Indigenous Health Advisory Circle AGENDA

Tuesday, July 28, 2020 – 5:00 – 6:30 p.m. Anstruther and Buckhorn Lake Rooms, 2nd Floor

Peterborough Public Health Jackson Square, 185 King Street, Peterborough

1. Call to Order Councillor Kathryn Wilson, Chair

Opening Statement We respectfully acknowledge that Peterborough Public Health is located on the Treaty 20 Michi Saagiig territory and in the traditional territory of the Michi Saagiig and Chippewa Nations, collectively known as the Williams Treaties First Nations, which include: Curve Lake, Hiawatha, Alderville, Scugog Island, Rama, Beausoleil, and Georgina Island First Nations. Peterborough Public Health respectfully acknowledges that the Williams Treaties First Nations are the stewards and caretakers of these lands and waters in perpetuity, and that they continue to maintain this responsibility to ensure their health and integrity for generations to come. We are all Treaty people.

2. Welcome and Introductions

- Delores Lalonde, Niijkiwendidaa Anishnaabekwewag Services Circle

3. Confirmation of the Agenda 4. Declaration of Pecuniary Interest

5. Delegations and Presentations (nil)

6. Confirmation of the Minutes of the Previous Meeting

6.1. February 11, 2020

7. Items Arising From the Minutes

7.1. Allyship Training for PPH Staff (Salvaterra)

- Meeting with Lori Flynn Deferred - eCampus Ontario Micro-Credential Badge for Cultural Safety

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7.2. A Local Guide To Traditional Foods and Safety (Salvaterra/Churipuy) - MPH Student Practicum Deferred - Nourish Update - Resources:

o National Indigenous Diabetes Association – Gift from our Relations: Indigenous Original Foods Guide (web hyperlink)

o First Nations Health Authority – Planning for Food Security: A Tool-Kit for the COVID-19 Pandemic (web hyperlink)

7.3. IHAC Membership for 2020 (Salvaterra/Churipuy)

- Discussion re: other applicable organizations/groups - Request Board appointment for Delores Lalonde

7.4. Federal Mandate Letters / Work Plan (Salvaterra)

8. New Business 8.1. COVID-Related Questions/Issues?

8.2. Inclusion of Métis Nation of Ontario in Land Acknowledgement

8.3. Ontario Indigenous Women’s Advisory Council

- Announcement (web hyperlink) - Membership (web hyperlink) - Peterborough Impact

9. Date, Time, and Place of the Next Meeting

Tuesday, October 27, 2020; 5:00 – 6:30 p.m. at Peterborough Public Health.

10. Adjournment

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Indigenous Health Advisory Circle MINUTES

Tuesday, February 11, 2020 – 5:00 – 6:30 p.m. Dr. J. K. Edwards Board Room, 3rd Floor

Peterborough Public Health Jackson Square, 185 King Street, Peterborough

Present: Ms. Lori Flynn

Ms. Kari Lepine Councillor Nodin Knott Councillor Kathryn Wilson Councillor Kim Zippel

Regrets: Mr. Michael Williams Staff: Dr. Rosana Salvaterra, Medical Officer of Health

Ms. Donna Churipuy, Director of Public Health Programs, Chief Nursing Officer & Privacy Officer Ms. Alida Gorizzan, Executive Assistant (Recorder)

1. Call to Order

Dr. Salvaterra called the Indigenous Health Advisory Circle (IHAC) to order at 5:06 p.m. 2. Welcome and Introductions

Dr. Salvaterra welcomed Kari Lepine, representative from the Metis Nation of Ontario as the newly appointed member to the IHAC.

3. Elections Dr. Salvaterra sought consensus from the group regarding the election of a Chair and Vice Chair for the IHAC. DECISION: Councillor Kathryn Wilson was supported as Chair, Lori Flynn was supported as Vice Chair.

4. Confirmation of the Agenda

The agenda was confirmed by the members. 5. Declaration of Pecuniary Interest (nil)

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6. Delegations and Presentations (nil)

7. Confirmation of the Minutes of the Previous Meeting 7.1. December 10, 2019

The members agreed that the minutes for the December 10, 2019 meeting were correct. They will be provided to the Board of Health at their next meeting for information.

8. Items Arising From the Minutes

8.1. Allyship Training for PPH Staff

Dr. Salvaterra reported that a meeting has been scheduled with Lori Flynn and staff at Nogojiwanong Friendship Centre on March 3rd to discuss this training.

8.2. Public Health Modernization

Dr. Salvaterra briefed the Circle on the efforts by the Board to date, including most recently, the development of a Position Paper. This will be shared with all local partners and PPH will seek endorsement from local Councils and organizations.

