richard Navackas,Mike Gianfrancesco, Mike Reid, Audrey Downer, JohnMacDonald and John Orr.

t

page30 OntarioBranchNews

in our presentationand paper and we thank You for this We are not in a positionat thistime to select specificallyopportunityto provide further clarification, issuesfrom amongthe CCOs vast area of interests.(Local

Departmental priorities have kept us occupied full timeYours truly, unfortunately).In addition,greater backgroundon selected

Paul Callanan, B.A.S., C.P.H.I.(C) pollutioninitiativesof the CCO must be examined beforeCanadian Instituteof Public Health Inspectors making specific recommendation for applicati0n of our

(Ontario Branch) suggestedprinciple.

• Community and Corporate Liaison1992 Annual Report We are therefore recommending that the principle

above be adopted by the Institute as a first step, thusby Richard Boehnke & Marguerite Wong allowing all of our work to be related to it for appropriate

Conservation Council of Ontario action on behalf of the Institute.

After consideration,we have agreed that the vast workrange undertakenbythe Councilis indicativeof the needfor The HonourableDave Cooke, Ministerpublichealth to clearly identifythe worknichewhereinitwill Ministry of MunicipalAffairsoperate. It is nota simpleundertaking,andwillimpacta great 777 Bay St.deal on future Instituteactivity. 17th Floor

We have help inthis regard. The primaryone is the new Toronto,Ontario M5G 2E5HealthyEnvironmentsMandatoryGuideline,a documentnotyet approvedand made official in Ontario. February 5, 1992

In essence, it is appropriatethat public health inspectorsdeal with those environmental matters which have animmediate impact on the health of their respective Dear Mr. Cooke:communities rather than matters several steps or stages,removed in time from being a dangerous situation. The I recently hadthe opportunityto read the "Report of thesecond tier is the proper preserve of the general AdvisoryCommitteeto the Ministerof MunicipalAffairsonenvironmentalistsand organizationssuch as Green Peace the Provincial-MunicipalFinancialRelationship". On behalfand PollutionProbe. of the CanadianInstituteof PublicHealthInspectors(Ontario

The Canadian Instituteof PublicHealthInspectorsshould Branch) Inc. I would like to respond to some of thefollow exactly the same sequence of priorities, inaccuracies in the report regarding the members of my

profession.Examples might be: First, I would like to state that we are in favour of the

the Instituteshouldtake direct action positions(i.e., conceptof the disentanglementprocedure.We concurwithformalnews releases,phonecallsto decisionmakers, the committee's concerns of the numerous instances ofrequests for members actions locally through their servicebeingduplicatedandwouldagreethat thisneedstoUnits, etc.) on sources or types of pollutionin the be reduced.Communitywhich have demonstrableadverse health The healthdepartmentsservingcitizensin municipalities

• impactson the residents haveprofessionalswhichworkonthe front lineof identifyingand solvingmosthealthissues.The publichealth inspector

, , but is one of these professionalswho are first to respond toenvironmentalhealth and publichealth issues.The health

the Institute should only advocate (i.e., letters of unitemployees,and specificallythe publichealth inspector,support to othergroups,etc.) for the plantingof trees, have always understoodthat there is a direct link betweenorthe controlof Great Lakeslevels,orthe assessment the impacthuman activityhas onthe environmentand the

•of dammingof riversorthe numberof wilddeer to be resultingimpactthose activitieshave on human health.. permitted in a park. The Hopcroftcommittee received erroneousadvice and

informationon the role of the publichealth inspectorintheEach example above is important to the preventionof communityand therefore drew the wrong conclusion.The

detrimental health effects, but the former one has an majorityof the publichealth inspector'sactivitiesare basedimmediacyof impactwhichwe can and shoulddeal withas on a provincialmandate and programmes.our own public health agenda. The qualifications and expertise of the public health

Tothisend, we are recommendingthatthe Instituteadopt inspectorallowthisprofessionaltotakethe leadroleinmanya principle or series of principles around environmental areas of environmentalhealth andseveralof the Ministryofmatterswhichwill permit us to do preciselythisselectionof HealthMandatory GuidelinesandProgrammesincluding:a)issues for our attention. CommunicableDiseaseOutbreakManagementand Infection

As the premier principle,wesuggest: Control ininstitutionssuchas hospitalsand nursinghomes;b) CommunicableDisease Investigationsuch as foodborne

