7. a) 13. 7. a) 13. What is public health? 7. a) 13. 7. a) 13. - - PowerPoint PPT Presentation

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7. a) 13. 7. a) 13. What is public health? 7. a) 13. 7. a) 13. - - PowerPoint PPT Presentation

Jun 12, 2023 663 likes •1.03k views

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

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SLIDE 1
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SLIDE 2

What is public health?

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SLIDE 3
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SLIDE 4

Population Health Approach

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SLIDE 5

GREAT PUBLIC HEALTH ACHIEVEMENTS OF THE 20TH CENTURY

Vaccination Motor vehicle safety Family planning Healthier moms and babies Control of infectious diseases Safe and healthier foods

Safer workplaces Decline in deaths from heart disease & stroke Recognition

  • f tobacco

use as a health hazard

Fluoridation

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SLIDE 6

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
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SLIDE 7

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

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SLIDE 8

Health sector expense by program area, 2017-18 ($ billions)

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SLIDE 9

2017 Expenditures and Revenues

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SLIDE 10

Ontario Public Health Standards

Chronic Disease Prevention and Well- Being Food Safety 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 Hazards Child Health Inspections Reproductive Health Climate Change Family Health (Social Determinants*)

*100% provincially funded

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SLIDE 11

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
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SLIDE 12

GOAL Reduce the prevalence of and prevent childhood overweight and obesity in Peterborough communities. PRINCIPLES

  • Focus on healthy kids, not just healthy weights. Age range

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.

Healthy Kids Community Challenge

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SLIDE 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

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SLIDE 14

Free Skating in Cavan Team Mayor Bennett vs. Team Warden Jones basketball “shoot out” game Swim to Survive for Curve Lake First Nation

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)
  • 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
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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

  • Nibi Giinwiindawan (We Are

Water) Curriculum

  • Family event at Farmers’

Market in October – Chief Williams attended and spoke

  • Communications strategy:

Social media, contests – Water Month in February

Havelock Curve Lake First Nation Norwood North Kawartha Hiawatha First Nation

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Theme 3: Choose to Boost Veggies and Fruit. April – Dec. 2017 Encouraging kids and families to make veggies and fruit to be a part of every meal and snack

  • Promoting healthy half time snacks

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”

Maple Leaf Minor Soccer - Cavan

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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

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SLIDE 18

Ontario Public Health Standards

Infectious and Communicable Diseases Prevention and Control Safe Water Reportable Diseases and Outbreak Investigations Recreational Water (Beaches) Surveillance and Monitoring Zoonotic Disease Surveillance and Monitoring Inspections/Investigations 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

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How well is Peterborough doing?

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 10 20 30 40 50 60 70 80 90 100

PPH Immunization Coverage(%) among Children 7 Years old: 2016-2017 School year

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Immunization Rates cont’d.

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 10 20 30 40 50 60 70 80 90 100

PPH Immunization Coverage(%) among Children 17 Years old: 2016-2017 School year

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SLIDE 21

Water Safety

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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 Oral Health Assessment and Surveillance Healthy Smiles Ontario* Immunization Vision Health and Vision Screening Comprehensive School Health

*100% funded

COST-RECOVERY PROGRAMS Septics

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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
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Recent History of Public Health Funding in Ontario

Year Municipal Share Provincial Share Prior to 1998 25% (GTA 40%) 75% (GTA 60%) 1998 100% 1999 50% 50% 2004-7 25% 75%

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SLIDE 25

Local Funding for Public Health in Ontario

Municipal/Regional Funding % Public Health Units 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%

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SLIDE 26

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%

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SLIDE 27

Historical Public Health Funding

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Three-Prong Strategy

  • alPHa and OPHA
  • AMO and Local Municipality Support

Advocate for Sustained and Adequate Provincial Funding

  • Establish clear policy on minimums and use of reserves
  • Identify funds available to offset deficits

Judicious Use of Reserves

  • Plan for increased local share of cost-shared public health

budget (from current 25% to 30% over 3 years) Move to 30% Local Funding

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SLIDE 29

2019 Request

2017 2018 (Amended) 2019 (Projected) County of Ptbo $841,241 0% increase $856,953 2% increase $928,080 8.3% increase Total Budget Revenues $8,613,984 $8,656,198 $8,715,319 Expenditures $8,756,117 $8,740,229 $8,873,565 Shortfall ($142,133) ($84,031) ($158,246) approx.

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SLIDE 30

Municipal Policy and Public Health

  • Poverty
  • Alcohol
  • Water Fluoridation
  • Housing
  • Air Quality
  • Transportation
  • Land Use
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SLIDE 31

Per cent increase in Fentanyl deaths: 2008-16

The Fentanyl Crisis

March 28, 2018 Mortality caused by Fentanyl in Ontario and Central East LHIN: 2008-2016

419%

Source: Public Health Ontario

800%

5 10 15 20 25 30 35 40 45 50 2008 2009 2010 2011 2012 2013 2014 2015 2016

Per cent of opioid-related deaths from Fentanyl Year Ontario Central East LHIN

Ontario Central East LHIN

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SLIDE 32

Active Transportation

  • Students who are physically

active do better in school

  • The absence of sidewalks

measurably decreases rates

  • f walking to school
  • Only 1 in 5 Ontario students

are meeting the physical activity requirements

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SLIDE 33

Peterborough Food Charter For All Residents of Curve Lake, Hiawatha First Nations and the County & City of Peterborough to consider Visionary Statements:

  • Local Food System*
  • Health
  • Social Justice
  • Culture & Community
  • Education
  • Economic

Sustainability*

  • The Environment*
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SLIDE 34

Saturday, February 9, 2018

Back to the Future: 130 years of Local and Strong Public Health in the Kawarthas

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SLIDE 35

Questions?

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