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15. GRANT
TO THE OTTAWA HOME HAEMODIALYSIS PROGRAM SUBVENTION
AU PROGRAMME D’HÉMODIALYSE À DOMICILE D’OTTAWA
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Committee
recommendation
That Council provide a grant of $10,000 to the Ottawa Hospital Home Haemodialysis Program to be funded from the City-Wide Reserve Fund and in cooperation with the Medical Officer of Health.
Recommandation du Comité
Que le Conseil accorde une subvention de
10 000 $ au Programme d’hémodialyse à domicile de l’Hôpital d’Ottawa,
à partir du fonds de réserve de la Ville, en collaboration avec le médecin chef
en santé publique.
Documentation
Coordinator’s report, Planning and Environment Committee
dated 28 March 2007 (ACS2007-CCS-PEC-0007).
Report to / Rapport au:
Ottawa City Council
28 March 2007/le 28 mars 2007
Submitted by / Soumis par: M. J. Beauregard,
Coordinator/coordonnatrice
Planning and Environment Committee/Comité de
l’urbanisme et de l’environnement
613-580-2484 – Diane.Holmes@Ottawa.ca
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City Wide / À l'échelle de la Ville |
Ref N°:
ACS2007-CCS-PEC-0007 |
Subject : GRANT TO THE OTTAWA HOME
HAEMODIALYSIS PROGRAM
objet: SUBVENTION
AU OTTAWA HOME HAEMODIALYSIS PROGRAM
REPORT RECOMMENDATION
That Council provide a grant of $10,000 to the
Ottawa Hospital Home Haemodialysis
Program to be funded from the City-Wide Reserve Fund and in cooperation
with the Medical Officer of Health.
recommandation du rapport
Que le Conseil accorde une subvention de 10 000 $ au
Programme d’hémodialyse à domicile de L’Hôpital d’Ottawa, à partir du fonds de
réserve de la Ville, en collaboration avec le médecin chef en santé publique.
At its meeting of 27 March 2007, the Planning and Environment Committee received the following Motion from Councillor Diane Holmes:
WHEREAS chronic kidney disease
afflicts a growing number of residents of the City of Ottawa each year;
AND WHEREAS the Ottawa
Hospital currently operates a newly established Home Haemodialysis Program for
patients who require dialysis as part of their treatment;
AND WHEREAS home Haemodialysis
decreases the amount of time an individual must spend in hospital and increases
the amount of time they can spend at home and in the community with their
families;
AND WHEREAS home Haemodialysis
patients can experience less side effects from this treatment and can lead more
productive lives;
AND WHEREAS the amount of water
required to support home haemodialysis is significant;, increasing
one household from an average of 20 cubic meters per billing period to
approximately 80 cubic meters per billing period;
AND WHEREAS the Ottawa
Hospital Home Haemodialysis Program estimates that approximately 20 households
currently utilize the program and the target number for this program is 60
households;
AND WHEREAS on September 27,
2006 Ottawa City Council approved the Health Recreation and Social Services
Committee recommendation to “…. approve that the City of Ottawa in cooperation
with the Medical Officer of Health develop an annual grant
to the Ottawa Hospital Home Haemodialysis Program
rebate program for home dialysis patients to
offset the increased costs associated with home dialysis to be considered as
part of the 2007 budget ”.
AND WHEREAS City Council did
not give consideration to this matter during the 2007 budget deliberation;
THEREFORE BE IT RESOLVED that Council provide
a grant of allocate
$10,000 in
the 2007 budget to implement this program as directed by Councilto
the Ottawa Hospital Home Haemodialysis Program
to be funded from the City Wide Reserve Fund and in
cooperation with the Medical Officer of Health.
During the discussion of this item at Committee, Councillor Holmes advised that the Medical Officer of Health and the Director, Water Services, Public Works and Services, support the intent of the Motion.
CONSULTATION
This item will be advertised as part of the Public Meeting Advertisement in the daily newspapers on the Friday preceding the Planning and Environment Committee meeting.
FINANCIAL
IMPLICATIONS
The
grant of $10,000 is based on the estimated
number of households participating
in the Ottawa
Hospital Home Haemodialysis Program (20 households @ $500 each),
the target number for the program is 60 households.
Funds are available in the City Wide Reserve to fund the 2007 grant.
The 2008 budget will identify a budget pressure to fund the annual grant
contemplated by the motion.
A request to increase the grant amount could
impact future budgets through
growth in
the Ottawa
Hospital Home Haemodialysis Program.
