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alPHa Resolutions - Oral Health
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alPHa Position

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:

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:
http://www.growingstronger.ca/english/default.asp


Resolution:

#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

Letter 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
The 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:

April 2011

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

A 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

alPHa 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

Letter 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
alPHa 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
New 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
alPHa affiliate OAPHD met with Brenda Elliott, Minister of Community, Family and Social Services, over the proposed changes to CINOT.

November 1, 2002
Health 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
Received 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
alPHa 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
Sent a letter to Brenda Elliott, the new Minister of Community, Family and Children Services which was reviewed by OAPHD rep and alPHa board member Joyce Sinton.

March 19, 2002
Received a letter from Finance Minister Jim Flaherty that he has forwarded the resolution to Health Minister Tony Clement for consideration.

March 15, 2002
Received 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 discussions.

November 8, 2001
Received 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
Received 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.

 

CLOSED Resolution: #A07-10, Publicly Funded Dental Program to Assist Financially Disadvantaged Ontarians

THAT the Minister of Health and Long-Term Care be requested to begin the process of developing a publicly funded dental program that assists Ontarians who face financial barriers in accessing basic dental care

 

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

The 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.

Local Board Resolutions - Oral Health

Item Name Posted By Date Posted
Peterborough - Refugee Oral Health PDF (256.49 KB)  more ] Administration 15/08/2016
Peterborough - Community Water Fluoridation PDF (210.58 KB)  more ] Administration 23/06/2016
NWHU - Community Water Fluoridation PDF (55.05 KB)  more ] Administration 02/05/2016
WECHU - Community Water Fluoridation PDF (369.16 KB)  more ] Administration 18/03/2016
Lambton - Low Income Dental Integration PDF (105.69 KB)  more ] Administration 01/04/2015
GBHU - Community Water Fluoridation PDF (650.37 KB)  more ] Administration 17/03/2015
Durham - Preservation of Urgent Care Services PDF (214.72 KB)  more ] Administration 02/02/2015
SMDHU - Community Water Fluoridation PDF (358.24 KB)  more ] Administration 08/01/2015
WECHU - Community Water Fluoridation PDF (100.91 KB)  more ] Administration 08/01/2015
HKPR - Oral Health Programs PDF (213.86 KB)  more ] Administration 10/12/2014
Algoma - Oral Health Programs PDF (119.6 KB)  more ] Administration 09/12/2014
NWHU - Oral Health Programs PDF (1.95 MB)  more ] Administration 08/12/2014
SDHU - Oral Health Programs PDF (176.35 KB)  more ] Administration 17/11/2014
Timiskaming - Oral Health PDF (180.26 KB)  more ] Administration 27/10/2014
GBHU - Urgent Oral Health Services PDF (646.73 KB)  more ] Administration 09/10/2014
WECHU - Preventive Oral Health Services PDF (437.19 KB)  more ] Administration 09/10/2014
EOCSB - Preventive Oral Health Services PDF (156.03 KB)  more ] Administration 29/09/2014
Porcupine - Publicly Funded Dental Services PDF (65.8 KB)  more ] Administration 01/10/2014
EOHU - Preventive Oral Health Services PDF (462.7 KB)  more ] Administration 29/09/2014
TPH - Preventive Oral Health Services PDF (44.38 KB)  more ] Administration 04/09/2014
GBHU - Community Water Fluoridation PDF (1.5 MB)  more ] Administration 21/03/2014
GBHU - Adult Oral Health PDF (960.71 KB)  more ] Administration 21/03/2014
DURHAM - Adult Oral Health PDF (156.85 KB)  more ] Administration 19/03/2014
Waterloo - Healthy Smiles Program Changes PDF (444.43 KB)  more ] Administration 04/03/2014
MLHU - Adult Oral Health PDF (187.5 KB)  more ] Administration 03/02/2014
SMDHU - Community Water Fluoridation PDF (691.5 KB)  more ] Administration 22/01/2014
SMDHU - Oral Health and Low-Income PDF (572.64 KB)  more ] Administration 04/12/2013
Durham - HSO PDF (150.08 KB)  more ] Administration 27/11/2013
Timiskaming - Low Income Dental Programs PDF (599.82 KB)  more ] Administration 24/10/2013
Hamilton - Oral Health Program Improvements PDF (141.28 KB)  more ] Administration 12/07/2013
Durham - Healthy Smiles Ontario PDF (122.26 KB)  more ] Administration 21/06/2013
HPECHU Letter - Access to Oral Health PDF (59.13 KB)  more ] Administration 09/05/2013
Porcupine - Oral Health PDF (99.55 KB)  more ] Administration 08/05/2013
WECHU - CMOH Oral Health Report PDF (199.19 KB)  more ] Administration 21/03/2013
NWHU - Oral Health Report PDF (996.25 KB)  more ] Administration 25/01/2013
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