{"text_format":"1","workbook":"xlsx","n_sheets":26,"sheets":["Data","Manual","Cover","Introduction and Instructions","Structure","Community Assessment","Foundational Standards","CDP","Food Safety","Healthy Environments","Healthy Growth Develop","Immunization","ICDP","Safe Water","School Health","SUIP","Covid-19 General","Covid-19 Vaccine","Staff Alloc to Programs","MOH & Administrative Staff","Alloc Expenditures","Overall Budget Summary","One-Time Funding Requests","BOH Membership","Apportionment","Contacts & Certification"],"not_rendered":{"charts":0,"images":12,"macros":1,"external_links":0,"defined_names":203,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":1,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Data","index":0,"n_rows":93,"n_cols":1,"rows_kept":93,"cut":false,"hidden":false,"merged":[]}
["Standards"]
["Population Health Assessment"]
["Health Equity"]
["Effective Public Health Practice"]
["Emergency Management"]
["Chronic Disease Prevention and Well-Being"]
["Food Safety"]
["Healthy Environments"]
["Healthy Growth and Development"]
["Immunization"]
["Infectious and Communicable Diseases Prevention and Control"]
["Safe Water"]
["School Health - Oral Health"]
["School Health - Vision"]
["School Health - Immunization"]
["School Health - Other"]
["Substance Use and Injury Prevention"]
[]
["Yes/No"]
["Yes"]
["No"]
[]
["BOH Membership"]
["Municipal"]
["Provincial"]
[]
["BOH Membership"]
["Council"]
["Citizen Representative"]
[]
["Apportionment"]
["Population"]
["Assessment"]
["Combined Population/Assessment"]
["Other"]
[]
["Board of Health"]
["the District of Algoma Health Unit"]
["the Brant County Health Unit"]
["the Chatham-Kent Health Unit"]
["the Durham Region Health Department"]
["the Eastern Ontario Health Unit"]
["the Grey Bruce Health Unit"]
["the Haldimand-Norfolk Health Unit"]
["the Haliburton, Kawartha, Pine Ridge District Health Unit"]
["the Halton Region Health Department"]
["the City of Hamilton, Public Health Services"]
["the Hastings & Prince Edward Counties Health Unit"]
["the Huron Perth Health Unit"]
["the Kingston, Frontenac and Lennox & Addington Health Unit"]
["the Lambton Health Unit"]
["the Leeds, Grenville & Lanark District Health Unit"]
["the Middlesex-London Health Unit"]
["the Niagara Region Public Health Department"]
["the North Bay Parry Sound District Health Unit"]
["the Northwestern Health Unit"]
["Ottawa Public Health"]
["the Oxford Elgin St. Thomas Health Unit"]
["Peel Public Health"]
["the Peterborough County-City Health Unit"]
["the Porcupine Health Unit"]
["the Renfrew County & District Health Unit"]
["the Simcoe Muskoka District Health Unit"]
["the Sudbury and District Health Unit"]
["the Thunder Bay District Health Unit"]
["the Timiskaming Health Unit"]
["the City of Toronto Health Unit"]
["the Region of Waterloo, Public Health"]
["the Wellington-Dufferin-Guelph Health Unit"]
["the Windsor-Essex County Health Unit"]
["York Region Public Health"]
["One-Time Request Categories"]
["Capital"]
["Extraordinary Costs (non-COVID-19)"]
["Needle Syringe Program"]
["New Purpose-Built Vaccine Refrigerators"]
["Public Health Inspector Practicum Program"]
["Smoke-Free Ontario Tablets"]
[]
[]
["Source of Funding"]
["Mandatory Programs (Cost-Shared)"]
["Ontario Seniors Dental Care Program (100%)"]
["Unorganized Territories / Indigenous Public Health Programs (100%)"]
[]
[]
[]
[]
[]
["Source of Funding"]
["Mandatory Programs (Cost-Shared)"]
["Ontario Seniors Dental Care Program (100%)"]
["Unorganized Territories / Indigenous Public Health Programs (100%)"]

{"sheet":"Manual","index":1,"n_rows":192,"n_cols":4,"rows_kept":192,"cut":false,"hidden":false,"merged":[]}
[]
[]
[null,null,null,"How to Use the 2023 Annual Service Plan Template"]
[null,null,null,"The following content is intended to provide assistance to boards of health in completing the 2023 Annual Service Plan (ASP) and navigating through the workbook. \nFor details on what narrative and data boards of health are expected to include in each section of the ASP, please refer to the “Introduction and Instructions” worksheet in the ASP workbook. "]
[]
[null,null,null,"Cover Page"]
[null,null,null,"1.    Open the template and click on the Enable Macros message box or the Enable Content button with the yellow bar at the top and accept other message boxes that may appear. The ASP template will not work if you do not Enable Macros (Enable Content) first."]
[null,null,null,"2.    To begin completing the ASP click on the Start button."]
[null,null,null,"3.    It is strongly recommended that you read the How to Use the ASP Template before starting to complete the template."]
[null,null,null,"4.    You can print the entire template by clicking the Print Workbook."]
[null,null,null,"The above steps are illustrated in Figure 1"]
[null,null,null,"Figure 1"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"IMPORTANT to know before completing the template"]
[]
[null,null,null,"a)     It is strongly recommended that you only copy and paste the CONTENT of a single cell at a time to avoid potential errors. If you try to copy and paste multiple cells in a row or a column at once, you will receive an error message and the ASP template will be closed. Please follow the steps below to copy and paste."]
[null,null,null,"1)      Double click on a cell that you want to copy content from"]
[null,null,null,"2)      Select the content"]
[null,null,null,"3)      Press Ctrl + C to copy"]
[null,null,null,"4)      Double click on the cell that you want to paste the content"]
[null,null,null,"5)      Press Ctrl + V to paste"]
[null,null,null,"OR"]
[null,null,null,"1)      Select a single cell, press Ctrl + C to copy"]
[null,null,null,"2)      Right click on the cell that you want to paste the content to"]
[null,null,null,"3)      Under Paste options, click the second icon (by Value) to paste by Value"]
[null,null,null,"   "]
[]
[]
[]
[]
[null,null,null,"b)    To navigate between worksheets use the Left Menu Bar. Alternatively, use the buttons on the top right of the screen to navigate back and forth between worksheets."]
[null,null,null,"c)    When you are done typing in a blue cell, the height of the cell will automatically adjust (Auto Height) to show all the content (in Excel the height of a cell cannot exceed 409 points)."]
[null,null,null,"d)    Numeric cells will format numbers with 2 decimal points for FTEs and no decimal for dollar amounts."]
[null,null,null,"       Examples:"]
[null,null,null,"                Cell               Input               Result   "]
[null,null,null,"                 FTE           13.67895            13.68"]
[null,null,null,"            $ Amount     1,245.45             1,245"]
[]
[null,null,null,"e)    To Minimize/Maximize the Ribbon, Press Ctrl + F1."]
[null,null,null,"f)     Save the workbook as often as you can"]
[null,null,null,"g)    In most cases the Undo option will not work."]
[null,null,null,"h)    The Drag & Drop is disabled."]
[null,null,null," i)    The Cut & Paste is disabled."]
[null,null,null,"Tip: If all content of a cell does not print completely, add one or two empty lines at the end of the content cell by pressing ALT+Enter."]
[null,null,null,"Tip: To check the spelling of a cell's content, select the cell and press F7."]
[]
[null,null,null,"Annual Service Plan Structure"]
[null,null,null,"The annual service plan structure worksheet must be completed prior to completing the rest of worksheets by providing:"]
[null,null,null,"a)    Total number of programs for each Program Standard and their titles (max of 20 programs)."]
[null,null,null,"b)    Total number of interventions for each identified program and their titles (max of 10 interventions for all programs except for Substance Use and Injury Prevention programs (max of 15 interventions))."]
[null,null,null,"c)    Total number of One-Time Funding Requests, the type or category of request, and their titles (max. of 6 requests, not including COVID-19)."]
[null,null,null,"d)    Total number of Obligated Municipalities to complete the Apportionment worksheet."]
[null,null,null,"e)    Total number of Board of Health members to complete the Board membership worksheet. (Figure 2)\n"]
[null,null,null,"Figure 2"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Note: The Structure worksheet has been pre-populated with standardized programs that boards of health are required to report on. To add more programs under a Program Standard, update the total number of programs and rows will automatically be added. When modifying the Annual Service Plan Structure a button \"Update\" will appear on top of the page. Before leaving the worksheet you must click on the Update button to ensure any changes you made are reflected in the rest of template. When you click the Update button, a message box (Please Wait …) will appear and the process of updating the rest of the worksheets begins. When updating is complete a second message box \"The Annual Service Plan is Updated!\" will appear. By clicking OK the Update button will disappear and you can proceed with completing the other worksheets in the ASP template. (Figure 3)"]
[null,null,null,"Figure 3"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Staff Allocation to Programs"]
[null,null,null,"For each of the four Foundational Standards, allocate the total FTE and dollar ($) Amount for the each position category only (there are no Validation rows for the Foundational Standards).\nFor each of the Program Standards, enter the total FTE and dollar ($) Amount for each position category in the Program Standard title row. You will then be required to allocate the total FTE and dollar ($) Amount for each Program under the Program Standard (validation rows are included to flag any validation errors in allocating the positions for each Program).\nIf there are any validation errors, the applicable cells will turn from blue to yellow and the data in the validation rows content will be red. Once the validation errors are corrected, data will return to a blue coloured font and validation cells will no longer be yellow. (Figures 4 and 5) "]
[null,null,null,"Figure 4"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Figure 5"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Allocation of Expenditures"]
[null,null,null,"a) Percentage (%) of Benefits - Input a total % of benefits for the entire organization at the top of this worksheet. This will then calculate an average % of benefits under each Foundational Standard and each Program under the Program Standards. Benefits cells have been left unlocked so that the board of health can revise benefits data as needed. (Figure 6)\n"]
[null,null,null,"Figure 6"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"b) For each of the four Foundational Standards and each Program under each Program Standard, manually allocate total expenditures across the expenditure categories, as well as allocate funding sources to balance against expenditures. Funding sources must be identified for each Foundational Standard and each program under the Program Standards. Funding sources are populated by selecting from a drop down menu when a funding sources cell is selected. If expenditures and funding sources do not balance, a validation error in red will appear in the applicable funding sources cell, as well as the cell at the start of each row. The amount that requires balancing will be indicated in the cell at the end of each row. (Figures 7 & 8)\n"]
[null,null,null,"Figure 7"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Figure 8"]

{"sheet":"Cover","index":2,"n_rows":8,"n_cols":5,"rows_kept":8,"cut":false,"hidden":false,"merged":[]}
[]
[]
[null,null,null,"Ministry of Health"]
[null,null,null,null,"2023 Annual Service Plan and Budget Submission"]
[null,null,null,null,"Board of Health for:"]
[null,null,null,null,"the Middlesex-London Health Unit"]
[]
[null,null,null,null,"Version 1.0"]

{"sheet":"Introduction and Instructions","index":3,"n_rows":235,"n_cols":7,"rows_kept":235,"cut":false,"hidden":false,"merged":[[3,3,3,6],[4,3,4,6],[5,3,5,6],[6,3,6,6],[7,3,7,6],[13,3,13,6],[14,3,14,6],[15,3,15,6],[17,3,20,3],[17,4,20,4],[17,5,20,5],[17,6,20,6],[8,3,8,6],[9,3,9,6],[10,3,10,6],[11,3,11,6],[12,3,12,6],[50,3,56,3],[50,4,56,4],[50,5,56,5],[50,6,56,6],[57,3,64,3],[57,4,64,4],[57,5,64,5],[57,6,64,6],[27,3,36,3],[27,4,36,4],[27,5,36,5],[27,6,36,6],[37,3,49,3],[37,4,49,4],[37,5,49,5],[37,6,49,6],[82,3,90,3],[82,4,90,4],[82,5,90,5],[82,6,90,6],[91,3,111,3],[91,4,111,4],[91,5,111,5],[91,6,111,6],[70,3,78,3],[70,4,78,4],[70,5,78,5],[70,6,78,6],[79,3,81,3],[79,4,81,4],[79,5,81,5],[79,6,81,6],[227,3,227,6],[228,3,228,6],[233,3,233,6],[234,3,234,6],[229,3,229,6],[230,3,230,6],[231,3,231,6],[232,3,232,6],[221,3,221,6],[222,3,222,6],[223,3,223,6],[224,3,224,6],[225,3,225,6],[112,6,127,6],[112,5,127,5],[112,4,127,4],[112,3,127,3],[128,3,138,3],[128,4,138,4],[128,5,138,5],[128,6,138,6],[226,3,226,6],[216,3,216,6],[217,3,217,6],[218,3,218,6],[219,3,219,6],[220,3,220,6],[211,3,211,6],[212,3,212,6],[213,3,213,6],[214,3,214,6],[215,3,215,6],[182,3,208,3],[182,4,208,4],[182,5,208,5],[182,6,208,6],[210,3,210,6],[172,3,181,3],[172,4,181,4],[172,5,181,5],[172,6,181,6],[159,3,171,3],[159,4,171,4],[159,5,171,5],[159,6,171,6],[139,3,149,3],[139,4,149,4],[139,5,149,5],[139,6,149,6],[150,3,158,3],[150,4,158,4],[150,5,158,5],[150,6,158,6]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Introduction and Instructions"]
[null,null,null,"Introduction"]
[null,null,null,"The Annual Service Plan and Budget Submission (the “Annual Service Plan”) is prepared by boards of health to communicate their program plans and budgeted expenditures for a given year. Information provided in the Annual Service Plan will describe the programs and services boards of health are planning to deliver in accordance with the Ontario Public Health Standards: Requirements for Programs, Services, and Accountability (the \"Standards\"), based on local needs and budgets at the program level. "]
[null,null,null,"As part of the Annual Service Plan, boards of health will describe the needs of the population they serve using the most recent available data. There is an opportunity for boards of health to provide high-level indices of the population they serve along with more specific data for unique sub-populations with common indicators of risk. This information is critical to prioritizing programs and services for the community as a whole and ensuring identified populations receive tailored support as required. The knowledge gained from implementation of the Foundational Standards will inform the preparation, implementation, and monitoring of the Annual Service Plan."]
[null,null,null,"The Standards allow for greater flexibility in program delivery in several Program Standards including, but not limited to, Chronic Disease Prevention and Well-Being, Healthy Growth and Development, School Health, and Substance Use and Injury Prevention. In the Annual Service Plan, boards of health will identify local priorities within each individual program area, and provide a summary of the data used to support their assessment of community need and their program delivery decisions, while also meeting all requirements under the Standards.\n"]
[null,null,null,"Please note that boards of health are required to include budget information on Ministry of Health (ministry) funded public health programs only (both cost-shared and 100% funded programs) and must include 100% of budgeted costs (municipal and provincial portions) for these programs, including any municipal contributions over 30% intended for the delivery of public health programs and services."]
[null,null,null,"The deadline to submit the 2023 Annual Service Plan is April 3, 2023. \n\nIn order to further assist boards of health in completing the Annual Service Plan, a section outlining technical instructions on how to navigate through the Annual Service Plan worksheets is included as part of the Cover Page section of the template.\n"]
[null,null,null,"Instructions"]
[null,null,null,"\nThe Annual Service Plan is organized according to the order of the Standards. Boards of health are required to provide budgeted financial data for each Foundational Standard, and for all programs and services planned under each Program Standard. For a list of admissible expenditures that can be included in the Annual Service Plan, refer to the current versions of the Accountability Agreement, instructions included as part of the Annual Service Plan, and Appendx B of the 2017 Program-Based Grants User Guide. Provincial funding must only be utilized on admissible costs. Boards of health shall also ensure that all funding and accountability requirements are adhered to and budgeted forecasts are as accurate as possible. All information reported by boards of health in the Annual Service Plan will be reviewed for reasonability and eligibility of costs by the ministry, and may be subject to further review or audit.\n"]
[null,null,null,"The Annual Service Plan includes multiple worksheets that are accessible from a menu on the left-hand side of the Annual Service Plan workbook. In each worksheet, cells that require input have been colour-coded blue. Cells that are pre-populated with data previously inputted are colour-coded white. \n\nThe Annual Service Plan worksheets are organized as follows:\n"]
[null,null,null,"Annual Service Plan Structure \nThis worksheet sets the structure of the Annual Service Plan and requires each board of health to specify the number of programs to be delivered under each Program Standard, program titles, number of one-time funding requests including type/category of request and their titles, number of board of health members, and number of obligated municipalities to complete the apportionment worksheet. Space to enter titles for programs, and one-time funding requests will be visible once the board of health specifies the number required for each. These titles will automatically populate all appropriate sections in the Annual Service Plan (this worksheet must be completed/updated by boards of health prior to completing the Annual Service Plan). \n"]
[null,null,null,"Boards of health can input a number value of up to 20 programs under each Program Standard. Information pertaining to the Foundational Standards is not required on this worksheet.\n\n"]
[null,null,null,"The ministry acknowledges that boards of health continue to use different program names for similar services, and there is a variation in the way boards of health group activities into programs. In order to address these challenges, the ministry is continuing the standardization of categories as part of the 2023 Annual Service Plan.\n\nThe ministry is requesting that boards of health provide budgeted financial data based on the following standardized categories:\n"]
[null,null,null,"Program Standard","Standardized Program Name","Applicable Requirements","Examples of Activities"]
[null,null,null,"Chronic Disease Prevention and Well-Being or \nHealthy Growth and Development","Non-Mandatory Oral Health Programs",null,"Oral health services and activities provided outside of the requirements related to Healthy Smiles Ontario, the Ontario Seniors Dental Care Program, and School-based screening."]
[]
[]
[]
[null,null,null,"Chronic Disease Prevention and Well-Being","Ontario Seniors Dental Care Program","See Schedule B of the most recent Accountability Agreement.","See Schedule B of the most recent Accountability  Agreement."]
[null,null,null,"Chronic Disease Prevention and Well-Being","NEW Menu Labelling ","See the Menu Labelling Protocol, 2020 (or as current).","See the Menu Labelling Protocol, 2020 (or as current)."]
[null,null,null,"Chronic Disease Prevention and Well-Being","NEW Tanning Beds","See the Tanning Beds Protocol, 2019 (or as current).","See the Tanning Beds Protocol, 2019 (or as current)."]
[null,null,null,"Food Safety","NEW Food Safety Program","See the Food Safety Protocol, 2019 (or as current) and the Operational Approaches for Food Safety Guideline, 2019 (or as current)","See the Food Safety Protocol, 2019 (or as current) and the Operational Approaches for Food Safety Guideline, 2019 (or as current)"]
[null,null,null,"Healthy Environments","NEW Health Hazards Program","See the Health Hazard Response Protocol, 2019 (or as current)","See the Health Hazard Response Protocol, 2019 (or as current)"]
[null,null,null,"Healthy Environments","NEW Healthy Environments and Climate Change Program","See the Healthy Environments and Climate Change Guideline, 2018 (or as current)","See the Healthy Environments and Climate Change Guideline, 2018 (or as current)"]
[null,null,null,"Immunization","Community Based Immunization Outreach (excluding vaccine administration)","Applicable requirements include: working with community partners to improve public knowledge and confidence in immunization programs and services; providing consultation to community partners on immunization and immunization practices; working with school boards and schools to identify opportunities to improve public knowledge and confidence in immunization for school-aged children; and, assessing, maintaining records, and reporting on immunizations administered at board of health-based clinics.","Examples of activities include: community outreach, consultations and partnerships on immunization and immunization practices; activities to improve public knowledge and confidence in immunization programs and services; and, activities to improve health professional knowledge and understanding of immunization and the Ontario immunization schedule.\n"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Immunization","Immunization Monitoring and Surveillance","Applicable requirements include: conducting epidemiological analysis of surveillance data for vaccine preventable diseases, vaccine coverage, and adverse events following immunization, including monitoring of trends over time, emerging trends, and priority populations; having a contingency plan to deploy board of health staff capable of providing vaccine preventable diseases outbreak management and control; promoting the reporting of adverse events following immunization by health care providers to the local board of health; and, monitoring, investigating, and documenting all suspected cases of adverse events following immunization that meet the provincial reporting criteria and promptly report all cases.","Examples of activities include: data entry and management of clinics, including Universal Influenza Immunization Program (UIIP); monitoring, investigating, and documenting, as appropriate, adverse events following immunization (AEFI); promotion of reporting of AEFIs by health care providers to the local board of health; epidemiological analysis of surveillance data for vaccine preventable diseases, vaccine coverage, and AEFI, including monitoring of trends over time, emerging trends, and priority populations; and, outbreak management (excluding immunization clinical services).\n\nExcludes activities related to the Immunization of School Pupils Act (ISPA)/ Child Care and Early Years Act (CCEYA) data collection, entry, monitoring and reporting."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Immunization","Vaccine Administration","Applicable requirements include: promoting and providing provincially funded immunization programs and services to eligible persons, including priority populations, in the board of health (Immunization Standard); and, providing provincially funded immunization programs to eligible students in the board of health through school-based clinics (School Health Standard).","Vaccine administration for provincially funded immunization programs for eligible persons in the board of health, including: School-based clinics for Hepatitis B, Human Papillomavirus and Meningococcal ACYW; community-based clinics and other catch-up immunization services (not school-based); and, UIIP clinics."]
[]
[]
[]
[]
[]
[]
[null,null,null,"Immunization","Vaccine Management","Applicable requirements include: providing comprehensive information and education to promote effective inventory management for provincially funded vaccines; promoting appropriate vaccine inventory management ((a) prevention, management, and reporting of cold chain incidences, (b) prevention, management, and reporting of vaccine wastage); and, ensuring that the storage and distribution of provincially funded vaccines is in accordance with the Vaccine Storage and Handling Protocol, 2018 (or as current).","Examples of activities include: provision of information and education to promote effective inventory management for provincially funded vaccines; and, activities related to the storage, handling and distribution of vaccines."]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Immunization","COVID-19 Vaccine Program","Costs associated with organizing and overseeing the COVID-19 immunization campaign within local communities, including the development of local COVID-19 vaccination campaign plans. ","Vaccine administration for the COVID-19 Vaccine Program."]
[null,null,null,"Infectious and Communicable Diseases Prevention \nand Control","Vector-Borne Diseases Program","See the Infectious Diseases Protocol, 2018 (or as current).","See the Infectious Diseases Protocol, 2018 (or as current)."]
[null,null,null,"Infectious and Communicable Diseases Prevention \nand Control","COVID-19 General Program","Costs associated with preventing, monitoring, detecting, and containing COVID-19 in the province (i.e., outbreak management, case and contact management, infection prevention and control support), excluding activities associated with supporting the ministry in the roll-out of the COVID-19 Vaccine Program.","See the Infectious and Communicable Diseases Prevention and Control Standards and Protocols."]
[null,null,null,"Safe Water","NEW Drinking Water Program \n(including Small Drinking Water Systems Program & Other Drinking Water Programs)","See the Safe Drinking Water and Fluoride Monitoring Protocol, 2019 (or as current) and Small Drinking Water Systems Risk Assessment Guideline, 2018 (or as current). ","See the Safe Drinking Water and Fluoride Monitoring Protocol, 2019 (or as current) and Small Drinking Water Systems Risk Assessment Guideline, 2018 (or as current). "]
[null,null,null,"Safe Water","NEW Recreational Water Program","See the Recreational Water Protocol, 2019 (or as current) and the Operational Approaches for Recreational Water Guideline, 2018 (or as current)","See the Recreational Water Protocol, 2019 (or as current) and the Operational Approaches for Recreational Water Guideline, 2018 (or as current)"]
[null,null,null,"School Health (Oral Health)","Healthy Smiles Ontario Program","See the Oral Health Protocol, 2021 (or as current) (sections 5 - 10).","Examples of activities include: program eligibility assessment and client-level oral health navigation (e.g., clinical and financial eligibility determination, client enrollment support into the various streams of Healthy Smiles Ontario, assistance with finding a dental home); post-screen notification and follow-up; oral health service delivery (e.g., clinics/mobile buses providing oral health services to Healthy Smiles Ontario clients); promotion and education (i.e., Oral Health and Healthy Smiles Ontario); and, other, if applicable."]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"School Health (Oral Health)","Oral Health Assessment and Surveillance","See the Oral Health Protocol, 2021 (or as current) (sections 1 - 4).","Examples of activities include: pre-screen notification (e.g., liaising with school boards, issuing pre-screen notification letters); school risk level determination; screening and surveillance; and other, if applicable."]
[]
[]
[null,null,null,"School Health (Immunization)","Immunizations for Children in Schools and Licensed Child Care Settings","Applicable requirements include: enforcing the ISPA; and, assessing, maintaining records, and reporting on the immunization status of children enrolled in licensed childcare settings and the immunization status of children attending schools in accordance with the ISPA.","Examples of activities include: maintenance of records, assessment and reporting on the immunization status of children in schools and licensed childcare centres; ISPA suspension process; and, ISPA education sessions.\n\nExcludes all activities related to vaccine administration such as school clinics and catch-up clinics for ISPA vaccines. Those activities should be included under “Immunization/ Vaccine Administration.”"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"School Health (Vision)","Child Visual Health and Vision Screening","See the Child Visual Health and Vision Screening Protocol, 2018 (or as current) (sections 3a and 3b).","Parent Notification Form-A (PNF-A): Notifies the parents/guardians of children who have been screened and identified in need of visual health services and/or treatment within two business days of completing the screening. This form shall include a referral to an optometrist for a comprehensive eye exam.\n\nParent Notification Form-B (PNF-B): Notifies the parents/guardians of all other children who have been screened. This notification shall encourage parents/guardians to book an appointment with an optometrist for a comprehensive eye exam.\n\nChild Vision Screening Reminder Letter: Sent 20 business days after the PNF-A to remind parents to book an optometrist appointment.\n\nVision Screening Assessment Form: Used by boards of health for each child screened, to record the results of each of the three vision screening tests and indicate whether the overall result is pass, refer or automatic referral. This form is kept for board of health records and not issued to the student."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"School Health (Other) ","Comprehensive School Health","See the School Health Guideline, 2018 (or as current). \n\nApplicable requirements include a) developing and implementing a program of public health interventions using a comprehensive health promotion approach to improve the health of school-aged children and youth; and, b) offering support to school boards and schools to assist with the implementation of health-related curricula and health needs in schools.","Activities that promote the health of school-aged children and youth per the School Health Program Standard and related guidelines and protocols under the Ontario Public Health Standards. Examples could include: conducting assessments to identify priority health issues in the school community, engaging in program planning or developing action plans, collaborating with or consulting school boards and schools, supporting implementation of health-related curricula, developing or reviewing school policies and practices, developing or implementing interventions to address specific topics in schools (e.g., substance use, healthy eating, mental health promotion, etc.), promoting a safe school environment, etc."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","NEW Alcohol","See the Substance Use Prevention and Harm Reduction Guideline, 2018 (or as current). \n\nThe board of health shall collaborate with local partners in health and other sectors to develop programs and services that address varying substance use patterns in order to reduce the burdens associated with substance use, including: \na) Preventing or delaying substance use;\nb) Preventing problematic substance use;\nc) Reducing harms associated with substance use;\nd) Re-orienting health services to meet population needs; and/or,\ne) Contributing to the planning of, and referrals to, treatment and other services to meet population needs. ","Activities may include:\n\nPublic Education: Public education and awareness campaigns to promote responsible alcohol use and educate the public about health harms associated alcohol use. \n\nMonitoring and Surveillance: Data collection and analysis of local trends related to alcohol use (e.g., prevalence, problematic use, etc.) \n\nPrevention and Harm Reduction: Initiatives to prevent or delay alcohol use, prevent problematic alcohol use and reduce harms associated with alcohol use.  "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","NEW Cannabis","See the Substance Use Prevention and Harm Reduction Guideline, 2018 (or as current). \n\nThe board of health shall collaborate with local partners in health and other sectors to develop programs and services that address varying substance use patterns in order to reduce the burdens associated with substance use, including: \na) Preventing or delaying substance use;\nb) Preventing problematic substance use;\nc) Reducing harms associated with substance use;\nd) Re-orienting health services to meet population needs; and/or,\ne) Contributing to the planning of, and referrals to, treatment and other services to meet population needs.","Activities may include:\n\nPublic Education: Public education and awareness campaigns to promote responsible alcohol use and educate the public about health harms associated cannabis use. \n\nMonitoring and Surveillance: Data collection and analysis of local trends related to cannabis use (e.g., prevalence, problematic use, etc.) \n\nPrevention and Harm Reduction: Initiatives to prevent or delay alcohol use, prevent problematic cannabis use and reduce harms associated with cannabis use."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","Harm Reduction Program Enhancement","See the Substance Use Prevention and Harm Reduction Guideline, 2018 (or as current) and Schedule B of the most recent Accountability Agreement.\n\nThe board of health shall support the implementation of the Ontario Harm Reduction Program Enhancement which includes:\na) designing and implementing local opioid response initiatives based on an assessment of local data;\nb) implementing or support the implementation of opioid overdose early warning systems; and,\nc) serving as naloxone distribution leads, and providing training and other supports, to eligible community organizations","Activities may include: conducting population health/situational assessment, leading/ supporting the development, implementation, and evaluation of a local overdose response plan (or drug strategy), engaging stakeholders, adopting and ensuring timely data entry of the Ontario Harm Reduction Database."]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","Needle Syringe Program","See the Substance Use Prevention and Harm Reduction Guideline, 2018 (or as current).\n\nThe board of health shall:\na) provide or ensure the availability of sterile needles and syringes, as well as safer \ndrug use supplies currently funded and provided through the Ontario Harm \nReduction Distribution Program to individuals who use drugs in the public health \nunit’s region; \nb) provide or ensure the availability of initiatives related to the disposal of used harm \nreduction supplies; \nc) provide education to clients of the Ontario Needle Exchange/Syringe Program \n(including fixed satellites and outreach locations) and individuals who use drugs \non how to reduce harms associated with drug use; and,\nd) provide referrals to addiction treatment, other harm reduction services, health and \nsocial services (including HIV, HCV, and STI testing, community support and \ntreatment)","Activities may include: distribution of needles/syringes; needles/syringes pickup and disposal; distribution of sharps containers within communities; and, distributing safer drug-use information."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","NEW Other Drugs (not including opioids)","See the Substance Use Prevention and Harm Reduction Guideline, 2018 (or as current). \n\nThe board of health shall collaborate with local partners in health and other sectors to develop programs and services that address varying substance use patterns in order to reduce the burdens associated with substance use, including: \na) Preventing or delaying substance use;\nb) Preventing problematic substance use;\nc) Reducing harms associated with substance use;\nd) Re-orienting health services to meet population needs; and/or,\ne) Contributing to the planning of and referrals to treatment and other services to meet population needs. ","Activities may include:\n\nPublic Education: Public education and awareness campaigns to educate the public about health harms associated with use of other drugs.\n\nMonitoring and Surveillance: Data collection and analysis of local trends related to other drug use (e.g., prevalence, problematic use, polysubstance use etc.) \n\nPrevention and Harm Reduction: Initiatives to prevent or delay other drug use and reduce harms.  "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Substance Use and Injury Prevention","Smoke-Free Ontario","Implement Comprehensive Tobacco Control (See Tobacco, Vapour and Smoke  Guideline, 2021 (or as current) under the pillars of \"prevention\", \"protection\" and \"cessation\", including enhanced knowledge translation, coordination/collaboration among boards of health, and with a focus on priority populations. \n\nPrevention: Initiatives to prevent individuals from becoming daily (and nicotine dependent) users of tobacco and vapour products, including primary (initiation) and secondary (escalation) prevention of the use of tobacco and vapour products.\n\nProtection: Enforcement of the Smoke-Free Ontario Act, 2017 (SFOA, 2017) and its regulation. Initiatives to protect individuals from second-hand exposure to tobacco, vapour products, the smoking and vaping of cannabis (medical and recreational) and other emerging products.\n\nCessation: Initiatives to motivate, encourage and support efforts to quit the use of tobacco and vapour products. Initiatives to educate that focus on the harms of tobacco and vapour product use. Referrals to Health 811 and regional health partners (e.g., primary health care; community agencies) to increase access to cessation services.\n","Prevention: Broad-based public education and awareness initiatives on youth vaping. Peer-to-peer youth engagement activities to address tobacco use and vaping.\n\nProtection: Activities related to the enforcement of the SFOA, 2017. Local policy development that is beyond the SFOA, 2017 (e.g., smoke-free housing, smoke and vape-free workplace policies; smoke and vape-free campuses).\n\nCessation: Maintaining an integrated network of community partners in smoking cessation. Broad-based public education and awareness initiatives on the harms of tobacco and vapour product use.\n\nThe ministry does not support advocacy activities targeting provincial and federal governments.\n"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"The standardized programs listed above have been added to the Annual Service Plan Structure worksheet under the relevant Program Standard. Boards of health that deliver other programs under the above mentioned Program Standards may still include these programs as long as there is no duplication or overlap in the activities and services provided. In order to add additional programs under a Program Standard, boards of health must update the total number of programs under a Program Standard in the Structure worksheet.\n\nIt is also important to note the following: \n● Some public health programs may be delivered under multiple Standards (boards of health are required to allocate these programs across all applicable Standards); and, \n● For 2023, COVID-19 Programs continue to be reflected as standardized programs under the Immunization Standard (COVID-19 Vaccine Program) and Infectious and Communicable Diseases Prevention and Control Program Standard (COVID-19 General Program). Boards of health are required to provide the 100% budgeted costs for the COVID-19 General and the COVID-19 Vaccine Programs on separate budget worksheets and similar to prior years, will be required to report on the execution of these budgets for these programs as part of the in-year 2023 Standards Activity Reports and Annual Report and Attestation. "]
[null,null,null,"Community Assessment\nBoards of health are required to provide a high-level description/overview of the communities within their public health unit on this worksheet. "]
[null,null,null,"Program Plans\nBoards of health are required to provide a narrative on all programs and services they plan to deliver under each Standard as follows:\n\nFoundational Standards: Boards of health are required to describe how they plan to implement each of the four (4) Foundational Standards, and for the Emergency Management Foundational Standard describe the objectives and key partners/stakeholders.\n\nProgram Standards: Within each Program Plan worksheet, boards of health are required to provide summary narrative details on community needs/priorities, key partners/stakeholders, and programs/services that boards of health plan to deliver in a given year, including objectives that include timelines, and a description of all public health interventions within each program. "]
[null,null,null,"Budget Allocation and Summaries\nIncludes a set of worksheets to allocate staffing and other costs at 100% (both provincial and municipal portions) for each Foundational Standard, and for all programs under each Program Standard as identified in the Annual Service Plan. Note that budgeted costs in the Annual Service Plan are for the period of January 1st to December 31st.\n\nBoards of health are required to identify sources of funding in the allocation of expenditures worksheet as per the board of health's most recent version of the Accountability Agreement (please note that sources of funding must be identified for programs to which they are applicable and allocated based on the 100% budgeted cost - not just the provincial portion). For 2023, the sources of funding include:\n\nMandatory Programs (Cost-Shared): Refer to the cost-shared public health programs and services boards of health are required to deliver in accordance with the Health Protection and Promotion Act (HPPA) and the Standards.\n\nOntario Seniors Dental Care Program (100%): Provides comprehensive dental care to eligible low-income seniors to help reduce unnecessary trips to the hospital, prevent chronic disease and increase quality of life for seniors.\n\nUnorganized Territories / Indigenous Public Health Programs (100%): Refers to the public health programs and services boards of health are required to deliver in unorganized territories (areas without municipal organization) in accordance with the HPPA and the Standards and/or to Indigenous Communities and organizations to build relationships and enhance engagement. Only boards of health that received base funding from the ministry for the delivery of this program in 2022 will have the option to identify this as a funding source.\n\nFunding received at 100% for the MOH/AMOH Compensation Initiative should not be included in the Annual Service Plan."]
[null,null,null,"The Budget worksheets are organized as follows:\n\nCOVID-19 General Program: Similar to 2022, boards of health are required to provide budgeted costs at 100% (both provincial and municipal portions) for the COVID-19 General Program on a separate budget worksheet. Budgeted costs are required for specified cost categories, including staffing, travel and accommodations, supplies and equipment, purchased services, communications, and other operating. The COVID-19 General Program includes costs associated with preventing, monitoring, detecting, and containing COVID-19 in the province (i.e., outbreak management, case and contact management, infection prevention and control support), excluding activities associated with delivery of the COVID-19 Vaccine Program. Once budgeted costs have been inputted, boards of health are required to input the total estimated COVID-19 General Program costs that can be managed within their approved budget for mandatory programs, as well as any municipal contribution over 30% and/or Unorganized Territories (if applicable), for the 2023 funding year in order to calculate an estimated extraordinary cost amount (over and above the base budget). The estimated extraordinary cost amount will be considered as a request for one-time funding (see details below for one-time funding requests).\n\nCOVID-19 Vaccine Program: Similar to 2022, boards of health are required to provide budgeted costs at 100% (both provincial and municipal portions) for the COVID-19 Vaccine Program within the same cost categories noted above. The COVID-19 Vaccine Program includes costs associated with organizing and overseeing the COVID-19 immunization campaign within local communities, including local COVID-19 vaccination campaign plans. Once budgeted costs have been inputted, boards of health are required to input the total estimated COVID-19 Vaccine Program costs that can be managed within their approved budget for mandatory programs, as well as any municipal contribution over 30% and/or Unorganized Territories (if applicable), for the 2023 funding year in order to calculate an estimated extraordinary cost amount (over and above the base budget). The estimated extraordinary cost amount will be considered as a request for one-time funding (see details below for one-time funding requests)."]
[null,null,null,"Similar to 2022, the total estimated COVID-19 costs that can be managed within the board of health approved budget (not the total 100% budgeted costs) for both COVID-19 programs will automatically populate the Staff Allocation to Programs and Allocation of Expenditures budget worksheets. \n\nPlease note that validation errors have been incorporated on both COVID-19 worksheets to ensure that the COVID-19 Program Costs to be Managed within Mandatory Programs (provincial and municipal portions) are not higher than the mandatory programs (cost-shared) surplus at 100%. \n\nTo minimize additional data entry for the board of health, the COVID-19 budget worksheets are also a request for one-time funding of extraordinary costs related to the COVID-19 General Program (row 179) and the COVID-19 Vaccine Program (row 179). Any extraordinary costs amounts calculated in the COVID-19 budget worksheets will automatically populate the one-time funding requests worksheet (in the One-Time Funding Requests Summary). \n\nThe ministry is aware that 100% costs inputted for the COVID-19 General Program and COVID-19 Vaccine Program in the 2023 Annual Service Plan are estimates and may change given the ongoing board of health response to COVID-19 and impacts to other critical public health programs and services. Boards of health will be required to report on the execution of these budgets as part of the in-year 2023 Standards Activity Reports and Annual Report and Attestation, providing opportunity to update forecasts based on actuals, as well as reflect any changes to extraordinary costs in-year. "]
[null,null,null,"Staff Allocation to Programs: Boards of health are required to input the total number of full-time equivalents (FTEs) and total budget for each position title under each Standard in the light blue cells. The total FTEs and total budget are inputted in the same row as the title for that Standard. For Program Standards, boards of health are then required to allocate the total FTEs and budget to each program listed under that Program Standard. Cells will be yellow until all FTEs and budgets have been allocated. Data inputted in this worksheet will pre-populate salaries and wages in the Allocation of Expenditures worksheet. Boards of health are also required to allocate a budget for each Foundational Standard. \n\nTotal COVID-19 staffing costs that can be managed within mandatory programs and unorganized territories (if applicable) that were previously inputted in the COVID-19 General Program and the COVID-19 Vaccine Program worksheets will automatically populate the total budget cell only for these programs under the Immunization and the Infectious and Communicable Diseases Prevention and Control Program Standards. Given staffing and FTE details were previously inputted in the COVID-19 budget worksheets, boards of health are not required to further allocate these FTEs in the Staff Allocation to Programs worksheet.\n\nNew for 2023, boards of health are asked to input the percentage of bi-lingual FTEs that make up the total FTEs for each Foundational Standard and each program under the Program Standards."]
