Public Health in Simcoe Muskoka Scott Warnock Board

Public Health in Simcoe Muskoka Scott Warnock, Board of Health Chair Barry Ward, Board of Health Vice Chair Charles Gardner, Medical Officer of Health March, 2017

HEALTHY PEOPLE–OUR SHARED GOAL

TRANSFORMATION TOGETHER (5) The medical officer of health of a board of health shall engage on issues relating to local health system planning, funding and service delivery with the chief executive officer or chief executive officers of the local health integration network or networks whose geographic area or areas cover the health unit served by the board of health.

OUR SHARED TERRITORY

HEALTH CHALLENGES IN SOUTH SIMCOE Indicator South Simcoe Ontario Comparisons Current Smoker (Adults 20+) 20% (16%-25%) 20% (19. 8%20. 6%) Same as Ontario Higher-Risk Drinking (Adults 19+) 36% (30%-42%) 28% (27. 4%28. 3%) Significantly Higher than Ontario <5/Day Fruits & Vegetables (12+) 57% (51%-62%) 60% (59. 2%60. 1%) Same as Ontario Physically Inactive Leisure-Time (12+) 47% (39%-55%) 48% (47. 2%48. 1%) Same as Ontario Obese (Adults 18+) 32% (26%-38%) 25% (24. 4%25. 2%) Significantly Higher than Ontario Household Food Insecurity (Any) 7% (5. 1%-10. 6%) 8% (6. 6%9. 1%) Same as Ontario Unintentional Injury ER Visit Rate (All) 111 per 1, 000 95 per 1, 000 Significantly Higher than Ontario MVC Injury ER Visit Rate (All) 7 per 1, 000 6 per 1, 000 Same as Ontario Preventable Mortality Rate (<75 year) 1 per 1, 000 Same as Ontario IHD Mortality Rate 1 per 1, 000 Same as Ontario

WHAT DETERMINES HEALTH? •

WHAT IS PUBLIC HEALTH? • A 170 year old movement • Strategies focused on populations • To prevent disease, and protect and promote health • Working with the determinants of health

THE POTENTIAL FOR 7 MORE YEARS OF LIFE Source: SEVEN MORE YEARS: The impact of smoking, alcohol, diet, physical activity and stress on health and life expectancy in Ontario. Institute for Clinical Evaluative Sciences, Public Health Ontario

HEALTH CARE COSTS PREVENTED

OUR BOARD OF HEALTH Scott Warnock Barry Ward, County of Simcoe City of Barrie Chair Vice Chair • Thomas Ambeau, Provincial Appointee • Sandy Cairns, District of Muskoka • • Sergio Morales, City of Barrie Ralph Cipolla, City of Orillia • Gail Mullen, Provincial Appointee • Lynn Dollin, County of Simcoe • Margaretta Papp-Belayneh, Provincial Appointee • Anita Dubeau, County of Simcoe • Terry Pilger, District of Muskoka • Fred Hamelink, Provincial Appointee • Ben Rattelade, Provincial Appointee • Stephen Kinsella, Provincial Appointee • Brian Saunderson, County of Simcoe • Betty Jo Mc. Cabe, Provincial Appointee • Peter Willmott, Provincial Appointee

CHANGING PUBLIC HEALTH STANDARDS

CLIMATE CHANGE- HUMAN HEALTH IMPACTS Flooding, wind damage and severe winter storm damage due to extreme weather events More extremely hot days Food safety & security Reduced air quality Increased risk of warm-climate diseases such as Lyme and West Nile diseases and malaria

WALKABLE DESTINATION IN ONTARIO Transportation Behaviors and Health Outcomes by Residential Density and Availability of Walkable Destinations. Booth GL, Glazier RH, Creatore MI, Weyman JT, Fazli G, Matheson FI, et al. (2014) Density, Destinations or Both? A Comparison of Measures of Walkability in Relation to Transportation Behaviors, Obesity and Diabetes in Toronto, Canada. PLo. S ONE 9(1): e 85295 doi: 10. 1371/journal. pone. 0085295

HEALTH INEQUITY IN SOUTH SIMCOE

VULNERABLE POPULATIONS IN SOUTH SIMCOE

ENGAGING WITH THE COMMUNITY

…ON SOCIAL DETERMINANTS OF HEALTH • • Food Access Income Food Security Housing Alcohol Water Fluoridation Air Quality Transportation

PROVINCIAL GRANT FREEZE Grant freeze impacts in 2015 – 2016 (continuing): • The loss of over 11 FTEs in staffing • • positions, including three management positions, The reorganization of the agency with a reduction of one department, The closure of the sexual health clinic in Alliston, • Slimmed agency strategic plan, • $90, 000 in operational savings.

PROVINCIAL ACCOUNTABILITY AGREEMENTS 2014 2015

FINAL THOUGHTS • The Central LHIN and SMDHU share the same goal – improving health. • People’s health has always been about their living conditions. • Public health works to improve health through addressing the determinants of health. • There are challenges and opportunities to population health in South Simcoe. • The SMDHU Board of Health is committed to working with our communities for better health.