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September 19, 2019

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Presentation:
    SIS Community Consultation Executive Report (T. Marentette)
  5. Approval of Minutes
    1. Regular Board Meeting: June 20, 2019
  6. Consent Agenda
    1. INFORMATION REPORTS
      1. Q2 Financial Results (L. Gregg)
      2. Q2 Operational Planning Status Update (T. Marentette)
      3. Annual Report (L. Gregg)
      4. Data and Cyber Security (L. Gregg)
      5. Environmental Health E-Learning Course (K. McBeth)
      6. Windsor-Essex Food Policy Council and Community Food Assessment (N. Dupuis)
      7. Sexually Transmitted and Blood-Borne Infections in W-E County (K. McBeth)
      8. Media Recap (July-August)
    2. RESOLUTION/RECOMMENDATION REPORTS
      1. Windsor-Essex Food Policy Council (N. Dupuis)
      2. Non-competitive Procurement (L. Gregg)
        1. Dental Renovations
        2. Payroll and Human Resource System
      3. Completion of Consumption and Treatment Services Application and Site Location Consultation (T. Marentette)
  7. Business Arising
  8. Board Correspondence – Circulated
  9. New Business
    1. 2019 Budget Approval (L. Gregg)
    2. CUPE Pay Equity (D. Sibley/T. Marentette)
    3. Letter to Windsor Utilities Commission (Fluoride) (W. Ahmed)
  10. Other Board of Health Resolutions/Letters – For Support
    1. Sudbury & District Public Health – For Support – Parity of Esteem Position Statement – Letter to Hon. Christine Elliott (with Position Statement from Sudbury Health Unit Board)
    2. Council of Ontario Medical Officers of Health – For Support – Alcohol Choice & Convenience – Letter to Hon. Vic Fedeli
    3. Peterborough Public Health – For Support - Funding Cancelled for Leave the Pack Behind – Letter to Hon. Christine Elliott
    4. Peterborough Public Health – For Support – Changes to Provincil Autism Supports – Letter to Hon. Lisa McLeod
  11. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act) 66
  12. Next Meeting: At the Call of the Chair or October 17, 2019 – Windsor
  13. Adjournment

View Document page

Reporting Structure

This report provides a status summary for all of the 2019 Annual Service Plan program interventions that were in progress in Q2 (April 1st to June 30th).

All active interventions received a status update using the following categories:

  • On Target (the intervention is progressing at the planned pace)
  • Variance (the intervention is behind the planned pace)
  • Complete (the intervention has been completed)
  • Deferred (current work on the intervention has been stopped – with potential to continue next year)
  • Cancelled (the intervention will no longer occur)

If the intervention was identified as ‘Variance’, ‘Deferred’, or ‘Cancelled’, a reason was provided. In these cases, the most relevant reason was selected from the following list:

  • 2019 Labour Disruption (the labour disruption resulted in changes to the intervention)
  • Adjusted Program Priorities (program priority alterations resulted in changes to the intervention)
  • Human Resource Issue (staffing circumstances resulted in changes to the intervention)
  • Partnership Limitations (external partner(s) did not to meet their obligations)
  • Public Health Emergency (a significant public health emergency resulted in changes to the intervention)
  • Resource Limitation (financial, material, or internal support limitations resulted in changes to the intervention)

It is important to note that reporting reflects a summary of progress made on interventions based on the predetermined milestones for the intervention. This does not necessarily represent the amount or scope of work captured under each program.

Operational Plan Status Summary

Overall Quarterly Status Summary

There were 235 interventions in progress in Q2 2019. Figure 1 displays the percentage of interventions that were on target, reported a variance, were deferred, were cancelled, or were completed. A majority of the interventions were either on target or completed (63%), though 10% of the interventions were cancelled or deferred until the following year.

Intervention Status by Status Type

Of the 235 interventions in progress, 87 (37%) were either deferred, cancelled, or varied from the target. Figure 2 provides a summary of the reasons for variances, deferrals, or cancellations as a percentage of the total number of variances, deferrals, and cancellations.

Reason for Cancellation, Deferral, or Variance

Of the interventions that were deferred, cancelled, or varied from the target, the most common reason given was adjusted program priorities (34%), this was followed by the 2019 labour disruption (30%), and human resources issues (22%). The labour disruption and proposed changes to public health operations directly impacted the priorities and human resources allocated to interventions. Combined, the labour disruption, program priority adjustments, and human resource issues accounted for 86% of the variances, deferrals, or cancellations of interventions.

Program Quarterly Status Summary

All interventions are directly tied to programs and program objectives; Figure 3 displays a summary of the status updates for each WECHU program based on the number of interventions that were on target, varied from target, were completed, were deferred, or were cancelled. In general, programs most affected by the labour disruption or the proposed changes to public health operations displayed the highest frequency of variances, cancellations, or deferrals.

Intervention Status By Program


View Document page

Prepared By:

Communications Department

Date:

July 4, 2019

Subject:

June Media Relations Recap Report

June Media Coverage

Total Media Coverage

64

Interview Requests

27

Mentions (In the news without direct interviews)

35
Requests for Information 2

June 2019 Media Relations Recap - Media Coverage

June 2019 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

15

Blackburn News

8

CBC News

11

CBC Radio One

1

CTV Windsor

14

St. Thomas Times Journal

1

Windsor Star

10

windsorite.ca

4

TOTAL

64

News Release, Media Advisories and Media Statements

Date Type Headline Response

June 7, 2019

News Release

Windsor-Essex County Health Unit Supports School Gardens To Promote Healthy Eating To Students

0 Stories Reported

June 10, 2019

News Release

WECHU Water is your One-Stop App to Find Water in Windsor and Essex County

5 Stories Reported

June 11, 2019

News Release

Beach Water Test Results Available June 12

4 Stories Reported

June 13, 2019

News Release

Mosquito Trap Reveals One Aedes Albopictus

4 Stories Reported

June 17, 2019

News Release

Working Toward Wellness Luncheon – Managing Opioids in the Workplace: What Employers Need to Know!

0 Stories Reported

June 18, 2019

Media Advisory

Windsor-Essex County Health Unit Board of Health Meeting at Essex Office

5 Stories Reported

June 24, 2019

Media Advisory

Working Toward Wellness Luncheon – Managing Opioids in the Workplace: What Employers Need to Know!

4 Stories Reported

Stories Reported by the Media

AM 800

Note: Digital stories were not available for two of AM 800’s requests.

Publish Date

Title

June 6, 2019

Video: Local MPP Calls On Province To Open More Safe Injection Sites

June 12, 2019

New Health Unit App Makes Accessing Water Easier

June 12, 2019

Health Unit Issues Beach Testing Results

June 13, 2019

Asian Tiger Mosquito Found In Windsor

June 19, 2019

Opioid Deaths Up Sharply But No Clear Solution At Hand

June 20, 2019

No Swimming At Four Area Beaches This Weekend

June 21, 2019

Health Unit Wants To Eliminate Vaping, Smoking And Cannabis At More Public Places

June 24, 2019

Windsor-Essex County Health Unit To Extend Vaccination Deadline

June 26, 2019

Beaches: Two Local Beaches Unsafe For Swimming

June 27, 2019

Community Members Encouraged To Carry Naloxone Kits

June 27, 2019

Health Unit Offers Tips To Beat The Heat

June 27, 2019

First Heat Warning Of The Season For Windsor-Essex

June 27, 2019

Lynn Martin - You Are Being Asked To Carry Naloxone…Would You Carry It?

June 28, 2019

Foot Care Clinics In Windsor-Essex Suspended

Blackburn News

Publish Date

Title

June 6, 2019

Opioid Crisis Must Be Declared Public Health Emergency, Say MPP

June 10, 2019

Health Unit Helping You Keep Cool With A Water App

June 12, 2019

Beach Water Quality Reports Have Started For The Summer

June 13, 2019

Surveillance Turns Up Mosquito That Can Carry Zika Virus

June 17, 2019

Health Minister Suggests Windsor Not Lose Hope On Safe Injection Site

June 19, 2019

Warnings Posted At Three Windsor Area Beaches

June 25, 2019

One Local Beach Remains Closed And Two Are Not Recommended For Swimming

June 28, 2019

Health Unit Suspends Operations Of Three Foot Care Clinics

CBC News

(also includes Radio-Canada)

Note: Digital stories were not available for two of CBC’s requests.

Publish Date

Title

June 5, 2019

Can You Be Charged With Possession If You're In An Illegal Overdose Prevention Site

June 10, 2019

Web Tool Provides Map Of Water Fountains, Splash Pads In Windsor-Essex

June 15, 2019

Erosion Closes Holiday Beach, 6 Metres Of Beachfront Lost In 6 Months

June 17, 2019

Few Beach Closure Due To Bacteria Levels - But What Does That Mean?

