2007 Annual Report - Windsor Essex County Health Unit
2007 Annual Report - Windsor Essex County Health Unit
2007 Annual Report - Windsor Essex County Health Unit
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<strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong> <strong>Health</strong> <strong>Unit</strong><br />
ANNUAL REPORT<br />
<strong>2007</strong><br />
Photo of Point Pelee © Parks Canada/B. Morin - 2003
THE BOARD<br />
Gary<br />
McNamara<br />
<strong>County</strong><br />
Appointee<br />
Chair<br />
Tom Bain<br />
<strong>County</strong><br />
Appointee<br />
Vice Chair<br />
Bill Allison<br />
City Appointee<br />
(Non-Council)<br />
Treasurer<br />
Bill Allsop<br />
Provincial<br />
Appointee<br />
Lorraine<br />
Hodgson<br />
Provincial<br />
Appointee<br />
Wayne Hurst<br />
<strong>County</strong><br />
Appointee<br />
Mike<br />
Holdsworth<br />
City Appointee<br />
(Non-Council)<br />
Ken Lewenza<br />
City Appointee<br />
Rosemary<br />
Limarzi<br />
Provincial<br />
Appointee<br />
Bill Marra<br />
City Appointee<br />
Ron<br />
McDermott<br />
<strong>County</strong><br />
Appointee<br />
Rob<br />
Modestino<br />
Provincial<br />
Appointee<br />
Lynda Monik<br />
Provincial<br />
Appointee<br />
BOARD OF DIRECTORS - RESOLUTIONS <strong>2007</strong><br />
Resolution Date Passed<br />
Endorsement of the Private Member’s Bill to Amend the Smoke-Free<br />
Ontario Act to Ban Smoking in Cars Containing Children.<br />
(Recommendation to Ministry) to expand the Human Papillomavirus<br />
Immunization Program to all women between the ages of 9 to 25.<br />
Request for Ministry of <strong>Health</strong> and Long-Term Care to continue<br />
to financially support the West Nile Virus (WNV) Control and<br />
Surveillance Program.<br />
Employer support for the Canadian Forces Reserve Force.<br />
WNV services of GDG be employed and approval of $416 000 budget.<br />
Approval of the <strong>2007</strong> <strong>Health</strong> <strong>Unit</strong> budget for $13 687 557.<br />
Adoption of the “Common Approaches for Farmers’ Markets<br />
and Special Events” guidelines for implementation in the<br />
inspection of food premises exempt from Food Premises<br />
Regulation (O. Reg. 562/90).<br />
December 20, <strong>2007</strong><br />
October 18, <strong>2007</strong><br />
October 18, <strong>2007</strong><br />
April 19, <strong>2007</strong><br />
April 19, <strong>2007</strong><br />
April 19, <strong>2007</strong><br />
February 8, <strong>2007</strong><br />
1<br />
WECHU ANNUAL REPORT <strong>2007</strong>
T HE<br />
MEDICAL OFFICER<br />
OF HEALTH<br />
Two thousand and seven saw significant<br />
challenges and accomplishments for the Board<br />
and staff of the <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong> <strong>Health</strong><br />
<strong>Unit</strong>. On January 16, <strong>2007</strong>, Minister of <strong>Health</strong><br />
Promotion, Mr. Jim Watson, visited the <strong>Health</strong><br />
<strong>Unit</strong> to formally present the Board and staff<br />
of the <strong>Health</strong> <strong>Unit</strong> with the Heather Crowe<br />
award to recognize the <strong>Health</strong> <strong>Unit</strong>’s efforts in<br />
smoking cessation and tobacco control. This<br />
award marks many years of hard work and<br />
dedication to the reduction in the use of and<br />
exposure to tobacco in <strong>Windsor</strong>-<strong>Essex</strong>.<br />
Throughout the year staff worked with<br />
the Ministry as part of the consultation<br />
process for the mandatory programs review.<br />
In February <strong>2007</strong>, the Ministry of <strong>Health</strong> and<br />
Long Term Care produced the first draft of<br />
the Ontario Public <strong>Health</strong> Standards document<br />
which includes standards for Chronic<br />
Disease and Injury Prevention, Family <strong>Health</strong>,<br />
Infectious Disease, Environmental <strong>Health</strong>, and<br />
Emergency Preparedness. The focus is on<br />
evidence informed public health planning and<br />
performance. The standards will be supported<br />
by a set of protocols and guidance documents<br />
which will outline in detail the requirement<br />
of the proposed Standards.<br />
Dr. G. Allen Heimann<br />
The <strong>Health</strong> <strong>Unit</strong> hosted the <strong>2007</strong> <strong>Annual</strong><br />
Association of Public <strong>Health</strong> Agencies’<br />
Conference. A highlight of the conference<br />
was a presentation of personal reflections<br />
by Dr. Sheela Basrur, the former Chief<br />
Medical Officer of <strong>Health</strong> of the Province<br />
of Ontario.<br />
Staff continue to support education<br />
programs for nurses and public health<br />
inspectors in <strong>2007</strong>. Twenty four Public<br />
<strong>Health</strong> Nurses provided preceptorships<br />
to fourth year nursing students from the<br />
University of <strong>Windsor</strong> Faculty of Nursing<br />
and two Public <strong>Health</strong> Inspectors<br />
participated in training of student Public<br />
<strong>Health</strong> Inspectors.<br />
I continued to participate in the work of<br />
the Great Lakes Border <strong>Health</strong> Initiative<br />
which is supported by the <strong>Unit</strong>ed States<br />
Center for Disease Control. Their primary<br />
goal is to increase surveillance among public<br />
health organizations of the Great Lakes on<br />
both sides of the International border.<br />
These activities represent a few<br />
