Good dental/oral health is essential to maintaining overall health. alPHa believes that dental health should be treated similarly to any other health care service that is provided by the province, with strong public programs for universal access to treatment and preventive dental health services, particularly early in life.
PLEASE ALSO SEE OUR SOCIAL DETERMINANTS OF HEALTH PAGE FOR RESOLUTIONS ON LOW-INCOME DENTAL PROGRAMS
|Resolution A14-4, A Provincial Approach to Community Water Fluoridation
|THAT the Association of Local Public Health Agencies call for the Province of Ontario to amend regulations of the Safe Drinking Water Act to require community water fluoridation for all municipal water systems (when source-water levels are below the Health Canada-recommended level of 0.7 mg/L) to prevent dental caries; AND FURTHER that the Province provide the funding and technical support to municipalities required for community water fluoridation.
Developments on A14-4:
October 15 2016
alPHa has sent a letter to the Minister of Municipal Affairs and Housing reminding him of alPHa's position that the Province should take responsibility for community water fluoridation, as stated in MPP Bob Delaney's October 6 motion in the Ontario Legislature.
October 6 2016
MPP Bob Delaney made Private Members’ Notice of Motion No. 27 in the Ontario Legislature,
"That, in the opinion of this House, the Province of Ontario, upon passage of this resolution, act to replace the outdated Fluoridation Act with an updated section of the Health Protection and Promotion Act, and remove the portions of the Ontario Municipal Act that allow a municipality to either opt out of fluoridation of its drinking water once the process has started, or to fail to start the fluoridation of municipal drinking water; and that the Province of Ontario work with municipalities to provide financial and technical assistance to Ontario cities and towns to begin water fluoridation, or to continue and upgrade fluoridation equipment and processes so that all Ontarians, to the fullest extent practicable, are protected with municipal drinking water fluoridation". The motion was carried (NB, this is a motion of opinion and not the introduction of actual legislation).
January 15 2016
alPHa has sent a letter to the Minister of Heath and Long-Term Care and the CMOH thanking them for their January 7 2016 correspondence to all heads of municipal council in support of community water fluoridation and urging them to consider alPHa's call via Resolution A14-4 to mandate and fund the practice. The Minister / CMOH letter is included at the end.
December 9 2014
MPP Bob Delaney has developed a petition related to his November 27 motion, which calls on the Government of Ontario to amend all applicable legislation and regulations to make the fluoridation of municipal drinking water mandatory in all municipal water systems across the Province of Ontario.
November 27th 2014
MPP Bob Delaney made a Private Member’s Motion regarding community water fluoridation. It was debated and passed in the Ontario Legislature, and you can read the transcript of the debate here (scroll down about 2/3 of the way down the page).
The motion passed was: “That, in the opinion of this House, water fluoridation promotes good health, and the optimal concentration of fluoride in drinking water is essential to the health of Ontarians by minimizing tooth decay, and helping restore tooth enamel.”
August 27 2014
alPHa has written a letter to the Minister of Health and Long-Term Care introducing this and five other 2014 Resolutions for his support and action.
September 4 2014
alPHa has written a letter to the Minister of Municipal Affairs and Housing introducing this Resolution for his support and action.
The following updates are related to the now-closed resolution A11-00 (please see below), which had a similar operative clause:
May 23 2012
alPHa has written a letter of congratulations and support for the Chief Medical Officer of Health's Special Report, Oral Health - More Than Just Cavities. Reference to this Resolution is included, as the Report makes access to fluoridated drinking water a key recommendation. Please click here to read.
February 17 2011
alPHa has issued a press release stating its strong support for continuing fluoridation of municipal water, with more detailed background on the solid evidence supporting the practice and a list of similar statements by credible health-promoting organizations. Please click here to read.
|Resolution A13-2, The Healthy Smiles Ontario Program and the Overall Inequity within the Oral Health Care System
|THAT the Association of Local Public Health Agencies request the Government of Ontario to:
1. Increase the Healthy Smiles Ontario (HSO) income cut-off threshold, which is currently adjusted family net income of $20,000 or less;
2. Remove the ‘no dental insurance’ eligibility criterion from the HSO program;
3. Streamline children’s dental treatment programs to make them more efficient, effective and equitable as recommended in Oral Health – More Than Just Cavities. A Report by Ontario’s Chief Medical Officer of Health, April 2012;
4. Extend provincial programs to include adults who need and cannot afford emergency dental care.
5. Continue to facilitate the partnerships between local health units and community health centres to assist with the delivery of provincially funded oral health programs;
6. Continue ongoing, stable and indexed 100% provincial funding of the HSO program beyond the sunset date originally announced (Fall 2013);
Developments on A13-2:
July 17 2013
Letter written to the Minister of Health and Long-Term Care introducing this Resolution. Please click here to read.
December 16 2013
The Ministry of Health and Long-Term Care has announced that starting April 2014, it will increase access to oral health services such as cleanings, diagnostic services and basic treatment by expanding eligibility for the Healthy Smiles Ontario program. The province will also streamline six existing dental programs into one starting in August of 2015, making it easier for families of eligible children and youth to access timely dental care.