June 19, 2019

‘We See One Or Two Patients A Week': Windsor-Essex Opioid Deaths Surpass Previous Records

June 19, 2019

Warnings Posted For 3 Windsor-Essex Beaches, None Closed

June 21, 2019

Windsor-Essex Health Unit Has Issued 20 Youth Vaping Fines Since April

June 25, 2019

WECHU Says Seacliff, Mettawas Beach Unsafe - But Isn't Closing Them

June 26, 2019

Identifying Strategies To Help Employees With Substance Abuse Problems

June 28, 2019

Three Foot Care Clinics Suspended After Infection Prevention Breach

CTV Windsor News

Publish Date

Title

June 5, 2019

Ontario Government Reducing Funding For Safe Injection Site

June 7, 2019

Windsor MPP Calling On Province To Approve More Safe Injection Sites

June 12, 2019

One Windsor-Essex Beach Closed To Swimmers

June 13, 2019

Windsor-Essex Trap Catches Mosquito Known To Transmit Zika

June 19, 2019

Public Health Ontario Reports 48 Opioid-Related Deaths In Windsor-Essex In 2018

June 19, 2019

Opioid Crisis In Windsor-Essex (see 5m30s)

June 20, 2019

Holiday Beach Closed And Warning Issued For Three Other Windsor-Essex Beaches

June 20, 2019

Opioid Prescriptions Highest In Erie St. Clair LHIN

June 21, 2019

Health Unit Looks To Limit Smoking And Vaping Spaces

June 24, 2019

Deadlines Extended For Grade 7 Immunizations

June 26, 2019

Health Unit Helping Employers Become More Educated On Opioids

June 27, 2019

First Heat Warning This Year Issued For Windsor-Essex And Chatham-Kent

June 28, 2019

Infection Risk Identified Causing Suspension Of Essex County Foot Care Clinics

June 28, 2019

Three Essex County Beaches Closed To Swimming Over Canada Day Long Weekend

St. Thomas Times Journal

Publish Date Title

June 20, 2019

Too Early To Say' How Mega-Merger Will Affect City, Say Health Unit's Chief Executive

Windsor Star

Note: Digital stories were not available for two of Windsor Star’s requests.

Publish Date Title

June 5, 2019

Jarvis: No Time To Wait For Safe Injection Site

June 6, 2019

Opioid Crisis Causes Decline Of Life Expectancy In Parts Of Southwestern Ontario

June 10, 2019

Windsor-Essex County Health Unit Launches Water Services App

June 18, 2019

Windsor Man Fears Explosion Of Mosquitoes From Water Along Railway

June 19, 2019

Windsor-Essex County Sees Record Number Of Opioid Deaths In 2018

June 21, 2019

Two Windsor-Essex Beaches Unsafe For Swimming On First Weekend Of Summer

June 27, 2019

First Heat Warning Of The Season Issued For Windsor-Essex

June 28, 2019

Windsor-Essex Health Unit Shuts Down Local Foot Care Clinics Over Infection Control Practices

Windsorite.ca

Publish Date Title

June 10, 2019

Health Unit Launches New Website To Find Water In Windsor And Essex County

June 12, 2019

Weekly Beach Reports Return For The Summer

June 13, 2019

Mosquito Trap Finds One Aedes Albopictus

June 28, 2019

Multiple Breaches In Infection Prevention And Control Practices Found At Foot Care Clinics

The following individuals contributed to this report: Jennifer Jershy, Marc Tortola, and Michael Janisse.


View Document page

Prepared By:

Communications Department

Date:

August 7, 2019

Subject:

July Media Relations Recap Report

July Media Coverage

Total Media Coverage

75

Interview Requests

25

Mentions (In the news without direct interviews)

44
Requests for Information 6

July 2019 Media Relations Recap - Media Coverage

July 2019 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

15

Blackburn News

15

Cape Breton Post

1

CBC

16

CTV

14

The Woodstock Sentinel

1

Toronto Star

1

WDET (Detroit Radio)

1

Windsor Star

9

Yahoo News

2

TOTAL

75

News Release, Media Advisories and Media Statements

Date Type Headline Response

July 17, 2019

Media Advisory

Windsor-Essex County Health Unit Board of Health Meeting

7 Stories Reported

July 30, 2019

News Release

Infection Prevention and Control Lapse Identified at Two Foot Care Clinics

5 Stories Reported

Stories Reported by the Media

AM 800

Note: Digital stories were not available for two of AM 800’s requests.

Publish Date

Title

July 4, 2019

Swimming Off Limits At Two Area Beaches

July 9, 2019

Local Health Unit Shuts Down Two Beaches

July 11, 2019

New Treatment Program In Windsor To Focus On Root Cause Of Addiction

July 17, 2019

Two Local Beaches Unsafe For Swimming

July 18, 2019

Health Unit Advises Limiting Outdoor Time In Extreme Heat

July 18, 2019

Health Unit Eyes Possibility Of Safe Injection Site

July 24, 2019

Drug Overdose Alert Issued In Windsor-Essex

July 24, 2019

The Afternoon News - Overdose Cases Spike In Windsor

July 26, 2019

One Beach Posted Unsafe For Swimming

July 26, 2019

Annual BBQ Reminds Of Hepatitis Dangers In Windsor-Essex

July 30, 2019

Health Unit Suspends Two More Foot Care Clinics

July 31, 2019

Five Local Beaches Not Recommended For Swimming

Blackburn News

Publish Date

Title

July 4, 2019

Lots Of Open Beaches For Swimming During This Heat Wave

July 9, 2019

Three Windsor Area Beaches Closed

July 11, 2019

New Addiction Recovery Model Launches In Windsor

July 12, 2019

Local Beaches Reopen After Bacteria Count Drops

July 16, 2019

This Could Be A Nasty Flu Season

July 16, 2019

Six Of Nine Local Beaches Waiting For You To Cool Off

July 17, 2019

Heat Records Could Fall Friday

July 18, 2019

Caution Advised Ahead Of Sweltering Heat

July 18, 2019

Health Unit Survey Shows Support For Safe Injection Site In Windsor

July 24, 2019

Overdose Alert Issued For Windsor Area

July 24, 2019

Sandpoint Beach Unsafe For Swimming

July 26, 2019

Heat Warning Issued

July 29, 2019

Foot Care Clinic Doing Happy Dance Over Its New Beginning

July 30, 2019

Two More Foot Care Clinics Shut Down Over Infection Control

July 31, 2019

Bacteria Warnings Posted At Five Windsor Area Beaches

Cape Breton Post

Publish Date

Title

July 17, 2019

Letter To The Editor: Pro Fluoridation Doctors Fail To Reassure

CBC News

(also includes Radio-Canada)

Note: Digital stories were not available for two of CBC’s requests.

Publish Date

Title

July 4, 2019

Swimming Not Recommended At Mettawas Beach Again

July 10, 2019

E. Coli Levels Close Colchester And Mettawas Beaches

July 17, 2019

Warnings Posted At Two Beaches, None Closed

July 19, 2019

Windsor-Essex, Chatham-Kent Brace For Extreme Heat, Experts Recommend Steps To Stay Safe

July 18, 2019

Supervised Injection Sites Get Majority Support In Health Unit's Public Survey

July 19, 2019

'It's A Bit Tricky': Meteorologist Says Environment Canada Issued Heat Warnings Too Soon

July 19, 2019

'Do It The Proper Ways': Windsor Overdose Prevention Society Submits Non-Profit Status Application

July 25, 2019

It Take Us Away From The Other Patients': Meth Use Resource Shortages For Health Officials

July 24, 2019

Windsor-Essex County Health Unit Issues Alert Following 20 Drug-Related Hospital Visits

July 24, 2019

No Beaches Closed, One Warning Posted For Windsor-Essex

July 26, 2019

(Update to Previous Article) Supervised Injection Sites Get Majority Support In Health Unit's Public Survey

July 29, 2019

Foot Care Clinic Reopens After Infection Prevention Breach

July 30, 2019

More Foot Care Clinics Suspended For Infection Prevention Breaches

July 31, 2019

Swimming Not Recommended At 5 Area Beaches

CTV Windsor News

Note: Digital stories were not available for three of CTV’s requests.

Publish Date

Title

July 4, 2019

Mettawas Beach Closed To Swimming After Water Testing

July 5, 2019

Rise In Deaths Related To Potent Opioid Carfentanil: Medical Officials

July 10, 2019

Three Beaches Closed, One Listed As Unsafe For Swimming

July 11, 2019

Downtown Windsor Community Collaborative Launches Trauma-Based Addiction Treatment Effort

July 17, 2019

Cedar Island Beach And Mettawas Beach Are Unsafe For Swimming

July 18, 2019

Windsor-Essex, Chatham-Kent Brace For Hottest Weekend Of Year

July 19, 2019

Strong Support Shown For Safe Injection Site In Windsor-Essex: Survey

July 24, 2019

Alert Issued In Windsor-Essex Over High Number Of Overdoses

July 25, 2019

Sandpoint Beach Unsafe For Swimming, Almost All Other Windsor-Essex Beaches Open

July 30, 2019

WECHU Suspends Leamington Foot Care Clinics

July 31, 2019

5 Beaches Unsafe For Swimming In Windsor-Essex: Health Unit

The Woodstock Sentinel

Publish Date Title

July 26, 2019

Southwestern Public Health Issues First Year-End Report

Windsor Star

Publish Date Title

July 2, 2019

No Relief From Wet Heat In Windsor-Essex This Week

July 18, 2019

Three Local Beaches Deemed Unsafe

July 18, 2019

Heat Wave Poised To Break Record; Windsor Adds Night Swimming

July 19, 2019

Health Unit Study Reveals Most Windsorites Support A Safe Injection Site

July 24, 2019

Health Unit Issues Alert After Spike In Windsor-Essex Drug Overdoses

July 25, 2019

Number Of Hepatitis C Cases Growing In Windsor-Essex

July 26, 2019

Health Unit Issues No-Swimming Warning For City's Sandpoint Beach

July 30, 2019

Local Health Unit Suspends More Foot Clinics In Windsor-Essex Due To Improper Health And Safety Practices

July 31, 2019

Beaches Rate Poorly With High Bacteria Counts

Yahoo News

Publish Date Title

July 19, 2019

It's A Bit Tricky': Meteorologist Says Environment Canada Issued Heat Warnings Too Soon

July 19, 2019

Do It The Proper Ways': Windsor Overdose Prevention Society Submits Non-Profit Status Application

Note: Digital stories were not available for the Toronto Star and WDET (Detroit).

