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07 18 2018 Council Agenda The Township of Oro-Medonte Council Meeting Agenda Council Chambers Wednesday, July 18, 2018 9:00 a.m. - Closed Session 10:00 a.m. - Open Session Regular Council meetings will be live streamed. Page 1. Call to Order - Moment of Reflection: 2. Adoption of Agenda: 7 - 12a) Motion to Adopt the Agenda. \[Addenda\] 3. Disclosure of Pecuniary Interest: 4. Closed Session Items: a) Motion to go In Closed Session. b) Motion to Rise and Report. c) Shawn Binns, Director, Operations and Community Services re: Solicitor- client privilege (Mill Pond Road (Coulson Dam)). 5. Minutes of Council and Committees: 13 - 54 a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018. 55 - 65 b) Minutes of Council meeting held on Wednesday, June 28, 2018. 6. Recognition of Achievements: None. 7. Public Meetings: None. 8. Deputations: 67 - 84 a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation of Off- Road Vehicles Committee re: Police Community Liaison Commitee Information. 85 - 95 b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central Ontario ATV Club (COATV) re: Communication Strategy to Help ATV Riders Page 1 of 799 Council Meeting Agenda -July 18, 2018 in Oro-Medonte. 9. 12:00p.m. Presentations: 97 - 110 a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Conservation Authority (LSRCA) re: Implementing the LSRCA Strategic Plan | 2018 Annual Operating Plan. 111 - 239 b) Scott Running, Board President; Brent Hill, Board Member; and Chris Drumm, Airport Operations Manager, Lake Simcoe Regional Airport (LSRA) re: LSRA Strategic Plan, April 2018. 10. Identification From the Public of an Agenda Item of Interest: Provides an opportunity for members of the public to identify an agenda item which the public member may request be brought forward and considered earlier in the meeting. 11. Open Forum: The Open Forum provides an opportunity for the public to provide verbal comments to Council, in Open Session, on matters scheduled on the current agenda, and shall be conducted as follows: Open Forum shall last no longer than 20 minutes; Each speaker shall be required to identify the agenda item they are speaking to and provide their name and address, which may become part of the public record; A speaker shall be limited to 2 minutes per agenda item; No response shall be provided to any question posed during Open Forum; No discussion, debate or decisions will occur during Open Forum; Each speaker is permitted to speak only once per agenda item; A speaker may provide comment on one agenda item and then shall step aside to enable another to provide comment on an agenda item; No speaker shall speak to a second agenda item until other individuals have had an opportunity to speak once; Speakers providing comment on the same agenda item, shall be requested to limit their comments so as to provide additional information and not repeat the same information provided by a previous speaker; Comments made during Open Forum will not form part of the minutes of the meeting; The following matters will not be permitted during Open Forum: o Comments/complaints against Members of Council or Township staff; o Matters beyond the jurisdiction of Council or the Township; o Closed Session agenda items, including current or pending Page 2 of 799 Council Meeting Agenda -July 18, 2018 litigation, or Insurance claims and/or pending claims by or against the Township; o Comments with respect to Minutes of Council and Committees; o Comments that are contrary to the Municipal Freedom of Information and Protection of Privacy Act; o Comments with respect to any applications which have proceeded through a Public Meeting in accordance with the Planning Act, with the exception of comment related to a recommendation contained within the Staff Report. The Chair may conclude Open Forum prior to the 20 minute maximum time limit, for non-compliance with the Open Forum parameters, Conduct of Members of the Public, or any other reason. 12. Reports of Municipal Officers: 241 - 244 a) Report No. OCS2018-21, Shawn Binns, Director, Operations and Community Services re: Off-Road Vehicle Use on Municipal Roadways \[Refer to Items 15a) and 17a)\]. 245 - 279 b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Treasurer re: 2017 Draft Consolidated Financial Statements. 281 - 286 c) Report No. FI2018-18, Mark DesLauriers, Chief Financial Officer/Treasurer 287 - 290 d) Report No. FI2018-16, Mark DesLauriers, Chief Financial Officer/Treasurer re: Statement of Accounts Q2 2018, April 1, 2018-June 30, 2018. 291 - 293 e) Report No. ES2018-7, Michelle Jakobi, Manager, Compliance & Capital Projects; Mark DesLauriers, Chief Financial Officer/Treasurer re: Authorization For Debenture - Water Storage \[Refer to Item 17b)\]. 295 - 346 f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Compliance & Capital Projects re: Municipal Services Corporation - Business Case Study \[Refer to Item 15b)\]. 347 - 350 g) Report No. DS2018-71, Curtis Shelswell, Chief Municipal Law Enforcement Officer re: Set Fines for By-law No. 2018-- h) Report No. OCS2018-19, Shawn Binns, Director, Operations and Community Services re: Lake Simcoe Regional Airport (LSRA) Solar Energy Partnership Revised Agreement \[to be distributed\] - To Be Withdrawn. 351 - 364 i) Report No. OCS2018-20, Shawn Binns, Director, Operations and Community Barenaked Ladies, Boots 365 - 403 j) Report No. CS2018-17, Marie Brissette, Executive Assistant CAO/Special Projects Coordinator re: Corporate Projects Status Update May & June 2018. Page 3 of 799 Council Meeting Agenda -July 18, 2018 13. Reports of Members of Council: a) Updates from Council Representatives County of Simcoe and Township Partners and Agencies. on the activities of the County Agencies. 14. Consent Agenda: 405 - 407 a) Announcements of Interest to the Public: 1. Township of Oro-Medonte, Administration Centre, Civic Holiday Closure Notice, Monday, August 6, 2018. 2. Vasey Minor Softball Softball Team and the Owen Sound Selects Fastball, Vasey Park, Friday, July 20 and Saturday, July 21, 4851 Vasey Road. 409 - 412 b) Minutes of Barrie Public Library Board meeting held on Thursday, May 24, 2018. Staff Recommendation: Receive for Information Only. 413 - 418 c) Minutes of Lake Simcoe Region Conservation Authority meeting held on Friday, May 25, 2018. Staff Recommendation: Receive for Information Only. 419 - 425 d) Minutes of Nottawasaga Valley Conservation Authority meeting held on Friday, April 27, 2018. Staff Recommendation: Receive for Information Only. 427 - 493 e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy Steering Committee re: Simcoe Muskoka Opioid Strategy | An Action Plan for Our Communities. Staff Recommendation: Receive for Information Only. 495 - 496 f) Correspondence dated July 4, 2018 from John Daly, County Clerk, County of Simcoe re: Notice of the Adoption of an Official Plan Amendment for The County of Simcoe Official Plan, By-Law No. 6754 (County File: SC-OPA- 1602). Staff Recommendation: Receive for Information Only. 497 - 508 g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Director, Severn Sound Environmental Association (SSEA) re: South Georgian Bay Lake Simcoe Source Protection Region - 2017 Annual Report Summary. Staff Recommendation: Receive for Information Only. 15. Communications/Petitions: 509 - 760 a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: Page 4 of 799 Council Meeting Agenda -July 18, 2018 1.Petition correspondence dated June 4, 2018 from Kirk Goldthorp re: Request to Include Ward 3 in Proposed ATV By-Law. 2. Petition correspondence dated July 10, 2018 from Peter Lamprey re: Request that Council adopt Option 3 ("Maintain Status Quo") in Report No. OCS2018-11. 3. Petition correspondence received July 11, 2018 from Anne Collins re: Request that Council adopt Option 3 ("Maintain Status Quo") in Report No. OCS2018-11. 4. Petition correspondence received July 11, 2018 from Justin Porter re: Request that Council adopt Option 3 ("Maintain Status Quo") in Report No. OCS2018-11. 5. Correspondence received to Clerk's Department re: Proposed ATV By-Law. 761 - 764 b) Municipal Service Corporation \[Refer to Item 12f)\]: 1. Correspondence dated July 10, 2018 from Jorge Bartolo. 2. Correspondence received July 11, 2018 from Helen MacRae. 765 - 769 c) Correspondence dated June 11, 2018 from Aart Van Veld re: Request to Purchase Township Property, 6 Simoro Crescent. 771 d) Correspondence dated June 28, 2018 from Robert Marchessault re: Request to Rename 15/16 Sideroad to Mitchell Square Sideroad. 773 e) Correspondence dated July 2, 2018 from Barry Day re: Request for Refund, Minor Variance Application 2018-A-49. 775 f) Correspondence dated June 30, 2018 from Doreen Raymer re: Barrilla Park. 16. Notice of Motions: None. 17. By-Laws: 777 - 785 a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Purpose Off-Highway Utility and Recreational Off-Highway Vehicles on Municipal Highways (Off-Road Vehicles By-law). 787 - 793 b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Works of The Corporation of The Township of Oro-Medonte (the "Municipality"); to Authorize the Submission of an Application to Ontario Infrastructure and Lands Corporation ("OILC") for Financing Such Capital Works; to Authorize Temporary Borrowing from OILC to Meet Expenditures in Connection with Such Works; and to Authorize Long Term Borrowing for Such Works Through the Issue of Debentures to OILC. 795 - 796 c) By-Law No. 2018-071: A By-Law to Impose Interim Control on the Use of Lands, Buildings, and Structures Respecting Short Term Rental Accommodations within the geographic boundaries of The Township of Oro- Medonte. Page 5 of 799 Council Meeting Agenda -July 18, 2018 797 d) By-Law No. 2018-074: A By-Law to Amend By-Law No. 2017--law 18. Closed Session Items (Unfinished Items): 19. Confirmation By-Law: 799 a) By-Law No. 2018-073: Being a by-law to confirm the proceedings of the Council meeting held on Wednesday, July 18, 2018. 20. Questions from the Public Clarifying an Agenda Item: Questions from the Public Clarifying an Agenda Item provides an opportunity for the members of the public to seek clarification with respect to the decision which was made on an agenda item, the meaning of the decision and the next steps as a result of the decision. Questions from the Public Clarifying an Agenda Item shall last no longer than 10 minutes; Responses provided to questions posed during Questions from the Public Clarifying an Agenda Item shall be included within the 10 minute maximum time limit; Each speaker shall be required to identify the agenda item they are seeking clarification on and provide their name and address, which may become part of the public record; A speaker shall be limited to 1 minute per question; A speaker may pose a question and then shall step aside to enable another to pose a question; The Chair may conclude Questions from the Public Clarifying an Agenda Item prior to the 10 minute maximum time limit, for non- compliance with the above parameters, Conduct of Members of the Public, or any other reason. 21. Adjournment: a) Motion to Adjourn. Page 6 of 799 2.a) Motion to Adopt the Agenda. Page 7 of 799 2.a) Motion to Adopt the Agenda. Page 8 of 799 2.a) Motion to Adopt the Agenda. Page 9 of 799 2.a) Motion to Adopt the Agenda. Page 10 of 799 2.a) Motion to Adopt the Agenda. Page 11 of 799 2.a) Motion to Adopt the Agenda. Page 12 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 13 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 14 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 15 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 16 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 17 of 799 Page 18 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 19 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 20 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... Page 21 of 799 5.a) Minutes of Heritage Committee meeting held on Monday, June 18, 2018... 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Page 64 of 799 5.b) Minutes of Council meeting held on Wednesday, June 28, 2018. Page 65 of 799 Page 66 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Request forDeputationBeforeCouncil/Committee written or electronic submissions and background information for consideration by Council/ Any Committee must be submitted to the Clerkby 9:00 a.m. 7 calendar days priortothe preferred meeting. Electronic submissions shouldbe submitted in Microsoft PowerPoint/Microsoft Word format. Kvof24ui3129 Preferred Meetingand Date: I am requesting deputation to speak: a)on m y own behalf; or b)on behalf of a group/organization; please state name below. By stating the group/organization name below, youconfirm that you are duly authorized to act on behalf of the identifiedgroup/organization and that the group/organization hereby gives its approvalfor you to act on this matter. TbgfPqfsbujpopgPgg.SpbeWfijdmftDpnnjuuff I would like to use: projectorlaptop Name(s) of Speaker(s) Adeputationwishing to appear before Council/Committee shall be limited to no more than two (2) speakers with a total speaking time of not more than ten (10) minutes. MvlfTufsocfsh TibxoTdpuu Name:Name:____________________________________ Have you presented a deputation previously on this matter?Yes No Subject of Presentation Please describe below, the subject matter of the requested presentationin sufficient detail, to provide the Townshipa means to determine its content and to assess its relative priority to otherrequests for presentation.Weight will be given to those requests that provide more detailed descriptions of the content of the presentation, particularly defining how the subject matter aligns with Council’s Mandate. To present before Council additional information related to the proposed ATV bylaw. This includes information regarding a Police Community Liaison Committee. Please identify the type of action you are seeking of Council/Committee on this issue. No Action, e.g., an awareness of topic or organization. To Request Action.Please describein detail. To change by-law 2013-203 to allow the responsible use of ATV/ORV's on the Township of Oro-Medonte roads (with restrictions) throughout the year in Ward 2, 4, & 5. ________________________________________________________________________________ If you are requestingaction, have you been in contact with a staff member to seek a resolutionwith regard to this matter?Yes No KpioDsbxgpse-TdpuuKfsnfz-TibxoCjoot If yes, who were you in contact with? ___________________________________________________ Page 67 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... -2- Reason why this presentation is important to Council and to the municipality: The Ontario Government has taken steps to allow the use of ATV/ORV’s on provincially governed highways. As a result of this, they have left the local municipalities to enact their own By-laws. We feel that the responsible use of ATV/ORV’s would create a positive impact for businesses and the citizens of Oro-Medonte and co-inside with Council’s Strategic Plan. Council’s vision is of a progressive, collaborative community where everyone can live, work and play. Responsible use of ATV/ORV’s in Oro-Medonte will encourage the protection of the Township’s natural heritage features while ensuring the promotion of recreation and tourism. Countless local businesses have told us that they support this change and feel the review of this by-law will directly affect the health and viability of their businesses. Risk Management will be mitigated to the Corporation by adopting an inclusive by-law, thereby minimizing the transgressions that may otherwise be committed by irresponsible operators. 34Nbz3129 Date of Request: MvlfTufsocfsh0TibxoTdpuu Name of Requestor: 21TqsjohipnfSpbe-Psp.Nfepouf Address: 816.598.45:5 Telephone:Fax: njudicfshAsphfst/dpn02195txtAhnbjm/dpn Email: Note:Additional material may be circulated / presented at the time of the deputation.If you intend to include handouts or a presentation using electronic devices, any material will be attached to the public agenda. Please bring fifteen (15) hard copies of any additional material. It is the responsibility of the presenter to ensure that they have received consent for any third party information. st Scheduling will be at the discretion of the Clerk, and will be confirmedno later than the 1business day of the week of the meeting. There are no guarantees that by requesting a certain date(s) your deputationwill be accepted, as prior commitments may make it necessary to schedule an alternate date suggested by the Clerk. Please email your request to deputation@oro-medonte.ca The Clerk’s Office will confirm receipt of the request, however if you do not receive a return email, please contact the Clerk’s Office 5 days after the request is submitted. Personal information on this form is collected under the legal authority of the Municipal Act, S.O. 2001, c.25 as amended. The information is collected and maintained for the purpose of creating a record that is available to the general public pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection should be directed to the Clerk’s Office,The Corporation of the Township of Oro-Medonte, 148 Line 7 South, Oro-Medonte, Ontario, L0L 2E0. 10/2016 Page 68 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 69 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 70 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 71 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 72 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 73 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 74 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 75 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 76 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 77 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 78 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 79 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... (KeeweenawResearch Centre –Michigan) Page 80 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 81 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 82 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 83 of 799 8.a) 10:00 a.m. Luke Sternberg; Shawn Scott, on behalf of Safe Operation... Page 84 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 85 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 86 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 87 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 88 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 89 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 90 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 91 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 92 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 93 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 94 of 799 8.b) 10:10 a.m. Soren Klemmensen; Alain Pominville, on behalf of Central... Page 95 of 799 Page 96 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... Member of Conservation Ontario Page 97 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 2 Lake Simcoe Region Conservation Authority Page 98 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 3 Lake Simcoe Region Conservation Authority Page 99 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 4 Lake Simcoe Region Conservation Authority Page 100 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 5 Lake Simcoe Region Conservation Authority Page 101 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 6 Lake Simcoe Region Conservation Authority Page 102 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 7 Lake Simcoe Region Conservation Authority Page 103 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 8 Lake Simcoe Region Conservation Authority Page 104 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 9 Lake Simcoe Region Conservation Authority Page 105 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 10 Lake Simcoe Region Conservation Authority Page 106 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 11 Lake Simcoe Region Conservation Authority Page 107 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 12 Lake Simcoe Region Conservation Authority Page 108 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 13 Lake Simcoe Region Conservation Authority Page 109 of 799 9.a) Mike Walters, Chief Administrative Officer, Lake Simcoe Region Cons... 14 Lake Simcoe Region Conservation Authority Page 110 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 111 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 112 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 113 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 114 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 115 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 116 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 117 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 118 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 119 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Page 120 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 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Page 131 of 799 Page 132 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... April 2018 LAKE SIMCOE REGIONAL AIRPORT STRATEGIC PLAN Page 133 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... LAKE SIMCOE REGIONAL AIRPORT DATE: APRIL 2018 LAKE SIMCOE REGIONAL AIRPORT 224 LINE NORTH ORO STATION, ONTARIO L0L 2E0 T: +1 705-487-0999 ! WSP 2300 YONGE STREET SUITE 2300 TORONTO, ON, CANADA M4P1E4 T: +1 416-487-5256 F: +1 416-487-9766 WSP.COM Page 134 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 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TABLE OF CONTENTS EXECUTIVE SUMMARY ................................................. I 1 INTRODUCTION .................................................. 1 1.1 Airports = Connectivity = Driver of Regional Economic Development & Prosperity ................................................. 1 1.2 Airport at a Crossroads ...................................................... 1 1.3 ................................................... 2 1.4 Purpose of a Strategic Plan ................................................ 3 2 LSRA PROFILE .................................................... 4 2.1 Background .......................................................................... 4 2.2 Current Role ......................................................................... 7 2.3 Historical Activity ................................................................ 8 3 REGIONAL ECONOMIC PROFILE .................... 10 3.1 Southern Ontario ............................................................... 10 3.2 Simcoe County and City of Barrie ................................... 10 4 AVIATION INDUSTRY OVERVIEW AND TRENDS ............................................................ 12 4.1 National Aviation Overview .............................................. 12 4.1.1 Commercial Aviation Overview..................................................................... 12 4.1.2 Corporate Aviation Overview ........................................................................ 12 4.1.3 ............................................................................................ 13 4.1.4 Leisure Airlines Operating from Regional Airports ...................................... 14 4.1.5 ULCC ............................................................................................................. 14 4.1.6 Aircraft Maintenance Repair and Overhaul.................................................. 15 4.2 Regional Aviation Overview and Trends ........................ 16 4.2.1 Toronto-Pearson Constraints ....................................................................... 16 4.2.2 Relocation of Corporate Aviation Away from Toronto-Pearson .................. 17 4.2.3 Point-to-Point Air Travel ................................................................................ 18 5 BUSINESS CASE .............................................. 19 5.1 The Contribution of Airports in Regional Economic and Social Development .......................................................... 19 Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page iii Page 137 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 5.1.1 Current Benefactors of LSRA as an Economic Catalyst ............................. 22 5.1.2 Comparable Airports: Comparison of Region of Waterloo International Airport and Peterborough Airport ................................................................. 22 5.2 Southern Ontario Airport Network (SOAN) ..................... 25 5.3 Regional Travel Demand .................................................. 27 5.4 Missed Opportunities / Contingent Liability ................... 29 6 STRATEGIC VISION .......................................... 31 6.1 Vision .................................................................................. 31 6.2 A Role for Lake Simcoe Regional Airport ....................... 31 6.3 Strategic Objectives .......................................................... 31 7 OPPORTUNITIES & CONSTRAINTS ................ 32 7.1 SWOT Analysis .................................................................. 32 7.1.1 Strengths ....................................................................................................... 32 7.1.2 Opportunities ................................................................................................. 32 7.1.3 Weaknesses .................................................................................................. 33 7.1.4 Threats ........................................................................................................... 33 8 IMPLEMENTATION PLAN ................................. 34 8.1 Development Strategy ...................................................... 34 8.1.1 Phase I Position Airport to Enhance Corporate Aviation ......................... 34 8.1.2 Phase II - Prepare Business Case and Enhance Opportunities for Air Service (Demand Based) .............................................................................. 35 8.1.3 Phase III Support Scheduled Air Service (Demand Based) .................... 35 8.2 Development Phasing ....................................................... 36 9 PHASES AND COSTS ....................................... 37 9.1 Phase I - Position Airport to Enhance Corporate Aviation (1 to 3 Years) ...................................................................... 