The changes appear to be aligned with points 1 and 2 of the alPHa Resolution, i.e. the increase of the basic income cut-off to $21,513 (adding $1,500 for each additional child) and the streamlining of the programs. This item will be discussed at the January alPHa Board meeting, and alPHa’s response will be informed by the outcome of that discussion.
February 19 2014
alPHa letter written to the Ministers of Health and Long-Term Care and Children and Youth Services regarding the consolidation of Ontario's publicly-funded oral health programs.Includes specific reference to this resolution. Please click here to read.
April 7 2014
Response received from the MOHLTC to alPHa's February 19 2014 letter. Please click here to read.
April 30 2014
alPHa letter written to the Ministers of Health and Long-Term Care and Children and Youth Services regarding local impacts of the decision to consolidate these programs (includes a complementary letter from OAPHD). Please click here to read.
Resolution: # A10-10, Dental Health for Low-Income Ontarians
THAT the Association of Local Public Health Agencies (alPHa) call on the Government of Ontario to renew its original promise to provide its dental program for low income families, with a renewed focus on Ontario's low-income adults.
Developments on #A10-10:
October 28, 2010
Response received to the correspondence notifying the Ministry of Health and Long-Term Care of this and four other 2010 alPHa resolutions. Please click here to read.
August 19, 2010
alPHa has sent a letter to the Minister of Health and Long-Term Care introducing this and four other 2010 Resolutions. Please click here to read.
A similar Resolution ( A08-12) was closed by the alPHa Board of Directors on June 12, 2011, as this Resolution is more aligned with current circumstances on the same topic. Actions on that resolution are therefore also included here:
January 21, 2010
Response to alPHa's December 2009 letter received from the Premier. Please click here to read.
December 17, 2009
Letter written to the Premier urging follow through on a coherent provincial strategy for dental services for low-income Ontarians, with a renewed focus on adults. Please click here to read.
July 7, 2009
Letter sent to the Premier urging immediate and full implementation of the dental program for low-income Ontarians that was promised in the 2008 provincial budget. Please click here to read.
March 23, 2009
Response received from the Premier's Office to the March 4th letter. Please click here to read .
March 4, 2009
Letter written to the Premier, copied to all members of the Cabinet Committee on Poverty Reduction, introducing this and three other poverty-related resolutions passed at the 2008 annual meeting. Please click here to read.
December 4, 2008
The Provincial Government has announced its Poverty Reduction Strategy, as developed by the Cabinet Committee led by Deb Matthews. It commits to set a five-year target of reducing poverty by 25% as urged by the "25 in 5" coalition.
To achieve this, it pledges
· Legislation requiring the government to report annually on "key indicators of opportunity" -income levels, school success, health care and housing
· $1.3B annually (includes a $230M increase)for the full implementation of the OCB
· Reiterations of commitments to dental health, housing and school nutrition programs
· Investments in a range of social programs for vulnerable youth
It is worth noting that the bulk of the report is largely a summary of related provincial initiatives that are not new, and that its success appears to depend on commitment from the federal level.
The full report is available on the Ontario Poverty Reduction Strategy's dedicated Web site:
#A07-11, Children in Need of Treatment (CINOT) Program
THAT alPHa requests that the provincial government resume 100% funding of the CINOT dental treatment program; AND
FURTHER THAT CINOT fees to service providers remain reasonably
attractive by increasing them to at least 75% of the ODA approved fee
schedule, reviewing them on a regularly scheduled basis and
incorporating a ‘cost of living’ increase.
Developments on #A07-11:
October 31, 2007
written to the Minister of Health and Long-Term Care introducing this
and several other resolutions passed at the 2007 alPHa AGM. Please click here to read.
|Resolution:#A05-5, Access to Dental Care
operative clause of this resolution calls for a National Oral Health
Strategy that includes universal access of both preventative and
treatment services to all Canadians.
Developments on #A05-5:
The Canadian Centre for Policy Alternatives has published a report entitled Putting our Money where our Mouth Is - The Future of Dental Care in Canada. It
is a collection of essays, which argue that dental health services
should be more a prominent part of Canada's universal health care
system, including one by OAPHD Past-President Dr. Dick Ito. Please click here to read.
November 30 2006
follow-up e-mail from Dr. Bowes indicates that he has brought this
issue forward to Canada's Chief Dental Health Officer, who has described
the current federal position. The text of this reply may be read here. Dr. Bowes further indicates that OAPHD Executive has not suggested further steps or key messages at this time.
November 1 2006
has received a reply to a request for updates and suggestions for next
steps from OAPHD President Dr. Robert Bowes indicating that he would
include this on the next OAPHD Executive Meeting agenda.
May 8, 2006
Reply received to the February 15 letter. Please click here to read.
February 15, 2006
sent to federal Minister of Health Tony Clement introducing this
resolution. Copies sent to CMOH, Minister of Health and Long-Term Care,
Minister of Health Promotion, CEO of the Federation of Canadian
Municipalities, President of OAPHD and the Chief Public Health Officer
for Canada. Please click here to read.
|CLOSED Resolution: A14-8, Maintaining Preventive Dental Services in the Ontario Public Health Standards
|THAT the Association of Local Public Health Agencies write to the Minister of Health and Long-Term Care calling for the Province of Ontario to maintain the preventive dental services in the Ontario Public Health Standards so that all Ontario children who qualify clinically and are from families who cannot afford this care at a fee for service clinic will be offered this public health service.