PROTECTION FROM EXPOSURE TO HAZARDOUS illness,sexuallytransmitteddiseases, respiratorydiseases,MATERIALS IN THE BUILT AND NATURAL parasiticdisease and Rabies; c) Water Quality - whichENVIRONMENTS WHICH HAVE DETRIMENTAL EFFECT includesprivateandmunicipalsuppliesandalsorecreationalON THE HEALTH OF PEOPLE OR NON-PEST waters(spas,pools,beaches);d) FoodSafetywhichincludesANIMALS. inspectionand auditing of food premises utilizing hazard

analysis critical control points criteria; e) educationalUsingthisas the measureagainstwhich all issueswould programmes in all programmesto promote preventionof

be weighed,the Institutecouldselectthosewhichit maywish disease. Many publichealth inspectorsadministerPart VIIto comment upon as a general initiative, reserving its of the EnvironmentalProtectionAct regardingland controlcommentson all others as it sees proper, andon-sitesewage disposalsystemissues.The roleof the


publichealthinspectorincorporatesa muchgreaterspectrum announcedwiththe Associationof Municipalitiesof Ontariothan the Hopcroft report indicates, ie. "water, food, public the creationof ajointSteeringCommitteetoguidethe reformeating places and other public health inspections; of theprovincial-localrelationship.This initiativewill involvedisinfestationof premises." I am enclosingthe recently a realignment of roles and responsibilitiesbetween thepublished"PHI-Profile" for a more detailedexplanationof provinceand the municipalsector.the qualificationsand role of the Public Health Inspector. In Novemberof 1991, I announcedthe establishmentof

Our preferencewouldbe to remain part of the health unit the Provincial-LocalRelations Secretariat that will providewith 100% provincialfunding,since the Medical Officer of policyandadministrativesupportto the SteeringCommittee.Health and the Public Health Inspector have historically The Secretariatis currentlyassistingthe SteeringCommitteeworked as a cohesiveteam. However,if the public health withthe organizationof a numberof expert panelswhichwillinspectoris segregatedfrom the other health professionals deal with specific issue areas such as infrastructure,andit is extremelyimportantthat the level of currentprovincial healthandsocialservices.All interestedgroupswill, intime,funding,especiallyfor mandatoryprogrammes,is maintained have an opportunityto contributeto the process once theas a minimum in order to provide current services. Most reformissueshave beenidentifiedandexpertpanelsformed.citizenswillgotothe publichealthinspectiondepartmentfirst I appreciateyour taking the time to inform me of yourfor advice on environmentalhealth concerns. Increased concerns and I will ensure that the staff of the newly-funding for preventionprogrammesin environmentaland establishedProvincial-LocalRelationsSecretariatare madepublic health may be necessary in order to address the aware of your positionon this matter.emerging issues. ,

The CanadianInstituteof PublicHealthInspectors(Ontario Sincerely,Branch) Inc., whichrepresentsboth managementand staffpublichealthinspectorsinOntario,wouldbewillingto provide Dave Cookea representative of our profession during the upcoming Ministermeetings regardingthe disentanglementprocess. M.P.P., Windsor-Riverside

Please do not hesitateto contact:Henry S. Chong, B.A.A.(EH), C.P.H.I.(C), C.O.H.S. February20, 1992President, C.I.P.H.I. (Ont. Branch) Inc.54 PennyhillDrive Ms. Helen Cooper

Scarborough, Ontario M1B 4K1 Mayor, City of KingstonTel: (416) 396-7431 City Hall, 216 OntarioSt.

ormyselfforfurtherinformationonthe roleof the publichealth Kingston,Ontarioinspector. K7L 2Z3

Sincerely, Dear Ms. Cooper:

Klaus Seeger, C.P.H.I. (C) I recentlyhad the opportunityto read the "Report of theImmediate Past-President AdvisoryCommitteeto the Ministerof MunicipalAffairsonCanadian Instituteof Public the Provincial-MunicipalFinancialRelationship".On behalfHealth Inspectors of the CanadianInstituteof PublicHealthInspectors(Ontario(Ontario Branch) Inc. Branch) Inc. (C.I.P.H.I.) I wouldlike to respondto some of

the inaccuraciesinthe report regardingthe membersof myprofession. Attached is a copy of the letter sent to the

March 16, 1992 Honourable Dave Cooke, Minister of Municipal Affairsregardingthis report.