37 9.1.1 Airport Certification ........................................................................................ 37 9.1.2 Registered Airport Zoning Protection ........................................................... 38 9.1.3 Runway 10-28 Extension and Widening ...................................................... 38 9.1.4 Enhanced Electronic and Visual Aids .......................................................... 39 9.1.5 Master Servicing Plan ................................................................................... 40 9.1.6 Enhanced Airport Support Services and Infrastructure ............................... 40 9.1.7 Acquire Additional Lands .............................................................................. 41 9.1.8 Business Development / Marketing Strategy ............................................... 41 9.1.9 Community Engagement .............................................................................. 41 Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page iv Page 138 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 9.2 Phase II - Prepare Business Case & Enhance Opportunities for Air Service (Demand Based) .............. 42 9.2.1 Economic Impact Study ................................................................................ 42 9.2.2 Air Service Development Strategy ............................................................... 42 9.2.3 Investigate Air Service Incentives ................................................................ 43 9.2.4 Prepare Air Terminal Project Definition Document...................................... 43 9.3 Phase III Support Scheduled Air Service (Demand Based) ................................................................................. 44 9.3.1 Expanded Passenger Terminal .................................................................... 44 9.3.2 Support Services ........................................................................................... 44 9.4 Summary of Estimated Costs .......................................... 45 10 CONCLUSION ................................................... 46 TABLES TABLE 1 COMPARATIVE AIRPORTS ................................ 24 TABLE 2 2016 AIRLINE TRIPS ........................................... 27 TABLE 3 LEISURE DESTINATIONS ................................... 29 TABLE 4 CORPORATE AIRCRAFT RUNWAY LENGTH REQUIREMENTS ................................................. 38 TABLE 5 PRELIMINARY BUDGET SUMMARY .................. 45 FIGURES FIGURE 1 AIRPORT LOCATION IN CONTEXT TO SOUTHERN ONTARIO .......................................... 4 FIGURE 2 AIRPORT LOCATION IN CONTEXT TO SIMCOE COUNTY ................................................................. 5 FIGURE 3 EXISTING AIR TERMINAL BUILDING (GROUND FLOOR) .................................................................. 6 FIGURE 4 AIRPORT LAYOUT ................................................ 7 FIGURE 5 AIRCRAFT MOVEMENT STATISTICS .................. 9 FIGURE 6 ITINERANT AIRCRAFT MOVEMENTS BY TYPE OF AIRCRAFT ........................................................ 9 FIGURE 7 MRO DEMAND BY SEGMENT ............................ 15 FIGURE 8 FORECASTED COMMUTE TIMES ..................... 17 FIGURE 9 GROWTH OF FLIGHTS BETWEEN CITY PAIRS 18 FIGURE 10 AIRPORT IMPACT ON THE REGIONAL ECONOMY ........................................................... 21 FIGURE 11 SOUTHERN ONTARIO AIRPORT NETWORK.... 26 FIGURE 12 AIRPORT LOCATION IN CONTEXT TO SIMCOE COUNTY ............................................................... 28 FIGURE 13 DEVELOPMENT PHASES ................................... 36 FIGURE 14 B737-800 RANGE WITH 7,000 FT. RUNWAY ... 39 FIGURE 15 COMMERCIAL DEVELOPMENT LANDS ........... 40 Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page v Page 139 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... APPENDICES A TORONTO PEARSON GROWTH, CONNECTIVITY, CAPACITY THE FUTURE OF A REGIONAL ASSET B FLYING TOGETHER THE SOUTHERN ONTARIO AIRPORT NETWORK C FUTURE-READY AIRPORTS Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page vi Page 140 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 1 1.1 Uijt!Tusbufhjd!Qmbo!qspqptft!b!wjtjpo!gps!uif!efwfmpqnfou!pg!Mblf!Tjndpf!Sfhjpobm!Bjsqpsu!)MTSB*!boe!b!qbui!joup! uif!gvuvsf-!cbtfe!po!b!sbohf!pg!cvtjoftt!pqqpsuvojujft!boe!joevtusz!usfoet!uibu!xjmm!cfofgju!uif!dpnnvojujft! tvsspvoejoh!uif!Bjsqpsu!jo!tjhojgjdbou!xbzt/!Uif!qspqptfe!wjtjpo!jt!hspvoefe!jo!uif!sfdphojujpo!uibu!bjsqpsut-!jo!b! npefso!hmpcbm!fdpopnz-!qspwjef!uif!dsjujdbm!dpoofdujwjuz!up!nbslfut!boe!lopxmfehf.cbtfe!sftpvsdft!uibu!jo!uvso! ! Dbqjubmj{joh!po!uijt!wjtjpo!bmjhot!xjui!uif!wjtjpo!pg!MTSB!Tibsfipmefst!!uif!Djuz!pg!Cbssjf-!Dpvouz!pg!Tjndpf!boe! 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Uif!Bjsqpsu!Tusbufhjd!Qmbo!jt!opu!b!cvtjoftt!qmbo/!!Podf!b!wjtjpo!gps!uif!Bjsqpsu!ibt!cffo!foepstfe!cz!uif! !tufq!xjmm!cf!up!qsfqbsf!b!cvtjoftt!qmbo!uibu!esbxt!jut!ejsfdujpo! gspn!uif!Tusbufhjd!Qmbo/!! 3 BDSQ!Sfqpsu!31-!Tusbufhjd!Qmboojoh!jo!uif!Bjsqpsu!Joevtusz-!Usbotqpsubujpo!Sftfbsdi!Cpbse-!311: Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 3 Page 143 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 2 2.1 Mblf!Tjndpf!Sfhjpobm!Bjsqpsu!jt!dfousbmmz!mpdbufe!jo!Tjndpf!Dpvouz-!bqqspyjnbufmz!21!ln!opsuifbtu!pg!uif!Djuz!pg! Cbssjf!boe!26!ln!tpvuixftu!pg!uif!Djuz!pg!Psjmmjb/!Uif!Bjsqpsu!jt!tjuvbufe!po!351!ib!pg!mboe!boe!jt!mpdbufe!1/8!ln! opsui!pg!Ijhixbz!22-!b!nbkps!usbotqpsubujpo!spvuf!uibu!mjolt!Tpvuifso!Poubsjp!boe!uif!Hsfbufs!Upspoup!Bsfb!xjui! 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Figure 1 Airport Location in Context to Southern Ontario Uif!Bjsqpsu!jojujbmmz!pqfofe!jo!2::2!xjui!b!4-611!gu/!svoxbz!boe!b!tnbmm!bqspo!mpdbufe!up!uif!opsui!pg!uif!svoxbz/!! Jo!2::4!uif!svoxbz!xbt!fyufoefe!up!6-111!gu/!boe!b!mbshfs!bqspo!boe!ufsnjobm!cvjmejoh!xfsf!dpotusvdufe!po!uif! tpvui!tjef/!!B!tvctfrvfou!qibtf!pg!efwfmpqnfou!xbt!dpnqmfufe!jo!3122!boe!jodmvefe!b!gvsuifs!fyufotjpo!pg!uif! svoxbz!up!7-112!gu/-!uif!dpotusvdujpo!pg!b!qbsujbm!qbsbmmfm!ubyjxbz-!boe!uif!efwfmpqnfou!pg!uif!Tpvuixftu! Dpnnfsdjbm!Efwfmpqnfou!Bsfb/! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 4 Page 144 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 4 Upebz-!Mblf!Tjndpf!Sfhjpobm!Bjsqpsu!jt!pof!pg!uif!cvtjftu!vodpouspmmfe!bjsqpsut!jo!Dbobeb!gps!dpsqpsbuf! kfu!boe!uvscpqspq!bjsdsbgu/! Uif!Bjsqpsu!jt!kpjoumz!pxofe!cz!uif!Djuz!pg!Cbssjf!)71&*-!Dpvouz!pg!Tjndpf!)31&*-!boe!uif!Upxotijq!pg!Psp.Nfepouf! )31&*-!boe!nbobhfe!cz!b!Nvojdjqbm!Tfswjdf!Dpsqpsbujpo!)Mblf!Tjndpf!Sfhjpobm!Bjsqpsu!Jod/*!xjui!sfqsftfoubujpo! gspn!fbdi!pg!uif!dpotujuvfou!tublfipmefst/!!Uif!Cpbse!pg!Ejsfdupst!jt!dpnqsjtfe!pg!ojof!nfncfst-!gjwf!pg!xijdi!bsf! Djuz!pg!Cbssjf!bqqpjoufft-!uxp!pg!xijdi!bsf!Dpvouz!pg!Tjndpf!bqqpjoufft-!boe!uxp!pg!xijdi!bsf!bqqpjoufe!cz!uif! Upxotijq!pg!Psp.Nfepouf/! Gjhvsf!3!jmmvtusbuft!uif!mpdbujpo!pg!Mblf!Tjndpf!Sfhjpobm!Bjsqpsu!xjuijo!Tjndpf!Dpvouz/! ! Figure 2 Airport Location in Context to Simcoe County opo.qsfdjtjpo!bqqspbdi!svoxbz-!b!qbsujbm!qbsbmmfm!Dpef!D!ubyjxbz-!boe!b!mbshf!ufsnjobm!bqspo/!Svoxbz!21.39!jt! dbqbcmf!pg!bddpnnpebujoh!b!xjef!sbohf!pg!bjsdsbgu-!jodmvejoh!dpsqpsbuf!kfut!)DSK.3110DSK.816*!boe!uvscpqspqt! )Ebti!9.411-!Ebti!9.R511*-!qmvt!obsspx.cpez!kfu!bjsdsbgu!tvdi!bt!uif!C848!)xjui!pqfsbujpobm!sftusjdujpot*/!!Uif! Bjsqpsu!jt!tfswfe!cz!HQT.cbtfe!SOBW!)HOTT*!bqqspbdift!up!cpui!svoxbz!foet/!!Uif!dvssfou!bqqspbdi!njojnb!bsf! 416!gu/!njojnvn!efdjtjpo!ifjhiu-!2!njmf!wjtjcjmjuz!gps!Svoxbz!39!)MQW!bqqspbdi*!boe!479!gu/-!2½!njmft!gps!Svoxbz! 4 Bjsqpsu!xjuipvu!b!OBW!DBOBEB!dpouspm!upxfs/ Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 5 Page 145 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 21!)MOBW!bqqspbdi*/!Uif!dvssfou!mbzpvu!boe!qmboojoh!pg!uif!Bjsqpsu!tvqqpsut!uif!pqqpsuvojuz!up!bddpnnpebuf! jotusvnfou!qsfdjtjpo!bqqspbdift!jo!uif!gvuvsf/!!Uif!Bjsqpsu!pqfsbuft!35!ipvst!b!ebz!boe!jt!pqfo!bmm!zfbs/! Bo!22-611!tr/!gu/!bjsqpsu!ufsnjobm!cvjmejoh!dvssfoumz!tfswft!dpsqpsbuf!boe!hfofsbm!bwjbujpo!vtfst/!Bt!jmmvtusbufe!jo! Gjhvsf!4-!uif!nbjo!gmpps!jodmveft!qbttfohfs!mpvohft-!bjsqpsu!benjojtusbujpo!pggjdft-!gbdjmjujft!gps!Dbobeb!Cpsefs! 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Gjhvsf!6!eftdsjcft!uif!ijtupsjdbm!bjsdsbgu!npwfnfou!tubujtujdt!gps!uif!Bjsqpsu/! 6 Jujofsbou!bjsdsbgu!npwfnfout!bsf!xifsf!bjsdsbgu!gmz!up!ps!gs/ 7 Mpdbm!bjsdsbgu!npwfnfout!bsf!xifsf!bjsdsbgu!sfnbjo!jo!uif!wjdjojuz!pg!uif!bjsqpsu/!!Uif!nbkpsjuz!pg!mpdbm!npwfnfout!bsf!sfmbufe!up!gmjhiu! usbjojoh!xifsf!uif!bjsdsbgu!sfnbjot!jo!uif!djsdvju/ Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 8 Page 148 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... ! 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Figure 10 Airport Impact on the Regional Economy Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 21 Page 161 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 5.1.1 CURRENT BENEFACTORS OF LSRA AS AN ECONOMIC CATALYST Cpui!qsjwbuf!boe!qvcmjd!tfdups!fnqmpzfst!jo!Tjndpf!Dpvouz-!jodmvejoh!Cbssjf!boe!Psjmmjb-!vujmj{f!uif!Mblf!Tjndpf! Sfhjpobm!Bjsqpsu!)MTSB*!po!b!sfhvmbs!cbtjt!gps!uif!npwfnfou!pg!hppet!boe!qfpqmf/!!Jo!b!sfdfou!sfqpsu!ijhimjhiujoh! pg!uif!upq!fnqmpzfst!bsf!jefoujgjfe!bt!vtfst!pg!uif!Bjsqpsu/!! Dpmmfdujwfmz-!uiftf!cvtjofttft!fnqmpz!dmptf!up!46-111!qfpqmf-!nbjomz!pqfsbujoh!jo!uif!nbovgbduvsjoh-!qvcmjd! benjojtusbujpo!boe!upvsjtn!sfmbufe!joevtusjft-!bmjhojoh!dmptfmz!xjui!upq!joevtusjft!pvumjofe!jo!Tfdujpo!4/3/!!! 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Dbobejbo!Npvoufe!Qpmjdf-!Poubsjp!Qspwjodjbm!Qpmjdf-!DGC!Cpsefo!boe!Nfefwbd!Bjs!Usbotqpsu!boe!Izesp.Pof!bsf! sfhvmbs!vtfst!pg!uif!Bjsqpsu-!bddpvoujoh!gps!ivoesfet!pg!npwfnfout!fbdi!zfbs/!!Uif!MTSB!qspwjeft!uif!dpoofdujwjuz! sfrvjsfe!gps!uiftf!tfswjdft!up!pqfsbuf!jo!pvs!sfhjpo!boe!dpoujovf!up!hspx-!ibwjoh!cpui!bo!jnqbdu!po!uif!fdpopnjd! cfofgju!boe!rvbmjuz!pg!mjgf!bdijfwfe/! 5.1.2 COMPARABLE AIRPORTS: COMPARISON OF REGION OF WATERLOO INTERNATIONAL AIRPORT AND PETERBOROUGH AIRPORT Uif!gpmmpxjoh!ufyu!qspwjeft!bo!pwfswjfx!pg!uxp!dpnqbsbcmf!sfhjpobm!bjsqpsut!uibu!bsf!jodmvefe!jo!uif!Tpvuifso! Poubsjp!Bjsqpsu!Ofuxpsl!)TPBO*/!!Cpui!pg!uiftf!bjsqpsut!bsf!sfdphoj{fe!bt!jnqpsubou!dbubmztut!gps!sfhjpobm! fdpopnjd!efwfmpqnfou!cz!uifjs!sftqfdujwf!nvojdjqbm!tublfipmefst!boe!bt!tvdi-!sfdfjwf!tvctuboujbm!gvoejoh!gspn! uif!hpwfsonfout!uibu!pxo!uif!gbdjmjujft/! REGION OF WATERLOO INTERNATIONAL AIRPORT ACTIVITY Sfhjpo!pg!Xbufsmpp!Joufsobujpobm!Bjsqpsu!jt! jodmvefe!voefs!uif!Tpvuifso!Poubsjp!Bjsqpsu! Ofuxpsl/!!Uif!bjsqpsu!jt!pxofe!boe!pqfsbufe!cz! uif!Sfhjpo!pg!Xbufsmpp/!Jo!beejujpo!up!tfswjoh!uif! offet!pg!uif!hfofsbm!bwjbujpo!dpnnvojuz-!uif! bjsqpsu!ibt!tdifevmfe!bjs!tfswjdf!uibu!jodmveft!b! ebjmz!XftuKfu!gmjhiu!up!Dbmhbsz!boe!tfbtpobm! mfjtvsf!gmjhiut!up!Qvoub!Dbob!pqfsbufe!cz!XftuKfu! boe!Tvoxjoh/!Jo!3127-!bqqspyjnbufmz!239-111! qbttfohfst!vtfe!dpnnfsdjbm!bjs!tfswjdf/!!Jo!uif! qbtu-!uif!bjsqpsu!xbt!tfswfe!cz!Bnfsjdbo!Bjsmjoft-! xjui!b!ejsfdu!gmjhiu!up!Dijdbhp-!boe!Cfbstljo! Bjsmjoft-!xjui!gmjhiut!up!Puubxb/!!Uif!Bnfsjdbo! Bjsmjoft!tfswjdf!xbt!tvctjej{fe!cz!uif!Sfhjpo!pg! Xbufsmpp!boe!cz!uif!qsjwbuf!tfdups/!!Uif!Sfhjpo!dpousjcvufe!bqqspyjnbufmz!%2/36!njmmjpo!jo!tvctjejft!up!uif!bjsmjof/! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 22 Page 162 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... INFRASTRUCTURE Uif!bjsqpsu!ibt!uxp!svoxbzt-!8-113!gu/!y!261!gu/!boe!5-211!gu/!y!261!gu/!!Uif!mpohfs!svoxbz!jt!frvjqqfe!xjui!b!Dbufhpsz! J!jotusvnfou!mboejoh!tztufn!boe!b!45-111!tr/!gu/!ufsnjobm!cvjmejoh!uibu!jodmveft!DBUTB!tfdvsjuz!tdsffojoh!tfswjdft! boe!DCTB!dvtupnt!boe!jnnjhsbujpo!gbdjmjujft/!!Uif!bjsqpsu!bmtp!ibt!po.tjuf!Bjsdsbgu!Sftdvf!boe!Gjsf!Gjhiujoh!)BSGG*! tfswjdf/! STAKEHOLDER SUPPORT usbufhjd!Qmbo!sfdphoj{ft!uif!jnqpsubodf!pg!uif!bjsqpsu!boe!bjs!tfswjdf!bt!b!dbubmztu! jo!buusbdujoh!boe!tvtubjojoh!fdpopnjd!efwfmpqnfou!up!uif!bsfb/!!Jo!mjhiu!pg!qpufoujbm!dbqbdjuz!dpotusbjout!bu! Upspoup.t!bo!pqqpsuvojuz!gps!Xbufsmpp!Joufsobujpobm!Bjsqpsu!up! fyqboe!jut!spmf!jo!qspwjejoh!sfhjpobm!qbttfohfs!tfswjdf/!!B!nbkps!dpotusbjou!up!fyqboefe!bdujwjuz!jt!uif!dmptf! qspyjnjuz!pg!sftjefoujbm!bsfbt!boe!uif!opjtf!jnqbdut!uibu!xpvme!cf!bttpdjbufe!xjui!jodsfbtfe!usbggjd/! ipvtfipme/!!! CAPITAL INVESTMENT Uif!Sfhjpo!ibt!fncbslfe!po!bo!bncjujpvt!qmbo!up!tjhojgjdboumz!fyqboe!uif!dbqbdjuz!pg!uif!bjsqpsu-!xijdi!dpnqsjtft! b!%585!njmmjpo!dbqjubm!jnqspwfnfou!qsphsbn!uibu!jodmveft!bo!fyqbotjpo!pg!uif!svoxbzt!boe!bo!fyqboefe!ufsnjobm! gbdjmjuz/!!Ibmg!pg!uijt!bnpvou!jt!up!cf!gvoefe!ejsfdumz!gspn!uif!Sfhjpo/!!Cbtfe!po!b!ofx!Bjsqpsu!Nbtufs!Qmbo-!fyqbotjpo! pg!bjsqpsu!jogsbtusvduvsf!jt!up!cf!qibtfe-!usjhhfsfe!cz!jodsfbtft!jo!bdujwjuz/!!Jo!Bqsjm!3128!uif!Sfhjpo!bqqspwfe!%4/2! Njmmjpo!gps!uif!qmboojoh!boe!eftjho!pg!uif!gjstu!qibtf!pg!dbqjubm/! PETERBOROUGH AIRPORT ACTIVITY Qfufscpspvhi!Bjsqpsu!jt!pxofe!cz!uif!Djuz!pg! Qfufscpspvhi!boe!pqfsbufe!cz!Mppnfy!Hspvq/!Xjui! bo!fnqibtjt!po!hfofsbm!bwjbujpo-!uif!gpdvt!gps!uif! bjsqpsu!jt!po!gmjhiu!usbjojoh!boe!bfsptqbdf!joevtusjft/!! Uif!bjsqpsu!jt!ipnf!up!bo!fyufotjwf!gmjhiu!usbjojoh! qsphsbn-!pggfsfe!cz!Tfofdb!Dpmmfhf!Tdippm!pg!Bwjbujpo! boe!Gmjhiu!Usbjojoh/!!Uif!Dpmmfhf-!xijdi!sfmpdbufe! gspn!Cvuupowjmmf!Bjsqpsu-!xbt!buusbdufe!up! 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INFRASTRUCTURE Jogsbtusvduvsf!jodmveft!uxp!svoxbzt<!Svoxbz!1:.38!)8-111!gu/!y!211!gu/*!boe!Svoxbz!24.42!)3111!gu/!y!5:!gu/*/!!Svoxbz! 1:.38!jt!opo.jotusvnfou!boe!Svoxbz!24.42!jt!opo.jotusvnfou!ebz!vtf!pomz/!!Uif!bjsqpsu!ibt!b!tnbmm!7-611!tr/!gu/! ufsnjobm!cvjmejoh!uibu!jt!vtfe!cz!uif!hfofsbm!bwjbujpo!dpnnvojuz/!B!mbshf!ovncfs!pg!ibohbst!bsf!mpdbufe!po!uif! bjsqpsu-!uif!nbkpsjuz!pg!xijdi!bsf!vtfe!up!tupsf!sfdsfbujpobm!bjsdsbgu/!Mbshfs!ibohbst!bsf!bttpdjbufe!xjui!uif!Gmzjoh! ! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 23 Page 163 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... STAKEHOLDER SUPPORT bt!b!eftujobujpo!gps!jowftunfou!b uif!dpousjcvujpo!uif!bjsqpsu!nblft!up!uif!dpnnvojuz!boe!pwfs!uif!zfbst!ibe!nbef!tjhojgjdbou!gjobodjbm!jowftunfout! up!vqhsbef!gbdjmjujft!boe!buusbdu!ofx!cvtjofttft/! Uif!pqfsbujoh!cvehfu!jo!3128!jt!bqqspyjnbufmz!%3/4!njmmjpo/! CAPITAL INVESTMENT Jo!311:!uif!bjsqpsu!fncbslfe!po!bo!bncjujpvt!efwfmpqnfou!qsphsbn!uibu!jodmvefe!%25/7!njmmjpo!gvoejoh!gspn!uif! Djuz!pg!Qfufscpspvhi!boe!%8!njmmjpo!fbdi!gspn!uif!gfefsbm!boe!qspwjodjbm!hpwfsonfout!uispvhi!bo!jogsbtusvduvsf! tujnvmvt!gvoe/!!Uif!dbqjubm!jnqspwfnfou!qsphsbn!jodmvefe!uif!fyufotjpo!pg!uif!nbjo!svoxbz!gspn!6-111!gu/!up!8-111! gu/-!b!ofx!ufsnjobm!cvjmejoh-!boe!uif!efwfmpqnfou!pg!tfswjdfe!dpnnfsdjbm!mput!up!bddpnnpebuf!bwjbujpo.sfmbufe! joevtusjft/!! Jo!3124-!Qfufscpspvhi!Fdpopnjd!Efwfmpqnfou!boopvodfe!uif!mbvodi!pg!uif!Qfufscpspvhi!Bfsptqbdf!Dfoufs!)QBD*! bt!b!nfbot!pg!mfwfsbhjoh!uif!dpodfqu!pg!uif!bjsqpsu!cfjoh!b!dfousf!pg!fydfmmfodf!gps!uif!bfsptqbdf!joevtusz!boe! buusbdujoh!ofx!cvtjoftt/! Jo!3125-!uif!Djuz!pg!Qfufscpspvhi!pwfsxifmnjohmz!bqqspwfe!tqfoejoh!vq!up!%23!njmmjpo!up!bddpnnpebuf!Tfofdb! Dpmmfhf!qmvt!bo!beejujpobm!%5!njmmjpo!up!fyqboe!bo!bqspo!boe!puifs!xpslt/!! Jo!3126-!uif!Bjsqpsu!sfdfjwfe!bo!beejujpobm!%2/6!njmmjpo!jo!hsbout!gspn!uif!qspwjodf!up!! %5/2!njmmjpo!jowftunfou!jo!bjsqpsu!jnqspwfnfout/!!Bu!uif!tbnf!ujnf-!Gmzjoh!Dpmpvst!sfdfjwfe!b!hsbou!pg!%2/3!njmmjpo! hpjoh!upxbset!uif!fyqbotjpo!pg!uifjs!bjsdsbgu!sfgvscjtinfou!gbdjmjuz/! Uif!Djuz!pg!Qfufscpspvhi!ibt!jefoujgjfe!b!21.zfbs!dbqjubm!cvehfu!pg!bqqspyjnbufmz!%3/7!njmmjpo-!up!tvqqpsu!wbsjpvt! qspkfdut!jodmvejoh!uif!efwfmpqnfou!pg!bjstjef!tfswjdfe!mput/! IN COMPARISON Ubcmf!2!qspwjeft!b!dpnqbsjtpo!pg!tublfipmefs!gvoejoh!bu!Xbufsmpp!boe!Qfufscpspvhi!Bjsqpsut!jo!dpoufyu!up!Mblf! Tjndpf!Sfhjpobm!Bjsqpsu/! Table 1 Comparative Airports Annual Operating Previous (10-Proposed 10- Airport Current Activity Infrastructure Expenditure year) Capital year Capital Investment* Budget (Approx.) General Aviation Lake Simcoe One 6,000 ft. $0.60 Million $6.6 Million None Identified Regional Airport runway Business Aviation General Aviation Two runways, one 7,000 ft. and one Waterloo Airport $6 Million $60 Million $28.3 Million** Scheduled 4,100 ft. Passenger service Two runways, one Flight Training Peterborough 7,000 ft. and one $2.3 Million $33.2 Million $2.6 Million Airport MRO 2,000 ft. +!Cz!uif!mpdbm!nvojdjqbmjuz/!!++Sfhjpo!pg!Xbufsmpp!ibt!jefoujgjfe!b!upubm!cvehfu!pg!%585!njmmjpo!dpoujohfou!po!uif!bjsqpsu!nffujoh!gvuvsf! bdujwjuz!njmftupoft/! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 24 Page 164 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 5.2 Jo!Tfqufncfs!3126!uif!Hsfbufs!Upspoup!Bjsqpsut!Bvuipsjuz!)HUBB*!sfmfbtfe!b! 37 Xijuf!Qbqfs!!)tff!Bqqfoejy!B*!po!uif!gvuvsf!pg!Upspoup!Qfbstpo!Joufsobujpobm! ! 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Table 2 2016 Airline Trips Airline 60 km Catchment Area 100 km Catchment Area Air Canada 110,194 350,626 WestJet 72,412 215,197 Porter 11,937 43,652 United Airlines 21,441 60,424 American Airlines 20,878 55,546 Delta Airlines 18,010 59,005 TOTAL 254,872 784,450 Tpvsdf;!Fowjspojdt!Bobmzujdt! ! ! 39 !Upspoup.Qfbstpo!Qbttfohfs!Tvswfz-!Tfqufncfs-!3125-!NdLjotfz!'!Dpnqboz!! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 27 Page 167 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... ! Figure 12 Airport Location in Context to Simcoe County Ju!dbo!cf!bttvnfe!uibu!uif!nbkpsjuz!pg!bjsmjof!usjqt!)81&*!bsf!sfmbufe!up!qfstpobm!ps!mfjtvsf!usbwfm/!Ubcmf!4!eftdsjcft! uif!nptu!qpqvmbs!mfjtvsf!eftujobujpot-!cz!sbol-!pwfs!b!uisff.zfbs!qfsjpe/!!Uijt!jodmveft!bmm!gpsnt!pg!usbotqpsubujpo/!! 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Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 28 Page 168 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Table 3 Leisure Destinations RANK DESTINATION NO. OF TRIPS (2014-2016) 60 km CATCHMENT EXPANDED CATCHMENT AREA AREA 67,195 223,253 1 Florida 46,238 156,592 2 Montreal 45,877 150,390 3 Ottawa 33,379 96,114 4 Cuba 31,797 120,918 5 New York City 31,524 87,985 6 Vancouver 29,165 96,404 7 Mexico 20,053 69,486 8 Las Vegas 18,895 64,128 9 Boston 17,164 46,256 10 Other B.C. 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Vmusb.Mpx!Dptu!Dbssjfst!ibwf!fyqsfttfe!joufsftu!jo!pqfsbujoh!gspn!MTSB!jg!uif!jogsbtusvduvsf!xfsf!jo!qmbdf!up! tvqqpsu!uifjs!tfswjdft/! Mfjtvsf!bjsmjof!cvtjoftt!npefm!tvqqpsut!pqfsbujpot!gspn!sfhjpobm!bjsqpsut!xifsf!bttpdjbufe!dptut!bsf!mpxfs! dpnqbsfe!up!nbkps!ivc!bjsqpsut/! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 32 Page 172 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Ju!jt!sfdphoj{fe!uibu!Upspoup.Qfbstpo!xjmm!sfbdi!svoxbz!tmpu!dpotusbjout!boe!uibu!sfhjpobm!bjsqpsut!xjmm!offe! up!ublf!tpnf!pg!uif!gpsfdbtufe!usbwfm!efnboe/! Uif!Hsfbufs!Upspoup!Bjsqpsut!Bvuipsjuz!jt!jo!tvqqpsu!pg!uif!efwfmpqnfou!pg!sfhjpobm!bjs!tfswjdft!bu!MTSB/! Tuspoh!qpufoujbm!gps!tvo!boe!tlj!)Npou!Usfncmbou*!eftujobujpot/! 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Table 4 Corporate Aircraft Runway Length Requirements Aircraft FAA Takeoff Field Length (Dry)* FAA Takeoff Field Length (Wet)* Bombardier Learjet 45 5,392 6,201 Cessna Citation 650 5,510 6,337 Gulfstream IV 5,649 6,497 Dassault Falcon 7X 5,564 6,398 Bombardier Learjet 60XR 5,831 6,706 Bombardier Challenger 601 6,099 7,000 Gulfstream 550 6,323 7,272 Gulfstream 650 6,420 7,383 Bombardier Global Express 6,741 7,752 Bombardier Challenger 890 6,825 7,849 * Maximum take-off weight and standard day temperature Jo!uif!nfejvn!up!mpoh!ufsn-!uif!wjtjpo!gps!MTSB!jt!up!cfdpnf!b!gvmm!tfswjdf!sfhjpobm!bjsqpsu!xjui!uif!dbqbcjmjuz!up! bddpnnpebuf!sfhjpobm!tdifevmfe!bjs!tfswjdf-!vmusb.mpx!dptu!bjsmjoft-!boe!mfjtvsf!gmjhiu!up!tvo!eftujobujpot!tvdi!bt! Dvcb-!uif!Epnjojdbo!Sfqvcmjd!boe!Nfyjdp/!Uif!ubshfu!eftjho!bjsdsbgu!bsf!uif!C848.911-!boe!Bjscvt!B431-!xijdi!bsf! xjefmz!vtfe!cz!uif!epnftujd!bjsmjoft!tvdi!bt!XftuKfu!boe!Bjs!Dbobeb-!boe!cz!uif!mfjtvsf!bjsmjoft-!tvdi!bt!Tvoxjoh-! 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Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 43 Page 183 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 9.3 9.3.1 EXPANDED PASSENGER TERMINAL Uif!fyjtujoh!bjs!ufsnjobm!cvjmejoh!jt!xfmm!tv t!uibu!ep!opu!sfrvjsf!DBUTB!tfdvsjuz!tdsffojoh/!!Ipxfwfs-!jo!psefs!up!bddpnnpebuf! fyqboefe!sfhjpobm!bjs!tfswjdf-!vmusb.mpx!dptu!bjsmjoft-!boe0ps!mfjtvsf!bjsmjoft!uibu!sfrvjsf!DBUTB!qbttfohfs!boe! cbhhbhf!tdsffojoh-!bt!xfmm!bt!bddpnnpebujoh!mjnjufe!joufsobujpobm!bssjwbm!gbdjmjujft-!b!ofx!ps!fyqboefe!ufsnjobm! gbdjmjuz!xpvme!cf!sfrvjsfe/!! 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Up!bddpnnpebuf!tdifevmfe!gmjhiut!xjuijo!uif!usbejujpobm!epnftujd!bjs!tfswjdf!ofuxpsl!boe!up!joufsobujpobm! eftujobujpot-!usbwfmmjoh!qbttfohfst!boe!uifjs!cbhhbhf!xpvme!ibwf!up!cf!tdsffofe!bt!qfs!uif!sfrvjsfnfout!pg!uif! Dbobejbo!Bwjbujpo!Tfdvsjuz!Sfhvmbujpot!3123/!!Uif!tpmf!bhfodz!nboebufe!up!qspwjef!tvdi!tfdvsjuz!tdsffojoh!jt!uif! Dbobejbo!Bjs!Usbotqpsu!Tfdvsjuz!Bvuipsjuz!)DBUTB*/!!Bu!qsftfou!uifsf!bsf!9:!bjsqpsut!jo!Dbobeb!eftjhobufe!up! sfdfjwf!DBUTB!tdsffojoh!tfswjdft/!!Gps!uiftf!bjsqpsut-!uif!tdsffojoh!tfswjdft!bsf!gvmmz!gvoefe!cz!DBUTB/!Jo!3126! ofx!mfhjtmbujpo!xbt!qbttfe!uibu!xpvme!bmmpx!tnbmmfs!opo.eftjhobufe!bjsqpsut!up!sfdfjwf!DBUTB!tdsffojoh!tfswjdft/!! bttpdjbufe!xjui!uif!tdsffojoh!frvjqnfou!boe!tubggjoh/!!Tvdi!dptut!dpvme!cf!qbttfe!po!up!qbttfohfst!uispvhi!bo! Bjsqpsu!Jnqspwfnfou!Gff!ps!Tfdvsjuz!Gff/! Uif!Bjsqpsu!xpvme!bmtp!ibwf!up!dpnqmz!voefs!uif!Dbobejbo!Bwjbujpo!Tfdvsjuz!Sfhvmbujpot!xjui!tfdvsjuz!sfhvmbujpot! bt!b!Dmbtt!4!bjsqpsu/!!Uijt!jo!uvso!xpvme!mjlfmz!jodvs!tpnf!beejujpobm!dptut!sfmbufe!up!qbtt!dpouspm!frvjqnfou/! ! ! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 44 Page 184 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... Canada Border Services Agency (CBSA)! Up!bddpnnpebuf!fyqboefe!joufsobujpobm!bssjwbmt!bttpdjbufe!xjui!gmjhiut!up!tvo!eftujobujpot!Dbobeb!jnnjhsbujpo! boe!dvtupnt!tfswjdft!xpvme!ibwf!up!cf!fyqboefe/!!Uijt!xpvme!jodmvef!cpui!qiztjdbm!fyqbotjpo!pg!gbdjmjujft-!cvu!bmtp! bo!fyqbotjpo!pg!nboqpxfs/!!Tvdi!dibohft!jo!sftpvsdft!xpvme!ibwf!up!cf!ofhpujbufe!xjui!DCTB/! NAV CANADA! Jodsfbtfe!dppqfsbujpo!jt!sfrvjsfe!xjui!OBW!DBOBEB!jo!psefs!up!cfuufs!joufhsbuf!dpnnvojdbujpo!boe!jogpsnbujpo! tztufnt/!!Uijt!jodmveft!uif!jotubmmbujpo!pg!b!qfsjqifsbm!tubujpo!)QBM*!up!bmmpx!bjsdsbgu!po!uif!hspvoe!bu!MTSB!up! tztufn!joup!uif!OBW!DBOBEB!Bwjbujpo!Xfbuifs!Xfc!Tjuf/! Airport Support Xjui!efwfmpqnfou!pg!bo!fyqboefe!ufsnjobm!cvjmejoh!boe!uif!jouspevdujpo!pg!tvtubjofe!tdifevmfe!dpnnfsdjbm!bjs! tfswjdf!boe!qpufoujbm!mfjtvsf!gmjhiut!up!tvo!eftujobujpot-!uif!Bjsqpsu!xpvme!offe!up!gvsuifs!jowftu!jo!jnqspwfnfout! up!tvqqpsu!bjsqpsu!pqfsbujpot!boe!qspwjef!bo!bqqspqsjbuf!mfwfm!pg!tfswjdf!up!dvtupnfst!boe!pqfsbupst/!! Jnqspwfnfout!xpvme!jodmvef!cpui!frvjqnfou!boe!jogsbtusvduvsf!bt!xfmm!bt!jodsfbtfe!tubggjoh/! Uif!bqqspyjnbuf!cvehfu!gps!uiftf!bgpsfnfoujpofe!tvqqpsu!tfswjdft!xpvme!cf;!!/! 9.4 Ubcmf!6!qspwjeft!b!tvnnbsz!pg!uif!qsfmjnjobsz!cvehfut!eftdsjcfe!jo!uif!qsfwjpvt!tfdujpot/!!Cvehfu!gpsfdbtut!ep! opu!jodmvef!jodsfbtfe!tubggjoh!sfrvjsfnfout!sfrvjsfe!up!jnqmfnfou!boe!nbobhf!bmm!pg!uiftf!tusbufhjft-!jojujbujwft! boe!ofx!tfswjdft/!!Beejujpobm!tubggjoh!sftpvsdft!xjmm!cf!sfrvjsfe!cfhjoojoh!jo!Qibtf!2-!xijdi!jo!uvso-!xpvme!pddvs! bt!bo!boovbm!dptu/! Table 5 Preliminary Budget Summary !Fmfnfou!Cvehfu! :/2!Qibtf!J!!Qptjujpo!Bjsqpsu!up!Buusbdu!Dpsqpsbuf!Bwjbujpo!! :/2/2!Bjsqpsu!Dfsujgjdbujpo!%311-111! :/2/3!Sfhjtufsfe!Bjsqpsu!\[pojoh!Qspufdujpo!%211-111! :/2/4!Svoxbz!21.39!Fyufotjpo!boe!Xjefojoh!%29-111-111! :/2/5!Foibodfe!Fmfduspojd!boe!Wjtvbm!Bjet!%3-611-111! :/2/6!Nbtufs!Tfswjdjoh!Qmbo!%611-111! :/2/7!Foibodfe!Bjsqpsu!Tvqqpsu!Tfswjdft!boe!Jogsbtusvduvsf!%4-611-111+! :/2/8!Bdrvjsf!Beejujpobm!Mboet!%3-611-111! :/2/9!Cvtjoftt!Efwfmpqnfou!Tusbufhz!%311-111! ! Upubm!%38-611-111! ! :/3!Qibtf!JJ!!Qsfqbsf!Cvtjoftt!Dbtf!boe!Foibodf!Pqqpsuvojujft!gps!Bjs!Tfswjdf!! :/3/2!Fdpopnjd!Jnqbdu!Tuvez!%31-111! :/3/3!Bjs!Tfswjdf!Efwfmpqnfou!Tusbufhz!%361-111! :/3/4!Jowftujhbuf!Bjs!Tfswjdf!Jodfoujwft!UCE! :/3/5! Qsfqbsf!Bjs!Ufsnjobm!Qspkfdu!Efgjojujpo!Epdvnfou!)QEE*!%91-111! ! Upubm!%461-111! :/4!Qibtf!JJJ!!Tvqqpsu!Tdifevmfe!Bjs!Tfswjdf!! :/4/2!Fyqboe!Qbttfohfs!Ufsnjobm!%49-111-111! :/4/3!Tvqqpsu!Tfswjdft!UCE+!!++! ! Upubm!%49-111-111! !!! ! UPUBM!%76-961-111! +!Dptu!sfgmfdut!dbqjubm!dptut/!!Beejujpobm!tubgg!boe!pqfsbujoh!sftpvsdft!xjmm!cf!sfrvjsfe/! ++!Sftpvsdft!sfrvjsfe!xjmm!cf!ftubcmjtife!cbtfe!po!gvuvsf!sfwjfx!xjui!joefqfoefou!tvqqpsu!tfswjdf!qspwjefst! Lake Simcoe Regional Airport Strategic Plan WSP Project No. CYLS 161-08128-00 April 2018 Page 45 Page 185 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... 10 ! 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QxD!!!}!!!25 Page 238 of 799 9.b) Scott Running, Board President; Brent Hill, Board Member; and Chris... xxx/qxd/dpn0vt0dbqjubmqspkfdut Up!ibwf!b!effqfs!dpowfstbujpo!bcpvu!ipx!uijt!tvckfdu! nbz!bggfdu!zpvs!pshboj{bujpo-!qmfbtf!dpoubdu; Ebszm!Xbmdspgu Lfo!Mvoe VT!Obujpobm!Mfbefs Qvcmjd!Tfdups!Fdpopnjd!Efwfmpqnfou Dbqjubm!Qspkfdut!boe!JogsbtusvduvsfTubuf!boe!Mpdbm!Hpwfsonfou ebszm/xbmdspguAqxd/dpnlfo/mvoeAqxd/dpn Lsjtujo!Dfoubooj VT!Qvcmjd!Tfdups!MfbefsQvcmjd!Tfdups!Pqfsbujpot!boe!Dibohf!Nbobhfnfou Dbqjubm!Qspkfdut!boe!JogsbtusvduvsfTubuf!boe!Mpdbm!Hpwfsonfou lsjtujo/dfouboojAqxd/dpn Lzmff!Bobtubtj Jogsbtusvduvsf!GjobodfJogsbtusvduvsf!Tusbufhz!boe!Fdpopnjdt Dbqjubm!Qspkfdut!boe!JogsbtusvduvsfDjujft!pg!uif!Gvuvsf lzmff/k/bobtubtjAqxd/dpntibvo/gfsoboepAqxd/dpn Page 239 of 799 Page 240 of 799 12.a) Report No. OCS2018-21, Shawn Binns, Director, Operations and Commu... Page 241 of 799 12.a) Report No. OCS2018-21, Shawn Binns, Director, Operations and Commu... Page 242 of 799 12.a) Report No. OCS2018-21, Shawn Binns, Director, Operations and Commu... Page 243 of 799 12.a) Report No. OCS2018-21, Shawn Binns, Director, Operations and Commu... Page 244 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 245 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 246 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 247 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 248 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 249 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 250 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... Page 251 of 799 12.b) Report No. FI2018-15, Mark DesLauriers, Chief Financial Officer/Tr... 