highlights of the extensive work and<br />
accomplishments of <strong>2007</strong>. I would like<br />
to thank the management team and the<br />
entire staff for all of their dedication<br />
andsupport throughout the year.<br />
2
HBHC<br />
HEALTHY BABIES<br />
HEALTHY CHILDREN<br />
<strong>Health</strong>y Babies <strong>Health</strong>y Children<br />
Reaches out to Physicians in <strong>2007</strong><br />
The <strong>Health</strong>y Babies <strong>Health</strong>y Children (HBHC)<br />
program reinforced an ongoing commitment<br />
to ensure that every child (prenatal to<br />
six years) in Ontario is provided with<br />
opportunities to achieve his or her optimal<br />
potential through access to integrated<br />
programs and services that support healthy<br />
child development.<br />
Families need easy access to screening and<br />
monitoring for healthy child development<br />
throughout their children’s early years. One<br />
way to achieve this is to obtain the support<br />
of primary health care providers in the<br />
ongoing monitoring of child development<br />
through universal prenatal screening and<br />
an enhanced 18 month immunization and<br />
well baby visits.<br />
3<br />
WECHU ANNUAL REPORT <strong>2007</strong>
Physician Outreach Project<br />
In July <strong>2007</strong>, the Physician Outreach Project<br />
was incorporated into the vulnerable families<br />
funding and continued to grow throughout<br />
the year.<br />
Currently, there are ten obstetricians, one<br />
midwife, four paediatricians, and nine family<br />
physicians involved in the prenatal and<br />
18 month developmental screening. Physicians<br />
appreciate the face-to-face public health nurse<br />
contact and state they were unaware of the<br />
services the health unit and HBHC have to<br />
offer in the community.<br />
Most importantly, the physicians are<br />
referring to HBHC and wish to continue the<br />
relationship. Evaluation results identified that<br />
prenatal and early identification referrals have<br />
increased. As well, local physicians are coming<br />
forward and asking to participate in this<br />
exciting initiative!<br />
HBHC Celebrates!<br />
HBHC staff began preparations for the<br />
10th anniversary celebration in early <strong>2007</strong>.<br />
The festivities will be held on May 29, 2008,<br />
at our <strong>Windsor</strong> office and on May 30, 2008,<br />
at our Leamington office.<br />
PROGRAM STATS<br />
<strong>Annual</strong> live births<br />
4 419<br />
Families screened with the<br />
Parkyn Postpartum tool<br />
4 373<br />
Families who received a postpartum<br />
contact from a PHN<br />
4 292<br />
Families contacted within 48 hours<br />
of hospital discharge<br />
3 865<br />
Number of families with children<br />
6 weeks to 6 years referred to<br />
the HBHC program<br />
317<br />
Number of women screened<br />
using a Larson<br />
1 743<br />
HBHC<br />
4
COMPREHENSIVE<br />
SCHOOL HEALTH<br />
Are you juiced?...<br />
Youth and Steroids Pilot Project<br />
Implementation of the Youth and Steroids<br />
Pilot Project took place in the spring and fall<br />
of <strong>2007</strong>. The goal of the campaign was to raise<br />
awareness among youth athletes, coaches, and<br />
parents about the issue of anabolic steroid<br />
use. Posters, a Coach’s Booklet, Student<br />
Wallet Card, and Parent Pamphlet were<br />
developed. School educators and coaches<br />
from 12 secondary schools received the<br />
resources including 665 student wallet cards.<br />
A workshop for school coaches and educators<br />
was presented at the request of the <strong>Windsor</strong><br />
<strong>Essex</strong> <strong>County</strong> Secondary Schools Athletic<br />
Association. The 50 participants received<br />
information about anabolic steroids and<br />
supplements, prevention strategies, and<br />
resource information.<br />
PROGRAM STATS<br />
Number of Public Schools that the Sexual<br />
<strong>Health</strong> Elementary School program was<br />
presented to<br />
14<br />
Number of teachers who attended teacher<br />
Workshops (Elementary School Sexual<br />
<strong>Health</strong> program)<br />
32<br />
Number of Parenting Workshops hosted<br />
(Bullying, Stress)<br />
3 with 52 parents who attended<br />
Number of Where’s the Shade?<br />
brochures distributed<br />
625<br />
Number of schools who participated in the<br />
Where’s the Shade intiative<br />
40<br />
Number of Sun Safety Booklets titled<br />
Over-Exposed that were distributed<br />
7 350<br />
Number of schools who’s Grade 3 and<br />
Grade 6 students participated in the<br />
Turn off the Screen campaign<br />
45<br />
Number of high schools who were<br />
provided with the Quit 4 Life smoking<br />
cessation program<br />
5<br />
5<br />
WECHU ANNUAL REPORT <strong>2007</strong>
Mamba Challenge<br />
In December <strong>2007</strong>, 113 Grade 1 classes from<br />
72 English and French schools across <strong>Windsor</strong><br />
and <strong>Essex</strong> <strong>County</strong> (over 69% participation rate)<br />
moved to the beat as part of the Mamba<br />
Challenge. The Mamba Challenge encourages<br />
children to become more active during<br />
their school day. It is sponsored by the<br />
<strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong> <strong>Health</strong> <strong>Unit</strong> and <strong>Health</strong><br />
Action <strong>Windsor</strong>-<strong>Essex</strong>. Six area schools won<br />