[null,null,null,"Medical Officer of Health & Administrative Staff: Boards of health are required to input the total FTEs and total budget for the Medical Officer of Health position and each administrative position in this separate worksheet. Data inputted in this worksheet will pre-populate salaries and wages in the Allocation of Expenditures worksheet, in the indirect costs section. \n\nIndirect or administrative staffing costs related to both the COVID-19 General and the COVID-19 Vaccine Programs should not to be inputted in this worksheet. For the purposes of the 2023 Annual Service Plan template, administrative staffing costs inputted in both COVID-19 budget worksheets will populate the Staff Allocation to Programs worksheet.\n\nSimilar to the Staff Allocation to Programs worksheet, and new for 2023, boards of health are asked to input the percentage of bi-lingual FTEs that make up the total FTEs for each position category."]
[null,null,null,"Allocation of Expenditures: Salaries and wages will pre-populate from the staffing worksheets. Benefits are calculated based on the average percentage (%) of benefits entered for the entire organization at the top of this worksheet. Benefits can also be entered directly in each cell as benefits cells have been left unlocked for this purpose. All other expenditure categories should be manually allocated in each Foundational Standard and each program under the Program Standards. Costs associated with the Office of the Medical Officer of Health, administration and other overhead/organizational costs are to be inputted in the section at the end of this worksheet as an indirect cost and are not to be allocated across the Standards. Sources of funding must be identified for each Foundational Standard and each program under the Program Standards. Sources of funding are populated by selecting from a drop-down menu. Please refer to the \"How to Use the ASP Template\" section from the Cover Page for any troubleshooting help with the budget worksheets. \n\nFor the purposes of the 2023 Annual Service Plan, and to minimize data entry for the board of health, COVID-19 costs that can be managed within the board of health approved budget for mandatory programs and unorganized territories (if applicable) for each COVID-19 program, will have pre-populated the cost categories in the Allocation of Expenditures worksheet as follows:\n● Staffing Expenses (including benefits) from the COVID-19 budget worksheets will pre-populate the Staffing and Wages expenditure category in this worksheet. \n● Travel and Accommodation from the COVID-19 budget worksheets will pre-populate the Travel expenditure category in this worksheet.\n● Purchased Services from the COVID-19 budget worksheets will pre-populate the Professional Services expenditure category in this worksheet.\n● Supplies and Equipment, Communications and Other Operating from the COVID-19 budget worksheets will pre-populate the Other Program Expenditures category in this worksheet.\n● The following cells will remain blank in this worksheet for both COVID-19 programs and with data input restricted - Benefits, Building Occupancy, Municipal Charges, and Expenditure Recoveries and Offset Revenues.\n\nSources of funding for the COVID-19 General Program and the COVID-19 Vaccine Program will also be automatically populated from the COVID-19 budget worksheets based on the COVID-19 costs that can be managed within mandatory programs and unorganized territories."]
[null,null,null,"Budget Summaries: This worksheet includes three (3) budget summaries that reflect budget data at 100% (municipal and provincial portions): 1) Budget Summary by Funding Source that summarizes budget data and the provincial share; 2) Summary of Expenditures; and, 3) Summary of Staffing. \n\nPlease note that validation errors have been incorporated on this worksheet to ensure that the COVID-19 Program Costs to be Managed within Mandatory Programs (provincial and municipal portions) are not higher than the mandatory programs (cost-shared) surplus at 100%. "]
[null,null,null,"One-Time Funding Requests\nAny requests for one-time funding must be identified in the one-time funding requests worksheet in this workbook. Prior to completing the one-time request worksheet, boards of health must input the total number of one-time requests in the Annual Service Plan Structure worksheet and include the category/type of project and title for each request. This information will then pre-populate the One-Time Requests worksheet. A Summary worksheet automatically populates total one-time funding requested. \n"]
[null,null,null,"Given the current fiscal environment, there is a limit of up to eight (8) one-time funding requests (including one-time requests for the COVID-19 General Program and the COVID-19 Vaccine Program). The One-Time Funding Requests Summary at the bottom of this worksheet is pre-populated with the titles for both COVID-19 Programs. Any extraordinary costs calculated in the COVID-19 budget worksheets will automatically populate in the One-Time Funding Requests Summary (there is no business case to complete). \n\nIn addition to the COVID-19 General and Vaccine Programs, boards of health can also select up to six (6) one-time requests in the Annual Service Plan Structure worksheet.\n\nOne-time requests will be considered for the period of April 1, 2023 to March 31, 2024, unless otherwise noted. The following categories/projects are eligible for submission as one-time requests (in alphabetical order): \n\nCapital: The ministry will consider one-time funding requests for minor capital and infrastructure improvement projects to support the delivery of critical public health programs and services. The projects must meet the following criteria: be a very urgent and minor infrastructure renewal project that can be completed by March 31, 2024; is not part of an existing approved project that is funded by the ministry; is a tangible Asset or capital leased Asset that will have a useful life extending beyond one year and is intended to be used on a continual basis; extends the useful life of the Asset or improves the facility’s quality or functionality; is capitalizable; costs between $5,000 and $1.0M, inclusive; does not require an increase to the operating budget; and, the board of health is not planning to move to a new site over the next 24 months. "]
[null,null,null,"COVID-19 General Program Extraordinary Costs: The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's approved budget for the period of January 1, 2023 to December 31, 2023 associated with preventing, monitoring, detecting, and containing COVID-19 in the province (excluding costs associated with the COVID-19 Vaccine Program). Examples of appropriate eligible COVID-19 extraordinary costs include, but are not limited to: \n● Staffing - salaries and benefits, inclusive of overtime for existing or redeployed board of health staff (including management staff directly engaged in COVID-19 activities), staff redeployed from associated regional governments, new temporary or casual staff; salaries and benefits associated with overtime worked by indirect staff (e.g., finance, HR, legal, communications, etc.) and management staff (where local board of health policies permit such arrangements) that have not been redeployed directly to COVID-19, but have incurred overtime due to working on COVID-19 related activities. \n● Travel and Accommodation - for staff delivering COVID-19 service away from their home office location, or for staff to conduct the infectious disease surveillance demands (swab pick ups and laboratory deliveries).\n● Supplies and Equipment - small equipment and consumable supplies (including laboratory testing supplies and personal protective equipment) not already provided by the ministry, and information and information technology upgrades related to tracking COVID-19 not already approved by the ministry.\n● Purchased Services - service level agreements for services/staffing with community providers and/or municipal organizations, professional services, security services, cleaning services, hazardous waste disposal, transportation services including courier services and rental cars, data entry or information technology services for reporting COVID-19 data to the ministry (from centres in the community that are not operated by the board of health) or increased services required to meet pandemic reporting demands, outside legal services, and additional premises leased or rented by the board of health.\n● Communications - language interpretation/translation services, media announcements, public and provider awareness, signage, and education materials regarding COVID-19.\n● Other Operating - recruitment activities, staff training.\n\nBudget data entered in the COVID-19 General Program budget worksheet will have calculated an estimated extraordinary costs amount. This amount will be populated automatically as a one-time funding request in this worksheet."]
[null,null,null,"COVID-19 Vaccine Program Extraordinary Costs: The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's approved budget for the period of January 1, 2023 to December 31, 2023 associated with organizing and overseeing the COVID-19 immunization campaign within local communities, including the development of local COVID-19 vaccination campaign plans. Examples of appropriate eligible COVID-19 Vaccine Program extraordinary costs include, but are not limited to: \n● Staffing - salaries and benefits, inclusive of overtime, for existing staff or redeployed board of health staff (including management staff directly engaged in COVID-19 activities), staff redeployed from associated regional government, new temporary or casual staff; and, salaries and benefits associated with overtime worked by indirect staff (e.g., finance, HR, legal, communications, etc.) and management staff (where local board of health policies permit such arrangements) that have not been redeployed directly to COVID-19, but have incurred overtime due to working on COVID-19 related activities. Activities include providing assistance with meeting provincial and local requirements for COVID-19 surveillance and monitoring (including vaccine safety surveillance, adverse events and number of people vaccinated), administering the COVID-19 vaccine, managing COVID-19 Vaccine Program reporting requirements, and planning and deployment of immunization/vaccine clinics.\n● Travel and Accommodation - for staff delivering COVID-19 Vaccine Program services away from their home office location, including transporting vaccines, and transportation/accommodation for staff of mobile vaccine units.\n● Supplies and Equipment- supplies and equipment associated with the storage and handling of the COVID-19 vaccines (including vaccine refrigerators, freezers, coolers, etc.), small equipment and consumable supplies (including personal protective equipment) not already provided by the ministry, supplies necessary to administer the COVID-19 vaccine (including needles/syringes and disposal, sterile gauze, alcohol, bandages, etc.) not already provided by the ministry, information and information technology upgrades related to tracking COVID-19 immunization not already approved by the ministry.\n● Purchased Services - service level agreements for services/staffing with community providers and/or municipal organizations, professional services, security services, cleaning services, hazardous waste disposal, transportation services (e.g., courier services, transporting clients to vaccination clinics), data entry or information technology services for reporting COVID-19 data related to the Vaccine Program to the ministry (from centres in the community that are not operated by the public health unit) or increased services required to meet pandemic reporting demands, outside legal services, and additional premises leased or rented by the board of health. \n● Communications - language interpretation/translation services, media announcements, public and provider awareness, signage, and education materials regarding COVID-19 immunization outreach.\n● Other Operating - recruitment activities, staff training.\n\nBudget data entered in the COVID-19 Vaccine Program budget worksheet will have calculated an estimated extraordinary costs amount. This amount will be populated automatically as a one-time funding request in this worksheet."]
[null,null,null,"One-time requests for COVID-19 funding must also ensure the following:\n• That any goods and services acquired with this one-time funding are procured through an open and competitive process that aligns with municipal and provincial procurement directives to the greatest extent possible.\n• That the Board of Health will enter into a Memorandum of Understanding / Service Level Agreement (or other similar arrangement) with any partner organization delivering services under this program (this includes services provided by a municipality of which a Public Health Unit is a part of). The Memorandum of Understanding / Service Level Agreement must set out clear performance expectations, clearly state funding and reporting requirements between the Board of Health and the local partner, and ensure accountability for the funds (value for money). Funding included as part of a Memorandum of Understanding / Service Level Agreement must NOT exceed those that would have been paid if the transaction was at “arm’s length” (and is subject to provincial audit or assessment). Copies of these agreements must be provided to the Province upon request.\n"]
[null,null,null,"For the COVID-19 General Program and the COVID-19 Vaccine Program Extraordinary Costs, the following are examples of non-admissible expenditures: \n● Costs associated with delivering other public health programs and services.\n● Lost revenues for public health programs and services not considered a direct COVID-19 cost, including lost revenue claimed by another organization and/or third party.\n● Any COVID-19 costs directly incurred by other organizations and/or third parties (i.e., long-term care homes, hospitals, municipalities). However, if a board of health is entering into an agreement with another organization and/or third party, then those costs would be admissible if a Memorandum of Understanding / Service Level Agreement is in place that sets out clear performance expectations and ensures accountability for the funds.\n● Sick time and vacation accruals, or banked overtime (these items will be considered only when amounts are paid).\n● Costs that are reimbursable from other sources.\n● Costs associated with COVID-19 case and contact management self-isolation sites.\n● Costs associated with municipal by-law enforcement. \n● Electronic Medical Records (EMRs) systems. "]
[null,null,null,"Extraordinary Costs (non-COVID-19): The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's approved budget associated with the provision of the Standards (i.e., infrequent and unexpected one-time costs incurred over and above regular business/programming, such as outbreak costs, catch-up of critical public health programs). One-time requests must identify key data and metrics to support the request and expected outcomes and also clearly identify the program(s) related to the request, where possible."]
[null,null,null,"Needle Syringe Program: The ministry will consider one-time funding requests for extraordinary costs incurred or expected to be incurred over and above the board of health's approved budget associated with delivering the Needle Syringe Program. Eligible costs may include the purchase of needles/syringes, associated disposal costs, and other operating costs."]
[null,null,null,"New Purpose-Built Vaccine Refrigerators: The ministry will consider one-time funding requests to support the purchase of new purpose-built vaccine refrigerators. The one-time funding request should include costs for peripheral devices (e.g., temperature monitoring and recording device, voltage safeguard, alarm), freight, refrigerator setup, warranty and applicable taxes. Please ensure that the request includes: a rationale as to why a new purpose-built vaccine refrigerator is required (e.g., refrigerator failure or imminent likelihood of failure, new sub-office, refrigerator capacity, currently using non purpose-built refrigerators, etc.); the size of the refrigerator(s) (in cubic feet); and, the number of refrigerators required. Costs associated with the purchase of new purpose-built vaccine refrigerators to support the COVID Vaccine Program should be reflected as part of the COVID-19 Vaccine Program budget worksheet (including the number (#) of vaccine fridges/freezers, model number and size for each fridge/freezer, if the details are available at this time)."]
[null,null,null,"Public Health Inspector Practicum Program - The ministry will consider one-time funding requests to support one (1) or more public health inspector practicum position(s). One-time funding requests should include costs for student salaries, wages and benefits, transportation expenses associated with the practicum position, equipment, and educational expenses. Please ensure that the request for one-time funding includes: the ability of the hosting board of health to comply with the requirements of the Canadian Institute of Public Health Inspectors (CIPHI) Board of Certification (BOC) for field training for a 12-week period and, the availability of a qualified supervisor/mentor to oversee the practicum student’s term."]
[null,null,null,"Smoke-Free Ontario (SFO) Enforcement Tablet Upgrades – The ministry will consider one-time funding requests for the purchase of tablets to support the Tobacco Inspection System software for mobile units. The request may include costs for peripheral devices (e.g., car chargers, batteries, mouse, keyboard, mobile printers, etc.) and applicable taxes. Please ensure that the request includes: a rationale as to why a new tablet is required (e.g., upgrading of existing hardware, efficiency to conduct inspections, equipment required for new personnel, etc.); if the tablet will be used to support other board of health software for inspection purposes (e.g., Hedgehog); and, the number of tablets required."]
[null,null,null,"One-time requests will be considered by the ministry at 100%; however, approval of one-time requests must not be assumed and will be dependent upon the availability of ministry funding. Please note that if the ministry does not approve a one-time request, boards of health will be responsible for 100% of the one-time and ongoing costs associated with the request. Similarly, if a board of health’s approved budget for any one-time request exceeds the ministry’s approved funding, then the board of health is responsible for those extra costs.\n"]
[null,null,null,"Board of Health Membership\nBoards of health are required to provide details on board of health membership on this worksheet. Boards of health must enter the total number of board of health members in the Annual Service Plan Structure worksheet, which will provide sufficient space to complete details for each member."]
[null,null,null,"Apportionment of Board of Health Costs\nBoards of health are required to provide information on how their costs are apportioned to obligated municipalities, totalling 100%. "]
[null,null,null,"Key Contacts and Certification by the Board of Health\nBoards of health are required to provide key contact details and indicate when the completed Annual Service Plan and Budget Submission was approved by the board of health on this worksheet. Do not include personal contact information. Contact information (e.g., emails, phone numbers and mailing addresses) should be those of the board of health or public health unit office. This worksheet also requires that the Board of Health Chairperson, Medical Officer of Health/Chief Executive Officer, and Chief Financial Officer/Business Administrator certify that all costs and information submitted in the Annual Service Plan are accurate and conform with categories specified as eligible."]

{"sheet":"Structure","index":4,"n_rows":2772,"n_cols":7,"rows_kept":2772,"cut":false,"hidden":false,"merged":[[4,3,4,6]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Annual Service Plan Structure"]
[null,null,null,"NOTE: \nThe Annual Service Plan Structure worksheet must be completed prior to completing the rest of worksheets.\n"]
[null,null,null,"Chronic Disease Prevention and Well-Being",null,"# Programs",7]
[null,null,null,"P 1) ","Menu Labelling","# Interventions",3]
[null,null,null,"i 1)","Inspection "]
[null,null,null,"i 2)","Enforcement"]
[null,null,null,"i 3)","Health Promotion & Communications"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Non-Mandatory Oral Health Programs","# Interventions",3]
[null,null,null,"i 1)","Awareness"]
[null,null,null,"i 2)","Screening, Clinical Assessment, Clinical Services & Case Management "]
[null,null,null,"i 3)","Partnerships & Collective Community Action"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Ontario Seniors Dental Care Program","# Interventions",3]
[null,null,null,"i 1)","Awareness"]
[null,null,null,"i 2)","Screening, Clinical Assessment, Clinical Services & Case Management "]
[null,null,null,"i 3)","Partnerships & Collective Community Action"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ","Tanning Beds","# Interventions",4]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building "]
[null,null,null,"i 3)","Enforcement & Compliance "]
[null,null,null,"i 4)","Public Health Assessment & Monitoring"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ","Food Systems","# Interventions",7]
[null,null,null,"i 1)","Awareness"]
[null,null,null,"i 2)","Education & Skill Building"]
[null,null,null,"i 3)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 4)","Partnerships & Collective Community Action"]
[null,null,null,"i 5)","Public Health Assessment & Monitoring"]
[null,null,null,"i 6)","Supportive Environments"]
[null,null,null,"i 7)","Harvest Bucks"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ","Active Transportation and the Built Environment","# Interventions",4]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building "]
[null,null,null,"i 3)","Partnerships & Collective Community Action "]
[null,null,null,"i 4)","Public Health Assessment & Monitoring"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ","Mental Health and Wellness","# Interventions",6]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building"]
[null,null,null,"i 3)","Partnerships & Collective Community Action"]
[null,null,null,"i 4)","Public Health Assessment & Monitoring"]
[null,null,null,"i 5)","Screening Clinical Assessment & Case Management"]
[null,null,null,"i 6)","Supportive Environments"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Food Safety",null,"# Programs",1]
[null,null,null,"P 1) ","Food Safety Program","# Interventions",8]
[null,null,null,"i 1)","Education & Training"]
[null,null,null,"i 2)","Partnerships"]
[null,null,null,"i 3)","Monitoring & Surveillance"]
[null,null,null,"i 4)","Enforcement"]
[null,null,null,"i 5)","Health Promotion & Communications"]
[null,null,null,"i 6)","Inspections"]
[null,null,null,"i 7)","Investigations"]
[null,null,null,"i 8)","Outbreak Investigation & Management"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Healthy Environments",null,"# Programs",2]
[null,null,null,"P 1) ","Health Hazards Program","# Interventions",5]
[null,null,null,"i 1)","Inspections"]
[null,null,null,"i 2)","Investigations"]
[null,null,null,"i 3)","Enforcement"]
[null,null,null,"i 4)","Monitoring & Surveillance"]
[null,null,null,"i 5)","Partnerships"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Healthy Environments and Climate Change Program","# Interventions",3]
[null,null,null,"i 1)","Advocacy"]
[null,null,null,"i 2)","Health Promotion & Communications"]
[null,null,null,"i 3)","Partnerships"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Healthy Growth and Development",null,"# Programs",6]
[null,null,null,"P 1) ","Breastfeeding and Infant Feeding","# Interventions",8]
[null,null,null,"i 1)","Breastfeeding Home Visits"]
[null,null,null,"i 2)","Healthy Babies Healthy Children (HBHC) Home Visiting"]
[null,null,null,"i 3)","Healthy Growth & Development Phone Support"]
[null,null,null,"i 4)","Nurse Family Partnership (NFP)"]
[null,null,null,"i 5)","Middlesex-London Infant Feeding Surveillance System (MLIFSS)"]
[null,null,null,"i 6)","Baby-Friendly Education, Best Practices & Policy Development"]
[null,null,null,"i 7)","Early Years Outreach"]
[null,null,null,"i 8)","Website, Social Media & Health Education"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Growth and Development","# Interventions",5]
[null,null,null,"i 1)","Nurse Family Partnership"]
[null,null,null,"i 2)","Healthy Families Home Visits"]
[null,null,null,"i 3)","Healthy Growth & Development Phone Support"]
[null,null,null,"i 4)","Community Partnerships and Collaboration"]
[null,null,null,"i 5)","Website, Social Media and Health Education"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Healthy Pregnancies","# Interventions",5]
[null,null,null,"i 1)","Nurse Family Partnership"]
[null,null,null,"i 2)","Healthy Babies Healthy Children Home Visiting"]
[null,null,null,"i 3)","Smart Start for Babies"]
[null,null,null,"i 4)","Healthy Growth & Development Phone Support"]
[null,null,null,"i 5)","Prenatal e-Learning, Website, Social Media and Print Resources"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ","Healthy Sexuality","# Interventions",3]
[null,null,null,"i 1)","Heathy Start Education & Resources "]
[null,null,null,"i 2)","Birth Control Clinic"]
[null,null,null,"i 3)","Health Promotion & Communications"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ","Mental Health Promotion","# Interventions",6]
[null,null,null,"i 1)","Nurse Family Partnership"]
[null,null,null,"i 2)","Healthy Families Home Visits"]
[null,null,null,"i 3)","Community Partnerships and Collaboration"]
[null,null,null,"i 4)","Website, Social Media and Health Education"]
[null,null,null,"i 5)","Mental Health Program Management"]
[null,null,null,"i 6)","Healthy Growth & Development Phone Support"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ","Preconception Health","# Interventions",1]
[null,null,null,"i 1)","Preconception Education and Resources"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Immunization",null,"# Programs",5]
[null,null,null,"P 1) ","Community Based Immunization Outreach (excluding vaccine administration)","# Interventions",3]
[null,null,null,"i 1)","Education & Training"]
[null,null,null,"i 2)","Partnerships"]
[null,null,null,"i 3)","Health Promotion & Communications"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","COVID-19 Vaccine Program"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Immunization Monitoring and Surveillance","# Interventions",3]
[null,null,null,"i 1)","Adverse Vaccine Events & Safety"]
[null,null,null,"i 2)","Outbreak Investigations & Management"]
[null,null,null,"i 3)","Monitoring & Surveillance"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ","Vaccine Administration","# Interventions",4]
[null,null,null,"i 1)","School-based clinics"]
[null,null,null,"i 2)","High-risk clinics"]
[null,null,null,"i 3)","Outbreak clinics"]
[null,null,null,"i 4)","Mass Immunization & Catch Up Clinics"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ","Vaccine Management","# Interventions",5]
[null,null,null,"i 1)","Education & Training"]
[null,null,null,"i 2)","Enforcement"]
[null,null,null,"i 3)","Inspections"]
[null,null,null,"i 4)","Inventory Management"]
[null,null,null,"i 5)","Investigations"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Infectious and Communicable Diseases Prevention and Control",null,"# Programs",5]
[null,null,null,"P 1) ","COVID-19 General Program"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Vector-Borne Diseases Program","# Interventions",6]
[null,null,null,"i 1)","Enforcement"]
[null,null,null,"i 2)","Health Promotion & Communications"]
[null,null,null,"i 3)","Investigations "]
[null,null,null,"i 4)","Monitoring & Surveillance"]
[null,null,null,"i 5)","Vector Control "]
[null,null,null,"i 6)","Case & Contact Management"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Infectious Disease Control","# Interventions",10]
[null,null,null,"i 1)","Outbreak Investigation & Management"]
[null,null,null,"i 2)","Case & Contact Management"]
[null,null,null,"i 3)","Clinical Support"]
[null,null,null,"i 4)","Institutional Infection & Prevention Control"]
[null,null,null,"i 5)","Inspections "]
[null,null,null,"i 6)","IPAC Complaints & Investigations "]
[null,null,null,"i 7)","FoodNet Canada"]
[null,null,null,"i 8)","Health Promotion & Communications "]
[null,null,null,"i 9)","Infectious Disease Control Intake"]
[null,null,null,"i10)","Surveillance, Monitoring & Reporting "]
[null,null,null,"P 4) ","Rabies and Zoonotic Disease","# Interventions",5]
[null,null,null,"i 1)","Enforcement"]
[null,null,null,"i 2)","Health Promotion & Communication"]
[null,null,null,"i 3)","Investigations"]
[null,null,null,"i 4)","Monitoring & Surveillance"]
[null,null,null,"i 5)","Vaccine Distribution"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ","Sexually Transmitted and Blood-Borne Disease","# Interventions",5]
[null,null,null,"i 1)","Case and Contact Management"]
[null,null,null,"i 2)","STI Clinic"]
[null,null,null,"i 3)","Outreach Team and Partnerships"]
[null,null,null,"i 4)","Health Promotion and Communications"]
[null,null,null,"i 5)","Monitoring and Surveillance"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Safe Water",null,"# Programs",2]
[null,null,null,"P 1) ","Drinking Water Program","# Interventions",6]
[null,null,null,"i 1)","Enforcement"]
[null,null,null,"i 2)","Health Promotion & Communication"]
[null,null,null,"i 3)","Monitoring & Surveillance"]
[null,null,null,"i 4)","Investigations"]
[null,null,null,"i 5)","Public Health Assessment & Monitoring"]
[null,null,null,"i 6)","Inspections"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Recreational Water Program","# Interventions",4]
[null,null,null,"i 1)","Enforcement"]
[null,null,null,"i 2)","Health Promotion & Communications"]
[null,null,null,"i 3)","Inspections"]
[null,null,null,"i 4)","Investigations"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"School Health - Oral Health",null,"# Programs",2]
[null,null,null,"P 1) ","Healthy Smiles Ontario Program","# Interventions",3]
[null,null,null,"i 1)","Awareness"]
[null,null,null,"i 2)","Screening, Clinical Assessment, Clinical Services & Case Management "]
[null,null,null,"i 3)","Partnerships & Collective Community Action"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Oral Health Assessment and Surveillance","# Interventions",2]
[null,null,null,"i 1)","Screening, Clinical Assessment, Clinical Services & Case Management"]
[null,null,null,"i 2)","Partnerships & Collective Community Action"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"School Health - Vision",null,"# Programs",1]
[null,null,null,"P 1) ","Child Visual Health and Vision Screening","# Interventions",2]
[null,null,null,"i 1)","Awareness"]
[null,null,null,"i 2)","Supportive Environments"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"School Health - Immunization",null,"# Programs",1]
[null,null,null,"P 1) ","Immunizations for Children in Schools and Licensed Child Care Settings","# Interventions",2]
[null,null,null,"i 1)","Education & Enforcement"]
[null,null,null,"i 2)","Investigations: Assessing and Maintaining Records"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"School Health - Other",null,"# Programs",1]
[null,null,null,"P 1) ","Comprehensive School Health","# Interventions",10]
[null,null,null,"i 1)","EST / SST Awareness"]
[null,null,null,"i 2)","EST Advocacy & Healthy Public Policy "]
[null,null,null,"i 3)","EST Education & Skill Building "]
[null,null,null,"i 4)","EST Partnerships & Collective Community Action "]
[null,null,null,"i 5)","EST Supportive Environments"]
[null,null,null,"i 6)","SST Advocacy & Healthy Public Policy"]
[null,null,null,"i 7)","SST Education & Skill Building"]
[null,null,null,"i 8)","SST Partnerships & Collective Community Action "]
[null,null,null,"i 9)","SST Screening, Clinical Assessment & Case Management"]
[null,null,null,"i10)","SST Supportive Environments"]
[null,null,null,"P 2) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Substance Use and Injury Prevention",null,"# Programs",9]
[null,null,null,"P 1) ","Alcohol","# Interventions",4]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building"]
[null,null,null,"i 3)","Partnerships & Collective Community Action"]
[null,null,null,"i 4)","Public Health Assessment & Monitoring"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 2) ","Cannabis","# Interventions",5]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building"]
[null,null,null,"i 3)","Enforcement & Compliance"]
[null,null,null,"i 4)","Partnerships & Collective Community Action"]
[null,null,null,"i 5)","Public Health Assessment & Monitoring"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 3) ","Other Drugs","# Interventions",2]
[null,null,null,"i 1)","Partnerships & Collective Action - Community Drug and Alcohol Strategy"]
[null,null,null,"i 2)","Public Health Assessment & Monitoring"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 4) ","Harm Reduction Program Enhancement","# Interventions",5]
[null,null,null,"i 1)","Monitoring & Surveillance"]
[null,null,null,"i 2)","Partnerships"]
[null,null,null,"i 3)","Naloxone Distribution"]
[null,null,null,"i 4)","Outreach"]
[null,null,null,"i 5)","Health Promotion & Communication"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 5) ","Needle Syringe Program","# Interventions",3]
[null,null,null,"i 1)","Needle Exchange"]
[null,null,null,"i 2)","Partnerships"]
[null,null,null,"i 3)","Health Promotion & Communication"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 6) ","Smoke-Free Ontario","# Interventions",6]
[null,null,null,"i 1)","Advocacy & Healthy Public Policy"]
[null,null,null,"i 2)","Education & Skill Building"]
[null,null,null,"i 3)","Enforcement & Compliance"]
[null,null,null,"i 4)","Partnerships & Collective Community Action"]
[null,null,null,"i 5)","Public Health Assessment & Monitoring"]
[null,null,null,"i 6)","Screening Clinical Assessment & Case Management"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 7) ","Injury Prevention","# Interventions",6]
[null,null,null,"i 1)","HS - Education & Skill Building"]
[null,null,null,"i 2)","HS - Awareness"]
[null,null,null,"i 3)","HS - Partnerships & Collective Community Action"]
[null,null,null,"i 4)","HL - Awareness"]
[null,null,null,"i 5)","HL - Partnerships & Collective Community Action"]
[null,null,null,"i 6)","HL - Advocacy & Healthy Public Policy"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 8) ","Southwest Tobacco Control Area Network","# Interventions",4]
[null,null,null,"i 1)","Public Health Assessment & Monitoring"]
[null,null,null,"i 2)","Advocacy & Healthy Public Policy "]
[null,null,null,"i 3)","Education & Skill Building"]
[null,null,null,"i 4)","Partnerships & Collective Community Action"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 9) ","Violence Prevention","# Interventions",4]
[null,null,null,"i 1)","HS - Education & Skill building"]
[null,null,null,"i 2)","HS - Partnerships & Collective Community Action"]
[null,null,null,"i 3)","HL - Advocacy & Healthy Public Policy"]
[null,null,null,"i 4)","HL - Supportive Environments"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"One-Time Funding Requests",null,"# Requests",4]
[null,null,null,"O1 Type","Capital"]
[null,null,null,"O1 Title","Seniors Dental Expansion of Existing Operatories (Citi Plaza)"]
[null,null,null,"O2 Type","Public Health Inspector Practicum Program"]
[null,null,null,"O2 Title","Public Health Inspector Practicum Program"]
[null,null,null,"O3 Type","Needle Syringe Program"]
[null,null,null,"O3 Title","Needle Syringe Program"]
[null,null,null,"O4 Type","Extraordinary Costs (non-COVID-19)"]
[null,null,null,"O4 Title","Bank Loan Related to Citi Plaza Lease Improvements"]
[null,null,null,"O5 Type"]
[null,null,null,"O5 Title"]
[null,null,null,"O6 Type"]
[null,null,null,"O6 Title"]
[null,null,null,"Board of Health Membership",null,"# Members",9]
[null,null,null,"Apportionment of Board of Health Costs",null,"# Municipalities",2]

{"sheet":"Community Assessment","index":5,"n_rows":13,"n_cols":4,"rows_kept":13,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null,"                 "]
[null,null,null,"Community Assessment"]
[null,null,null,"A. Community Needs and Priorities\nDescribe the process your board of health uses to understand your community’s population health needs and priorities. Include information on how you assess whether your community’s population health needs are changing and whether your board of health’s programs and interventions have been or will be adapted to address changes in the community’s population health needs. "]
[null,null,null,"Prior to the COVID-19 pandemic, the MLHU updated the Community Health Status Resource (CHSR), a publicly available website providing information on the health of the residents of the Middlesex-London region and used to monitor changing population health needs. Throughout the COVID-19 pandemic response, many non-COVID population health assessment and surveillance activities were paused, and release of many of the key data sources used to assess population health was also deferred. Refreshing the CHSR will be a priority in 2023, to better understand how population health needs have changed since the start of the COVID-19 pandemic.\n \nThe CHSR synthesizes data from a variety of sources to provide a comprehensive understanding of the health of the Middlesex-London population. Census-derived demographic data about the Middlesex-London region is supplemented with other sources, such as the Our Health Counts London survey by the Southwest Ontario Aboriginal Health Access Centre. Health data routinely available to public health (e.g., IntelliHealth, BORN, CCM, CRN, PEAR, CCHS, ACES, etc.) is compiled to determine whether there are changes over time, and assess how local rates compare to other jurisdictions (e.g., the Peer Group, Ontario, Canada). Where appropriate, data is compared by social determinants of health (e.g., income, education, urban/rural status) to help identify potential priority groups in the population. As the CHSR is updated, the Health Unit will continue to expand equity-related analyses where data is available.\n \nThe 2021 Census showed that the Middlesex-London region is quickly growing and changing. In the five years between 2016 and 2021, population growth in Middlesex-London (9.9%) outpaced growth in Ontario as a whole (5.8%). The populations of both the City of London and Middlesex County increased during that time, by 10.0% and 9.2%, respectively. In 2021, 4.1% of the Middlesex-London population had immigrated in the previous five years (2016-2021), an increase compared to 2016 (2.6%). The 2021 Census also showed that nearly one-quarter (24.7%) of the Middlesex-London population identified as a member of a racialized group, representing an increase compared to 2016 (17.0%) and 2011 (13.7%). The Health Unit will continue to assess the needs and priorities of a quickly growing population whose demographic profile is also rapidly changing, and to adapt programs to address those needs. "]
[null,null,null,"In addition to analyzing data routinely available to public health, information routinely entered in Ministry-mandated systems (e.g., CCM, iPHIS, Panorama) is also used to monitor population health needs. Daily, weekly, and monthly monitoring of diseases of public health significance (DOPHS) identified ongoing increases in bacterial sexually transmitted infections (STIs) in the Middlesex-London region, similar to Ontario as a whole. In response, the Health Unit is developing a comprehensive STI strategy that is tailored to the risks and priority populations identified in the data. Similarly, by monitoring immunization rates of school-aged children, it was identified that a population-level gap in coverage has emerged over the course of the COVID-19 pandemic. The Health Unit has undertaken enhanced screening and increased immunization opportunities to close this gap. The Health Unit will continue to monitor data in Ministry-mandated systems to assess progress toward addressing these and other risks in the community.\n \nA wide variety of data is collected by each Health Unit program, and this is also an invaluable data source for understanding who is accessing Health Unit services and monitoring how population health needs change over time. An organizational priority is to expand and standardize collection of social determinants of health (SDOH) data from Health Unit clients, including Indigenous identity, racial identity, income, gender and sexual orientation. To respond to needs identified by community partners, a limited pilot implementation focusing on Indigenous identity and racial identity is being undertaken, with plans to expand to additional data domains and more programs in the future. Collecting and analyzing SDOH data from local clients will help ensure that the programs and interventions delivered by the Health Unit are adapted to the needs of the local community."]
[null,null,null,"B. Priority Populations\nProvide a high-level description of the priority populations (including Indigenous and Francophone populations, as appropriate) within your community."]
[null,null,null,"The Health Unit Provisional Plan has prioritized work relating to Taking Action for Reconciliation and the Anti-Black Racism Plan. As such, Indigenous communities, as well as Black and other racialized communities are organizational priority populations.\n \nThere are three First Nations communities in the region: Chippewas of the Thames First Nation (Anishinaabe), Munsee-Delaware Nation (Leni-Lunaape), and Oneida Nation of the Thames (Haudenosanunee). The Indigenous-led Our Health Counts London study estimated that as many as 30,000 people of Indigenous origin live in the area. Compared to the non-Indigenous population, Indigenous populations in Canada face several disparities in the social determinants of health due to colonialism and racism that result in health inequities. For example, the same study found that 22% of Indigenous adults were precariously housed or experiencing homelessness, compared to approximately 4% among Canadian adults.\n \nThe 2021 Census showed that nearly one-quarter (24.7%) of the Middlesex-London population identified as a member of a racialized group, which represented an increase compared to previous years. Between the 2016 and 2021 Census, the number of people identifying as Black increased by 54.6%, from approximately 12,000 to nearly 18,000.\n \nThe 2021 Census also identified recent immigrants as another local priority population. In 2021, 4.1% of the Middlesex-London population had immigrated in the previous five years (2016-2021). By comparison, in the 2016 Census, only 2.6% of the local population had immigrated in the preceding five years (2011-2016). "]
[null,null,null,"Income is another important determinant of health. In 2016, 10.2% of the Middlesex-London population lived below the low income cut off (after tax), which was slightly higher than Ontario as a whole (9.8%). The rate was higher among those 18 years of age or younger (11.6%) and adults 18 to 64 years of age (11.8%). During the early stages of the COVID-19 pandemic, unemployment increased above 10%. The personal and household impact of increased unemployment for this time period has not yet been assessed. Since then, local unemployment rates decreased, to 5.1% in February 2023, and labour force participation was 65.2%. Since lower income contributes to poor health status, low-income groups represent a key priority population in Middlesex-London.\n \nHomelessness has emerged as a local priority population. In a survey conducted in 2018, there were 408 individuals in London experiencing homelessness. Community agencies report that since that time, the number has greatly increased, and the City of London recently endorsed a plan to address homelessness, developed in collaboration with more than 70 agencies, including the Health Unit.\n \nIn addition to the priority populations outlined above, each program in the Health Unit strives to consider the priority groups for their respective services, and ways in which those services can be optimized."]
[null,null,null,"C. Unique Challenges and Risks\nDescribe any unique challenges, issues, and/or risks that are being faced by your community including those that have been exacerbated because of the pandemic and impacts on programming and service delivery decisions."]