The number of households
targeted by the Program is 60 which could increase the grant to $30,000
annually based on the current grant estimate.
Document 1: Submission from Mr. François-René Dussault dated 27 March 2007 to the Planning and Environment Committee.
Document 2: Disposition Statement – Ottawa City Council meeting of 27 September 2006.
Corporate Services staff in the City Clerk’s Office will advise the Medical Officer of Health and the Director of Water Services of the disposition of this item.
DOCUMENT 1
City
of Ottawa
Planning and
Environment Committee on March 27th, 2007
HOME HEMODIALYSIS ANNUAL REBATE PROGRAM
WRITTEN SUBMISSIONS BY FRANÇOIS-RENÉ
DUSSAULT
I would like first to thank this Committee to look at this annual rebate on water and sewer taxes for home hemodialysis patients in Ottawa.
Our two kidneys remove toxins from our blood and remove extra fluids from our body. They produce urine. Dialysis is like an artificial kidney: it is an artificial kidney that removes toxins from the blood and the excess of fluids. However, dialysis is not like real kidneys. It does not such a natural work as would normal kidneys do. People who have kidney failure and who are on dialysis do not urinate.
I started dialysis in winter 2000 because of a hereditary illness that caused the loss of my kidneys. I had a kidney transplant in 2001, but unfortunately I lost it in 2003. That same year, I was back on dialysis (hemodialysis) at the Ottawa Hospital.
I had to dialyse three times a week. Each treatment would last four hours which does not include the time for traveling and preparation for the treatment. I was very tired after each treatment. I could have up to four liters of fluids removed during one treatment. The cleaning of my blood was done over a short period of time and only three times a week, leaving two or three days between each treatment. It put a lot of pressure on my heart as my fluids were not removed constantly as would normal kidneys do.
I also had very strict dietary restrictions. Many fruits and vegetables had to be avoided. I could not have dairy or whole wheat products. I could not drink no more than 1 liter a day. That’s two small bottles of water and it includes soup, coffee, pops, ice cream, etc. I could not work full time. I was usually very tired. I was always tied up to the hospital.
In summer 2004, I was offered to be part of the Home Hemodialysis program of the Ottawa Hospital. After 7 weeks of training, I started the treatments at home in August 2004. Since, I have been doing nocturnal hemodialysis 5 nights a week. Each treatment lasts about 8 hours. Because of this kind of treatment at home I am much more energetic, my toxins are removed more regularly, my heart feels better as the fluids are removed regularly and I have no dietary and fluid restrictions. I do treatments while I am sleeping and therefore I do not waste about 15hrs a week at the hospital. I am more productive to the society. I work almost full time (4 days a week). In general, I am happier.
However, in fall 2004 I realized that home hemodialysis requires a lot of water. In fact, my water and sewer bill from the City of Ottawa had increased by more than 4 times. As the report submitted by Councillor Holmes in September 2006 before the Health Recreation and Social Services Committee specifies, my water consumption increased from 128 cubic meters to 554 cubic meters in the one-year period following the start of home hemodialysis. The annual cost for water service has increased from $226 annually to $932 annually.
This City has chosen that tax payers would pay their water and sewer bills according to their consumption. I believe that the City of Ottawa rate system is fair: a property owner should pay more if he has a swimming pool, washes his car 3 times a week or water his lawn every evening for instance.
However, my extra water consumption is not in respect of filling up my swimming pool. It is done in order to sustain my life. I need this water in order to be at the office the next day or to be able to be with my loved ones.
I am 37 y/o and have many years ahead of me. Home hemodialysis is apparently the best possible treatment for kidney failure after transplant. Doing 3 times a week dialysis at the hospital would probably lower my life expectancy.
The annual rebate program that was approved on September 27, 2006 by the Ottawa City Council is just a minimum to cover the water consumption required by home hemodialysis patients.
This annual rebate to all home hemodialysis patients in Ottawa is a small amount for the City of Ottawa compared to other business this City has to carry. But at the same time, it will help a few people whose life depend on dialysis to make a choice for a better treatment at home,
Once again, I want to thank you all to look at this matter.
DOCUMENT 2
Disposition 65
Ottawa City Council
27
September 2006
HEALTH, RECREATION AND
SOCIAL SERVICES COMMITTEE REPORT 38
1. Home
dialysis annual rebate program |
COMMITTEE RECOMMENDATION
That Council
approve that the City of Ottawa in cooperation with the Chief Medical Officer
of Health develop an annual rebate program for home dialysis patients to offset
the increased costs associated with home dialysis to be considered as part of
the 2007 budget.
CARRIED