Mr. Klaus Seeger As a member of the newly formed DisentanglementImmediate Past-President SteeringCommittee I hope you will considerthe concernsCanadian Instituteof Public Health Inspectors of the public health inspection profession during the(Ontario Branch) Inc. assessmentprocessof disentanglingservices. The publicP.O. Box 1120 health inspectoris a professionalwho can respondquicklyClinton, Ontario orcoordinatea responseto environmentalhealthandpublicN0M 1L0 health issuesbecauses/he is on the front line.

TheCanadianInstituteof PublicHealthInspectors(OntarioDear Mr. Seeger: Branch) Inc., which representsboth managementand staff

publichealthinspectorsinOntario,wouldbe willingtoprovideThank you for yourletterof February3, 1992, concerning a representative of our profession during the upcoming

the role of the public health inspector,as described in the disentanglementprocess."Report of the Advisory Committee to the Minister of Please do not hesitateto contact:Municipal Affairs on the Provincial-Municipal Financial Henry S. Chong, B.A.A.(EH), C.P.H.I.(C), C.O.H.S.Relationship". President, C.I.P.H.I. (Ont. Branch) Inc.

My Ministry has had an opportunityto consultwith staff 54 PennyhillDrivefromthe Ministryof Healthonthisissue.It is recognizedthat Scarborough,Ontario M1B 4K1public health inspectors play an important role as Tel: (416)396-7431interdisciplinary team members responsible for the ormyselfforfurtherinformationontheroleof the publichealthimplementation of provincially-mandated public health inspector.-;programs, in additionto the more specific functionsof themunicipality. Sincerely,

The importantlinkageof the skillsof morethan650 publichealth inspectorsto the 42 local Boardsof Health currently Klaus Seeger,serving the needsof 832 municipalitiesis also recognized. C.P.H.I.,

You may be aware that on August 20, 1991, I jointly Immediate Past-President


Associationof Municipalities STUDY INITIATEDof Ontario The MiddlesexLondonHealthUnitdecidedto researchthis250 Bloor Street Easi issuefor the purposesof determiningthe incidenceof Food-Suite 701 borneoutbreakscaused by such operations.Toronto, Ontario It is hopedthat suchevidencewill help justifythe needtoM4W 1E6 restrictthe preparationand sale of hazardous foods from

private residences for the purposesof public sale.March 6, 1992 Duringthe Summer of 1992, Leslie Bernard, a 3rd year

studentof Ryerson'sSchoolof EnvironmentalHealthworkingKlaus Seeger, C_P.H.I.(C) with the Middlesex London Health Unit, was asked toImmediate Past-President research this issue.Canadian Instituteof PublicHealth Inspectors HerStudyconsistedof twoparts.Partoneinvolveda reviewP.O. Box 1120 of the literaturefor informationonthe incidenceof food-borneClinton,Ontario illness from meals prepared in home food premises.N0M 1L0 The secondpart of the Study consistedof a surveywhich

had been distributed to all Ontario Health Units to solicit

Dear Mr. Seeger: relevant information.

Thank you for your letter of February 20th, 1992 and for HOME FOOD PREMISES - LITERATURE REVIEWthe material youincludedconcerningthe OntarioBranchof In the ten year period from 1975 to 1984 home cateringthe CIPHI Inspectors. accountedfor 43 incidence(notcases)ofreportedfood-borne

I can offer you the assurance that the HopcroftReport, illnessinCanada. Theyrankedfifth after restaurants/hotels,although extremelyhighly regarded, is currentlyviewed by institutions, catering companies and fast-food facilities.the SteeringCommitteeas a backgrounddocumentonlyfor Cateringcompanies (licensed)accounted for 73 incidence.itscurrentwork.There are a varietyof suggestionsmade in This may be due to the fact that there are moreof them inthe report whichwe nowrecognizemay not be practicalor existenceandtheymaybe usedby a largernumberof clients.appropriateto implement.However,the reportdoes clearly It is not unreasonableto assume that as the number ofarticulatecertain principlesby which we are attemptingto Unlicensed(andunregulated)home foodpremisesincreases,exploreand examine a huge varietyof issues, so will incidents of food-borne illness related to these

I will, therefore,ensurethatthe informationyou havesent premises,expeciallyif they are allowedto exist withouttheme is reviewed by the SteeringCommittee and referred to benefit of inspection,food-handlertrainingor legislation.other appropriategroupswho will be examining the huge Duringthe ten year periodending in 1984, homecateringcomplexityof issueswhichthe disentanglementprocesshas was responsiblefor 2.4% of all reported incidentsof food-revealed, borne illness. Please keep in mind that these stats are for

home catering businessesonly, other types of home foodYours Sincerely, premises,suchas homebakingorcanning,are not included

here. The causativeagents of those incidentsbreak downHelen C. Cooper, President in the followingorder of occurrence:

Unknown 0.9%Salmonella sp. 0.7%

Home.Based Food Premises Staphylococcusaureus 0.5%Clostridium perfringens 0.2%

A PRELIMINARY LOOK AT Shigellasp. 0.1O/oFOOD-BORNE DISEASE RISK

However,when ranking each causativeagent accordingby Leslie Bernard - Ryerson Student 4th year to source of the outbreak agent another pattern emerges.

and Jim Reffle, Assistant Director, Home caterers were responsible for the fourth highestEnvironmental Health Division number of outbreaksdue to Salmonella sp., third highestMiddlesex-London Health Unit numberof outbreakseach due to Staphylococcus aureus

andClostridium perfringens andthe onlyoutbreakof food-related shigellosis between 1975 and 1984.

BACKGROUND Another,oftenoverlooked,issueconcerningproductsfromDuringthe latter part of 1991, the issue of Home Food home food premisesmay be food allergies. With no list of

Premises had been discussed throughout various ingredients and the unavoidable public ignorance of theprofessionalpublic health circles in Ontario. significance (or existence) of serious food allergies could

Concernswere raised about the interpretationof current causeseriousreactionsor possiblyeven death. Mislabellingsectionsinthe OntarioHealth Protectionand PromotionAct of foodproductscouldalsobe a problem.Itcouldbe possible

. \

that wouldessenhallyexempt home food premises(ie. food thatwithina homefoodpremisesthatthe recipemaychange,preparation businessesconducted in a private residence) butthe labelswill remainthe same.This givessupporttothefrom the requirementsof the Food PremisesRegulation. conceptof inspecting home food premises not just from a

The ability of public health inspectors to review food- food-handlingperspective,but alsoin order to disseminatehandling practicesin these settingswould be uncertain at information regarding the seriousness of food allergies.best, if this Ministry of Health interpretationwere to be ',Warning" labels may be considered for foods containingextendedinto the new Food PremisesRegulation, currently nut products or nut oils, something that is already doneunder review, commercially, to alert potential victims to their presence.

A.S.P.H.I.O. raised these concerns to the Chief MedicalOfficer of Health who conceded that such a position might Other issues that may be relevant to safetyhave some merit, in home food premises -

Salmonella in whole eggs


Parasites in undercookedor cross-contaminatedfood

Questionable sourcesof raw product PROBE THERMOMETER

HOME FOOD PREMISES - ONTARIO SURVEY PROMOTIONThis survey (see attached) was sent to the Directors of Submitted by Bruce Fortin

Inspectionof 44 Health Unit officesin Ontarioon June 26,1992. A follow-upquestionnairewas sent to thosewho had Porcupine Health Unitnot already respondedon July 29, 1992. The implementationof the ProvincialHACCP Inspection

Of the 44 questionnaires issued, 37 were received Programhas placed an increasedimportanceonthe use of(responserate - 84%). thermometersand subsequenttemperaturemonitoring.The

Of those37, 30 (81%) statedthat theyhad evidenceof the health unit over the past few years through the divisionpresence of home food premiseswithin their jurisdiction, newsletterand personalpromotionhas been attemptingtovirtuallyallof the HealthUnitsthat respondedsaidthat they increasethe availabilityanduse of thermometersbythe foodwere surethat therewere many more "out there" thanthey service industry.were aware of. Although an increase in thermometer usage and

The type of foodpreparationgoing on in these "known" temperaturerecordinghas been noted,the staff inspectorshomefoodpremisesranged fromspicepreparationand fish felt that something more had to be done to promotesmokingto homebakingforfarmer's marketsand fullcatering thermometerusage.The inspectorsfelt that the health unitservices, had to be more proactive in increasing the use of

Six out of the 30 (20%) Health Units already attempt to thermometers and recommended that we undertake aregulate and inspect their known home food premises, promotionprogramthroughwhichthe healthunitwouldofferPorcupine,YorkRegionand Haliburtoninspecttheirpremises thermometersto the food service industryat a reasonableregularly;Lambtonlicensesandinspectsthosethatapplyfor price. The staff felt that this would not only makebusinesslicensesinthe Cityof Sarnia; Durham, Etobicoke thermometersmorereadilyavailableand foodpremisesmoreand Londonattemptto controlanddiscouragetheircreation receptiveto the idea, butwouldalso enhancethe image ofthroughrigorousenforcementof zoning by-laws, the InspectionDivisionin the food service industry.