[null,null,null,"The extent of the impact of the COVID-19 pandemic on population health is still being assessed. However, mental health and addictions (MHA) issues appear to have increased during the pandemic. ICES analysis (ICES AHRQ 2022 0950 133 000) showed that MHA outpatient visits in the Middlesex-London region increased during the COVID-19 pandemic for 0-17, 18-29, and 65+ year old age groups, compared to the pre-pandemic period, and that the highest rates were observed among those in the lowest income quintile (7.53/100 population). These rates represent only a portion of the burden of mental health and addiction issues in the community, as only people accessing physician care were included. \n \nThe Middlesex-London region continues to experience the impacts of opioid and other substance use. According to a provincial report from 2022, “the COVID-19 pandemic has exacerbated the ongoing opioid overdose crisis”. Locally, prior to the pandemic, opioid-related emergency department (ED) visits and deaths were increasing, and this pattern continued once the pandemic began. Although the monthly average number of opioid-related ED visits in the first six months of 2022 (68 visits) was decreased compared to the same time period in 2021 (96 visits), responding to opioid and other substance use remains a priority for the region. The Health Unit will continue to work with Regional HIV/AIDS Connection (RHAC) and other community partners to offer comprehensive services, including Carepoint Consumption and Treatment Service, Needle Syringe Program, and the Naloxone Program.\n \nAs noted above, the Middlesex-London region is facing an increase in homelessness, as well as intersecting issues of mental health and substance use. The Health Unit is part of the community collaborative working to address this emerging issue and will be exploring ways to analyze existing data to assess the issue of health and homelessness."]
[null,null,null,"More generally, it is known that health disparities exist within subgroups of the Middlesex-London population. As more data becomes available, the Health Unit will continue efforts to analyze population health assessment data with an equity lens, to better understand the impact of these disparities on health outcomes, and to inform program and service delivery. Where possible, health outcomes are currently assessed by income and education, as well as urban/rural status. In parallel, the Health Unit is moving forward with addressing systematic inequities and working toward reconciliation with Indigenous Peoples by prioritizing efforts related to Taking Action for Reconciliation (2018) and the Anti-Black Racism Plan (2021)."]

{"sheet":"Foundational Standards","index":6,"n_rows":49,"n_cols":4,"rows_kept":49,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Foundational Standards"]
[null,null,null,"Population Health Assessment"]
[null,null,null,"Description\nPlease describe how the board of health plans to implement this Standard, including:\na) A description of how the board of health is planning for the integration of social determinants of health into population health assessment (PHA) work as well as how PHA work is being used in the planning/prioritizing processes."]
[null,null,null,"The MLHU has developed a multi-phased project to implement collection of social determinants of health (SDOH) data from clients. To date, a comprehensive data set has been identified; it is aligned to the data domains identified by the Association of Public Health Epidemiologists (APHEO). The data set includes (but is not limited to) domains related to gender and sexual orientation, Indigenous identity, racial identity and ethnic origin, and income. As well, a literature scan of implementation best practices has been compiled. Next steps in the project are a limited pilot implementation focusing on Indigenous identity and racial identity. Collecting and analyzing SDOH data from local clients will help ensure that local program planning is representative of and meets the needs of local communities, as well as contributing to broader population health assessment.\n\nAs the PHAS Program resumes pre-COVID PHAS work, each data source (e.g., administrative data, surveys, surveillance data, etc.) used for PHAS purposes will be assessed for the availability of population-level SDOH data elements. As part of updating population health products, analyses by SDOH data domains will be expanded beyond current domains (e.g, education, income), based on available data and whether it is appropriate for population-level analysis (e.g,, sufficient sample size, etc.).\n\nThe PHAS Program is developing a PHAS strategy, which will include elements of both incorporating SDOH data into PHAS work, as well as how PHAS products will be shared internally and externally for planning and prioritization processes, which will build upon current approaches. "]
[null,null,null,"b) How the board of health plans to engage and provide population health information to the public, Ontario Health, Ontario Health Teams, other health system partners and primary care."]
[null,null,null,"Throughout the COVID-19 pandemic response, the MLHU forged closer relationships with many health system partners, including Ontario Health and local hospital leadership. As COVID-19 pandemic response transitions to endemic response, the MLHU plans to continue to foster these relationships. For example, the MLHU is a member of the Middlesex London Ontario Health Team (MLOHT) Quality and Analytics group. \n\nHistorically, the PHAS Program has provided PHAS information to the public, including health system partners, through the Community Health Status Resource (CHSR). The CHSR is a publicly-available, web-based site that provides a wide range of population health and surveillance data. Throughout the COVID-19 response, updating this resource was paused. Starting in 2023 and continuing into 2024, a substantial focus of the PHAS Program will be to update the content of the CHSR so that it is available to internal and external partners. \n\nAnother priority for the PHAS Program in 2023 is to develop a PHAS strategy that will more fully articulate how PHAS products will be shared internally and externally, including with health system partners."]
[null,null,null,"c) The data sources the board of health will be purchasing to support assessment and surveillance activities and provide the total estimated budgeted costs for the data sources. "]
[null,null,null,"The PHAS Program has purchased a 5-year membership (2022-2026) to the Community Data Program (CDP), through collaboration with the City of London. The total cost for the five-year subscription is $4,750, paid annually ($750 in 2022; $1,000 in each of 2023 to 2026). By collaborating with the City of London, the membership cost is substantially reduced compared to what it would be if the MLHU purchased a membership individually.\n\nIf budget allowed, the PHAS Program would like to explore purchasing a local oversample in the Centre for Addiction and Mental Health (CAMH) Ontario Student Drug Use and Mental Health Survey (OSDUHS). This survey provides valuable information about health behaviours of students in grades 7 through 12, which is a population that is underrepresented or excluded from many surveys used for population health assessment, e.g. Canadian Community Health Survey (CCHS). A local oversample would enable local-level analyses of this population. This information would be particularly helpful in assessing post-COVID impacts in this population. However, cost (approximately $30,000) has precluded such a purchase in recent years.\n\nAn alternative to OSDUHS that the PHAS Program would like to explore is an oversample of Statistics Canada's Canadian Health Survey on Children and Youth (CHSCY), which is a survey about issues influencing the physical and mental health of children and youth aged 1 to 17 years. The cost to purchase a local oversample is unknown, and it is unknown whether Statistics Canada has capacity to incorporate local oversampling into the survey methodology.\n\nOther opportunities for novel data collection would support investigation into new and emerging issues in our local population. Rapid population-based surveys with quick turn-around times would support timely decision-making. Larger population-based data collection could support in depth understanding of local public health issues. At this time the budget does not allow for this novel data collection."]
[]
[null,null,null,"Health Equity"]
[null,null,null,"Description\nPlease describe how the board of health plans to implement this Standard, including:\na) How a health equity approach will be incorporated throughout all programs and services."]
[null,null,null,"Health equity goals feature prominently on MLHU's provisional strategic plan, with a number of internally-focused initiatives. Notably, addressing Indigenous health, anti-Black racism, and the collection of race-based and social determinants of health data are of strategic priority. However, developing a consistent and standardized approach to embedding the health equity guidelines will require quality improvement projects across the organization. \n\nAs such, the Health Equity and Indigenous Reconciliation team will be leading engagement of a broad spectrum of partners engaged in the health of Indigenous and Black communities. The goal is to understand priorities related to public health issues and to develop formal and informal partnerships to address these priorities. This information will be utilized to guide the modification and orientation of programs and services through continuous quality improvement. Finally, to increase our capacity to assess the equity gaps in our community we will be piloting the collection of two SDOH data domains: Indigeneity and race. The collection of this data will further inform our modification and orientation efforts. This work sets the foundation for further collection and use of SDOH data such as housing status, income, gender identity, etc. \n\n"]
[null,null,null,"b) How effective local strategies to reduce health inequities will be identified."]
[null,null,null,"Engagement with priority populations and cross-sector partners will be a crucial mechanism to understand the impact and effectiveness of local strategies. More importantly, the development of strategies to reduce health inequities is being cocreated through current engagement efforts with the three local First Nation Health Centres and through engagement with MLHU's Anti-Black Racism Plan Advisory Committee (composed of a diverse cross section of members from the African, Caribbean and Black communities of London-Middlesex). First, qualitative feedback from partners and priority populations will validate our intervention effectiveness and over time, SDOH data collection will also provide quantitative data to evaluate the effectiveness of strategies to reduce health inequities. Evidence (using NCCMT’s EIDM model) will be incorporated to support the understanding of effectiveness."]
[null,null,null,"c) The role of the social determinants of health nurses in this work, if applicable."]
[null,null,null,"SDOH nurses have had a role within the Health Equity and Reconciliation Team since its inception. Currently, there are the 2 full time SDOH PHNs at the MLHU and they have: \n• organized and provided staff health equity (HE) capacity building opportunities based on the HE related core competencies of public health and known health inequities experienced in London and Middlesex County\n• provided consultative support as HE interventions and outcomes are built into programs and as HE concepts are applied to practice\n• engaged in policy review and development to address health inequities\n• integrated health equity principles into the MLHU planning and evaluation framework\n• implemented some components of the Taking Action for Reconciliation plan "]
[]
[null,null,null,"Effective Public Health Practice"]
[null,null,null,"Description\nPlease describe how the board of health plans to implement this Standard related to the following under Effective Public Health Practice:\na) Program Planning, Evaluation, and Evidence-Informed Decision-Making."]
[null,null,null,"The Program Planning and Evaluation (PPE) program is responsible for the delivery of program planning, evaluation, and evidence-informed decision-making services. This is to enable public health programs and services to be reflective of local population health issues, utilize the best available evidence, and adapt to the local context. This program also aims to build an organizational culture of ongoing program improvements and utilize evaluation findings to generate new public health knowledge. The PPE program can support decision-making in many different ways. For example, the PPE program can support the planning of a new program or intervention, establishing routine monitoring of key indicators, and assessing the impact, effectiveness, or efficiency of existing programs.\n\nInterventions of the PPE program include: \n• Program Reporting\n• Project Support and Technical Assistance\n• Public Health Strategy Framework - Planning and Evaluation Framework (PEF); and\n• Training and Capacity Building."]
[null,null,null,"b) Research, Knowledge Exchange, and Communication."]
[null,null,null,"Research and Knowledge Exchange\nThe MLHU operates its own library services and also hosts one of the Shared Library Services Partnership (SLSP) HUB libraries. The core objectives of the SLSP HUB are to provide Ontario public health units without an in-house library with access to up-to-date information and scientific resources, and to preserve the existing library infrastructure across the province.  The Ontario NFP Nursing Practice Lead is responsible for coordinating, revising, and facilitating all Nurse-Family Partnership (NFP) education to prepare all NFP PHNs and supervisors in Ontario to implement the NFP program with fidelity. Education and training includes educational opportunities that are extended to public health staff at health units in the southwest region and to community partners. \n\nCommunications\nThe communications program includes: media relations; the development of targeted advertising, marketing and promotional campaign materials; the development and maintenance of the MLHU’s website, online content and social media channels; and a Healthcare Provider Outreach program that establishes and maintains direct contact with local healthcare professionals through bi-weekly webinars, e-newsletters and annual in-person office visits. This program is overseen by the Communications Team using a variety of communications modalities to promote and enhance the MLHU’s brand, profile and reputation as a public health leader. "]
[null,null,null,"c) Describe the role of the board of health in research activities (e.g., contributor/participant, member of working groups/committees, principal researcher)."]
[null,null,null,"MLHU participates in research primarily as a contributor and participant in the support of academic partners. MLHU provides guidance and advice on applied public health practice, as well as a source of data and information on local health issues."]
[null,null,null,"d) Quality and Transparency."]
[null,null,null,"The Quality and Transparency Program facilitates compliance with the Ontario Public Health Standard requirements to ensure a culture of quality and continuous organizational self-improvement that underpins programs services, and public health practice and demonstrates transparency and accountability to clients, the public, and other stakeholders. \n\nInterventions of the Quality and Transparency Program include: \n- Liaison Work\n- Quality Assurance and Continuous Quality Improvement\n- Support Service Delivery\n- Process Development\n- Capacity Building"]
[]
[null,null,null,"Emergency Management"]
[null,null,null,"A. Description\nPlease describe how the board of health plans to implement this Standard related to emergency management. The following details should be included in the description:\na) The emergency management planning activities you will conduct, including how you will engage key stakeholders in the development and implementation of these activities. "]
[null,null,null,"This year's focus is specifically on the development of updated Emergency Response Plans (ERPs) and Continuity of Operation Plans (COOP). Internal stakeholders, such as key program managers, will be consulted on the development of these plans through documentation reviews and 1:1 meetings with the Emergency Management Specialist. Additionally, external partners, such as the City of London and Middlesex County, will help to inform various aspects of the ERPs given that these community members are instrumental in coordinating emergency responses in our community."]
[null,null,null,"b) The processes you plan to put in place (and/or update) for recovering health services identified as time critical."]
[null,null,null,"The Continuity of Operations Plan (COOP) has not been updated since prior to the COVID-19 pandemic, and there are many lessons learned from the pandemic that must inform the next iteration of the COOP. MLHU will undertake a process to re-assess the most business-critical operations through a series of business impact analyses, beginning with our Client Service Representatives (CSRs) who support a wide variety of essential public health operations."]
[null,null,null,"c) The communication modes that will be used to disseminate information during responses (i.e., 24/7 processes)."]
[null,null,null,"In direct collaboration and consultation with key stakeholders, the MLHU uses a variety of modes to disseminate information during a response, which includes website updates, media releases, direct media engagement, and social media posts. The MLHU has also historically utilized radios during a response to coordinate information with those involved in the response, but are exploring the feasibility of this option in consultation with community partners. Additionally, we are implementing an internal notification system (see below). "]
[null,null,null,"d) How you will communicate hazard information to your staff and your community."]
[null,null,null,"Emergency notification is a key component of information dissemination during emergency response, and important for overall emergency preparedness. In collaboration with Health & Safety, work has begun on internal notification to utilize and implement services by RAVE Mobile Safety, which is the notification system supported and funded by the Ministry of Health. This would include mass notification to all staff via email or in the event of an emergency. The system also supports group-specific notification so MLHU can effectively notify specific groups impacted by an event if required. Processes and procedures are being developed to detail how and when mass notifications would be provided for internal staff during responses. This would also be intended to replace the manual fan-out list that has historically been used to call staff during an incident.\n\nExternally, partnerships with key organizations are important for providing information about potential or ongoing emergencies to the public. In the event of non-public health-specific emergencies, the MLHU would utilize partnerships, such as that of the City of London, to support any mass notification as required under the direction of the Emergency Operations Centre (EOC). In the event of a public health-specific emergency, the MLHU would notify its community partners to ensure a consistent response in disseminating the required hazard information."]
[null,null,null,"e) Emergency management learning/practice/training opportunities you plan on delivering in order to build capacity (include the planned audience for these opportunities)."]
[null,null,null,"Providing awareness and education on the role of public health in emergency preparedness will be key to build capacity in our community. This will include providing public health emergency preparedness, response and recovery education and support to the City of London and Middlesex County. This will include collaboration on the development of materials and content for Emergency Preparedness Week in May 2023.\n\nMarking Emergency Preparedness Week will also present an opportunity for the MLHU to provide education to staff internally on the role of public health in emergency response. In May 2023, a variety of events will be held, to educate staff on the importance of public health emergency preparedness. Further, as Emergency Response Plans are revisited, this may include identifying and recommending training refreshers to key staff members on courses offered by Emergency Management Ontario (i.e., IMS 200, BEM 200)."]
[null,null,null,"f) How you plan on incorporating lessons learned from previous or future exercises/events into your program for the upcoming year."]
[null,null,null,"Intra-action (IAR) and after-action (AAR) reviews are the main activities associated with the evaluation process of an emergency response. While a variety of evaluative activities have been completed to assess for lessons learned from the COVID-19 pandemic, the focus will be on conducting additional components of an AAR to further assess the opportunities and challenges of the emergency response to COVID-19. This will be key to updating the Emergency Response Plan (ERP) and preparedness strategies for future pandemics.\n\nMore broadly, processes and procedures will be developed for when and how to complete IARs and AARs to consistently identify lessons learned after an emergency response, and incorporate them into emergency preparedness plans."]
[null,null,null,"B. Objectives\nPlease describe the objectives and what the board of health expects to achieve through the delivery of this Standard. Only describe those objectives that will not also be reflected in other program plans in this template."]
[null,null,null,"Population Health Assessment and Surveillance: Short-Term Outcomes\nThe PHAS Program monitors and assists in the development of short-term health outcomes for the other programmatic areas in the MLHU by contributing to their awareness of relevant and current population health information. The PHAS team also strives to achieve the following outcomes:\n• Monitor and detect important health issues and emerging priorities in the local population.\n• Analyze and interpret data from external sources as they become available, to provide health status information to internal and external partners that can be used to plan, implement, and evaluate programs.\n• Identify health inequities and priority populations, particularly those related to Indigenous and Black community members, in alignment with organizational priorities.\n\nHealth Equity and Indigenous Public Health Practice: Short-Term Outcomes\n• Language barriers are reduced when accessing MLHU programs and services. \n• Increased confidence of staff in application of knowledge related to Indigenous health.\n• Increased confidence of staff in application of knowledge related to Public Health Sciences specific to advancing health equity.\n• Planning and prioritization of actions to advance the Taking Action on Reconciliation plan.\n• Planning and prioritization of actions to advance the Anti-Black Racism Plan.\n\nProgram Planning and Evaluation: Short-Term Outcomes\n• Increase awareness, knowledge and skills of MLHU staff to use the PEF tools appropriately and apply to all assessment, planning, implementation and evaluation projects.\n• Increase awareness, knowledge and skill of MLHU staff to monitor key performance indicators through the development of a routine monitoring system.\n\nResearch and Knowledge Exchange: Short-Term Outcomes\n• Delivery of library services to MLHU and client health units will result in uptake of research information and knowledge.\n• Delivered literature searches, articles, and books to MLHU and client health units will result in immediate transfer of research information and knowledge.\n• Provision of training on library resources to MLHU and client health units will result in public health staff being able to locate and access research information and knowledge for themselves.\n• Strengthen the relationships between the HUB Libraries and client health units.\n• Within available resources, MLHU will undertake and participate in high-quality and missioned-centered research that is compliant with methodological, ethical and privacy standards.\n• Increase awareness to public health nursing competencies and standards.\n• Increase awareness of best practices and/or practice enhancements.\n• Education participants are able to attend and successfully complete all Nurse Family Partnership (NFP) curriculum.\n• Current and accessible education materials that all NFP teams utilize."]
[null,null,null,"Communications: Short-Term Outcomes\n•The public, healthcare providers, and community partners are aware of ongoing public health priorities, messages, guidance and practice updates.  \n• Communications strategies and products are developed and implemented that provide public education and increase awareness and knowledge, where a need has been identified. These strategies and products can be related to food-borne illness and food safety; health hazards; immunization; healthy living; physical activity; healthy eating; infection prevention and control; and others.  \n• The public and community partners are aware of inspection results to support making evidence-informed choices. \n• The public can access local health information online including specific health indicators.\n\nQuality and Transparency: Short-Term Outcomes\n• Regular, structured meetings are completed as outlined by each Terms of Reference with opportunity for collaborative work.\n• Development of Continuous Quality Improvement (CQI) action plans.\n• Leaders are aware of the importance of measuring client experience. \n• Staff and leaders are aware of how to access and complete the Performance Evaluation (PE) tool.\n• Staff and leaders are aware of practice policies, procedures, and medical directives.\n• All members are aware of how to access meeting materials.\n• Staff and leaders have access to evidenced-informed best practices.\n• Within the NFP portfolio, completed resources and templates accessible to all ON NFP sites; Successful submission of annual site data to Nursing Practice Lead, and all NFP teams are aware of implementation guidance and processes available and are applying them for consultation and decision making.\nEmergency Management: Short-Term Outcomes\n• Implement a mass notification system for internal information dissemination in the event of a emergency response.\n• Identify lessons learned from the COVID-19 pandemic to inform Emergency Response and Continuity of Operations Plans.\n• Build capacity by providing education and awareness on public health emergency preparedness."]
[null,null,null,"C. Key Partners/Stakeholders\nProvide information on the internal (e.g., board of health program areas) and external partners (e.g., health care and other providers) the board of health will collaborate with to carry out programs/services under this Standard.  Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), planned frequency of engagement, and any collaboration in the development and implementation of emergency management planning activities."]
[null,null,null,"Population Health Assessment and Surveillance\n• The Population Health Assessment and Surveillance (PHAS) Program is led by the PHAS Team, which is comprised of data analysts, epidemiologists, and a team manager. The PHAS Team is dedicated to fulfilling the requirements of this Foundational Standard, and works closely with all other program standard areas to embed population health assessment and surveillance data into the day-to-day work of the MLHU.\n• The PHAS Team is part of the Office of the Medical Officer of Health. Team members report to the Manager, Population Health Assessment and Surveillance, who reports to the Acting Director, Office of the Medical Officer of Health.\n• Key partners of the PHAS Program include Ontario Health, community service providers who share data with MLHU (e.g.,  London Health Sciences Centre); other groups with expertise in analytical approaches relevant for public health (e.g., Association of Public Health Epidemiologist of Ontario; Western University); and agencies providing provincial leadership in surveillance and assessment (e.g., Public Health Ontario; Ministry of Health).\n\nHealth Equity and Indigenous Public Health Practice\n•The Health Equity and Indigenous Reconciliation Team is responsible for the delivery of the Health Equity and Indigenous Reconciliation program. HEART focuses on enhancing individual and organizational capacities to understand and address health inequities. The team is accountable and responsible for advancing the agency’s health equity-related strategic initiatives and reports to the Acting Director of the Office of the Medical Officer of Health Division. HEART provides leadership in the meaningful engagement of internal and external partners. This engagement process guides the health equity efforts of the MLHU as well as provides opportunities to initiate and strengthen formal collaboration efforts. HEART also coordinates, informs and delivers capacity building initiatives that increase individual and organization knowledge and skills related to health equity principles such as anti-racism, anti-oppression, implicit-bias, truth and reconciliation, among others. Lastly, HEART provides leadership through quality improvement projects and actions that address structural gaps in MLHU’s ability to engage population health assessment and to modify and orient programs in order to reduce local health inequities. \n• HEART members are available to programs across the MLHU for consultation and support regarding health equity. HEART works collaboratively with other teams focused on Foundational Standard implementation. Additionally, HEART engages internal stakeholders on internally facing equity, diversity and inclusion initiatives through the Equity, Diversity and Inclusion Advisory Committee. This committee is focused on the guiding the implementation of recommendations from our employment systems review which aims to develop policy, procedures and practices that increase inclusion for staff that identify with equity deserving groups such as women, racialized and Indigenous peoples, LGBTQ+ and among others. \n\nKey partners and stakeholders of the HEART:\n• Core: MLHU's Anti-Black Racism Plan Advisory Committee (composed of members of the diverse African,Caribbean, and Black communities of London and Middlesex), Leadership at the Health Centres from Oneida Nation of the Thames, Chippewas of the Thames First Nation, Munsee Delaware Nation, the London-Middlesex Local Immigration Partnership, the Centre for Research on Health Equity and Social Inclusion at Western Universtiy, N'Amerind Friendship Centre, At'lohsa Family Healing Centre\n• Involved: community partners/service providers - Southwest Ontario Aboriginal Health Access Centre, Settlement Agencies (LCCLC, LUSO, SLNRC), Across Languages, Ontario Health - Health Equity and • Priority Populations: Equity, Inclusion, Diversity and Anti-Racism Team,  Middlesex-London Ontario Health Team, National Collaborating Centre for Determinants of Health, Public Health Indigenous Engagement Network, London Health Sciences Centre, London Intercommunity Health Centre, Ontario Health West, Canadian Mental Health Association, Muslim Resource Centre, Accès Franco-Santé London, Nigerian Association of London and Area, W.E.A.N. Community Centre\n\nProgram Planning and Evaluation\n• The Program Planning and Evaluation (PPE) Team is responsible for the delivery of the Program Planning and Evaluation Program. The program requires close coordination with other teams delivering the Foundational Standards and Organizational Requirements.\n• Key internal partners of the PPE Program  include:All internal staff and management (e.g. participation in planning, monitoring and evaluation initiatives)\n• Key external partners include: Ontario Public Health Evaluators Network (e.g. peer support; knowledge exchange) and Public Health Ontario (e.g. ethics support)"]
[null,null,null,"Research and Knowledge Exchange\n• The Research and Knowledge Exchange (RKE) program is managed by the Program Planning and Evaluation Team, the Office of the Chief Nursing Officer and Population Health Assessment and Surveillance Team.\n• The Research and Knowledge Exchange Program (RKE) program works with all teams within MLHU to support work and expand capacity in research and knowledge exchange.\n• External partners of the RKE program include: SLSP Hub Libraries [Kingston, Frontenac and Lennox & Addington Public Health (KFL&A), Simcoe Muskoka District Health Unit, Thunder Bay District Health Unit], Ontario Public Health Libraries Association, Western University, Public Health Ontario, Ontario Public Health Evaluators Network, Chief Nursing Officers Network, professional practice leads in public health units across the province, NFP in Canada and internationally, Ontario health units implementing NFP. \n• SLSP client health units include: Chatham-Kent Public Health, Haldimand-Norfolk Public Health, Lambton Public Health, Niagara Region Public Health Department, and Windsor-Essex County Health Unit.\n\nCommunications\n• The Communications Team is responsible for the delivery of the Communications Program in partnership with the Office of the Medical Officer of Health and all other Health Unit programs. Team members consult with and advise front-line staff and managers from other Divisions of the MLHU to develop strategies and initiatives to reach target audiences with relevant public health messages.\n• Ket partners include Health Unit program staff, residents of London and Middlesex County, local media outlets, Healthcare Providers in London and Middlesex County, social media audiences, funders, municipal partners, and Boards of Education.\n\nQuality and Transparency\n• The Chief Nursing Officer, Community Health Nursing Specialists, and the Program Planning and Evaluation team are responsible for the delivery of the Quality and Transparency Program with each team responsible for different program interventions.\n• Key internal partners of the Quality and Transparency Program include: MLHU staff and leadership team (support, enhance, and implement evidenced-based professional practices for individuals and program teams), Nursing Practice Council (support accountability and excellence in nursing/professional practice through committee meetings), and Population Health Assessment and Surveillance Team [Nurse-Family Partnership (NPF) data reporting support].\n• Key external partners include: Other Public Health Units (peer support and knowledge exchange to enhance a community of professional practice through consultations and working groups); Ontario Public Health Nursing Leaders (OPHNL) and OPHNL: Nursing Practice Lead Network Group (peer support and knowledge exchange to enhance a community of professional practice through consultations and working groups); Vaccine distribution sites using our systems (e.g. COVaxON); Ontario Health Units currently delivering Nurse-Family Partnership (NFP) and holding signed Memorandums of Understandings (MOUs): Hamilton, Toronto, York, Niagara, Hastings Prince Edward, Kingston (participation in workgroups and NFP CQI process, including annual data reporting); NFP International, NFP licensor (facilitate annual review process to maintain license and provide implementation support), BC Ministry of Health, BC NFP license holder (collaborative work to support education and implementation), and McMaster University School of Nursing, NFP leader in Canada (research partner and collaboratively maintain program materials)\n\nEmergency Management\n• The Emergency Management Specialist (on the Program Planning and Evaluation team) is responsible for the delivery of the MLHU Emergency Management Program.\n• All teams across MLHU are responsible for adopting the Incident Management System, plans, procedures, and policies when addressing emergencies or challenges in maintaining critical organizational activities. \n• Emergency Management works with the other emergency management leads across the City, County, and province to deliver this program and as the spread of disease and infection is not often isolated, the above parties may be impacted to varying degrees.\n• MLHU collaborates most frequently with members of the Community Emergency Management Program Committee (CEMPC). This includes the City of London, London Police Service, Middlesex-London Emergency Medical Services, City of London Fire Department, London Health Sciences Centre, St. Joseph's Health Care London, the London Transit Commission (LTC), and London Hydro. MLHU also works closely with a variety of Municipal Community Emergency Management Coordinators across the counties (e.g., Middlesex Centre, Thames Centre) and conservation authorities (e.g., Thames Valley Conservation Authority, Ausable Bay Conservation Authority).\n• Other key community partners that MLHU may collaborate with to support emergency response include Fanshawe College, University of Western Ontario, Community Emergency Response Volunteers, London International Airport, CN Rail, Via Rail, Pharmacies, Ministry of Transportation, Ministry of Environment, Funeral homes, Ministry of Community Safety & Correctional Services, Chief Coroner (Western Region), Ministry of Natural Resources, Ministry of Health and Long Term Care, Insurance Institutions, London District Catholic School Board, Thames Valley District School Board, Conseil Scolaire Catholique Providence, Conseil Scoliare Viamonde, Private Schools, Local Places of Worship, Red Cross, Salvation Army, St. John Ambulance, Regional HIV Aids Connection, and Local Businesses."]

{"sheet":"CDP","index":7,"n_rows":850,"n_cols":4,"rows_kept":850,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Chronic Disease Prevention and Well-Being"]
[null,null,null,"A. Community Needs and Priorities\nPlease identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard are being prioritized by your board of health over the reporting period. Please briefly describe your rationale (i.e., key data and information including but not limited to, local conditions, comparison with provincial rates, acute elevations) to demonstrate why these topics are being prioritized."]
[null,null,null,"Menu Labelling\n• Research evidence have shown that food labelling is a crucial component of strategies for addressing unhealthy diets and obesity. Findings from a systematic review and meta- analysis of studies on impact of food labelling systems on food choices and eating behaviors (Cecchini, M., & Warin, L. (2016)) indicated that menu labelling may effectively empower consumers in selecting healthier products.\n\nReference: Cecchini, M., & Warin, L. (2016). Impact of food labelling systems on food choices and eating behaviours: a systematic review and meta‐analysis of randomized studies. Obesity reviews, 17(3), 201-210.\n\nNon-Mandatory Oral Health Programs\n• In 2013/14, only 64% of families living in Middlesex-London had dental insurance. 71% of families reported visiting a dentist within the last year. 46% of families reported having oral or facial pain within the last month.\n• During the initial implementation of HSO (2016 and 2017), 20,950 Middlesex-London residents qualified financially for the HSO program, 74% of those eligible were enrolled in HSO, 64% of those enrolled have utilized the HSO program.\n• 25% of children entering junior kindergarten have teeth impacted by decay. Of the children who have been impacted by decay have at least 4 teeth affected.\n• According to the Canadian Community Health Survey, 2017/2018 one third of Canadians do not have access to dental care. Low-income Canadians are four times more likely to avoid seeing a dentist because of cost and two times more likely to have poor dental outcomes.\n\nOntario Seniors Dental Care Program\n• In 2013/14, only 64% of families living in Middlesex-London had dental insurance. 71% of families reported visiting a dentist within the last year. 46% of families reported having oral or facial pain within the last month.\n• Using the 2016 Census, based on low-income measure (LIM), after tax, 8,375 low-income seniors 65 years and older may be eligible for the OSDCP based on the income threshold identified by the government ($19,300/individual senior or $32,300/couple). However, this income threshold has increased since this data was gathered, so the number of eligible seniors is greater than this currently. The increase in the number of eligible seniors has caused the waiting list for care at the MLHU dental clinic to increase. Currently all of 2023 is booked, and there are 360 people on a waitlist for a new patient exam. MLHU receives up to 15 calls a day from people who have received their OSDCP card who are added to our waiting list. \nICES estimated that 5,665 seniors from the city of London and 897 seniors from Middlesex County received the Ontario Drug Benefit program in 2018 (Total = 6,562).\n• To date, approximately 90% of the OSDCP we have seen have not had a dentist or regular dental care prior to becoming a patient at our clinic. \n\nTanning Beds\n• Ultraviolet Radiation Exposure: Incidence rates of malignant melanoma were generally significantly higher in Middlesex-London compared to Ontario from 2010 to 2014.  The incidence rate of malignant melanoma in Middlesex-London in 2014 increased with age and was highest among the oldest age group (age 80+). Incidence rates of malignant melanoma were higher among males compared to females in Middlesex-London in 2014, but the differences were not statistically significant.\nAccording to the Canadian Cancer Society, in 2022, it is estimated that:\n• 9,000 Canadians will be diagnosed with melanoma skin cancer;\n• 1,200 Canadians will die from melanoma skin cancer;\n• 4,900 men will be diagnosed with melanoma skin cancer and 770 will die from it; and,\n• 4,000 women will be diagnosed with melanoma skin cancer and 440 will die from it.\n• Early exposure to tanning beds can increase a person's chance of developing melanoma by up to 75% (Zhang, M. et al, 2012). Among those who first used a tanning bed before age 35, the risk of melanoma increased by 59% because tanning devices emit 15X the amount of UV rays as from sun exposure (Boniol, M. et al, 2012) . Despite the enactment of tanning bed legislation, research commissioned by the Ontario Sun Safety Working Group shows that there was no reduction in adolescence tanning bed use prevalence (Reimann, J., et al, 2018); therefore, ongoing work is required at the local level to support both the promotion and enforcement of the provincial policy.\n\nFood Systems\nAdditional research and updated local/regional data collection is needed in 2023 in order to determine current community needs and priorities. Work was previously done in our community to understand the food and nutrition needs at the individual and population level. Historical data has demonstrated need for the following: \n• Food insecurity impacts one in seven households in Middlesex-London; this translates to approximately 52,807 people (13.7%), aged 12 and older in Middlesex-London in 2013/14. Generally, Middlesex-London households with children under the age of 18 were more food insecure (13.9%) than those households without children under 18 (11.2%). Food insecurity disproportionately affects certain populations, including Indigenous peoples, lone-parent families, and low-income households. A family of four with a median income spends only about 11% of their after-tax income on food, whereas households with low incomes spend up to 37% of their incomes on food, demonstrating the need for income-based solutions to food insecurity.\n• Food literacy is recognized as an important influence on eating patterns. There has been a decline in domestic food preparation skills (known as ‘deskilling’ in the literature) due to a lack of introduction to and opportunity for the acquisition of cooking skills from parents, grandparents, and/or school environments.  Independent of preparation skills, there are also several factors that drive an individual’s food selection including physiology, food availability, taste, price, marketing, convenience, social norms and cues.\n• The growing prevalence of large-scale and fast food retail outlets along with the modernization of the global food system means that consumers have greater access to low-cost, energy dense, and nutrient poor foods and beverages. According to the Middlesex-London Community Food Assessment, 82% of adults agreed with the statement that it is important that children, youth and young adults learn about food and the food system.\n•  About one-third of the population of Middlesex-London (31.0%) consumed vegetables and fruits five or more times per day. Just over one-quarter of youth aged 12–17 (27.4%) reported consuming vegetables and fruits five or more times per day.\n\nActive Transportation and the Built Environment\n• A large proportion of the Canadian population across the life course are not meeting the Canadian Physical Activity Guidelines (CPAG). Only 16.4% of Canadian Adults achieve the level of physical activity recommended for Adults -18-64 years and only 35% of children ages 5 to 17 are meeting the physical activity recommendations within the Canadian 24-hour Movement Guidelines for Children and Youth (2014-15 CHMS, Stats Can). On average, Canadian adults spend 9.8 hours of their daily waking hours being sedentary. Research shows that sedentary behaviour is associated with chronic disease and other poor health outcomes (PHAC).                                                                                                                                     \n• Less than two thirds (62.4%) of the Middlesex-London population aged 18 and over were active according the Canadian Physical Activity Guidelines in 2015/16. About one in 10 people were moderately active (10.1%) and somewhat active (10.5%), nearly 20%, or one in five, was sedentary. (MLHU Community Health Status Resource (CHSR))\n• 46.3% of Middlesex-Londoners aged 18 and above reported using active transportation (AT) during the past week in 2015/16. Broken down by age: 18–44 years old, 57%; 45-64, 37.7%, 65+, 36.5%. (MLHU CSHR).\n• For children, national data from the 2018 ParticipACTION Physical Activity Report Card for Children and Youth shows that only 35 per cent of 5 to 17 year-olds and 62 percent of 3 to 4 year-olds meet recommended physical activity for their age group; only 20-26% of children and youth are using active transportation to get to and from places such as school, park, etc.\n• Safety and perceived safety are enablers to engaging in active transportation: Collisions involving bicycles are the most common type of transport collision in Middlesex London, after MVCs. The rate of emergency department visits for injuries for bicycle collisions was, on average 186.6 per 100,000 people per year in the years 2015 to 2017. Males had more than double the rate of injuries from cycling then females.  Pedestrians injury ED visits were 58.4 per 100,000 (2015-2017 average).\n• The City of London is in process of developing its Mobility Master plan which aims to place a higher priority on active and sustainable transportation, including cycling and walking, with a focus on safe and accessible mobility for equity denied groups.  MLHU is a partner in this work. \n• Further work is needed in 2023 to identify and examine local data and trends, and community need and priorities in both London and Middlesex County related to this program area. \n\nMental Health and Wellness\n• Program development for Mental Health and Wellness is ongoing and the team will need to conduct a local needs assessment to determine priority and in need populations. However, some general statistics outline that certain races and economic groups experience the impacts of mental health more significantly than others. Data gathering will inform what these groups are, and how to target them. \n• Since the COVID-19 pandemic many Canadians have experienced worsening mental health.  In May 2020, 38% of Canadians reported a deterioration in mental health, including feeling anxious, stressed, worried, sad, and lonely. Less Canadians reported self-perceived mental health as “high” in 2020 (60%) than 2019 (67%), and in 2021, those rates dropped to 58%. (STATS CAN)\n• 58% of students surveyed with the 2021 COMPASS survey in schools reported their anxiety had increased since COVID-19.\n"]
[null,null,null,"Please briefly describe how the topics for consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard that are not addressed in the Annual Service Plan were assessed or considered."]
