Upload
diana-armstrong
View
217
Download
0
Embed Size (px)
Citation preview
First Nations and Inuit Health Ontario Region
First Nations Water SymposiumMarch 9, 2010
Lori Doran, MSc., RD
Director, Population Health
FNIH Ontario Structure
Chronic disease &
Health Promotion
Nursing
Environmental Health
Community Medicine,
Communicable Disease & Health
Emergency
Community Programs and Governance
Strategic Planning and
Audit
Non-Insured Health Benefits
Policy
Zones
FNIH ON
Corporate Services under Regions and Programs Branch, ON:
• Finance
• Human Resources
• IM/IT
• Capital Assets and Security
Ontario Environmental Public Health Program
Core Programming1. Drinking water (Surveillance, sampling, advice, guidance, training)
2. Food safety (inspections, advice, guidance)
3. Housing (inspections, advice, guidance)
4. Wastewater and solid waste disposal (inspections, advice, guidance)
5. Facilities inspections
6. Communicable disease control (surveillance, support in response of confirmed / suspected cases, investigation, sampling, source identification)
7. Emergency Preparedness and Response (planning, inspections)
8. Environmental Contaminants, Research and Risk Assessment
Ontario Environmental Public Health Program
Budget • $6M for environmental public health
• $4M for water / wastewater initiatives
Organization• Regional Environmental Health Manager (Shaun Mackie)• 4 Senior Environmental Health Officers (EHOs)• 14 EHOs• 1 transferred EHO (Akwesasne)
Regional Successes
Environmental Public Health• Detection of Eastern Equine Encephalitis positive
mosquitoes• Training / certification of 250 First Nations food
handlers• Training of Water Quality Analysts
Regional Successes
General• Ongoing support of Tripartite projects in public health and health
promotion• Addictions programming needs assessment and action plan• Support Ontario specific Prescription Drug Abuse Strategy• Expansion of the Indian Residential Schools Support Program• Launch Communities in Crisis pilots• Launch Nursing Innovation pilots• Investments in nursing recruitment• Investments in E health • Capital Stimulus Projects• H1N1 pandemic planning and response
H1N1 : Overview of Cases On-Reserve
Zone Wave 1 Wave 2 Total
Moose Factory Zone 5 34 39
Sioux Lookout Zone 55 142 197
Southern Ontario Zone 2 29 31
Thunder Bay Zone 17 39 56
Grand Total 79 244 323
Confirmed Influenza A/H1N1 cases among individuals living on-reserve in Ontario region, Wave 1 and Wave 2 as at February 1, 2010
•Number of deaths on reserve = 4 •Number of confirmed H1N1 cases in Ontario = 8,746 •Number of H1N1 deaths in Ontario = 121
H1N1 : Vaccine Coverage
Zone Total Coverage (%)
Moose Factory Zone 4026 (65.8)
Sioux Lookout Zone 11503 (63.3)
Southern Ontario Zone 10533 (28.2)
Thunder Bay Zone 11167 (47.1)
Total 37229 (43.6)
Reported H1N1 vaccine coverage among communities in Ontario region by zone, as at January 15, 2010
H1N1 : Next Steps
• Ongoing prevention and immunization efforts• Ongoing surveillance/monitoring• Collaboration in H1N1 evaluations at provincial, FNIH and COO
levels with support from the ON First Nations Pandemic Technical WG
• Incorporate lessons learned from H1N1 into updated Chapter 20 of the ON Pandemic Plan specific to First Nations on-Reserve via the WG
• Ongoing support to FN communities for updating and testing their pandemic plans
• Further clarify linkages between community-level pandemic plans and emergency plans with FNIH and INAC
Priorities - Environmental Public Health
• INAC/OCCOH/FNIH meeting to advance environmental health (March 30, 2010)
• Ongoing implementation of First Nations Water and Wastewater Program
• Radon sampling
Priorities for 2010-11
• Ongoing implementation of programs with renewal confirmed• ON FN Prescription Drug Abuse Strategy implementation• Develop ON FN Mental Wellness Strategy based on Dec. 09
Chiefs Resolution• Ongoing expansion Indian Residential Schools Support
Program• Continue with Capital Stimulus Projects• Public health surveillance pilots in cancer, injury and others• North/South Nursing Recruitment/Retention Strategies• Nursing Innovation pilot implementation• Dental Hygiene and tele-dental pilots to improve access to
services• Oral health survey based on approved strategy