Of the 30 health unitsreportingthe confirmedexistence Management was receptiveto the idea and after takingof theseoperations,10 (33%) have experiencedfood-borne advantage of special pricingoffered by certain companies,diseaseoutbreaks, a price of $4.99 each for quality probethermometerswas

A totalof 11 outbreakswere reported.Fourof these had established.laboratory.confirmedetiologicalagents. These were: A flyer wasmailed out to all food serviceestablishmentin

our area advisingthem of thisspecialofferand providingaClostridiumperfringens 2 deadline for them to take advantage of same. A total of 34Salmonellasp. 1 food establishmentsrespondedto the offer resultingin theNorwalk-typevirus 1 distributionof 121probethermometers.On re-examiningthe

promotion,staff inspectorsconcludedthata largerresponseOne additionalincidentwascausedbyforeign materialin wouldhave been achievedhadthe inspectorsdeliveredthe

the food (Wellington). flyer personallysince indicationswere that the mailed flyerSeven Health Unitsreportingeightoutbreaksgave actual was set asideand forgottenor discarded.However,the use

numbersof people ill in each incident.The total: 1,018 ill. of Canada Postwasthe mosteconomicalway of conveyingThe mostcommonconfirmedfood-handlingerrorsthatled the offer to the food service industry.

to outbreaksdueto home food premiseswere (causes may The thermometerswere deliveredpersonallyby inspectorshave been multiple), duringtheir routineinspectionswhich providedan excellent

Inadequate storagetemperatures 5 opportunity to not only discuss the proper use of theCross-contamination 2 thermometers,butto alsoprovideadditionalinformationonInadequate reheating 1 the HACCP inspectionprocedure.Inadequatecooling 1 All inall, the projectwas deemed a successand the staffIII food handlers 1 inspectors have recommended that if possible, thisUnknown 2 opportunitybe madeavailableinthefutureto thefoodservice

establishmentsin our area.One previouslymentioned incident was due to foreign

material.

CONCLUSION Minutes of Western Area Meeting -,It is commonknowledgethat incidentsof food-borne illness

are grosslyunderreported.Illnesscausedby food from home May .14, 1992foodpremisesmaybe even moreso dueto the natureof the AT OXFORD COUNTY BOARD OF HEALTHbusinessesthemselves.While incidentsthat create multiple Woodstock, Ontarioillness at catering-type functionsstanda fair chanceof being by Manuel de Freitasreported; illnessdue to consumingfood bought at a localfarmer's marketdoesnot.We've onlyscratchedthe surface Larry Arneill area Chairpersoncalled meeting to order.here. Due to the currenteconomicclimate, these premises Larry introducedour guest speaker Mr. Doug Morrison ofwill only increasein numberas people look for easy ways the Drug Division of National Health and Welfare.to raisetheirlevelof disposableincome.These home-basedbusiness present a real threat to public health and need The highlightsof the presentationare as follows:regulation and control

References 1. The Food and Drug Regulationwith respect to food1. Todd, Dr. E. Foodborne Disease in Canada: a 10 Year additives.

Summary, 1975 - 1984 Health and Welfare Canada. 2. The complianceprogram.(1991)


3. Importvs Domesticcomplianceproblems. 1) President2) Ontario BranchArea Representative-- John Orr

4. Food Additives:Food grade vs non-foodgrade. 3) Six Area Chairs5. All foodadditivesshouldhavea labelora directionsheet

to determine quantities to be added safely. If not 3. Structureof Branch discussionlead by John Orr.available,call Health ProtectionBranchfor assistance.

6. Baby Foods have very specific and strict standards. 4. Motion from Phil Paquette:•Whereas, it is the wishof the WesternArea to raisethe

7. Food in Canada publicationavailableusuallyinAprilby professional status of Public Health Inspector's incalling416-596-5874. A good referenceguide of food Ontario.Therefore,be itresolvedthat theOntarioBranchchemicals. Executivepursuemandatory licensingand registration

8. Food irradiation is legal in Canada, but not being of Public Health Inspectorsin Ontario.practisedat this time.

Seconded: Cathy Cunningham9. Allergies:Video FoodAllergies can Killwaspresented Discussion:None

for viewing. Carried:10. Allergies: For further information on food allergies

contact: 5. Motionfrom Dean Burns:a) Susan Daglish Whereas, the present form of representationfor the