[null,null,null,"The programs and interventions delivered within this Standard cover all the listed health topics with the exception of sleep.  During 2020-2022 the Chronic Disease prevention and well-being standard programs were on hold. In 2022 a divisional and programmatic review was conducted to support comprehensive program planning. Sleep is addressed within other target populations (infants and children), and through both the School Health standard, and Healthy Growth and Development standard."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners (e.g., community organizations, people with living/lived experience, research institutions) you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Menu Labelling\n• The Safe Water, Rabies Control and Vector Borne Disease team delivers Menu Labelling interventions in Middlesex County for facilities that have greater than 20 premises as a chain across Ontario.  The Infectious Disease Control Team delivers Menu Labelling interventions in institutional facilities where there are food premises that belong to a chain with greater than 20 locations across Ontario.  \n• Ministry of Health (MOH):  The MOH provides training for staff (Public Health Inspectors (PHIs)) at local Public Health Units so that staff can become designated as inspectors to deliver interventions under the HMCA.  Once the training has been received, PHIs are provided a designation card from the MOH.  The MOH also provides regular updates and correspondence to PHUs regarding the HMCA work.  \n\nNon-Mandatory Oral Health Program\n• The Oral Health Program is managed by the Oral Health Team\n\nInternal partners include:\n• Elementary School Team: the Oral Health team works with the Elementary School Team to plan oral health month activities in the schools. \n• Communications Team: the Oral Health team works with the Communications Team to plan oral health month activities and implement other helath promotion initaitives related to oral health.\n\nExternal partners inlcude: \n• Licenced Child Care centres located near high risk schools: Child Care centres work with the Oral Health (OH) program to obtain parental consent that allow OH staff to provide screening and fluoride applications. \n• Fanshawe College - Dental Hygiene Program: MLHU works with Fanshawe to provide resources and inform planning of school presentations. Hygiene students go to approximately 80% of the most at-risk schools to deliver oral health education to grade 2 students. \n•The Wright Clinic: MLHU refers clients to TWC who do not have any dental coverage. For examples, individuals who reach out to us between the ages of 18-64 yrs old.\n \nOntario Seniors Dental Care Program (OSDCP)\n• The OSDCP is managed by the Oral Health Team.\n\nInternal Partners of the OSDCP include: \n• Core Clinical Team: The Core Clinical Team at MLHU provides reception and reprocessing support to the Oral Health (OH) Team. \n• Communications Team: The Communications Team at MLHU assists with health promotion initiatives and promotion of the OSDCP when required. \n• Program Planning and Evaluation (PPE) Team: The OH Team uses the services of the PPE team for planning and evaluation of the OSDCP. \n\nExternal Partners of the OSDCP include: \n• Southwest Ontario Aboriginal Health Access Centre (SOAHAC): SOAHAC is a formal partner of the OSDCP seeing approximatley 200 OSDCP patients. \n• The Wright Clinic (TWC): TWC is a not for profit dental clinic in the city of London and a formal partner of the OSDCP. TWC has 219 OSDCP as part of their patient roster. Additionally, MLHU has a contract with TWC for the rental of 2 operatories one day a week for use by MLHU staff to see OSDCP patients. TWC will also provide emergent dental care to OSDCP patients who MLHU is not able to see due to capacity. \n• Boca Dental: MLHU has a contract with Boca Dental for endodontic, periodontics and prosthodontic services for patients of the OSDCP.\n• Interface: MLHU has a contract with Interface for Oral Surgery for patients of the OSDCP.\n• Brian Kyle and Associates: MLHU has a contract with Brian Kyle and Associates for denture cares services for patients of the OSDCP.\n• West London Denture Clinic: MLHU has a contract with Brian Kyle for denture cares services for patients of the OSDCP.\n• Dr. Andy Shih: MLHU has a contract with Dr. Shih to provide emergent dental care to OSDCP patients who MLHU is not able to see due to capacity. \n• Village Green Family Dental:  MLHU has a contract with Village Green Family Dental to provide emergent dental care to OSDCP patients who MLHU is not able to see due to capacity.\n• Main St. Family Dental: MLHU has a contract with Main St. Family Dental to provide emergent dental care to OSDCP patients who MLHU is not able to see due to capacity.\n• Sunningdale Dental: MLHU has a contract with Sunningdale Dental to provide emergent dental care to OSDCP patients who MLHU is not able to see due to capacity.\n• St. Joes Health Care/Mount Hope Center for Long Term Care: Residents of this long-term care facility who possess OSDCP coverage and are not able to come to the MLHU dental clinic are seen at St. Joes in their dental unit. \n• The University of Western Ontario, Schulich School of Medicine and Dentistry: MLHU is working on developing a relationship with Western that will be mutually beneficial for the provision of services to OSDCP as well as enhance learning opportunities for dental students. \n\nTanning Beds\n• The Program Manager and the Supervisor of the Substance Use Program Team provide oversight to the designated Inspectors and the Program Assistant who are responsible for conducting mandated inspections, tracking and responding to complaints/inquiries, fielding inquiries from tanning bed operators and members of the public asking about tanning bed/skin cancer risk and tanning bed laws, and the maintenance of a premise list.  Using a progressive enforcement approach, tanning bed operator education and outreach is an important component of the program, and monitoring the research and evidence to inform program planning and implementation. The Program Manager and Supervisor work closely with the City of London's Business Licensing Bylaw staff to support the enactment of the City's Business Licensing Bylaw that requires all tanning bed operators to pay an annual licensing fee.\n• The City of London Business Licensing and Bylaw Division -- in accordance with the City of London's Business Licensing Bylaw - L. - 131-16, personal service settings that offer artificial tanning services through UV radiation are required to pay an annual licensing fee to the City of London. Prior to the issuance of a license to a new operator, City of London staff confirm with UVAT staff that the operator has been inspected and is aware of their obligations under the Act.  For subsequent annual licenses, premise lists are received by the City of London and checked against inspection data maintained by the UVAT staff.\n• Canadian Cancer Society's SunSense Program is a national sun safety program with the goal of reducing the number of people diagnosed with skin cancer in Canada. SunSense supports Canadian elementary schools to create sun safe environments that protect students and staff from UVR from the sun, using a multi-component approach (education, policy development and shade). For this reason, the sun safety component of this program is no longer delivered.\n• Melanoma Canada - advocates for and supports Canadians living with melanoma and skin cancer with resources, education, psychosocial support services, including educating Canadians on the importance of prevention, early detection, and treatment options available. For this reason, the sun safety component of this program under the standard is no longer delivered.\n• Canadian Dermatology Association - celebrates and promotes Sun Awareness Week every year through the provision of social marketing and public education. For this reason, the sun safety component of this program under the standard is no longer delivered.\n• The Joint Agency Enforcement Working Group, comprised of leadership from the City of London's Licensing and Bylaw Divisions, London Police Services, the Alcohol and Gaming Commission of Ontario, the Ministry of Labour, the Health Unit's Food Safety and Health Hazards Programs, Fire Prevention Services and the Health Unit's Substance Use Program Team meet monthly, or as needed to share information, make referrals and coordinate joint inspection/enforcement activity, where appropriate. "]
[null,null,null,"Food Systems\n• The Food Systems program is managed through the Community Health Promotion Team and collaborates across the Healthy Living (HL) and Healthy Start divisions. Within the HL division the food system program focuses on food access, equity, food literacy, food insecurity, and coordinates projects as it relates to the food system built environment, including food waste, sustainability, etc.\n• The Food Systems program collaborates with the school health teams (elementary and secondary) for school based nutrition initiatives including promoting and supporting PPM 150 compliance,  Ontario Student Nutrition Program (OSNP), developing food literacy and mental health programming to support students, teachers and families.\n• The food systems program collaborates within the Healthy Start division to support prenatal nutrition programming.\n\nLocal/ Regional:\nLondon Food Bank, City of London (Child and Youth Network), Middlesex London Food Policy Council, London and Middlesex Children’s Aid Society, Youth Opportunities Unlimited, Growing Chefs, Western Fair District, Locally Driven Collaborative Project; local school boards via the Elementary and Secondary School teams\n\nProvincial:\nOntario Dietitians in Public Health, Public Health Ontario, Dietitians of Canada, Unlock Food\n\nActive Transportation and the Built Environment\n• The Active Transportation and Built Environment program is managed by the Community Health Promotion (CHP) team. Program staff on the CHP serve as content lead. Program interventions and activities focus across the lifespan with primary focus on influencing healthy behaviours and health supporting environments in elementary school-aged through older adult populations.  The program underwent significant changes in 2022 from the Healthy Living Strategic review, and COVID-19 recovery. External partnerships continue to be reviewed, and reignited as program activities are developed.    \n                                                                                                           \n• Internal partners: Collaboration occurs with the Environmental Health teams, Elementary School Health team, Health Equity team, and Early Years Community Health Promotion Team, as well as other ASP identified programs including Food Systems and Mental Health and Wellness as appropriate. Program staff liaise with other MLHU team key contacts on specific initiatives such as active school transportation (Active and Safe Routes to School), sharing of evidence and developing messaging, and conducting review and submitting public health input to municipal planning processes and documents. \n• External partners include but are not limited to City of London and County of Middlesex planning, environmental, road and transportation departments;  Partnership tables that health unit staff are part of related to this program area include: London-Middlesex Road Safety Committee;  City of London Child and Youth Network;  Age Friendly London.   \n• In 2023 program staff will be examining status and focus of pre-pandemic partnership tables, re-engaging past partners as appropriate, determining other stakeholders to engage, and determining priorities for collective action. \n\nMental Health and Wellness\n• The Community Health Promotion team will manage the program activities associated with Mental Health and Wellness. The team will collaborate across the Healthy Living division to engage with different priority populations including: the Elementary School and Secondary School Teams (children, youth, families, teachers), the Substance Use Program Team (mental health and wellbeing as it relates to substance use, and addictions) and the Food Systems Program with the interconnectedness between food and mental health. Additionally, the program will focus more broadly on the promotion of wellbeing which may include healthy aging, the importance of physical activity, the importance of social connectedness and anti-stigma approach to mental health.\n• The program will underpin work within the Healthy Living division by supporting a broad and collective understanding of mental health between programs.\n• This program is separate from, but works together with the Mental Health Promotion Program 444, managed by the Early Years Community Health Promotion Team in the Healthy Start Division which focuses on parental, infant and early childhood mental health. \n• This program is new in the 2023 year and many stakeholders have not been established. \nInternal partners: Elementary School Team, Secondary School Team, Oral Health Team, Substance Use Program Team, \nLocal partners: City of London, County of Middlesex, School Boards [Thames Valley District School Board (TVDSB), London District Catholic School Board (LDCSB), Conseil scolaire catholique Providence, and Conseil scolaire Viamonde], SW Regional PH Mental Health Promotion Group"]
[null,null,null,{"$f":"Structure!D7 & Structure!E7","v":"P 1) Menu Labelling"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target populations would be individuals who consume food from food premises chains (greater than 20 locations in Ontario) where menu labelling information is required.  \n"]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"Requirement #4: The board of health shall enforce the Healthy Menu Choices Act, 2015 in accordance with the Menu Labelling Protocol, 2018 (or as current)"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"Menu Labelling inspections are covered under requirement #4, which may fall under the topic of 2) Healthy Eating Behaviours."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The goal of the Menu Labelling Program is to support the enforcement of the Healthy Menu Choices Act, 2015 and Regulation 50/16 (HMCA).  The legislation requires the display of calorie information for standard food items that are sold or offered for sale, on menus and tags / labels at the regulated food service premises and on menus that are distributed outside the premises as well as the requirement to display the contextual statement regarding daily caloric requirements.  The interventions include Inspections, Enforcement and Health Promotion and Communication.  "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"N/A"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"N/A"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Mental health promotion is not specifically addressed."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• There is a reduction of chronic diseases in the community through healthier eating habits.\n\nIntermediate Outcomes:\n• There is an increased adoption of healthy living behaviours among populations targeted through menu labelling interventions for the prevention of chronic diseases; \n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases and promotion of well-being, including healthy living behaviours, healthy public policy and creating supportive environments\n\nShort-Term Outcomes:\n• Food Premises are in compliance with the Healthy Menu Choices Act, 2015\n• There is increased public awareness of the impact of risk factors, protective factors and healthy  behaviours associated with chronic diseases\n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D8 & \" \" & Structure!E8","v":"i 1) Inspection "}]
[null,null,null,"The inspection interventions are delivered by PHI who are designated by the Ministry of Health and are employed at MLHU.  Inspections are conducted to ensure that menu labelling requirements (display of caloric information, contextual statements) are displayed in a manner that is compliant with the Healthy Menu Choices Act, 2015."]
[null,null,null,{"$f":"Structure!D9 & \" \" & Structure!E9","v":"i 2) Enforcement"}]
[null,null,null,"The enforcement interventions are delivered by PHIs who are designated by the Ministry of Health and are employed at MLHU.  Under the authority of the HMCA, PHIs have the ability to issue part 1 fines to operators of food premises who are not in compliance with the HMCA legislative requirements.  PHI take a progressive approach to compliance work through education, assisted compliance and enforcement measures which include legal actions.  "]
[null,null,null,{"$f":"Structure!D10 & \" \" & Structure!E10","v":"i 3) Health Promotion & Communications"}]
[null,null,null,"Health Promotion and Communication interventions include providing information (or links to information) on the MLHU website, and consulting with the public through phone / email consultations.  Communications are provided by Public Health Inspectors and may be assisted by the Communications team at MLHU. Communications are delivered through different modes including face to face, over the phone or other means of correspondence. Communications are usually delivered through remote / virtual means. Communication interventions are conducted regularly throughout the calendar year. Output indicators include the number of service requests completed; number of web pages updated. "]
[null,null,null,{"$f":"Structure!D11 & \" \" & Structure!E11","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D12 & \" \" & Structure!E12","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D13 & \" \" & Structure!E13","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D14 & \" \" & Structure!E14","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D15 & \" \" & Structure!E15","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D16 & \" \" & Structure!E16","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D17 & \" \" & Structure!E17","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D18 & Structure!E18","v":"P 2) Non-Mandatory Oral Health Programs"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Child Care centre screening and fluoride varnish:\n• The OH team selects approximately 15 licenced Child Care centres that are located near high risk elementary schools because there is a higher than average number of chlidren in these schools found to have decay. \n\nHealth Promotion\n•Oral Health Month is targeted to elementary school children, however, messages related to good oral hygiene are relavant to the full population\n•Oral Health promotion is also targeted to newcomer adults"]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The Non-Manditory OH Program will address requirements 1 and 2 of the Chronic Disease Prevention and Well-Being Standard. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"Oral Health will be addressed as the topic of consideration. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The overall goal of the Non-Manditory Oral Health (OH) Program is to enable an increased proportion of the population to have optimal oral health. The program achieves this through identifying those at risk of poor oral health outcomes and ensuring they have appropriate information, education and access to oral health care. \n\nProgram interventions include:\n•Awareness\n•Screening, Clinical Assessment, Clinical Services & Case Management \n•Partnerships & Collective Community Action"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"• In 2013/14, only 64% of families living in Middlesex-London had dental insurance. 71% of families reported visiting a dentist within the last year. 46% of families reported having oral or facial pain within the last month.\n• During the initial implementation of HSO (2016 and 2017), 20,950 Middlesex-London residents qualified financially for the HSO program, 74% of those eligible were enrolled in HSO, 64% of those enrolled have utilized the HSO program.\n• 25% of children entering junior kindergarten have teeth impacted by decay. Of the children who have been impacted by decay have at least 4 teeth effected.\n•According to the Canadian Community Health Survey, 2017/2018, one third of Canadians do not have access to dental care. Low-income Canadians are four times more likely to avoid seeing a dentist because of cost and two times more likely to have poor dental outcomes. "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Most of the work of this program will be targeted to individuals with no, or limited access to oral health care. According to the Canadian Community Health Survey, 2017/2018 one third of Canadians do not have access to dental care. Low-income Canadians are four times more likely to avoid seeing a dentist because of cost and two times more likely to have poor dental outcomes. As a result, MLHU as decided to participate as a member on the Board of Directors for The Wright Clinic. The Wright Clinic offers services to individuals living in London who do not have any insurance coverage, as well as those with coverage but with access to care setbacks. Additionally, the OH team will be working with children in licenced Child Care centres that are located around the highest priority elementary schools, as identified by school screening results for the previous year. After working with licenced Child Care centres for several years, MLHU Hygienists have found a decrease in the number of urgent cases in these highest priority elementary schools in subsequent years."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Many psychiatric disorders, such as severe mental illness, and eating disorders, are linked with oral health concerns such as caries, and periodontitis. Additionally, when oral health concerns are not treated individuals run the risk of losing their teeth. Individuals with mental illness are 2.7 times more likely to lose all their teeth, compared with the general population. Poor oral health can also affect eating, speech, causing social and psychological impacts.\nAdditionally, the Oral Health team must be aware that more than one half of the population has some anxiety about visiting the dentist. As such, the team works diligently to use a client centered approach and create a welcome and caring environment for our patients. \n\nSource: Kisely S. No Mental Health without Oral Health. Can J Psychiatry. 2016 May;61(5):277-82. doi: 10.1177/0706743716632523. Epub 2016 Feb 10. PMID: 27254802; PMCID: PMC4841282."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• The oral health status of children, youth and adults is improved.\n\nIntermediate Outcomes:\n• Children, youth and adults will have increased access to oral health services.\n\nShort-Term Outcomes:\n• Children, youth and adults will have increased awareness of oral health services available in Middlesex County and the City of London. "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D19& \" \" &Structure!E19","v":"i 1) Awareness"}]
[null,null,null,"Members of the Oral Health Team occasionally work with community groups who service youth and young adult populations, as well as newcomer adults, to provide educational opportunities related to oral health. The Oral Health team also works internally to support School Health Nurses regarding any oral health education required in the schools. The Oral Health team works very frequently with individuals seeking assistance with navigation of publicly funded dental programs such as the new Canada Dental Benefit. Oral Health Managers teach lectures at Fanshawe College to Dental Hygiene students to ensure an understanding of public health as it relates to oral health. In addition, MLHU works with Fanshawe College to help coordinate the 2 for 2 program that is delivered to grade 2 students in \"high risk\" elementary schools by Dental Hygiene Students."]
[null,null,null,{"$f":"Structure!D20& \" \" &Structure!E20","v":"i 2) Screening, Clinical Assessment, Clinical Services & Case Management "}]
[null,null,null,"Children are screened at a select licenced Child Care centres and private schools to determine eligibility for the HSO program. If children are eligible, families are enrolled into the program. Certified Dental Assistants provide client navigation to families who require assistance in finding a local dental provider. Registered Dental Hygienists follow up on all urgent dental conditions identified during screening to ensure the child has received the required care. Additonally, a Certified Dental Assistant and Dental Hygienist apply fluoride varnish to eligible children in Child Care centres 3 times during the year.\n"]
[null,null,null,{"$f":"Structure!D21& \" \" &Structure!E21","v":"i 3) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing public health units and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the program include active participation at the Ontario Association of Public Health Dentistry (OAPHD). MLHU and The University of Western Ontario Schulich School of Medicine and Dentistry are working to develop a symbiotic working relationship. Additionally, the Manager and Associate Manager of Oral Health work collaboratively with the other 6 Heath Units in the Southwestern region of Ontario by way of participation and leadership of an Inter-agency Oral Health Managers working group. Lastly, the Manager of Oral Health sits on the Board of Directors for The Wright Clinic(TWC), a not for profit community dental clinic in London Ontario.  MLHU referrs indiviudals with no dental insurace (public or private) to TWC for care. \n"]
[null,null,null,{"$f":"Structure!D22& \" \" &Structure!E22","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D23& \" \" &Structure!E23","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D24& \" \" &Structure!E24","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D25& \" \" &Structure!E25","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D26& \" \" &Structure!E26","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D27& \" \" &Structure!E27","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D28& \" \" &Structure!E28","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D29 & Structure!E29","v":"P 3) Ontario Seniors Dental Care Program"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Low-income older adults 65 years and older who have an individual income below $22,200 or household income below $37,100.\nPLEASE NOTE:  Our budget has significantly increased as we open the newly built operatories in Strathroy.  Previous budget was to fund operations in Citi Plaza (London) only while the 2023 budget is developed to fund both Citi Plaza and Strathroy locations."]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The OSDCP will address requirements 1, 2 and 5 of the Chronic Diseae Prevention and Well-Being Standard. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"Oral Health will be addressed as the topic of consideration. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Ontario Seniors Dental Care Program (OSDCP) launched in 2019 to serve low-income adults 65 years and older. A report published by Health Canada in 2019 entitled, Dental Care, 2018, found that 35.4% of Canadians did not have dental insurance. The study also found that those without insurance were three times more likely not to see a dentist because of the financial barrier. The Middlesex-London Dental Clinic staff have noted that approximately 90% of the OSDCP patients seen at the MLHU clinic did not have a dentist nor received regular oral health care services prior to becoming a patient at MLHU. Older adults are more prone to dental decay, gum disease and oral cancer than other age groups.  \n\nPrior to the change in eligibility for the OSDCP, there were 6,562 older adults who would qualify for the OSDCP in the Middlesex-London region. Of this total, 897 individuals reside outside of London in the County of Middlesex, and of those in the County, 408 live in Strathroy. It is understood that the number of individuals who would be eligible for OSDCP coverage will have increased as a result of the increase to the income cut offs for the program. \n\nInterventions of the OSDCP include: \n• Awareness\t\t\t\n• Screening, Clinical Assessment, Clinical Services & Case Management \t\t\t\n• Partnerships & Collective Community Action\t\t\n\t\t"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"In 2013/14, only 64% of families living in Middlesex-London had dental insurance. 71% of families reported visiting a dentist within the last year. 46% of families reported having oral or facial pain within the last month.\n\nUsing the 2016 Census, based on low-income measure (LIM), after tax, 8,375 low-income seniors 65 years and older may be eligible for the OSDCP based on the income threshold identified by the government ($19,300/individual senior or $32,300/couple). However, this income threshold has increased since this data was gathered, so the number of eligible seniors is now greater. The increase in the number of eligible seniors has caused the waiting list for care at the MLHU dental clinic to increase. Currently all of 2023 is booked and there is a 360 person wait list for a new patient exam. MLHU receives up to 15 calls a day from people who have received their OSDCP card who are added to our waiting list. \nICES estimated that 5,665 seniors from the city of London and 897 seniors from Middlesex County received the Ontario Drug Benefit program in 2018 (Total = 6,562).\n\nTo date, approximately 90% of the OSDCP we have seen have not had a dentist or regular dental care prior to becoming a patient at our clinic. "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Priority population aligns with OSDCP eligibility requirements."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Many psychiatric disorders, such as severe mental illness, and eating disorders, are linked with oral health concerns such as caries, and periodontitis. Additionally, when oral health concerns are not treated individuals run the risk of losing their teeth. Individuals with mental illness are 2.7 times more likely to lose all their teeth, compared with the general population. Poor oral health can also affect eating, speech, causing social and psychological impacts as well.\nAdditionally, the Oral Health team must be aware that more than one half of the population has some anxiety about visiting the dentist. As such, the team works diligently to use a client centered approach and create a welcome and caring environment for our patients. \n\nSource: Kisely S. No Mental Health without Oral Health. Can J Psychiatry. 2016 May;61(5):277-82. doi: 10.1177/0706743716632523. Epub 2016 Feb 10. PMID: 27254802; PMCID: PMC4841282."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To improve the oral health status of low-income older adults.\n\nIntermediate Outcomes:\n• To increase access to oral health services for low-income older adults.\n\nShort-Term Outcomes:\n• To increase awareness of oral health services to low-income older adults."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D30& \" \" &Structure!E30","v":"i 1) Awareness"}]
[null,null,null,"Members of the Oral Health Team occasionally work with community groups who service older adult populations to provide educational opportunities regarding their Oral Health and to ensure they are aware of the OSDCP. The Oral Health team also works internally to ensure all health unit staff are aware of the OSDCP and can promote it to their respective clients if applicable. "]
[null,null,null,{"$f":"Structure!D31& \" \" &Structure!E31","v":"i 2) Screening, Clinical Assessment, Clinical Services & Case Management "}]
[null,null,null,"In accordance with the OSDCP Service Schedule, dental treatment and hygiene services are provided by Oral Health Professionals to individuals with OSDCP coverage. The Oral Health Team support low-income older adults by improving oral health knowledge and awareness of services and assisting older adults with enrolling in the OSDCP program. Should an individual be ineligible for the OSDCP, the team will assist them with finding alternate care in the community if available."]
[null,null,null,{"$f":"Structure!D32& \" \" &Structure!E32","v":"i 3) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing public health units and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the program include active participation at the Ontario Association of Public Health Dentistry (OAPHD) as well as the Manager of Oral Health is a member of the Board of Directors for The Wright Clinic. MLHU and The University of Western Ontario Schulich School of Medicine and Dentistry are working to develop a symbiotic working relationship going forward. Additionally, the Manager and Associate Manager of Oral Health work collaboratively with the other six Heath Units in the Southwestern region of Ontario by way of participation and leadership of an Inter-agency Oral Health Managers working group."]
[null,null,null,{"$f":"Structure!D33& \" \" &Structure!E33","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D34& \" \" &Structure!E34","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D35& \" \" &Structure!E35","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D36& \" \" &Structure!E36","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D37& \" \" &Structure!E37","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D38& \" \" &Structure!E38","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D39& \" \" &Structure!E39","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D40 & Structure!E40","v":"P 4) Tanning Beds"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"•  Youth and young adults: to promote the dangers of artificial tanning to reduce tanning bed use prevalence and reduce skin cancer risk\n•  Tanning Bed Operators: to increase compliance with the Skin Cancer Prevention Act (Tanning Beds), 2013 and to reduce youth access to tanning services."]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The Tanning Beds Program addresses requirement 3.  "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"In 2022, after the two-year suspension of many programs under the Chronic Disease Prevention and Well-Being Standard due to the required response to the COVID-19 pandemic, an assessment was undertaken to determine the status/priorities of community partnerships moving forward.  As part of this process, a review of both Health Unit and community partner capacity was completed to help identify whether or not programmatic and partnership priorities need to shift. Some of this work is still underway in 2023 due to the sustained community impacts felt by the COVID-19 pandemic.\n\nThe programs and interventions named under the Annual Service Plan cover all health topics named under requirement 2 of the Chronic Disease Prevention and Well-Being Standard, with the exception of ultraviolet radiation exposure/sun safety programming that falls outside of Skin Cancer Prevention Act (Tanning Beds), 2013 enforcement.  The remainder of health topics named under requirement 2 are either being addressed through its own dedicated program, or through integration within other programs.  Based on the results from the review in 2022/2023, some health topics may have have less intensive programming moving forward than in past years."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Exposure to ultraviolet radiation (UVR) from tanning equipment is an established cause of skin cancer and can increase the risk of eye diseases (IARC, 2012).  Melanoma is the deadliest form of skin cancer in Canada and nearly all melanomas are related to ultraviolet radiation (UVR) exposure from the sun or indoor tanning. The World Health Organization has classified tanning beds in its highest risk category along with asbestos and tobacco. On May 1, 2014, the Skin Cancer Prevention Act (Tanning Beds), 2013, which bans the use of tanning beds by youth under 18 years of age, came into effect.  The legislation also prescribes restrictions pertaining to the promotion and advertising of tanning services and signage and operating requirements for tanning bed operators.  The Ultraviolet Radiation and Artificial Tanning (UVAT) Program is responsible for the enforcement of the Skin Cancer Prevention Act (Tanning Beds), 2013.\n\nInterventions of the Ultraviolet Radiation and Artificial Tanning Program include: \n• Education and Skill Building;\n• Advocacy and Healthy Public Policy;\n• Public Health Assessment and Monitoring; and,\n• Enforcement and Compliance\n\nTanning bed use before the age of 35 increases the risk of malignant melanoma by 75%. Through the enforcement of this legislation, the likelihood of youth being exposed to UVR from tanning beds is reduced. It is estimated that in 2022, 9,000 Canadians were diagnosed with melanoma skin cancer and 1200 died from it (Canadian Cancer Society, 2022)."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Ultraviolet Radiation Exposure: Incidence rates of malignant melanoma were generally significantly higher in Middlesex-London compared to Ontario from 2010 to 2014.  The incidence rate of malignant melanoma in Middlesex-London in 2014 increased with age and was highest among the oldest age group (age 80+). Incidence rates of malignant melanoma were higher among males compared to females in Middlesex-London in 2014, but the differences were not statistically significant.\nAccording to the Canadian Cancer Society, in 2022, it is estimated that:\n• 9,000 Canadians will be diagnosed with melanoma skin cancer;\n• 1,200 Canadians will die from melanoma skin cancer;\n• 4,900 men will be diagnosed with melanoma skin cancer and 770 will die from it; and,\n• 4,000 women will be diagnosed with melanoma skin cancer and 440 will die from it.\n\nEarly exposure to tanning beds can increase a person's chance of developing melanoma by up to 75% (Zhang, M. et al, 2012). Among those who first used a tanning bed before age 35, the risk of melanoma increased by 59% because tanning devices emit 15X the amount of UV rays as from sun exposure (Boniol, M. et al, 2012) . Despite the enactment of tanning bed legislation, research commissioned by the Ontario Sun Safety Working Group shows that there was no reduction in adolescence tanning bed use prevalence (Reimann, J., et al, 2018); therefore, ongoing work is required at the local level to support both the promotion and enforcement of the provincial policy."]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Early exposure to tanning beds can increase a person's chance of developing melanoma by up to 75% (Zhang, M. et al, 2012). Among those who first used a tanning bed before age 35, the risk of melanoma increased by 59% because tanning devices emit 15X the amount of UV rays as from sun exposure (Boniol, M. et al, 2012) . Despite the enactment of tanning bed legislation, research commissioned by the Ontario Sun Safety Working Group shows that there was no reduction in adolescence tanning bed use prevalence (Reimann, J., et al, 2018); therefore, ongoing work is required at the local level to support both the promotion and enforcement of the provincial policy."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Mental health promotion is not specifically addressed.\n"]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve wellbeing related to ultraviolet radiation exposure from artificial tanning (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard). \n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard). \n• Youth have decreased exposure to UV radiation from tanning beds (OPHS, 2021 - Chronic Disease Prevention and Well-Being Standard).\n\nShort-Term Outcomes:\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, including healthy living behaviours, healthy public policy, and creating supportive environments (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard). \n• Tanning bed operators are in compliance with the Skin Cancer Prevention Act (Tanning Beds), 2013. \n• Increase awareness and knowledge among youth regarding the health risks associated with UVR exposure from tanning beds."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D41 & \" \" & Structure!E41","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that reduce UVR exposure are easy and equitable for youth (under 18 years). Program staff working in the UVR and Artificial Tanning program are responsible for developing, reviewing and providing evidence-based feedback on policies that impact UVR exposure from tanning beds. It involves coordination and collaboration with municipal, provincial and federal partners. "]
[null,null,null,{"$f":"Structure!D42 & \" \" & Structure!E42","v":"i 2) Education & Skill Building "}]
[null,null,null,"Education and skill building for the ultraviolet radiation (UVR) and artificial tanning program involves the development and implementation of materials designed to increase tanning bed operators’ knowledge about their requirements under the Skin Cancer Prevention Act (Tanning Beds), 2013 and to increase their ability to be compliant with their owner/operator requirements under the law. Materials are also developed to increase individuals’, tanning bed operators’ and municipal partners’ understanding regarding the health risks associated with UVR exposure from tanning beds. "]
[null,null,null,{"$f":"Structure!D43 & \" \" & Structure!E43","v":"i 3) Enforcement & Compliance "}]
[null,null,null,"In compliance with the Tanning Beds Protocol, 2019, Inspectors designated by the Minister of Health provide education to promote compliance and conduct inspections at places that offer artificial tanning services (tanning beds) to assess compliance with the law. Compliance is achieved through a comprehensive strategy that employs a balance of education, inspections and progressive enforcement, including the use of warnings and graduated charging options. This intervention encompasses components/key activities, including the dissemination of operator educational material, the provision of mandated signage, annual inspections, partnership work with the City of London’s licensing bylaw inspectors and the maintenance of a premise list. "]
[null,null,null,{"$f":"Structure!D44 & \" \" & Structure!E44","v":"i 4) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice, and for the Ultraviolet Radiation and Artificial Tanning program to respond to current and emerging trends related to exposure to ultraviolet radiation.  In compliance with the Tanning Beds Protocol, 2019, Inspectors designated by the Minister of Health provide education to promote compliance and conduct inspections at places that offer artificial tanning services (tanning beds) to assess compliance with the law. Monitoring tanning bed operator compliance and monitoring data regarding youth tanning behaviours are a critical component of this program. "]
[null,null,null,{"$f":"Structure!D45 & \" \" & Structure!E45","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D46 & \" \" & Structure!E46","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D47 & \" \" & Structure!E47","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D48 & \" \" & Structure!E48","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D49 & \" \" & Structure!E49","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D50 & \" \" & Structure!E50","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D51 & Structure!E51","v":"P 5) Food Systems"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Work has been done in the past to define target and priority populations for this program: \n• Food insecurity: disproportionately affects certain populations, including Indigenous peoples, lone-parent families, and low-income households. \n• Promoting healthy eating and food literacy: at-risk youth, children, youth, young adults and their parents are a priority population for food literacy programming.\n• Creating a healthy food environment: municipal and community partner stakeholders from across the food system (from production to consumption to waste management) are partners and target populations for food system-related policies and interventions that can influence the food environment. \n*Priority Populations for the food systems program will be examined and defined throughout the 2023 year through local data, and research. The programming will be evidence informed to reach priority populations within our catchment area. Populations that the program will serve based on current evidence include: school aged children and youth, parents of school aged children, and those at greatest risk for food insecurity (i.e., indigenous peoples, lone parent families, low income households, at risk youth)."]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The Food Systems program will address Requirements 1  and 2 under the Ontario Public Health Standards, Chronic Disease and Well Being standard."]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"The food systems program will address the following topics of consideration listed in the standard:1) Built environment, 2) Healthy eating behaviours  4) Mental health promotion.\t"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Food Systems program involves a comprehensive health promotion approach to address the risk and protective factors to reduce the burden of illness from chronic diseases as it relates to healthy eating behaviours, health equity and mental health promotion. \n\nFollowing an ecological health promotion framework, the food systems program considers the social, economic and environmental factors that influence eating behaviours. \n\nThe Food Systems program works in partnerships with community organizations to address the Middlesex London food system, notably food access, and insecurity, food literacy, changes to the food environment, and increasing the consumption of fruits and vegetables.\n\nThe program work for the London Middlesex Food Policy Council supports policies and decision making at a regional level as it relates to the greater food system.\n\nThe program work with the London Food Bank includes the work with building capacity and food literacy into our community plans (i.e. SOHO alliance), and the Harvest Bucks initiative for food access."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Additional research and updated local/regional data collection is needed in 2023 in order to determine current community needs and priorities. Work was previously done in our community to understand the food and nutrition needs at the individual and population level. Historical data has demonstrated need for the following: \n•Food insecurity, a key social determinant of health, impacts one in seven households in Middlesex-London; this translates to approximately 52,807 people (13.7%), aged 12 and older in Middlesex-London in 2013/14. Generally, Middlesex-London households with children under the age of 18 were more food insecure (13.9%) than those households without children under 18 (11.2%). Food insecurity disproportionately affects certain populations, including Indigenous peoples, lone-parent families, and low-income households. A family of four with a median income spends only about 11% of their after-tax income on food, whereas households with low incomes spend up to 37% of their incomes on food, demonstrating the need for income-based solutions to food insecurity.\n• Food literacy is recognized as an important influence on eating patterns. There has been a decline in domestic food preparation skills (known as ‘deskilling’ in the literature) due to a lack of introduction to and opportunity for the acquisition of cooking skills from parents, grandparents, and/or school environments.  Independent of preparation skills, there are also several factors that drive an individual’s food selection including physiology, food availability, taste, price, marketing, convenience, social norms and cues.\n• The growing prevalence of large-scale and fast food retail outlets along with the modernization of the global food system means that consumers have greater access to low-cost, energy dense, and nutrient poor foods and beverages. According to the Middlesex-London Community Food Assessment, 82% of adults agreed with the statement that it is important that children, youth and young adults learn about food and the food system.\n•  About one-third of the population of Middlesex-London (31.0%) consumed vegetables and fruits five or more times per day. Just over one-quarter of youth aged 12–17 (27.4%) reported consuming vegetables and fruits five or more times per day."]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Priority populations have been identified for this program area in the past and will be examined and further defined throughout the 2023 year through local data, and research.  A key priority area for focus are people and populations experiencing food insecurity and supporting access to nutritous foods. Data and research shows that food insecurity disproportionately affects certain populations, including Indigenous peoples, lone-parent families, and low-income households.  Data and informational details informing prority populations can be found above in a5.\n\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The Food Systems program promotes mental wellness through community connectedness, and cultural preferences and norms as it relates to food habits and consumption. The food systems program address food access and equity through its activities supporting priority populations to access nutritious foods to support their well-being. The program also addresses how food and nutrition are interconnected with mental health, and fueling our bodies. Food literacy focuses on developing skills that support eating foods that fuel our bodies, and increase opportunities for connection."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"The program will also contribute to addressing the School Health program standard specifically requirements  4b) healthy eating behaviours and food safety, and 4g) mental health promotion."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To support efforts toward a safe, healthy, and accessible local Middlesex-London food system that is socially, economically and environmentally sustainable.\n• To decrease the morbidity and mortality from preventable chronic diseases through the adoption of healthy eating behaviours and through increased access to nutritious, culturally appropriate foods.\n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among targeted populations.\n• Reduce population health inequities related to chronic disease.\n• Increase adoption of healthy living behaviours among populations.\n• Priority populations develop positive eating behaviours.\n• Community utilizes MLHU as a source for information.\n\nShort-Term Outcomes: \n• Increased public awareness of the impact of risk factors, protective factors, and healthy behaviours associated with chronic diseases, increased awareness of the link between food and nutrition and mental health.\n• Increased awareness of the food-neutral approach. \n• Increased awareness of personal food and weight biases. \n• The board of health is aware of and uses the data to influence and inform the development of local and healthy public policy.\n• Increased awareness of the cause of household food insecurity and the social determinants of health impact on food and nutrition.\n\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D52 & \" \" & Structure!E52","v":"i 1) Awareness"}]
[null,null,null,"The Food Systems Program involves developing and implementing activities where information is created and/or disseminated for the purpose of increasing food systems related (food neutrality, weight stigma, etc..) awareness amongst individuals or populations. The outcome of food systems awareness activities may result in increased knowledge, attitudes, and practices, to promote, prevent and protect the health of individuals and populations. Food systems awareness focus on enhancing the capacity of individuals and community to increase control over their lives to improve their well-being. \n"]
[null,null,null,{"$f":"Structure!D53 & \" \" & Structure!E53","v":"i 2) Education & Skill Building"}]
[null,null,null,"Health education involves the development and implementation of planned learning opportunities in order to increase participants' knowledge and skills. Health education is tailored to the target population and presents information on health benefits/threats and provides specific tools and/or strategies to build capacity and support behaviour change in an appropriate setting. The education and skill building intervention within the food systems program aims to provide evidence-based resources, direct training and train the trainer components to facilitate food systems knowledge translation across the community for priority populations. The Food Systems Program develops and implements curriculum supports across the life course. This can included food literacy programming in schools, food literacy programming for at risk youth, and other priority and target populations."]
[null,null,null,{"$f":"Structure!D54 & \" \" & Structure!E54","v":"i 3) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy public policy involves a comprehensive approach to ensure health is on the agenda of policymakers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision-making and stimulate social changes required to sustain healthy behaviours. The Community Health Promotion (CHP) Team is responsible for developing, reviewing and providing evidence-based feedback related to food systems. It can involve coordinated action with other organizations and can lead to systemic change with a targeted group, or at the local, provincial, and federal levels, for example the Middlesex London Food Policy Council. "]
[null,null,null,{"$f":"Structure!D55 & \" \" & Structure!E55","v":"i 4) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. The Food Systems program engages locally and provincially in practice-based committees and working with priority populations and communities to support programmatic activities including advocacy, awareness, skill building, etc. as it relates to food skills/literacy and access.  This includes partnerships with community organizations such as the London Food Bank for programs supporting food insecurity, and the Middlesex London Food Policy Council in their efforts to create a more sustainable food system"]
[null,null,null,{"$f":"Structure!D56 & \" \" & Structure!E56","v":"i 5) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice and for programs to be able to respond to current and emerging trends. The Food Systems Program aims to research food literacy and evaluate the different aspects of the FLit measure, assess the association between food literacy and dietary quality, and assess the connections between SDOH and food literacy. Using local, provincial and federal data sources the Food Systems Program will identify priority populations and inform the adaptation and changing program services and activities.  \n"]
[null,null,null,{"$f":"Structure!D57 & \" \" & Structure!E57","v":"i 6) Supportive Environments"}]
[null,null,null,"Supportive environments involve both social and physical environments. Supportive environments strive to support and encourage the overall health and well-being of individuals, groups, and communities. A supportive environment aims to reduce health inequities and recognizes the impacts of the social determinants of health. Within the food systems program, supportive environments can be both at the micro and macro level to encourage, promote and provide environments that support food systems including food security, food literacy, equitable access, etc.  This can include the supportive environments developped through food literacy programming run with vulnerable youth in partnership with community organizations like Youth Opportunities Unlimited and Children's Aid Society."]