8.3. A Local Guide To Traditional Foods and Safety

Donna Churipuy reported that this work will be incorporated into PPH operational plans for 2020. A placement student from the University of Toronto expected in May will assist with moving this work forward (please refer to item 9.2).

8.4. IHAC Membership for 2020

It was noted that staff have not had an opportunity to reach out to Dolores Lalonde from Niijkiwendidaa. ACTION: Dr. Salvaterra will follow up on this item. Dr. Salvaterra sought suggestions of who specifically could be contacted at the Lovesick Lake Native Women’s Association. ACTION: Lori Flynn will provide a contact name.

9. New Business

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9.1. Federal Mandate Letters – Review by the Ontario Public Health Association The following items were identified as potential priorities from the federal mandate letters:

Minister of Health, Hon. Patricia Hajdu: o Ensure Canada’s response to the current opioid crisis is robust, well-

coordinated and effective: (i.e. new investments to expand community-based services, build more in-patient rehabilitation beds, and scale up effective programs).

o Create a national autism strategy. Members expressed concern about supports in Peterborough, specifically for children aging out of the system.

Minister of Environment and Climate Change, Hon. Jonathan Wilkinson: o Expand the Learn-to-Camp program to meet the target that 400,000

kids each year learn basic camping skills. Members wanted to ensure Indigenous children have access to this.

o Provide a bursary for children and their families who live in poverty or underprivileged circumstances that create significant barriers to visiting national or provincial parks.

Minister of Families, Children and Social Developments, Hon. Ahmed Hussen: o Implement the new First-Time Home Buyer Incentive and increase

the qualifying value in places where houses cost more like the Greater Toronto, Vancouver and Victoria regions.

o Ensure the effective implementation of the Canada Housing Benefit. o Continue to build and renovate housing through the National Housing

Strategy (i.e. $13 billion, to create 41,800 new units and repair 29,600 units)

o Members discussed the Urban Indigenous Homeward Bound Program, as well as the Ontario Aboriginal Housing First-Time Buyer Incentive Program.

Minister of Diversity, Inclusion and Youth, Hon. Bardish Chagger: o Lead multiculturalism policy, programs and activities to ensure that

Canadian diversity is celebrated and respected in all of its forms and that programs are delivered in an effective way.

o Develop policies that tackle systemic discrimination and unconscious bias in our country, including anti-Black racism.

o Expand and advance Canada’s Anti-Racism Strategy and ensure community-based projects are prioritized and meet the goals and outcomes of the Strategy.

o Establish an Anti-Racism Secretariat. o All of the above apply to Indigenous peoples.

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Minister of Women and Gender Equality and Rural Economic Development, Hon. Maryam Monsef:

o Work to sustain Government funding commitments to Canadian women’s organizations and equality-seeking groups, with a particular focus on vulnerable women, including Indigenous women, women with disabilities, members of the LGBTQ2 communities and newcomer, racialized and migrant women.

Minister of Immigration, Refugees and Citizenship, Hon. Marco Mendicino: o Complete the legislative work on changes to the Canadian Oath of

Citizenship to reflect the Truth and Reconciliation Commission’s Calls to Action.

Minister of Public Safety and Emergency Preparedness, Hon. Bill Blair: o Ensure that all officials in Canada’s law enforcement and security

agencies have access to unconscious bias and cultural competency training, with support from the Minister of Diversity and Inclusion and Youth.

o Members questioned who would be vetting this training, and use of the term ‘competency’.

Minister of Canadian Heritage, The Hon. Steven Guilbeault: o Develop additional programming to increase Canadians’ participation

in sport, with a particular focus on Indigenous Peoples. Increase awareness of the physical and mental health benefits of participation in sport.

o Members noted the issue is not with awareness, but barriers to access.

The following are Ministers overseeing Indigenous matters:

Minister of Indigenous Services: Hon. Marc Miller o Lead a whole-of-government approach on the continued renewal of a

nation-to-nation, Inuit-Crown and government-to-government relationship with Indigenous Peoples, advancing co-developed distinctions-based policy and improving our capacity as a Government to consider and respond to the unique realities of Indigenous Peoples.

o Support the Minister of Justice and Attorney General of Canada in work to introduce co-developed legislation to implement the United Nations Declaration on the Rights of Indigenous Peoples by the end of 2020.

o Lead and coordinate the work required of all Ministers to continue to implement the Truth and Reconciliation Commission’s Calls to Action.

o Establish a National Action Plan in response to the National Inquiry into Missing and Murdered Indigenous Women and Girls’ Calls for Justice, in partnership with First Nations, Inuit and Métis Peoples.