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Page 293 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 295 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 296 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 297 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 298 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 299 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 300 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 301 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 302 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... Page 303 of 799 12.f) Report No. ES2018-8, Robin Dunn, CAO; Michelle Jakobi, Manager, Co... 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Civic Holiday Office Closure Page 405 of 799 Page 406 of 799 14.a) Announcements of Interest to the Public: Township of Oro-Medonte, ... FOR IMMEDIATE RELEASE July 9, 2018 Fastball Exhibition Series at Vasey Park thst World-class fastball returns to Oro-Medonte on Friday, July 20 and Saturday July 21at Vasey Park located at 4851 Vasey Road, providing another reason to visit Simcoe County. against the Vasey Countrymen, and then battling the Owen Sound Junior Selects. The Dominican team is playing in a series of exhibition games and tournaments throughout Ontario in July, with the village of Vasey on the The local contingent will be represented by players from Vasey and across the County of Simcoe, including the Townships of Oro-Medonte, Severn, Springwater, Rama, Tay and Tiny, as well as the City of Barrie and City of Orillia. First pitch Friday night is scheduled for 6:30 p.m. An Opening Ceremony will follow the first game and the second game is scheduled for 8:45 p.m. st The three teams will face off again on Saturday, July 21 with the first game of the day schedule for 9:30 a.m., and the last game schedule for 3:30 p.m. Daily Admission to the event is $5.00 per adult or $10.00 per vehicle. Spectators can also enjoy a BBQ dinner at the park in support of local grassroots community -30- For media requiring additional information, please contact: Jenny Legget Communications and Public Relations Officer Township of Oro-Medonte (705) 487-2171 ext. 2138 jlegget@oro-medonte.ca www.oro-medonte.ca θǞƦhƩƚaĻķƚƓƷĻ ŅğĭĻĬƚƚƉ͵ĭƚƒΉhƩƚaĻķƚƓƷĻ Page 407 of 799 Page 408 of 799 14.b) Minutes of Barrie Public Library Board meeting held on Thursday, M... Page 409 of 799 14.b) Minutes of Barrie Public Library Board meeting held on Thursday, M... Page 410 of 799 14.b) Minutes of Barrie Public Library Board meeting held on Thursday, M... Page 411 of 799 14.b) Minutes of Barrie Public Library Board meeting held on Thursday, M... Page 412 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... No. BOD-05-18 Friday, May 25, 2018 120 Bayview Parkway, Newmarket, ON MINUTES LSRCA Board Members Present: LSRCA Staff Present: Mayor G. Dawe, Chair M. Walters, Chief Administrative Officer Councillor R. Simpson, Vice Chair R. Baldwin, GM, Planning & Development Deputy Mayor/Regional Councillor N. Davison M. Critch, GM, Corporate & Financial Services Regional Councillor B. Drew B. Kemp, GM, Conservation Lands Councillor A. Eek B. Longstaff, GM, Integrated Watershed Management Councillor P. Ferragine K. Christensen, Manager, Human Resources Mayor J. Grant K. Yemm, Manager, Corporate Communications Mayor V. Hackson T. Barnett, Coordinator, BOD/CAO Councillor S. Harrison-McIntyre B. Booth, Manager, Regulations Councillor D. Kerwin P. Davies, Manager, Forestry and Stewardship Councillor S. Macpherson N. Hamley, Manager, Education Deputy Mayor P. Molloy S. Jagminas, Communications Program Coordinator Mayor M. Quirk T. Stevenson, Environmental Regulations Analyst Councillor S. Strangway Regrets: J. Dolan Councillor K. Ferdinands Councillor P. Silveira Township of Ramara I.DECLARATION OF PECUNIARY INTEREST None noted for this meeting. II.APPROVAL OF THE AGENDA Moved by: A. Eek Seconded by: S. Strangway BOD-076-18 RESOLVED THAT the content of the Agenda for the May 25, 2018 meeting of the LSRCA Board of Directors be approved as presented. CARRIED III.ADOPTION OF THE MINUTES a) Board of Directors Meeting March 23, 2018 Moved by: V. Hackson Seconded by: P. Molloy BOD-077-18 -03-18 held on Friday, March 23, 2018 be approved as circulated. CARRIED Page 413 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... Lake Simcoe Region Conservation Authority -05-18 May 25, 2018 Minutes Page 2 of 6 Chair Dawe brought forward for receipt at this time Correspondence Items 1b), an email dated May 4, 2018 from Town of Georgina Clerk and attached Georgina Council meeting minutes of March 22, 2018; and 1c), an email dated May 17, 2018 from Georgina Mayor Margaret Quirk concerning the March 23, 2018 Mayor Quirk reiterated that the correspondence items noted above and specifically the resolution passed nd by Georgina Council at their March 22 meeting requesting that LSRCA decline the Section 28 permit for rd Maple Lake Estates explained why she had recused herself from this item at the March 23 LSRCA Board of . Mayor Quirk thanked CAO Walters for his assistance in this matter. Moved by: V. Hackson Seconded by: P. Molloy BOD-078-18 RESOLVED THAT correspondence listed in the agenda as Items 1b) and 1c) be received for information. CARRIED b) April 27, 2018 Moved by: V. Hackson Seconded by: P. Molloy BOD-079-18 -04-18 held on Friday, April 27, 2018 be approved as circulated. CARRIED c) Conservation Ontario Council April 16, 2018 Moved by: V. Hackson Seconded by: P. Molloy BOD-080-18 RESOLVED THAT the minutes of the Conservation Ontario Council meeting #01/18 held on Monday, April 16, 2018 be received for information. CARRIED IV. ANNOUNCEMENTS a) Conservation Awards are th now open for and will remain open until June 15. Nominations can be made through the following link: Nominate-Environmental-Heroes or by contacting Katarina Zeppieri, Senior Administrative Assistant, Communications and Education, at 905-895-1281 x 116 or k.zeppieri@lsrca.on.ca b) Councillor Macpherson was pleased to present a $10,000 cheque from the Barrie Colts to the Lake th Simcoe Conservation Foundation in support of its Annual Fundraising Dinner on June 13. V. PRESENTATIONS a) Results of Adapting Forestry Programs for Climate Change Research Manager, Forestry and Stewardship, Phil Davies, provided the Board with a presentation on the Adapting Forestry Programs for Climate Change Research Project, noting that while climate change is often discussed at the bigger level, LSRCA has undertaken some research in an effort to better understand the impacts of climate change on programs going forward. Page 414 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... Lake Simcoe Region Conservation Authority -05-18 May 25, 2018 Minutes Page 3 of 6 The objectives of this project were to develop a revised list of tree and shrub species that may be used to improve the effectiveness and success of restoration, afforestation, Low Impact Development (LID) and stormwater management plans in the watershed; incorporate the changes into LSRCA programming; and transfer that knowledge to municipalities, conservation authorities and environmental non-government organizations (ENGOS) within the Lake Simcoe watershed and beyond. An internal working group was formed, extensive literature was reviewed, stakeholder consultation meetings were held, after which a total of forty-four adaptation strategies were developed to mitigate the and watershed planning programs. The most significant impacts for forested areas are extreme weather events and significant wind storms, coupled with their increase in frequency. Planning for storm recovery and protecting what we currently are just a couple of way we will see success in adapting to future. To view the full report, please click this link: LSRCA Adapting Forestry Programs for Climate Change Report For more information on the study and the strategy, please contact Philip Davies, Manager, Forestry and Stewardship @ p.davies@lsrca.on.ca or 905895-1281 ext 321. Moved by: A. Eek Seconded by: P. Ferragine BOD-081-18 RESOLVED THAT the presentation by Manager, Forestry and Stewardship, Philip Davies regarding research on Adapting Forestry Programs for Climate Change be received for information. CARRIED Staff Report No. 19-18-BOD prepared by Manager, Forestry and Stewardship Philip Davies, regarding the results of research on Adapting Forestry Programs for Climate Change was included in the agenda. Moved by: V. Hackson Seconded by: R. Simpson BOD-082-18 RESOLVED THAT Staff Report No. 19-18-BOD regarding an update on the Adapting Forestry Programs for Climate Change Research Project Summary Report be received for information. CARRIED b) Chief Administrative Officer, Mike Walters, provided the Board with a presentation on Operating Plan for 20182016-2020 is at the half-way point and much progress has been made on the four major goals and 42 priority activities. He noted that staff continues to perform very well and have recently completed a new goal setting process. The objectives of the goal setting process included aligning with the Strategic Plan Goals and Annual Operating Plan (AOP) to provide clear direction to all employees, empower sponsors of key initiatives, enhance collaboration among departments, improve accountability through involving and informing stakeholders, and to encourage continuous calibration/reporting of progress through staff meetings. Along with the many business-as-usual activities, the AOP for 2018 has been defined as follows: Page 415 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... Lake Simcoe Region Conservation Authority -05-18 May 25, 2018 Minutes Page 4 of 6 1. Harmonization 2. Enhance Collaboration with First Nations 3. Staff Engagement 4. Scanlon Creek Education Training Facility 5. Talent Management 6. Compensation Review 7. Land Acquisition/Disposition Strategy 8. Scanlon Creek Operations Renovation 9. Lake Simcoe Phosphorus Offsetting Program - Implementation 10. Asset Management Plan 11. Climate Change Adaptation/Mitigation 12. Salt Management Strategy CAO Walters noted that Council deputations have been arranged over the next couple of months to our municipal partners. To view this presentation, please click this link: LSRCA's Annual Operating Plan 2018 Moved by: S. Macpherson Seconded by: S. Strangway BOD-083-18 RESOLVED THAT the presentation by Chief Administrative Officer, Mike Walters, CARRIED VI.HEARINGS There were no hearings at this meeting. VII. DEPUTATIONS There were no deputations at this meeting. VIII. DETERMINATION OF ITEMS REQUIRING SEPARATE DISCUSSION No items were identified as requiring separate discussion. IX. ADOPTION OF ITEMS NOT REQUIRING SEPARATE DISCUSSION Items 1b) and 1c) were received earlier in the meeting, leaving Items 1a), 2 and 3 remaining, all of which were identified as items not requiring separate discussion. Moved by: J. Grant Seconded by: P. Molloy BOD-084-18 RESOLVED THAT the authorized to take all necessary action required to give effect to same. CARRIED Page 416 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... Lake Simcoe Region Conservation Authority -05-18 May 25, 2018 Minutes Page 5 of 6 1. Correspondence BOD-085-18 RESOLVED THAT correspondence listed in the agenda as Item 1a) be received for information. CARRIED 2. Update on Investment Strategy BOD-086-18 RESOLVED THAT Staff Report No. 20-18-BOD regarding an update on LSRCA investment options and a recommended investment strategy be approved. CARRIED 3. Update on Administrative By-Laws BOD-087-18 RESOLVED THAT Staff Report No. 21-18-BOD regarding updating the Lake Simcoe Region Conservation Authority Administrative By-Laws be received; and FURTHER THAT the Chief Administrative Officer/Secretary Treasurer be directed to table the draft Administrative By-L meetings with the intent to present a final version for approval at the September 28, 2018 meeting. CARRIED X. CONSIDERATION OF ITEMS REQUIRING SEPARATE DISCUSSION There were no items requiring separate discussion. XI. CLOSED SESSION The Board moved to Closed Session to deal with confidential legal and human resources matters. Moved by: S. Macpherson Seconded by: D. Kerwin BOD-088-18 RESOLVED THAT the Board move to Closed Session to deal with a confidential legal matter; and FURTHER THAT the Chief Administrative Officer, members of the Executive Management Team, the Manager, Regulations, the Environmental Regulations Analyst, and the Coordinator BOD/CAO remain in the meeting. CARRIED The Board rose from Closed Session. Moved by: N. Davison Seconded by: S. Harrison-McIntyre BOD-089-18 RESOLVED THAT the Board rise from Closed Session and report findings. CARRIED a) Legal Matter The Board received Confidential Staff Report No. 22-18-BOD regarding a legal matter prior to the meeting. Moved by: D. Kerwin Seconded by: B. Drew Page 417 of 799 14.c) Minutes of Lake Simcoe Region Conservation Authority meeting held ... Lake Simcoe Region Conservation Authority -05-18 May 25, 2018 Minutes Page 6 of 6 BOD-090-18 RESOLVED THAT Staff Report No. 22-18-BOD regarding a confidential legal matter be received for information. CARRIED Moved by: P. Molloy Seconded by: R. Simpson BOD-091-18 RESOLVED THAT staff be directed to undertake enforcement activities and pursue necessary legal action to resolve issues outlined in Confidential Staff Report No. 22-18- BOD. CARRIED XII. OTHER BUSINESS nd a) The next meeting will be held on Friday, June 22 Bayview Parkway in Newmarket. th b) Mayor Grant thanked LSRCA staff for their assistance at the May 12 Cannington Horticultural Society tree planting event, where LSRCA brought 200 trees and shrubs and participated in the tree planting event. XIII. ADJOURNMENT Moved by: R. Simpson Seconded by: P. Ferragine BOD-092-18 RESOLVED THAT the meeting be adjourned @ 10:42 a.m. CARRIED ____ Mayor Geoffrey Dawe Michael Walters Chair Chief Administrative Officer Page 418 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... NOTTAWASAGA VALLEY CONSERVATION AUTHORITY BOARD OF DIRECTORS MINUTES No. 03-18-BOD Date: April 27, 2018 Time: 9:00 a.m. to 11:00 a.m. Location: John L. Jose Learning Centre, Tiffin Conservation Area, Utopia, Ont. Present: Deputy Mayor Gail Ardiel, Chair Blue Mountains (Town) Councillor Keith White, Vice Chair Essa (Township) Councillor Doug Lougheed, Past Chair Innisfil (Town) Councillor Bob Meadows Adjala-Tosorontio (Township) Councillor Gail Little Amaranth (Township) Councillor Ron Orr Bradford West Gwillimbury (Town) Councillor Connie Leishman Clearview (Township) Councillor Deb Doherty Collingwood (Town) Councillor Fred Nix Mono (Town) Councillor Keith Lowry Mulmur (Township) Councillor Phil Hall Oro-Medonte (Township) Councillor Walter Benotto Shelburne (Town) Mayor Bill French Springwater (Township) Deputy Mayor Nina Bifolchi Wasaga Beach (Town) Regrets: Councillor Terry Mokriy Grey Highlands (Municipality) Councillor Rose Romita Barrie (City) Councillor Darren White Melancthon (Township) Councillor Donna Jebb New Tecumseth (Town) Staff: Doug Hevenor, Chief Administrative Officer, Byron Wesson, Director, Lands, Education and Stewardship Services, Chris Hibberd, Director, Watershed Management Services, Sheryl Flannagan, Director, Corporate Services. Laurie Barron, Coordinator, CAO and Corporate Services/Recorder CALL TO ORDER Chair Ardiel called the meeting to order at 9:00 a.m. 1. DECLARATION OF PECUNIARY AND CONFLICT OF INTEREST None declared. Page 419 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... 2. MOTION TO ADOPT AGENDA RES: 22-18 Moved by: D. Doherty Seconded by: B. French RESOLVED THAT: the Agenda for Board of Directors Meeting #03-18-BODdated April 27, 2018 be adopted as amended to correct duplicate numbers C-4. Carried. 3. ANNOUNCEMENTS 3.1 Councillor Fred Nix, Mono Township receives Life Time Achievement Award. Councillor Nix was recognized with a special award celebrating his 28-year commitment to the NVCA. The Town of Mono Council nominated Fred for this well-deserved award. 3.2 New NVCA Staff were introduced/recognized by their respective Directors. Watershed Management Services Julie Panovski, Regulations Assistant Andrew Fera, Regulations Technician Emma Perry, Planner Mark Hartley, Senior Engineer Amy Knapp, Planner Danial Dyce, Regulations Technician Land, Education and Stewardship Services Jonathan Cortese, Forestry Technician Corporate Services Haleigh Ferguson, Administrative Assistant 4. PRESENTATIONS 2017 NVCA Financial Statements KPMG LLP Chartered Accountants, Tiffany Cecchetto, Partner RES: 23-18 Moved by: B. Meadows Seconded by: W. Benotto RESOLVED THAT: the Board receive the 2017 NVCA Financial Statements as presented by KPMG LLP Chartered Accountants; and FURTHER THAT: a copy be sent to the Ministry of Natural Resources and Forestry, Conservation Ontario and be placed on the NVCA website. Carried. Page 420 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... 5. DEPUTATIONS There were no deputations for this meeting. 6. DELEGATIONS There were no delegations for this meeting 7. HEARINGS There were no Hearings requested under Section 28 of the Conservation Authorities Act for this meeting. 8. DETERMINATION OF ITEMS REQUIRING SEPARATE DISCUSSION Board Members were requested to identify those items from the Consent List that they wish to have considered for separate discussion. 9. CONSENT LIST A) Adoption of Minutes A.1) Approval of Minutes of the Board of Directors Meeting BOD-02-18 held on February 23, 2018. RES: 24-18 Moved by: R. Orr Seconded by: D. Doherty RESOLVED THAT: the Board of Directors approve the minutes of the BOD-02-18 Board meeting held on February 23, 2018. Carried. B) Correspondence B.1) Letter from NVCA to Ministry of Municipal Affairs dated February 28, 2018 re: Protecting Water for Future Generations: Growing the Greenbelt in the outer Ring EBR posting 013-1661 NVCA comments. B.3) Copy of letter from Blue Mountain Watershed Trust to the Premier Wynne dated March 21/18 regarding an application to reconstruct Side Road 26/27 in the Township of Clearview before the Environmental Land Tribunals of Ontario, File No. 15-176 Urbaniak v. Ontario (NEC) Approved by consent. RESOLVED THAT: correspondence B.1) and B.2) of agenda 03-18-BOD be received. Page 421 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... C)Staff Reports C-1) Staff Report No. 04-03-18-BOD from the Director, Watershed Management Services Regarding a request for quote for ecology review services. Approved by consent. RESOLVED THAT: Staff Report No. 04-03-18-BOD regarding the ecology review be received; and FURTHER THAT: the following firms be included in a roster of consultants to provide ecological review support to the NVCA. North-South Environmental Inc. R.J. Burnside and Associates Dougan and Associates Natural Resource Solutions Inc. (NRSI) Beacon Environmental C-2) Staff Report No. 05-03-18-BOD from the Director, Watershed Management Services Regarding the appointment of Ms. Angela Mills as Risk Management Inspector. Approved by consent. RESOLVED THAT: Staff Report No. 05-03-BOD regarding the appointment of Ms. Angela Mills as Risk Management Inspector as required under Sections 48 (1-3) of the Clean Water Act, 2006 be approved; and FURTHER THAT: a certificate of appointment be issued as required by Section 48(3) of the Act. C-4) Staff Report No. 07-03-18-BOD from the Director, Corporate Services regarding the 2018 First Quarter Budget Report. Approved by consent. RESOLVED THAT: the Board of Directors receive Staff Report No. 07-03-18-BOD regarding the 2018 first quarter financials; and FURTHER THAT: staff continue to monitor budget activities. Page 422 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... C-5)Staff Report No. 09-03-18-BOD from the Communications Coordinator regarding the Communications Report, February 10 to April 11, 2018. Approved by consent. RESOLVED THAT: Staff Report No. 09-03-18-BOD regarding NVCA Communications, February 10 to April 11, 2018 be received. 10. ADOPTION OF CONSENT LIST AND IDENTIFICATION OF ITEMS REQUIRING SEPARATE DISCUSSION RES-25-18 Moved by: C. Leishman Seconded by: K. Lowry RESOLVED THAT: agenda items number(s) B.2, C.3 and C.5, having been identified as requiring separate discussion, be referred for discussion under Agenda Item #10; and FURTHER THAT: all Consent List Agenda Items not referred for separate discussion be adopted as submitted to the board and staff be authorized to take all necessary action required to give effect to same; and FURTHER THAT: any items in the consent list not referred for separate discussion, and for which conflict has been declared, are deemed not to have been voted on or discussed by the individual making the declaration. Carried. B-2) Copy of letter from the Municipality of Grey Highlands to Hon. Kathleen Wynne regarding a request for increase in transfer payment allocation in support of Conservation Authorities. RES-26-18 Moved by: D. Doherty Seconded by: P. Hall RESOLVED THAT: Item B-2) regarding the Municipality of Grey Highlands letter to the Hon. Kathleen Wynne re: a request for increase in transfer payment allocation in support of Conservation Authorities be forwarded to NVCA watershed municipalities. Carried. C-3) Staff Report No. 06-03-18-BOD from the Director, Lands, Education and Stewardship Services and the Director, Watershed Management Services . The board directed staff to continue to work with Springwater Township on improvements to the Swaley Drain in the Minesing Wetlands (under the Drainage Act). Page 423 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... RES: 27-18 Moved by: F. Nix Seconded by: B. French RESOLVED THAT: Staff Report No. 06-03-18-BOD regarding the Township of Swaley Drain project be received and approved. Carried. C-4) Staff Report No. 08-03-18-BOD from the Director, Corporate Services regarding Board Member Per Diem Increase. RES: 28-18 Moved by: D. Lougheed Seconded by: N. Bifolchi WHEREAS: Staff were directed to seek approval of the Ontario Municipal Board (OMB), pursuant to Section 37 of the Conservation Authorities Act, to apply a cost of living increase to NVCA members per diems of 2.3%, representing the Ontario Consumer Price Index (CPI) inflation rate from December 2013 to November 2014; and WHEREAS: Staff have received confirmation from the Ontario Municipal Board in January, dated August 27, 2017 for approval of a 2% increase to board member per diem amounting to an extra $1.61 per meeting, retroactive to January 1, 2016; therefore BE IT RESOLVED: that the Board of Directors approve a per diem increase of 2% retroactive to January 1, 2018 which can be done within current budget. Carried. 11. CLOSED SESSION RES: 29-18 Moved by: W. Benotto Seconded by: F. Nix RESOLVED THAT: this meeting of the Board of Directors No. 03-18-BOD move into closed session at 10:14 a.m. to address matters pertaining to: Personal matters about an identifiable individual, including Authority staff; and THAT: Sheryl Flannagan, Director, Corporate Services be in attendance. Carried. RES: 30-18 Moved by: K. Lowry Seconded by: P. Hall RESOLVED THAT: the Board of Directors rise from closed session at 11:12 a.m. and report progress. Carried. Page 424 of 799 14.d) Minutes of Nottawasaga Valley Conservation Authority meeting held ... RES: 31-18 Moved by: D. Lougheed Seconded by: D. Doherty RESOLVED THAT: the Board of Directors confirm direction given in closed session. Carried. 12. OTHER BUSINESS Councillor Doherty advised NVCA staff that Collingwood Council is concerned with the length of time planning Watershed Management Services advised that there certainly is an increased volume of permits and that NVCA senior management are working to increase staff complement in order to address this increased workload. ADJOURN RES: 32-18 Moved by: W. Benotto Seconded by: K. Lowry RESOLVED THAT: the Board of Directors adjourn at 11:20 a.m. to meet as the Nottawasaga Valley Source Protection Authority; and THAT: the next meeting of the Board of Directors will be June 22, 2018 or at the call of the Chair. Carried. ______________________________ _________________________ Chair Gail Ardiel Doug Hevenor Chief Administrative Officer Approved by this ______ day of _____________, 2018 Page 425 of 799 Page 426 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... 1 Page 427 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... id Steering Committee n e e G - a d o b o s w nl l S i e r G a i B h d s i a u r r a hl a Report Authors CNorth Simcoe Muskoka Local Health Integration NetworkCSimcoe Muskoka District Health UnitSSimcoe Muskoka District Health Unit With contributions by members of the Simcoe Muskoka Opiowww.preventOD.caMay 2018 2 Page 428 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... n i k n a R e a i d n y r n r th Integration Network, u o F n l b r a w h t o L o i r h d n T B e a r lead Harm Reduction Pillarlead Enforcement Pillar se -- a ei uu ead Treatment/Clinical Practice M LPillar Canadian Mental Health AssociationM Co Simcoe Muskoka District Health Unit S Liaison to North Simcoe Muskoka Local HealMental Health and Additions Committee Waypoint Centre for Mental Health CareS Co Ontario Provincial Police istrict s m r oa r e i l c e rh l ti e k e r a w k W l G o B a n L e n a cW y y i l lead Enforcement Pillarlead Prevention Pillar g r l -- n e ae m ai JSimcoe Muskoka District Health UnitJ Co Ontario Provincial Police K Co Georgian College K Lead Data and Evaluation Pillar North Simcoe Muskoka Local Health Integration Network MSimcoe Muskoka DHealth Unit cal Health Integration Network l e n s oka Lo r e e e I d lG - n a a a n d n o V o o D b n a c m o e c e i s k M c h w r k n S a e aS e we l r HAIRS a B b a n a C s i B e e i Hn C l y id s -lr LR l i h i lead Harm Reduction Pillar tu lead Prevention Pillar ir -ta- ..r EMBERS O a rr l aahh p Simcoe Muskoka Opioid Strategy Steering Committee C DSimcoe Muskoka District Health UnitDNorth Simcoe Musk M A Co Central North Correctional CentreCNorth Simcoe Muskoka Local Health Integration Network C Lead Emergency Management Pillar County of Simcoe CSimcoe Muskoka District Health UnitCNorth Simcoe Muskoka Local Health Integration NetworkC Co Simcoe Muskoka District Health Unit 3 Page 429 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... 5678942347 ... 121719202252830374352566666 ... ........ ... .......... ........ ........ .......... ........ ........ ........ ........ ........ ........ ........ ........... ........ ............ ........ ........ ........ ............... ........ ........ ................. ........ ........ ........ ........ ........ ........ ........ ........ .................................. ........ ............................ ........ ............................... ........ .............................. ........ ........ ........ ................................ ........ ................................ ........ ........ ........ ................................................................ ........ ........ ........ ................................ ........ ........ ........ ................................ ........ ................................ ........ ........ ........ ................................ ........ ........ ................................ ........ ........ ........ ........ ........ ........ ........ ........ ................................ ........ ........ ................................ ........ ................................ ........ ................................ ........ ........ ........ ................................ ........ ................................ ........ ........ ........ ................................................................ ........ ........ ........ ................................ ........ ........ ........................................ ................................ ........ ........ ........ ................................ ........ ........ ................................ ........ ........ ........ ........ ........ Table of Contents ........ ........ ........ ........ ................................ ........ ........ ................................ ........ ................................ ........ ................................ ........ ........ ........ ................................ ........................................ ........ ........ ................................................................ ........ ........ ........ ................................ ........ ........ ........ ................................ ........ ................................ ........ ........ ........ ................................ ........ ....... pment ................................ ....... ....... ....... ctice ....... ....... ....... ....... ....... ....................................... ....... ................................ ....... ................................ ....... ................................ ....... ....... ....... ................................ ....... ................................ ....... ....... ....... ................................ ....... ....... ...... ................................ ... ... ...... ...... ..... ..... ..... ..... ..... ..... ..... ..... Chairs ..... - ..... ..... ... ... ... ... ... ... ... ... ... ... ................................ .. .. .. .. .. . . . . . BackgroundSMOS Action Plan -- IntroductionUnderstanding the Opioid CrisisThe Need for an Opioid StrategyComprehensive Opioid StrategiesDeveloping a Local ApproachIndigenous Led Opioid Strategy DeveloFoundational Pillar 1: Lived ExperienceFoundational Pillar 2: Data and EvaluationAction Pillar 1: PreventionAction Pillar 2: Treatment/Clinical PraAction Pillar 3: Harm ReductionAction Pillar 4: EnforcementAction Pillar 5: Emergency Management Executive SummaryMessage from the CoPart 1 Part 2 Part 3: Next Steps and Future DirectionsGlossaryReference ListAppendix A 4 Page 430 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... and term 2020) - - the g the goals five action s short eliver on the l a ement and plans. For each term (2019 - illars provides critical prevention, information and direction details the SMOS Action two foundational pillars as action pillars. One of the pivotal to help inform and direct the work of SMOS.Part two Planfivefoundational pfeedback and key information from the perspective of those with lived experience of opioid use. The other foundational pillar provides importanton data and evaluation to inform the SMOS approach. Followinfoundational pillars, the pillars are presented along with their associated work action pillar treatment/clinical practice, harm reduction, enforcemergency managementare detailed, as wel(2018) and longactivities that will be achieved through SMOS. The third and final part provides an overview of next steps and future directions. This section outlines how SMOS will move forward over the next three years to dSMOS Action Plan. , and and of the is ction also Steering report with federal to develop ommittee and C a s d Opioid Strategy OS. This e forward together the opioid crisis teering outlines the need for a Soutline created this pproach. The Simcoe levels. Part one . It ka Opioid Strategy e Muskoka and details how oal of providing a common uction, enforcement, and redemergency management as apillars, along with data andevaluation and lived experience as foundational pillars. The work of SMOS is led by an overarching consists of working groups based on the pillar aMuskoCommitteethe gunderstanding of the opioid crisis and the need for a collaborative responsecomprehensive plan for how the region can movto address this complex issue.Divided into three parts, this report begins by providing contextual information onthe history of SMbackground collaborative opioid strategy in Simcothis strategy aligns with existing approaches at both the provincial provides an overview on recent work carried out under the direction Aboriginal Health Circlean Indigenous Le(ILOS). This work is an independent parallel strategy to SMOS, and . . a s are crisi s are jurisdictions Simcoe , pillar approach , and - and death Strategy (SMOS) d emergency averages at rates higher than ve begun to develop g relate - includes: prevention, is ates have experienced a pioid h Over the last 10 yearsacross Canada and the United Stsignificant growth in the rates of morbidity and mortality linked to problematic opioid use. The Simcoe Muskoka region has been particularly impacted by this Odepartment visits occurrinprovincialcontinuing to trend upwards.In response to this issue, a wide range of sectors, including health agencies, police services, emergency response services, social services, and government at all levels, hastrategies to support local communities. Through work initiated by the Simcoe Muskoka District Health Unit (SMDHU) and the North Simcoe Muskoka Local Health Integration Network (NSM LHIN), partnership called the Muskoka Opioid was formed in May of 2017 to bring these and other sectors together. SMOS is a regional collaborative effort addressing the opioid crisis, founded on a multiTtreatment/clinical practice, harm Summary Executive 5 Page 431 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... , as , vision ged nd pron - . We have federal a policy and nce, and the a balanced, contribute to its ve achieved along the pillar drug strategy ons, and sector response can seem overwhelming at - with the addition of emergency local response. to make a differe our Simcoe Muskoka Opioid Strategy , the foundation for a multi will continue to the perspective of those with lived s those conditions, perceptions and stigma surrounding addictienforcement approaches to substance use. The complexity and magnitude of this issuedemandorganized around a classic four prevention, treatment, harm reduction, and enforcement management, and informed by strong datawell as experience of opioid use. This multiapproach is well aligned withprovincial opioid strategies and we believe it providethoughtfulWhile this issuetimes, we have also been heartened by the relentless efforts of those involved in this workwho striveaccomplishments we haway. We hope that the Simcoe Muskoka Opioid Strategy of dramatically reducing the harms of opioids in our communities. - d part related - to this into the illicit l, substantially. introduction of have been a o hear regularly The scope of our current e are complex. Illicit about the extent of the , om pain and addictions and the The contributing factors addictions to them rooted issue reach as far back as - adequacy of resources available to manage The burden of opioid misuse, addiction and overdose in Simcoe and Muskoka is an urgent problem. As an indication of this, rates of opioirelated deaths and emergency department visits in Simcoe Muskoka are well above provincial averages, and continue to climbEvery sector involved in this work has experienced the dramatic rise in opioidharms in recent years. We alsfrom individuals with lived experience of opioid use, their family and friends, and concerned community membersimpact of the opioid crisis in our region.The origins of this issuopioids andof society for centuries. problem has been escalated by the prevalence in recent decades of prescription opioids, combined with the more recent synthetic opioids, such as fentanydrug market.deepchildho od trauma, the social determinants of health, societal expectations of chronic pain management, the health care experience of those suffering frin . this , interested strategy ame Chairs c - , public health, action plans services, upper rk to work committed to al institutions etwo services, paramedic , social North Simcoe Muskoka , fire from it. Much of that work is towards an opioid ration N enforcement services services merged and atively and comprehensively to address Chairs, Simcoe Muskoka Opioid Strategy - Message from the Co Dr. Lisa Simon & Dr. Rebecca Van Iersel Co In the spring of 2017, a wide range of delegates including Local Health IntegIndigenous communitiestier municipalities, educationcorrectionsservicestogether with a common goal:collaborthe opioid crisis in Simcoe and Muskoka. Recognizing the pressing nature of this issue and that we could do far more together than separately, the organizationscollaborative effortNow, one year on, we are pleased to share this report with our communities and partners. It is intended to provide a common understanding of the background and need for this work, as well as to outline the comprehensive that have ealready well underway, and the remainder will be implemented in the coming years. 6 Page 432 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... Background Part 1 skoka Opioid Strategy Pillars Simcoe Mu - 1 Figure Background - Part 1 7 Page 433 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... , to report Steering move ommittee and C the need for a comprehensive plan Over the last year teering has created this S is and ted working groups have organization or individual welcomed to participate. the SMOS associacollaboratively developed action plans to address key needs identified in our region. The Simcoe Muskoka Opioid StrategyCommitteewi th the goal of providing a common understanding of theopioid criscollaborative response, and for how the region canforward together. - , of l a variety pillar anagement, ommittee co /clinical C and lived . It was founded on hosted a forum - the NSM LHIN and with the addition teering ,; scribed above, S to address this issue. egration Network (NSM , harm reduction, and 2017 of emergency m pillar approach that includes: - ience (Figure 1). ing issue of opioid misuse. This initiated by the Simcoe Muskoka District Health Unit (SMDHU) and the North Simcoe Muskoka Local Health IntLHIN), it was identified that Simcoe Muskoka required a collaborative approach In Maythe SMDHU cowhich brought together a key stakeholders involved in the growforum led to the development of the Simcoe Muskoka Opioid Strategy (SMOS)a fourprevention, treatmentpracticeenforcemen tpillarsdata and evaluationexperThe work of SMOS is led by an overarching chaired by the SMDHU and NSM LHIN, and consists of six working groups focused on the approach deinformed by lived experience inputwhenever possible. Membership in the working groups is diverse (Appendix A), with any sector, a ent; This 1 2 y first , showing Over the n as directed by jurisdictions across , s professional. to experience a sharp when prescribed opioid year have begun to develop , crease in the number of deaths These outcomes are true for both illicit and prescribed opioids, evenat timesmedication is takea medical last 10Canada and the United States have experienced a significant growth in the rates of morbidity and mortality linked to problematic opioid use. Beginning in 2012, British Columbia was one of theprovinces incaused by opioid overdoses.trend has continued eastearly signs of impact in Ontario and Simcoe Muskoka in 2014.In response to this health issue, wide range of sectors, includingpolice services, emergencmanagement services, health care agencies and government at all levelsstrategies to support local communities. Through work an effective medical treatmalso lead to addiction, illness can , their misuse Introduction Opioids are a family of medications used to treat pain. These medications can behoweverand death.8 Page 434 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... a the to as a in Opioid rm use of poverty and Purdue Pharma te - 7 5 ioid crisis. According to Kolodny related educational - 6 . It was marketed living in ® and pain patient groups in Relievers for chronic key factor contributing after heavy marketing by ic use. turn advocate for physicians to maceutical company of - nother of trauma, exposure to substance use through family and peers.History of Prescribing The history of physician prescribing of pharmaceutical opioids is athe current opprescribing increased rapidly 1990spharOxyContinsafe treatment for chronic pain, despite the lack of evidence that it is indeed safe or effective for chronPurdue Pharma funded more than 20,000 painprograms through direct sponsorship or financial grants and launched a multifaceted campaign to encourage longOpioid Panonalso financially supported large influential groups such as the American Pain Society, The American Academy of Pain Medicineto in A 4 . s such as As the influenced lt for 3 A substance 3 extremely xperiencing ly. strongly , it is difficu to stop using once an childhood experiences, history consumed illegaluse disorder, or addiction, occurs when an individual begins to crave the drug and is not able to stop using it without ewithdrawal symptoms.symptoms from an opioid withdrawal can be unpleasantindividuals to stop without support. Opioid misuse is particularly dangerous if too much is consumed at one time, as this can lead to an overdose which can lead to death. Opioids pose a significant health risk as they are highly addictive, difficultindividual develops a dependency, and due to their effect on the body, can lead to death if used improperly. chance of developing a substance use disorder. These include individual level risk factorpredisposition and psychological factors such as stress, personality traits, depression and anxietyperson is alsoby the social and environmental factors of their life such as their early and ed l ways what obtained , health care , ioids can ur in severa In addition to describe 3 either prescribed or . Op ling of euphoria or lthough opioids can be when an individual phone. : edications can include, but morthe use of , lude personal To understand the opioid crisis from the personal to societal level, it is first important to briefly outline what opioids are, constitutes problematic use, and highlight the dangers associatwith an opioid overdose.Opioid mare not limited to, codeinefentanyl, morphine, oxycodone hydroprescribed opioids, illicit versions of these medications can be and distributedprovide a feebeing high. Aan effective medical treatment for painillicit opioids can lead to addiction, illness and death. Problematic use of opioids can occincludingconsumes more than what is prescribed to them; when an opioid is taken at the wrong time; when an opioid is consumed by an individual to whom it was not prescribed; and when an opioid is produced and/or Crisis . These inc . Opioid the FENTANYL OXYCODONE CODEINE MORPHINE Understanding There are many factors contributing to opioid addiction and its related harmsand societal factors 9 Page 435 of 799 HYDROMORPHONE3 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... w to 12 federal nknowingly Naloxone is reverse an h in turn is in Canada. 11 . According to a lower rates of but it important to ress release by whic , p ites (SCS) saw the and require less In 2016, the 13 temporarily overdose . are associated with lower S onsumption S verdose mortality, in other illegal drugsMarch 1, 2017Royal Victoria Regional Health using cocaine that was uthe only antidote available in Canada toopioid emphasize that it does not remove all risk Policy Approaches From the policy perspective, the approach to drug policy in Canada is an essential consideration. Prior to 2015, theopposition to Supervised Ccreation of legislation to prevent the opening of more sites, resulting in only two locations There is mounting evidence that SCosyringe sharing (anticipated to sharply reduce the risk of HIV and Hepatitis C transmission),response by emergency responders.government brought in a new la , s nt rnet , and past, 10 prescribed the more potent than oids have, in many People who 10 opioid Fentanyl is a powerful e the price of fentanyl is user knowing. It has also been - than has been the case in recedecades.The interaction between drugs, diverted prescriptionsthe illegal market, where synthetic opioids are infiltrating street drugis creating a problem of epidemic proportions.developed addictions to prescription opicases, turned to the illicit drug market to continue filling that need. This is considerably more dangerous now than ingiven the presence of synthetic opioids. synthetic morphine.The Canadian Public Health Association states that fentanyl diversion of pharmaceutical fentanyl products from the domestic supply chain or by illegal importation of the drug via InteBecausnow lower than that for heroinfentanyl is used as a partial or total replacement for heroin without the enddetected locally as a contaminant t cancer cy of -that there term - ain, 8 According to the . Although 9 , as it has since ancer P related causes at a - C iction - phase of ids for chronic pain may tient pain and prescribe 7 Frieden et al report that a large number of people with everal studies have shown identify paopioids.Opioid Addiction This recent overprescribing of opioids has led toopioid addictioncome to light that opioids, even when used as prescribed, do pose a risk of addGuideline for Opioids Therapy and Chronic NonOntarians receiving social assistance, 1 of every 550 patients started on chronic opioid therapy died of opioidmedian of 2.6 years from the firsThere is evolving evidence challenging the effectiveness, safety and economic efficienusing opioids in the longmanagement of chronic nonpain.suse of opioactually worsen pain and functioning, possibly by potentiating pain perception.remains a role for prescription opioids in health care, it is clear that it should be a more limited one 10 Page 436 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... for 18 idual Centre caused ainted - t . helping indiv Health prescribed opioids for . burden of disease people from less privileged ion and Mental erota and Buchman argue disproportionately . S of addiction as an stigma has also led to chronic 17 large tigma and elsewhere labeling people as mythfailingthat underfunding of addiction research and treatment services relative to theby addictionsSburdenssocial groups more frequently and harmfully than others. The stigma of substance use has alsothe palliative care experiencesome peopleintractable pain at the end of Getting rid of the idea that people choose to become addicted is an important step in understanding and people with addictions for Addict l etal 17 r, Some seen and an Socia . Drugs 15 egal drugs. they can important in the 12 . , but ess and have been social exclusion can resulted in l a social network or w in place has 16 eople struggling with addiction n some ways, Drug Overdose Act), arepieces no Social Exclusion and Stigma Inequality, social exclusion and stigma also play a roledevelopment of addiction, and pmay be living in poverty, dealing with homelessnreduced to the margins of society with diminishing social support networks. Ibe seen as a consequence of problematic drug use. Howevesocial exclusion can also beas a cause of addictions.acceptance is pivotal for good mental and physical healthnot only numb painalso lead tofamily.The stigma surrounding substance misuse can operate at theindividual, institutional and socilevels. Itpunishment, delayed policyabsence of clinical response towards people who use Language propagated in the media to , d by and (OPS) r grow supported drug policy is According to a change in , and people s policies such as stem the overdoses mited, low barrier, access to free li 14 - d services. Term Care), - esponse due to an overdose ning their own grassroots saving - cording to Dr. Eric Hoskins as since seen the numbe simplify the process for SCSh17 across the county.community activistwith lived experiencefederal and provincial still too slow toat the street level. Communities like Ottawa and Toronto have been opeOverdose Prevention Siteswhich are different from SCS in that they are timelifeThese sites are now permittethe federal government, by the provincial government and ac(former Ontario Minister of Health and Longprevention sites have proven to save lives by offering necessary health services to some of the most vulnerable and marginalized Other supportivethe increasenaloxone without a prescription, and the protection against drug possession charges if you call 911 for r(also known as the Good Samaritan 11 Page 437 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... , ) , ) (Table the Collingwood, Tosorontio, ( - e Muskoka provincial Adjala , Barrie has been Midland, ( . ( s 2017 indicates that area 20 willimbury), and G - . est Midland AreaPenetanguishene, Tiny and Taythe Collingwood AreaWasaga Beach and ClearviewSouth SimcoeNew Tecumseth and Bradford WMuskokaOf these areaparticularity impacted by the opioid crisis. Data from January to Decemberoverall rates of ED visits per 100,000 people for an opioid overdose were significantly higher in Barrie than the average for Ontario or Simco1)Outside of Barrie, Orillia and Midland maintain the second and third highest rates of ED visits for opioid overdose, both of which are higher than theaverage. - ioid , the ) op , Visits death, . distinct Orillia, Oro ( Ramara elpful to related to le provincial 19 isits vary. To between 2004 and evern and , and the rate of emergency department , the Orillia Area and tripled when compared The Ontario rates have seen ) ts of opioid misuse are the , ed to as an overdose Barrie, Springwater, Essa and Two key indicators most commonly used to understand the health impacrate of individuals accessing hospital emergency departments(ED visits)due to an opioid poisoning also referr Emergency Department As identified by the SMDHUoverdosevisit rates in Simcoe Muskoka have doubled when compared to what was observed between 2010 and 2014to the rates2008.a similar increase in recent years; however, the Simcoe Muskoka rates have been significantly higher than the comparabrates since 2004.Within the Simcoe Muskoka region, the rates of ED vopioid overdoseunderstand this it is hdivide the region into sixareas. As defined by the SMDHU, these include the Barrie Area(InnisfilMedonte, S a began to see a 2017 - (Figure 2). Opioid Strategy oid misuse increase in the rates of morbidity and mortality 2014 and 2015, health care agencies and public Figure 2 Crude Opioid Poisoning Emergency Department Visits Rate (per 100,000), Simcoe Muskoka and Ontario, by Year, 2003 The Need for an Inhealth organizations in Simcoe Muskoksignificantrelated to opi 12 Page 438 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... is This d month 21 - this % . The - 79 related - thin Simcoe related deaths. i - th information for the same 10 ioid deaths. October of 2017 representing a erdose deaths in Simcoe probable opioid Similar to the rate of ED in Simcoe Muskoka month period between - 22 te there were 63 confirmed hat is most troubling about th same time period in 2016represents a 52data indicates a significant anrapid increase in the rate of mortality related to opioid overdose. Mortality rates in Simcoe Muskoka during a comparable time period once again mirror the provincial experience. Preliminary deathe 10January and indicaand fivedeathsmortality rate during this period peaked in August of 2017 with 16 confirmed opWdata is that for period in 2016 there were 38 opioid ovMuskoka increase between 2016 and 2017.visits for an opioid overdose, there is variation among the different geographic areas wMuskoka for opioid - - 20 , it is also t. The rate of as news release income when income. variation between -- times higher income and low - note the variation four isits for an opioid , 2018 th rhoods with the highestrhoods with the lowest uu In addition to the these geographic areimportant to between highincome communities. Data from 2013 to 2016 indicates that the rate of ED voverdose isamong residents living in neighboprevalence of lowcompared with residents living in neighboprevalence of low Overdose Deaths Although some individuals are able to access emergency care when needed during an overdose, tragically, many do nodeaths due to an opioid overdose is another key indicator in understanding the extent of the opioid crisis in Ontario and Simcoe Muskoka.A March 7from the Ontario Minister of Health, the Chief Coroner for Ontario, andthe Chief Medical Officer of Health, related deaths in Ontario from January to October 2017, compared with 694 during the Emergency Poisoning Opioid - 1 Table Department Visits, Simcoe Muskoka Residents 13 Page 439 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... observed in n increase in Table 2, during 2016. Midland also had - identifies a , fifth of what was - 2016) - As outlined below in 2014 to 2015 - rom 2013 to 2016. 2016) - with nearly 90% occurring in Simcoe County. , 2014) to the second half of this period (2015 - however, the actual number of deaths was about one , deaths in Barrie nearly doubled from 2013 deaths in Simcoe Muskoka It is important to note third. -Opioid Overdose Deaths in Simcoe Muskoka (2013 - 2 aths over this same time period; t one Table and Muskoka by abou year period there were 174 opioid overdose - This difference is identifiable when comparing the rates of mortality due to an opioid overdose fthis fourComparing the rates of mortality within the first half of this period (2013both Simcoea large relative increase in opioid deBarrie. 