Allergy AsthmaInformationAssociation public Health Inspection may have outlived its •65 Thomely Drive, Suite 10 usefulness.Therefore, be it resolvedthat the OntarioEtobicoke,Ontario BranchExecutiveundertakethemissionto pursuea newN9B 5Y7 form of representationfor provincewide bargaining.416-244-8585 or416-244-9312

Seconded:Mike Gariepyb) Ms. Robin Garret Discussion:None

Canadian Restaurantand FoodAssociation Carried:80 BIoor Street WestToronto, OntarioM3C 3C6 Next meetingSt. Thomas at the call of the Chair.416-923-8416 or 1-800-387-5649

11) Trends for the 90's:a) Harmonization between North American and Letter to the Editor

European regulationsand from Jim Chan,_P.H.I. Supervisor,b) Increase demand for chemical labels for specificneeds. Etobicoke Health Department

29 September 199212) Contact Dave BrownHealth ProtectionBranchLondon

for a computer informationdisk on "Food Additive Re: SalmonellaOrganismsShed by Red-ear SliderTurtlesInformation."

Dear John:

AFTERNOON SESSION: The article on"Salmonella stanley in a ChristmasGift"InformalGroup Discussion reprintedinthe Fall 1992editionofthe OntarioBranchNewsItems Discussed: was excellent. It made referenceto the "support of a ban1. Repackagingof foodproductsfromlargecontainersinto on turtle sales by Ottawa-CarletonHealth Department."

smaller containersfor re-sale.Conclusion:All foods to Studiescarriedout by HealthandWelfareCanada andthehavetechnicallabelsand/ortestedforpathogengrowth OntarioMinistryof Healthconfirmedthat turtleshatchedfrompotential, eggs treatedwith antibioticscontinuedto shed salmonella

bacteriaintankwater. EtobicokeHealth Departmentalways3. The changing role of the Public Health Inspector. supportedthe ban on turtle sales and had recentlymade a

Numerous thoughtsand ideas were expressed as to requestto AgricultureCanada via the Ministryof Health towhere we are going as a profession.It was noted that participateinthe banonturtleeggimportation.Unfortunately,the Instituteneedsresourcepeople.FrontlineInspectors the recommendationwas not accepted. Since this waswho can providevaluable informationto the President mentionedat the recentannual institutemeetingin Niagaraand the Councilwhich representsall Inspectors. Falls, I justwant to sharethe followingexperiencewithyou.

In 1984, the EtobicokeHealth Department was involved

3. Treasurers' Report read, in an extensive investigationof salmonella serotypes inMotionto accept: John MacDonald shipmentsof baby Red-eared slider turtles from Quebec.Second:John Orr These turtlescametoCanada ineggformandwere hatchedCarried: All inthe basementof a Montrealhome.Subsequentdistribution

of baby turtles waswidespread and human illnessresulted.When we requestedproof from the State of originthat the

NEW BUSINESS: shipmentsof turtles or eggs were negative for salmonellaorganisms,the Health Inspector was shown a copy of a

1. Motionsto President Discussion "health certificateforsmallanimals", (copyattached)issued2. Minutesto be sent to: bythe LouisianaDepartmentofAgricultureon 17 September


1984. The documentindicated"this turtle egg shipmenthas not been exposed to rabies" and "found to be freefrom symptoms of contagious andlor infectious disease Time is like money; the lesswe haveand is apparently healthy", of it to spare, the furtherNext time you see a turtle foamingat the mouth,you willknowthat thisNinjaTurtle isjustshaving and isnotRabid. we make it go.

Keep up the good work!

P.H.I. Bonspiel 1993Submitted by Bruce Kemball

Ottawa-Carleton Health Departmentsis hosting the '93 Curling Bonspiel

for Public Health Inspectorson

March 20th, 1993Come curling at the Rideau Curling Club

Hotel Accommodations are to be made atThe Albert & Bay Suites Hotel

Ottawa, Ontario

* MAKE PLANS TO ATTEND *

ANSWERS TO CROSSWORD PUZZLEON PAGE 36

's

,_ =Havea goodvacation,Wilson?"


Environmental Health Crossword 46. Alternativewordi I _- I-_ 14 50. In the distance

L 52. Eggs

a_ 53. French article (male)58. Had no vacancies in Bethlehem60. Victorian order of nurses (abbr.)