Reason for Closure:
June 2 2015
The Ministry of Health and Long-Term Care has released a status update on the ongoing work on the Low-Income Dental Integration, which confirms that Preventive Dental Services will remain part of the OPHS as the new Healthy Smiles Ontario program consolidates Ontario's six existing low-income dental programs.
|CLOSED Resolution: Resolution A11-00 - Community Water Supply Fluoridation (Mid-Season Resolution)
|NOW THEREFORE BE IT RESOLVED that the Association of Local Public Health Agencies strongly and publicly state its support for the practice of community water fluoridation as a proven, cost-effective, safe and equitable public health intervention that significantly contributes to improving the overall health of the population. AND FURTHER THAT the Association of Local Public Health Agencies call for the Province of Ontario to provide support, including provincial legislation and funding to municipalities for the fluoridation of community drinking water.
Reason for Closure:
October 1 2014
The alPHa Board of Directors has approved the closure of resolution A11-00 Community Water Supply
Fluoridation as a more recent alPHa resolution (A14-4) builds upon or preserves the intent. The main difference is that the newer resolution specifically asks for legislation to require CWS fluoridation where appropriate.
|CLOSED Resolution: #A00-3: 100% Ministry Funding for CINOT
|Please note that this resolution is now closed,
as alPHa has passed a more recent resolution with a similar operative
clause (A07-11, above). The developments below are provided for a
more complete history of this issue as addressed by alPHa.
Developments on #A00-3
July 24 2006
has been invited by the Ministry of Health Promotion to participate in a
consultation on the CINOT Schedule of Dental Services and Fees, and has
written a letter outlining considerations as suggested by the Ontario
Association of Public Health Dentistry. Please click here to read
January 1 2006
Schedules of Dental Benefits came into effect for the CINOT (Ministry
of Health) and Ontario Works/Ontario Disability Support Program
(Ministry of Community and Social Services). Ontario
Association of Public Health Dentistry (OAPHD) has been advocating for
changes to the covered services for these programs since 2001. The main
changes are that fees have been increased (and will continue to increase
to a total of 8% over 3 years) and that more general anesthetic
services will be offered to some high needs client groups.
December 6, 2002
affiliate OAPHD met with Brenda Elliott, Minister of Community, Family
and Social Services, over the proposed changes to CINOT.
November 1, 2002
Promotion Ontario, an affiliate of alPHa, wrote the Chief MOH on
concerns with proposed changes to CINOT (i.e. fee increase for some
services and removal of some services).
October 30, 2002
a reply from PHB thanking alPHa for its input and support of CINOT. The
letter also corrected alPHa's reference to CINOT as a publicly funded
dental insurance program; CINOT is in fact, says the PHB, a safety net
program for children with urgent dental conditions.
October 2, 2002
wrote the Chief MOH a letter of support for OAPHD's recommendation that
the Ministry increase CINOT program fees to a reasonable level and does
not reduce the range of services provided by CINOT in response to
proposed changes to CINOT program.
May 14, 2002
a letter to Brenda Elliott, the new Minister of Community, Family and
Children Services which was reviewed by OAPHD rep and alPHa board member
March 19, 2002
a letter from Finance Minister Jim Flaherty that he has forwarded the
resolution to Health Minister Tony Clement for consideration.
March 15, 2002
a reply from COMSOC Minister John Baird that mandatory basic dental
care coverage was extended to children on the Ontario Works program for
the first time in May 1998 and that he will keep alPHa's suggestion of a
publicly-funded dental program for children in mind in Cabinet
November 8, 2001
a reply from Chief MOH that there are no plans currently to change
funding allocation for this 50:50 cost-shared program. He suggests that
we contact the Ministry of Community and Social Services and the
Ministry of Finance.
October 16, 2001
alPHa sent health unit budget figures on CINOT to Branch.
August 21, 2001
alPHa began collecting health unit figures on CINOT budgets with intent to submit these to the Public Health Branch.
February 9, 2001
a reply from Chief MOH indicating the Ministry will consider the
resolution as part of its review of board of health grants.
August 29, 2000
Received a reply from Minister Witmer who forwarded the resolution to Chief MOH for a response.
Developments on #A07-10
April 4th, 2008
Resolution closed by the alPHa Board of Directors as the operative clause has been satisfied.
March 17, 2008
Ontario government has announced its plan to provide dental services to
low-income Ontarians with an investment of $135 million over three
years, starting in 2008 — 09. The
government will work with Public Health Units, Community Health
Centres, dentists and dental hygienists to deliver prevention and
treatment services for low-income Ontarians, especially children.This
investment will also expand the Children in Need of Treatment (CINOT)
program. CINOT currently provides urgent dental care services to
children in low-income families from birth to Grade 8 or their
fourteenth birthday, whichever is later. CINOT will now include children
in low-income families until their eighteenth birthday.