The following individuals contributed to this report: Jennifer Jershy, Marc Tortola, and Michael Janisse.


View Document page

Prepared By:

Communications Department

Date:

September 6, 2019

Subject:

August Media Relations Recap Report

August Media Coverage

Total Media Coverage

49

Interview Requests

14

Mentions (In the news without direct interviews)

30
Requests for Information 5

August 2019 Media Relations Recap - Media Coverage

August 2019 Media Relations Recap - Story Source

Media Coverage

Outlet

Number of Stories

AM 800

8

Blackburn News

7

CBC

10

CTV

10

Farmer’s Forum

1

Global News

1

Toronto Star

1

WDET (Detroit Radio)

2

Windsor Star

8

Windsorite.ca

1

TOTAL

49

News Release, Media Advisories and Media Statements

Date Type Headline Response

August 6, 2019

News Release

Two Schools Receive Gold Status from OPHEA

3 Stories Reported

August 13, 2019

News Release

West Nile Virus Positive Mosquito Pools Found

7 Stories Reported

August 14, 2019

Media Advisory

Windsor-Essex County Health Unit Board of Health Meeting

No Stories Reported

Stories Reported by the Media

AM 800

Publish Date

Title

August 6, 2019

Two Windsor-Essex Schools Receive 'Healthy Schools' Certification

August 6, 2019

Boil Water Advisory Issued For Section Of Pelee Island

August 9, 2019

Swimming Not Recommended At Five Area Beaches This Week

August 13, 2019

West Nile Found In Windsor, Chatham-Kent

August 14, 2019

Swimming Not Recommended At One Local Beach

August 22, 2019

Swimming Not Recommended At Three Area Beaches

August 27, 2019

More Mosquito Traps Test Positive For The West Nile Virus

August 28, 2019

Swimming Not Recommended At Five Area Beaches

Blackburn News

Publish Date

Title

August 6, 2019

Tough Times Demand Tough Decisions

August 8, 2019

Swimming Not Recommended At Five Local Beaches This Week

August 13, 2019

First Sign Of West Nile Virus Found In Windsor-Essex

August 13, 2019

Bacteria Warning At Colchester Beach

August 22, 2019

Warnings Up At Three Local Beaches This Week

August 27, 2019

More Signs Of West Nile Virus Found In Windsor Area

August 27, 2019

Labour Day Holiday Weekend Beach Warnings In Windsor Region

CBC News

Note: Digital stories were not available for two of CBC’s requests.

Publish Date

Title

August 7, 2019

Why It Takes 2 Days For Us To Learn If Our Beaches Have E. Coli

August 9, 2019

Respiratory Outbreak At Leamington Care Home No Cause For Concern, Says Health Unit

August 13, 2019

Mosquitoes In Dresden, Windsor-Essex Test Positive For West Nile

August 14, 2019

No Beaches Closed This Week In Windsor-Essex

August 22, 2019

Swimming Not Recommended At Three Windsor-Essex Beaches

August 26, 2019

More Mosquito Traps Test Positive For West Nile In Dresden, Windsor

August 27, 2019

Foot Care Clinics Stop Operating After July Stop Work Order

August 28, 2019

Swimming Not Recommended At 5 Windsor-Essex Beaches

CTV Windsor News

Note: Digital stories were not available for two of CTV’s requests.

Publish Date

Title

 

August 6, 2019

Two Windsor-Essex School Receive 'Healthy Schools' Certification

 

August 7, 2019

Only A Handful Of Windsor-Essex Beaches Safe For Swimming: WECHU

 

August 9, 2019

High Bacteria Counts Make Swimming Unsafe At Many Windsor-Essex Beaches

 

August 9, 2019

Street Help Says Not To Blame For Squatters, Supports Safe Injection Sites

 

August 13, 2019

Mosquitoes In Windsor-Essex, Chatham-Kent Test Positive For West Nile Virus

 

August 14, 2019

Colchester Beach Unsafe For Swimming: Beach Report

 

August 21, 2019

Three Windsor-Essex Beaches Deemed Unsafe For Swimming

 

August 28, 2019

Dog Owner Sought After Woman Bitten In Remington Dog Park

 

Global News

Publish Date Title

August 25, 2019

Mosquitoes Are On The Move Due To Climate Change, And They Could Bring Diseases

Windsor Star

Publish Date Title

August 7, 2019

Windsor Schools Receive Gold Status In Ontario Health Certification Program

August 12, 2010

International Back To School Program Arrives In Windsor-Essex For First Year

August 14, 2019

Mosquito Pools Test Positive For First Signs Of West Nile Virus In Parts Of SW Ontario For 2019

August 19, 2019

Some Costs Going Up, But Windsor Dodges Big Hit From Province, Says Mayor

August 22, 2019

Three Local Beaches Unsafe For Swimming

August 23, 2019

Downtown Residents More Likely To Harm Themselves Than Rest Of Essex County

August 27, 2019

More Mosquito Traps Test Positive For West Nile Virus

August 28, 2019

Five Local Beaches Unsafe For Swimming

Windsorite.ca

Publish Date Title

August 13, 2019

West Nile Virus Positive Mosquito Pools Found

Note: Digital stories were not available for Farmer’s Forum, Toronto Star and WDET (Detroit).

The following individuals contributed to this report: Jennifer Jershy, Marc Tortola, and Michael Janisse.


View Document page

Prepared By:

Alicia Chan, Public Health Nutritionist, Chronic Disease and Injury Prevention

Date:

September 19, 2019

Subject:

Windsor-Essex Food Policy Council and Community Food Assessment

Background

Food and Health in Windsor and Essex County

The total economic burden of unhealthy eating is estimated to be $5.6 billion in Ontario, including $1.8 billion for inadequate vegetable and fruit consumption (which is used a population indicator for healthy eating). According to the Windsor-Essex Community Needs Assessment Update 2019 (Windsor-Essex County Health Unit, 2019), only one quarter (26.8%) of the population consume vegetables and fruit five or more times a day with the greatest impact on individuals that are single, male, living in a household with low income and/or education. Healthy eating behaviours play a critical role in promoting health and in preventing, managing, and treating various chronic diseases, including cardiovascular disease, diabetes, and some cancers.

Food insecurity, financial constraints leading to a compromise in diet quality or quantity,  is an ongoing issue in Windsor and Essex County, where, according to data from the Canadian Community Health Survey (2013-2014), 10.8% of households experience moderate or severe food insecurity, and 9.7% of children experience moderate or severe food insecurity (Windsor-Essex County Health Unit, 2019).

Food insecurity negatively influences the physical, mental, and social health of families and individuals, increasing risk of diabetes, hypertension, dyslipidemia, cardiovascular disease, poor sleep, iron deficiency, depression, and other mental health outcomes (PROOF Food Insecurity Policy Research, 2016a). Mothers experiencing food insecurity are also more likely to discontinue exclusive breastfeeding sooner than mothers with food security.

In the absence of adequate income to purchase food, many residents have engaged in alternate avenues of food access, including food charity (e.g., food banks) and other community food programs. For example, the Windsor Essex Food Bank Association (WEFBA) reported that there were over 123,000 visits to WEFBA food banks in 2018, which represented a 5% increase from 2017.

Over the past few years, the WECHU has become more involved in working with various community members to address food and nutrition issues at the systems level, leading to the formation of a food policy council (FPC) and the undertaking of a community food assessment (CFA). The formation of the FPC not only helps to address nutrition and healthy eating issues in a more coordinated and comprehensive fashion, but also creates more opportunities to engage in other health issues, such as climate change, food waste, improving rural health, and improving the health of agricultural workers.

Previous Food Systems Work in Windsor and Essex County

While food insecurity and challenges with the food systems have existed for decades, discussions about change were stimulated by the Hungry for Change Report, released in 2009. The Food Matters Windsor-Essex County (FMWEC) collaborative was established after a successful Ontario Trillium Foundation grant application in 2010, fostering key partnerships and laying the foundation for food systems work in the region including work on the Good Food Charter in 2014. In 2015, community funders convened as the Food Security Strategy Steering Committee to initiate the development of a food security strategy for the next ten years. The establishment of the FPC emerged as a key recommendation.

Windsor-Essex Food Policy Council

Food Policy Councils bridge governments, businesses, and citizens to facilitate partnerships and collaborative actions to identify and address issues that affect the food system. Examples of health topics that either influence or are influenced by the food system include community food security, equitable access to food, food affordability, food literacy, urban and school gardening, the effects of climate change on the agricultural economy, and migrant worker health. Such issues stand to benefit greatly from coordinated, integrated, and meaningful improvements to the food system, which in turn will contribute to improving healthy eating behaviours, stimulating the local economy, and making the food system more environmentally and socially just.

In early 2017, the Windsor-Essex County Health Unit (WECHU) invited a wide range of stakeholders representing community organizations, non-profit organizations, and City and County officials to form a steering committee. The goal of the steering committee was to develop the foundation required to establish the Windsor-Essex Food Policy Council (WEFPC). This included determining its structure, membership, and key logistics and processes. Following a round of community engagement sessions, recruitment for the WEFPC occurred in late 2017, and its first meeting was held in January 2018. A competitive application-based process was undertaken to recruit the best mix of the most qualified individuals to become members of the WECFPC. Currently, the WEFPC is comprised of stakeholders representing a wide range of food system sectors and interests, including farmers, small business operators, non-profit organizations, educators, City and County officials and appointees, and concerned citizens. WECHU provides resource and administrative support for the WEFPC.