14 Page 440 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... - , s. to provide s ulation of opioid options for - s for both indicators, This number has who filled an opioid 24 24 . report does not identify an people, filled an opioid cess to non its ings indicate a wide variation cates that in fiscal year 2015 Simcoe Muskoka helpinsight on how the opioid crisis is impacting local communities.As identified in their 2017 report Health Quality Ontario (HQO) indi2016, 14% of the popOntario, or roughly one in every sevenprescription.held relatively constant over the last three years despite a growing awareness of the opioid crisiTo better understand prescribing report also identifies the number of people wLHIN regionsprescription, as well as the number of opioid prescriptions filled. findacross all LHINand exact reason for this variation but population differences, differences in prescribing practices, or variation in acpain control, such as physical therapy ation 23 tly after was admitted ore become per week in 00 live hospital a condition known - impacted by opioids l abstinence syndrome eonata babies exposed while in the n ecent data on prescribing Muskoka has seen opioid overdoses and deaths in men and women of all age groups.Neonatal Abstinence Syndrome Another segment of the populthat has been arewomb, and who therefdependent on opioids or other addictive drugsas(NAS). The baby can experience withdrawal symptoms shorbirth. In 2016, there was an average of one infantSimcoe Muskoka whoto hospital for NAS, for a rate of 13 admissions per 1,000 live hospital births. This was more than double the Ontario NAS rate of 6 admissions per 1,0births. The NAS rates have increased significantly both locally and across the province over the past number of years, with NAS rates in Simcoe Muskoka significantly higher than the provincial rates since 2009.Local Prescribing Rates Rpractices within Ontario and of 25 and 44. s there were , the opioid , 100,000 people. However, Simcoe ffected 2 s many opioid related Men Most A In terms of specific demographics, men between the ages of 25 and 44 are more likely to access the ED or die from an opioid overdose than any other cohort of the population. In Ontario in 2016twice adeaths among men than women, and of those, most men tended to be between the ageWithin Simcoe Muskoka between 2012 and 2016poisoning death rate among adult males in this same age cohort was 21 deaths per This rate is significantly higher than any other age group for both men and women. 15 Page 441 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... The need om the fr omplex community to a c een spared Given the above data, the immediate and significant impacts of the current opioid crisis cannot be understated. Our local region has not bharms of opioid misuse. for a collaborative and comprehensive opioid strategy is required to bring innovative solutionsproblem. , a hey do wide range N do not provide he findings from uskoka. T 25 . of greater use of diverted identify that a solution to prescribing for pain and addictions but relatively high opioid related reflective and/or illicitmore work needs to be done to understand the specific drivers of these patternsTaken together, tHQO and the ODPRa clear linkage on the root causes of opioid morbidity and mortality within Simcoe Mhowever,this crisis does not rest solely on the health sector or the prescribing practices of health care providers. Although prescribing practices are a key component of any opioid strategy, the Simcoe Muskokregion requires a collaborative approach that moves beyond health care to include aof sector partners. 24 on, . h 2016. - opioid Muskoka with 15 of e wever, and s o out of the 14 , the NSM LHIN the Simcoe Muskoka he total number of id prescription in 2015 In terms of the number of people who filled at least one prescriptithe NSM LHIN region ranked thirdagainst all other LHINevery 100 people filling at least one opioIt is important to note that fourother LHINs also reported this same rate, and that the provincial average was only 14 in every 100 people. This finding positions the NSM LHIN close to the provincial average. In terms of tprescriptions filledregion ranked sixthLHIN regions with 84 prescriptions filled per every 100 people. Although this rate is well above the provincial average of 66 per 100, the NSM LHIN is still positionedclose to the median rate of all 14 LHINs. Interestingly hoas noted above, Simchas a comparatively high death rate within the provinceThis finding aligns with a recent 2017 report published by the Ontario Drug Policy ResearcNetwork (ODPRN). In it, the ODPRN notes thatDistrict Health Unit area had low 16 Page 442 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... s , which elated 26 Canadian was Ontario and , which people who use : model lished by the province to 29 pillar - in December 2016. overdose deaths, , four Methadone Treatment and Geneva, Zurich, Frankfurt, and n 2016, the Province of This approach was formalized with the announcement of the Drugs and Substances Strategy (CDSS) Thisoriginated out of Europe, successfully used in such citieasSydney, and is said to have contributed to a dramatic reduction in the number ofdrugsinfection rates for HIV and hepatitis.Icreated an opioid strategy informed by the recommendations of theServices Advisory Committeewas estabadvise on strengthening Ontario's methadone treatment and rservices. tion which o the result substance as programs, ederal Minister of 30 partner 27 d and offered without the combined commitment The Government of Canada 28 Pillar Model es and services must be - Joint Statement of Action to ganizations to respond to this overnment of Canada produced The report stresses that to prevent overdoses, a range of strategies are required to reach the diversity of those affected across all socioeconomic circumstances and to pay explicit attention tof stigmatization policidevelopejudgment.Four In 2016, the fHealth brought together health partners to commit to joint acon the opioid crisis. The GTheAddress the Opioid Crisisoutlines of more than orcrisis.committed to a new approach to addressing problematicuse which identifies a restoration of a harm reduction approach as a pillar, alongside prevention, treatment and enforcement, supported by a foundation of evidence. ses d ensive social and 26 health, the authors oid crisis his goal, .. . a strategy to address 27 , he goals of a compreh . To achieve tsuggest that four key elements be addressed:1) Strengthen system resilience and community capacity for responding to and preventing overdoses2) Recognize and disrupt personal stigma and discrimination associated with substance use and addiction3) Implement a broad range of health promotion and harm reduction interventions to prevent overdoses4) Assess and strengthen pathways to substance use services ansupports. itude of the opi to prevent overdose deaths, promote access al, legal and economic sectors. d across all sectors including: A Public Health Guide to Developing a Community emergency requires collaborative action at all levels eport entitle 17 Comprehensive Opioid Strategies Given the scope and magnnationally, provincially and locallythis of government anpublic safety, soci A rOverdose Response Planoverdose response plan (are)to substance use services on demand and strengthen systems responto promote health equity and social justice Page 443 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... nasal 34 the injectable kits. people the choice between spray orContinuing to expand public education on how to access and use free naloxone. and - 32 that (opioid the province standards provincial chronic pain e prevention sites 3 of 313 , . with the most recent nd programs have been pain opioid use disorder ew overdos More than 30 communities across Ontario will benefit from new or expanded Rapid Access Addiction Medicine (RAAM) clinics. Nhave been approved. Supervised injection services, which offer referrals and access to primary care, social services and addiction and mental health treatment, also continue to be expanded. In collaboration with Health Quality Ontario, released three new opioidrelated quality outline opioid prescribing foracutehow to identify and provide the best care for people with anaddiction)Increased access to free nasal spray naloxone kits at participating pharmacies, giving nitiatives a A broad rangeiimplemented since the strategy was announcedactivities including: a egories: support gs. of Health and announced new opioid prescribing inistrytreatment services 30 quality - erm Care T tments with $222 million - Appropriate Pain Management and Opioid Prescribing: Modernizingpractices to ensure that Ontarians can access appropriate treatment for acute and chronic pain.Treatment for Opioid Use Disorder: Improving access to highand supports that will help people manage their addictions and lead healthy, productive lives.Harm Reduction: Reducing the harms associated with drug use, preventing opioid overdose, and improving health outcomes for people who use druSurveillance and Public Reporting and Education: Improving the quality of available opioid data, using it to timely response and providing Ontarians with information on opioids, addiction and harm reduction. In 2017, the MLonginvesallocated over three years for programs within these cat 18 Page 444 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... to . illar P via From a illars data and . Given p that the would be hing is built, lived clinical reatment Tted into the he Central LHIN that required to inform early on . oundational quent work evolved, it were ars, they became under the ting organizations. related matters entified ill . of people with a new Emergency Management t was id As the subsewas determined practiceincludedandPillar would be created. This ledfive pillars that were given the term Ivoicesexperience should be incorporated within every pillar and thatevaluation actions and track progressthat these pillars provide not only a base upon which everytbut are also integraaction pidentified as fGeographically, the decision was made for the strategy to cover all of Simcoe and Muskoka, in keeping with the mandate of many of the participaLHIN perspective, t(which includes South Simcoe) is abreast of the work of SMOSSMDHU ted. in . , Simcoe gap analysis federal and was proposed to address the f a on individuals, SMDHU the This analysis and a commitment to . model , communities across creation o pillar - s, conducted a tify current programs and four a significant impactfamilies andour region.Provincial and local data related to hospitalizations and deaths wasshared along with provincial strategiesissue. TheMuskoka Opioid Strategy was proposed as a way to integrate these plans in a manner that would take in the local context and be locally relevant.Prior to the event, consultation with community partnerto ideninitiatives, by any sector, in each of the four pillarsprovided an indication of the current work on opioid misuse in our region and highlighted the areas where future improvement or priorities for development exisTheand endorsed by the groupParticipants were asked to select a pillar that they would be interested in addressingwork collectively on a comprehensive opioid strategy was underway. , to , 2017. , on, number NSM LHIN were having , was identified increasing lready a - , a broad about 80 and enforcement in the first regional , re were a related initiatives - ces, upper tier municipalities, HIN and SMDHU While theof opioidunderway across Simcoe and Muskoka, the needwork with our community stakeholders to develop a comprehensive strategy that addresses and coordinates action on prevention, harm reductitreatment, enforcement and emergency management throughout our region.Under the leadership of the NSMLcollaborative of representatives from thepublic health, Indigenous communities, health care, social servieducation, corrections, fire, paramedicsparticipatedopioid forum held on May 25Information highlighted at the opioid forum included how opioids, both prescription and illicit opioid crisis in Simcoe including overdose deaths. , harms rowing concerns around the ever related - 19 Developing a Local Approach As a result of the emergingMuskoka, community stakeholders within our region expressed gopioid Page 445 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... - the nt opioid The Meetings were area trends, specific misuse ids, recent - - pioid misuse o t also informed I were also held at s erbird Partnership What is the challenge in this esentation, including basic recovery, affected family members, Indigenous health social service providers, and First Nations governors and staff.held at each of the four First Nations of Rama, Beausoleil, Wahta, and Moose Deer Point. MeetingFriendship Centres in Midland and Group in Orillia, with the Red Road to Recovery program participants in Barrie, and with Enaahtig Healing Lodge and Learning Centre program staff.All meetings included a brief prinformation on opioprovincial and LHINdata on Indigenouspatterns from other jurisdictions, and priorities and promising practices identified by the ThundFoundation. planning process and recerelated investments. presentation was followed by small and large group discussions focused on three questions: d IN, opioid ople in led ommittee, and C February and reserve ndations have - These were teering ment process was major engagement S related planning and - The engagement was ss has been completed within Indigenous communities and a The final report will be presented to the NSMAddictions Project Team, as well as the SMOS will provide guidance on future addictioninvestment decisions of the LHwhile also informing and guiding the work of SMOS and the action pillars moving forward.To inform the Indigenousstrategy, aprocelocalnumber of concerns, themes anpotential recommebeen identified. presented at the April 4, 2018 annual Aboriginal Health Forum. The following is a summary of the engagement process and emergingthemes and action suggestions.The Engagement Process The engageundertaken duringMarch of 2018, involving 156 participants across 10 meeting venues.successful in its goal of hearing both urban and onperspectives and in gathering a range of voices, including pe ddress the LHIN and carried out strategy, seeking Development s currently under NSM SMOS he Strategy within Indigenous communities, as well Opioid Funded by t Led ies for alignment. Intercultural Work between All Peoples (using Indigenous Methodology) 20 Indigenous An Indigenous opioid strategy idevelopment. under the direction of the Aboriginal Health Circle, the strategy will set out an action roadmap to aimpacts of opioidsas inform the mainstreamopportunit Page 446 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... - and selling, and that term with no - a lack of pain ng and the seeming lity, and expressed specific programming such - prescribi - ethadone clinic model was cultureas Red Road to Recovery.Things that are Not Working Participants clearly identified anumber of things as not working. They noted the difficulty of getting a good initial assessment where they would be able to review a range of treatment options, including nondrug substitution ones. They had many stories of experiences with overlack of prescriber oversight and accountabiconcern aboutmanagement alternatives. The mconsistently viewed negatively, with the doctors seem to keep people on methadone longtapering.Crisis services and stabilization opportunities, including safe beds and housing support, were seen as inadequate, especially a concern between withdrawal completionthe initiation of treatment. Concern was also expressed about withdrawal management supports being insufficient, and that there of and e aloxone n legal basic of They shared e to support nces of stigma, shame, reserve nurse - accessibility hat are Working and the lack t ellowship programs, and impact of addiction. many heroic journeys of recovery and of being theraffected family members and friends.Participants were clear about the many factors contributing to opioid misuse within indigenous communities, including the impact of intergenerational trauma, poverty, and cultural disconnection, and experieracism and discrimination. They also talked about the factors of easy drug illegal knowledge about opioids and their risks. Things Participants identified a number positive developments and opportunities, including the current public messaging and awareness raising, the availability of kits, the onpractitioner services and pending new Indigenous Interprofessional Primary Care Team. They werpositive about existing, albeit limited, counselling opportunities, informal peer support opportunities and f ? e ticisms of community pioid misuse and o ing a number of nity/among the people commuyou see?working, as you try to address this problem?What are your recommendations to prevent better help affected individuals Identified Challenges Participants were highly articulatand participative, sharing many personal stories of how opioid misuse had affected them, their loved ones, or people they were trying to help. They gave unflinching accounts of issues being faced in their communities and were straightforward in their cricare practices and system failures they believe contribute to opioid misuse and block the recovery of affected individuals. At the same time participants were solution focused, eagerly identifying strengths and opportunities to build on, and maksuggestions for moving forward.Seen as primarily a prescription opioid problem, participants described the often devastating personal, family and 21 Page 447 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... s, - the - . more and ed and specific positive across a - g long - . They ers . and for for o withdrawal and for ntified high crisis support includin ( and for more pre safe beds personal . They also supports, more the creation of more identified and , and specific harm reduction specific a regional Indigenous -- service capacity ategies and high risk individuals , more access t , treatment ) - style options ndigenous addiction work supported byresourced points of leadershipParticipants recommended the development of Indigenousprevention, education and antistigma strIndigenousapproaches and harm reduction education. They recommendenhancement of peer support opportunitiessafe spaces for community sharing,expanded opportunities liferecommended the creation of outreach capacityIndigenoussafe places further recommended enhanced navigationopportunities for ideneedParticipants recommendedincreasingnumber of areas:postIcounselling, local residential treatment centrestermmanagement support and thecreation of should , and the , the concern meetings to say. There ficient embedded the comprehensive insuf and , and it was reatment programs n bringing charges t were noted: pillar strategies - support opportunities supports and programs multi peer olicing and law enforcement ommunity uggested that those programs that outside of the traditional fellowship programs werelack of specific to the needs of women.Pchallengesthat users sometimes end up arrested and criminalized instead of treated, and that police are often challenged iagainst known drug dealers.Lastly, in many ofparticipants talked about the need for identified and resourced points of leadership to mobilize community action. Recommendations When asked for their recommendations on what be done to prevent opioid misuse or better help those affected, participants had lots was good support for implementing community ledcsimilar to the successful Sioux Lookout modelscould be part of local . the - ce and - - in e to bad care following of times, thinking ing he lack of culture ftercare specific prevention, - s, and expressed ontribut individualized nature of - withdrawal program . Participants expressed treatment supports, including - was a need for an Indigenous medical regionconcern about the lack of prpostthe lack of aresidential treatment. Concern was also expressed about the shortterm, nonresidential treatment programs. Participants mentioned provider burnout a numberit may be cexperienceconcern about the lack of coordinated planning with Indigenous partners at key transition points (e.g. release from custody planning). They also expressed concern about servientry barriers, including the need to call treatment programs constantly to indicate continuing interest in attending, and varying criteria related to medications the person may be on or how long they have been drug free. Participants also talked aboutinsufficient attention being given toIndigenouseducation and stigma reductionThey noted tbased programming and resources, 22 Page 448 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... - , and once The final report will be be completed report will the report will be - to - still rming and guiding the work of Next Steps The include a final set of recommendations for moving forward, along with a guiding vision and principles for system development, all intended to reflect what was heard during the engagement.completed and presented to the Aboriginal Health Circleapproved, presented to the NSMMental Health and Addictions Project Team, as well as the SMOS steering committee, and will provide guidance on future addictionrelated planning and investment decisions of the LHIN, while also infoSMOS and the action pillars. - messaging specific data - support and e challenges are and an Indigenous ion of to increase skills and so people know that help is reat he development of Participants recommended that service development be supported by the cspecific marketingstrategyavailable and how and where they can get it. They also recommended teducation opportunities for providersprevent burnout.Participants recommended developing Indigenouscollection and system monitoring strategies, so they can know more specifically what thand whether progress is being made. And, finally, participants want to see their concerns about the methadone clinic model and prescriber accountability addressed. and a options rograms with . They of Red Road . They also ndividualized . availability up components) - ess to integrated i medical withdrawal program, expanded to Recovery opportunities (and followgenerally recommended more acctreatment and aftercare combination of medical approaches, counselling, coaching, spiritual care, 12 step programs, peer support, cultural teachings, and life skill development opportunitiesThey recommended that pbe developed to address needs specific to women and youth, and that services include morefor pain managementrecommended that services be enhanced through partnerships and collaborations, both among Indigenous providers and withmainstream services. 23 Page 449 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... - and long - illars, this is 2020. Along with - the action p . explored in more detail. The plemented in 2019 activities outlined. For goals and foundational pillar work contributes directly to the The vities may also be considered as maintenance to tional and action pillar is term defined as activities that will be fully implemented in 2018 - each pillar's approach is timelines associated with the pillar work plans follow a short will be ongoing for many years. that some of the work will be implemented within the determined timeline, term signifying activities that will be fully im - implementation operations In this section, each foundabackground rationale forfollowed by the pillar's action plan.planning of each of the action pillar work plans and will continue to be integrated fully into the implementation and evaluation of theThe term framework with shortand longan implementation timeline, actiacknowledgebut SMOS Action Plan - 24 Part 2 Page 450 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... the in people or s ge those . SMOSThe purpose Action Plans of opioid use 35 onal with lived , . The objectives of SMOS to help inform the work lose pers individuals, including both perspectives on community to s. , and of SMOS Part 2 survey was administered tionships with them To identify lived experience perspectives on key problems leading to the opioid crisis in community.To obtain feedback from those with lived experience on ways to address the opioid crisis in the community (what and why).To determine the perspective of those with lived experience on the best way to share information with people using drug contributions from theSteering Committee.of the survey was to engawith lived experience for their needsplansthe survey were:This personyouth and adultsexperience of opioid use defined as those who use illicit opioidsmisuse prescription opioid(currently or in the past) andwho have crelaIn total, 89 SMOS Lived Experience Surveys were completed and teering of S on the s to ensure es of people led services - with , lved in People with lived re of an effective the SMOS facilitation - , iends of people with co of opioid use 27 led by SMDHU and the David SMOS Lived Experience Survey ommittee undertook purposeful he Simcoe Muskoka Opioid People with lived experience of past or current substance use (also family and frlived experience) provide invaluable contributions to the design, development and delivery of acceptable and effective overdose response strategies and harm reduction services. Peer engagement and peerare a critical featuresponse.TStrategy encourages and supports the participation of people with lived experienceaction pillars and in consultation to action pillar work. experience are invosupporting community programming with recentcommunity presentationlived experience voices are being represented authentically.In early 2018Csteps to gather the voicwith lived experience from across the community through a survey. The was Busby Street Centre Lived Experience ational Pillar 1: 25 Found The impact of peer response or voices of people with lived experience cannot be underestimated in shaping the community opioid response. Page 451 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... . . rapid to share Action Plans . . considering what ion: decreasing : SMOS Management: : addressing root : improving access to (69.3%), posted bulletins as the best way frequently attended Reduct s Part 2 rmation with people who use Emergencydeveloping a plan for a coordinated response to a large number of opioid overdoses (53.9%; please note that this pillar only had one activity included within the survey)Enforcementrole police should or should not play at an overdose (53.9%)Harmstigma (76.4%)Preventioncauses of opioid misuse and addiction (68.5%)Treatmentaddiction treatment (78.7%). Information Sharing Overall, the top three modes identifiedinfodrugs included: social media platformat places people often go (65.9%), and word of mouth through locations (58.0%). or - . overdoses both Opioid Crisis activities oid crisis in the further broken tified as Helpful increasing health for individuals to developing an the opioid crisis in the ss of harm reduction Data and Evaluation, Information Sharing: anonymous online system for individuals to report potential bad drugs (58.4%) Activities Idenfor Addressing the Overall, the top fiverespondents identified included: improving access to addiction treatment (78.7%), decreasing stigma (76.4%), addressing root causes of opioid misuse and addiction (68.5%), increasing awarenestrategies for people who use opioids (67.4%), and identified by the same proportion of respondents opioid treatment for pain (58.4%) and developing an anonymous online systemreport overdoses or potential bad drugs (58.4%).Activities identified as helpful for addressing the opicommunity weredown by SMOS work plan pillar. The top activity identified as helpful for addressingcommunity for each pillar included: and close The majority a , 9.0% were . s identified the 9%), medical (52.8%) and lack of Over half of respondents . used opioids, and 10.1% Following closely behind d mental health/illness ack of treatment for own : returned to SMDHU.