63. Director of Public Health Inspect!onin Huron County

ACROSS

1. Final Garbage Dumpsite8. Environmentally Friendly Products

12. Dried Legume13. Large Body Salt Water14. Porcine

15. Volcanic Mountain in Sicily17. Popular Cooler19. Movie Rating20. Space21. Water Distribution Device

DOWN 23. Nothing2. To mimic 25. HeavenlyDeity3. Hair restraint 28. Measured Portion

4. Temperature where bacteria multiplyfastest, "__zone" 29. A Top(40°F - 140°F) 30. Many bacteria need this to survive

5. "To err.__human" 31. Misplace6. Hawaiian garland 32. Cooper Initials'7. Sugarfound in milk 33. Morning8. Physician 34. FirstU.S. President(slang)9. Slash 35. In the event that

10. Refrigerated Christmasdrink 38. Suffix indicatingone associatedwith11. Christmascarol 39. A female noun16. American athletics league (abbr.) 40. Glamour or fashionable

18. To free from burdens 42. Kissingplant22. Physicaleducation(abbr.) 47. Santa sound24. Incorporated(abbr.) 48. Poultry product26. A designation . 49. Major artery taking blood from heart27. Soldier (abbr.) 51. Flatten28. Birthdate(abbr.) 54. One hundredten in roman numerals31. Endure 55. Monetary requirement33. Requiringair 56. Intravenous36. Ridgeon the fingerboardof guitars 57. Lubricate37. Atmosphericsubstanceprotectingman from U.V. radiation 59. Virus causingA.I.D.S.39. Flavourenhancer 61. Neutered chicken

41. Chemical symbolfor thorium 62. Black (Fr.)42. Cat sound 64. Result of a cold43. Eskimo dwellings 65. "Don't just think about it, -- it."44. Per person

45. Dangerouschemicalgiven off by some bacteria Submitted by Laura Farrell and Tim Jaynes

, WINTERVolume14No.1 1992page37

€ ciphi Canadian Institute of Public Health InspectorsL'lnstitute Canadien des Inspecteurs en Hygiene publique

MEMBERSHIP APPLICATION FORMI hereby make applicationfor [ ] Regular Membership(see dues table below) [ ] Student Membership(dues are $20.00)inthe Canadian Instituteof PublicHealth Inspectors.This applicationimpliesthat membershipis to continueuntilresignationis tendered, or until membershipis discontinuedunder the conditioncontainedin the By-lawsof the Institute.

Name. Date of BirthSurname First Name Middle Name Month Day Year

Mailing Address

Present Employer

Employer Address.

Your Position Title Telephone

C.P.H.I.(C) Certificate Number Date Issued

Home Address

" Would you prefer your mail directed to your [ ] Office or [ ] Home?

Have you ever been a member of C.I.P.H.I. before? If so, when?

CODE OF ETHICSAs a Member of the Canadian Institute of Public Health Inspectors, I acknowledge:

i That I have an obligationto the sciencesand arts for the advancementof PublicHealth. I will upholdthe standardsof myprofession,continuallysearch for truths, and disseminatemy findings;and I will striveto keep myself fullyinformedof thedevelopmentsin the field of Public Health.

That I have an obligationto the publicwhosetrust i holdand I will endeavour,to the best of myability,t()guardtheir interestshonestlyand wisely. I will be loyal to the governmentdivisionor industryby which I am retained.

Thatthe enjoymentof the highestattainablestandardof health isone of the fundamentalrightsof every humanbeingwithoutdistinctionof race, religion,politicalbelief, economic,or socialcondition.

That beingloyalto myprofession,I willupholdthe ConstitutionandBy-lawsof the CanadianInstituteof PublicHealthI.nspectorsand will, at all times, conductmyself in a manner worthy of my profession.

My signaturehereon constitutesa realizationof my personal responsibilityto activelydischarge these obligations.

Si! nature Date

Dues Calculation: REGULARMembers,usethistable;STUDENTandRETIREDmembersduesare$20.00

B.C..:_._=_ Alberta Sask. Manitoba Ontario Quebec Atlantic Nfld.lLab.Branch Contact $35.00 $40.00 $35.00 $50.00 0 $25.00 $25.00Portion Branch

National Contact $65.00 $65.00 $65.00 $65.00 $65.00 $65.00" $65.0()Portion Branch

Sub- Contact $100.00 $105.00 $100.00 $115.00 $65.00 $90.00 $90.00total Branch

GST Contact $7.00 $7.35 $7.00 $8.05 $4.55 $6.30 $6.30Branch

Total Contact $107.00 $112.35 $107.00 $123.05 $69.55 $96.30 $96.30Dues Branch

Please submit this application to the address noted below.