[null,null,null,{"$f":"Structure!D58 & \" \" & Structure!E58","v":"i 7) Harvest Bucks"}]
[null,null,null,"The Harvest Bucks intervention is a multi-faceted farmers' market vegetable and fruit voucher initiative financially administered, coordinated, and evaluated by the Health Unit, on behalf of and in partnership with a community partner collaborative. With funding from the City of London's Child and Youth Network, the London Food Bank, and private donations, Harvest Bucks helps to increase local access to, and consumption of, vegetables and fruit, while raising awareness and comfort/familiarity with farmers' markets and local fruit and vegetable producers. Planning is underway to review initiative processes for efficiencies and potential growth and expansion."]
[null,null,null,{"$f":"Structure!D59 & \" \" & Structure!E59","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D60 & \" \" & Structure!E60","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D61 & \" \" & Structure!E61","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D62 & Structure!E62","v":"P 6) Active Transportation and the Built Environment"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"• Interventions will be targeted to increase road and off-road safety for pedestrians, cyclists and vulnerable road users. According to Vision Zero the highest priority populations are vulnerable road users, specifically pedestrians and cyclists as outcomes of injury from the collisions are usually more severe. Focus on active modes of transportation is in alignment with public health mandates related to chronic disease prevention and wellbeing. There are other partners in the communities who are more broadly focused on and have jurisdiction to impact and enforce vehicle related road safety.                                                                    \n• Elementary School Children (4-13 Years): this is the target group for initiatives related to promoting active school travel (Elementary School team leads this work).  \n• Adults (18-64 years):  Being physically active and meeting the physical activity guidelines can reduce the risk of chronic disease, premature death, osteoporosis and supports mental health and wellbeing.\n• Older Adults (65 Years & Older):  Physical Activity can help prevent falls and fractures and maintain health and quality of life\n• Municipal stakeholders and decision makers: Ensuring that municipal plans and strategies prioritize healthy community design will impact the health of the community over the long term.\n\n*Further work is needed to identify priority groups and interventions within these target populations including consideration of local level data, literature, and evidence of effective interventions.\n\n"]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The Active Transportation and Built Environment program will address Requirements 1 and 2 under the Chronic Disease Prevention and Well Being Standard.                                                                                                                                                                    \n"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"The Active Transportation and Built Environment program will address the following topics of consideration listed in the standard: Built environment, Mental health promotion, Physical activity and sedentary behaviour. Additionally Healthy eating behaviours may be addressed through a lens of the built environment."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Active Transportation and Built Environment program addresses physical activity, sedentary behaviour, and prevention of injuries associated with active transportation and vulnerable road users, and supports the built environment for our communities in Middlesex County and London. The program includes interventions at the community and public policy levels. It incorporates the sharing of evidence-based information creating supportive environments, collaborating with community stakeholders and supporting healthy public policy that enables opportunities for active living through healthy community design. The program not only contributes to the physical well-being of the population but also impacts the environment (i.e., mitigate and adapt to climate change) and both mental well-being and violence prevention by working to increase safety and perception of safety, increased access to community resources such as recreational opportunities and community connectedness. Active transportation (walking, biking, etc.) and access to environments that enable safe active transportation modes is a key factor in increasing physical activity. This program area was paused related to the health unit's COVID-19 response and is in process of restarting and realigning. Work is underway to examine data and community need, and identify/refine priority areas of program focus for 2023 and going forward, including an equity lens.  \n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"• A large proportion of the Canadian population across the life course is not meeting the Canadian Physical Activity Guidelines (CPAG). Only 16.4% of Canadian Adults achieve the level of physical activity recommended for Adults -18-64 years and only 35% of children ages 5 to 17 are meeting the physical activity recommendations within the Canadian 24-hour Movement Guidelines for Children and Youth (2014-15 CHMS, Stats Can). On average, Canadian adults spend 9.8 hours of their daily waking hours being sedentary. Research shows that sedentary behaviour is associated with chronic disease and other poor health outcomes (PHAC).    \n• For children, national data from the 2018 ParticipACTION Physical Activity Report Card for Children and Youth shows that only 35 per cent of 5 to 17 year-olds and 62 percent of 3 to 4 year-olds meet recommended physical activity for their age group; only 20-26% of children and youth are using active transportation to get to and from places such as school, park, etc.                                                                                                                                           \n• Less than two thirds (62.4%) of the Middlesex-London population aged 18 and over were active according the Canadian Physical Activity Guidelines in 2015/16. About one in 10 people were moderately active (10.1%) and somewhat active (10.5%), nearly 20%, or one in five, was sedentary. (MLHU Community Health Status Resource (CHSR))\n• 46.3% of Middlesex-Londoners aged 18 and above reported using active transportation (AT) during the past week in 2015/16. Broken down by age: 18–44 years old, 57%; 45-64, 37.7%, 65+, 36.5%. (MLHU CSHR).\n• Collisions involving bicycles are the most common type of transport collision in Middlesex-London, after MVCs. The rate of ED visits for injuries for bicycle collisions was, on average 186.6 per 100,000 people per year in the years 2015 to 2017. Males had more than double the rate of injuries from cycling then females. \n• Pedestrians injury ED visits in Middlesex-London were 58.4 per 100,000 (2015-2017 average).\n• The City of London is in process of developing its Mobility Master plan which aims to place a higher priority on active and sustainable transportation, including cycling and walking, with a focus on safe and accessible mobility for equity denied groups.  MLHU is a partner in this work. \n\n• Further work is needed in 2023 to identify and examine local data and trends, and community need and priorities in both London and Middlesex County related to this program area. "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Further work is needed to identify priority popuations for program 422 in 2023. The Built Environment and Active Transportation program will focus primarily on collaboration with county and city partners and vulnerable road users  (including pedestrians, cyclists, etc..). This program work will be done through education and skill building, awareness, policy and advocacy for healthier communities.                                                                                                                                      \n\nIn 2019, 31 percent of collision fatalities in Canada were vulnerable road users (18 percent pedestrians, 11 percent motorcyclists, and 2 percent bicyclists) according to Transport Canada’s National Collision Database (NDDC).\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"It is broadly recognized that mental and physical health are interconnected and that considering mental and physical health holistically and simultaneously is integral to improving and protecting the overall health and wellbeing of the population. Program interventions and activities that encourage and increase opportunities for physical activity also carry potential to improve mental health and wellbeing, for example, adoption of healthy community design measures such as pathways within greenspaces, adoption of policy that enables and promotes active living through walkability."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"The Active Transportation and Built Environment Program will also contribute to addressing the Healthy Environments program standard in collaboration with MLHU EHID division."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases of public health importance and improve well-being  \n• To reduce the burden of preventable injuries \n• There is a reduction in population health inequities related to chronic diseases and injury \n• To reduce exposure to health hazards and promote the development of healthy built and natural environments that support health and mitigate existing and emerging risks, including the impacts of a changing climate \n\nIntermediate Outcomes:\n• Community partners, policy-makers, and the public, including priority populations are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases and injuries \n• Community partners and the public are engaged in the planning, development, implementation, and evaluation of strategies to promote the creation of healthy natural and built environments \n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases and injury \n\nShort-Term Outcomes:\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases and injuries and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments \n• Community partners have the information necessary to create healthy public policies related to creating healthy built and natural environments \n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases and injuries \n• Community members have increased knowledge and skills and opportunities to access safe active transportation \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D63 & \" \" & Structure!E63","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy public policy involves a comprehensive approach to ensure health is on the agenda of policymakers internal and external to the health sector. This aims to ensure that health impacts are considered for decision-making and that making choices that promote health and prevent injury are easy and equitable. Program staff are responsible for developing / participating in development, reviewing, and providing evidence-based feedback to land use planning and other policies that impact active and healthy living. This involves coordinated action with municipal partners and other organizations and can influence systemic change at the local, provincial, and federal levels. "]
[null,null,null,{"$f":"Structure!D64 & \" \" & Structure!E64","v":"i 2) Education & Skill Building "}]
[null,null,null,"Education is tailored to the target population (e.g. decision makers, partners, community members) and presents information on health benefits/threats, and provides specific tools and/or strategies to support active healthy living, prevent injury and support policy change. The program educates on health benefits of an active lifestyle and safety elements of active transportation at the micro level and the importance of natural and built environments in that support health. After a period of program hiatus, early 2023 activities will include review and update of public facing information, determination of gaps and identifying priority areas for education and skill building going forward.  "]
[null,null,null,{"$f":"Structure!D65 & \" \" & Structure!E65","v":"i 3) Partnerships & Collective Community Action "}]
[null,null,null,"The Active Transportation and Built Environment program works closely with municipalities, neighbouring health units, and communities. The aim is bringing people and organizations together in a structured way to achieve community, population, and/or systemic changes. Staff participate with partners and committees to provide public health focused evidence to support community action. In 2023, staff will be working closely with the City of London staff and partners in development of London's new Mobility Master Plan, examining status and focus of pre-pandemic partnership tables, re-engaging past partners as appropriate, identifying and engaging other stakeholders as needed and determining priorities for collective action. "]
[null,null,null,{"$f":"Structure!D66 & \" \" & Structure!E66","v":"i 4) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice and for programs to be able to respond to current and emerging trends. The Active Transportation and  Built Environment program uses public health surveillance data to inform program interventions and activities. Using local, provincial and national data sources, the Active Transportation and Built Environment program can identify trends and emerging priority population needs.  In 2023, MLHU, with community partners, will be identifying and examining updated local data and trends and establishing indicators to monitor over time."]
[null,null,null,{"$f":"Structure!D67 & \" \" & Structure!E67","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D68 & \" \" & Structure!E68","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D69 & \" \" & Structure!E69","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D70 & \" \" & Structure!E70","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D71 & \" \" & Structure!E71","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D72 & \" \" & Structure!E72","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D73 & Structure!E73","v":"P 7) Mental Health and Wellness"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The program will focus internally for staff delivering clinical services within oral health, school health, and substance use prevention. \n\nTarget populations for community-focused program interventions span school-aged to older adult.  Specific priority populations for targeted education, awareness, and skill building interventions will be identified through local needs assessment and consideration of local and provincial data.\n  \nThe program will also coordinate an internal focus geared at building knowledge and capacity for division staff to impact mental health and wellbeing for people and populations who access and participate in clinical services and programs within the Healthy Living division such as oral health, school health, and substance use prevention. \n"]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[null,null,null,"The Mental Health and Wellness program will address requirements 1 and 2 under the Ontario Public Health Standards, Chronic Disease and Well-Being Standard .   \n                                                                 \n"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[null,null,null,"The Mental Health and Wellness program will address multiple topics of consideration including the Built environment, Healthy eating behaviours, Mental health promotion, and Substance use. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Mental Health and Wellness is a re-defined program area for MLHU in 2023. This program is the amalgamation of several broad program areas across the portfolio of “Chronic Disease and Injury prevention”.  The program will conduct interventions to raise awareness, provide education and skill building opportunities, and engage with community partners to support or develop programs in our community to support the mental health and wellbeing of residents of Middlesex-London.\n\nProgram planning is in development, however priority areas include: mental health promotion and mental health literacy, healthy aging.\n\nMental health and wellness are imperative to ensuring that communities can thrive. If we are mentally healthy, we have positive emotional and spiritual wellbeing and we are respective of culture, equity, social justice, interconnections, and personal dignity. Mental health is an important component of overall wellbeing and population mental health promotion involves actions and processes taken to enhance supportive behaviours to create supportive environments that will strengthen the mental health of populations, communities and individuals (WHO, PHAC)."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Program development for Mental Health and Wellness is ongoing and the team will need to conduct a local needs assessment to determine priority and in need populations. However, some general statistics outline that certain races and economic groups experience the impacts of mental health more significantly than others. Data gathering will inform what these groups are, and how to target them. \n\nSince the COVID-19 pandemic many Canadians have experience worsening mental health.  In May 2020, 38% of Canadians reported a deterioration in mental health, including feeling anxious, stressed, worried, sad, and lonely. Less Canadians reported self-perceived mental health as “high” in 2020 (60%) than 2019 (67%), and in 2021, those rates dropped to 58%. (STATS CAN)\n\n58% of students surveyed with the 2021 COMPASS survey in schools reported their anxiety had increased since COVID-19.\n\n"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Since the COVID-19 pandemic many Canadians have experience worsening mental health.  In May 2020, 38% of Canadians reported a deterioration in mental health, including feeling anxious, stressed, worried, sad, and lonely. Less Canadians reported self-perceived mental health as “high” in 2020 (60%) than 2019 (67%), and in 2021, those rates dropped to 58%. (STATS CAN)\n\n58% of students surveyed with the 2021 COMPASS survey in schools reported their anxiety had increased since COVID-19. \n\nThe program will have a universal and targetted approach for specific groups which will be identified through a needs assessment. The program will focus internally on building divisional capacity, and common understanding of Mental Health and Well being."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"This program will address mental health promotion at the population health level and within the Healthy Living Division at MLHU."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"The Mental Health and Wellness Program will also support addressing the School Health (suicide risk, life promotion), Substance Use and Injury Prevention program standards."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of mental health and improve well-being\n• To enhance capacity for individuals and the community to achieve higher levels of mental well-being.\n\nIntermediate Outcomes:\n• Teams within the HL division address mental and physical health equally and holistically, reduce population health inequities related to mental health and wellness, support the community as a conduit for knowledge and support mental health initiatives\n\nShort-Term Outcomes:\n•Programs from MHLU are delivered with a mental health lens, reducing stigma and personal biases\n•To develop partnerships in the community for mental health and well-being across the life course\n•To increase public health staff mental health literacy                                                                             \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D74 & \" \" & Structure!E74","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy public policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy aims to ensure that mental health impacts are considered in decision making and public policies at the local, provincial and federal levels and within social and organizational structures. Core considerations related to mental health and wellbeing are application of an equity lens, a life course approach, and the complexity of risk and protective factors for mental health and wellbeing.  \n"]
[null,null,null,{"$f":"Structure!D75 & \" \" & Structure!E75","v":"i 2) Education & Skill Building"}]
[null,null,null,"Health education involves the development and implementation of planned learning opportunities to increase participants' knowledge and skills. Health education is tailored to the target populations and presents information and provides specific tools and/or strategies to build capacity and support behaviour change. In 2023, education and skill building within the Mental Health and Wellness program will focus internally within the Healthy Living Division related to mental health literacy  to embed mental health focus within programs, including tools to support screening, assessment and referral for teams that provide direct client care.  Additionally, the program will identify priority topics and populations to provide mental health and wellness education and awareness across the life course to meet local needs and context."]
[null,null,null,{"$f":"Structure!D76 & \" \" & Structure!E76","v":"i 3) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Programs can be more successful in achieving large-scale social change when efforts within and across sectors are coordinated. Mental Health and Wellness program is a newly defined program area.  The program will engage internally within the Healthy Living Division establishing a collaborative working group to underpin all Healthy Living programs considering mental health promotion, collaborate with other divisions as appropriate, and identify opportunities for external collaboration and partnerships that can be leveraged for capacity building, program development, and shared actions. External partnerships and opportunities will be explored to understand gaps and opportunities for collaboration."]
[null,null,null,{"$f":"Structure!D77 & \" \" & Structure!E77","v":"i 4) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice and for programs to be able to respond to current and emerging trends. The Mental Health and Wellness program seeks to understand and apply research and data pertaining to mental health and contributing risk and protective factors for mental health and wellness.  Using local, provincial and national data sources, the Mental Health and Wellness program will have information to identify burden and priority populations and inform the development and adaptation of program services and activities. \n"]
[null,null,null,{"$f":"Structure!D78 & \" \" & Structure!E78","v":"i 5) Screening Clinical Assessment & Case Management"}]
[null,null,null,"Staff that provide direct client care complete clinical screenings and assessments to address the client’s needs using the mental health lens. Staff providing direct clinical services within the Healthy Living Division are culturally and emotionally aware of bias and judgements that clients face as it relates to mental wellness across the life course. "]
[null,null,null,{"$f":"Structure!D79 & \" \" & Structure!E79","v":"i 6) Supportive Environments"}]
[null,null,null,"Supportive environments strive to support and encourage the overall health and well-being of individuals, groups, and communities. A supportive environment aims to reduce health inequities and recognizes the impacts of the social determinants of health. Within the Mental Health and Wellness program, supportive environments can be at the individual, organizational, and broader population level to encourage, promote and provide environments that support mental well-being and provide evidence-informed mental health aware services.  Internal capacity building will support this work and will provide guidance for teams in the HL division who have direct client contact for mental wellness screenings, assessments and referral. \n  "]
[null,null,null,{"$f":"Structure!D80 & \" \" & Structure!E80","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D81 & \" \" & Structure!E81","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D82 & \" \" & Structure!E82","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D83 & \" \" & Structure!E83","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D84 & Structure!E84","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D85 & \" \" & Structure!E85","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D86 & \" \" & Structure!E86","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D87 & \" \" & Structure!E87","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D88 & \" \" & Structure!E88","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D89 & \" \" & Structure!E89","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D90 & \" \" & Structure!E90","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D91 & \" \" & Structure!E91","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D92 & \" \" & Structure!E92","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D93 & \" \" & Structure!E93","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D94 & \" \" & Structure!E94","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D95 & Structure!E95","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D96 & \" \" & Structure!E96","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D97 & \" \" & Structure!E97","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D98 & \" \" & Structure!E98","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D99 & \" \" & Structure!E99","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D100 & \" \" & Structure!E100","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D101 & \" \" & Structure!E101","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D102 & \" \" & Structure!E102","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D103 & \" \" & Structure!E103","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D104 & \" \" & Structure!E104","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D105 & \" \" & Structure!E105","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D106 & Structure!E106","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D107 & \" \" & Structure!E107","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D108 & \" \" & Structure!E108","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D109 & \" \" & Structure!E109","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D110 & \" \" & Structure!E110","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D111 & \" \" & Structure!E111","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D112 & \" \" & Structure!E112","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D113 & \" \" & Structure!E113","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D114 & \" \" & Structure!E114","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D115 & \" \" & Structure!E115","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D116 & \" \" & Structure!E116","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D117 & Structure!E117","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D118 & \" \" & Structure!E118","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D119 & \" \" & Structure!E119","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D120 & \" \" & Structure!E120","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D121 & \" \" & Structure!E121","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D122 & \" \" & Structure!E122","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D123 & \" \" & Structure!E123","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D124 & \" \" & Structure!E124","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D125 & \" \" & Structure!E125","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D126 & \" \" & Structure!E126","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D127 & \" \" & Structure!E127","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D128 & Structure!E128","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D129 & \" \" & Structure!E129","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D130 & \" \" & Structure!E130","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D131 & \" \" & Structure!E131","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D132 & \" \" & Structure!E132","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D133 & \" \" & Structure!E133","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D134 & \" \" & Structure!E134","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D135 & \" \" & Structure!E135","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D136 & \" \" & Structure!E136","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D137 & \" \" & Structure!E137","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D138 & \" \" & Structure!E138","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D139 & Structure!E139","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D140 & \" \" & Structure!E140","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D141 & \" \" & Structure!E141","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D142 & \" \" & Structure!E142","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D143 & \" \" & Structure!E143","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D144 & \" \" & Structure!E144","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D145 & \" \" & Structure!E145","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D146 & \" \" & Structure!E146","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D147 & \" \" & Structure!E147","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D148 & \" \" & Structure!E148","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D149 & \" \" & Structure!E149","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D150 & Structure!E150","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D151 & \" \" & Structure!E151","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D152 & \" \" & Structure!E152","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D153 & \" \" & Structure!E153","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D154 & \" \" & Structure!E154","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D155 & \" \" & Structure!E155","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D156 & \" \" & Structure!E156","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D157 & \" \" & Structure!E157","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D158 & \" \" & Structure!E158","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D159 & \" \" & Structure!E159","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D160 & \" \" & Structure!E160","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D161 & Structure!E161","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D162 & \" \" & Structure!E162","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D163 & \" \" & Structure!E163","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D164 & \" \" & Structure!E164","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D165 & \" \" & Structure!E165","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D166 & \" \" & Structure!E166","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D167 & \" \" & Structure!E167","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D168 & \" \" & Structure!E168","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D169 & \" \" & Structure!E169","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D170 & \" \" & Structure!E170","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D171 & \" \" & Structure!E171","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D172 & Structure!E172","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D173 & \" \" & Structure!E173","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D174 & \" \" & Structure!E174","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D175 & \" \" & Structure!E175","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D176 & \" \" & Structure!E176","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D177 & \" \" & Structure!E177","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D178 & \" \" & Structure!E178","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D179 & \" \" & Structure!E179","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D180 & \" \" & Structure!E180","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D181 & \" \" & Structure!E181","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D182 & \" \" & Structure!E182","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D183 & Structure!E183","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D184 & \" \" & Structure!E184","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D185 & \" \" & Structure!E185","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D186 & \" \" & Structure!E186","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D187 & \" \" & Structure!E187","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D188 & \" \" & Structure!E188","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D189 & \" \" & Structure!E189","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D190 & \" \" & Structure!E190","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D191 & \" \" & Structure!E191","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D192 & \" \" & Structure!E192","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D193 & \" \" & Structure!E193","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D194 & Structure!E194","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D195 & \" \" & Structure!E195","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D196 & \" \" & Structure!E196","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D197 & \" \" & Structure!E197","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D198 & \" \" & Structure!E198","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D199 & \" \" & Structure!E199","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D200 & \" \" & Structure!E200","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D201 & \" \" & Structure!E201","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D202 & \" \" & Structure!E202","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D203 & \" \" & Structure!E203","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D204 & \" \" & Structure!E204","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D205 & Structure!E205","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D206 & \" \" & Structure!E206","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D207 & \" \" & Structure!E207","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D208 & \" \" & Structure!E208","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D209 & \" \" & Structure!E209","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D210 & \" \" & Structure!E210","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D211 & \" \" & Structure!E211","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D212 & \" \" & Structure!E212","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D213 & \" \" & Structure!E213","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D214 & \" \" & Structure!E214","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D215 & \" \" & Structure!E215","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D216 & Structure!E216","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Chronic Disease Prevention and Well-Being Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard the program intends to address.\n1) Built environment, 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral health, 6) Physical activity and sedentary behaviour, 7) Sleep, 8) Substance use, 9) UV exposure, 10) Not applicable, 11) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D217 & \" \" & Structure!E217","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D218 & \" \" & Structure!E218","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D219 & \" \" & Structure!E219","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D220 & \" \" & Structure!E220","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D221 & \" \" & Structure!E221","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D222 & \" \" & Structure!E222","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D223 & \" \" & Structure!E223","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D224 & \" \" & Structure!E224","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D225 & \" \" & Structure!E225","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D226 & \" \" & Structure!E226","v":"i10) "}]

{"sheet":"Food Safety","index":8,"n_rows":532,"n_cols":4,"rows_kept":532,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Food Safety"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address food safety."]
[null,null,null,"Foodborne illnesses can occur whenever there are lapses in food handling.  It is estimated that each year there are 1.6 million (1.2–2.0 million) and 2.4 million (1.8–3.0 million) episodes of domestically acquired foodborne illness related to 30 known pathogens and unspecified agents, respectively, for a total estimate of 4.0 million (3.1–5.0 million) episodes of domestically acquired foodborne illness in Canada (Thomas et al., 2013).  It is well understood that the overall burden of foodborne illness is under reported and that there continues to be a need to identify the most effective interventions in addressing the overall burden of foodborne illness in our community.  Priority for interventions include premises deemed high risk and populations that are equity deserving.  \nThe Food Safety Program at MLHU aims to reduce the incidences of foodborne illness in London and Middlesex County through locally delivered interventions targeted at food premises operators, and the general public. Food Service Establishments (FSE) are major settings for foodborne pathogen exposure in developed countries due to high consumption of food prepared outside homes. To reduce foodborne illness risks, many health authorities implement food safety interventions in FSEs in order to modify food preparation behaviour and service practices (Lee, 2013). Locally, MLHU is responsive to reports of lab-confirmed food borne illnesses and larger scale foodborne outbreaks, and provides interventions aimed at controlling and eliminating the spread of illnesses in our community. These interventions include food safety inspections, investigations, enforcement actions, education and outbreak management including sampling food products and reviewing critical control points in food premises to identify potential food safety lapses.\n\nThe local priorities for MLHUs food safety program include interventions targeted at high risk settings, where there is an elevated risk for acquiring foodborne illness.  Risk Categorizations of food premises focus on profile factors (type of premises, food served, nature of population served etc.), and performance factors (compliance history, food safety management plans etc.).  Food safety inspections are delivered base on an assessment of the risks through the categorization tool. From a health equity lens, it is important to provide meaningful support to operators who may experience challenges in complying with food safety legislation, as well as to be more inclusive of the diverse cultures within Middlesex-London by incorporating food safety interventions not currently identified through Ministry guidance/legislation. \n\nFrom a community capacity standpoint, MLHU leverages the assistance from the London Training Centre to deliver the provincial food handler training program which provides more opportunity for MLHU to focus on interventions that are solely delivered by MLHU, including food safety inspection and investigation work at facilities which fall under MLHU jurisdiction.  MLHU also delivers food safety interventions through collaboration with partner agencies including municipal officials, OMAFRA and the CFIA.  \n"]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses food safety."]
[null,null,null,"The programs and interventions that have been articulated in this Standard reflect the local priorities to address the risk and protective factors associated with this Standard."]
[null,null,null,"c) Your boards of health's approach to disclosure of inspection results (onsite posting and website posting) and evaluation of the program."]
[null,null,null,"MLHU provides public disclosure of food safety inspection summaries as well as on-site posting or through a request for information.  The public disclosure website is monitored periodically to identify website glitches, accuracy of data and public request through an email link.  Food premises within Middlesex-London are required to post a sign at the entrance to the food premises, in accordance with the Food Premises Inspection and Mandatory Food Handler Training Bylaws (City of London and Middlesex County) and Reg. 493/17 Food Premises.  The signs indicate Pass (Green), Conditional Pass (Yellow), Closure (Red) and DineSafe is Coming (Rainbow), as well as general certificates of inspection for premises not included in DineSafe.  Signs are delivered by PHIs upon completion of a food safety inspection, re-inspection or complaint-based inspection.   "]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"• Safe Water, Rabies and Vector borne Disease Team (SWRVBD):  Food premises within Middlesex County are inspected by PHIs on the SWRVBD team due to efficiencies in program delivery when delivered in concert with other programs specific to the SWRVBD team.  Due to the larger geographical area in the county, a general programs approach is necessary.  PHIs who work on the SWRVBD team conducting food safety inspections report to the manager of the SWRVBD team.\n\n• Infectious Disease Control Team (IDC):  Food premises that are in institutional settings (hospitals, LTC, Day Nurseries etc.), are inspected by PHIs on the IDC team due to efficiencies in program delivery when delivered in concert with other programs specific to the IDC team.  Due to the nature of the settings, operators may have Infection, Prevention and Control (IPAC) specific issues that require the specialization of the IDC team, and due to efficiencies in being at the settings for other IDC related work, the PHIs assigned to these premises conduct food safety inspections.  PHIs who work on the IDC team conducting food safety inspections report to the manager of the IDC team.  The FS&HE team collaborates with the IDC team with respect to lab-confirmed foodborne illness investigations, as well as outbreak management associated with food premises within London-Middlesex County.  "]
[null,null,null,"•City of London; partner agency for the purposes of licensing food premises establishments in the city of London (the city of London would focus on building codes and fire safety requirements).  Consultations ongoing for home-based food businesses in London, which requires bylaw amendments and consultation from MLHU for the purposes of inventory, risk assessment and inspections.  No capacity at the city of London to deliver food safety program interventions. \n\n•Middlesex County municipalities (upper and lower tier); partner agency mainly for consultation work, and collaboration with bylaw officers focused on building codes and food safety.  Licensing requirements for food premises in Middlesex County do not exist.  No capacity with the Middlesex County Municipalities to deliver food safety program interventions.  \n\n•The London Training Centre; partner agency operates as an ‘Agent of the MLHU Board of Health’ for the purposes of delivering the Provincial Food Handler Training Program.  The London Training Centre has capacity and can deliver the program in its entirety to individuals within the city of London and Middlesex County – with oversight and auditing from MLHU to ensure compliance with Ministry requirements and compatibility with MLHU values.  The partnership exists through the implementation of a Memorandum of Understanding between agencies.  \n\n•Ministry of Health; partner agency provided guidance and direction to MLHU for the delivery of local food safety interventions.  MLHU is accountable to the Ministry of Health for compliance with legislative requirements and mandate under the OPHS.  Ministry of Health does not have capacity for delivery of food safety interventions.  \n\n•Public Health Ontario; partner agency provides guidance to assist in informing evidenced-based decision making in delivering food safety interventions.  Public Health Ontario can synthesize the research and provide an evidence-base for local public health on request.  There is no capacity for Public Health Ontario to deliver food safety interventions.  \n\n•Ontario Ministry of Agriculture and Rural Affairs (OMAFRA); partner agency conducts food sampling and food safety inspection work focused on manufacturing and production facilities who produce and distribute locally within Ontario.  OMAFRA focuses on higher-risk, large scale operations which require compliance with legislation separate from the HPPA and Food Premises Regulation.  Some facilities that require compliance with this legislation but deemed lower risk have been / continue to be downloaded to local public health for food safety inspection work.  There is no capacity for OMAFRA to complete inspections for premises that fall to local public health jurisdiction.  \n\n•Canadian Food Inspection Agency (CFIA); partner agency conducts food safety interventions specific to large scale food production facilities who distribute broadly across Canada as well as importing and exporting out of Canada across borders.  MLHU may support CFIA upon declaration of a food recall, to ensure product safety when retailed or used in food preparation at facilities which fall under local public health jurisdiction.  There is no capacity for CFIA to conduct food safety interventions at the local level.  \n\n•*OMAFRA and CFIA are key partners in the food safety chain across all levels from farm to fork, and thereby serve to help inform and support work that is delivered by MLHU through information sharing and specific workflows.  \n"]
[null,null,null,{"$f":"Structure!D228 & Structure!E228","v":"P 1) Food Safety Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The food safety program at MLHU assists in the prevention and reduction of food-borne illness in the city of London and Middlesex County, through the delivery of local and comprehensive food safety interventions.  Interventions include:\n• Food Safety Inspections\n• Food Safety Investigations\n• Enforcement\n• Health Promotion and Communications\n• Partnerships\n• Monitoring and Surveillance\n• Education and Training\n\nThe target populations for the food safety program include food premises operators, individuals interested in safe food handling, and the general public who consume food at food premises.  \n\nLong-term and population health outcomes include:\n• Reduction in the incidence of food-borne illnesses in the city of London and Middlesex County.\n• Increased prevalence of food safety awareness amongst the general population in the city of London and Middlesex County.\n\nTarget and Priority Populations:\nFood premises operators within the city of London and Middlesex County who operate food premises considered to be high risk as per profile and performance factors established in the provincial standardized risk categorization tool.\n• Operators of food premises that reach the high-risk threshold for food safety with consideration to various profile and performance factors. The population identified may serve food that is inherently high risk, lack food safety awareness and education, have experienced significant regulatory non-compliance in recent inspection work etc.  \n• SDOH and health inequities may include cultural, language and financial barriers.\n• The provincial standardized risk categorization tool incorporated into the inspection software program, contains criteria that is utilized to determine level of risk and consequently, inspection frequency.  \n\nFood premises operators who serve food that is inherently considered high risk for foodborne illness.\n• Operators of food premises who serve food that is considered high risk due to various factors including a lack of food safety controls.\n• Social determinants of health (SDOH) and health inequities may include cultural, language and financial barriers.\n• Surveillance work and observational findings from inspectors may identify operators who serve high risk food items.  The inspection software program can ‘tag’ premises that serve food that is inherently high risk.  Operators may be identified through investigation work, reactively as a result of a food-borne illness complaint or lab-confirmed food-borne illness and / or food-borne outbreak\n\nPriority Populations\n• Equity deserving food premises operators and individuals from the general public in the city of London and Middlesex County.\n• Operators of food premises who may require additional support due to cultural, language and / or financial barriers and who may provide awareness to inspectors with respect to practices not common in western culture for the purposes of risk assessment.  Clients may be seeking services from MLHU including food safety education, consultations and inquiries related to operational requirements for food premises.  \n• SDOH and health inequities may include cultural, language and financial barriers.  \n• Surveillance work and observational findings from inspectors may identify operators who require additional supports. Individuals may present to MLHU with language barriers and / or a lack of understanding of food safety requirements.  Information can be obtained from the provincial food handler training program as it relates to pass / fail rates and learning barriers that require intervention for equity deserving clients.\n"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Food-borne illness risks are mitigated (OPHS)\n• The burden of food-borne illness is prevented and reduced (OPHS). \n\nIntermediate Outcomes:\n• Timely and effective detection, monitoring and responsiveness to the risk factors contributing to food-borne illness, their associated risk factors, emerging trends, and unsafe food offered for public consumption (OPHS). \n• The public and community partners are aware of safe food-handling practices and food safety issues (OPHS).\n• Increase use of data to influence and inform the development of local healthy policy and programs related to food safety, with a focus on priority populations through incorporation of equity, diversity and inclusiveness (OPHS/MLHU Strategic Plan).    \n• Increase use of community situational assessment data to influence program policies and key decision making (OPHS).\n\nShort-Term Outcomes:\n• Increased food safety compliance of food premises operators (Strategic Plan).                                                                                                                                                                                                                                                  • Increased awareness amongst food premises operators related to safe food handling practices and food safety issues (OPHS).  \n• Improved stakeholder partnership and information sharing across the continuum of food safety programs (Strategic Plan).  "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D229 & \" \" & Structure!E229","v":"i 1) Education & Training"}]
[null,null,null,"Education and Training intervention includes the food handler program. The course is delivered by the London Training Centre (LTC) and monitored by MLHU. MLHU and LTC meet regularly to review aspects of the course. Course instruction is face to face, meetings are face to face or virtually. Courses are conducted at the LTC and in the community. Meetings occur at the offices or virtually. Course instruction is scheduled through the LTC. Clients register online or in person. Meetings are regularly scheduled and can be ad-hoc. Outputs indicators include the number of individuals receiving a food handler certificate in a calendar year. "]
[null,null,null,{"$f":"Structure!D230 & \" \" & Structure!E230","v":"i 2) Partnerships"}]
[null,null,null,"Partnership interventions are conducted to enable more informed and collaborative service delivery. There are many different touch points and agency interventions when looking at food safety (farm to fork). Activities include informal and formal meetings, presentations, training sessions etc. Partnerships liaison is facilitated through the Public Health Inspectors and management team at MLHU. Partnership interventions can occur face to face or virtually. Partnership interventions can either be on a regular schedule (i.e., bi-annual/quarterly basis) or ad-hoc as the need arises. Output indicators include the number of formal partnership activities conducted in a calendar year. "]
[null,null,null,{"$f":"Structure!D231 & \" \" & Structure!E231","v":"i 3) Monitoring & Surveillance"}]
[null,null,null,"Monitoring and Surveillance interventions include monitoring the presence of foodborne illness within our community in response to an outbreak, or proactively to identify local risks to the community related to foodborne illnesses. These interventions are conducted by Public Health Inspectors as well as Epidemiologists through a face to face or virtual interactions. Monitoring and Surveillance interventions are predominantly conducted at primary work location (office). Monitoring and Surveillance interventions are conducted as necessary and not on a set schedule. The output indicator include the number of instances when monitoring and surveillance data are used to inform Public Health (PH) actions. "]
[null,null,null,{"$f":"Structure!D232 & \" \" & Structure!E232","v":"i 4) Enforcement"}]
[null,null,null,"Enforcement interventions include any actions taken under the Health Protection and Promotion Act and O. Reg. 493/17: Food Premises.   \nPart 1 Notices (tickets),  \nPart 3 Notices (Summons)  \nHPPA closures \n\nEnforcement interventions are conducted by Public Health Inspectors either by face to face, over the phone or through other means of correspondence.  Enforcement actions are conducted on-site at the location of the food premises and remotely, as it involves legal preparations and documentation. \n\nEnforcement interventions are conducted when the timing is appropriate, typically as a last resort after education, awareness and assisted compliance efforts.   \n\nOutput indicators include the number of enforcement actions taken. "]
[null,null,null,{"$f":"Structure!D233 & \" \" & Structure!E233","v":"i 5) Health Promotion & Communications"}]
[null,null,null,"Health Promotion and Communication interventions include providing food safety information on the MLHU website, disclosure of inspection results and consulting with the public through phone / email consultations.  Communications are provided by Public Health Inspectors and assisted by the Communications team at MLHU. Communications are delivered through different modes including face to face, over the phone or other means of correspondence. Communications are usually delivered through remote / virtual means. Communication interventions are conducted regularly throughout the calendar year. Output indicators include the number of service requests completed; number of web pages updated. "]
[null,null,null,{"$f":"Structure!D234 & \" \" & Structure!E234","v":"i 6) Inspections"}]
[null,null,null,"Food Safety Inspection interventions include maintaining inventory of facilities, risk categorizations, inspections, re-inspections, complaint-based inspections, business license inspections in a variety of settings. Food Safety Inspections are delivered by Public Health Inspectors (PHI). Food Safety Inspection delivery is exclusively on-site and face to face. Food Safety Inspections occur on site at bricks and mortar businesses, mobile food premises and special event settings. Food Safety Inspections are delivered regularly and are dependent on the identified risk, need and upon request from partner agencies for the purposes of referrals or to meet licensing requirements. Output indicators include number of food safety inspections conducted. "]
[null,null,null,{"$f":"Structure!D235 & \" \" & Structure!E235","v":"i 7) Investigations"}]
[null,null,null,"Food Safety Investigation interventions include receiving and responding to service requests, following up reports of foodborne illnesses and outbreaks, food recall product checks. Food Safety Investigations are completed by Public Health Inspectors either by  face to face or remotely. Food Safety Investigations are typically conducted on-site at the location of the food premises. Investigations are initiated within 24 hours of receiving notice, and are risk assessed for the most appropriate response. Output indicators include the number of food safety investigations conducted, number of outbreaks, number of suspected and confirmed foodborne illnesses responded to. "]
[null,null,null,{"$f":"Structure!D236 & \" \" & Structure!E236","v":"i 8) Outbreak Investigation & Management"}]
[null,null,null,"Outbreak Investigation and Management is a key intervention to identify the cause of outbreaks within a setting and to implement infection control measures to reduce the risk of ongoing transmission. An outbreak is an increase from the usual number of cases of disease or infection. Outbreaks are reported by facilities as soon as they're suspected or identified or alternatively, when the health unit has investigated cases that have exposures linked to a particular location, product, or setting. When the health unit declares the outbreak, outbreak control measures are implemented to stop any ongoing transmission of disease.\n"]
[null,null,null,{"$f":"Structure!D237 & \" \" & Structure!E237","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D238 & \" \" & Structure!E238","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D239 & Structure!E239","v":"P 2) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D240 & \" \" & Structure!E240","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D241 & \" \" & Structure!E241","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D242 & \" \" & Structure!E242","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D243 & \" \" & Structure!E243","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D244 & \" \" & Structure!E244","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D245 & \" \" & Structure!E245","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D246 & \" \" & Structure!E246","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D247 & \" \" & Structure!E247","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D248 & \" \" & Structure!E248","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D249 & \" \" & Structure!E249","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D250 & Structure!E250","v":"P 3) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D251 & \" \" & Structure!E251","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D252 & \" \" & Structure!E252","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D253 & \" \" & Structure!E253","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D254 & \" \" & Structure!E254","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D255 & \" \" & Structure!E255","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D256 & \" \" & Structure!E256","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D257 & \" \" & Structure!E257","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D258 & \" \" & Structure!E258","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D259 & \" \" & Structure!E259","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D260 & \" \" & Structure!E260","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D261 & Structure!E261","v":"P 4) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D262 & \" \" & Structure!E262","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D263 & \" \" & Structure!E263","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D264 & \" \" & Structure!E264","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D265 & \" \" & Structure!E265","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D266 & \" \" & Structure!E266","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D267 & \" \" & Structure!E267","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D268 & \" \" & Structure!E268","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D269 & \" \" & Structure!E269","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D270 & \" \" & Structure!E270","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D271 & \" \" & Structure!E271","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D272 & Structure!E272","v":"P 5) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D273 & \" \" & Structure!E273","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D274 & \" \" & Structure!E274","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D275 & \" \" & Structure!E275","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D276 & \" \" & Structure!E276","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D277 & \" \" & Structure!E277","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D278 & \" \" & Structure!E278","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D279 & \" \" & Structure!E279","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D280 & \" \" & Structure!E280","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D281 & \" \" & Structure!E281","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D282 & \" \" & Structure!E282","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D283 & Structure!E283","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D284 & \" \" & Structure!E284","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D285 & \" \" & Structure!E285","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D286 & \" \" & Structure!E286","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D287 & \" \" & Structure!E287","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D288 & \" \" & Structure!E288","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D289 & \" \" & Structure!E289","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D290 & \" \" & Structure!E290","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D291 & \" \" & Structure!E291","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D292 & \" \" & Structure!E292","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D293 & \" \" & Structure!E293","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D294 & Structure!E294","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D295 & \" \" & Structure!E295","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D296 & \" \" & Structure!E296","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D297 & \" \" & Structure!E297","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D298 & \" \" & Structure!E298","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D299 & \" \" & Structure!E299","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D300 & \" \" & Structure!E300","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D301 & \" \" & Structure!E301","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D302 & \" \" & Structure!E302","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D303 & \" \" & Structure!E303","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D304 & \" \" & Structure!E304","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D305 & Structure!E305","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D306 & \" \" & Structure!E306","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D307 & \" \" & Structure!E307","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D308 & \" \" & Structure!E308","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D309 & \" \" & Structure!E309","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D310 & \" \" & Structure!E310","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D311 & \" \" & Structure!E311","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D312 & \" \" & Structure!E312","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D313 & \" \" & Structure!E313","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D314 & \" \" & Structure!E314","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D315 & \" \" & Structure!E315","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D316 & Structure!E316","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D317 & \" \" & Structure!E317","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D318 & \" \" & Structure!E318","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D319 & \" \" & Structure!E319","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D320 & \" \" & Structure!E320","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D321 & \" \" & Structure!E321","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D322 & \" \" & Structure!E322","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D323 & \" \" & Structure!E323","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D324 & \" \" & Structure!E324","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D325 & \" \" & Structure!E325","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D326 & \" \" & Structure!E326","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D327 & Structure!E327","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D328 & \" \" & Structure!E328","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D329 & \" \" & Structure!E329","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D330 & \" \" & Structure!E330","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D331 & \" \" & Structure!E331","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D332 & \" \" & Structure!E332","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D333 & \" \" & Structure!E333","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D334 & \" \" & Structure!E334","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D335 & \" \" & Structure!E335","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D336 & \" \" & Structure!E336","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D337 & \" \" & Structure!E337","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D338 & Structure!E338","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D339 & \" \" & Structure!E339","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D340 & \" \" & Structure!E340","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D341 & \" \" & Structure!E341","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D342 & \" \" & Structure!E342","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D343 & \" \" & Structure!E343","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D344 & \" \" & Structure!E344","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D345 & \" \" & Structure!E345","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D346 & \" \" & Structure!E346","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D347 & \" \" & Structure!E347","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D348 & \" \" & Structure!E348","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D349 & Structure!E349","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D350 & \" \" & Structure!E350","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D351 & \" \" & Structure!E351","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D352 & \" \" & Structure!E352","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D353 & \" \" & Structure!E353","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D354 & \" \" & Structure!E354","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D355 & \" \" & Structure!E355","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D356 & \" \" & Structure!E356","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D357 & \" \" & Structure!E357","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D358 & \" \" & Structure!E358","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D359 & \" \" & Structure!E359","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D360 & Structure!E360","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D361 & \" \" & Structure!E361","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D362 & \" \" & Structure!E362","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D363 & \" \" & Structure!E363","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D364 & \" \" & Structure!E364","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D365 & \" \" & Structure!E365","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D366 & \" \" & Structure!E366","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D367 & \" \" & Structure!E367","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D368 & \" \" & Structure!E368","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D369 & \" \" & Structure!E369","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D370 & \" \" & Structure!E370","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D371 & Structure!E371","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D372 & \" \" & Structure!E372","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D373 & \" \" & Structure!E373","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D374 & \" \" & Structure!E374","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D375 & \" \" & Structure!E375","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D376 & \" \" & Structure!E376","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D377 & \" \" & Structure!E377","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D378 & \" \" & Structure!E378","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D379 & \" \" & Structure!E379","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D380 & \" \" & Structure!E380","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D381 & \" \" & Structure!E381","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D382 & Structure!E382","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D383 & \" \" & Structure!E383","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D384 & \" \" & Structure!E384","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D385 & \" \" & Structure!E385","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D386 & \" \" & Structure!E386","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D387 & \" \" & Structure!E387","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D388 & \" \" & Structure!E388","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D389 & \" \" & Structure!E389","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D390 & \" \" & Structure!E390","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D391 & \" \" & Structure!E391","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D392 & \" \" & Structure!E392","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D393 & Structure!E393","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D394 & \" \" & Structure!E394","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D395 & \" \" & Structure!E395","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D396 & \" \" & Structure!E396","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D397 & \" \" & Structure!E397","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D398 & \" \" & Structure!E398","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D399 & \" \" & Structure!E399","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D400 & \" \" & Structure!E400","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D401 & \" \" & Structure!E401","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D402 & \" \" & Structure!E402","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D403 & \" \" & Structure!E403","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D404 & Structure!E404","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D405 & \" \" & Structure!E405","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D406 & \" \" & Structure!E406","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D407 & \" \" & Structure!E407","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D408 & \" \" & Structure!E408","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D409 & \" \" & Structure!E409","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D410 & \" \" & Structure!E410","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D411 & \" \" & Structure!E411","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D412 & \" \" & Structure!E412","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D413 & \" \" & Structure!E413","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D414 & \" \" & Structure!E414","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D415 & Structure!E415","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D416 & \" \" & Structure!E416","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D417 & \" \" & Structure!E417","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D418 & \" \" & Structure!E418","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D419 & \" \" & Structure!E419","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D420 & \" \" & Structure!E420","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D421 & \" \" & Structure!E421","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D422 & \" \" & Structure!E422","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D423 & \" \" & Structure!E423","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D424 & \" \" & Structure!E424","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D425 & \" \" & Structure!E425","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D426 & Structure!E426","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D427 & \" \" & Structure!E427","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D428 & \" \" & Structure!E428","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D429 & \" \" & Structure!E429","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D430 & \" \" & Structure!E430","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D431 & \" \" & Structure!E431","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D432 & \" \" & Structure!E432","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D433 & \" \" & Structure!E433","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D434 & \" \" & Structure!E434","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D435 & \" \" & Structure!E435","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D436 & \" \" & Structure!E436","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D437 & Structure!E437","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D438 & \" \" & Structure!E438","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D439 & \" \" & Structure!E439","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D440 & \" \" & Structure!E440","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D441 & \" \" & Structure!E441","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D442 & \" \" & Structure!E442","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D443 & \" \" & Structure!E443","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D444 & \" \" & Structure!E444","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D445 & \" \" & Structure!E445","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D446 & \" \" & Structure!E446","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D447 & \" \" & Structure!E447","v":"i10) "}]

{"sheet":"Healthy Environments","index":9,"n_rows":532,"n_cols":4,"rows_kept":532,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Healthy Environments"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address healthy environments."]