Current Initiatives

Community Food Assessment Report

A Community Food Assessment (CFA) was undertaken in 2018, with the aim to provide an understanding of the current and desired state of Windsor and Essex County’s local food system. A comprehensive exercise was undertaken to gather all available data on the food system, identify gaps in knowledge, explore community insights about the food system, and engage key stakeholders in dialogue. Creative Momentum Consulting, with the support of public health nutritionists and dietitians from the WECHU, conducted the research and created the report. Data was gathered through a county-wide online survey, community conversations, and key stakeholder engagement sessions. The Community Food Assessment also received financial support through the Windsor-Essex Community Foundation. The CFA report was shared with members of the WEFPC to help inform priority-setting exercises, which occurred in May and June 2019. The final report was released to the public in September 2019.

WEFPC Action and Evaluation Planning

In 2018 and early 2019, the WEFPC developed and ratified its vision, mission, and value statements, as well as its Terms of Reference. The members also set major priorities areas for action moving forward. The determination of priorities was a multi-step process, which included determining the selection criteria for priorities, reviewing the draft CFA report, identifying recommendations, categorizing recommendations into major topic areas, and determining the five key areas to address. In the end, the WECFPC selected the following five priority areas:

  1. Food insecurity and equitable food access
  2. School food literacy and education
  3. Supporting local small businesses
  4. Food waste and waste management
  5. Celebration of food

Five subcommittees were formed to address each of the priorities above, and action plans have been under development over the summer months. The WECHU’s Program Evaluation Specialist was previously invited to provide a workshop on planning and evaluation to prepare the WEFPC for this step. The WEFPC will next meet in late September to operationalize these proposed plans in order to move forward. A sixth subcommittee was established to manage communications for the WEFPC, including providing support to the WECHU for the dissemination of the CFA report. 

Glossary

Food system: An interconnected network of individuals, processes, practices, and structures that contribute to all aspects of food, including food production, processing, distribution, access, consumption, education, and waste management.

Household food insecurity: the uncertainty or inability to acquire sufficient food because of financial constraints (PROOF Food Insecurity and Policy Research, 2019b). Three levels of severity exist:

  • Marginal food insecurity: worrying about running out of money for food and limiting food selection due to cost
  • Moderate food insecurity: compromising diet quality or quantity due to a lack of money
  • Severe food insecurity: reducing food intake, missing meals, going for days without food due to cost

References

Consultation

The following individuals contributed to this report:

Alicia Chan, MPH RD, Public Health Nutritionist, Chronic Disease and Injury Prevention

Mariel Munoz, MPH RD, Public Health Nutritionist, Healthy Schools

Approved by:

Theresa Marentette

 


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Prepared By:

Lorie Gregg, Director of Corporate Services

Date:

September, 2019

Subject:

Q2 Financial Results

Background

The Leadership Team of the Windsor-Essex County Health Unit (“the WECHU”) monitors financial results on an on-going basis for the following programs:

  • Mandatory programs funded to a maximum of 75% (“Cost-Shared”) by the Ministry of Health and Long-Term Care (“MOHLTC”) and 25% by  the Corporation of the City of Windsor, the Corporation of the County of Essex and the Corporation of the Township of Pelee (hereinafter referred to as the “Obligated Municipalities”);
  • Related programs such as Vector-Borne Diseases and Small Drinking Water Systems, funded on a cost-shared basis to a maximum of 75% by the MOHLTC and 25% certain surrounding municipalities within the geographic boundaries of Windsor and Essex County;
  • Related programs funded 100% by the MOHLTC;
  • Related programs funded 100% by the Ministry of Children, Community and Social Services (“MCSS”).  As at the date of this report, there have been no changes to the funding model.
  • One-time business cases funded 100% by the MOHLTC.

The second quarter financial report to the Board includes a budget to actual comparison and narrative for material variances for all programs listed above.

COST-SHARED PROGRAM FINANCIAL RESULTS

The following is the financial information for the Cost-shared programs including Vector-Borne Diseases and Small Drinking Water Systems for the period January 1, 2019 to June 30, 2019.

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries 13,255,133 6,627,567 5,408,360 5,906,244 1,219,207 41%
Employee Benefits 3,575,890 1,787,945 1,515,522 1,684,183 272,423 42%
Travel and Meetings 48,752 24,376 2,414 9,064 21,962 5%
Mileage 216,425 108,213 95,327 94,109 12,886 44%
Professional Development 109,100 54,550 15,890 27,295 38,660 15%
Association and Membership Fees 45,000 22,500 32,118 34,525 (9,618) 71%
Office Supplies 40,000 20,000 10,076 14,239 9,924 25%
Program Supplies 714,626 357,313 272,770 276,185 84,543 38%
Office Equipment Rental 142,000 71,000 51,116 70,113 19,884 36%
Advertising and Promotion 8,500 4,250 709 1,297 3,541 8%
Purchased Services 105,310 52,655 43,443 24,498 9,212 41%
Board Expenses 22,450 11,225 7,709 8,714 3,516 34%
Professional Fees 143,300 71,650 150,747 32,748 (79,097) 105%
Bank Charges 20,000 10,000 9,946 8,046 54 50%
Rent 770,000 385,000 322,652 349,109 62,348 42%
Building Maintenance 161,300 80,650 86,758 81,854 (6,108) 54%
Utilities 155,000 77,500 56,394 62,589 21,106 36%
Taxes 221,000 110,500 102,142 103,754 8,358 46%
Insurance 83,500 41,750 79,749 79,351 (37,999) 96%
Telephone 121,200 60,600 45,946 54,648 14,654 38%
Security 17,500 8,750 50,129 10,442 (41,379) 286%
Vehicle Expenses 2,100 1,050 571 279 479 27%
Postage and Freight 33,500 16,750 15,863 8,473 887 47%
Parking 91,000 45,500 45,468 41,746 32 50%
  20,102,586 10,051,293 8,421,819 8,983,505 1,629,474 42%
Offset revenues (200,000) (100,000) (73,292) (71,547) (26,708) 37%
  19,902,586 9,951,293 8,348,527 8,911,958 1,602,766 42%
West Nile Virus 350,000 175,000 22,169 24,018 152,831 6%
  20,252,586 10,126,293 8,370,696 8,935,976 1,755,597 41%

For the period January 1, 2019 to June 30, 2019, cash flows relating to the 2019 program year are as follows:

MOHLTC

$6,919,278

Corporation of the City of Windsor

1,566,093

Corporation of the County of Essex

1,308,972

Corporation of the Township of Pelee

1,695

 

$9,796,038

At June 30, 2019, the variance from budget to actual total expenses amounts to $1,629,474. Specific variances are as follows:

  • Salaries and Benefits:  Expenditures in these financial captions relate to salaries and benefits paid to the WECHU staff in service of the Mandatory Cost-Shared Program.  The combined variance from budget of $1,491,630 is attributed to:  i) Labour disruption involving the WECHU staff represented by the Ontario Nurses Association (“ONA”) for the period March 8th, 2019 to May 8th, 2019 (approximate savings of $700,000); ii) Given the uncertainty that arose with the April 11th, 2019, Ontario Provincial Budget, certain positions, predominantly non-union, remained unfilled (approximate savings of $300,000).
  • Professional Development:  Expenditures in this financial caption support professional development opportunities for the WECHU staff to earn or maintain professional credentials or skills required to fulfil their roles and responsibilities.  At June 30, 2019, the variance compared to budget amounted to $38,660 and can be attributed to:  i) The aforementioned labour disruption; ii)  Given the uncertainty that arose with the April 11th, 2019, Ontario Provincial Budget, professional development is being scrutinized and only non-elective professional development is being approved.
  • Association and Membership Fees:  Expenditures in this financial caption relate to memberships in an association or other group by virtue of professional requirements or to support initiatives associated with Public Health.  The majority of Association and Membership Fees are paid in the early in the fiscal year.  The WECHU anticipates that this financial statement caption will remain within its overall budget for fiscal 2019.
  • Program Supplies:   Expenditures in this financial caption support the functions of departments, those that directly support Public Health Programs as well as those that support departments such as Information Technology and Communications.  At June 30, 2019, the variance compared to budget amounted to $84,543 and can be attributed to:  i) The aforementioned labour disruption; ii) Timing of program activities. 
  • Professional fees:  Expenditures in this financial caption include legal, audit and consulting fees paid to third parties.  The budget variance in Professional fees relates to an increase in legal costs to support collective bargaining with the WECHU employees represented by the ONA.  Total professional fees associated with those negotiations and the labour disruption amounted to $114,090.
  • Building Maintenance:  Expenditures in this financial caption include costs to maintain Windsor, Essex and Leamington locations.  More specifically, these costs relate to building and equipment maintenance, grounds keeping and housekeeping supplies.  The variance here relates primarily to grounds keeping costs.  These costs are incurred in five (5) of the twelve (12) months of the fiscal year (January to March, November and December). Greater than one-half of the year’s grounds budget was expended in Q1 of 2019 ($7,440 of the total $12,300).
  • Insurance:  Expenditures in this financial caption include costs associated with general liability insurance, property insurance, director and office insurance coverage as well as cyber coverage.   Insurance premiums are paid at the beginning of the year.  The WECHU anticipates that the budget for this financial statement caption will remain slightly underspent for fiscal 2019.
  • Security:  Expenditures in this financial caption include security costs contracted on an as needed basis for after-hours events at our Windsor office location.  The WECHU incurred additional security costs of $46,984 for the period March 8, 2019 to March 8th, 2019, on account of the labour disruption.
  • Offset revenue:  Revenues included in the financial caption relate to interest, proceeds on sale of tangible capital assets, parking revenue, vaccine recoveries, sales of contraceptives as well as course fees relating to the food handler course and examination.  At June 30, 2019, offset revenue is under budget by $26,708, due to the labour disruption.  More specifically, $12,000 of parking revenue from staff parking was foregone during the labour disruption.  Additionally, offset revenue earned on account of immunizations was forgone during the labour disruption as school suspensions under the ISPA were deferred to fall of 2019. 