gift certificates for sporting equipment in a<br />
random draw of participating schools.<br />
Eat Smart<br />
The Eat Smart! Award of Excellence was<br />
presented to three new high schools in<br />
<strong>2007</strong>; Leamington District High School,<br />
Assumption High School (<strong>Windsor</strong>), and<br />
St. Anne High School (Tecumseh). Currently,<br />
56% of the high schools in <strong>Windsor</strong>-<strong>Essex</strong><br />
<strong>County</strong> participate in the Eat Smart! Program.<br />
A<br />
CHALLENGE<br />
YOUTH ACTION ALLIANCE<br />
Knot In My Life had a successful first year<br />
organizing and attending many events. The<br />
Peer Leaders organized an Unmasking the<br />
Tobacco Industry event which highlighted<br />
the deceptive tactics of the tobacco industry.<br />
They also posted love letters in their high<br />
schools on Valentines Day with a message<br />
written with a twist from the perspective of<br />
the tobacco industry.<br />
In March, they celebrated Kick Butts Day<br />
by inviting students to share their opinions<br />
regarding the impact of smoking on their<br />
lives. They also had a display at Devonshire<br />
Mall, and preformed a Drop Dead<br />
event representing lives lost due to the<br />
tobacco industry.<br />
YAA<br />
6
CLINIC<br />
CLINIC<br />
The sexual health clinic sees people for<br />
testing of sexually transmitted infections,<br />
treatment, and follow up. Birth control is<br />
sold at cost, and a physician will see women<br />
wanting to start birth control and follow-up<br />
with them for their annual assessments.<br />
In <strong>2007</strong>, the sexual health clinic implemented<br />
the offering of the Gardasil vaccine for HPV.<br />
Clients would see the physician first for an<br />
assessment and then a nurse administered<br />
the vaccine. This is a series for three vaccines<br />
in a six month period.<br />
PROGRAM STATS<br />
For <strong>2007</strong> Clinical Services<br />
Total Clinic visits<br />
4 708<br />
Pap Tests<br />
642<br />
HIV tests (non-nominal)<br />
781<br />
Physician visits<br />
1 468<br />
For <strong>2007</strong> Travel Services<br />
First assessment’s<br />
1 532<br />
Client visits<br />
3 060<br />
Yellow Fever Certificates<br />
600<br />
Community follow-up for STIs continues with<br />
nurses following up in the community on<br />
reported cases of Chlamydia, Gonorrhea,<br />
Syphilis, Hepatitis B, Hepatitis C, and HIV. The<br />
STI hotline receives calls from the community,<br />
clients, and physicians on issues related to<br />
education and treatment of STIs.<br />
Travel Clinic<br />
The <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong> <strong>Health</strong> <strong>Unit</strong><br />
is the only designated Yellow Fever provider<br />
in <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong>. Yellow Fever<br />
certificates have increased this year as more<br />
people are travelling and are required to have<br />
the vaccine for entry into certain countries.<br />
Calls to the clinic for travel counselling have<br />
increased due to awareness of travel related<br />
disease and illness.<br />
Vaccines include:<br />
• Yellow Fever<br />
• Hepatitis A<br />
• Hepatitis B<br />
• Typhoid<br />
• Meningitis<br />
• Japanese Encephalitis<br />
• Rabies<br />
7<br />
WECHU ANNUAL REPORT <strong>2007</strong>
NURSE PRACTITIONER<br />
Ms. Julie German, R.N. (EC) is a Primary<br />
<strong>Health</strong> Care Nurse Practitioner (PHCNP) with<br />
the Prenatal/Postnatal Nurse Practitioner Clinic<br />
at the <strong>Health</strong> <strong>Unit</strong>. She provides care to women<br />
who don’t have a family doctor, are planning<br />
a pregnancy, are pregnant, or after they have<br />
a baby. She also offers care to families with<br />
young children under the age of six.<br />
PROGRAM STATS<br />
Total Visits<br />
1587<br />
Visits to clients without a family doctor<br />
1554<br />
New clients<br />
270<br />
Referrals to other services<br />
745<br />
GENETICS<br />
Our satellite genetics program from<br />
Children’s Hospital of Western Ontario saw<br />
a total of 435 separate cases in <strong>2007</strong>. This<br />
included 156 prenatal referrals dealt with<br />
exclusively by Michele Jardine, Public <strong>Health</strong><br />
Nurse for the Genetics program. We hosted<br />
24 clinic days with the two genetic<br />
paediatricians from London. Over 82% were<br />
new paediatric referrals to these clinics. This<br />
was also an opportunity for local medical<br />
students to gain needed genetics experience.<br />
We are one of five other health units that<br />
participate in the satellite program, which is<br />
designed to save families the time and<br />
expense of distance travel.<br />
GENETICS<br />
8
REPRO<br />
C<br />
HEALTH<br />
My <strong>Health</strong>y Pregnancy<br />
Calendar<br />
CHILD HEALTH AND<br />
REPRODUCTIVE HEALTH<br />
The Child <strong>Health</strong> and Reproductive <strong>Health</strong><br />
teams provide programs related to health<br />
before pregnancy, during pregnancy,<br />
breastfeeding, parenting, and children’s<br />
growth and development (birth to six years).<br />
The teams serve the community by providing<br />
resources, consultations, classes, workshops,<br />
and population-based campaigns. The target<br />
population includes parents, caregivers, child<br />
care providers, social service providers, and<br />
health care providers.<br />