(80.9%) of survey respondents were from Simcoe Countyfrom the District of Muskoka10.1% were from elsewhere or unknhad personally used opioids (55.1%), 29.2% had personal relationship with someone who haidentified with both Key Problems Leading to Opioid Misuse, Addiction, and Overdose All 89 respondentkey problems they felt were leading to opioid misuse, addiction, and overdose in the community. The five most commonly identified problems were(67.4%), past and/or current trauma (67.4%), easy access to opioids (62.prescribing of opioids (59.6%), and knowing other people who do drugs (53.9%).were laddictionstreatment for pain (aside from opioids; 52.8%). 26 Page 452 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... Action Plans SMOS Part 2 e n in ) ontinued . C be made . will and evaluation of shared with survey en related initiatives in - www.preventOD.ca ( ges of planning, y available on the SMOS also be ved experience survey results The lihavesites and other interested stakeholders, and publiclwebsiteorder to support the incorporatioof lived experience perspectives into opioidSimcoe and MuskokaThe incorporation of lived experience voices in all aspects of the strategy is essentialefforts will be made to engage people with lived experience in thnext staimplementationSMOS activities. . d and lived were was ey the best . .e. those that were ies based on the as most helpful by munication channels to use) ecide whether or not to procee elp prioritize certain activities ailor activit Hover others (icited respondents)Tfeedback (e.g. comDwith certain activities (e.g.anonymous online system for reporting). Contribution to Local Opioid Strategy The findings of the survreviewed by all pillar leads experience perspectiveincorporated into each of the pillar work plans.The pillar leads have and/or will make use of the lived experienced survey data to: 27 Page 453 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... As will all to surveillance Simcoe overall need framework Action Plans process and e will likely be for he work plans approach to pillar to t shot pillars to form will be reported on at s SMOS meetings and assistance with the pillars to collate ars and collection and sharing will be indicators such as Part 2 cus on monitoring the problem. ata utcome measures collected by he data collected by this group ndividual Evaluation Framework It is essential that each pillar develop an evaluationthat contributefor a standardized work plans. The Data and Evalution Pillar provided support through iin developing pillar consistent with the framework.This work is oriented towards workingthe information gathered by the pillars and develop the evidence to support and evaluate the work plans.Tbe analysed with the othe pillone and three year intervals develop a snapMuskoka.Data Collection and Sharing Dused by all thebaseline measures for success, with the caution that theran increase in reporting given the fowell, of overdoses, increased access to , rs illa based - tify sks of illar iden the other p he intial ta surviellence, monitoring The Data and Evaluation Punderpins each of as a foundation for evidenceplanning,and evaluation. Tthe group were twofold: sources of data and gaps in dataand work with the other pillars to develop a logic model to standardize work and create an evaluation framework. arly The E illar is to develop . sector framework group of the Data - - related emergencies in - valuation a sub E ommittee roup, and Evaluation P Data and inate evidence to support the other ata illar, is tasked with identifying and SMOS Steering C r to support early intervention and public safety. implement a comprehensive cross mmunicating increases in opioid 28 Foundational Pillar 2: The purpose of the Dand to gather and dissempillars and the Warning System Working Gand Evaluation Pcoorde Page 454 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... aps s ed g could be of data SMOS reporting - reporting and Action Plans ne of the pillar mplementation of is to the SMOS Further, identifi ough a self . to have public is Part 2 rganizations to provide evidence to he creation of a web portal is Web Site Development Tinstrumental in the workand evaluation. Ogoals aggregated information available on a restricted basSteering Committee member osupport ongoing ithe strategy. in opioid use and misusegathered thrweb tool - for data facing - . Next steps early warning ude the are underway agreed upon by the group. group incl nforcement agencies Discussionsharing between SMDHU, community paramedics and law efor thisdevelopment of a publicweekly situation report that will summarize the key triggers and roup of sharing - Working ve Working ta level - ement Pillar . This g nalization of emergency high , illar P roup overlaps with group of the Data ng system are - sources of data to sub to public health units, Warning System , can be correlated to other Work G actions but causiti is a Warning System valuation m cted roup nforcement. treatment and harm reduction servicespillarsrelationships are unlikely. Early Group The EarlyGand Einvestigatessupport surveillance reporting the potential need for daagreements with a numberagencies, including but not restrihospitals, community agencies, municipal agencies and law eThe work of the Early Warning Systethe Emergency Managin their development of a layered action plan for responding to triggers. Currentlytriggers and actions associated with the early warnidocumented in theresponse plan. Further refinement and formal operatiospecific actions as well as clear roles and responsibilities of partner agencies are currently under development. 29 Page 455 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... It 40 tive forms ncouraging Action Plans making around - sis on such as pays attention to t alone - SMOS 39 environment, teaching one tha ps and services. Based Substance behaviours - based prevention - ehensive school health Part 2 Education Including a Health Promotion Framework An approach combining substance use prevention and health promotion has emerged as a promising practice to prevent and reduce the use of, and the harms related to, substance use. What is needed is an emphasupporting people to make informed decisions based on credible scientific information. This means informing and eresponsible decisionall risky unhealthy eating, risky sex, tobacco use, etc. The most effecof prevention are those that are comprehensive, rather than pursuing standinterventions.SchoolMisuse Prevention Programming Schoolprogramming requires a comprapproach, the schooland learning, healthy school policy, partnershiinvolves not only drug education but addresses social competence of a 37 The can be - , A great deal of - 38 d all ening in Simcoe and social determinants of The recent Lancet society an as - 36 of - hat make us ill, impact our mental Social Determinants of Health There is clearly an intricate relationship that exists around the social determinants of health,mental health and addictions. Canadian Medical Association estimates that 60% of the factors thealth and limit recoveryclassed health.Commission on the future of psychiatry says that action to improve the social determinants of health should be a cornerstone modern mental health system.Therefore, effective promotion of mental wellness and prevention and early intervention in mental illness and addictions must be considered an allgovernment concern.of work is happMuskoka regarding poverty reduction and homelessness; while the SMOS action plan will not explicitly address these issues, it is recognized that such work is pivotal in supporting people with addictions and preventing future addictions. being, - as appropriate. , and referral to community The Prevention Pillar will focus on primary prevention strategies that are upstream and incorporate universal promotion of wellwith targeted prevention and referral to early interventionservices ddiction s role is to help prevent the onset of of a Prevention warning signs 30 Action Pillar 1: The Prevention Pillarsubstance misuse while encouraging recognition of the early supports as appropriate. Page 456 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... 39 - problems unity setting. Action Plans ll Pillars to e all been 35 e relationships within Stigma, Social SMOS - ent to any setting is dentified reducing Lived experience survey - 35 substance use . of settings whether it be As identified in the lived Part 2 building positiva rangeschool, home or the community.Working Across aAddress AntiInclusion and Connectedness These issues havidentified as significant barriers to identifyingand seeking help at all levels whether it be prevention, early intervention, treatment or reducing harms.experience survey, 76% of respondents istigma as one of the top activities that would be helpful in addressing the opioid crisis.treated like the SARS respondent A key componproviding acceptance, nonjudgment and encouraging positive relationships in and amongst members which contribute to a greater sense of belonging and connectivity whether this be in a school, home or comm s mon As a us, ealth and to positive es, build Factor blems, fostering t all of , liv and reduce primary Family 5 o tha to as well as other his involves a . S T ing Risk 44 Alberta the course of that contribute derations for unfolds communities promotion and prevention attachment lness Initiative Substance Use Promote Positive Mental Hthrough Early Childhood Development According toWelinfant and child expertsstrong caregivers promotes neuralpathways infant and child mental health.community, when we identify how and when to support children and families indevelopment, we can change how the storyregardless of background and life circumstances, have the chance to lead happier, healthierstrongerrisk for mental health proincluding addiction.Promote Protective Factors While Identifyfor Problems associated with mental health, mental illness and substance use share many comrisk and protective factorshealth efforts employ similar approaches and consiinterventions.variety of elements that involve - is , le in Best Social and idely 41 they do cial tential mental ved management, - Li making.- - mplementation 42 addressing these programs focus on the 43 in programs, as well as sonorms/influence programs. competencedevelopment of selfpersonal, social and cognitive skills. This includes life skills such as goalsetting, coping with stress personal decisionpractice literature on preventing youth substance misuse wsuggests the use of booster sessions throughout the year and that to be effective, programs need to consult with youth to inform program design, iand evaluation.It is important to reiterate that while educators play an important roidentifying signs of pohealth problems in addition to prevention programming, not work alone. A team approach by the parent(s)/guardian, other school staff, and sometimes specialists from the board and communityimperative problems and providing early intervention. om a very early age. People in 35 d family referred to supports helping field have tools to identify red flags and then Give children coping skills fr theconnect person an experience survey respondent. 31 Page 457 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation existing committees and local drug stakeholder representation i.e. date information through various - - to - rogram (SMDHU) and other community he general public on health effects and explore opportunities for implementation of resources, i.e. fact sheets for based programs within schools that either delay use - Promote key messages to tharms associated with opioid use.Explore feasibility of offering a community educational event throughout our region with multiopioid forum.Work with school boards throughstrategy groups in offering upvenues including presentations.Disseminate opioid schools/parents/students resources.Review literature and evidenceand/or prevent use of substances including initiatives that involve skill building and social competency development.Work with Healthy Schools Ppartners in implementing programs that build resilience, social competency skills and promote engagement and school connectedness. llar Action Plan Goal #1: To increase knowledge and skills in addressing the harms associated with opioid misuse (including illicit and prescription use). Prevention Pi 32 Page 458 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation eness . n in addressing the harms associated with opioid harms related to opioid use, both prescription and illicit and school students/youth to develop and implement youth friendly secondary students to create and disseminate messaging around the - aging. Emphasize knowledge and skill building including social competency. at parents can do. Work with secondarymessExplore opportunities to connect with parent groups in promoting increased awarabout the potential risk/whWork with postdangers of opioids including fentanyl. Explore opportunities to work with students around the risk factors for addictions and strategies to address itExplore producing videos, social media and other relevant resources and messaging to engage and educate the young adult population about the potential dangers of opioids. This may include harm reduction messaging as appropriate. To increase knowledge and skillsmisuse (including illicit and prescription use). Prevention Pillar Action Pla 33 Page 459 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation risk youth, lived - , risk of falls, etc. risk and/or lived - : Electronic newsletter inserts, fact sheet on s risk groups in the development of educational n - risk population (young adult, at - roup, i.e. opioids and other medications ng at or seniors that include nities to work in development of messages outside of traditional school illar). P Pillar Action Pla Determine demographics of highexperience) to tailor education and awareness initiatives (in collaboration with Data and Evaluation Explore opportusystem and out in the community, i.e. Lesbian Gay Bisexual Transgender (LGBT) groups, Gilbert Centre, youth centres and alternative schools/learning centres.Produce messaging fopioids specific to this age g Goal #2: Engage target population includiresources and health promotion initiatives related to opioid misuse (atexperience, seniors). Prevention 34 Page 460 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 FrameFrame -- NGLO LONG TimeTime (2018) (2018) SHORT SHORT ImplementationImplementation based. - and health care practitioners. modal/adjuvant therapies for pain - ment/Clinical Pillar. mination of patient resources that can be used by nt of a SMOS website, to facilitate sharing of n based multi - s, traditional and social media development and disse Collaborate with Treatment/Clinical Pillar. Explore what patient education tools are being developed by the provincial government or expert agencies.Explore availability of evidencemanagement in collaboration with TreatDevelop a comprehensive communications plan to disseminate the information through community agencieExplore opportunities for website development for sharing of resources and messagingrelated to opioids. Ensure information is up to date and evidence Goal #3: Support the procurement/health care practitioners in the education of appropriate use of opioids, including alternatives to opioid therapy. Goal #4 Collaborate with other pillars on the developmeinformation and resources with community partners. Prevention Pillar Action Pla 35 Page 461 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 me FrameFra -- LONG LONG TimeTime (2018) (2018) SHORT SHORT ImplementationImplementation - oid d address /messaging as rs an mming Explore what existing anti illness, not a moral failing. stigma initiatives/campaigns. - ns. an based initiatives that address root causes of opi n- and addictions, and early childhood development and tations within the community in partnership with other health ocial/emotional regulation, coping skills and building social mental health Provide presen to: ducate public that addictions are Collaborate around the existing plans and partnerships with the community to address mental health and prevent addictioCollaborate around the work that is being done in the community regarding parenting, including healthy early childhood development through to parenting teens. Concepts would focus on skill building that would have a moderating effect on risk factobuilding resiliency (sconnectedness within the community).Estigma programs are currently in place and adapt or develop prograappropriate. and social service providers. they relate Goal #5 Collaborate on implementation of evidencedmisuse asparenting. Goal #6 Collaborate with other pillar groups around anti Prevention Pillar Action Pla 36 Page 462 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... ves, Brian of individuals matic rise in Educating related deaths, - edicine. ed wide gaps As a result, there SMOS Action Plans a gap analysis ervices compared 32 , urrent capacity across all 46 ant lack of communication Part 2 ific e been a number of initiatives signwith addiction mFurthermoreconducted for the Simcoe Muskoka Alcohol and Other Drug Strategy group was presented by Dr.Rush and revealbetween the numberwho require swith the cthe tiers of service. primary care providers will assist in addressing this gap in treatment services.Appropriate Opioid Prescribing Over the past two decades, Ontario has witnessed a drathe rate of opioid prescribing and concurrent rapid increases in the number of opioidhospitalizations, and emergency department visits, as well as an increase in the prevalence of opioid use disorder.havtaken both provincially and nationally to support medical providers in determining when and how opioids should be prescribed. These include the development of new prescribing guidelines, quality standards, education initiatiand mentoring programs. Primary 33 s as sold These Travel is Primary h xpectation of avings for requires that Primary care g addiction be provided mergency or accessing OAT Clients accessing realistic e uskoka a M Research shows that imcoe er the name Suboxone). S e geography and demographic there are two possible opioid agonist medications; Methadone and Buprenorphine (which is undmedications prevent withdrawal and help to control cropioids. people with opioid use disorder who are treated with opioid agonist therapy have better retention in addiction treatment, less use of addictive substances, improved health and social functioning, and lower rates of mortality than those who do not receive opioid agonist therapy as part of their treatment.Thof addiction services close to home as possible. not alwaysour population. addiction services in this region have expressed frustration at the limited options fas primary care providers haveidentified a discomfort witproviding this type of care. care providers in this region have expressed a desire to obtain more education regardintreatment and OAT. physicians and ephysicians both identified a d atment of In Ontario who use or Therapy e herapy (OAT) t ic isorder. d gonist se a u based opioid addiction -pioid pioid Opioid Agonist Oinvolves the careful prescription and monitoring of opioid agonist medications in the treo being of people - /Clinical Pract Interventions can include 45 Treatment Action Pillar 2: Treatment refers to interventions that seek to improve the physical and emotional wellhave used substances.education of primary care providers, creation of referral pathways to reduce clients falling through the cracks anincreased access to communitytreatment.37 Page 463 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... e of syndrome syndrome y. n a monitored based - ds i The birth of a child thdrawal, they are if the mother was SMOS Action Plans opioi commonly occurs nfants are given the rtant milestone in all nsuring holistic care in possible. abstinence caused by the cessation of This Part 2 Neonatal Abstinence Syndrom Neonatal(NAS) is a withdrawal infantsthe administration of licit or illicit drugs.following birthunder the influence of opioids or opioid agonist therapCollaborative teamapproaches to pregnancy care can ensure that a birth plan is in place that will anticipate and respond to the needs of the mother and baby. Because these infants are at risk of acute opioid wiweaned offpediatric ward. is an impofamilies. Ethese settings can help to ensure that these ibest start e 48 . tim stinence based ted in - - - Building 47 to manage related crisis or missed 35 -. Hospital Integration inics. Lived experience survey - result is repeat presentation to emergency departments for people experiencing opioid or other substanceopportunities for evidencetreatment in primary care. This ideal pathway was testhe Mentoring, Education, and Clinical Tools for Addiction: Primary Care(META:PHI) project and shown to result in fewer ED visits and shorter time to access care.There is evidence that this clinical model improves access, abrates, and reduced reliance upon the emergency departmentsCentral to the model is a strong base of community and primary care resourcedaddiction medicine. capacity within those sectors will ensure the success of the RAAM cl to treatment and appropriate for age group. Improve access to addiction treatment that treatment available i.e.after hours (not just 9 respondent y, no pread The RAAM up. ddictions A models have in, low barrier, Addictions - ss tend without a referral ccess e A (RAAM) term follow centred model of service. - - apid care providers in Simcoe Muskoka have expressed interest in acquiring more information on appropriate opioid prescribing, tapering, and mentoring opportunities.Rapid AccMedicine Clinics The RMedicinebeen piloted and are being sthroughout the province.model is a walkpatientIndividuals can be referred to the RAAM clinic from any health care setting or atand receive appropriate addiction medication, counselling, and referrals to community programs. Once they are stabilized on medication they will be referred back to their primary care provider and community addiction agency for longFor clients who present to emergency departments, building a care pathway is essential for them to be referred to addiction medicine for treatment initiation after which they will transition to primary care for ongoing follow up. Currentlsuch care pathway exists and the 38 Page 464 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation s . isorder treatment . isorder isorder treatment are Outcomes) for primary c resource guide for clinician c isorder specifi - ioid use d tion Plan p ent of opioid use d care providers regarding opioid use disorders. e one central web link for all opioid use d webinar on treatm information package on the topics of RAAM, META:PHI, and etermine distribution plan for opioid use d Develop survey to determine current knowledge base and educational needs of primaryDevelopECHO (Extensions for Community Healthcare providers in the region.Develop a North Simcoe Muskokare: addiction treatment.Determinresource information.Dinformation packages.Create a ing resources for treatment of o /Clinical Practice Pillar Ac Goal #1Increase awareness of exist Treatment 39 Page 465 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 ame FrameFr -- LONG LONG TimeTime (2018) (2018) SHORT SHORT ImplementationImplementation and reatments t oid use disorders. on the topics of gonist a pioid iption opioids, o Opioid Strategy regarding treatment education. ering of prescr Leverage existing Family Health Team events and hospital Grand Rounds meetings to include content around opiHost education days for primary care providers and pharmacists.Offer to support FNMI communities in implementing components of Indigenous , tap isorder d se u /Clinical Practice Pillar Action Plan Opioid Strategy. pioid Led opioid pain management. - Goal #2 Provide educational opportunities for primary care providers and pharmaciststreatment of onon Goal #3 Offer to support First Nations, Inuit, Métis (FNMI) communities in the implementation of the Indigenous Treatment 40 Page 466 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 FrameFrame -- LONG LONG ime TimeT (2018) (2018) SHORT SHORT ImplementationImplementation ) Local Health uskoka M imcoe S for Addiction and Pain (MMAP orth package on MMAP network. rmation illar Action Plan short info a etwork. Survey to capture how many primary care providers are aware of and participate in Medical MentoringnDevelop Develop local META:PHI portal.Implement a regional RAAM program delivered over multiple sites.Increase the number of community addiction counsellors throughout NSM LHIN. torships between addiction medicine and primary care. /Clinical Practice P Goal #4 Facilitate local men Goal #5 Improve timely access to addiction treatments throughout the NIntegration Network. Treatment 41 Page 467 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 FrameFrame -- LONG LONG TimeTime (2018) (2018) SHORT SHORT ImplementationImplementation - le expansion of provincial neonatal care pathways for pharmacologic pain modalities working - leverage