HEALTHY BABIES HEALTHY CHILDREN PROGRAM FINANCIAL RESULTS

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and Benefits 2,629,189 1,314,595 1,005,161 1,231,909 309,434 38%
Mileage and Travel 63,000 31,500 24,732 25,162 6,768 39%
Professional Development 10,400 5,200 747 7,299 4,453 7%
Program Supplies 38,252 19,126 8,883 14,710 10,243 23%
Purchased Services 15,000 7,500 2,176 3,664 5,324 15%
Professional Fees - - - 2,900 - 0%
  2,755,841 1,377,921 1,041,699 1,285,644 336,222 38%
Funding - MCCSS (2,755,841) (1,377,921) (1,377,929) (1,399,929) 9 50%
  - - (336,230) (114,285) 336,230  

The Healthy Babies/Healthy Children Program is funded through the Ministry of Children, Community and Social Services.  This program supports 27.0 FTEs comprised of managers (2), nurses (17), family home visitors (4), social worker (1), and support staff (3).  The objective of the program is to ensure a healthy future for children and their families. 

For the period January 1, 2019 to June 30, 2019, the HBHC program underspent compared to budget in the amount of $336,230.  Factors contributing this include:  1. Labour disruption involving the WECHU staff represented by the ONA for the period March 8th, 2019 to May 8th, 2019.  This resulted in a variance in salaries and benefits of approximately $270,000, mileage of $6,000, professional development of $4,453 and program supplies of $10,243;  2.  Lower than anticipated purchased services costs (i.e. translation) because of our use of an Arabic speaking nurse to address the needs of our community.

NURSE PRACTITIONER PROGRAMS

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and benefits 146,617 73,309 50,055 73,284 23,254 34%
  146,617 73,309 50,055 73,284 23,254 34%
Funding - MCCSS (139,000) (69,500) (69,508) (69,508) 8 50%
  7,617 3,809 (19,453) 3,776 23,262  

The Nurse Practitioner Program is funded through the Ministry of Children, Community and Social Services.  This program supports 1 FTE (nurse practitioner).  The objectives of the program are to promote healthy pregnancy, birth and infancy for children, improve parenting and family supports, strengthen early childhood development, learning and care.

At June 30, 2019, this program is underspent by $23,262 due to the labour disruption involving the WECHU staff represented by the ONA for the period March 8th, 2019 to May 8th, 2019.

FINANCIAL INFORMATION FOR RELATED PROGRAMS FUNDED 100% BY THE MOHLTC

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and Benefits 1,207,326 603,663 582,860 557,685 20,803 48%
Admin and Accommodation 31,445 15,723 15,722 16,575 1 50%
Travel and Meetings 8,000 4,000 231 647 3,769 3%
Mileage 10,000 5,000 8,227 8,031 (3,227) 82%
Professional Development 5,500 2,750 1,537 2,976 1,213 28%
Association and Membership Fees 300 150 373 546 (223) 124%
Office Supplies 4,500 2,250 44 342 2,206 1%
Program Supplies 100,229 50,115 77,981 66,269 (27,867) 78%
Purchased Services 162,400 81,200 58,150 31,805 23,050 36%
Total expenditures 1,529,700 764,850 745,125 684,876 19,725 49%
Offset revenue - - - (6,300) - 0%
Funding - MOHLTC (1,529,700) (764,850) (764,853) (704,400) 3 50%
  - - (19,728) (25,824) 19,728  

The Healthy Smiles Ontario Program is funded through the Ministry of Health and Long-Term Care.  This program supports 14.25 FTEs comprised of a manager (0.75), dental assistants (5.5), dental hygienists (5.5), a health promotion specialist (0.5), and support staff (2).  This program provides preventative, routine, and emergency and essential dental treatment for children and youth, from low-income families, who are 17 years of age or under

For the period January 1, 2019 to June 30, 2019, the HSO budget is underspent $19,723.  The most notable variances are as follows:

  • A variance of $20,803 related to Salaries and Benefits.  This is due to in part because of timing of recruitment (approximately $7,300).
  • A variance of $27,867 related to Program Supplies.  The timing of Program Supplies varies annually.  Adding to this were certain acquisitions and repairs of dental equipment of $14,910.
  • A variance of $23,050 related to Purchased Services, which includes professional services provided by dentists as well as translation.  As reported in at Q1 of 2019, there were fewer available dentists hours in the months of February and March.  Subsequent to March 31, 2019, additional dentists hours are available.  It is anticipated that the Purchased Services budget will trend to be on budget for the remainder of the fiscal year.
  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and benefits 546,350 273,175 257,339 258,241 15,836 47%
Mileage 30,000 15,000 17,743 16,815 (2,743) 59%
Travel and Meetings 3,045 1,523 734 1,794 789 24%
Professional Development 3,380 1,690 - 4,291 1,690 0%
Program Supplies 28,725 14,363 2,499 12,421 11,864 9%
Purchased Services 25,200 12,600 7,774 7,653 4,826 31%
Total expenditures 636,700 318,350 286,089 301,215 32,261 45%
Funding - MOHLTC (636,700) (318,350) (307,605) (318,349) (10,745) 48%
  - - (21,516) (17,134) 21,516  

Base funding for this initiative must be used in the planning and implementation of comprehensive tobacco control activities across prevention, cessation, prosecution, and protection and enforcement at the local and regional levels.  Boards of Health must comply and adhere to the Smoke-Free Ontario Strategy: Public Health Unit Tobacco Control Program Guidelines and the Directives:  Enforcement of the Smoke-Free Ontario Act. 

At June 30, 2019, this program is underspent by $32,261.   In May of 2019, the MOHLTC approved certain one-time funding up to March 31, 2019 for cannabis related activities.  The total one-time funding approval amounted to $96,700, of which, $37,656 was expended in fiscal 2018, and $44,158 was expended in Q1 of 2019, thus taking pressure off the calendar 2019 budget for this program initiative.

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and benefits 546,350 273,175 257,339 258,241 15,836 47%
Mileage 30,000 15,000 17,743 16,815 (2,743) 59%
Travel and Meetings 3,045 1,523 734 1,794 789 24%
Professional Development 3,380 1,690 - 4,291 1,690 0%
Program Supplies 28,725 14,363 2,499 12,421 11,864 9%
Purchased Services 25,200 12,600 7,774 7,653 4,826 31%
Total expenditures 636,700 318,350 286,089 301,215 32,261 45%
Funding - MOHLTC (636,700) (318,350) (307,605) (318,349) (10,745) 48%
  - - (21,516) (17,134) 21,516  

A description of other related programs is included below:

Nursing Initiative: The Amending Agreement for 2019 received August 20, 2019, aggregates the following program initiatives under “Nursing Initiatives”.  These include:  the Chief Nursing Officer Initiative; the Infection Prevention and Control Nursing Initiative; and the Social Determinants of Health Nursing Initiative.  Base funding for these initiative support the salaries and benefits of 4 nursing FTE’s or greater, with certain specific qualifications.  At June 30, 2019, the aggregate underspent budget amounted to $69,122, which resulted from the labour disruption involving the WECHU staff represented by the ONA  for the period of March 8th, 2019 to May 8th, 2019. 

Enhanced Food Safety – Haines Initiative:  This initiative was established to support implementing the Food Safety Program Standard under the Ontario Public Health Standards (“OPHS”).  At June 30, 2019, there is a minor negative variance of $2,328 due to timing of purchases.  It is not anticipated that the funding for this initiative will be overspent at December 31, 2019.   

Enhanced Safe Water:  This initiative was established to increase the Board of Health’s capacity to meet the requirements of the Safe Water Program Standard under the OPHS.  At June 30, 2019, there is no negative variance to report on.

Harm Reduction Program Enhancement:  Base funding for this initiative supports the Board of Health’s in the activities associated with its Local Opioid Strategy.  More specifically it supports 2.5 FTEs dedicated to working on activities associated with:  i) Our local opioid response; ii) Naloxone Distribution and Training;  iii)  Opioid Overdose Early Warning and Surveillance.   At June 30, 2019, the budget for this program initiative is underspent by $17,933, which resulted from the labour disruption involving employees represented by the ONA (approximately $15,000) for the period March 8th, 2019 to May 8th, 2019, as well as other staff vacancies.

Infectious Disease Control Initiative:  This initiative was established to support the hiring of infectious diseases control positions (4.5 FTEs) and supporting these staff to monitor and control infectious diseases.  They serve to enhance the Board of Health’s ability to handle and coordinate increased activities related to outbreak management.  At June 30, 2019, the budget for this program initiative is underspent by $26,027, which resulted from the labour disruption involving employees represented by the ONA for the period March 8th, 2019 to May 8th, 2019.

Needle Exchange Program Initiative:  This initiative was established to support the purchase of needles and syringes, and their associated disposal costs, for the Board of Health’s Needle Exchange Program.  At June 30, 2019, there are no negative variances to report on.

