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