[null,null,null,"Health Hazards Program\na) Key Data and Information – Issue and Need\n• The Environmental Burden of Cancer in Ontario published by Public Health Ontario, summarizes the epidemiologic evidence for a wide range of cancer risk factors which examines the relationship between environmental exposures and cancer risks.  UV, radon and fine particulate (PM 2.5) comprise up to 90% of environmental cancer cases in Ontario (PHO, 2016). \n• In 2015 a community working group was created with representation from various agencies and networks across the city of London to discuss strategies in addressing unhealthy and unsafe living conditions in vulnerable occupancies.  The working group was created in response to a fatality which occurred in a vulnerable occupancy in London, ON.  Deliverables from this working group included the establishment of a vulnerable occupancy communication program and a city of London bylaw which was created to assist in improving the living conditions while providing some degree of regulatory oversight.  \n\t\nb) Local Priorities\n• Local priorities for the health hazard program include providing mitigation strategies for individuals most at risk to adverse health outcomes.  Interventions are delivered strategically in collaboration with internal and external stakeholders. The interventions that are conducted under the program draw on partnerships whereby each partner is critical in helping to achieve healthier outcomes within our community, through the identification and mitigation efforts related to local environmental risks.    \n• Specific priorities include emerging health risks, environmental contaminations and exposures, and housing related hazards.  The Vulnerable Occupancy Protocol is a collaborative initiative that aims to avert acute dangers in housing environments through timely intervention – MLHU is a key partner in this initiative.  \n\nHealthy Environments and Climate Change Program\na) Key Data and Information – Issue and Need\n• The impacts of climate change are observed globally and are projected to intensify as greenhouse gas emissions continue to rise (Harper et al., 2021; Watts et al., 2018). Canada’s annual temperature rose by approximately 1.7ºC between 1948 and 2016, nearly double the global rate of warming. Temperature change is a key indicator of a changing environment as several other climatic variables are linked to temperature (Bush & Lemmen, 2019). \n• The Environmental Burden of Cancer in Ontario published by Public Health Ontario, summarizes the epidemiologic evidence for a wide range of cancer risk factors which examines the relationship between environmental exposures and cancer risks.  UV, radon and fine particulate (PM 2.5) comprise up to 90% of environmental cancer cases in Ontario (PHO, 2016). \n \nBy 2050, the Middlesex-London area is projected to see an increase in annual average temperatures, more hot days (+30ºC), increased precipitation, and more severe storms (City of London, 2020). In 2016, London recorded 35 days with temperatures of 30ºC or above, while four heat waves in 2018 resulted in humidex readings of up to 46ºC (City of London, 2020). \n\nThe determinants of health intersect with climate change and can be compounded by a variety of social inequities including historic racism and colonization (Berry & Schnitter, 2022).\n\nThe 2014 Assessment of Vulnerability to the Health Impacts of Climate Change in Middlesex-London identifies the need to improve vulnerability planning in Middlesex-London in the areas of extreme weather events, air quality, vector-borne diseases, waterborne / foodborne illnesses and food security. \nThe MLHU Community Health Status Resource (updated November 2019) contains Healthy Environments information pertaining to a variety of environmental health related topic areas including local air quality data. \n\nThe Chief Public Health Officer’s Report on the State of Public Health in Canada establishes the built environment as an influential social determinant of health (PHAC, 2017). \n\nb) Local Priorities\n• Local priorities for the healthy environments program include providing mitigation strategies for individuals most at risk to adverse health outcomes.  Interventions are delivered strategically in collaboration with internal and external stakeholders. The interventions that are conducted under the healthy environments program draw on partnerships whereby each partner is critical in helping to achieve healthier outcomes within our community, through the identification and mitigation efforts related to local environmental risks.    \n• Specific priorities include emerging health risks, environmental contaminations and exposures, and housing related hazards.   Climate change adaptation activities are targeted towards individuals who are most at risk to the impacts of climate change.  "]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses healthy environments with consideration of the required list of topics identified in the Standards."]
[null,null,null,"The programs and interventions that have been articulated in this Standard reflect the local priorities to address the risk and protective factors associated with this Standard."]
[null,null,null,"c) Your boards of health's approach to disclosure of inspection results of recreational camps (onsite posting and website posting)  and evaluation of the program."]
[null,null,null,"The current approach for MLHU is to provide inspection reports on request.  There are some complexities and challenges related to disclosure of recreational camps because there are a variety of regulations that are in place, which gives rise to different inspection reports.  MLHU has completed the inspections and looking into the best appraoch for disclosure either through an amalgamation of the all regulations into 1 report or to disclose different reports which reflect the different regulations (pros and cons for each approach).  This work will be completed in 2023.   Currently, some of the program areas at recreational camps are disclosed on-line if there is a food premises or recreational water facility. "]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Health Hazards Program\n• Safe Water, Rabies and Vector borne Disease team (SWRVBD):  The SWRVBD team conducts health hazard response work that is focused within Middlesex County.  There are a variety of interventions delivered in the county including inspections of International Agricultural Worker (IAW) Housing, Group Homes and Recreational Camps, as well as investigation work in response to reports of environmental health risks.  Inspection and Investigation work conducted by the SWRVBD team has a significant rural component versus the work of the FS&HE team that has primarily an urban focus.  \n• Communications team:  The Communications team assists with layout and design of website content and with reviewing public communications such as media releases or mailed letters.\n• City of London:  MLHU works with the city of London in various capacities to address housing related hazard.   \n•Middlesex County Municipalities (upper and lower tier):  MLHU works with the Middlesex County municipalities with respect to addressing environmental health risks in the natural and built environment, often addressing some risks that are not addressed through bylaws.  \n•Vulnerable Occupancy Protocol (VOP) Network:  The VOP network consists of a variety of agencies and community organizations who can provide some degree of intervention for individuals who reside in vulnerable occupancies.  Some agencies include MLHU, London Police Services, city of London, CMHA.  The strength of the program is in the collaboration which draws on the expertise of participating agencies to address acute and imminent health risks.  \n•Ministry of Health (MOH); partner agency provides guidance and direction to MLHU for the delivery of local programming under the Healthy Environments Standard (OPHS). MLHU is accountable to the Ministry of Health for compliance with legislative requirements and mandate under the OPHS.  Ministry of Health does not have capacity for delivery of healthy environments programming.  \n•  Ministry of Environment, Conservation and Parks (MECP):  MLHU works with MECP in various capacities to address environmental health risks, predominantly as it relates to the natural environment.  Regular meetings are held to discuss such matters at sites where there is known environmental contamination and / or known issues within certain communities that have drawn the attention of concerned residents.  MECP have the expertise in environmental health risks and can assist MLHU in risk communication when the need arises.  \n• Ministry of Labour (MOL):  The Ministry of Labour has a specific focus on health risks that are identified within workplace settings, as their primary jurisdiction.  MLHU and the Ministry of Labour will refer issues and consult on matters where there may be a need for collaboration to address health risks, drawing on the expertise from both agencies.  \n• Public Health Ontario (PHO): PHO is a partner agency that provides guidance to assist in informing evidenced-based decision making in delivering healthy environments interventions.  PHO can synthesize the research and provide an evidence-base for local public health on request. PHO regularly consults with local PHUs to identify and provide public health input on matters of local significance.  There is minimal capacity for PHO to deliver healthy environments interventions.  On request, PHO has helped facilitate local data collection or arranging for sampling programs to help better understand local health risks.    \n• Ontario Public Health Association (OPHA):  OPHA has several working groups which produce work and consult with members of local PHUs as it relates to matters impacting the natural and built environments.  There is an environmental health and built environment working group.  OPHA provides resources, training opportunities and letters of advocacy to provincial decision makers in support of local public health units (PHU).    "]
[null,null,null,"Healthy Environments and Climate Change Program\n• Safe Water, Rabies and Vector borne Disease Team (SWRVBD):  The SWRVBD collaborates with the FS&HE team to develop and maintain working relationships with local municipalities, with a focus on rural, to offer support for municipal bylaws and standards that are intended to improve health outcomes and address the impacts of the SDOH.\n• The Communications team:  The communications team assists the FS&HE team in communicating extreme temperature alerts and warnings, which are utilized by the community to facilitate response efforts targeted at vulnerable populations.  These interventions often require a media presence which the communications team assists with.  In terms of the Healthcare Provider Outreach program, the FS&HE team assists the communications team in providing awareness to environmental health risks which are then delivered in primary care settings.  \n• The Healthy Communities team:  The healthy communities team collaborates with the FS&HE team to provide input into land use planning documents, official plans as well as larger provincial policy matters often related to climate change.  The FS&HE team maintains a focus on health hazard identification and climate change adaptation while the healthy communities team maintains a community design (built environment) and climate change mitigation focus.  Both teams have participated in committee meetings and have reviewed common documents to ensure all aspects are addressed.  \n•  City of London:  MLHU works with the City of London in various capacities to address housing related hazards as well as coordinating response planning related to extreme temperature communications and the reviewing of land use notices.  Both the city of London and MLHU conduct work in the area of climate change adaptation, with MLHU focusing specifically on human health risks.  \n•  Middlesex County Municipalities (upper and lower tier):  MLHU works with the Middlesex County municipalities with respect to addressing environmental health risks in the natural and built environment, often addressing some risks that are not addressed through bylaws.  \n•  Ministry of Health (MOH); partner agency provides guidance and direction to MLHU for the delivery of local programming under the Healthy Environments Standard (OPHS). MLHU is accountable to the Ministry of Health for compliance with legislative requirements and mandate under the OPHS.  Ministry of Health does not have capacity for delivery of healthy environments programming.  \n•  Public Health Ontario (PHO): PHO is a partner agency that provides guidance to assist in informing evidenced-based decision making in delivering healthy environments interventions.  PHO can synthesize the research and provide an evidence-base for local public health on request. PHO regularly consults with local PHUs to identify and provide public health input on matters of local significance.  There is minimal capacity for PHO to deliver healthy environments interventions.  On request, PHO has helped facilitate local data collection or arranging for sampling programs to help better understand local health risks.    \n•  Ontario Public Health Association (OPHA):  OPHA has several working groups which produce work and consult with members of local PHUs as it relates to matters impacting the natural and built environments.  There is an environmental health and built environment working group.  OPHA provides resources, training opportunities and letters of advocacy to provincial decision makers in support of local public health units (PHU). "]
[null,null,null,{"$f":"Structure!D449 & Structure!E449","v":"P 1) Health Hazards Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The goal of the health hazard program is to prevent or reduce the burden of illness from potential, suspected and/or identified health hazards by investigation, assessment and management of mitigation strategies. Potential health hazards may exist in the natural and built environment at the community level, or in a variety of settings where the public has access, or settings that target priority populations. The approach includes sharing of information and expertise with other government agencies and community partners that have similar roles in investigating and assessing environmental conditions in the community.\nInterventions include:\n• Inspections\n• Investigations\n• Enforcement\n• Partnerships\n• Monitoring and Surveillance                                                                                                                                                                                           \n\nTarget Populations\n• Individuals who reside in congregate living environments where environmental risk factors may exist and where public health inspection is either mandated or required by partner agencies through licensing agreements.\n• Operators of facilities including congregate living environments as well as individuals or agencies who manage and operate facilities for recreation or employment (recreational camps, shelters etc.).   \n• The general public who are exposed to identified environmental health risks within the natural and built environment, through a variety of different settings which include a variety of different risk factors.  Environmental health risks may include biological, chemical or physical hazards.\n\nPriority Populations\n• Equity deserving populations who are more at risk to the impacts of environmental health hazards within the natural and built environment.\n• This priority population may include individuals who reside in substandard housing, international agricultural workers and segments of the general population.  \n"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Decrease in health inequities related to exposure to health hazards (OPHS).\n• Reduced public exposure to health hazards (OPHS).\n\nIntermediate Outcomes:\n• The public and community partners are aware of health protection and prevention activities related to health hazards and conditions that create healthy built and natural environments (OPHS).\n• Programs and services are designed to address the identified needs of the community, including priority populations, associated with health hazards and healthy built and natural environments (OPHS).  \n• There is a reduction of housing related complaints within high risk congregate living environments (Strategic Plan).  \n\nShort-Term Outcomes:\n• Reduced number of infractions observed during inspections and have a complete inventory of facilities where health hazard risk is elevated (Strategic Plan). \n• Timely and effective detection, identification, and response to health hazards and associated public health risks, trends and illnesses (OPHS).\n• Community partners and the public are engaged in the planning, development, implementation, and evaluation of strategies to reduce exposure to health hazards and promote the creation of healthy natural and built environments (OPHS).  \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D450 & \" \" & Structure!E450","v":"i 1) Inspections"}]
[null,null,null,"Health Hazard Inspection intervention includes maintaining an inventory of facilities, risk categorization, and inspections at facilities including recreational camps, boarding/lodging houses, community homes for opportunity (CHO) and international agricultural workers (IAWs) housing. Inspections are delivered by Public Health Inspectors. Inspection delivery is exclusively on-site and face-to-face. Inspections are either 1) delivered regularly with the frequency determined by an annual risk assessment, 2) in response to a complaint received by the general public, or 3) upon request from partner agencies and facility operators to meet their licensing requirements. Outputs indicators include the number of inspections completed. "]
[null,null,null,{"$f":"Structure!D451 & \" \" & Structure!E451","v":"i 2) Investigations"}]
[null,null,null,"Health Hazard Investigation intervention includes responding to complaints of exposure to health hazards and provision of management strategies to reduce or prevent the burden of illness from potential, suspected and/or identified health hazards. Investigations are delivered by Public Health Inspectors either in-person / on-site or through phone or email correspondence. Investigations are delivered based on complaints received from the public and upon request from partner agencies for referral purposes and are not conducted on a regular frequency. Outputs indicators include the number of investigations completed. \n"]
[null,null,null,{"$f":"Structure!D452 & \" \" & Structure!E452","v":"i 3) Enforcement"}]
[null,null,null,"This intervention includes enforcement actions under the Health Protection and Promotion Act (HPPA), the Provincial Offences Act (POA) and applicable regulations. Actions may include Part 1 Notices (tickets), Part 3 Notices (summons) or orders under the HPPA.  Enforcement interventions are conducted by Public Health Inspectors.  \nEnforcement interventions are primarily conducted face-to-face with some email and phone correspondence and primarily on-site at the location of the health concern.   \nEnforcement actions are not scheduled.  Consideration is given to the degree of health risk, the population exposed, and the extent of previous infractions indicating the operator’s unwillingness to comply. Outputs indicators include the number of enforcement actions taken. "]
[null,null,null,{"$f":"Structure!D453 & \" \" & Structure!E453","v":"i 4) Monitoring & Surveillance"}]
[null,null,null,"Monitoring and Surveillance interventions include monitoring local public health risks in the natural and built environments, to inform priority focuses and interventions at the community level. Monitoring and Surveillance interventions are conducted by Public Health Inspectors and Epidemiologists at MLHU and by partner agencies (municipal partners, MECP, PHO). Monitoring and Surveillance interventions are conducted face to face or through a variety of different methods of correspondence. Monitoring and Surveillance interventions are predominantly conducted at primary work location (office) and conducted proactively throughout the year. Output indicators include the number of new and emerging health risks. "]
[null,null,null,{"$f":"Structure!D454 & \" \" & Structure!E454","v":"i 5) Partnerships"}]
[null,null,null,"Partnerships between MLHU and relevant agencies are of great importance in maintaining a healthy environment. Collaborating with relevant partner organizations provides enhanced learning and effective information sharing. It also provides an avenue for continuity of services across jurisdictions. Public Health Inspectors and MLHU’s management team facilitate partnerships. Partnership interventions can occur through phone calls, virtual meetings, face-to-face or other means of correspondence.  \nPartnership interventions can either be on a set schedule (i.e. on a quarterly basis) or ad-hoc as the need arises.  Output indicators include the number of touch points in a calendar year.  "]
[null,null,null,{"$f":"Structure!D455 & \" \" & Structure!E455","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D456 & \" \" & Structure!E456","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D457 & \" \" & Structure!E457","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D458 & \" \" & Structure!E458","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D459 & \" \" & Structure!E459","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D460 & Structure!E460","v":"P 2) Healthy Environments and Climate Change Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The goal of the healthy environments and climate change program is to promote the development of healthy built and natural environments that support health and mitigate existing and emerging risks, including the impacts of a changing climate. The program aims to enhance public health capacity to address risk factors in the environment, including the impacts of climate change, using population-based activities (e.g. vulnerability assessments), to identify and enable mitigation of risk factors related to environmental exposures, and to facilitate upstream, preventative strategies for advancing healthy built and natural environment initiatives.\nInterventions include:\n• Advocacy\n• Partnerships\n• Monitoring and Surveillance\n\nTarget Populations\n• Municipalities who develop, update and review bylaws and standards under the Ontario Municipal Act and the Ontario Planning Act that are intended to improve health outcomes, reduce exposure to environmental health hazards, and address the impacts of the social determinants of health and climate change.\n• The general public who are exposed to identified environmental health risks within the natural and built environment, through a variety of different settings which include a variety of different risk factors.  Environmental health risks may include biological, chemical or physical hazards.\n\nPriority Populations\n• Equity deserving populations who are more at risk to the impacts of environmental health hazards within the natural and built environment.\na)  This priority population may include individuals who reside in substandard housing, international agricultural workers and segments of the general population.    \nAccording to the Assessment of Vulnerability to the Health Impacts of Climate Change in Middlesex London, 2014, and Ontario’s Climate Change and Health Vulnerability and Adaptation Assessment Guidelines, 2016, priority populations include:\n• Socially disadvantaged individuals and communities (low socioeconomic status, homeless, living alone);\n• People living in homes without air conditioning or homes that are poorly insulated\n• People with chronic illness or who are physically impaired \n• Newcomers to Canada\n• Indigenous people\n• Residents of rural and remote communities\n\n\n"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Decrease in health inequities related to exposure to environmental contaminants (OPHS).\n• Reduced public exposure to environmental contaminants (OPHS).\n\nIntermediate Outcomes:\n• The public and community partners are aware of health protection and prevention activities related to environmental contaminants and conditions that create healthy built and natural environments (OPHS).\n• Programs and services are designed to address the identified needs of the community, including priority populations, associated with environmental contaminants and healthy built and natural environments (OPHS). \n\nShort-Term Outcomes:\n• Community partners have the information necessary to create healthy public policies related to reducing exposure to environmental contaminants and creating healthy built and natural environments (OPHS).\n• Community partners and the public are engaged in the planning, development, implementation, and evaluation of strategies to reduce exposure to environmental contaminants and promote the creation of healthy natural and built environments (OPHS).  \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D461 & \" \" & Structure!E461","v":"i 1) Advocacy"}]
[null,null,null,"Advocacy interventions include reviewing land use notices and providing public health input where individuals are most vulnerable to environmental risk factors with a local context.  Specific activities may include providing public health comment on proposed land use changes or policy and government initiatives with a focus on environment and climate change.  Additionally, MLHU had implemented a voluntary cooling tower registration program intended to provide a communication with operators of cooling towers. Advocacy interventions are conducted by Public Health Inspectors, Public Health Nurses and management team. Advocacy interventions are conducted at the primary work location (office) and off-site in community locations when need arises.   \n\nOutputs indicators may include the number of land use notices where comment was provided.  "]
[null,null,null,{"$f":"Structure!D462 & \" \" & Structure!E462","v":"i 2) Health Promotion & Communications"}]
[null,null,null,"Health promotion and communications include the provision of healthy environments information on the MLHU website, responding to questions from the public, and communicating extreme temperature warnings to municipal partners and vulnerable populations.  Activities include updating program content and sending public service announcements. These interventions are conducted by Public Health Inspectors, Program Assistants and the management team. These interventions are primarily conducted through virtual correspondence. Interventions including the updating of website pages may be regularly scheduled, but most are delivered when the need arises.    "]
[null,null,null,{"$f":"Structure!D463 & \" \" & Structure!E463","v":"i 3) Partnerships"}]
[null,null,null,"Partnerships between MLHU and relevant agencies are of great importance in maintaining a healthy environment. Collaborating with relevant partner organizations provides enhanced learning and effective information sharing. It also provides an avenue for continuity of services across jurisdictions. Public Health Inspectors and MLHU’s management team facilitate partnerships. Partnership interventions can occur through phone calls, virtual meetings, face-to-face or other means of correspondence.  \n\nPartnership interventions can either be on a set schedule (i.e. on a quarterly basis) or ad-hoc as the need arises.  Output indicators include the number of touch points in a calendar year.   "]
[null,null,null,{"$f":"Structure!D464 & \" \" & Structure!E464","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D465 & \" \" & Structure!E465","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D466 & \" \" & Structure!E466","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D467 & \" \" & Structure!E467","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D468 & \" \" & Structure!E468","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D469 & \" \" & Structure!E469","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D470 & \" \" & Structure!E470","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D471 & Structure!E471","v":"P 3) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D472 & \" \" & Structure!E472","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D473 & \" \" & Structure!E473","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D474 & \" \" & Structure!E474","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D475 & \" \" & Structure!E475","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D476 & \" \" & Structure!E476","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D477 & \" \" & Structure!E477","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D478 & \" \" & Structure!E478","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D479 & \" \" & Structure!E479","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D480 & \" \" & Structure!E480","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D481 & \" \" & Structure!E481","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D482 & Structure!E482","v":"P 4) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D483 & \" \" & Structure!E483","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D484 & \" \" & Structure!E484","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D485 & \" \" & Structure!E485","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D486 & \" \" & Structure!E486","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D487 & \" \" & Structure!E487","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D488 & \" \" & Structure!E488","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D489 & \" \" & Structure!E489","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D490 & \" \" & Structure!E490","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D491 & \" \" & Structure!E491","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D492 & \" \" & Structure!E492","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D493 & Structure!E493","v":"P 5) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D494 & \" \" & Structure!E494","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D495 & \" \" & Structure!E495","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D496 & \" \" & Structure!E496","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D497 & \" \" & Structure!E497","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D498 & \" \" & Structure!E498","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D499 & \" \" & Structure!E499","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D500 & \" \" & Structure!E500","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D501 & \" \" & Structure!E501","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D502 & \" \" & Structure!E502","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D503 & \" \" & Structure!E503","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D504 & Structure!E504","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D505 & \" \" & Structure!E505","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D506 & \" \" & Structure!E506","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D507 & \" \" & Structure!E507","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D508 & \" \" & Structure!E508","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D509 & \" \" & Structure!E509","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D510 & \" \" & Structure!E510","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D511 & \" \" & Structure!E511","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D512 & \" \" & Structure!E512","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D513 & \" \" & Structure!E513","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D514 & \" \" & Structure!E514","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D515 & Structure!E515","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D516 & \" \" & Structure!E516","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D517 & \" \" & Structure!E517","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D518 & \" \" & Structure!E518","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D519 & \" \" & Structure!E519","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D520 & \" \" & Structure!E520","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D521 & \" \" & Structure!E521","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D522 & \" \" & Structure!E522","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D523 & \" \" & Structure!E523","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D524 & \" \" & Structure!E524","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D525 & \" \" & Structure!E525","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D526 & Structure!E526","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D527 & \" \" & Structure!E527","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D528 & \" \" & Structure!E528","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D529 & \" \" & Structure!E529","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D530 & \" \" & Structure!E530","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D531 & \" \" & Structure!E531","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D532 & \" \" & Structure!E532","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D533 & \" \" & Structure!E533","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D534 & \" \" & Structure!E534","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D535 & \" \" & Structure!E535","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D536 & \" \" & Structure!E536","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D537 & Structure!E537","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D538 & \" \" & Structure!E538","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D539 & \" \" & Structure!E539","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D540 & \" \" & Structure!E540","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D541 & \" \" & Structure!E541","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D542 & \" \" & Structure!E542","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D543 & \" \" & Structure!E543","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D544 & \" \" & Structure!E544","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D545 & \" \" & Structure!E545","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D546 & \" \" & Structure!E546","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D547 & \" \" & Structure!E547","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D548 & Structure!E548","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D549 & \" \" & Structure!E549","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D550 & \" \" & Structure!E550","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D551 & \" \" & Structure!E551","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D552 & \" \" & Structure!E552","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D553 & \" \" & Structure!E553","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D554 & \" \" & Structure!E554","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D555 & \" \" & Structure!E555","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D556 & \" \" & Structure!E556","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D557 & \" \" & Structure!E557","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D558 & \" \" & Structure!E558","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D559 & Structure!E559","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D560 & \" \" & Structure!E560","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D561 & \" \" & Structure!E561","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D562 & \" \" & Structure!E562","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D563 & \" \" & Structure!E563","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D564 & \" \" & Structure!E564","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D565 & \" \" & Structure!E565","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D566 & \" \" & Structure!E566","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D567 & \" \" & Structure!E567","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D568 & \" \" & Structure!E568","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D569 & \" \" & Structure!E569","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D570 & Structure!E570","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D571 & \" \" & Structure!E571","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D572 & \" \" & Structure!E572","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D573 & \" \" & Structure!E573","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D574 & \" \" & Structure!E574","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D575 & \" \" & Structure!E575","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D576 & \" \" & Structure!E576","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D577 & \" \" & Structure!E577","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D578 & \" \" & Structure!E578","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D579 & \" \" & Structure!E579","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D580 & \" \" & Structure!E580","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D581 & Structure!E581","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D582 & \" \" & Structure!E582","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D583 & \" \" & Structure!E583","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D584 & \" \" & Structure!E584","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D585 & \" \" & Structure!E585","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D586 & \" \" & Structure!E586","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D587 & \" \" & Structure!E587","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D588 & \" \" & Structure!E588","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D589 & \" \" & Structure!E589","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D590 & \" \" & Structure!E590","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D591 & \" \" & Structure!E591","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D592 & Structure!E592","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D593 & \" \" & Structure!E593","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D594 & \" \" & Structure!E594","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D595 & \" \" & Structure!E595","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D596 & \" \" & Structure!E596","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D597 & \" \" & Structure!E597","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D598 & \" \" & Structure!E598","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D599 & \" \" & Structure!E599","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D600 & \" \" & Structure!E600","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D601 & \" \" & Structure!E601","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D602 & \" \" & Structure!E602","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D603 & Structure!E603","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D604 & \" \" & Structure!E604","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D605 & \" \" & Structure!E605","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D606 & \" \" & Structure!E606","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D607 & \" \" & Structure!E607","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D608 & \" \" & Structure!E608","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D609 & \" \" & Structure!E609","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D610 & \" \" & Structure!E610","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D611 & \" \" & Structure!E611","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D612 & \" \" & Structure!E612","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D613 & \" \" & Structure!E613","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D614 & Structure!E614","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D615 & \" \" & Structure!E615","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D616 & \" \" & Structure!E616","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D617 & \" \" & Structure!E617","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D618 & \" \" & Structure!E618","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D619 & \" \" & Structure!E619","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D620 & \" \" & Structure!E620","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D621 & \" \" & Structure!E621","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D622 & \" \" & Structure!E622","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D623 & \" \" & Structure!E623","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D624 & \" \" & Structure!E624","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D625 & Structure!E625","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D626 & \" \" & Structure!E626","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D627 & \" \" & Structure!E627","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D628 & \" \" & Structure!E628","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D629 & \" \" & Structure!E629","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D630 & \" \" & Structure!E630","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D631 & \" \" & Structure!E631","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D632 & \" \" & Structure!E632","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D633 & \" \" & Structure!E633","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D634 & \" \" & Structure!E634","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D635 & \" \" & Structure!E635","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D636 & Structure!E636","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D637 & \" \" & Structure!E637","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D638 & \" \" & Structure!E638","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D639 & \" \" & Structure!E639","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D640 & \" \" & Structure!E640","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D641 & \" \" & Structure!E641","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D642 & \" \" & Structure!E642","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D643 & \" \" & Structure!E643","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D644 & \" \" & Structure!E644","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D645 & \" \" & Structure!E645","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D646 & \" \" & Structure!E646","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D647 & Structure!E647","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D648 & \" \" & Structure!E648","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D649 & \" \" & Structure!E649","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D650 & \" \" & Structure!E650","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D651 & \" \" & Structure!E651","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D652 & \" \" & Structure!E652","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D653 & \" \" & Structure!E653","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D654 & \" \" & Structure!E654","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D655 & \" \" & Structure!E655","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D656 & \" \" & Structure!E656","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D657 & \" \" & Structure!E657","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D658 & Structure!E658","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D659 & \" \" & Structure!E659","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D660 & \" \" & Structure!E660","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D661 & \" \" & Structure!E661","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D662 & \" \" & Structure!E662","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D663 & \" \" & Structure!E663","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D664 & \" \" & Structure!E664","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D665 & \" \" & Structure!E665","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D666 & \" \" & Structure!E666","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D667 & \" \" & Structure!E667","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D668 & \" \" & Structure!E668","v":"i10) "}]

{"sheet":"Healthy Growth Develop","index":10,"n_rows":612,"n_cols":4,"rows_kept":612,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Healthy Growth and Development"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address healthy growth and development."]
