7. a) 13.
7. a) 13. What is public health?
7. a) 13.
7. a) 13. Population Health Approach
7. a) 13. Recognition of tobacco Safer Vaccination use as a workplaces health hazard Safe and Motor healthier vehicle foods safety GREAT PUBLIC HEALTH ACHIEVEMENTS OF THE 20 TH CENTURY Control of Family infectious planning Decline in diseases deaths from Healthier heart Fluoridation moms and disease & stroke babies
7. a) 13. Statutory Basis (HPPA) • Section 5 (MUST address community sanitation, prevention/elimination of health hazards, safe drinking water, health promotion, collection/analysis of data, etc.) • Section 7 gives MOH legal authority for setting standards • Section 9 response to local needs • Section 50 FN agreements • Section 72 funding by municipalities
7. a) 13. Other “Shall”s for PH • MOH SHALL engage with CEO of LHIN on population health assessment, joint planning for health services and pop. health initiatives; • SHALL engage with municipalities, LHINs, etc. in decreasing health inequities; • SHALL lead, support, and participate in health equity analysis and policy advancement; • SHALL effectively ensure 24/7 emergency response and recovery
7. a) 13. Health sector expense by program area, 2017-18 ($ billions)
7. a) 13. 2017 Expenditures and Revenues
7. a) 13. Ontario Public Health Standards Chronic Disease Prevention and Well- Food Safety Being Physical Activity Promotion Inspections Skin Cancer Prevention Education Healthy Eating Menu Labelling Work and Health Enhanced Food Safety* Cancer Screening Promotion – Indigenous Communities Health and Housing (Social Determinants*) Healthy Environments Healthy Growth and Development Surveillance and Monitoring of Health Child Health Hazards Inspections Reproductive Health Climate Change Family Health (Social Determinants*) *100% provincially funded
7. a) 13. Example of Health Hazard Response • House fire earlier this year led to contamination of ground water with perfluorinated chemicals (PFCs) • Drinking Water Advisory order issued to a nearby elementary school • Alternative sources of drinking water arranged • Communications with parents • Ongoing monitoring and guidance provided
7. a) 13. Healthy Kids Community Challenge GOAL Reduce the prevalence of and prevent childhood overweight and obesity in Peterborough communities. • Focus on healthy kids, not just healthy weights. Age range PRINCIPLES 0-12 years. • Healthy kids live in healthy families, schools and communities • Target protective factors for healthy weights for all children – including improving nutrition, physical activity and promoting adequate sleep • Focus on positive health messages – avoid stigma around weight • Support health equity through interventions at the population-level and by targeting at-risk populations.
7. a) 13. HKCC Themes • Theme 1: Run. Jump. Play. Every Day! – Oct 2015 – June 2016 • Theme 2: Water Does Wonders – July 2016 – March 2017 • Theme 3: Choose to Boost Veggies & Fruit – April 2017 – Dec 2017 • Theme 4: Power off and Play! – Jan 2018 – Sept 2018
7. a) 13. Theme 1: Run. Jump. Play. Every Day. Oct 2015 – June 2016 Focused on supporting kids to be more physically active • Access to Recreation Map (City and County) Team Mayor Bennett vs. Team Warden Jones basketball “shoot out” game • Swim to Survive safety skills and water program (County schools, Curve Lake First Nation) • Free swims/public skates in municipal recreation centres • Ptbo Gets Active Month – free activities for children and families • After school programs through the YMCA • Bike racks installed in City and County schools • PRHC Family Play for Health workshops in the County • Central East Physical Literacy Summit Swim to Survive for Curve Lake First Nation Free Skating in Cavan
7. a) 13. Theme 2: Water Does Wonders. July 2016 – March 2017 Focused on promoting water as the best beverage choice for kids + increasing access • Hydration stations across the community + online map • Working with schools, child care, YMCA, community agencies, health, and not-for- profits Curve Lake • Nibi Giinwiindawan (We Are Havelock First Nation Water) Curriculum • Family event at Farmers’ Norwood Market in October – Chief Hiawatha First Nation Williams attended and spoke • Communications strategy: Social media, contests – Water Month in February North Kawartha