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o Co-develop with Indigenous Peoples a new distinctions-based process for the ongoing review, maintenance and enforcement of Canada’s treaty obligations between the Crown and Indigenous communities. This work will be supported by a new National Treaty Commissioner’s Office that will be designed and established with Indigenous partners.

o Continue to support Indigenous-led processes for rebuilding and reconstituting their historic nations, advancing self-determination and, for First Nations, transitioning away from the Indian Act.

o Continue ongoing work with First Nations to redesign federal policies on additions to reserves, and on the Specific Claims process.

o Continue ongoing work with First Nations, Inuit and Métis to redesign the Comprehensive Claims and Inherent Rights Policies.

o Develop a new national benefits-sharing framework for major resource projects on Indigenous territory.

o Establish a new fiscal relationship with Indigenous Peoples that ensures sufficient, predictable and sustained funding for communities, and that nations have the revenue generation and fiscal capacity to govern effectively and to provide programs and services to those for whom they are responsible.

o With the support of the Minister of Northern Affairs, co-develop and implement an Inuit Nunangat policy, and fully implement Inuit land claims agreements.

o Work with the Deputy Prime Minister and Minister of Intergovernmental Affairs to support a First Ministers’ Meeting on Reconciliation with Indigenous Peoples, and continue to advance meaningful inclusion of First Nations, Inuit and Métis partners in federal and intergovernmental decision-making processes that have an impact on Indigenous rights and interests.

o Monitor status and progress. o It was noted that there has been no funding increases to urban

Indigenous organizations, this may be an area of advocacy for the IHAC.

Minister of Crown-Indigenous Relations, The Hon. Carolyn Bennett: o Lead a whole-of-government approach on the continued renewal of a

nation-to-nation, Inuit-Crown and government-to-government relationship with Indigenous Peoples, advancing co-developed distinctions-based policy and improving capacity as a Government to consider and respond to the unique realities of Indigenous Peoples.

o Implement the United Nations Declaration on the Rights of Indigenous Peoples by the end of 2020.

o Lead and coordinate the work required to continue to implement the Truth and Reconciliation Commission’s Calls to Action.

o Establish a National Action Plan in response to the National Inquiry

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into Missing and Murdered Indigenous Women and Girls’ Calls for Justice, in partnership with First Nations, Inuit and Métis Peoples.

o Co-develop with Indigenous Peoples a new distinctions-based process for the ongoing review, maintenance and enforcement of Canada’s treaty obligations between the Crown and Indigenous communities; a new National Treaty Commissioner’s Office that will be designed and established with Indigenous partners.

o Continue to support Indigenous-led processes for rebuilding and reconstituting their historic nations, advancing self-determination and, for First Nations, transitioning away from the Indian Act. Continue ongoing work with First Nations to redesign federal policies on additions to reserves, and on the Specific Claims process.

o Continue ongoing work with First Nations, Inuit and Métis to redesign the Comprehensive Claims and Inherent Rights Policies.

o Develop a new national benefits-sharing framework for major resource projects on Indigenous territory.

o Establish a new fiscal relationship with Indigenous Peoples that ensures sufficient, predictable and sustained funding for communities, and that nations have the revenue generation and fiscal capacity to govern effectively and to provide programs and services to those for whom they are responsible.

o Co-develop and implement an Inuit Nunangat policy, and fully implement Inuit land claims agreements.

o Monitor status and progress.

ACTION: Dr. Salvaterra will meet with Councillor Wilson to review the items that have been identified, further refine the list as needed and strategize what potential actions the IHAC could take as part of the 2020 work plan.

9.2. Masters of Public Health (Indigenous Health) Practicum Placement, May –

August 2020 Dr. Salvaterra shared that PPH will be hosting Sterling Stutz, a Masters student from the University of Toronto, from May to August this year. She has a particular interest in health policy and Indigenous women’s health, and Dr. Salvaterra sought direction from the IHAC as to how best to utilize this placement. It was recommended that:

staff reach out to Lori (Hiawatha First Nation L.I.F.E. Centre) regarding assistance in the development of new programming;

study water conditions at Rice Lake, and explore the relationship

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between the water and land; and

assist with the development of the Local Guide to Traditional Foods and Safety.

9.3. Review IHAC Terms of Reference

The Terms of Reference were reviewed, there were no recommendations for changes.

9.4. 2020 Meeting Dates

Meeting dates were determined for the Committee, for 2020 these dates will be: April 28, July 28 and October 27.

9.5. 2020 Work Plan – Suggestions for Items The Committee discussed suggestions for work plan items, including:

Autism

Indigenous housing

Health of water (recreational use, aquatic life, sediment results)

Opioid use

Federal Mandate Letters (as previously discussed)

10. Date, Time, and Place of the Next Meeting Tuesday, April 28, 2020 at 5:00 p.m. at Peterborough Public Health, or at the call of the Chair.