[null,null,null,"Breastfeeding and Infant Feeding\n• Middlesex-London Breastfeeding Data 2021: Intention to breastfeed remained stable from 2018 (91.7%) to 2021 (92.6%) and in 2021 was statistically higher compared to both Ontario (88.1%) and its Peer Group A (88.7%). Exclusive breastfeeding at entry to public health service (discharge from hospital or birth centre, or home births 3-days post-partum) remained stable between 2018 (52.8%) and 2021 (53%). For 2021, MLHU's exclusive breastfeeding rate at entry to public health service (53%) is statistically higher compared to Ontario (51.7%) but MLHU is statistically lower compared to Peer Group A (55.7%). \n\nAt 2 weeks postpartum, approximately 9 of 10 women are still reporting any breastfeeding, however, this drops to approximately 7 of 10 women by 4- months postpartum, and to 2–3 of 10 women by 12-months postpartum. At 18-months, 1 of 10 mothers are still reporting providing breast milk to their child. Duration of any and exclusive breastfeeding up to 6-months postpartum for infants in the 2015 to 2018 MLIFSS birth cohorts was:  \n•  for any breastfeeding, the percentage drops gradually over the 6-month period postpartum.  \n•  for exclusive breastfeeding, the largest drop occurs between 4 and 6 months postpartum.  \n•  for 2018, 62.3% of infants were exclusively fed breast milk at 2-weeks compared to 2017 at 47.3%.  \n•  by 6-months, 19.7% had breastmilk exclusively.  \n\nData collected from the Better Outcomes Registry & Network (BORN) Information System (BIS) revealed that over time, an average of approximately sixty percent of infants were exclusively breastfed upon discharge and ninety three percent had some breastfeeding upon discharge. Since the beginning of the COVID-19 pandemic the rate of breastfeeding has plummeted to below forty percent and eighty-five percent respectfully. This is hopefully temporary and could be related to a pause in providing healthcare provider breastfeeding workshops, staffing shortages, and a high turnover of hospital staff who would normally have been provided these workshops as part of their orientation. Workshops have resumed as of Fall 2022. \n\nIn 2017, an internal breastfeeding evidence review was completed, which revealed that service delivery models with planned, scheduled contacts (either by phone or face-to-face) are more effective than unplanned, unscheduled contacts to support breastfeeding.  The COVID-19 pandemic provided a natural stop to delivering community breastfeeding drop-in clinics. In alignment with the evidence, home visiting became the standard intervention to support breastfeeding, especially in the first six weeks postpartum.  \n\nGrowth and Development\nMLHU, Population Health Data: Early Growth & Development, January 1 to December 31, 2021 \n•Healthy Babies Healthy Children (HBHC) Screening Tool: In 2021, HBHC postpartum screening (64.3% of mothers) resulted in 66.4% of infants \"identified with risk\" and 33.7% of infants \"not identified with risk\".  \n• Regarding newcomer support on the HBHC screen question # 25- Families in need of newcomer support, 2019 results show a statistically significant increase over the 2018 results. There were no significant differences between 2019 and 2020 results but there was a marked, statistically significant decline in 2021 compared to the 2020 results. There was no statistically significant difference when comparing 2018 to 2021 results. \n• Regarding Question # 26 on the HBHC screen-Client has concerns about money to pay for housing/rent and family’s food, clothing, utilities, and other necessities; The 2019 results showed a statistically significant increase over the 2018 results. There was also a statistically significant increase between 2019 and 2020 results, and they remained nearly the same in 2021. In 2021, there was a statistically significant increase when comparing 2018 to 2021 results. It was noted that 7.4% of clients screened had concerns about money to pay for housing/rent and the family’s food, clothing, utilities and other basic necessities.  \n• The percentage of those involved with Child Protection Services has dropped (1.3% in 2021, 2.9% in 2020 and 4.2% in 2018, 6.9% in 2016).  \n\nEarly Developmental Instrument: Identification of percentage of children demonstrating risk: Physical Health and Well-being cycles 2 (12.0%) and 4 (17.0%), (Ontario 16.1%). Social Competence cycles 2 (6.6%) and 4 (10.2%), slightly lower compared to Ontario. Emotional Maturity cycles 2 (8.6%) and 4 (12.6%), (Ontario 10.3%). Language and Cognitive Development cycles 1 (8.5%) and 4 (5.8%), (Ontario 9.6%). Communication Skills and General Knowledge cycles 1 (10.6%) and 4 (9.4%), (Ontario 12.1%). Overall, 28.3% were vulnerable on at least one domain in Cycle 4, (Ontario 29.4%). The percentage increased over time between cycles 2 (2006/7–2008/9) and 4 (2015). In each of the cycles, the percent vulnerable was higher in the City of London versus Middlesex County. In each EDI cycle, a higher percent of males (34.4%) in Middlesex-London were vulnerable on a least one domain compared to females (22.1%).  \n \nAll Kids Belong (2018) Annual Childcare educators survey of Child Indicators: Percentage of children in which concerns were identified: City of London: Communication/Language (31%), Social (28%), Behavioral (26%), Emotional (23%). Middlesex County: Communication/ Language (36%), Social (36%), Self-Help (36%), Fine Motor (29%). 45% of participants' concerns are behavior-related. Current programming relates to attachment, mental health (children and caregivers), literacy, child development, physical literacy. \n\nHealthy Pregnancies\n• There are between 4000-5000 births each year in Middlesex-London (M-L). Middlesex-London data showed statistically significantly higher risk than ON in: infant's mother is a single parent; no designated primary care provider for mother/infant; infants with families in need of newcomer support (highest in ON); infants with families who have concerns about money; parent or partner with mental illness; parent or partner with disability; and involvement of Child Protection Services (PHO Risk Factors for HCD, 2015).  \n• A significantly higher proportion of women in Middlesex-London reported having a mental health concern during pregnancy compared to women in Ontario from 2013 to 2017 (30% in M-L compared to 18.1% in ON).  \n• Women in Middlesex-London tended to gain more than the recommended amount of weight during pregnancy from 2013 to 2017; there was no significant difference in weight gain between urban and rural populations from 2015 to 2017.  \n• The proportion of women in Middlesex-London who reported smoking cigarettes, drinking alcohol, and using other drugs (including cannabis) during pregnancy was significantly higher compared to Ontario in 2017. Females under the age of 20 had the highest reported use of these substances during pregnancy and the proportion of women reporting use among this age group increased from 2013 to 2017.  \n• Pregnancy rates in Middlesex-London were lower compared to Ontario from 2006 to 2016. Pregnancy rates across age groups in Middlesex-London followed a similar trend to Ontario and the Peer Group and were highest among females aged 30 to 34 years. Teenage pregnancy rates in Middlesex-London decreased significantly from 2006 to 2016, and although M-L rates are higher than ON the difference is not statistically significant.  \n• The percent of women in Middlesex-London who had a prenatal care visit with a physician or midwife during the first trimester of pregnancy (up to 12 weeks of gestation) was 96.5% in 2017, compared to 91.3% in Ontario. From 2013 to 2017, the percentages in Middlesex-London increased over time and remained significantly higher than Ontario and was similar among the urban and rural population of Middlesex-London from 2013 to 2017.  \n\nHealthy Sexuality\n• Teen pregnancy rates are higher in M-L than ON\n• Locally, the Middlesex-London region continues to see higher counts of chlamydia and gonorrhea. There were 1,588 chlamydia and 420 gonorrhea cases in 2021. Furthermore, the Middlesex-London region rates continue to rise and are higher than the provincial rates. \n• A Sexually Transmitted Infection (STI) Strategy, using both primary and secondary prevention strategies, will be developed Spring 2023 and then implemented throughout 2023 and 2024 to work towards reducing the rates of bacterial STIs in Middlesex-London and increasing healthy sexual practices.\n• As youth grow from childhood, through the teen years and into adulthood, they experience many changes. A supportive environment for promoting positive sexual health is inclusive and non-judgmental. A supportive environment will help students to feel more comfortable and safe when learning about and exploring their own sexual health. Parents/caregivers and teachers/school staff, as well as students are all responsible for creating a supportive environment.  Some of the changes may include sexual orientation and gender identity.  Schools are often seen as one of the best places for students to learn about sexual health. However, there is also concern about the best ways to provide this information and the best people to provide this information. By working with community partners, schools will have greater access to resources, information and support to provide sexual health education to students. As a result, this may help to promote positive sexual health among students.\n\nMental Health Promotion\n• According to the 2021 Census, a third (33.6%) of indiviuals in 2021 reported a mental health concern during pregnancy. Mental health concern during pregnancy in MLHU ranged from 30.8% in 2018 to 33.6% in 2021. Anxiety during pregnancy, in MLHU ranged from 20.4% in 2018 to 26.2% in 2021. History of postpartum depression in MLHU ranged from 17.2% in 2018 to 16% in 2021.\n• Data collected from the Better Outcomes Registry & Network (BORN) Information System (BIS) revealed that depression during pregnancy has slowly been rising with less than fifteen percent stating they had depression between 2014 and 2016, to on average of eighteen to twenty percent between 2017 and 2022. The data also showed an increasing trend in anxiety during pregnancy with approximately less than 10% prior to 2014 to thirty percent in 2022.  \n• HBHC Screening Tool: In need of newcomer support (3.5% in 2018, 8.3% in 2019, 7.8% in 2020, and 4.3% in 2021). The 2019 results show a statistically significant increase over the 2018 results. There were no significant differences between 2019 and 2020 results but there was a marked, statistically significant decline in 2021 compared to the 2020 results. There was no statistically significant difference when comparing 2018 to 2021 results. \n• In London, the prevalence of low income in 2021 based on Low Income Measure - After Tax (LIM-AT) was 13.8% representing 57,385 individuals. This was higher than Ontario (10.1%) and Canada (11.1%). In London, nearly 1 in 5 children (18.7%) age 0 to 5 years old live in low-income households (LIM-AT). This was higher than Ontario (12.4%) and Canada (12.7%). \n• Parent with concerns about money to pay for housing/rent, food, clothing, utilities and other necessities was 2.6% in 2018, 5.1% in 2019, 7.5% in 2020, and 7.4% in 2021 The 2019 results show a statistically significant increase over the 2018 results. There was a statistically significant increase between 2019 and 2020 results, and they remained nearly the same in 2021. There was a statistically significant increase when comparing 2018 to 2021 results. \n\nPreconception Health\n• Nearly 50% of pregnancies in North America are unplanned (PHAC, 2017) and the first weeks of gestation are critical for embryonic growth & development.  \n• The percent of women who reported taking folic acid supplements prior to pregnancy was significantly higher in Middlesex-London compared to Ontario and the Peer Group from 2017 to 2019. In 2019, 47.9% of women in Middlesex-London who gave birth reported taking folic acid supplements prior to pregnancy compared to 35.5% in Ontario and 40.9% in the Peer Group. [Folic acid use among the rural population of Middlesex-London was significantly higher than the urban population from 2013 to 2017. In 2017, 56.2% of women in the rural population reported taking folic acid supplements prior to pregnancy compared to 41.4% in the urban population. \n• In 2020, 46.2% of women in Middlesex-London who gave birth reported taking folic acid supplements prior to pregnancy and in 2021, 48.6% reported this (slightly higher, difference not significant).  \n\n"]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses healthy growth and development with consideration of the required list of topics identified in the Standards."]
[null,null,null,"The programs and interventions articulated in this Standard reflect the needs of the community, including priority populations, which have been identified through the collection and analysis of relevant data, including population health data, a review of risk and protective factors, assessment of exisiting programs and services within the M-L region, and consultation with local stakeholders."]
[null,null,null,"c) A description of how other topics for consideration not addressed in the Annual Service Plan were assessed or considered under Healthy Growth and Development."]
[null,null,null,"The programs and interventions delivered within this Standard cover all of the listed health topics in the OPHS."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Breastfeeding and Infant Feeding\n• The Breastfeeding and Infant Feeding Program is coordinated across teams in the Healthy Start (HS) Division through sharing information and resources, making cross-divisional referrals, and contributing to breastfeeding and infant feeding best practices. Collaboration is facilitated at the leadership level and through participation at breastfeeding and baby-friendly committees and community of practice meetings, with representatives from each team to ensure a comprehensive health promotion strategy across the HS Division.   \n\nHealthy Start Teams:\n• The Healthy Families Home Visiting Team (HFHV) provides support to breastfeeding clients through Breastfeeding Home Visits, Healthy Babies Healthy Children home visits, and Healthy Growth and Development Phone Support; \n• The Healthy Beginnings Visiting and Group Programs (HBVGP) Team implements the Nurse-Family Partnership (NFP) intervention which provides information regarding breastfeeding prenatally and breastfeeding support postpartum through home visits. The team also implements Smart Start for Babies, otherwise known as Canadian Prenatal Nutrition Program, which provides prenatal health teaching and support for informed decision-making related to breastfeeding.  The HS Dietitian is situated within the HBVGP team and provides up-to-date information and guidance for best practices and the promotion of breastfeeding, and safe infant formula preparation.;   \n• The Early Years Community Health Promotion (EYCHP) Team provides upstream health promotion strategies and community collaboration related to baby-friendly best practices, and breastfeeding community workshops for healthcare providers. Breastfeeding is also included within the online prenatal program \n\nAll teams within the HS Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship.  \n• Health Care Provider Outreach: provides information and resources to assist Health Care Providers (HCPs) in supporting families to breastfeed including, information in newsletters and referral information. \n• Oral Health Team – collaboration regarding the promotion of breastfeeding and the importance of infant/child oral development. This includes proper introduction and use of pacifiers and bottles for the promotion of breastfeeding and establishing breastfeeding; \n• Environmental Health and Infectious Diseases Division – supports Healthy Start Division through the promotion of breastfeeding including the use of safe water, preparation for infant formula, and the human right for breastfeeding in public spaces.\n•Substance Use Team - collaboration regarding harm reduction and smoking cessation best practices to support breastfeeding individuals\n\nInvolved:\n•  Participation on the Southwest Breastfeeding Coalition to support common resource development, messaging, and common breastfeeding practices. \n•  Collaboration with Baby-Friendly Initiative Ontario to support best practices, education, and implementation of the Breastfeeding Committee of Canada's 10 Steps to Successful Breastfeeding.\n \nSupported:  \n•  Physicians and Pediatricians, Nurse Practitioners, Midwives – providing education through hands-on Baby-Friendly workshops, and information and resources through Health Care Provider Outreach.  \n  \nInterested: \nThe following community partners work in collaboration with HS Division to increase the initiation and duration of breastfeeding through the promotion of Baby-Friendly best practices: \n•  EarlyONs,  \n•  Family Centres,  \n•  London Health Sciences Centre (LHSC) Mother-Baby Care Unit, LHSC NICU Inpatient/Outpatient Support, \n•  Middlesex Hospital Alliance – Strathroy Middlesex General Hospital Site, \n•  La Leche League,  \n•  Doulas \n\nGrowth and Development\n• The Growth and Development Program is coordinated across teams in the Healthy Start (HS) Division through sharing information, making cross-divisional referrals, and contributing to healthy growth and development program planning, implementation and evaluation. Collaboration is facilitated at the leadership level and through participation in division meetings, community of practice meetings, and relevant committees, workgroups or task groups with representatives from each team to ensure a comprehensive health promotion strategy across the HS Division.  \n•  The Healthy Families Home Visiting Team implements the Healthy Babies Healthy Children (HBHC) program and is responsible for the Healthy Growth and Development Telephone Support Line. \n•  The Healthy Beginnings Visiting and Groups Program Team implements the Nurse Family Partnership intervention. The HS Dietitian is situated within the HBVGP team and provides up-to-date information and guidance for best practices related to nutrition (i.e., appropriate formula preparation, starting solids, implementation of Canada’s Food Guide)\n•  The Early Years Community Health Promotion Team provides upstream health promotion strategies and community collaboration related to parenting, mental health, healthy public policy, early years outreach, and website and print resource support. \n\nAll teams within the HS Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship.   \n•  Health Care Provider Outreach Team - provides information and resources to assist Health Care Providers (HCPs) in supporting families in child Healthy Growth and Development, including information and newsletters, and referral information. \n •  Health Equity and Reconciliation Team – support with providing an equity lens in planning and implementation\n•  Healthy Living Division – provides a collaborative mental health and wellness across the life course approach with the application of an organizational mental health framework; also provides evidenced-informed guidance on alcohol, tobacco, and substance use and misuse best practices. \n•  Oral Health Team – Healthy Smiles Program is a free dental program for preventative, routine, and emergency services; the Oral Health Protocol to support fluoride varnish at childcare centres.\n•  Vaccine Preventable Diseases Program – collaboration to provide up-to-date information to families in home visiting programs, and refer families without a primary care provider to maintain vaccination schedules; \n•  Environmental Health and Infectious Diseases Division - collaboration regarding the HS Early Years Outreach intervention to support childcare centres and early years professionals regarding infectious diseases and IPAC. \n\nInvolved: We collaborate with the following community partners with a mandate or interest in the service/education/awareness and/or well-being of children, using a collective impact approach and shared measurement: \n•  Aboriginal Babies and Beyond Committee\n•  Baby Book Bag \n•  Child and Youth Network  \n•  Family-Centered Service System using common goals/strategic plans \n•  Middlesex Children's Services Network  \n•  London Health Sciences Centre (LHSC)  \n•  Middlesex Hospital Alliance (Strathroy Hospital) - (HBHC Screening Liaison PHN’s).  \n\nSupported: We support the following community partners in the following ways: \n•  Child Care Providers – increased knowledge exchange and resource development  \n•  Child Abuse Prevention Council -community collaboration \n•  Licensed Child Care Network – Play a supportive role with early years professionals who support the education for Early Childhood Educators (ECEs), and the advocacy group  \n\nInterested: The following community partners work in collaboration with the HS division to support optimal growth and development: \nChildren's Aid Society of London and Middlesex, Thames Valley Children’s Centre, Vanier Children's Services, Child & Parent Resource Institute (CPRI), Developmental Resources for Infants (DRI), Tyke TALK, Child Reach, Merrymount Children's Centre, Addiction Services Thames Valley (Heart Space), London Intercommunity Health Centre, Muslim Resource Centre, St Leonard’s Community Services London and Region, Street Level Women at Risk, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing), midwife collaboration, Ontario Works. \n\nHealthy Pregnancies\n• The Healthy Pregnancies Program is coordinated across teams in the Healthy Start (HS) Division through sharing information, making cross-divisional referrals, and contributing to healthy pregnancies program planning, implementation and evaluation.  Collaboration is facilitated at the leadership level and through participation in division meetings, community of practice meetings, and relevant committees, workgroups or task groups with representatives from each team to ensure a comprehensive health promotion strategy across the HS Division. \n \n• The Healthy Families Home Visiting Team implements the HBHC Home Visiting intervention and is responsible for the Healthy Growth and Development Telephone Support Line. \n• The Healthy Beginnings Visiting and Group Programs Team implements the NFP intervention and Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB) within the community. The HS Dietitian is situated within the HBVGP team and provides up-to-date information and guidance for best practices regarding nutrition (i.e.. appropriate formula preparation, starting solids, implementation of Canada’s Food Guide)\n• The Early Years Community Health Promotion Team provides upstream health promotion strategies and community collaboration related to parenting, mental health, healthy public policy, early years outreach, and website (including prenatal e-learning) and print resource support.\n\nAll teams within the HS Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship. \n• Health Care Provider Outreach Team- provides information and resources to assist Health Care Providers in supporting families to achieve healthy pregnancies, including information and newsletters, and referral information through office visits; \n• The Sexual Health Team provides support through the clinic which conducts pregnancy tests, counselling, and referrals to appropriate services at MLHU such as NFP or HBHC, and within the community such as their primary healthcare provider; \n• The Secondary School Team (formerly Young Adult Team) provides counselling services, pregnancy tests, and referrals to the NFP or HBHC Program. \n• Health Equity and Reconciliation Team – support with providing an equity lens in planning and implementation\n• Healthy Living Division – supports the Healthy Start Division by providing a collaborative mental health and wellness across the life course approach with the application of an organizational mental health framework; evidenced-informed alcohol, tobacco, and substance use and misuse best practices related to healthy pregnancies; \n• Vaccine Preventable Diseases Program – collaboration to provide up-to-date information with families in home visiting programs, and refer families without a primary care provider to maintain vaccination schedules and appropriate vaccination during pregnancy; \n\nInvolved: Child and Youth Network and Family Centred Service System using common goals/strategic plans and shared measurement approach. London Health Sciences Centre (LHSC) and Middlesex Hospital Alliance (Strathroy Hospital) - (HBHC Screening Liaison PHN’s, Young Person's Pregnancy Clinic), healthcare providers, South London Community Resource Centre (SSFB), Northwest London Community Resource Centre (SSFB), YOU (SSFB and NFP)\n\nSupported: The following community partners work in collaboration with the HS division regarding delivery of services: London Health Sciences Centre –  Prenatal registration and HBHC screening liaison PHN, Child Abuse Prevention Council (community collaboration). \n\nInterested: The following community partners work in collaboration with the Healthy Start Division to support healthy pregnancies:  Children's Aid Society of London and Middlesex, Addiction Services Thames Valley (Heart Space), London Intercommunity Health Centre, Muslim Resource Centre for Social Support and Integration, St Leonard’s Community Services London and Region, Street Level Women at Risk, London and Middlesex Social Services (Ontario Works, housing), Midwife collaboration, ODSP, Thames Valley District School Board; London District Catholic School Board; Youth Opportunities Unlimited, Vitamin Angels, City of London; County of Middlesex, YMCA\n"]
[null,null,null,"Healthy Sexuality\n• The Sexual Health Team manages the Healthy Sexuality Program and collaborates with the Secondary and Elementary School Teams, and the Healthy Start Division. If there is a request for a sexual health related presentation in primary or secondary schools, the Sexual Health Team has presentations uploaded to MLHU website for organizations to access or can provide a presentation to internal teams such as the Elementary or Secondary School Teams to share or present.  Clients who are pregnant and meet the criteria* can be referred internally to Nurse Family Partnership (NFP) or SMART Start for Babies.  The Sexual Health team often collaborates with MLHU Communications team in the development of sexual health campaigns and resources.\n\n• In the Healthy Start Division, the Healthy Families Home Visiting Team (provides the Healthy Babies Healthy Children program) and Healthy Beginnings Visiting and Group Programs Team (provides the Nurse-Family Partnership (NFP) and Smart Start for Babies (SSFB) programs) provides education regarding birth control, provides condoms, and referrals to the MLHU sexual health clinic or the client’s healthcare provider.   Criteria*:  NFP - 24 years old or younger, pregnant with your first child and/or first time parenting, pregnant 28 weeks or less, experiencing financial hardship or limited resources, and living in the London and Middlesex area; SSFB - pregnant individuals at risk of experiencing food insecurity, affected by multiple factors including poverty, newcomer within the last 5 years for example Spanish and Arabic, and young adults.\n\nKey stakeholders include community organizations or schools that work with the target population of 15-29 years of age.  \n• Post-Secondary Schools in our community, Western University and Fanshawe College, are partners when launching campaigns as they have dedicated sexual wellness teams.\n• Community organizations supporting at-risk youth including Youth Opportunities Unlimited; Genest; King Street Group Home; Antler River Elementary School; Maitland Street Group Home are partners in sharing information such as resources, presentations and education provided by the Sexual Health Team \n• The Thames Valley District School Board and the London Catholic District School Board and affiliated schools are also partners. Public health nurses from the Elementary and Secondary School teams are connected to all schools.\n\nMental Health Promotion\n• The Mental Health Program is implemented in the Healthy Start (HS) Division by sharing information, making cross-divisional referrals, and providing input on mental health program development.   \n• The Healthy Start teams collaborate through division meetings, community of practice meetings, and specific targeted topic/program meetings with representatives from each team to provide a comprehensive health promotion strategy across the HS Division. All Healthy Start teams are engaged in community partnerships, perinatal mental health screening, and the division-wide Perinatal Mental Health Committee. \n•  The Healthy Families Home Visiting Team implements Healthy Babies Healthy Children and the Healthy Beginnings Visiting and Group Programs Team implements the Nurse Family Partnership to provide home visiting to clients who meet the program criteria during the prenatal, postpartum, and early childhood periods. Public Health Nurses (PHNs) provide perinatal mental health screening and assessments, the promotion of positive mental health and community referrals as appropriate. The Healthy Growth and Development phone line provides health teaching and support to clients regarding mental health and referrals to internal and external programs. \n•  The Healthy Beginnings Visiting and Group Programs Team also implements the Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB), to  women identifying with food insecurities, and mental health topics are incorporated into the sessions.  \n•  The Early Years Community Health Promotion Team has taken the lead for infant and parental mental health supports and health promotion activities. An infant mental health program review is currently underway. This will provide evidence-based knowledge and recommendations to support programs, and services internally and the promotion of activities externally. Mental health web-based information is provided on the MLHU website including community resources.  \n\nAll teams within the Healthy Start Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship.    \n•  Collaboration between Healthy Start Division Teams, Health Care Provider Outreach Team and Communications to provide education and updated information on early childhood development, common screening tools, and improved process for referral to healthcare providers.  \n•  In the Healthy Living Division, Mental Health work was paused due to the health unit's COVID-19 response and is in the process of restarting and realigning. Work is underway to examine data and community need and identify/refine priority areas of program focus for 2023.There may be opportunities to collaborate on a mental health and wellness across the life course approach with the application of an organizational mental health framework.\n•  Health Equity and Reconciliation Team supports with providing an equity lens in the planning and implementation of mental health promotion\n\nInvolved: We collaborate with the following community partners with a mandate or interest in the service/education/awareness and/or well-being of children, using a collective impact approach and shared measurement: \n•  The Child and Youth Network and Family Centred Service System (FCSS); The Community Early Years Partnership (MLHU chair) \n•  Middlesex Children's Services Network – Early Years Professionals who work and support families with young children in the county.  \n\nSupported: The HS Division supports the following community partners: \n•  Child and Family Centres \n•  Child Care Providers\n•  Licensed Child Care Network, Strive\n•  Child Health Action Team [CHAT]\n•  All Kids Belong [AKB] \n•  Southwest Ontario Aboriginal Health Access Centre (SOAHAC) \n•  Mother Reach Coalition \n\nInterested:  The following community partners work in collaboration with HS Division to support mental health: \nChildren's Aid Society of London and Middlesex – referral, Thames Valley Children’s Centre – referrals, Vanier Children's Services - referrals, Child & Parent Resource Institute (CPRI) – referrals, Developmental Resources for Infants (DRI) – referrals, Child Reach - referrals, Merrymount Children's Centre – referrals and child care Centre, London Intercommunity Health Centre -referrals, Muslim Resource Centre - referrals, Street Level Women at Risk – referrals, Ontario NFP Community of Practice, NFP Governance Committee, Addiction Services Thames Valley (Heart Space), St. Leonard’s Community Services London Region, Southwest Ontario Aboriginal Health Access Centre, Youth Opportunities Unlimited.\n\nPreconception Health\n• The Preconception Health Program is implemented in the Healthy Start (HS) Division by sharing information, making cross-divisional referrals, and providing input on preconception health program development.   \n•The Healthy Start teams collaborate through division meetings, community of practice meetings, and specific targeted topic/program meetings with representatives from each team for consistent approaches across the HS Division.  \n•  The Healthy Families Home Visiting Team implements Healthy Babies Healthy Children and the Healthy Beginnings Visiting and Group Programs Team implements the Nurse Family Partnership to provide home visiting clients who meet the program criteria during the prenatal, postpartum, and early childhood periods. Public Health Nurses (PHNs) provide preconception education (i.e. nutrition and folic acid supplementation, pregnancy spacing), resources (condoms, pregnancy testing), and referrals to the MLHU clinic for low-cost birth control and community partners as appropriate. The Healthy Growth and Development phone line provides health teaching and support to clients regarding preconception. \n•    The Healthy Beginnings Visiting and Group Programs Team also implements the Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB), to  women identifying with food insecurities, and birth control information is incorporated into the sessions.  \n•  The Early Years Community Health Promotion Team provides information on the MLHU website and supports resource development for the division regarding preconception health, as well as links to community resources.  \n \nOther teams within MLHU that support preconception health are: \n•  The Sexual Health Team provides clinics for pregnancy testing, birth control education and methods for birth control. \n•  The Secondary School Team provides pregnancy testing, birth control education and methods for birth control, folic acid supplementation. \n•  The Health Care Provider Outreach program in Communications also supports the Preconception Health Program by providing family physicians, midwives, pediatricians, nurse practitioners with up-to-date information and resources\n\nInvolved:  \n•  Health Care Providers through Health Care Provider Outreach to provide resources \n• London District Catholic School Board through the Secondary School Team for birth control education and methods for birth control, folic acid supplementation. \n•  Thames Valley District School Board through the Secondary School Team for birth control education and methods for birth control, folic acid supplementation. \n\nSupported: The following community partners work in collaboration with HS Division for collaboration in the delivery of services:  \n• Southwest Ontario Aboriginal Health Access Centre (SOAHAC) to support preconception education. \n\nInterested: The following community partners work in collaboration with HS Division for referral/recommendation with community partners and resources that support preconception health referrals:  \n•  London Intercommunity Health Centre    \n•  Street Level Women at Risk (Outreach Team)  \n•  Youth Opportunities Unlimited\n\n"]
[null,null,null,{"$f":"Structure!D670 & Structure!E670","v":"P 1) Breastfeeding and Infant Feeding"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The primary goals of the Breastfeeding and Infant Feeding Program are to increase the duration and exclusivity of breastfeeding and to decrease health inequities related to infant feeding within Middlesex-London. Strategies include supporting families during the prenatal period to make an informed decision regarding infant feeding; providing direct breastfeeding support; increasing families' and healthcare providers' knowledge, awareness, and skills related to infant feeding; enhancing consistency in evidence-based infant feeding messaging; collaborating with community partners; and implementing Baby-Friendly policy actions. Interventions incorporate a client-centered approach which is nonjudgmental, flexible, sensitive to the unique needs of every individual, and which validates and enhances a parent’s sense of empowerment and self-efficacy regardless of their feeding choice.  \nInterventions of the Breastfeeding and Infant Feeding Program include:  \n•  Breastfeeding Home Visits  \n•  Healthy Babies Healthy Children (HBHC) Home Visiting \n•  Nurse Family Partnership (NFP)  \n•  Healthy Growth and Development Phone Support  \n•  Middlesex-London Infant Feeding Surveillance System (MLIFSS)  \n•  Baby-Friendly Education, Best Practices and Policy Development \n•  Early Years Outreach  \n•  Website, Social Media and Health Education \n\n• Target Population(s): Parents and caregivers of children from birth to school entry.  \n\n• Priority Population(s): Priority populations of mothers/birthing parents/caregivers of children from birth to school entry identified in the 2017 Healthy Start Breastfeeding Evidence Summary include: clients of low SES status; those participating in behavioural risk; those who have chronic diseases or mental health conditions; those who are new to Canada in the last two to three years and/or those that are socially isolated.  \n\n• In addition, the Healthy Families Home Visiting Team and Healthy Beginnings Visiting and Group Programs Team also support clients from the following priority populations through implementation of the HBHC and NFP interventions: mothers/birthing parents subject to intimate partner violence; mothers/birthing parents with previous poor reproductive health outcomes; pregnant teens (and their partners); mothers/birthing parents who engage in high-risk sexual behaviours; clients with cognitive impairment.\n\n• Intermediary target groups: Health Care Providers (PHNs, Primary Care Providers, Midwives, Obstetricians, and IBCLCs) in M-L who provide service to postpartum clients; Internal partners  (i.e., Secondary School Team) and Community Partners (i.e., LHSC) who provide service to postpartum clients."]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"This program ensures families have the knowledge necessary to make evidence-informed decisions related to infant feeding. The Healthy Growth and Development Guideline states: initiatives that focus on giving every child the best possible start will yield the greatest impacts. Adverse childhood experiences such as poor attachment and neglect are clearly linked to risk for mental health and mental illness later in life. The breastfeeding program is a strategy that fosters parental/maternal - infant attachment. \n\nFor more details refer to the description of interventions in the Mental Health Promotion Program (444 MHP). "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To achieve optimal preconception, pregnancy, newborn, child, youth, parental, and family health (Goal of the Healthy Growth and Development Standard, OPHS 2021). \n\nIntermediate Outcomes:\n•  Increased ability to make informed decisions related to breastfeeding and infant feeding.  \n•  Increase intention to breastfeed exclusively to 6 months, with continued breastfeed along with the addition of complementary foods, for 2 years and beyond \n•  Aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to achieving optimal newborn, child, youth, parental and family health \n• Decrease health inequities related to breastfeeding and infant feeding.  \n•  Increase ability to make informed decisions related to breastfeeding and infant feeding \n•  Influence and inform the development of local healthy public policy and its programs and services related to breastfeeding and infant feeding.  \n• Increase in breastfeeding supports, skills, and knowledge capacity across the region  \n•  Increase collaborative relationships with community partners to build capacity for supporting the breastfeeding dyad \n•  Increase initiation, duration and exclusivity of breastfeeding  \n\nShort-Term Outcomes:\n•  Breastfeeding women have improved knowledge and skills related to breastfeeding.  \n•  Increase awareness of the importance of the exclusivity of breastfeeding of parents/caregivers as the optimal method of infant feeding as reflected in the current Health Canada recommendations.  \n•  Programs and services are designed to address the identified needs of the community, including priority populations, associated with healthy growth and development \n•  Increase use of consistent up-to-date messaging by healthcare professionals and those offering breastfeeding support with expectant and breastfeeding mothers across the region \n•  Increase knowledge among community partners about the importance of breastfeeding \n•  The public is aware of the importance of creating safe and supportive environments that promote breastfeeding.  \n•  Increase knowledge and awareness about breastfeeding and infant feeding among the perinatal priority populations \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D671 & \" \" & Structure!E671","v":"i 1) Breastfeeding Home Visits"}]
[null,null,null,"Breastfeeding support is provided to families in the early postpartum period. Service is initiated by phone with subsequent in-person home visits or second planned follow-up calls based on the Public Health Nurse’s assessment of client need. Referrals are received from the screening liaison PHNs at London Health Sciences Centre or at the Strathroy Middlesex General Hospital; client-initiated calls to the Healthy Growth and Development line; or external partners."]
[null,null,null,{"$f":"Structure!D672 & \" \" & Structure!E672","v":"i 2) Healthy Babies Healthy Children (HBHC) Home Visiting"}]
[null,null,null,"Breastfeeding support is provided to eligible clients as part of the HBHC home visiting intervention. Referrals are received from the screening liaison Public Health Nurses at London Health Sciences Centre or at the Strathroy Middlesex General Hospital; client-initiated calls to the Healthy Growth and Development line; or external partners. Phone visits and home visits are provided to support clients with breastfeeding challenges. When working with clients during the prenatal period, clients are supported to make informed infant feeding decisions. "]
[null,null,null,{"$f":"Structure!D673 & \" \" & Structure!E673","v":"i 3) Healthy Growth & Development Phone Support"}]
[null,null,null,"Universal telephone-based breastfeeding counselling and support is provided by Public Health Nurses to clients and community partners through the provision of client/family-centered screening and assessments and information and support regarding breastfeeding and infant feeding. Through the telephone-based service, referrals are made to MLHU programs including breastfeeding home visits and other community services as appropriate. Located at MLHU main office and offered during regular business hours (8:30-4:30) Monday to Friday. "]
[null,null,null,{"$f":"Structure!D674 & \" \" & Structure!E674","v":"i 4) Nurse Family Partnership (NFP)"}]
[null,null,null,"Nurse Family Partnership is a home visiting intervention delivered by Public Health Nurses who conduct home visits to first time pregnant individuals, 24 years of age or younger, experiencing financial hardship or limited resources and support. These visits continue until the child's second birthday. Infant feeding discussions begin prenatally, continue postnatally, and throughout infancy. Clients are encouraged to make informed infant feeding decisions and provided with education and support that aligns with their infant feeding goals. Home visits are offered weekly during the first 6 weeks after the baby is born to support postpartum adjustment and infant care including infant feeding. Breastfeeding initiation and duration rates are supported through a therapeutic nurse-client relationship, a client centered approach to practice and use of Motivational Interviewing. "]
[null,null,null,{"$f":"Structure!D675 & \" \" & Structure!E675","v":"i 5) Middlesex-London Infant Feeding Surveillance System (MLIFSS)"}]
[null,null,null,"The Middlesex-London Infant Feeding Surveillance System is a retrospective survey of infant feeding practices. The survey is conducted with all postpartum clients who consent (when in hospital) to be contacted by email or telephone at two, six, and 12 months postpartum. Annual results are shared with the Healthy Start Leadership Team and the Breastfeeding Committee for Canada. Indicators monitored through this surveillance inform planning processes and measure outcomes of the Breastfeeding and Infant Feeding Program. "]
[null,null,null,{"$f":"Structure!D676 & \" \" & Structure!E676","v":"i 6) Baby-Friendly Education, Best Practices & Policy Development"}]
[null,null,null,"Continued implementation and maintenance of this intervention involves providing orientation to the Baby-Friendly (BF) policy and related education to new staff, students, volunteers and Board of Health members. Additional educational opportunities and materials are provided to support staff to maintain BF competencies. The organizational BF policy, and other related policies, are reviewed annually. Program materials are reviewed to ensure alignment with BF best practices. MLHU coordinates with local birthing hospitals to provide the 20-hour BF workshop to health care providers and develop common messaging and materials regarding infant feeding for use with a shared population. MLHU participates in the Ontario Pubic Health Association (OPHA) Breastfeeding Promotion Network and the Baby-Friendly Initiative (BFI) Ontario Executive. "]
[null,null,null,{"$f":"Structure!D677 & \" \" & Structure!E677","v":"i 7) Early Years Outreach"}]
[null,null,null,"Early Years Outreach provides information and resources to early years sector professionals regarding infant and child growth and development, including infant feeding. Information is provided through targeted newsletters, the Early Years Professionals section of the MLHU website and partner-initiated requests via an Early Years Outreach MLHU email account. "]
[null,null,null,{"$f":"Structure!D678 & \" \" & Structure!E678","v":"i 8) Website, Social Media & Health Education"}]
[null,null,null,"Evidence-informed, up-to-date, and comprehensive breastfeeding and infant feeding information is available on the MLHU website, in text and video format. Breastfeeding information is included in the InJoy online prenatal e-Learning education program. Print resources are made available in hospitals, health care provider offices, and community partner locations that direct clients to MLHU prenatal and parent resources on the MLHU website. Social media (e.g., Twitter, Facebook) is used to engage audiences and raise awareness regarding annual health promotion campaigns, such as Skin-to-Skin Campaign (May) and Canadian Breastfeeding Week Campaign (October). "]
[null,null,null,{"$f":"Structure!D679 & \" \" & Structure!E679","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D680 & \" \" & Structure!E680","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D681 & Structure!E681","v":"P 2) Growth and Development"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The goals of the Growth and Development Program are to achieve optimal newborn, child, parental and family health; to optimize developmental outcomes for children; to improve children's readiness for school; and to reduce health inequities related to growth and development. The Healthy Start Division provides a range of services designed to address the physical, emotional, and social growth and development of children from birth to school entry. Multi-strategy approaches are implemented to educate, raise awareness, create supportive environments, strengthen community action and partnership, link and facilitate access to MLHU and community services, and build personal skills and self-efficacy with families and caregivers. \n\nInterventions of the Growth and Development Program include: \n•  Nurse Family Partnership (NFP)\n•  Healthy  Babies Healthy Children (HBHC) Home Visiting  \n•  Healthy Growth and Development Phone Support \n•  Community Partnerships and Collaboration (incorporates Early Years Outreach and Healthcare Provider Outreach) \n•  Website, Social Media and Health Education \n\n• Target Population(s): Parents and caregivers of children from birth to school entry.  \n\n• Priority Population(s): Priority populations of parents/mothers/caregivers of children from birth to school entry that are: Newcomers (5 years or less in Canada); Indigenous; living with low income and other SES-related concerns; clients who score “with risk” on the HBHC screening tool. For the NFP program, eligible clients are those who are 24 years old or younger, pregnant with their first child and/or first- time parenting, pregnant 28 weeks or less, experiencing financial hardship or limited resources.  \n\n• Intermediary: Health Care Providers. ECEs at Childcare Centres, Child and Family Centres and Early ON Centres and other staff at these Centres, along with Kindergarten ECEs and Teachers regarding school entry.\n\nThe processes used to identify these priority populations are the Healthy Babies Healthy Children Screening Tool (BORN, ISCIS, and IRSS); surveys of healthcare providers; collaboration with the early years sector professionals; NFP research data; and program reviews (breastfeeding, healthy growth and development review, Healthy Living Division mental health review; infant mental health review - in progress), which have included a review of the evidence, situational assessments, and environmental scans.  \n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"• Through multiple interventions, this program develops and implements universal and targeted approaches that foster infant/child mental health, and the attainment of developmental milestones. Additionally, the mental health and well-being of the parents is addressed. Other interventions involve increasing connectedness to other mothers/birthing partners and other supports in the community, conducting perinatal mental health screening with pregnant and postpartum clients, and providing relationship support. All interventions aim to create supportive environments, increase resiliency, and foster social connections. \n\nFor more details refer to the description of interventions in the Mental Health Promotion Program (444 MHP). "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To achieve optimal newborn, child, youth, parental, and family health (OPHS 2021 – Goal) \n•  To improve/optimize developmental outcomes of children  \n•  To improve children’s readiness for school  \n\nIntermediate Outcomes:\n•  Foster collaboration among community partners in planning, development, implementation, and evaluation of programs, services, and policies (OPHS 2021) \n•  Increase families who can effectively foster healthy growth and development skills at different life stages, and successfully progress through the transitions between these stages (OPHS 2021)  \n•  Individuals and families have increased knowledge, skills, and access to local supports to foster healthy growth and development (OPHS 2021) \n•  Individuals, families, and community partners have the knowledge and skills to refer children at risk of poor health and development to services prior to school entry  \n•  Decrease in health inequities related to healthy growth and development (OPHS 2021) \n•  Aware of and uses data to influence and inform the development of local healthy public policy and its programs and services (OHPS 2021) \n\nShort-Term Outcomes:\n•  Increase parent and caregiver awareness about monitoring for healthy growth and development milestones and identification of developmental and mental health concerns in their children \n•  Increase individual, family, and community awareness of factors associated with healthy growth and development, and the importance of creating safe and supportive environments that promote healthy growth and development (OPHS 2021)  \n•  Increase individual, family, and community awareness about how and/or where to access local support (OPHS 2021)  \n•  Increase community partner and healthcare provider awareness of the importance of screening and assessment for risk and protective factors associated with growth and development   \n•  Increase community partner and healthcare provider awareness regarding the importance of providing information and resources regarding healthy growth and development (e.g. secure attachment) with parents/caregivers during the early years  \n•  Collect and analyze data to monitor trends over time, priorities, and health inequities related to healthy growth and development (OPHS 2021) \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D682 & \" \" & Structure!E682","v":"i 1) Nurse Family Partnership"}]
[null,null,null,"Nurse Family Partnership is a home visiting intervention delivered by Public Health Nurses who conduct home visits with first time pregnant individuals, 24 years of age or younger, experiencing financial hardship or limited resources and support. These visits continue until the child's second birthday. PHNs support clients to provide sensitive and competent caregiving with the goal of improving child health and development.  Program activities include providing education on child health & development; using dyadic assessment tools to promote sensitive Parent-Child interactions and positive parenting approaches, assessing child development; and making referrals to other health and human services as needed. Achievement of program goals is facilitated through the development of a therapeutic nurse-client relationship, a client-centered approach to practice, and use of Motivational Interviewing. "]
[null,null,null,{"$f":"Structure!D683 & \" \" & Structure!E683","v":"i 2) Healthy Families Home Visits"}]
[null,null,null,"The Healthy Babies Healthy Children (HBHC) program is delivered by Public Health Nurses (PHNs) in accordance with the HBHC Protocol, 2018. HBHC is an intervention that is delivered to clients and families in the prenatal period and with children from birth to transition to school. The intervention includes screening, assessment, support services, home visiting, service coordination and referrals to community supports.  PHNs support families to reach their identified goals in the areas of child growth and development, attachment, and positive parenting.   "]
[null,null,null,{"$f":"Structure!D684 & \" \" & Structure!E684","v":"i 3) Healthy Growth & Development Phone Support"}]
[null,null,null,"Universal telephone-based support is provided by Public Health Nurses to clients and community partners through the provision of client/family-centered screening and assessments, information and support regarding infant and child growth and development. Through the telephone-based service, referrals are made to MLHU programs and community services as appropriate. Located at MLHU main office and offered during regular business hours (8:30-4:30) Monday to Friday. "]
[null,null,null,{"$f":"Structure!D685 & \" \" & Structure!E685","v":"i 4) Community Partnerships and Collaboration"}]
[null,null,null,"The Healthy Start Division engages in multiple partnerships with agencies that support families with young children. London’s Child and Youth Network (CYN) uses a collective impact approach to address priority areas related to child growth and development. Middlesex Children’s Services Network consists of organizations/individuals with a mandate and/or interest in the provision of service and/or well-being of children, prenatal to age twelve, and their families, in Middlesex County. Early Years Outreach provides information and resources to early years sector professionals related to child growth and development. Information and resources are also provided to Health Care Providers through the Health Care Provider Outreach Team to support families in child Healthy Growth and Development."]