possib based obstetrical and - tablish team Increase regional access to nonwith primary care teams funding.courses throughout NSM LHIN.Esexpectant mothers who are using opioids or opioid agonist therapy. /Clinical Practice Pillar Action Plan Goal #6 Improve access to interdisciplinary chronic pain treatment. Goal #7: Improve management of Neonatal Abstinence Syndrome. Treatment 42 Page 468 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... . . . ites are ns S V and e fatalities health and s and supervised SMOS Action Plans onsumption C esigned to reduce the health Part 2 Reduced overdosLower rates of syringe sharing (which in turn is anticipated to reduce the risk of HIHepatitis C transmission)Promote safer and hygienic drug use, thus preventing adverse health outcomes, such as abscesses and infectio upervised Consumption Sitesupervised Supervised Consumption Sites S(SCS) provide an immediate response to an overdose and increase access tosocial services. A SCS is a legally sanctioned health facility that offers a hygienic environment where people can use illicit drugs under the supervision of trained staff. These SCSs are also called safer injection sites, drug consumption roominjecting centers or facilities. Salso dand public order issues often associated with public drug use. Positive outcomes for Supervised Consumption Sites include: 49 . and s with have proven harm ition to the direct et audience in the arising from es due to injection As well, by tailoring the In add 50 based harm reduction 50 - tion programs ubstance use, such as dealing Evidenceefforts such as needle and syringe distributo be a significant tool for reaching populations that use drugs by improving their health and reducing the spread of Hepatitis C, HIV and other infectious diseases. Harm reduction programming has the ability to build relationshipthe vulnerable drug using population to link to the social and health services in the communityThere is a substantial amount of empirical evidence to support the benefits of harm reduction strategies in terms of public health and safety. provision of services, reduction programming can address issuesswith abscessdrug use.content to the target audience involving the targcreation of harm reduction programming, it can remainculturally relevant with the target population. s ng ntion of achievi in people who for . core value of many of ion is a ies that work in our region. policies, programs and practice effective approach Harm Reduction Action Pillar 3: Harm reduction refers to that aim to reduce the harms associated with the use of psychoactive drugs in people unable or who choose not to stop. It focuses on the prevention of harm continue to use drugs, rather than on the prevedrug use itself. Harm reductthe health and social agencHarm reduction is anindividual and public health impacts 43 Page 469 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... , 52 . thirds - e at o . The ) provided lived nearly tw ,ity health centres, 35 35 MOHLTC . SMOS ( Lived experience rograms. - SMOS Action Plans n the fall of 2017 to ommun expanded naloxone research suggests that Term Care Part 2 - elters, c According to the experience surveyof respondents (64.0%) felt the community would use an overdose prevention site or supervised consumption site.in a space where they won't die survey respondent Naloxone Existingtraining people on how to use naloxone, including people who are at risk for overdose and their peersis a feasible and effective way to prevent mortality from overdoseIn 2014, the Ministry of Health and Longnaloxone to local public health units for distribution to peoplrisk of an opioid overdose.Pharmacies began public distribution in July of 2016MOHLTC distribution iinclude: outreach services, shAIDS organizations and withdrawal management p - have are red nity 52 provide the vulnerable and and provision of supervised changes to policy care or commu . imited to needles, syringes proven to save lives by (OPS) Overdose prevention sites Overdose Prevention Sites The federal government recently announcedexpand the ability of provinces to respond to the escalating opioid crisis. Under the new federal policy,provinces experiencing a public health emergency can request an exemption under federal law for temporary overdose prevention sitesbeenoffering necessary health services to some of the mostmarginalized populations."Overdose prevention sites are led by a healthbased organization andfollowing services: injection; naloxoneharm reduction supplies including, but not land other safe drug use equipment, and the disposal of used harm reduction supplies. Overdose Prevention Sites essentially a temporary, padown version of an SCS. ication and quality - . borne . -iate discarding health and . related who use - high may improve ropr . ective strategy to reach 13 e as part of a continuum of ate new users 51 Are an effpeople at greatest risk of overdose or bloodinfections, andaccess to HIV careProvide an effective referral mechanism to detoxifaddiction treatmentHelp to reduce public injecting and the inappof syringesThere is no evidence that SCS encourage increased drug use or initiThere is no evidence that operation of SCS leads to an increase in drugcrimes. According to a recent systematic review, of the public public order outcomes associated with SCS facilities, scientific evidence suggests that these sites effectively achieve their primary public health and order objectives with a lack of adverseimpacts, and therefore supporttheir rolservices for peopledrugs. 44 Page 470 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... 55 based - lice, gma include r other illicit sing another 54 SMOS Action Plans are seen as having a , People who use drugs, o e external perceptions of o accessing care, and 53 their only means of Part 2 activity survival.injectiblesubstancesbarriers tinternalizthemselves, cauStrategies that can be effective in addressing social stimotivational interviewing and communicating positive stories of people with substance use a structural level, contacttraining and education programs targeting medical students and professionals (e.g. po obal has vicious The Gl 53 his engage in T world drug ed subcultures Individuals with rket and criminal on Drug Policy ic drug use, resorting to crime themselves. In ford the drugs they need and end ommission fears and prejudices.Ctherefore chosen to dedicate its seventh report to theperception problem.Another common perception is that people who use drugs, predominantly people with problematcriminal activities.problematic drug use often cannot afupaddition, people who use drugs are often forced out of the mainstream and into marginalizwhere crime is extensive. Once they have a criminal record, they find it much more difficult to find employment opportunities, making the illegal ma not , inue to has trained distribution of ing is to save lives . m home naloxone kits to eligible - loxone ople who use substances are stribute naloxone to their clients. The Simcoe Muskoka District Health Unit distributed over 300takeclients in 2017 and many of these regional partners to diLocal pharmacies contparticipate in thena Reducing Stigma The key concept of harm reduction programmake moral judgments about substance use. Stereotypes about peprevalent and often inaccurate.drugs are expressed in stigmatizing language, stigmatization leads to social discrimination and repressive laws, and prohibition validates 45 Page 471 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation opioid overdose, ons and businesses opioid overdose. ow to recognize the signs of an an risk of aloxone, h the Distribute resources to partner agencies, organizatiregarding nhow to assist a person experiencing opioid overdose and strategies to decreaseUtilize the SMOS website to share information listed above including GIS mapping on harm reduction services available in the communities. Goal #1 Increase awareness of harm reduction strategies for people who use illicit and prescription opioids. Harm Reduction Action Plan 46 Page 472 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation with s risk - centage of Ontario Naloxone visit for opioid gencies serving at termine if they are dispensing pand opportunities to provide hospital ents to take home following ED . rogram. aloxone and provide assistance to increase the peraloxone for pati Conduct outreach to pharmacists to denpharmacies in Simcoe Muskoka participating in the PRoll out the next phase of the Ontario Naloxone Program as directed by the MOHLTC to eligible community partner agencies (approx. 25).Work with MOHTLC to exnoverdose aloxone distribution by area pharmacies, community partner a 7 Goal #2 Increase npopulations and local emergency rooms. Harm Reduction Action Plan 4 Page 473 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation region. ing drug testing at NEP sites. u Improve equity of access for NEP sites for client supplies. Promote NEP supply location via various media outlets.Improve access of NEP supplies to clients across the Explore partnership to endorse and provide drug testing strips for drug use.Support member agencies in purs cking. Goal #3Increase access and availability of Needle Exchange Program (NEP) services including drug che Harm Reduction Action Plan 48 Page 474 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation SCS. res for the (SCS) in the edures for the ites or the region. Explore eaths f feedback from the public on consumption site(s). . lead applicants and location are - ites starting with Barrie and then the other es and other stakeholders. nd supervised consumption s for support with policies and procedu ated to overdose ED visits and d . bility of creating a supervised SCS. easi supervised consumption sites overdose prevention s efer to other provincial SCSs for support with policies and proc Based on data reloptions forcommunities in the region with demonstrated need.Complete OPS application once lead, codetermined for the community.Engage local police, municipalitiRefer to other provincial OPSs operation of OPSProvide community awareness/engagement opportunities around the OPS.Determine fConduct community needs assessment and consultations, to determine need. If supported by needs assessment, initiate process of approval from Health Canada forRoperation of Host community forums to educate and gather Apply for Overdose Prevention Site: Explore Supervised Consumption Site: Goal #4 Increase access to overdose prevention sites (OPS) aregion. Harm Reduction Action Plan 49 Page 475 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 FrameFrame -- LONG LONG TimeTime (2018) (2018) SHORT SHORT ImplementationImplementation rtnership with health and social edicated to communicating with various unity partners and the general public regarding the related harm in Simcoe Muskoka in collaboration with other - Support a SMOS website daudiences.Include local opioid overdose data for public access on this host site.Create key messages that support harm reduction strategies and address stigma when working with the media.Explore presentations/programs in paservices agencies to decrease stigma. actitioners and first responders. Goal #5 Increase communication among SMOS commwork of SMOS and status of the opioidpillars. Goal #6 Decrease stigma regarding people who use drugs in interactions with the general public, including health care pr Harm Reduction Action Plan 50 Page 476 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation aloxone to their . partners that are distributing n Ensure community clients have information on the Good Samaritan Drug Overdose Act.Add fact sheet/card on Good Samaritan Drug Overdose Act to Needle Exchange Program kits Goal #7 Decrease barriers in the 911 response to an opioid overdose for people who use drugs. Harm Reduction Action Plan 51 Page 477 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... yl se fentan based a November - t Crime Unit sourced rapid and is the easy 58 derivatives via manufacture and the illar are working SMOS Action Plans a person who to who ice forces that make up the Part 2 lic and police officers as well. Project Blackbird 2017 joint investigation between Enforcement Unit (OCEB), the Community Stree(CSCU) and Barrie Police Services in which six persons were arrested for trafficking fentanyl, heroin, cocaine and firearms offences.South Simcoe Police and local prosecutors have laid manslaughter charges against those who allegedly suppliedfentanyl overdosed and died. istribute opioids in the Simcoe pubContributing to dynamic growth of the illicit market in Canada accessibility by Canadiantraffickers to Chinafentanyl and its internet websites.The polEnforcement Pcollaboratively to increase the sharing of timely intelligence and to take enforcement action on thoindividualsdMuskoka area. Recent investigative successes include: nd law in , s s a cutting 56 . opioid er such as fentanyl , but members of the er caused by or linked Since that time more potent additives pharmaceutical industry 57 n, OxyContin®, and other of harm based drugs have been - pharmaceutical stranger to the opioid problem 2012 (replaced by OxyNEO®), The law enforcement community is noas heroiopioidaround for decades. The demafor Canada has grown exponentially, as Canada ranks as the second largest per capita consumer of pharmaceutical opioids (United States ranking first)It is widely believed that when OxyContin® was removed from the Canadian in this created a demand for domestically sourced prescription opioids, such as illicit fentanyl products.enforcement has seen an increase in overdoses and overdose fatalities eithto the consumption of fentanyl products.Law enforcement has found that there is an emerging, open market for opioid powdand otherlike carfentanil, and they are now being used by criminals aagent or disguised within other illicit drugs to enhance profits. This not only puts people who use drugs at risk 45 . . coordination people who use s to interventions that seek fety by responding to crime ustice refer isorder caused by substance use Enforcement e interventions aim to increase that police interact frequently with , thes community d strengthen community sa Action Pillar 4: Enforcement and jto and Given drugsbetween law enforcement and health services 52 Page 478 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... e SMOS The illar echoes th 59 P with Other Pillars SMOS Action Plans Chiefs of Police ongside the other l In our view, helping We support providing to facilitate the development nforcement Part 2 E ath. ssociation of illars Collaboration The statement of the Ontario A(OACP)measures that reduce the incidence of overdoses and deindividuals dealing with substance misuse issues opportunities to be treated.individuals overcome their addictions is always the best and Enforcement Pillar is committed to working apof strategies for ensuring a healthy and safe environment for members of the communities we serve. , es so they or a , se of the lar have il arch P an officer aloxone and however, if there is the police services rry Prophylactic nforcement a E ined to use it on a member threatening situation and - do, we hope they know the overdose signs to watch forcan get help for themselves friend, if needed.Officers CNaloxone Almost all of within the issued their officers nnew personal protective equipment (PPE) to increase officer safety when conducting drug seseizures or sampling seized drug exhibits. The primary purponaloxone is for use bywho is exposed;a lifeemergency medical services are not immediately available, officers are traof the public. have been illar wants secution Education hat could help save Sentencing for Drug traffickers through their cal Crown Attorneys who proaches t StricterTraffickers The lorepresent Public ProServices Canada (PPSC)leaders in aggressively pursuing stricter sentencing for convicted fentanyl experience starting in 2013 to present date.Collaborative The Enforcement Pillar understands some people are going to choose to take illegal drugs. Increasing awareness about the risks and ways to reduce harm are two aplives. The enforcement ppeople to think twice, understand the risks and hopefully not consume illicit opioids. But if they 53 Page 479 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation cies in order to identify and target those se the sharing of timely intelligence across all law enforcement tion seminar. Partners to include Ontario Provincial Police, Barrie Develop a consistent law enforcement approach to investigating overdoses.Increathrough the development of an intelligence working group to identify opioid traffickers in the Simcoe Muskoka region.Develop and implement a Simcoe Muskoka law enforcement opioid educaPolice Services, South Simcoe Police Service, First Nations Police Services, Canadian Forces Base Borden, Ministry of Natural Resources and Forestry, Municipal Bylaw Enforcement, etc.Share educational opportunities for law enforcement and first responder partners. Action Plan Goal #1: Increase communication across law enforcement agenindividuals who manufacture and distribute opioids. Enforcement Pillar 54 Page 480 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation ntelligence. awareness on dangers of recreational opioid ed enforcement based on timely i ription opioids. Provide targetDevelop a process to communicate timely opioid information to the community such as new substances being seen on the streets, etc.Collaborate to raise public use (Drug Abuse Resistance Education (DARE) and Values, Influences and Peers (VIP) Programs for general public and students).Promote Drug Take Back day as a way to raise awareness of returning unused prescContinue to engage Crimestoppers on initiatives for individuals to call in information on suspected dealers. Action Plan . Goal #2:Reduce the supply of illicit opioids in the Simcoe/Muskoka area through a cohesive enforcement strategy Enforcement Pillar 55 Page 481 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... Development opioid and a will build on that will include action analysis ergency s SMOS Action Plans Such an approach ncy plans that focus This comprehensive the incident The regional emergency Part 2 ergency Management Action dure for after anagement plan for opioid drug, poisoning.can build on existing emergency management initiatives in the region for responding to other types of emergencies.management plan for overdose outbreakexisting emergeon the needs of our most vulnerable residents and that harness the resources of the health, emergency response, and community social services sectors.Ultimately, the Emergency Management Pillar will develop a comprehensive emmoverdose outbreaksa mechanism for ongoing situational awareness, a protocol for timely alerting of situations involving increased or increasing risk, the application ofmanagement systemproceand reporting. plan will engage multiple partners in mitigation, preparedness, response and recovery activities and will leverage existing plans. of the plan will align with the goals of the EmPlan, which follows. to ational , s or other opioid a large making - agencies. , and/ collaborative wide situ - opioid specific ster the ongoing overdose outbreak prepare for and em opioid , opioid warning surveillance The effective action review process that - - demands a . , need for: the Simcoe Muskoka region s i.e. an outbreak of awarenesssystemmodel for response and communication to guide collaborative decisionwill inform system recovery strategies and forefinement of the response systemas a whole. Consistent systAn earlyAn incident management system An after ncreasing the potential for The rising rate of opioid misuse and addiction in Simcoe Muskoka iinumber of overdoses in a short time periodoverdosemanagement of opioid overdose outbreaksresponse from multiple emergency service and community Currentlylacks a coordinatedemergency management approach to address theresponseThe development of these elements is essential to ensuring our adequate capacity as a health sector emergency management teamprevent, mitigate,respond to mass will lan plans to assist natural, through leadership in oid addiction and misuse e. Opi s requiring emergency response. Emergency Management induced and technological - scale event - Action Pillar 5: Emergency Management programs are designed communities to protect themselves from emergencies and disasters related to all kinds of hazards humanthe development and implementation of policies, and a range of programs. present hazards to our communities that can lead to largeAccordingly, a regional emergency management pdesigned to respond to opioid overdose outbreaksfoster community resilienc Page 482 of 799 56 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation addiction. Action Plan Lead the development of a shared Simcoe Muskoka Opioid Strategy website.Adapt the Simcoe Muskoka Vulnerable Populations Plan to add an opioid specific protocol.Utilize the Simcoe County Daily Emergency Situation Centre (DESC) as an information repository and portal. Management Goal #1 Foster ongoing, comprehensive situational awareness for the Simcoe and Muskoka Emergency Response Committee of current issues related to opioid abuse, misuse and Emergency 57 Page 483 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT mplementation I . . time data, as - opioid ing system, warn - tic triggers based on real . Opioid Overdose Early Warning Framework events Action Plan ing about, and response to, opioid overdose outbreaks Develop/document an emergency management plan for overdose outbreak Collaborate with Data and Evaluation, and Enforcement Pillars to determine appropriate and realiswell as key indicators.Collaborate with other pillars to develop an early Management Goal #2:Enable surveillance for timely alert Emergency 58 Page 484 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation sponse to site). - tal Health Surge Plan, Paramedic Services fic incident management framework. person or multi - speci - (multi Action Plan Apply a hazardLeverage existing plans, such as the Simcoe Muskoka Vulnerable Populations Plan, the Simcoe Muskoka Surge Planning Tool, and the Simcoe Muskoka Alternate Assessment & Treatment Centre Plan, and the Simcoe Muskoka Men(Simcoe & Muskoka) Mass Casualty Incident Response Plan, and the Simcoe Muskoka Mass Fatality Plan.Explore a phased response. Management constant state of readiness to respond to and to facilitate a coordinated re Goal #3 Ensure acomplex events of opioid overdose outbreaks Emergency 59 Page 485 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE MAINTENANCE 2020)(2019 2020)(2019 FrameFrame -- LONG LONG TimeTime (2018) 2018)( SHORT SHORT ImplementationImplementation which may include prevention, harm Action Plan xisting emergency phase system for increasing levels of Leverage existing emergency management communications tools.Develop new communications algorithms as needed.Apply eresponse.Collaborate with the leads of the Prevention, Treatment/Clinical Practice, Harm Reduction and Enforcement Pillars to identify potential points of intersection. munications among key stakeholders and to the public. Management te on activities related to opioid overdose outbreaks Goal #4 Support timely coordinated com Goal #5 Collaborareduction, treatment and enforcement. Emergency 60 Page 486 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... MAINTENANCE 2020)(2019 Frame - LONG Time (2018) SHORT Implementation . rogram Committees action review established by the - wing a coordinated response for the purposes of continuous pt existing practices for after AdaSimcoe and Muskoka Emergency Management P action review follo - Goal #6 Facilitate timely afterimprovement. 61 Page 487 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... nsure our activities elopment of een established, such and links to immediate and ongoing local initiatives such as the devexpanded programs and services, and the rollout of educational materials.The SMOS Steering Committee and Pillars will continue to operate until the SMOS plans have been fully implemented and mechanisms for addressing all pillars of SMOS have bthat central coordination is no longer required. The Simcoe Muskoka Opioid Strategy members will continue to be available to engage with local community members and organizations to learn their perspective, collaborate with them and eare positively impacting our communities. the be he T and - that ). In 2018, while r implement each after 2018 and 2020, updates on the . term activities aim to lop andterm, are already in -- and Decembelongfully implemented by December 2020. The projected timelines included in the work plans have been developed to allow the period of time needed to fully plan, deveactivityIt is important to notemany of the activities in the work plans, both shortlongprogress and some will have been completed prior to the publishing of this report. SMOS Steering Committee will provide strategy through the SMOS website (www.preventOD.caaddition to these updates, SMOS website will alsoprovide important information be ted, sector - the SMOS term and - . As no and aimed at term activities aim to - term activities for - As outlined throughout this report, the two foundational, and five action pillars of SMOS, provide a way forward for the Simcoe Muskoka region though a comprehensive approach. This approach is aligned with the federal and provincial opioid strategies, providing a balanced, thoughtful and local response. Over the past year,pillars have developed goals, along with shortlongachieving themshortdeveloped and fullyimplemented between January the many stakeholders needed . : Next Steps and Future Directions 3 Part To address this issue, the complexity and scale of the opioid crisis in Simcoe Muskoka requires a multiapproach that engagesto address this issue 62 Page 488 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... . : ) - M A A hand R - ( c i irst n i drug l C lso known e A n i : ) c i safe injection S provide a hygienic lly supervised d C e S to People with lived ( M sanctioned, medically : - e s e t narcotic (opiate) addiction i n c s medica o n i t e n i c or o r i i t e d pp d x A mare legally e us d ss e e n . v c o i l c s used to treat c I free environment in which individuals are A - h : d t i d e e i s consume illicit recreational drugs w n p i o v fix rooms, safer injection facilities, a e xr l , R oe p supervised injection facilities, bp o e euu h Pexperience are individuals who may have fknowledge of drug use due to their own use or their close contact with friends or family members who use. SSassitesconsumption facilitiesinjection centres,supervised facilities designedand stressable tointravenouslyTIs a medical clinic for individuals who are looking for help in regards to their substance use. . Good The : t c . A facility where A : to get high care services, staff in e ) provides some legal s S o P d O ncludes any painful r ( e : I dicine overdose v e n t i i O s a A problematic pattern of opioid g p :n . u rr r o i ee t D c d cially in n People misuse prescription opioids by:r nn e : o a a v ts e c ii e - staking someone else's prescription r r d n , u aA medication used to block the effects taking the me overdose p , espe o s :e , i m s ne e . a s mu n c i So o dd cine n xd ii d r o o oo l oii r opioidse oa ppv h Ccondition that persists for at least three months and is not associated with malignant disease.GSamaritan Drug Overdose Actprotection for individuals who seek emergency help during anNofOtaking the medicine in a way or dose other than prescribedmediOuse leading to clinically significant impairment or distressOpeople can use illegal drugs under supervision by trained staff. As part of healththese locations monitor people who are at risk of overdose and provide rapid intervention if necessary.. Glossary 63 Page 489 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... -- . -. - offer spike- - visits - - - to to - - erdeaths opioid - - - Term - m: . shows step - - pioid epidemic . ocial exclusion understanding gma 4). - first - data - - sti m: - pharmacies - of crisis- - . 