In <strong>2007</strong>, the child health team continued its<br />
focus on the prevention of childhood obesity.<br />
One highlight was the completion of the<br />
booklet, Starting Early: Keeping Your<br />
Preschooler at a <strong>Health</strong>y Weight that<br />
provides information on healthy eating and<br />
active living with a focus on the family.<br />
During <strong>2007</strong>, the Reproductive <strong>Health</strong> team<br />
worked on the prevention of low birth weight.<br />
Many resources were developed, including<br />
the My <strong>Health</strong>y Pregnancy Calendar that helps<br />
women track their diet and healthy habits one<br />
week at a time. Our calendar has been offered<br />
free of charge across the country through a<br />
maternal child list serve and we’ve received<br />
over 100 inquiries to date. The Are You<br />
Pregnant scratch card allowed women to test<br />
their knowledge about preterm birth and<br />
enter a draw to win a baby gift.<br />
9<br />
Obesity<br />
Prevention<br />
Booklet<br />
WECHU ANNUAL REPORT <strong>2007</strong><br />
This department is also responsible for<br />
answering the Intake line. Although it<br />
provides information on a wide variety of<br />
topics, the largest proportion of calls (18.1%)<br />
relate to breastfeeding. Breastfeeding women<br />
are encouraged to call the intake nurse for<br />
help or to schedule an appointment at our<br />
breastfeeding clinic. This clinic expanded<br />
service to two clinics per week in <strong>2007</strong>.
DENTAL<br />
Five teams of registered dental hygienists and<br />
dental assistants provided school screening<br />
and clinical services through out <strong>Windsor</strong> and<br />
<strong>Essex</strong> <strong>County</strong>.<br />
In <strong>2007</strong>, staff identified 1 899 children<br />
with urgent dental problems. Parents were<br />
notified and 1 338 children received C.I.N.O.T<br />
(Children in Need of Treatment) claims which<br />
allowed them to receive free treatment from<br />
their own dentist and preventative services<br />
from the <strong>Health</strong> <strong>Unit</strong>.<br />
The C.I.N.O.T program is provided by the<br />
Ministry of <strong>Health</strong> Promotion and is available<br />
for children under 14 years old who require<br />
urgent treatment, have financial need,<br />
and don’t have other dental coverage.<br />
PROGRAM STATS<br />
Number of schools screened<br />
130<br />
Number of students screened in schools<br />
25 462<br />
Number of children screened in clinics<br />
3 873<br />
Number of cleanings and fluorides<br />
completed in clinics (includes oral<br />
hygiene instruction)<br />
1 342<br />
Number of children who<br />
received sealants in clinics<br />
216<br />
C.I.N.O.T Pamphlet<br />
10
WECHU hosts the<br />
alPHa conference<br />
The alPHa conference<br />
program developed<br />
by the <strong>Windsor</strong>-<strong>Essex</strong><br />
<strong>County</strong> <strong>Health</strong> <strong>Unit</strong>.<br />
<strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong> <strong>Health</strong> <strong>Unit</strong><br />
was privileged to host the <strong>2007</strong><br />
<strong>Annual</strong> Meeting and Conference of<br />
the Association of Local Public <strong>Health</strong><br />
Agencies (alPHa). Over 120 delegates<br />
from 31 out of 36 health units<br />
enjoyed our warm southern hospitality<br />
at the Hilton. A special guest of honour<br />
was Dr. Sheela Basrur, former Chief<br />
Medical Officer of <strong>Health</strong> of Ontario.<br />
She received an Honorary Membership<br />
Award in recognition of her<br />
dedication to Public <strong>Health</strong> prior to<br />
her early retirement. Her parents and<br />
sister joined in the festivities at the<br />
dinner reception at the Art Gallery<br />
of <strong>Windsor</strong>.<br />
The group also heard many<br />
presentations such as ones from<br />
Ron Sapsford, Deputy Minister of<br />
Ministry of <strong>Health</strong> and Long Term<br />
Care, and Veronique Mandal, our<br />
local media expert.<br />
The <strong>Health</strong> <strong>Unit</strong>’s talented staff<br />
contributed to the success of the two<br />
day event. Jen St. Louis and the IRD team<br />
developed the program and all the<br />
promotional materials. Lise Legault and<br />
Rosanne St. Denis warmly welcomed the<br />
delegates at the registration desk. The<br />
opening reception was made magical by<br />
the gifted crooning of one of our own<br />
staff, Fernando Bayuga who performed<br />
a melody of favourite tunes, in addition<br />
to providing videography support with<br />
Radek Filas at the dinner reception.<br />
Karen Lukic got the circulation going of<br />
attendees during the physical activity<br />
breaks. Board members who attended<br />
were Tom Bain, Mike Holdsworth and Ron<br />
McDermott. Bill Allison and Lynda Monik<br />
joined the senior management team at the<br />
awards dinner at the Art Gallery<br />
of <strong>Windsor</strong>.<br />
The event was deemed a resounding<br />
success with the right mix of education<br />
and networking in a great location,<br />
by all those in attendance.<br />
11<br />
WECHU ANNUAL REPORT <strong>2007</strong><br />
12
PUBLIC HEALTH INSPECTION<br />
Safe Drinking Water Act<br />
O. Reg 243 — In June of <strong>2007</strong>, the<br />
Government passed a regulation under the<br />
Safe Drinking Water Act, 2002 (O. Reg 243/07)<br />
governing flushing and lead testing<br />