Theme 3: Choose to Boost Veggies and Fruit. April – Dec. 2017 7. a) 13. Encouraging kids and families to make veggies and fruit to be a part of every meal and snack • Promoting healthy half time snacks Maple Leaf Minor Soccer - Cavan with local minor soccer leagues • Supporting recreation centres to provide healthy menu options (Norwood) • Surviving “Picky Eating” Series by PRHC • Pilot of “Trust me. Trust my Tummy.” Resource for NPs & Clinicians • Partnering with local business/community groups (Peterborough Petes, Ecology Park- GreenUP) • Provincial Childcare Providers Toolkit “Paint Your Plate with Vegetables and Fruit”
7. a) 13. Theme 4: Power off and Play! January – September 2018 Helping children and families build a balanced day that is NOT filled with screen time. • Free public skates in the City and County • Free swimming program in Curve Lake First Nation • 52 Hopscotch stencils in City and County & Hiawatha First Nation • Plugging into Nature – puppet show about getting off screens and exploring nature • ORCA Discovery Days • Expanding the book and game collection at the Peterborough Library and Peterborough Child & Family Centres (formally PFRC) • School-wide power off and play challenge – emphasis on eating meals together away from screens and loose parts play • Expanding Think Outside – an outdoor education program • Powering off Screens for Kids Health workshop with PRHC
7. a) 13. Ontario Public Health Standards Infectious and Communicable Safe Water Diseases Prevention and Control Reportable Diseases and Outbreak Recreational Water (Beaches) Investigations Surveillance and Monitoring Zoonotic Disease Surveillance and Inspections/Investigations Monitoring Rabies Prevention and Control Small Drinking Water Vector Borne Diseases Enhanced Safe Water* Sexual Health Clinics Infection Prevention and Control Nurses* Infectious Disease Control Initiative* Immunization Foundational Standards Vaccine services Healthy Public Policy *100% funded
7. a) 13. How well is Peterborough doing? PPH Immunization Coverage(%) among Children 7 Years old: 2016-2017 School year 100 90 80 70 60 50 40 30 20 10 0 Measles Mumps Rubella Diphtheria Tetanus Polio Pertuss Hib Pneumoco MCC VAR PPH:2016-2017 92.9 92.9 97.2 87.7 87.7 88.2 87.6 88.0 78.7 95.3 60.2 PHUs-Min (Ontario) 83.9 83.7 91.9 68.2 68.2 67.7 68 77.3 73.7 87.6 35.9 PHUs-Max (Ontario) 97.8 97.8 99.0 97.2 97.2 97.2 97.2 95.5 92.9 98.7 77.6 National Goal 95.0 95.0 95.0 95.0 95.0 95.0 95.0 95.0 95.0 95.0 95.0
7. a) 13. Immunization Rates cont’d. PPH Immunization Coverage(%) among Children 17 Years old: 2016-2017 School year 100 90 80 70 60 50 40 30 20 10 0 Measles Mumps Rubella Diphtheria Tetanus Polio Pertuss PPH:2016-2017 95.7 95.7 97.0 82.1 82.1 94.8 78.0 PHUs-Min (Ontario) 83.9 83.7 91.9 68.2 68.2 67.7 68 PHUs-Max (Ontario) 97.8 97.8 99.0 97.2 97.2 97.2 97.2 National Goal 95.0 95.0 95.0 95.0 95.0 95.0 95.0
7. a) 13. Water Safety
7. a) 13. Ontario Public Health Standards Substance Use Injury Prevention Tobacco Wise Living Transportation Safety Cannabis Complete Play Spaces Alcohol Harm Reduction – Opioid* Needle Exchange Initiative* Smoke Free Ontario – Youth Engagement* Smoke-Free Ontario – Tobacco Control* Smoke-Free Ontario – Enforcement* Smoke-Free Ontario – Prosecution* Electronic Cigarette Act* School Health COST-RECOVERY PROGRAMS Oral Health Assessment and Surveillance Septics Healthy Smiles Ontario* Immunization Vision Health and Vision Screening Comprehensive School Health *100% funded
7. a) 13. What is NOT mandatory? • Septic inspections/re-inspections (Locally funded) • Infant Toddler Development • Dental treatment for low-income families, adults and seniors (Healthy Smiles Ontario, Dental Treatment Assistance Fund) • Focus of health promotion work to prevent chronic disease and injury and promote well- being (Annual Service Plans) • Health equity strategies
7. a) 13. Recent History of Public Health Funding in Ontario Year Municipal Share Provincial Share Prior to 1998 25% (GTA 40%) 75% (GTA 60%) 1998 100% 0 1999 50% 50% 2004-7 25% 75%
7. a) 13. Local Funding for Public Health in Ontario Municipal/Regional Public Health Units Funding % Number % 25% to 26% 8 27% 26% to 30% 9 30% 31% to 35% 7 23% 36% to 40% 4 13% 41% to 45% 2 7% Totals 30 100%
7. a) 13. Cost-shared budget Province of Ontario 75% City of Peterborough 15% County of Peterborough 10% Hiawatha First Nation <1% Curve Lake First Nation <1% 100%
7. a) 13. Historical Public Health Funding
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