2015; (31.3832865 -- ontario - opioid 31 ca/en/hospital/about_camh/n - - in - epidemic - spray - an - drugs/drugs/opioids/opioiddrugs/drugs/opioids/opioid -- is deaths .- - canadas - Last accessed 2018 Mar. 26\]. Ramasay T. The first step to tackling - naloxone - opioid - Brandova N and Kajanova A. Samong problem drug users. Journal of Nursing, Social Studies, Public Health and Rehabilitation 12GieszCanada's opioid crisis? Understanding addiction. THIS. 2018; Available frohttp://this.org/2018/01/26/thetacklingaddictionSerota K and Buchman D. 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Public Health Emergency in BC. 2018 Jan. 18; Available from: stories/stories/publicOntario Agency for Health Protection and Promotion (Public Health Ontario). Interactive Opioid Tool.Toronto: QueenOntario; 2018; \[Last accessed 2018 Jan. 5\]. Available from: http://www.publichealthontario.ca/en/dataandanalytics/pages/opioid.aspxGovernment oAvailable from: canada/services/substancedrugThe National Centre on Addiction and Substance Abuse. Who develops addiction. 2018; Available from: www.centeronaddiction.org/addiction/addictionriskAl berta Family Wellness Initiative. The foundations of lifelong health: The brain story. 2018; Available from: http://www.albertafamilywellness.org/whatknow/Von Krorff M. Longcomplex chronic pain. Best Pract Res Clin Reheumatal 10Kolodney A, Courtwright DT, Hwang CS, Kreiner P, Eadie JL, ClarkTW, and Alexander GC. The prescription public health approach to an epidemic of addiction. 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HIV in Canada: a primer for service providers. 2017; Available from: http://www.catie.ca/en/hiv (43) (44) (45) (46) (47) (48) (49) 66 Page 492 of 799 14.e) Correspondence dated May, 2018 from Simcoe Muskoka Opioid Strategy... re r a l l i P t Social and Community n Health Association Simcoe - e r a m ka District Health Unit l l e i g P a imcoe n n o a i t M c uy c d Guesthouse Shelter & Community Hub n e e R g r m e Simcoe MuskoLittle Avenue PharmacyCanadian Mental Central North Correctional FacilityWaypoint Centre for Mental Health CareDistrict of MuskokaGilbert CentreBarrie Community Health CentreDavid Busby Street CentCounty of SimcoeServices DivisionNorth Simcoe Muskoka Local Health Integration Network Rosewood ShelterTheCounty of Simcoe Paramedic Services DepartmentCounty of SDistrict of MuskokaNorth Simcoe Muskoka Local Health Integration Network Rama First NationSimcoe Muskoka District Health UnitTown of Wasaga Beach r a m HE s (OATC) Centre r ffiliation a l l i P n Mental Health Association t Addiction Treatment Centre n e y Doctors l Victoria Regional Health m e c r o RoyaEnaahtig Healing LodgeSimcoe Muskoka District Health Unit North Simcoe Muskoka Local Health Integration Network Salvation ArmyCanadiaMuskoka Parry SoundAddiction Services York RegionOntarioWaypoi nt Centre for Mental Health Care Barrie Family Health TeamBarrie Community Health CentreWest Parry Sound Health CentreFamilChiropractorCommunity PharmacistOntario Provincial PoliceBarrie Police Service South Simcoe Police Service Rama Police ServiceCanadian Forces Base Borden Military PoliceCrown Attorneys f n E ervices S Centre strict School r a l l i P e xperience r c E i a t l l c i a P r ived P n l L o i a t c llar Members by Organizational A r a i a u n l l i l l i a C P v / E t n n o d i al Victoria Regional Health th Simcoe Muskoka Local Health e t n n a m et a v Simcoe Muskoka District Health UnitHealth Quality OntarioNorIntegration NetworkOntario Provincial PoliceCounty of SimcoeWaypoint CentreStevenson Memorial HospitalRoySimcoe County District School BoardSimcoe Muskoka Catholic DiBoardGeorgian CollegeDistrict of Muskoka Paramedic Simcoe Muskoka District Health Unit North Simcoe Muskoka Local Health Integration Network Orillia Youth CentreProbation (Simcoe and Muskoka)Persons with Canadian Mental Health Association Simcoe County a t e e a r r Appendix ASMOS Pi DPT 67 Page 493 of 799 Page 494 of 799 14.f) Correspondence dated July 4, 2018 from John Daly, County Clerk, Co... Page 495 of 799 14.f) Correspondence dated July 4, 2018 from John Daly, County Clerk, Co... Page 496 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... Page 497 of 799 Page 498 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... Tpvsdf!Qspufdujpo!Boovbm!Qsphsftt!Sfqpsu Tpvui!Hfpshjbo!Cbz!Mblf!Tjndpf!Sfhjpo Boovbm!Qsphsftt!Sfqpsu!po!Jnqmfnfoubujpo!pg!uif! Tpvui!Hfpshjbo!Cbz!Mblf!Tjndpf!Sfhjpo!Tpvsdf! Qspufdujpo!Qmbo/ Sfqpsujoh!qfsjpe!}!Kvmz!2-!3126!.!Efdfncfs!42-!3128 pvsxbufstife/db Page 499 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... ! 1601203129 } Tpvsdf!Qspufdujpo!Boovbm!Qsphsftt!Sfqpsu! J/!Jouspevdujpo This annual progress report briefly summarizes the progress made in implementing the source protection plan for the Lakes Simcoe & Couchiching Black River, Nottawasaga Valley and Severn Sound Source Protection Areas, as required by the Clean Water Act and its regulations. This report covers the period of implementation from the date the South Georgian Bay Lake Simcoe Source Protection Plan took effect - July 1, 2015, through to December 31, 2017. Protecting the sources of our drinking water is the first step in a multi-barrier approach to safeguard the quality and quantity of our water supplies. The source protection plan is the culmination of extensive science-based assessments, consultation with the community, collaboration with local stakeholders and the province, and research. The implementation of the policies contained in the source protection plan will ensure that activities carried out in the vicinity of municipal drinking water supply wells and lake-based drinking water intakes will not pose a significant risk to those supplies. Qmbdf!nbq!ifsf Page 500 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... JJ/B!nfttbhf!gspn!zpvs!mpdbm!Tpvsdf!Qspufdujpo!Dpnnjuuff Pvs!qsphsftt!tdpsf!po!bdijfwjoh!tpvsdf!qspufdujpo!qmbo!pckfdujwft!uijt!sfqpsujoh!qfsjpe; Q!;!Qsphsfttjoh!Xfmm0Po!Ubshfu!!Uif!nbkpsjuz!pg!uif!tpvsdf!qspufdujpo!qmbo!qpmjdjft!ibwf fe!jo!uif!tpvsdf! qspufdujpo!qmbo/ T!;!Tbujtgbdupsz!!Tpnf!pg!uif!tpvsdf!qspufdujpo!qmbo!qpmjdjft!ibwf!cffo!jnqmfnfoufe!boe0ps bsf!qsphsfttjoh!jo!bddpsebodf!xjui!uif!ujnfmjoft!tqfdjgjfe!jo!uif!tpvsdfqspufdujpo!qmbo/ M!;!Mjnjufe!qsphsftt!!B!gfx!pg!tpvsdf!qspufdujpo!qmbo!qpmjdjft!ibwf!cffo!jnqmfnfoufe!boe0ps bsf!qsphsfttjoh!jo!bddpsebodf!xjui!uif!ujnfmjoft!tqfdjgjfe!jo!uif!tpvsdf!qspufdujpo!qmbo The Source Protection Committee rates progress in this first reporting period as “satisfactory”. Ninety-six percent of the policies in our Plan have been or are being implemented. Approximately 71% of significant drinking water threats that existed at the time of source protection plan approval have been addressed through policy implementation or removed through threats verification. While 106 risk management plans (RMPs) have been established, the rate at which the RMPs are established will need to increase in order to complete all required RMPs by the 2020 deadline. All municipalities, with the exception of one, submitted their 2017 annual reports to the Source Protection Authority. The majority of municipalities in our source protection region have processes in place to ensure that their day-to-day planning decisions conform to our source protection plan. Almost all (2,005 of the 2,071) on-site sewage systems have been inspected in accordance with the Ontario Building Code. One municipality has not started their septic inspection program as of December 31, 2017. A successful incentive program has played a key role in successful and timely RMP negotiations. Page 501 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... JJJ/Pvs!Xbufstife Up!mfbso!npsf-!qmfbtf!sfbe!pvs!bttfttnfou!sfqpsu)t*!boe!tpvsdf!qspufdujpo!qmbo)t*/ The South Georgian Bay Lake Simcoe source protection region contains four watersheds and spans over 10,000 2 km, from the Oak Ridges Moraine in the south to the Canadian Shield in the north and is comprised of the Black-Severn, Lake Simcoe, Nottawasaga Valley and Severn Sound watersheds. The region contains portions of the Niagara Escarpment, Oak Ridges Moraine, Oro Moraine, Peterborough Drumlin Fields, Simcoe Uplands and Lowlands and the Canadian Shield. The region includes: ¸4 watersheds ¸52 municipalities ¸3 First Nations communities ¸107 drinking water systems ¸275 municipal supply wells ¸16 municipal surface water intakes ¸More than 50,000 private wells All told, the South Georgian Bay Lake Simcoe region has about one third of the municipal drinking water systems in the province. The region is complex and diverse in terms of geology, physiography, population, and development pressures, with many, often conflicting, water uses including drinking water supply, recreation, irrigation, agriculture, commercial and industrial uses, as well as ecosystem needs. These differences represent a significant challenge for the development of a source water protection plan because of the associated variability of available information upon which to base the technical work, the differing stresses on water resources related to development pressure and population growth, and the differences in the nature, density and locations of threats to the quality and quantity of water resources. Page 502 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... JW/Bu!b!Hmbodf;!Qsphsftt!po!Tpvsdf!Qspufdujpo!Qmbo!Jnqmfnfoubujpo 2/Tpvsdf!Qspufdujpo!Qmbo!Qpmjdjft The South Georgian Bay Lake Simcoe Source Protection Committee included 129 policies in their source protection plan to address 21 prescribed threats, protect sources of drinking water and monitor the progress of policy implementation. Since the source protection plan took effect almost three years ago, much has been accomplished. To date, 36 policies (28%) have been implemented and 88 (68%) are in the process of being implemented. The plan sets out timelines for policy implementation and many of the policies not already implemented have approximately two years for this process to be completed. P: Progressing Well/On Target 3/Nvojdjqbm!Qsphsftt;!Beesfttjoh!Sjtlt!po!uif!Hspvoe Of the 52 municipalities (upper, lower and single-tier) that have lands within the South Georgian Bay Lake Simcoe Source Protection Region, 41 of these are subject to one or more source protection plan policies. The remaining 11 municipalities do not have vulnerable areas where significant drinking water threat policies apply. Of the 23 municipalities that responded to question 38b (Which municipal program areas is your municipality integrating source protection knowledge or science into?) all 23 of them are integrating source protection knowledge into at least 1 municipal program area. Planning departments and building officials are screening applications for location within vulnerable areas where threats to drinking water sources are possible and policies may apply. Municipalities in our source protection region also are required to take the next step to review and update their Official Plan to ensure it conforms with the local source protection plans the next time they undertake an Official Plan review under the Planning Act. Official Plans have either been amended or are being reviewed for inclusion of source protection requirements. Of the 41 municipalities that are subject to source protection plan policies, 38 have amended or are in the process of amending their Official Plan to conform with the source protection plan for our region. The review and amendment process at the upper tier municipality is required prior to the lower tier completing their process. Municipalities within the region have collaborated with each other and the Source Protection Authority (SPA) to initiate education and outreach policy requirements ahead of the three year timeframe for implementation. The three SPAs assisted municipalities in leveraging their unspent Source Protection Municipal Implementation Funding to develop educational materials and workshops. P: Progressing Well/On Target Page 503 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... 4/Tfqujd!Jotqfdujpot 97% (2005 of the 2071) of on-site sewage systems have been inspected in accordance with the Ontario Building Code. Inspection results found the majority (98%) were either functioning properly or required only minor, regular maintenance such as a tank pump-out. It was an incredible accomplishment for some municipalities to complete a very large number of septic system inspections in a short period of time. One municipality has not started their septic inspection program as of the end of 2017. They have 27 on-site sewage systems requiring inspection and they have indicated that they plan start the inspection program in 2018. S: Satisfactory 5/Sjtl!Nbobhfnfou!Qmbot 106 risk management plans have been established in our source protection region. 137 inspections have been carried out by a Risk Management Official/Inspector (RMO/I) for prohibited or regulated activities. There is a 98% compliance rate with the risk management plans established in our source protection region. We are making good progress in establishing RMPs however there may be many RMPs required in the next 2 years to meet the 2020 deadline outlined in policy TIME-1. It is difficult to gauge exactly how many Significant Drinking Water Threats will be removed through threats verification work (and therefore not require an RMP). !For RMOs representing municipalities that have no RMPs complete - or have just begun developing RMPs - the rate of RMP establishment will need to increase. S: Satisfactory Page 504 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... 6/Qspwjodjbm!Qsphsftt;!Beesfttjoh!Sjtlt!po!uif!Hspvoe 7/Tpvsdf!Qspufdujpo!Bxbsfoftt!boe!Dibohf!jo!Cfibwjpvs To raise awareness about the protection of local drinking water sources municipalities across the South Georgian Bay Lake Simcoe region have installed 239 drinking water protection zone signs on municipal roads surrounding vulnerable areas. 14 signs were installed on provincial highways. York Region's Incentive program has been instrumental in encouraging businesses to make changes to protect municipal drinking water sources. As an example of a significant amount of funding provided, staff worked with a local dry cleaner to switch its equipment to a new environmentally friendly alternative. Although York Region provided the maximum amount of funding allowed under the incentive program, the owner contributed over forty-four thousand dollars to the project. As a result of this work the business owner won a 2016 Lake Simcoe Conservation Authority Watershed Heroes Conservation Award. The three source protection authorities worked together to create a series of short videos (60-120 seconds) to educate viewers about source water protection and potential drinking water threats. One video introduces (Claire) the Risk Management Official and reviews some of the threats to drinking water. The two other videos use Claire to discuss the safe handling and storage of DNAPLs, organic solvents and home heating oil. Page 505 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... 8/!Tpvsdf!Qspufdujpo!Qmbo!Qpmjdjft;!Tvnnbsz!pg!Efmbzt One municipality has not started their septic inspection program as of the end of 2017. The establishment of all required RMPs by the year 2020 may be a challenge. There are several factors contributing to the delay including; certain classes of RMPs (Agricultural and Commercial/Institutional for example) are taking longer to negotiate than anticipated and some RMOs have been hesitant to establish RMPs for DNAPL-1 and FERT(App)-1 policies as there may be changes in the approaches used to determine the significance of these threats. Lower tier municipalities were unable to complete their Official Plan amendments until the upper tier municipalityhas completed their Official Plan amendments. For some municipalities this problem was compounded by a relatively short spending deadline for Source Protection Municipal Implementation Funds, and uncertainty introduced through the Province's comprehensive land use planning review. It appears that WASTE(a)-2 has not been reported-on in our region. Page 506 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... 9/!Tpvsdf!Xbufs!Rvbmjuz;!Npojupsjoh!boe!Bdujpot City of Barrie - Barrie Well Supply - Central Well Field Issue contributing area for: ¸Sodium and Chloride ¸Chloride An increasing concentration/trend has been observed. The City of Barrie has developed and implemented a salt optimization strategy. Penetanguishene - Robert Street West Supply Well Issue contributing area for: ¸TCE A decreasing concentration/trend has been observed. Severn - Coldwater Well Supply Issue contributing area for: ¸TCE No change in concentration/trend has been observed. Tiny Township - Lafontaine Well Supply Issue contributing area for: ¸Nitrate An increasing concentration/trend has been observed. RMP negotiations are underway. A consultant's report suggests it could take between 10-38 years to see the effects of any implemented risk management measures. Page 507 of 799 14.g) Correspondence dated July 9, 2018 from Julie Cayley, Executive Dir... :/Tdjfodf.cbtfe!Bttfttnfou!Sfqpsut;!Xpsl!Qmbot Opubqqmjdbcmf Opxpslqmbotxfsfsfrvjsfeupcfjnqmfnfoufegpspvsbttfttnfousfqpsut/ 21/Npsf!gspn!uif!Xbufstife Up!mfbso!npsf!bcpvu!pvs!tpvsdf!qspufdujpo!sfhjpo0bsfb-!wjtju!pvs!Ipnfqbhf/ iuuq;00pvsxbufstife/db0 All local municipalities within the Lake Simcoe Source Protection Authority portion of the York WHPA-Q2 are implementing policy LUP-12 (which requires a water balance study for all major developments) by having all applications peer reviewed by a Hydrogeologist. While not required by the policy, experience since July 1, 2015 is demonstrating the value of this objective peer review. Page 508 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 509 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 510 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 511 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 512 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 513 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 514 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 515 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 516 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... 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Dear Council members, Please note that as a resident of Oro-Medonte, I wanted to pass along my endorsement of an ATV/ORV bylaw permitting their use on all township roads. I do a lot of fishing and hunting and it would ‘greatly’ improve the experience and access I have. As I am there are a lot of farmers who use these to get from th property to property and this will make life much easier I’m aware of an upcoming vote on April 25 and wanted to make sure my view got passed along. Thank-you all, Mr. Smith 123 Any Street Oro Medonte Page 729 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 730 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 731 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 732 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Dear Council members, Please note that as a resident of Oro-Medonte, I wanted to pass along my endorsement of an ATV/ORV bylaw permitting their use on all township roads. My family does a lot of fishing and hunting and it would greatly improve the experience and access We have. I’m aware of an th upcoming vote on April 25 and wanted to make sure my view got passed along. Thank-you all, Mrs Shelby Morrison 1182 Line 5 South Oro Medonte Page 733 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 734 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 735 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 736 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 737 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 738 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 739 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Dear Council members, Please note that as a resident of Oro-Medonte, I wanted to pass along my endorsement of an ATV/ORV bylaw permitting their use on all township roads. I do a lot of fishing and hunting and it would ‘greatly’ improve the experience and access I have. I’m aware of an upcoming th vote on April 25 and wanted to make sure my view got passed along. Page 740 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 741 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 742 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 743 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... 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Notice of Collection/Use/Disclosure: All information about municipal services is collected in accordance with the Municipal Act, 2001, under s.8 and for Council’s purposes under s.239(1) and may be used in Council deliberations, and disclosed in full, including email, names, opinions and addresses to other persons requesting access to records, or as part of a public agenda. All information submitted to the municipality is subject to the Municipal Freedom of Information Act (MFIPPA). Questions about this notice of collection should be directed to the Clerk’s Office (705) 487-2171. Please consider the environment before printing this email. This e-mail may contain PRIVILEGED AND CONFIDENTIAL INFORMATION and is intended solely for the use of the individual or entity to whom it is addressed. If you are not the intended recipient, please notify the sender by e-mail. Further, you should not copy, disclose, or distribute this e-mail or its contents to any other person and any such actions are unlawful. This e-mail may contain viruses. The Township of Oro- Medonte has taken every reasonable precaution to minimize this risk, but is not liable for any damage you may sustain as a result of any virus in this e-mail. You should carry out your own virus checks before opening the e-mail or attachment. The Township of Oro-Medonte reserves the right to monitor and review the content of all messages sent to or from this e-mail address. Messages sent to or from this e-mail address may be stored on the Township of Oro-Medonte’s e-mail system. Page 753 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 754 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... Page 755 of 799 15.a) Off-Road Vehicle Use on Municipal Roadways \[Refer to Item 12a)\]: P... 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Page 765 of 799 Page 766 of 799 15.c) Correspondence dated June 11, 2018 from Aart Van Veld re: Request ... 12 400 11 0.4ha 6 Simoro Crescent 050 m Page 767 of 799 Page 768 of 799 15.c) Correspondence dated June 11, 2018 from Aart Van Veld re: Request ... Page 769 of 799 Page 770 of 799 15.d) Correspondence dated June 28, 2018 from Robert Marchessault re: Re... " My current numerical road name in my postal address on the 15/16 Sideroad in Oro-Medonte has created problems with deliveries and GPS location services. " correspondence for consideration Page 771 of 799 Page 772 of 799 15.e) Correspondence dated July 2, 2018 from Barry Day re: Request for R... Page 773 of 799 Page 774 of 799 15.f) Correspondence dated June 30, 2018 from Doreen Raymer re: Barrilla... Page 775 of 799 Page 776 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 777 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... , Page 778 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 779 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... 2001 Page 780 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 781 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 782 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 783 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 784 of 799 17.a) By-Law No. 2018-45: Being a By-law to Permit All-Terrain, Multi-Pu... Page 785 of 799 Page 786 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Municipal Act2001 Page 787 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Page 788 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Ontario Infrastructure and Lands Corporation Act, 2011 Page 789 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Page 790 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Page 791 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Page 792 of 799 17.b) By-Law No. 2018-070: A By-Law to Authorize Certain New Capital Wor... Page 793 of 799 Page 794 of 799 17.c) By-Law No. 2018-071: A By-Law to Impose Interim Control on the Use... Page 795 of 799 17.c) By-Law No. 2018-071: A By-Law to Impose Interim Control on the Use... Page 796 of 799 17.d) By-Law No. 2018-074: A By-Law to Amend By-Law No. 2017-138 “A By-l... Building Code Act, 1992, Page 797 of 799 Page 798 of 799 19.a) By-Law No. 2018-073: Being a by-law to confirm the proceedings of ... Municipal Act, 2001, S.O. 2001, C. 25, as amended Page 799 of 799