requirements for schools, private schools,<br />
and day nurseries. From the testing conducted<br />
in <strong>2007</strong> we saw a total of 23 lead exceedances<br />
reported (above the provincial standard of<br />
10ug/l). All of these exceedances were<br />
followed up by corrective action and<br />
re-testing as recommended by the <strong>Health</strong> <strong>Unit</strong>.<br />
PROGRAM STATS<br />
City Animal Bite Investigations<br />
438<br />
<strong>County</strong> Animal Bite Investigations<br />
250<br />
Vaccines Issued<br />
26 City / 8 <strong>County</strong><br />
Boil Water Advisories – Single Premises<br />
52<br />
Boil Water Advisories – Area Wide<br />
4<br />
O. Reg 170 — The initial round of community<br />
lead testing required by the amended<br />
Drinking Water Systems Regulation,<br />
(O. Reg. 170/03) under the Safe Drinking<br />
Water Act, 2002, began on December 15, <strong>2007</strong><br />
(ends April 15, 2008). Participation in this<br />
testing program is voluntary and the<br />
number of sampling sites required by each<br />
water authority is determined on a<br />
population basis. No results under this testing<br />
were received in the <strong>2007</strong> calendar year<br />
but planning and consultation activities<br />
commenced in December. Results expected<br />
to begin in January 2008.<br />
Hedgehog<br />
We added the service request module to our<br />
existing set of computerized programs which<br />
allows us to track all of the complaints and<br />
requests that come in through the <strong>Health</strong><br />
Inspection Intake line. Breakdown of these<br />
service request types for <strong>2007</strong> is listed on the<br />
next page. There were a total of 1145 service<br />
requests received in <strong>2007</strong> by the <strong>Health</strong><br />
Inspection Department.<br />
13<br />
WECHU ANNUAL REPORT <strong>2007</strong>
Food Safety<br />
Emergency Response May 25, <strong>2007</strong> — An<br />
industrial fire in the heart of <strong>Windsor</strong> spread<br />
a thick layer of smoke through an area with<br />
more than 20 food premises. In the face of a<br />
toxic plume of undetermined content all<br />
food premises were ordered closed. Some<br />
facilities were without electricity for more<br />
than 12 hours. When it was safe, the<br />
inspection team evaluated each food premise<br />
and corrective action was ordered.<br />
Summer Festivals — In <strong>Windsor</strong>-<strong>Essex</strong><br />
<strong>County</strong> the <strong>Health</strong> Inspectors were very<br />
busy with weekly fairs and festivals from<br />
May to October.<br />
West Nile Virus <strong>2007</strong> Results Summary<br />
Positive Combined Surveillance Data<br />
Year 2002 2003 2004 2005 2006 <strong>2007</strong><br />
Bird Surveillance<br />
Total 6 11 11 12 5 4<br />
Mosquito Pool Surveillance<br />
Total 80 5 7 30 14 13<br />
Human Surveillance<br />
Total 38 10 2 23 6 2<br />
Food Safety Inspections — In <strong>2007</strong> we<br />
inspected more than 2 400 food premises<br />
in which 4 242 compliance inspections and<br />
498 re-inspections were preformed to<br />
ensure compliance with the Food Premises<br />
regulations. In addition, 327 Hazard Analysis<br />
Critical Control Point Audits were conducted<br />
along with the training of 555 individuals<br />
in Food Safety.<br />
Beach Testing<br />
Over a period of 12 weeks the Inspection<br />
Department tested 9 public beaches<br />
throughout the city and county. More<br />
than 500 samples were taken in order to<br />
determine beach quality for this year. We had<br />
52 postings advising the public of adverse<br />
water conditions and we ordered 2 beaches<br />
closed due to extremely high bacterial counts.<br />
PROGRAM STATS<br />
General Topic Service Request<br />
Food Safety<br />
380<br />
<strong>Health</strong> Hazards<br />
282<br />
Safe Water<br />
101<br />
Other<br />
382<br />
PHI<br />
14
TB AND VACCINE<br />
PREVENTABLE DISEASE<br />
Tuberculosis Summary of the year<br />
In <strong>2007</strong>, the Tuberculosis team investigated<br />
and monitored 10 residents with active<br />
TB disease.<br />
Citizenship and Immigration notified us of<br />
73 individuals that may be at risk for<br />
developing active TB. These individuals will<br />
be monitored for up to five years after arrival.<br />
The TB School Screening Program for<br />
students new to Canada, saw record numbers<br />
again this year. Over 2 340 clients were<br />
seen, 878 were positive (37%) and 1 462 were<br />
negative (62.48%).<br />
PROGRAM STATS<br />
Total number of vaccines provided<br />
at <strong>Health</strong> <strong>Unit</strong> Clinics<br />
2 430<br />
Number of Grade 7 students who received<br />
their first dose of the Hep B vaccination<br />
3 239<br />
Number of students immunized<br />
at school for Menningitis C<br />
4 826<br />
Number of students who received<br />
the HPV vaccination<br />
1 260<br />
The number of flu vaccines<br />
administered by eight contract nurses<br />
10 966<br />
Total number of injections for the<br />
vaccine program<br />
22 721<br />
Human Papillomavirus (HPV)<br />
On August 2, <strong>2007</strong>, the provincial government<br />
announced that the HPV vaccine, the first<br />
cancer preventing vaccine, would be free for all<br />
females in Grade 8. This program, like the<br />
Hepatitis B program for Grade 7, is voluntary<br />
and consists of three doses. HPV vaccine can<br />