FINANCIAL INFORMATION FOR RELATED PROGRAMS FUNDED 100% BY THE MOHLTC

  2019 Budget YTD Budget YTD Actual 2019 YTD Actual 2018 Variance to Budget % Spent
Salaries and benefits 546,350 273,175 257,339 258,241 15,836 47%
Mileage 30,000 15,000 17,743 16,815 (2,743) 59%
Travel and Meetings 3,045 1,523 734 1,794 789 24%
Professional Development 3,380 1,690 - 4,291 1,690 0%
Program Supplies 28,725 14,363 2,499 12,421 11,864 9%
Purchased Services 25,200 12,600 7,774 7,653 4,826 31%
Total expenditures 636,700 318,350 286,089 301,215 32,261 45%
Funding - MOHLTC (636,700) (318,350) (307,605) (318,349) (10,745) 48%
  - - (21,516) (17,134) 21,516  

Public Health Inspector Practicum Program:  This one-time funding supports the hiring of approved Public Health Inspector Practicum positions.  Eligible costs include student salaries, wages and benefits, transportation expenses associated with practicum positions, equipment and educational expenses.  This funding relates to practicum placements for the four-month period, which commenced May of 2019 and concludes in August of 2019.  At June 30, 2019, there are no negative variances to report on.

Mandatory Programs - Enhanced Mosquito Surveillance:  This one-time funding supports an enhanced surveillance program.  Eligible costs include salaries for students, supplies and additional equipment, identification and testing expenses, promotional costs and mileage.  At June 30, 2019, there are no negative variances to report on.

New Purpose-Built Vaccine Refrigerators:  This one-time funding supports the acquisition of one new twenty-five (25) cubic foot purpose-built refrigerator used to store publicly funded vaccines.  At June 30, 2019, there are no negative variances to report on.  It is anticipated that the costs associated with this purchase will be reflected in the Q3 financial results.

Approved by:

Theresa Marentette, CEO


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Prepared By:

Fernando Bayuga

Date:

September, 2019

Subject:

WECHU’S Data and Cyber Security

Background

With the advent of technology, organizations have benefited from increased resource capacity.  This benefit, while great, also exposes organizations to a greater risk of theft from cyber related crimes.  In recent months, attacks on the City of Baltimore, Riviera Beach, Florida Police Department and Algoma Public Health, have highlighted the impacts cyber crime has had on public sector organizations. On May 7th, 2019, hackers digitally seized about 10,000 government computers from the City of Baltimore and demanded around $100,000 USD worth in bitcoins to free them back up. On May 29th, 2019, a staff person in the police department at Riviera Beach opened an e-mail infected with ransomware causing their entire system to go down. Their council authorized the city insurer to pay 65 bitcoins ($600,000 USD) in hopes the hackers would provide a decoding key to regain access to their data. On April 19th, 2019, hackers successfully targeted data on Algoma Public Health’s network with ransomware. Algoma’s systems were down for weeks as they worked to restore services.

The Windsor Essex County Health Unit (WECHU) utilizes multiple systems, vendors and best practices to reduce the risk of cyber threats.  This report details our ongoing efforts to address the impacts of cyber crime in our organization.

Current Initiatives

WECHU’s Information Technology Department (“IT”) has employed several layers of security to protect the WECHU, its data and staff. The diagram below depicts the layers that protect our data.

The WECHU staff represent the first layer, in our layered security solution. IT is in regular communication with staff regarding threats that pass through the WECHU’s systems. IT provides training to staff, advising them to be cautious at all times for emails containing hyperlinks and attachments, even if they appear to be from familiar senders. Real-time network monitoring allows us to create benchmarks and send threshold notifications for immediate investigation. IT performs security awareness training at departmental meetings. Additionally, we are investigating third party training solutions to help augment staff awareness of cyber related threats.

The next layer, Intrusion Detection System, is WECHU’s Palo Alto Appliance.  This appliance has a subscription to Palo Alto’s industry leading Threat Prevention Services. This allows the WECHU to stop known threats before they can connect to any of our systems. The firewall also employs SSL decryption, a method that allows the WECHU to see inside normally secure traffic. Only SSL traffic from financial institutions and government websites pass through encrypted.

The next layer is the firewall. It only exposes the bare minimum of our network to the outside world. The WECHU only allow services like inbound e-mail, and web traffic to pass to the WECHU network. This traffic is untrusted and moved into a zone of control. WECHU maintains several zones to prevent communication between services and computers that are not required. For example, only the Barracuda E-mail Security Gateway accepts e-mail and web traffic and it can never initiate a request to the internal network. These basic zones of control ensure that a compromised node (server or workstation) is limited in the scope of the WECHU systems that interact with it.

An additional specialized firewall, the Barracuda E-mail Security Gateway, looks at all e-mail before delivery to our mail servers. This allows IT to inspect, remove or quarantine e-mail before it reaches the network.

The aforementioned systems work very well for known threats, but an unknown threat, or fast moving newly discovered threat, can bypass these protections. Antimalware engines at both the firewall and desktop make up the next layer of our security solution, monitoring the behavior of applications using a decision model to determine if the applications are behaving as anticipated. If they are not, the system quarantines the process, notifying IT immediately of the potential threat.

Image demonstrating layered security using a combination of multiple mitigating Security controls to protect data

The next layer of our security solution is traditional antivirus. When retrieving files and processes, the computer accesses memory, which are reviewed and sandboxed or tested until, proven safe. This process can quickly identify files as they move between workstations and the internet or vice versa.

The final layer of our security solution is the operating systems.  The WECHU IT Department monitors operating systems including Windows, Linux and vendor proprietary systems. Daily, IT reads bulletins, releases notes and threat assessments and determines actions to mitigate the risk of a cyber-threat. By maintaining current patches, and eliminating legacy systems or protocols, IT is able to provide a secure environment for WECHU staff to carry out their responsibilities.

Consultation:

The following individuals contributed to this report:

  • Mike Martin
  • Fernando Bayuga
  • Lorie Gregg

Approved By:

Theresa Marentette


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Prepared By:

Darcie Renaud, Performance Improvement & Accountability Coordinator (PIAC), Planning & Strategic Initiatives Department

Date:

September, 2019

Subject:

Q2 Operational Planning Status Update

Background

In 2018, the Ministry of Health and Long Term Care (MOHLTC) introduced a new Annual Service Plan (ASP) that Health Units are required to submit each year. An electronic planning and reporting system was created to support the development of the ASP and to monitor operational plan progress throughout the year. In this system work plans are developed for all public health interventions. These interventions directly address the programs provided by the WECHU.

The WECHU’s ASP provides details about planned expenditures and program plans for 2019, including 268 initially planned interventions tied to 61 programs. The MOHLTC requires program activity and financial reports in Q2 and Q4 of the implementation year, and an annual summary report. In addition, status updates are provided for interventions quarterly.

Current Initiatives

The appended report reflects the quarterly Board of Health summary report for Q2 of 2019. This report includes overall status information for the 235 interventions that were in progress in Q2 of 2019. A majority of the interventions were either on target or completed, though some interventions were cancelled or deferred until the following year. Proposed changes to public health operations and the 2019 labour disruption directly influenced the progress of some interventions. Further detail is provided about the status of programs based on the related interventions that were planned for operation in Q2 of 2019.

Consultation:

The following individuals contributed to this report:

  • Marc Frey, Manager, Planning & Strategic Initiatives 

Approved By:

Theresa Marentette


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Prepared By:

Jenny Diep, Health Promotion Specialist, Infectious Disease Prevention

Date:

September, 2019

Subject:

Sexually Transmitted and Blood-Borne Infections in Windsor and Essex County

Background

Sexually transmitted and blood-borne infections (STBBIs) may be contracted through sexual contact with an infected partner, transmitted from mother to baby in utero and/or during birth, or by contact with an infected person’s blood such as sharing of needles to inject drugs.  The WECHU receives and investigates all positive laboratory confirmed reports of STBBIs) in Windsor and Essex County (WEC).  These include Acquired Immunodeficiency Syndrome/Human immunodeficiency Virus (AIDS/HIV), chlamydia, gonorrhoea, hepatitis B and C, and syphilis.

In the WECHU’s recently released Community Needs Assessment 2019 Update, STBBIs accounted for the majority (59.3%) of reportable diseases in WEC.  The most commonly reported disease is chlamydia, a sexually transmitted infection.  While rates of chlamydial infections (214.4 cases per 100,000 residents) and gonorrhoea (45.6 cases per 100,000 residents) are significantly lower than Ontario, the rate of hepatitis C cases (48.3 cases per 100,000 residents) are significantly higher than the rest of Ontario.

Current Initiatives

Health Care Provider Outreach

Collaboration between public health and primary care is necessary to promoting a supportive environment for healthy sexuality.  It reduces stigma, increases awareness and accessibility to health promotion resources and quality care which contributes to overall population health outcomes.  Locally, health care providers vary in their comfort and capacity to test and treat for STBBIs. A needs assessment conducted in 2018 found:

  • Almost all health care providers screen for STBBIs, but slightly fewer provide treatment for STIs.  Few provide specialized services related to infertility, HIV care, and sexual assault care.
  • Overall, health care providers were comfortable with discussing sexual health issues, including various population groups.  However, fewer were comfortable speaking with those who identify as LGBT+, individuals who misuse drugs, and sex workers.
  • Overall, the majority of respondents rated their knowledge regarding diagnosis and treatment of various sexual health issues as very high, in particular, with more commonly treated sexual health issues.  However, fewer felt confident in their knowledge/ability to diagnose and treat hepatitis B, C, D, and E, syphilis, and AIDS/HIV and referred to other health care professionals.

