Transcript Day 1 - Lori Doran

First Nations and Inuit Health
Ontario Region
First Nations Water Symposium
March 9, 2010
Lori Doran, MSc., RD
Director, Population Health
FNIH Ontario Structure
Zones
Chronic
disease &
Health
Promotion
Policy
Non-Insured
Health Benefits
Nursing
FNIH ON
Community
Medicine,
Communicable
Disease & Health
Emergency
Community
Programs and
Governance
• Finance
• Human
Resources
Strategic
Planning and
Audit
Environmental
Health
Corporate
Services
under
Regions and
Programs
Branch, ON:
• IM/IT
• Capital Assets
and Security
Ontario Environmental Public Health Program
Core Programming
1.
2.
3.
4.
5.
6.
7.
8.
Drinking water (Surveillance, sampling, advice, guidance, training)
Food safety (inspections, advice, guidance)
Housing (inspections, advice, guidance)
Wastewater and solid waste disposal (inspections, advice, guidance)
Facilities inspections
Communicable disease control (surveillance, support in response of
confirmed / suspected cases, investigation, sampling, source
identification)
Emergency Preparedness and Response (planning, inspections)
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
Confirmed Influenza A/H1N1 cases among individuals living onreserve in Ontario region, Wave 1 and Wave 2 as at February 1,
2010
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
•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
Reported H1N1 vaccine coverage among
communities in Ontario region by zone, as at
January 15, 2010
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)
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