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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 A17-1, Access to Publicly Funded Oral Health Programs for Low-Income Adults and Seniors

THAT the Association of Local Public Health Agencies (alPHa) call upon the Ministry of Health and Long-Term Care (MOHLTC) to immediately begin the process to develop standards for preventative and restorative oral health care and implement a provincially funded oral health program for low-income adults and seniors in Ontario well before the proposed 2025 timeline.

 

Developments on A17-1

July 21 2017

A letter from the alPHa President has been sent to the Minister of Health and Long-Term Care introducing this resolution. 

 

RESOLUTION A17-6, Fluoride Varnish Programs for Children at Risk for Dental Caries

THAT the Association of Local Public Health Agencies (alPHa) petition the Ontario Government to provide funding through the Healthy Smiles Ontario program for the implementation of school and community-based programs which use fluoride varnish to reduce the risk of tooth decay among children at risk for dental caries.

 

Developments on A17-6

July 21 2017

A letter from the alPHa President has been sent to the Minister of Health and Long-Term Care introducing this resolution. 


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:#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 RESOLUTIONS
 

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.

 

Reason for Closure:

September 29 2017

The alPHa Board has closed this resolution as a more recent one builds upon and preserves the intent: pleqse see RESOLUTION A17-1, Access to Publicly Funded Oral Health Programs for Low-Income Adults and Seniors above.

 

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;

 

Reason for Closure:

September 29 2017

The alPHa Board has determined that this Resolution, while it may speak to some unresolved issues, was made in a context whose relevance has declined over time. Developments on publicly-funded oral health programs continue to be listed under other related active resolutions. 

 

ResolutionA13-2, 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);

 

Reason for Closure

September 29 2017

The alPHa Board has determined that this Resolution, while it may speak to some unresolved issues, was made in a context whose relevance has declined over time. Developments on publicly-funded oral health programs continue to be listed under other related active resolutions. 

 

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
MLHU - Fluoride Varnish PDF (626.15 KB)  more ] Administration 2017-09-28
MLHU - Low Income Adult Oral Health PDF (600.01 KB)  more ] Administration 2017-08-09
Timiskaming - Low Income Adult Oral Health PDF (109.69 KB)  more ] Administration 2017-06-23
LGL - Low Income Adult Oral Health PDF (151.28 KB)  more ] Administration 2017-06-09
Porcupine - LIDP and SPHPS PDF (158.86 KB)  more ] Administration 2017-05-02
Peterborough - Low Income Adult Oral Health PDF (382.4 KB)  more ] Administration 2017-04-26
Porcupine - Low Income Adult Oral Health PDF (71.98 KB)  more ] Administration 2017-04-03
Lambton - Low Income Adult Oral Health PDF (1.5 MB)  more ] Administration 2017-01-03
Peterborough - Refugee Oral Health PDF (256.49 KB)  more ] Administration 2016-08-15
Peterborough - Community Water Fluoridation PDF (210.58 KB)  more ] Administration 2016-06-23
NWHU - Community Water Fluoridation PDF (55.05 KB)  more ] Administration 2016-05-02
WECHU - Community Water Fluoridation PDF (369.16 KB)  more ] Administration 2016-03-18
Lambton - Low Income Dental Integration PDF (105.69 KB)  more ] Administration 2015-04-01
GBHU - Community Water Fluoridation PDF (650.37 KB)  more ] Administration 2015-03-17
Durham - Preservation of Urgent Care Services PDF (214.72 KB)  more ] Administration 2015-02-02
SMDHU - Community Water Fluoridation PDF (358.24 KB)  more ] Administration 2015-01-08
WECHU - Community Water Fluoridation PDF (100.91 KB)  more ] Administration 2015-01-08
HKPR - Oral Health Programs PDF (213.86 KB)  more ] Administration 2014-12-10
Algoma - Oral Health Programs PDF (119.6 KB)  more ] Administration 2014-12-09
NWHU - Oral Health Programs PDF (1.95 MB)  more ] Administration 2014-12-08
SDHU - Oral Health Programs PDF (176.35 KB)  more ] Administration 2014-11-17
Timiskaming - Oral Health PDF (180.26 KB)  more ] Administration 2014-10-27
GBHU - Urgent Oral Health Services PDF (646.73 KB)  more ] Administration 2014-10-09
WECHU - Preventive Oral Health Services PDF (437.19 KB)  more ] Administration 2014-10-09
EOCSB - Preventive Oral Health Services PDF (156.03 KB)  more ] Administration 2014-09-29
Porcupine - Publicly Funded Dental Services PDF (65.8 KB)  more ] Administration 2014-10-01
EOHU - Preventive Oral Health Services PDF (462.7 KB)  more ] Administration 2014-09-29
TPH - Preventive Oral Health Services PDF (44.38 KB)  more ] Administration 2014-09-04
GBHU - Community Water Fluoridation PDF (1.5 MB)  more ] Administration 2014-03-21
GBHU - Adult Oral Health PDF (960.71 KB)  more ] Administration 2014-03-21
DURHAM - Adult Oral Health PDF (156.85 KB)  more ] Administration 2014-03-19
Waterloo - Healthy Smiles Program Changes PDF (444.43 KB)  more ] Administration 2014-03-04
MLHU - Adult Oral Health PDF (187.5 KB)  more ] Administration 2014-02-03
SMDHU - Community Water Fluoridation PDF (691.5 KB)  more ] Administration 2014-01-22
SMDHU - Oral Health and Low-Income PDF (572.64 KB)  more ] Administration 2013-12-04
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