U/B-1
                                       CITY OF VANCOUVER




                                    M E M O R A N D U M


    From:    CITY CLERK'S OFFICE                                                                                                  Date:  APRIL 24, 1996
                                                     Refer File:  3254

     To:     VANCOUVER CITY COUNCIL

     Subject: METROPOLITAN BOARD OF HEALTH

     =================================================================

     The attached Administrative Report dated March 1, 1996, dealing with the Metropolitan
     Board of Health (MBH), was withdrawn from the March 12, 1996 Council agenda at the
     request of the Medical Health Officer.  Subsequently, Mayor and Councillors received
     the accompanying April 1, 1996 letter [U/B1(i)] advising that the MBH has voted to
     end the MBH Agreement.  The terms of the agreement require that Council pass a
     resolution to withdraw from the MBH, and so inform its Chair by the end of June 1996.

     In his Administrative Report, the General Manager of Community Services points out
     Vancouver is contractually obligated to pay the 1996 Board Assessment of $3,759.50. 
     The Medical Health Officer advised that if the Board's affairs are wound down before
     the end of 1996, a formula will be worked out to return appropriate percentages to
     the various members.





                                                     CITY CLERK

     NLargent:as
                                                                             U/B-1
                                                                                                                                                                                           REPORT
                         ADMINISTRATIVE REPORT

                                           Date:  March 1, 1996

   TO:       Vancouver City Council

   FROM:     General Manager of Community Services

   SUBJECT:  Metropolitan Board of Health


   RECOMMENDATION

        THAT City Council resolve to withdraw from the Metropolitan
        Health Board, effective December 3, 1996, and that the
        Chairman of the Metropolitan Health Board be served with a
        copy of this resolution.

   COUNCIL POLICY

   As a result of the transfer of the Vancouver Health Department to
   the Vancouver Health Board, Council no longer plays a major role
   in establishing policy for public health services in the City of
   Vancouver.


   BACKGROUND

   The Metropolitan Health Board is composed of representatives of
   the Councils and School Boards of Vancouver, Burnaby and
   Richmond, of the North Shore Union Board of Health, and of the
   Ministry of Health.  The Board was established to "exercise
   coordination, advisory and consultative functions to the
   Vancouver, Burnaby, Richmond and North Shore Health Departments
   in the metropolitan area."  The Board may also "exercise
   coordination, supervising and consultative functions, powers and
   duties as the Minister of Health may prescribe in the
   administration of health services."  The City's representative on
   the Board is Councillor Sullivan.

   The City has contributed to the cost of running the Metropolitan
   Board through the Vancouver Health Department budget.  The 1996
   Board Assessment for Vancouver is $3,759.50.

   The City became a member of the Metropolitan Board of Health via
   an agreement, dated July 2, 1965.  This agreement states:

        Any party may by resolution passed by its duly
        constituted governing body withdraw from this agreement
        at the end of any calendar year provided a copy of the
        said resolution has been served upon the chairman of
        the Metropolitan Board at least six (6) months before
        the end of that year and therefore the withdrawing
        party shall no longer be represented on said
        Metropolitan Board of Health.

   DISCUSSION

   As the City transferred the Health Department to the Vancouver
   Health Board on January 1, 1996, Council no longer has
   responsibility for the provision of public health services. 
   Therefore, membership on the Metropolitan Health Board is neither
   required nor desirable, and the City should serve notice of
   withdrawal.

   Unfortunately, the notice provisions in the Metropolitan Health
   Board agreement commit the City to membership through the end of
   1996 and commit the City to a cost assessment.  This assessment
   can no longer be covered in the Health Department budget, as the
   City no longer controls the Health Department and the Vancouver
   Health Board cannot pay dues for the City.  The 1996 assessment
   (which is a contractual obligation, not a grant) will, therefore,
   be paid from General Government accounts.  If Council approves
   the recommendation in this report, there will be no 1997
   assessment.


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