11. Adjournment

The meeting was adjourned at 6:10 p.m.

Chairperson Medical Officer of Health

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Serving the residents of Curve Lake and Hiawatha First Nations, and the County and City of Peterborough

Jackson Square, 185 King Street, Peterborough, ON K9J 2R8 P: 705-743-1000 or 1-877-743-0101

F: 705-743-2897 peterboroughpublichealth.ca

June 11, 2020 eCampus Ontario Review Committee Dear Review Committee, RE: eCampus Ontario Micro-Credential Badge for Cultural Safety Peterborough Public Health (PPH) is pleased to provide this letter of support for the eCampus Ontario Micro-Credential Badge for Cultural Safety project proposal. PPH’s board of health has been directly engaged with Curve Lake and Hiawatha First Nations for over 50 years and contains elected representatives from both these communities. Advocacy and Allyship are embedded within our organization’s values and the board relies on its Indigenous Health Advisory Circle for recommendations and guidance. PPH prioritizes improving health policies to ensure better quality of life for our community members. Given that cultural safety is a central part of health equity and public health more broadly, we are thrilled to help to create, coordinate, and administer an accessible, transferable cultural safety training module for professionals in multiple fields of work. The intensive mini-module proposed by the research team at Dalla Lana School of Public Health, University of Toronto will support our workplace goal of increasing cultural safe practices and awareness of Indigenous peoples in the Peterborough area. We are developing a partnership collaboration agreement between PPH and DLSPH to work in collaboration and partnership to develop and pilot the micro-credential badge in cultural safety for public health staff for their work with Indigenous peoples in the Peterborough area. We have identified some key activities that will be achieved under this agreement (which will be finalized in the coming weeks):

1. Following OCAP® (Ownership, Control, Access and Possession) principles developed by and for Indigenous research and evaluation projects, both parties will follow these principles. The data and knowledge created by this partnership will be kept in trust with the Waakebiness-Bryce Institute for Indigenous Health (WBIIH) at the Dalla Lana School of Public Health (DLSPH), University of Toronto for the use with Indigenous peoples, organizations and/or communities. However, Peterborough Public Health can request declassified and/or unidentifiable data to ensure for specific purposes relating to effectiveness of the project for their participating staff. All data will be confidential and unidentifiable with password protection and encrypted.

2. Both partners will work together with Elders and/or Knowledge Keepers to develop the content of the module, review the assessments and evaluation tools used in the module, and with any reports or other dissemination materials created. PPH will ensure that at least 5 senior managers will attend the post-course virtual talking circle to discuss the efficacy, integration and future directions that the mini-course can improve for scale-up with PPH and other local public health agencies in Ontario.

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Serving the residents of Curve Lake and Hiawatha First Nations, and the County and City of Peterborough

3. The DLSPH project team will meet regularly with PPH staff involved in the project as well as Elders and

Knowledge Keepers to ensure the content is applicable, culturally safe for the Peterborough Indigenous groups, and provides the necessary skills of Indigenous community engagement.

The key principles of the relationship are guided by reciprocity, respect, and sharing, which will use traditional ways of knowing and ways of being in order for us to move and travel together in a ‘good way’1. In practicing cultural safety within this agreement and project, both partners are building the foundations which public health staff will be learning in the mini-course. PPH agrees to ensure that at least 50 public health agency staff pilot the mini-course and that 5 managers will be a part of the virtual talking circle after the course has been completed and they have had an opportunity to observe participating staff working with Indigenous people, groups or communities. Peterborough Public Health will introduce the DLSPH research team to local First Nations and Métis Elders and Knowledge Keepers to assist with the creation of the mini-course and be a part of this project. This opportunity will strengthen PPH’s objectives of promoting cultural safe practices in the workplace as outlined in the Relationship With Indigenous Communities Guideline, 2018 set out by the Ministry of Health and Long-Term Care’s Population and Public Health Division in January 2018. The cultural safety intensive mini-course will provide PPH staff to broaden their personal knowledge and become self-aware of their power and privileges in relation to Indigenous people in our area. We are highly supportive of this initiative and hope to continue to build our relationship with WBIIH and DLSPH at the University of Toronto. Sincerely, Original signed by Rosana Salvaterra, MD, MSc, CCFP, FRCPC Medical Officer of Health

1 A ‘good way’ for Indigenous peoples and communities means following the principles of honesty, wisdom, respect, bravery, humility, love, and truth, which are the Seven Grandfather Teachings in the Ojibwe culture, which is representative of the Peterborough area.

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