In an ongoing effort to support area health care providers in the diagnosis and treatment of STBBIs, the WECHU is implementing an outreach strategy. Our outreach strategy consists of various activities, such as sending current information and updates regarding STBBIs and other priority health topics, through mail, fax, and the WECHU website, and educational outreach visits to health care providers who provide services to priority populations.  Additionally, our Medical Officer of Health is available for individual consultation regarding specific health care issues.

Public Awareness Campaign

The WECHU will support a number of public awareness activities beginning in September 2019, to raise awareness of the burden of STBBIs in WEC and to encourage individuals to get tested for STBBIs.  This will include a radio segment, media release, and advertisements through various social media networks.

Approved By:

Theresa Marentette


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Prepared By:

Karen Lukic, Health Promotion Specialist, Environmental Health Department
Phil Wong, Manager, Environmental Health Department 

Date:

September, 2019

Subject:

Environmental Health E-Learning Courses:    Food Safety, Safe Water, and Infection Control

Background

For several years the WECHU has provided in-class training opportunities for food safety, recreational water safety and infection control best practices. Our educational materials have been used as the gold standard by the Ministry of Health and other local boards of health. Early in 2019, the Environmental Health Department enhanced these training options by releasing free e-learning training modules for food safety, recreational water safety and infection control best practices. The training materials contain updates to new regulations that were published in 2018.

Food Handlers Certification Course

The new O. Reg 493/17: Food Premises requires at least one certified food handler present during all hours of operation in any food premises in Ontario. The regulatory changes resulted in a significant increase in demand for the Food Handlers Training courses in our region. Locally, there are almost 3000 food premises that are routinely inspected 1-3 times a year. The Environmental Health Department certified a total of 1942 food handlers in 2018. To date in 2019, the Environmental Health Department has certified an additional 1540 food handlers, with 78% completing certification through the online course. In class courses are still available on site, and to those that may require additional support from Certified Public Health Inspectors.

Pool and Spa Operator Training Course

The amended O. Reg. 565: Recreational Water combines two regulations and a guidance document together to form a new set of standards for operators and owners of recreational water facilities. Recreational water facilities include swimming pools, whirlpools, spas, splash pads and water parks. There is a considerable amount of information that pool operators must know to provide a safe environment. There are close to 160 recreational water facilities in Windsor and Essex County (WEC). The WECHU’s comprehensive online e-learning course was updated and launched in the spring of 2019. Over 70 certificates of completion have been issued in the last 4 months. 

Personal Service Settings Course

The new O. Reg 136/18: Personal Service Settings formalized requirements for owners and operators of personal service settings. There are a total of 485 personal service settings in WEC. The majority are barber shops/hair salons (298), followed by aesthetics/nail salons (126), premises that provide tattoo or micropigmentation services (34), tanning salons and beauty salons (27). With the introduction of this new regulation, there was a need to provide education on a variety of topics. There were no existing training courses created by other health units after the launch of the new regulation, and as such, the Environmental Health Department created an online course independently. The course was launched in the summer of 2019 and is made up of 11 core learning modules. These modules contain detailed information about the regulatory requirements, in addition to service specific best practices.

Current Initiatives

The Environmental Health Department is currently evaluating all three e-learning training modules. We are reviewing demographics, test scores and feedback collected from students to develop future public health interventions for our local community.

Utilizing data from the Community Needs Assessment 2019 Update report, inspection data, and surveys conducted by the Environmental Health Department, our team will be translating specific e-learning modules to other languages including Arabic, French, Vietnamese, Chinese and Spanish to better meet the needs of our priority populations.

Approved By:

Theresa Marentette


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August 15, 2019

  1. Welcome
  2. Mapping for Capital Project Location (Epidemiology Department)
  3. Capital Project Overview
    1. Expression of Interest and Presentation
  4. Next Scheduled Meeting – September 19, 2019 - 4:00p.m., Windsor, Room 1A

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July 18, 2019

  1. Welcome – Theresa Marentette, CEO
  2. Financial Overview – L. Gregg
    1. Budget Education
    2. Recommendation/Resolution Report – 2018 Annual Financial Statements
  3. Program Overview
    1. Health Promotion – N. Dupuis
    2. Health Protection – K. McBeth
  4. SIS Community Update – T. Marentette
  5. Community Needs Assessment – W. Ahmed
  6. Next Meeting – Thursday, August 15 @ 3:00 pm – Windsor
    TOPIC:   Colliers Presentation – Status of Capital Project

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The following are the Financial Statements of Windsor-Essex County Health Unit
Year ended December 31, 2018


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The following are the financial Statements of Windsor-Essex County Health Unit Healthy Babies/Healthy Children Program
Year ended December 31, 2018


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The following are the financial Statements of Windsor-Essex County Health Unit Nurse Practitioner Program
Year ended December 31, 2018


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June 20, 2019

  1. Call to Order
  2. Agenda Approval
  3. Announcement of Conflict of Interest
  4. Board Elections – Vice Chair
  5. Presentation: Smoke-Free – Vaping (E. Nadalin)
  6. Approval of Minutes
    1. Regular Board Meeting: May 16, 2019
  7. Consent Agenda
    1. INFORMATION REPORTS
      1. Smoke-Free Ontario – Addressing Youth Vaping in WE County
      2. Vision Screening
      3. Immunization Coverage Report: 2017/2018 School Year (with Summary Brief)
      4. Media Recap
    2. RECOMMENDATION REPORT
      1. Smoke-Free – Smoke/Vape Free Outdoor Spaces
  8. Business Arising
  9. Board Correspondence – Circulated
  10. New Business
    1. Status Report – follow up work impacted from the ONA Strike (T. Marentette)
    2. Status of Capital Project (T. Marentette)
    3. Fluoride Update and Letter to Windsor Utilities Commission (W. Ahmed)
    4. alPHa AGM – Overview (W. Ahmed, L. Gregg, J. Scott, J. Lund)
    5. July Board Education Session – Program Overview, Budget Presentation, Financial Statement Resolution, Community Needs Assessment Update (T. Marentette)
  11. Other Board of Health Resolutions/Letters - For Support
    1. Kingston, Frontenac and Lennox & Addington Board of Health
      Health Promotion – Letter to Hon. Christine Elliott
    2. The Regional Municipality of York
      Immunization Registry – Letter to G. McNamara
  12. Committee of the Whole (Closed Session in accordance with Section 239 of the Municipal Act)
  13. Next Meeting: At the Call of the Chair or July 18, 2019 – Board Education Session – Windsor
  14. Adjournment

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Prepared By:

Eric Nadalin, Manager, Chronic Disease and Injury Prevention Department
Theresa Sarkis, Youth Engagement Specialist

Date:

June 2019

Subject:

Addressing Youth Vaping in Windsor and Essex County

Background:

E-cigarettes are battery-operated devices that mimic the tobacco smoking experience. These products work by vapourizing a fluid which is then inhaled into the user’s lungs in the same manner as a traditional tobacco cigarette. While the substances consumed within an e-cigarette can vary, they generally consist of a combination of propylene glycol, vegetable glycerine, flavouring agents, and in many cases nicotine, the highly addictive chemical found in tobacco. Recent increases in the popularity of these products among youth and young adults have led the United States Food and Drug Administration to declare e-cigarette use an epidemic among young people (U.S. National Academies of Sciences, Engineering and Medicine, 2018), and in Canada student use of vaping products increased by 30% each year between 2015 and 2017 (University of Waterloo, 2017).

There are two pieces of legislation which regulate the promotion and sale of vaping products in Ontario. The federal Tobacco and Vaping Products Act (TVPA) aims to address the rising popularity of vaping products among young people by placing restrictions on how they can be advertised. At the provincial level, the Smoke-free Ontario Act 2017 (SFOA) further regulates these products by restricting their sale to minors, regulating how they can be displayed in storefronts, and restricting their use in certain public spaces. The SFOA is enforced locally by the Tobacco Enforcement Officers (TEOs) at the Windsor-Essex County Health Unit (WECHU) who inspect spaces proactively, ensure the region’s 223 e-cigarette vendors are operating in compliance, and conduct youth access test shopping inspections to discourage the sale of these products to minors. In spite of these protective measures there remains a lack of adequate safe-guards against the promotion of e-cigarette products in places where they may be observed by young people and other vulnerable populations. Promotions are commonly seen at point-of-sale in many convenience and grocery stores, as well as in locations like gas pumps or parking lots associated with the places in which these products are sold. In addition, efforts to prevent the use of these products are being countered by innovative technologies which include more discrete product designs and increased efficiency of nicotine delivery systems. These newer generation vaping products produced by companies such as JUUL©, VYPE©, STLTH©, or SMOK© deliver higher concentrations of nicotine per puff than older versions of e-cigarettes and, in many cases, even tobacco cigarettes (American Cancer Society, 2019).

Although there is little research on the long-term health impacts of e-cigarette use and second-hand exposure, preliminary research has shown an association between use of these products and increased risk for the uptake and intensity of tobacco smoking (Ontario Agency for Health Protection and Promotion (Public Health Ontario), 2018).