C.P., P.O. Box 5367, SUCC., STN. F., Ottawa, Ontario K2C 3J1

page 38 Ontario BranchNews

To all members in the

Canadian Institute of Public Health Inspectors

The PayrollDeductionMethod was approvedas a methodof paying one's dues. The advantagesof thismethodareasfollows:(1) smallmonthly,bi-weeklyorweeklypaymentsareautomaticallydeductedfromyourpaycheque,(2) continuousmembershipin theCanadian Instituteof PublicHealth Inspectors,(3) eliminatesembarrassingremindersof unpaiddues.Thismethodof duespaymenthasbeena successina numberof agencies inOntario.Please givethissomeseriousthoughtanddiscussit amongstyourstaff.If youare in favourof theplan,pleaseusethesamplesignup formandsendit to ExecutiveDirector,Canadian Instituteof Public Health Inspectors,P.O. Box5367, Station F, Ottawa, Ontario K2C 3M1.

We the undersigned hereby agree to the payroll deduction planfor membership in the Canadian Institute of Public HealthInspectors We also understand that upon termination of

employment with this agency that we will be responsible forimmediate payment of the portion of dues unpaid to the

Canadian Institute of Public Health Inspectors,

AGENCY WITNESS DATE

m=


€ ci iCanadian Institute of Public Health Inspectors

I.'lnstitut Canadien des Inspecteurs. en Hygiene Publique

THE "INSTITUTE" -- WHAT IS IT?Nationally:

The Institute is the only professional association for Public Health Inspectors in Canada. It continuallyworks to protect the health of all Canadians, advance the sanitary sciences and enhance the field of publichealth inspection by:

1. Providing for the training and certification of P.H.I.'s across Canada, plus those coming from foreign coun-tries, through the operation and administration of the "Board of Certification."

2. Producing and distributing to the membership, and others a professional and technical journal; the Environ-mental Health Review.

3. Organizing with the Branches a National Educational Conference held annually in a different centre acrossCanada.

4. Providing the members the right to vote, and the opportunity to hold office and take a leadership role in thefield of environmental health in Canada.

5. Developing standards in the health field through participation on the National Sanitation Foundation (NSF),an agency which sets internationally accepted voluntary sanitation standards.

6. Acting as a special resource in Canada for the maintenance and improvement of personal and communityhealth through the;

(a) initiation, encouragement and participation in health research(b) observation and anticipation of health needs such as manpower, resources, legislation and new environ-

mental health programs,(c) development and expression of viewpoints and statements of concern on a national basis regarding

important health issues,(d) advancement of knowledge and exchange of information between health inspectors, those in other dis-

Ciplines, industry and the public,

7. Promoting fellowship and dialogue with colleagues throughout Canada.8. Encouraging participation of as many members as possible through the operation of the 7 Branches across

Canada.

9. Distribution of information from various sources.

Provincially:

The Branches carry on the National work of the Institute at a provincial and local level. Further, throughvarious committees and appointments they address concerns specific to the region by:

1. Providing a vehicle through meetings, seminars and workshops for discussions regarding professional,educational and employment related matters.

2. Developing briefs for submission to appropriate agencies on health related issues such as control andtransport of hazardous wastes, noise, air and water pollution etc.

3. Endeavouring to initiate new legislation or bring about changes and improvements to existing acts, regula-tions, standards etc.

4. Providing and encouraging bursaries, scholarships and awards for deserving persons entering or practisingin the field, including recognition for its members by way of recommendations for Honorary & Life Member-ships in the Institute.

5. Developing community service projects in the health field for the benefit of the citizens, the Branch & Ins-titute in general.

6. Arranging social events for members and their families such as bonspiels, golf tournaments, dances, ban-quets and picnics.

7. Producing and distributing information to the Branch members through minutes, flyers and newsletters aswell as contributing material to the Environmental Health Review.

8. Working to raise the status.and standards of P.H.I.'s through inservice and continuing education, pro'fes-signal Oevelopment, plus participation in the field training, examination and certification process for pros.pective P.H.I.'s.

9. Providing a form of solidarity for the members as they jointly endeavour to meet and set new standards forthe profession.

An "SC

_(_ohnsonPEBT CONTROL

Documents

1992 WINTER - CIPHI Ontario · _1992 Winter i Ontario Branch News WINTER 1992 €>ciphi, ,_st DECEMBER-JANUARY-FEBRUARY Volume XIV Number 1, 1992 ISSN Number 1 0710 345X