prevent certain types of Human Papillovirus<br />
infections and genital warts. The <strong>Health</strong> <strong>Unit</strong><br />
provided education on HPV vaccine and the<br />
virus for health care providers and parents.<br />
Two parent information sessions were held<br />
prior to the start of the school vaccination<br />
clinics giving parents the opportunity to ask<br />
questions and express their concerns.<br />
Local School Boards supported the HPV<br />
vaccine initiative, and only one private school<br />
declined our services. In <strong>Windsor</strong>–<strong>Essex</strong><br />
<strong>County</strong>, 2 459 Grade 8 females were identified<br />
as being eligible for the free vaccine. School<br />
based clinics were held in November and<br />
December for the first dose.<br />
15<br />
WECHU ANNUAL REPORT <strong>2007</strong>
INFECTIOUS<br />
DISEASE CONTROL<br />
The outbreak team handles respiratory and<br />
enteric outbreaks in the community. This<br />
team was established by the Ministry of<br />
<strong>Health</strong> and Long Term Care in response to<br />
the SARS outbreak in Toronto. The goal of the<br />
outbreak team is to assist the community in<br />
the identification of outbreaks and to prevent<br />
further spread into the community.<br />
The team consists of three public health<br />
inspectors and one nurse. The inspectors are<br />
responsible for the inspection of long term<br />
care facilities, lodging homes, retirement<br />
homes, and daycares.<br />
The communicable disease team follow-up<br />
on all reportable diseases in <strong>Windsor</strong>-<strong>Essex</strong><br />
<strong>County</strong>. The outbreak and communicable<br />
disease teams work together in the event that<br />
one reportable disease case is linked to other<br />
cases which define an outbreak. The team<br />
provides educational sessions to daycares<br />
and long term care facilities in the community<br />
and assists in all aspects of outbreak<br />
control. The outbreak reporting season ran<br />
October 1, 2006, to September 30, <strong>2007</strong>.<br />
The Education and Evaluation Team<br />
consists of a Graphic Designer, <strong>Health</strong><br />
Promotion Specialist, and a Program<br />
Evaluation Specialist. This newly developed<br />
team is responsible for updating fact<br />
sheets, developing power point<br />
presentations, educational material,<br />
and program evaluation.<br />
PROGRAM STATS<br />
Number of respiratory outbreaks<br />
in <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong><br />
13<br />
Number of individual cases of Influenza<br />
34 - Influenza A<br />
1 - Influenza B<br />
Number of health care providers who<br />
attended our <strong>Annual</strong> Infectious<br />
Disease Conference<br />
Over 200<br />
Dollar amount of provincially<br />
funded vaccines<br />
$3 965 140.78<br />
IDC<br />
16
CHRONIC DISEASE<br />
AND INJURY PREVENTION<br />
Alcohol as a Risk Factor for<br />
Chronic Disease<br />
The <strong>Health</strong> <strong>Unit</strong> continues its work in<br />
addressing alcohol as a risk factor for chronic<br />
disease. Smoking, physical inactivity, and diet<br />
are well documented risk factors for chronic<br />
diseases. When it comes to alcohol, most<br />
people understand that chronic alcohol overuse<br />
can cause liver disease. However, over the<br />
past several years, alcohol has been increasingly<br />
identified as an important risk factor for<br />
cardiovascular disease and<br />
some cancers.<br />
17<br />
PROGRAM STATS<br />
Number of calls to the Nutrition<br />
Hotline handled by <strong>Health</strong> <strong>Unit</strong> Dietitians<br />
216<br />
Number of people who attended<br />
nutrition presentations and supermarket tours<br />
500<br />
Individuals who attended Losing Weight<br />
the <strong>Health</strong>y Weight classes<br />
132<br />
Number of <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong><br />
workplaces who received Workplace <strong>Health</strong><br />
Promotion Recognition Awards<br />
19<br />
Number of workplaces representing<br />
more than 23 000 employees who<br />
participated in the Working Toward Wellness<br />
Workplace Wellness Program<br />
42<br />
WECHU ANNUAL REPORT <strong>2007</strong><br />
The World <strong>Health</strong> Organization reports that<br />
alcohol is related to more than sixty diseases.<br />
In developed countries such as Canada,<br />
alcohol is identified as the third leading cause<br />
of death.<br />
In November of <strong>2007</strong>, the <strong>Health</strong> <strong>Unit</strong><br />
helped form a community-based work group<br />
to provide health and social service<br />
providers with an awareness, education,<br />
and skill-building workshop on an alcohol<br />
and chronic disease initiative called Straight<br />
Up, the Truth about Alcohol and <strong>Health</strong>.<br />
The workshop was a huge success with 130<br />
people from 31 agencies attending. Attendees<br />
responded favourably to the workshop and<br />
expressed a need for additional information<br />
related to brief interventions as they relate to<br />
alcohol use.<br />
In a three month post-evaluation, 50% of<br />
participants stated that they were speaking to<br />
their clients more about alcohol risk, and 88%<br />
would be interested in attending another work<br />
shop on the topic. In response, the<br />
work group has applied for additional funding<br />
to advance this project in 2008.