Current Initiatives

Prevention and Education

School Vaping Prevention Toolkit: In order to assist teachers and school administrators in providing students with credible and reliable information about the use of e-cigarettes and the associated health impacts, a toolkit has been created which will be provided to the WECHU Public Health Nurses on the Healthy Schools team. The toolkit includes:

  • A guide for parents and teachers on “How to Talk to Teenagers about E-cigarettes”
  • Fact sheets  (for parents, teachers, and teenagers)
  • Vaping prevention posters and postcards  
  • Training presentation for teachers about e-cigarettes and the health effects of vaping and vapour products

Elements of this toolkit have already been utilized in schools, but the full packages will be distributed to all secondary schools, and any other requesting schools, beginning September 2019.

Provincial Vaping Working Group: A representative from WECHU has joined a number of provincial partners to lead a project which will result in consistent messaging across the province for public heath units to utilize in their communication materials. This communication campaign will focus on the potential harms of vaping and is also set to be implemented beginning September 2019.

Cessation

Internal WECHU Education Program: Staff will be educated through an e-module on the types of products available in the marketplace and how to speak with their clients about their use.

School-based Diversion Program: Based on school interest, WECHU’s Youth Engagement Specialist will offer an after-school youth diversion program to students caught vaping on school properties.  This option may be utilized in lieu of ticketing students, with a goal of educating them on the health, legal, and financial implications vaping can have.

Protection & Enforcement

Secondary School Proactive Enforcement Inspections with Police Services: Starting in March of this year, WECHU TEOs conducted joint enforcement inspections at each local high school with officers from the Ontario Provincial Police, LaSalle Police Service, and Windsor Police Service. This “blitz” of secondary schools across the region has yielded 15 charges with fines ranging from $100.00 to $250.00 for the first offense. For many of these students, a Part 3 charge was issued requiring them to meet the WECHU’s lead Prosecutor and appear in court before a Justice of the Peace, in order to determine the amount of their fine.

School and School Board Presentations: Presentations to students about the e-cigarettes and the effects of vaping and vapour products are available to requesting schools for classroom or assembly presentations. Any school which has registered a complaint with WECHU have been offered the opportunity for such a presentation.  In addition, WECHU TEOs, Health Promotion Specialists, and other staff members have provided presentations to school board representatives of the dangers of these products and WECHU’s role in enforcing the regulations which surround them.

Under 25 Electronic Cigarette Vendor Education Program: In addition to the mandated Youth Access Test Shopping inspections conduced by hired youth who are under the age of 19, the Under 25 Vendor Education Program has been implemented by WECHU since 2015. This program expands on the existing inspections which aim to reduce the sale of tobacco and e-cigarettes to minors by educating vendors on their additional legal requirement to request identification from any one who appears to be under the age of 25. For the first time, this program grew in its scope to implement this program with e-cigarette vendors in addition to tobacco vendors.

Smoke/Vape-free Spaces Mass Media Campaign: Given the passing of the SFOA in October of 2018, and the spring and summer seasons bringing additional opportunities to enjoy several outdoor public places which are for the first time vape-free in addition to being smoke-free, a communication campaign including social media, live radio segments, radio ads, public transit ads and other forms of media will be implemented to educate the public about the new regulations. 

Approved by:

Theresa Marentette

References


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Prepared By:

Kim Casier, Oral Health Manager, Oral Health Department

Date:

June 2019

Subject:

Vision Screening

Background:

Each year, in Ontario approximately 3% to 5% of children (4000 to 7000) experience vision loss and left untreated can lead to poor performance in school. Effective September 2018, new requirements for the provision of vision screening for children in senior kindergarten (SK) were introduced in the Ontario Public Health Standards (OPHS).  Vision screening under the Child Visual Health and Vision Screening Protocol, 2018 includes a short sequence of three tests that can detect risk factors for certain vision disorders. The screening does not diagnose vision disorders nor is it a replacement for a comprehensive eye examination conducted by an optometrist.

The vision screening tools that are currently utilized are the HOTV visual acuity chart with crowding bars; the Randot Preschool Stereotest; and an autorefractor.

  1. The HOTV visual acuity chart with crowding bars is a chart that tests visual acuity, otherwise known as the sharpness of one’s eyesight/clarity of vision. Visual acuity is expressed as a fraction, such as 20/20. In addition to visual acuity, this screening test is also designed to identify children at risk for the following vision disorders: amblyopia and refractive errors (e.g., myopia, anisometropia and astigmatism).
  2. The Randot Preschool Stereotest (Randot) is a vision test designed to detect reduced stereopsis/stereoacuity at near distances. Stereoacuity is the ability to visually recognize depth based on differences in the images presented to the two eyes.
  3. An autorefractor is a lightweight, portable, handheld screening device. It automatically screens for, and can identify the presence and size of some refractive errors, including near and farsightedness (myopia/hyperopia), astigmatism (asymmetrical focus), and anisometropia (unequal power between eyes).

Current Initiatives

In the fall of 2018, oral health staff received Ministry-specified training and completed their first school in November. In January 2019, dental staff began coordinating with all Windsor-Essex elementary schools to provide pre-screening notification for vision screening to occur simultaneously with dental screening.

Parents/guardians of children who are screened and identified in need of visual health services and/or treatment are provided with a post-screening notification and referral to an optometrist for further follow up. All other children receive a notification encouraging parents/guardians to book an appointment with an optometrist. Parent notification forms have been translated into Arabic and are also available in French and English.

To date 1400 senior kindergarten students attending 49 Windsor-Essex elementary schools have received vision screening. Of those screened, 34.29% (480) were referred to an optometrist for further follow up.

The vision screening has been conducted in conjunction with St. Clair College and second year nursing students from the Registered Practical Nurse (RPN) program. Nursing faculty viewed this opportunity as a “beneficial learning experience that would help to fulfil our mandate and provide the student with a rewarding community placement with children.” The RPN students received vision training/orientation at the College prior to the school assignment. A total of 136 RPN students (17 groups of 8 students) helped to complete 17 schools from January – April 2019.  In addition, three BScN nursing students from the University of Windsor assisted with the vision screening.

Vision screening information has also been sent to Windsor–Essex community optometrists to increase awareness of the new vision-screening program. As well, a vision-screening pamphlet has been created for the community as well as program information has been posted on the WECHU website.

Next Steps

The 2018/2019 school year provided the WECHU oral health staff the opportunity to implement vision screening in a variety of school settings both with and without the assistance of nursing students. Currently an evaluation is being conducted to assess the best structure for full implementation of vision screening in all elementary schools starting fall of 2019. As well the WECHU has partnered with Sick Kids and McMaster to measure parental awareness and perceptions of vision screening.

Approved by:

Theresa Marentette

 


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Prepared By:

Stacy Manzerolle, Manager, Healthy Schools

Date:

June 2019

Subject:

Immunization Coverage Report: 2017/2018 School Year

Background:

On May 7, 2019 Public Health Ontario (PHO) released the Immunization Coverage Report for School Pupils in Ontario.  This report outlines the latest estimates for immunization coverage and Immunization of School Pupils Act (ISPA) exemptions at the Health Unit level.  The report includes comparisons to provincial and national goals.

Immunization coverage refers to the proportion of a population that is appropriately immunized against a vaccine-preventable disease (VPD) at a point in time. Immunization coverage varies by vaccine, age, and health unit.  Establishing a high immunization coverage rate in the community is essential for the effective prevention and control of VPDs.  Measuring immunization coverage rates allows public health organizations to monitor trends in vaccine uptake over time and identify areas in the province at risk of VPD outbreaks.

In PHO’s report, immunization records for approximately 500,000 students were assessed for a number of vaccines at ages 7, 12 and 17 years. For most vaccines, provincial-level coverage estimates do not meet Canada’s national coverage goals. However, some health units have local coverage estimates that surpass the national goal.

The attached report is a brief summary of the key findings relevant to Windsor and Essex County (WEC) with provincial and national comparisons for the 2017/2018 school year.

Current Initiatives

Key Findings for Windsor-Essex County: Provincial Comparison
ISPA Designated Diseases:
Immunization coverage rates in 7 year olds in WEC for ISPA-designated diseases including measles, mumps, pertussis, polio, rubella, tetanus, diphtheria, meningococcal diseases, and varicella were similar to or higher than Ontario.

Non-ISPA Designated Diseases:
Coverage rates in 7 year olds in WEC for all except one non-ISPA designated disease were similar to or higher than Ontario. Non-ISPA designated diseases that were assessed include: pneumococcal disease, haemophilus influenza type b, human papilloma virus, and hepatitis B.  Coverage for Haemophilus influenza type b was 2.4% lower in WEC than Ontario (80.0% in WEC and 82.4% in Ontario).

Key Findings for Windsor-Essex County: National Comparison
Coverage estimates in 7-year olds met the national goal of 95% for two diseases (meningococcal disease and rubella). For the 12-year-old cohort, the coverage estimates for diseases covered by the school-based immunization program did not meet the national goal of 90%. Coverage estimates in 17-year olds met the national goal of 95% for measles and mumps, as well as the national goal of 90% for rubella and tetanus.

Exemptions for at least one ISPA antigen
The proportion of students with medical and non-medical exemptions was relatively low.  Only 0.3% of 7-year olds and 0.2% of 17-year olds had a medical exemption for at least one ISPA antigen.  These proportions were similar to that of Ontario.

The proportion of students with a non-medical exemption was slightly higher. 3.4% of 7-year olds and 2.6% of 17-year olds had a non-medical exemption for at least one ISPA antigen. The proportion of 7-year olds with a non-medical exemption was slightly higher than Ontario (0.6% higher).

CONSULTATION:

The following individuals contributed to this report:

Stacy Manzerolle, Manager, Healthy Schools Department

Mathew Roy, Epidemiologist, Epidemiology & Evaluation Department

APPROVED BY:

Theresa Marentette


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