Go For <strong>Health</strong> – A Call For Action<br />
The <strong>Health</strong> <strong>Unit</strong>, along with <strong>Health</strong> Action<br />
<strong>Windsor</strong>-<strong>Essex</strong> and the Cancer Prevention<br />
Network, Erie St. Clair, developed a<br />
community partnership to address the<br />
unacceptably high rate of preventable<br />
chronic disease in our community.<br />
This partnership believes that creating<br />
healthy and supportive physical and social<br />
environments throughout our community<br />
will go a long way to encouraging and<br />
supporting our residents to reduce their<br />
risk for chronic disease and improve their<br />
overall health and well being.<br />
In <strong>2007</strong>, a comprehensive document entitled<br />
A Call For Action – An Urgent Green Light<br />
initiative for Community <strong>Health</strong> was<br />
developed and disseminated. This document<br />
calls on leaders and stakeholders from seven<br />
sectors (i.e., government, business/workplace,<br />
health, leisure and recreation, education, food<br />
service, and media) to identify, develop,<br />
implement, and monitor relevant policies in<br />
their sector to promote and support healthy<br />
living. Examples of relevant policy areas<br />
include healthy meetings policies, alternate<br />
transportation policies, land use development<br />
policies, municipal alcohol policies, and<br />
much more.<br />
The Call For Action was formally launched<br />
at a workshop on June 7, <strong>2007</strong>. In total, 70<br />
people representing all seven sectors<br />
attended. Interest and support for<br />
Go For <strong>Health</strong> was high.<br />
On September 19, <strong>2007</strong>, a<br />
follow-up Community Forum was<br />
held. At this forum, a facilitator<br />
brought representatives from all<br />
sectors up to speed on health<br />
policies and how these policies<br />
impact health.<br />
Representatives from all sectors spent<br />
the rest of the morning discussing<br />
health promotion policies that could<br />
be implemented in their sector both<br />
in the short and long term.<br />
The plan is for the Go For <strong>Health</strong><br />
community partnership to continue<br />
its work with each of the sectors in<br />
the coming year.<br />
18
19<br />
PROGRAM STATS<br />
Total charges laid under the<br />
Smoke Free Ontario Act in <strong>Windsor</strong>-<strong>Essex</strong><br />
102<br />
Number of charges for selling to oa<br />
person under the age of 19 Years<br />
40<br />
Number of display or permit<br />
handling offences<br />
14<br />
Selling without <strong>Health</strong> Warning offences<br />
9<br />
Work place public place ash tray offences<br />
39<br />
WECHU ANNUAL REPORT <strong>2007</strong><br />
TOBACCO<br />
In <strong>2007</strong>, two locations were issued Automatic<br />
Prohibitions based on multiple infractions<br />
and convictions under the SFOA. The<br />
Automatic Prohibition restricts vendors from<br />
selling tobacco for a six month period.<br />
Since the beginning of <strong>2007</strong>, there were<br />
405 calls to the Tobacco Hotline and all<br />
complaints received are investigated by<br />
an enforcement officer.<br />
STOP Study Sessions<br />
On March 7 and 8, <strong>2007</strong>, in partnership with<br />
the Centre for Addiction and Mental <strong>Health</strong>,<br />
we offered a series of cessation sessions.<br />
All participants were provided with a free<br />
ten week supply of the Nicotine Replacement<br />
Therapy of their choice.<br />
Driven to Quit <strong>2007</strong><br />
Final registration for the province-wide<br />
contest was 27 272, surpassing the 25 000<br />
goal. In <strong>Windsor</strong>-<strong>Essex</strong>, registration was 556,<br />
the highest in the southwest region. Last<br />
year’s winner was from the <strong>Windsor</strong>-<strong>Essex</strong><br />
<strong>County</strong> area.<br />
Ministry of Finance Joint Visits<br />
Four joint operations were conducted<br />
between the Ministry of Finance and our<br />
Tobacco team throughout <strong>2007</strong>. These<br />
inspections that reinforce compliance,<br />
resulted in 18 charges and 14 notices<br />
of violations.<br />
Lunch & Learn Cessation Workshop<br />
As part of our cessation strategy, we offer<br />
cessation sessions to help the smoker<br />
understand the process of quitting smoking.<br />
Each session is 30 to 60 minutes in length<br />
and provides smoking cessation literature<br />
to all participants.
SUPPORT SERVICES<br />
The Support Services team within the <strong>Health</strong><br />
<strong>Unit</strong> strives to support the approximately<br />
200 staff located in <strong>Windsor</strong>, <strong>Essex</strong> and<br />
Leamington. Two Systems Support Specialists<br />
provide support in the Information<br />
Technologies area. They put in place upgraded<br />
servers and back-up battery equipment for<br />
both computer and phone services within<br />
the organization. Our Maintenance team<br />
and Reception staff in both <strong>Windsor</strong> and<br />
Leamington are always willing and able<br />
to assist in any way possible. We are proud to<br />
belong to an organization that strives to make<br />
the community a healthier and better place<br />
in which to live.<br />
PROGRAM STATS<br />
Information Technology<br />
2006 <strong>2007</strong><br />
T<br />
S C S<br />
New Visitors to Website<br />
80 000 140 000<br />
Total New computers / thin clients<br />
208 228<br />
Total of Received Mail<br />
1 000 000 1 260 000<br />
Total of IT Related Service<br />
Tickets Submitted Internally<br />
1 417 1 514<br />
TOBACCO<br />
Total Facilities in Hedgehog<br />
5 500 7 559<br />
Increase in <strong>2007</strong> numbers is<br />
due to new website launch.<br />
20
INFORMATION RESOURCES<br />
DEPARTMENT<br />
The Information Resources Department or<br />
IRD has undergone some structural changes<br />
in <strong>2007</strong>. It acquired two new Information<br />
Coordinators, and although they are full IRD<br />
team members, they are embedded in the<br />
Family <strong>Health</strong> Team and the Comprehensive<br />
School <strong>Health</strong> Team to be a direct support for<br />
communication projects under the quality<br />
assurance guidance of the entire IRD team.<br />
PROGRAM STATS<br />
Number of Express Forms completed in <strong>2007</strong><br />
681<br />
Number of Communication Reviews<br />
completed in <strong>2007</strong><br />
305<br />
The New Website Layout<br />
Website Launch<br />
For over ten years, the <strong>Windsor</strong>-<strong>Essex</strong> <strong>County</strong><br />
<strong>Health</strong> <strong>Unit</strong> has been on the World Wide Web<br />
at the address www.wechealthunit.org. During<br />
this time period, we made many changes to<br />
the design, layout, and technical features of<br />
our website.<br />
On May 1, <strong>2007</strong>, we launched a new layout<br />
and design with many extra and easy to use<br />
features the best of which is a more robust<br />
search engine. Our newest changes to the<br />
website allow us to provide you with precise,<br />
timely, and trusted information in a much<br />
more user friendly and accessible way.<br />
Visit us online and please provide us with any<br />
feedback. We are always looking for new ways<br />
to improve our website<br />
21<br />
WECHU ANNUAL REPORT <strong>2007</strong>
<strong>2007</strong> FUNDING<br />
Cost Shared Budget<br />
Ontario Ministry of <strong>Health</strong> $10 265 668<br />
City of <strong>Windsor</strong> $1 882 925<br />
<strong>County</strong> of <strong>Essex</strong> $1 536 468<br />
Township of Pelee $2 496<br />
Total $13 687 557<br />
G<br />
Funded by Ontario Government<br />
HBHC (MCYS*) $2 727 896<br />
Genetics (MHLTC*) $187 080<br />
Heart <strong>Health</strong> (MHP*) $98 160<br />
Nurse Practitioner $143 000<br />
Infection Control (MHLTC) $341 513<br />
West Nile Virus (MHLTC) $237 000<br />
Smoke Free Ontario (MHP) $946 723<br />
Total $4 681 372<br />
*MCYS (Ministry of Children & Youth Services), *MHLTC (Ministry of <strong>Health</strong> & Long Term Care)<br />
*MHP (Ministry of <strong>Health</strong> Promotion)<br />
The dedicated staff of Finance and Payroll skillfully coordinated just under<br />
20 million dollars of ins and outs for the <strong>Health</strong> <strong>Unit</strong> in <strong>2007</strong>.<br />
<strong>2007</strong> MANAGEMENT TEAM<br />
<strong>2007</strong><br />
MANAGEMENT<br />
TEAM<br />
Dr. G. Allen Heimann, Medical Officer of <strong>Health</strong><br />
Deb Bennett, Director of <strong>Health</strong> Protection<br />
Liz Haugh, Director of <strong>Health</strong> Promotion<br />
Sharon Kelly, Director of Finance and Administration<br />
Shirley Davies, Manager of <strong>Health</strong>y Babies <strong>Health</strong>y Children<br />
Nichole Geha, Manager of Clinical Services<br />
Deb Gemmell, Support Services Officer<br />
Beth Kinnaird-Iler, Manager of <strong>Health</strong>y Babies <strong>Health</strong>y Children<br />
Sue Kocela, Manager of Child <strong>Health</strong>, Reproductive <strong>Health</strong>, and Dental <strong>Health</strong><br />
Line Lauzon, Manager of Infectious Diseases<br />
Rob Lyons, Senior Manager of <strong>Health</strong> Inspection<br />
Neil MacKenzie, Manager of Chronic Diseases and Injury Prevention<br />
Theresa Marentette, Manager of Comprehensive School <strong>Health</strong><br />
Kristy McBeth, Manager of <strong>Health</strong> Inspection<br />
Nancy Smith, Human Resources Officer<br />
22
www.wechealthunit.org<br />
<strong>Windsor</strong> Office<br />
1005 Ouellette Avenue<br />
<strong>Windsor</strong>, ON N9A 4J8<br />
519-258-2146<br />
fax: 519-258-6003<br />
<strong>Windsor</strong><br />
<strong>Essex</strong> Office<br />
360 Fairview Avenue West, Suite 215<br />
<strong>Essex</strong>, ON N8M 3G4<br />
519-776-5933<br />
fax: 519-776-6102<br />
<strong>Essex</strong><br />
Leamington Office<br />
215 Talbot Street East<br />
Leamington, ON N8H 3X5<br />
519-326-5716<br />
fax: 519-326-4642<br />
Leamington