[null,null,null,{"$f":"Structure!D686 & \" \" & Structure!E686","v":"i 5) Website, Social Media and Health Education"}]
[null,null,null,"Evidence-informed, up-to-date, and comprehensive information related to child growth and development is available on the MLHU website in text and video format. Information related to child growth and development is included in the InJoy online prenatal e-Learning education program. Social media (i.e., Facebook and Twitter) is also used to promote awareness and provide information related to growth and development. The website and social media target audience is residents of Middlesex-London (universal), health professionals, and early childhood educators.  "]
[null,null,null,{"$f":"Structure!D687 & \" \" & Structure!E687","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D688 & \" \" & Structure!E688","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D689 & \" \" & Structure!E689","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D690 & \" \" & Structure!E690","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D691 & \" \" & Structure!E691","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D692 & Structure!E692","v":"P 3) Healthy Pregnancies"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The objectives of the Healthy Pregnancies Program are to increase the incidence of babies born at term and with a healthy birth weight, create safe and supportive environments that promote healthy pregnancies by decreasing rate of intimate partner violence, decreasing incidence of mental health concerns during pregnancy, decreasing health inequities related to healthy pregnancies, increasing accessibility to services and community supports for pregnant clients, supporting preparation for parenthood, and building partnerships within communities. Additionally, the program intends to increase understanding of and ability to navigate Ontario's health care system, with priority populations. \n\nInterventions of the Healthy Pregnancies Program include: \n•   Nurse Family Partnership (NFP) \n•   Healthy Babies Healthy Children (HBHC) Home Visiting\n•   Smart Start for Babies (SSFB) \n•   Healthy Growth and Development Phone Support \n•   Prenatal e-Learning, Website, Social Media and Health Education \n\n• The general public, families, and support network members seeking prenatal, perinatal and postpartum information (e-learning and website, Healthy Growth and Development Phone Line)  \n\n• Target Population(s): Parents and caregivers of children from birth to school entry.  \n\nPriority Population(s): Priority populations of mothers/birthing parents/caregivers of children from birth to school entry as identified in the 2018 prenatal review \n•  Clients of low SES status \n•  Those who are new to Canada in the last two to three years and/or those who are socially isolated. \n•  Experiencing mental health issues\n\nIn addition, the Healthy Families Home Visiting Team (HBHC) and the Healthy Beginnings Visiting and Group Programs Team (NFP) intervention also support clients from the following priority populations:  \n•  Mothers/birthing parents subject to intimate-partner violence,  \n•  Mothers/birthing parents with previous poor reproductive health outcomes,  \n•  Pregnant teens (and their partners), especially those experiencing mental health issues (Community Health Status Resource, 2018) \n•  Mothers/birthing parents who engage in high-risk sexual behaviours \n\nSpecific to NFP: \n•  First time pregnant individuals, 24 years of age or younger, experiencing financial hardship or limited resources and support, within 28 weeks of gestation or less \n\nFrom the HBHC Screening Tool: \n•  Pregnant individuals with risk for poor birth outcomes (score 2 or more on HBHC screen) due to multiple factors including poverty, intimate partner violence, recent arrival in Canada, Indigenous peoples, and adolescent pregnancies \n\nCanadian Prenatal Nutrition Program (Smart Start for Babies) criteria: \n•  Pregnant individuals and their support persons with food insecurities, affected by multiple factors including poverty, newcomer within the last 5 years, and young adults. \n\nOnline prenatal program (Injoy)  \n•  In 2015 an initial Public Health Ontario Locally Driven Collaborative Project “Assessing Public Health Prenatal Education Knowledge” compared knowledge change of in-class versus on-line prenatal education and found there was a statistically significant increase in knowledge among pregnant women after participating in a public health prenatal online program. Therefore, it was decided to implement an online prenatal program as a more equitable option for those that may not have typically attended in-person prenatal the opportunity for a larger reach and population health strategy. It also removed barriers such as cost and travel to an onsite location. \n\nIntermediary target groups: Health Care Providers (PHNs, Primary Care Providers, Midwives, Obstetricians) in M-L who provide service to pregnant clients; Internal partners  (i.e., Secondary School Team) and Community Partners (i.e., YOU, Family Centres) who provide service to pregnant clients.\n\nThe processes used to identify these populations are the Healthy Babies Healthy Children Screening Tool (BORN, ISCIS, and IRSS) to analyze report data; Community Health Status Resource, 2018, NFP research data; and program reviews (pregnancy review, Healthy Living Division mental health review), inlcuding a review of the evidence, situational assessments, and environmental scans.\n\n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"This program aims to create safe and supportive environments that promote healthy pregnancies by decreasing rate of intimate partner violence, decrease incidence of mental health concerns during pregnancy, decrease health inequities related to healthy pregnancies, increase accessibility to services and community supports for pregnant women, support preparation for parenthood, and build partnerships within communities. Interventions aim to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments through available resources. \n\nFor more details refer to the description of interventions in the Mental Health Promotion Program (444 MHP). "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To achieve optimal pregnancy, newborn, child, and maternal health (OPHS, 2021) \n•  Decrease incidence of mental health concerns during pregnancy \n•  Improve Prenatal and Birth Outcomes  \n•  Improve Child Health and Development \n•  Improve Parents economic self sufficiency  \n•  Decrease health inequities related to healthy pregnancies \n•  Increase initiation, duration, and exclusivity of breastfeeding\n\nIntermediate Outcomes:\n•  Increase access to prenatal health information and services in the community  \n•  Increase in the ability to access Ontario’s health care system during pregnancy  \n•  Increase self-efficacy regarding preparation for labour, birth, and newborn care  \n•  Increase self-efficacy regarding planning, purchasing, and preparing meals that include healthy food choices  \n•  Reduction or cessation of tobacco, alcohol, or other drug use  and exposure to second hand smoke during pregnancy  \n•  Increase access of priority populations to community services  \n•  Maintain and strengthen existing community partnerships and knowledge capacity related to healthy pregnancies \n\nShort-Term Outcomes:\n•  Increase awareness regarding prenatal health topics and information  \n•  Increase awareness of prospective parents regarding where to find accurate prenatal information and services in the community  \n• Increase awareness, knowledge and skills related to the benefits of reducing or stopping tobacco, cannabis, alcohol, and other drug use during pregnancy  \n•  Increase knowledge of labour, birth, breastfeeding and newborn care of pregnant women  \n•  Increase knowledge and skills related to healthy eating, healthy weight gain, and food literacy \n•  Increase knowledge and skills regarding economic ways to buy and prepare healthy foods within priority populations during the prenatal period   \n•  Increase community partner knowledge for the promotion of healthy pregnancies  \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D693 & \" \" & Structure!E693","v":"i 1) Nurse Family Partnership"}]
[null,null,null,"Nurse Family Partnership is a home visiting intervention delivered by Public Health Nurses who conduct home visits to first time pregnant individuals, 24 years of age or younger, experiencing financial hardship or limited resources and support. These visits continue until the child's second birthday. Early enrolment (goal by 16 weeks) provides the opportunity to address important prenatal health behaviors that may affect the child’s neurodevelopment and birth outcomes – including: accessing prenatal care, following a healthy diet, and avoiding use of substances. Behaviour change is facilitated through the development of a therapeutic nurse-client relationship, a client-centered approach to practice, and use of Motivational Interviewing. \t"]
[null,null,null,{"$f":"Structure!D694 & \" \" & Structure!E694","v":"i 2) Healthy Babies Healthy Children Home Visiting"}]
[null,null,null,"HBHC is a home visiting intervention delivered by Public Health Nurses, and done in accordance with the HBHC Protocol, 2018. It is an intervention for clients and families in the prenatal period and with children from birth to transition to school.  The intervention includes screening, assessment, support services, home visiting, service coordination and referrals to community supports.  PHNs support families to reach their identified goals in the areas of optimal prenatal and parental health."]
[null,null,null,{"$f":"Structure!D695 & \" \" & Structure!E695","v":"i 3) Smart Start for Babies"}]
[null,null,null,"SSFB is a free weekly prenatal nutrition, education and skill building intervention for pregnant individuals facing barriers in accessing healthy food. Classes are facilitated by Public Health Nurses and Registered Dietitians, with the use of interpreter services as required. Grocery store cards, Harvest Bucks, prenatal vitamins, food literacy tools and print resources are provided to support access to proper nutrition and to support cooking at home. The intervention covers topics such as prenatal nutrition, low-cost healthy eating, healthy lifestyles, food literacy, attachment, healthy relationships, mental wellness, breastfeeding, newborn care, preparation for parenthood, sexual health and contraception, emergent literacy, and infant safety.  "]
[null,null,null,{"$f":"Structure!D696 & \" \" & Structure!E696","v":"i 4) Healthy Growth & Development Phone Support"}]
[null,null,null,"Universal telephone-based counselling and support is provided by public health nurses to clients and community partners through the provision of client/family-centered screening and assessments, and information and support regarding prenatal health.  Through the telephone-based service, referrals are made to MLHU programs including home visiting programs, SFFB and Prenatal eLearning. PHNs also refer to other community services as appropriate. Located at MLHU main office and offered during regular business hours (8:30-4:30) Monday to Friday. "]
[null,null,null,{"$f":"Structure!D697 & \" \" & Structure!E697","v":"i 5) Prenatal e-Learning, Website, Social Media and Print Resources"}]
[null,null,null,"Prenatal education for the general population is provided through an online e-learning program offered at no cost. Additional, evidence-informed, up-to-date, and comprehensive information related to healthy pregnancies is available on the MLHU website in text and video format. Social media (i.e., Facebook and Twitter) is also used to promote awareness and provide information related to healthy pregnancies. A variety of topics related to healthy pregnancies are addressed, such as informed decision-making, healthy lifestyle, preterm labour, healthy birth practices, skin-to-skin, postpartum adjustment, preparation for parenthood, perinatal mental health, emergent literacy, and newborn characteristics, care and safety.    "]
[null,null,null,{"$f":"Structure!D698 & \" \" & Structure!E698","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D699 & \" \" & Structure!E699","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D700 & \" \" & Structure!E700","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D701 & \" \" & Structure!E701","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D702 & \" \" & Structure!E702","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D703 & Structure!E703","v":"P 4) Healthy Sexuality"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The Healthy Sexuality program raises awareness, provides education, and/or engages in advocacy on topics such as contraception, pregnancy testing and options, healthy sexuality, and sexual orientation. The Healthy Sexuality program is delivered through three intervenions:  The Birth Control Clinic, Health Promotion and Communications, and Healthy Start Education & Resources. In addition, the Comprehensive School Health Program adresses topic related to healthy sexuality in elementary and secondary schools.  \n\nThe Birth Control Clinic is focused on Priority Populations and the services include: Birth Control Counselling, Low cost birth control, Low cost emergency contraception, Pregnancy testing (*based on assessment), Cervical Cancer Screening, STI/infection checks/Pelvic Pain, IUD consultation and insertions.  \n\nThe Sexual Health team (SH team) engages in numerous health promotion strategies intended to promote healthy sexuality in the residents of Middlesex-London. Some of these strategies include providing opportunities for education and skill building, creating and fostering supportive environments, raising awareness through mass media campaigns and using social media.\n\nFurthermore, the SH team focuses on creating supportive environments for sexual health clients. Sexual Health Clinic clients can be referred to programs and services that support the client within MLHU (e.g. Nurse Family Partnership, SMART Start for Babies, Elementary or Secondary School Teams) and externally (e.g. The Options Clinic).\n\nThe Healthy Start Division home visiting teams provide health education and support to clients on the topics of contraception, spacing of pregnancies, pregnancy testing, STIs, healthy sexuality during the perinatal period, mental wellbeing, and intimate partner violence, among other topic areas. In addition, the Healthy Start teams provide referrals to the Sexual Health Clinic, and the MLHU website (online prenatal program) for additional support and information. The Healthy Start teams also receive client referrals from the Sexual Health Team. \n\nYouth and young adults under the age of 30 years are a target population.\n•The more specific population that has been prioritized is youth between the ages of 15-24 years of age due to the increased risk of unintended pregnancy and STBBIs (sexually transmitted and blood-borne infections). The population for young adults under the age of 30 was chosen becuase of the prevalance of STIs observed in population health data. The rates of chlamydia and gonorrhea reported in this age group are higher than any other age group. \n\n• In the Healthy Start Division, the NFP serves a priority population of clients who are pregnant and meet the criteria of 24 years old or younger, pregnant with their first child and/or first-time parenting, pregnant 28 weeks or less, experiencing financial hardship or limited resources, and living in the London and Middlesex area.  Another priority population for the Healthy Start Division includes postpartum clients who may be experiencing financial hardship that may need assistance with no-cost or low-cost contraception as identified in Better Outcomes Registry Network (BORN) Ontario data.  There has been a statistical increase in financial hardships when comparing 2018 and 2021 results.  \n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"As youth grow from childhood, through the teen years and into adulthood, they experience many changes. A supportive environment for promoting positive sexual health is inclusive and non-judgmental. A supportive environment will foster positive mental health and help students to feel comfortable and safe when learning about and exploring their own sexual health. Parents/caregivers and teachers/school staff, as well as students are all responsible for creating a supportive environment.  \n\nFor more details refer to the description of interventions in the Mental Health Promotion Program. "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools.\n• To achieve optimal preconception, pregnancy, newborn, child, youth, parental, and family health \n• To decrease unintended pregnancy\n• To reduce the burden of sexually-transmitted infections and blood-borne diseases.\n\nIntermediate Outcomes:\n•  Youth have knowledge of contraception, healthy sexuality, healthy fertility, and healthy pregnancies \n•  To minimize the number of sexually-transmitted infections and blood-borne diseases in the Middlesex-London Community.   \n•  To prevent the transmission of sexually-transmitted infections and blood-borne diseases in the Middlesex London community.\n• To ensure priority populations have access to the Birth Control Clinics and their services i.e. low cost birth control.\n\nShort-Term Outcomes:\n• Increase sexual health awareness and promote increased STI/BBI testing (OPHS-Outcome School Health)\nThe board of health shall offer support to school boards and schools, in accordance with the School Health Guideline, 2018 (or as current), to assist with the implementation of health-related curricula and health needs in schools, based on need and considering, but not limited to: -Healthy Sexuality\n• Working with community partners, schools will have greater access to resources, information and support to provide sexual health education to students to help promote positive sexual health among students.\n• Create supportive environments to promote healthy sexual practices, access to sexual health services, and harm reduction programs and services for priority populations;\n• To provide treatment and follow up information as required. \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D704 & \" \" & Structure!E704","v":"i 1) Heathy Start Education & Resources "}]
[null,null,null,"The Healthy Start Division provides health education and resources to individuals during direct-client programming such as home visits, phone calls, and group programming. Topics may include: contraception, spacing of pregnancies, pregnancy testing, STIs, intimate partner violence and healthy sexuality during the perinatal period.  In addition, Healthy Start teams provide referrals to the MLHU Sexual Health Clinic and other community supports as required.   "]
[null,null,null,{"$f":"Structure!D705 & \" \" & Structure!E705","v":"i 2) Birth Control Clinic"}]
[null,null,null,"Sexual Health is an important component of an individual’s physical and emotional health and well-being.  Healthy Sexuality involves acquiring the knowledge, skills, and behaviour to enable good sexual health throughout life.  This also includes the provision of information and services to prevent and manage sexually transmitted infections unintended pregnancy, sexual dysfunction, and violence (OPHS).  The Birth Control Clinic provides a supportive environment to promote healthy sexual practices, access to sexual health services for priority populations.   \nThese services include: \n• Birth control counselling \n• Low-cost birth control \n• Emergency contraception \n• Pregnancy testing and options counselling \n• Post-abortion counselling and referral  \n• Cervical screening "]
[null,null,null,{"$f":"Structure!D706 & \" \" & Structure!E706","v":"i 3) Health Promotion & Communications"}]
[null,null,null,"The sexual health team engages in numerous health promotion strategies intended to promote healthy sexuality for the residents of Middlesex-London.  Some of the strategies include providing opportunities for education and skill building, creating and fostering supportive environments, raising awareness through mass media campaigns and using social media.  Some of the topics include pregnancy, contraception, healthy sexuality, and sexual health orientation.  Collaboration with the Young Adult Team internally to develop education materials and/or presentations for schools.  Presentations are offered to priority populations due to the increased risk of unintended pregnancy. "]
[null,null,null,{"$f":"Structure!D707 & \" \" & Structure!E707","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D708 & \" \" & Structure!E708","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D709 & \" \" & Structure!E709","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D710 & \" \" & Structure!E710","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D711 & \" \" & Structure!E711","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D712 & \" \" & Structure!E712","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D713 & \" \" & Structure!E713","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D714 & Structure!E714","v":"P 5) Mental Health Promotion"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The primary goals of the mental health promotion program are to provide a range of services designed to foster optimal parental, infant and early childhood mental health. Strong attention to incorporating principles of health equity to promote mental health and prevent mental illness will continue to be a focus of work including early identification and referral. Interventions incorporate supporting a strong attachment of a child to a caregiver, and for parents to develop positive parenting practices, which serve as protective factors for a child’s mental health.  \n\nMulti-strategy approaches include: \n•  Programs and services designed to address the identified needs of the community, including priority populations associated with improved mental health outcomes for families with children birth to school entry. (OPHS Outcome)  \n•  Collaboration with community partners and parents to include mental health in the planning, development, implementation, and evaluation of programs, services, and policies.  \n•  Linking priority populations to child/family health information programs and services  \n \nInterventions to achieve these outcomes include the following:  \n•  Nurse Family Partnership (NFP) \n•  Healthy Families Home Visits (incorporates the Healthy Babies Healthy Children program)\n•  Healthy Growth and Development Phone Support\n•  Website, Social Media and Health Education   \n•  Community Partnerships and Collaboration  \n•  Mental Health Program Management \n\nTarget Population(s): Women and children (birth to school entry) in families: mother is < 25 years of age; has a history of or identifies a mental health concern on the HBHC Screening Tool; mothers of babies/young children with secure attachment concerns (related to either mom or child); parent or child exposed to violence. \n\nPriority Population: Indigenous, people of colour, recent immigrants, refugees and asylum-seeking, low income, unemployment or job insecurity, low educational attainment, people with disabilities, housing insecurity, lack of social network, lack of access to health services.  As per the MLHU Mental Health Promotion Situational Assessment and Program Review – Evidence Summary, 2020 identified Indigenous adults as an especially important priority population \n \nThe process used to identify these priority populations are the Healthy Babies Healthy Children Screening Tools (BORN, Integrated Services for Children Information System (ISCIS), and ISCIS Reporting Sub-System (IRSS)); surveys of healthcare providers; collaboration with the early years sector professionals; NFP research data; and program reviews (breastfeeding review, healthy growth and development review, Healthy Living Division mental health review, infant mental health review - in progress), including a review of the evidence, situational assessments, and environmental scans. \n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null," This program provides a range of services designed to address the emotional, and social growth and development of children. Services also support the mental health and well-being of parents/caregivers. Strong attention to incorporate principles of health equity to promote mental health and prevent mental illness will continue to be a focus of work including early identification and referral. Interventions incorporate supporting a strong attachment to a caregiver, and for parents to develop positive parenting practices, which serve as protective factors for a child’s mental health.   "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To achieve optimal preconception, pregnancy, newborn, child, parental, and family mental health (OPHS Goal)  \n•  To reduce mental health inequalities in children (Goal of OPHS Healthy Growth and Development Standard, 2021) \n•  To mitigate and reduce potential expenses in various systems like healthcare, education, justice and beyond (Mental Health Promotion Guideline, 2018, p. 16) \n\nIntermediate Outcomes:\n•  Individuals and families have increased knowledge, skills and access to local supports to effectively foster optimal parental, infant and early childhood mental health \n•  Adults and children are linked to mental health information programs and services \n•  Collaborate with community partners and parents to include mental health in the planning, development, implementation, and evaluation of programs, services, and policies  \n• Programs and services are designed to address the identified needs of the community, including priority populations associated with improved mental health outcomes for families with children (birth to school entry). (OPHS Outcome) \n• MLHU is aware of and uses data to influence and inform the development of local healthy public policy & its programs & services related to infant and early childhood mental health as is evidenced by secure attachment  \n\nShort-Term Outcomes:\n•  Increase awareness of activities to promote mental health and wellness of parents and caregivers \n• Increase awareness of health promotion activities to parents that promote protective factors such as positive parenting and secure attachment \n•  Individuals and families are aware of the factors associated with healthy growth and development, including optimal infant and early childhood mental health (e.g. secure attachment), and the importance of creating safe and supportive environments that promote healthy growth and development \n• The public is aware of the importance of creating safe and supportive environments that promote healthy child growth and development with a focus on mental health (OPHS Outcome)  \n• Increase awareness and education of internal staff and external partners about the importance of implementing perinatal mental health interventions \n• Develop and implement public health mental health interventions using a comprehensive health promotion approach that is informed by: \n  - An assessment of risk and protective factors; \n  - Consultation and collaboration with local stakeholders; \n  - An assessment of existing programs and services; \n  - Consideration of various topics (e.g., breastfeeding, growth and development, mental health promotion, and positive parenting) \n  - Evidence effectiveness of the interventions (Mental Health Promotion Guideline, 2018, p. 3) \n•  MLHU staff to increase knowledge of and incorporate: \n  - The milestone policy document – New Directions: Aboriginal Health Policy for Ontario in collaborating and program planning (Relationship with Indigenous Communities Guideline, 2018, p. 16) \n  - Relevant items in the Truth and Reconciliation Commission of Canada: Calls to Action, 2015  \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D715 & \" \" & Structure!E715","v":"i 1) Nurse Family Partnership"}]
[null,null,null,"Nurse Family Partnership is a home visiting intervention delivered by Public Health Nurses (PHNs) who conduct home visits to first time pregnant individuals, 24 years of age or younger, experiencing financial hardship or limited resources and support. These visits continue until the child's second birthday.  PHNs complete mental health screening and assessment; provide health education; promote parental self-efficacy by strengthening emotional skillsets and building coping strategies; and make referrals to other health and human services as needed.  Achievement of program goals is facilitated through the development of a therapeutic nurse-client relationship, a client-centered approach to practice, and use of Motivational Interviewing.  "]
[null,null,null,{"$f":"Structure!D716 & \" \" & Structure!E716","v":"i 2) Healthy Families Home Visits"}]
[null,null,null,"Healthy Families Home Visits are provided to support families with breastfeeding and as part of the Healthy Babies Healthy Children Program. As part of these visits, PHNs complete mental health screening and assessment; provide related health education; and make referrals to other health and human services.    "]
[null,null,null,{"$f":"Structure!D717 & \" \" & Structure!E717","v":"i 3) Community Partnerships and Collaboration"}]
[null,null,null,"The Healthy Start Division engages in multiple partnerships with agencies that support infant, child and parental mental health. London’s Child and Youth Network (CYN) uses a collective impact approach to address priority areas that are linked to mental health. Middlesex Children’s Services Network consists of organizations/individuals with a mandate and/or interest in the provision of service and/or well-being of children, prenatal to age twelve, and their families, in Middlesex County. Early Years Outreach provides information and resources to early years sector professionals related to infant, child and parental mental health. The Mother Reach Coalition is focused on promoting perinatal mental health and preventing perinatal mental illness. "]
[null,null,null,{"$f":"Structure!D718 & \" \" & Structure!E718","v":"i 4) Website, Social Media and Health Education"}]
[null,null,null,"Evidence-informed, up-to-date, and comprehensive information related to infant, child and parental mental health is available on the MLHU website in text and video format. Information is also included in the InJoy online prenatal e-Learning education program. Social media (i.e., Facebook and Twitter) is used to engage audiences and raise awareness regarding annual mental health promotion campaigns.  "]
[null,null,null,{"$f":"Structure!D719 & \" \" & Structure!E719","v":"i 5) Mental Health Program Management"}]
[null,null,null,"This intervention provides oversight for the planning, development, implementation, and evaluation of a comprehensive infant and child mental health promotion approach using frameworks such as the Socio-ecological model and The five principles in the Ottawa Charter for Health Promotion: 1) Build Healthy Public Policy; 2) Create Supportive Environments; 3) Strengthen Community Action; 4) Develop Personal Skills and, 5) Reorient Health Services. This intervention works across Healthy Start programs and services.  Population Health promotion interventions will be identified in 2023.  "]
[null,null,null,{"$f":"Structure!D720 & \" \" & Structure!E720","v":"i 6) Healthy Growth & Development Phone Support"}]
[null,null,null,"Universal telephone-based support is provided by public health nurses to clients and community partners through the provision of client/family-centered screening and assessments, information, and support regarding perinatal mental health.  Through the telephone-based service, referrals are made to MLHU programs and community services as appropriate. Located at MLHU main office and offered during regular business hours (8:30-4:30) Monday to Friday."]
[null,null,null,{"$f":"Structure!D721 & \" \" & Structure!E721","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D722 & \" \" & Structure!E722","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D723 & \" \" & Structure!E723","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D724 & \" \" & Structure!E724","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D725 & Structure!E725","v":"P 6) Preconception Health"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"Preconception Health program initiatives at the Middlesex-London Health Unit (MLHU) are intended to increase the proportion of individuals who have a reproductive plan, and who reach optimal preconception health prior to conception and during interception. The Public Health Agency of Canada (PHAC) highlights that preconception interventions consider physical, psychosocial, behavioural or environmental risks to reproductive health and future pregnancies, and include all women and men of reproductive age, including during inter-conception.  \n\nInterventions of the Preconception Health Program include:  \n• Preconception Education and Resources \n\nTarget Population(s): Everyone of reproductive age that are:   \n•  < 25 years of age,  \n•  Individuals with language discordance or the lack of a common language between the health care provider and the individual  \n\nPriority Population:  \n•  Indigenous,  \n•  People of colour,  \n•  Recent immigrants,  \n•  Refugees and asylum-seeking,   \n•  Unemployment or job insecurity,  \n•  Low educational attainment,  \n•  Housing insecurity,  \n•  Lack of social network,  \n•  Lack of access to health services, \n•  Poverty   \n \nThe process used to identify these priority populations are Public Health Agency of Canada, Family-Centred Maternity and Newborn Care: National Guidelines, 2017."]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"See section a above."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"This program has many interventions to provide comprehensive preconception health information and mental health promotion information. This program aims to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments through the available resources. \n\nFor more details refer to the description of interventions in the Mental Health Promotion Program (444 MHP). "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To reach optimal preconception health prior to conception and during inter-conception. \n•  To improve the health of women to prevent adverse maternal and infant outcomes\n\nIntermediate Outcomes:\n•  Individuals in their reproductive years use available information, skills, and supports to adopt health promoting practices.  \n•  Individuals in their reproductive years live, work, play, and learn in safe and supportive environments.  \n•  Priority populations are linked to reproductive health information, programs, and services.  \n•  Individuals and families have increased knowledge, skills, and access to local supports to achieve preconception health \n•  Decrease in health inequities related to healthy growth and development (OPHS 2021) \n•  Individuals, families, and community partners have the knowledge and access to credible information and resources \n\nShort-Term Outcomes: \n•  Enhance awareness of the importance of preconception health and pregnancy planning.  \n•  Increase individual, family, and community awareness of factors associated with preconception health, and the importance of creating safe and supportive environments \n•  Increase individual, family, and community awareness about how and/or where to access local support (OPHS 2021)  \n•  Increase community partner and healthcare provider awareness regarding the importance of providing information and resources  \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D726 & \" \" & Structure!E726","v":"i 1) Preconception Education and Resources"}]
[null,null,null,"Preconception health initiatives at MLHU are intended to increase the proportion of individuals who have a reproductive plan, and who reach optimal preconception health prior to conception and during interception. The Healthy Start Division provides education and resources to families during direct-client programming such as home visits, phone calls, and group programming; and with community partners and families through information, resources, and tools on the MLHU website.  Referrals to the MLHU Sexual Health Clinic and other community supports are made as required. "]
[null,null,null,{"$f":"Structure!D727 & \" \" & Structure!E727","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D728 & \" \" & Structure!E728","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D729 & \" \" & Structure!E729","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D730 & \" \" & Structure!E730","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D731 & \" \" & Structure!E731","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D732 & \" \" & Structure!E732","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D733 & \" \" & Structure!E733","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D734 & \" \" & Structure!E734","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D735 & \" \" & Structure!E735","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D736 & Structure!E736","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D737 & \" \" & Structure!E737","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D738 & \" \" & Structure!E738","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D739 & \" \" & Structure!E739","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D740 & \" \" & Structure!E740","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D741 & \" \" & Structure!E741","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D742 & \" \" & Structure!E742","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D743 & \" \" & Structure!E743","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D744 & \" \" & Structure!E744","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D745 & \" \" & Structure!E745","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D746 & \" \" & Structure!E746","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D747 & Structure!E747","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D748 & \" \" & Structure!E748","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D749 & \" \" & Structure!E749","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D750 & \" \" & Structure!E750","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D751 & \" \" & Structure!E751","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D752 & \" \" & Structure!E752","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D753 & \" \" & Structure!E753","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D754 & \" \" & Structure!E754","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D755 & \" \" & Structure!E755","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D756 & \" \" & Structure!E756","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D757 & \" \" & Structure!E757","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D758 & Structure!E758","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D759 & \" \" & Structure!E759","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D760 & \" \" & Structure!E760","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D761 & \" \" & Structure!E761","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D762 & \" \" & Structure!E762","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D763 & \" \" & Structure!E763","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D764 & \" \" & Structure!E764","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D765 & \" \" & Structure!E765","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D766 & \" \" & Structure!E766","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D767 & \" \" & Structure!E767","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D768 & \" \" & Structure!E768","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D769 & Structure!E769","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D770 & \" \" & Structure!E770","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D771 & \" \" & Structure!E771","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D772 & \" \" & Structure!E772","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D773 & \" \" & Structure!E773","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D774 & \" \" & Structure!E774","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D775 & \" \" & Structure!E775","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D776 & \" \" & Structure!E776","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D777 & \" \" & Structure!E777","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D778 & \" \" & Structure!E778","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D779 & \" \" & Structure!E779","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D780 & Structure!E780","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D781 & \" \" & Structure!E781","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D782 & \" \" & Structure!E782","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D783 & \" \" & Structure!E783","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D784 & \" \" & Structure!E784","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D785 & \" \" & Structure!E785","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D786 & \" \" & Structure!E786","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D787 & \" \" & Structure!E787","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D788 & \" \" & Structure!E788","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D789 & \" \" & Structure!E789","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D790 & \" \" & Structure!E790","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D791 & Structure!E791","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D792 & \" \" & Structure!E792","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D793 & \" \" & Structure!E793","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D794 & \" \" & Structure!E794","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D795 & \" \" & Structure!E795","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D796 & \" \" & Structure!E796","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D797 & \" \" & Structure!E797","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D798 & \" \" & Structure!E798","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D799 & \" \" & Structure!E799","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D800 & \" \" & Structure!E800","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D801 & \" \" & Structure!E801","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D802 & Structure!E802","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D803 & \" \" & Structure!E803","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D804 & \" \" & Structure!E804","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D805 & \" \" & Structure!E805","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D806 & \" \" & Structure!E806","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D807 & \" \" & Structure!E807","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D808 & \" \" & Structure!E808","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D809 & \" \" & Structure!E809","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D810 & \" \" & Structure!E810","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D811 & \" \" & Structure!E811","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D812 & \" \" & Structure!E812","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D813 & Structure!E813","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D814 & \" \" & Structure!E814","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D815 & \" \" & Structure!E815","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D816 & \" \" & Structure!E816","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D817 & \" \" & Structure!E817","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D818 & \" \" & Structure!E818","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D819 & \" \" & Structure!E819","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D820 & \" \" & Structure!E820","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D821 & \" \" & Structure!E821","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D822 & \" \" & Structure!E822","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D823 & \" \" & Structure!E823","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D824 & Structure!E824","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D825 & \" \" & Structure!E825","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D826 & \" \" & Structure!E826","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D827 & \" \" & Structure!E827","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D828 & \" \" & Structure!E828","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D829 & \" \" & Structure!E829","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D830 & \" \" & Structure!E830","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D831 & \" \" & Structure!E831","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D832 & \" \" & Structure!E832","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D833 & \" \" & Structure!E833","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D834 & \" \" & Structure!E834","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D835 & Structure!E835","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D836 & \" \" & Structure!E836","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D837 & \" \" & Structure!E837","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D838 & \" \" & Structure!E838","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D839 & \" \" & Structure!E839","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D840 & \" \" & Structure!E840","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D841 & \" \" & Structure!E841","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D842 & \" \" & Structure!E842","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D843 & \" \" & Structure!E843","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D844 & \" \" & Structure!E844","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D845 & \" \" & Structure!E845","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D846 & Structure!E846","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D847 & \" \" & Structure!E847","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D848 & \" \" & Structure!E848","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D849 & \" \" & Structure!E849","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D850 & \" \" & Structure!E850","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D851 & \" \" & Structure!E851","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D852 & \" \" & Structure!E852","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D853 & \" \" & Structure!E853","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D854 & \" \" & Structure!E854","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D855 & \" \" & Structure!E855","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D856 & \" \" & Structure!E856","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D857 & Structure!E857","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D858 & \" \" &Structure!E858","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D859 & \" \" &Structure!E859","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D860 & \" \" &Structure!E860","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D861 & \" \" &Structure!E861","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D862 & \" \" &Structure!E862","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D863 & \" \" &Structure!E863","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D864 & \" \" &Structure!E864","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D865 & \" \" &Structure!E865","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D866 & \" \" &Structure!E866","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D867 & \" \" &Structure!E867","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D868 & Structure!E868","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D869 & \" \" & Structure!E869","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D870 & \" \" & Structure!E870","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D871 & \" \" & Structure!E871","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D872 & \" \" & Structure!E872","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D873 & \" \" & Structure!E873","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D874 & \" \" & Structure!E874","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D875 & \" \" & Structure!E875","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D876 & \" \" & Structure!E876","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D877 & \" \" & Structure!E877","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D878 & \" \" & Structure!E878","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D879 & Structure!E879","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D880 & \" \" & Structure!E880","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D881 & \" \" & Structure!E881","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D882 & \" \" & Structure!E882","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D883 & \" \" & Structure!E883","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D884 & \" \" & Structure!E884","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D885 & \" \" & Structure!E885","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D886 & \" \" & Structure!E886","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D887 & \" \" & Structure!E887","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D888 & \" \" & Structure!E888","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D889 & \" \" & Structure!E889","v":"i10) "}]

{"sheet":"Immunization","index":11,"n_rows":530,"n_cols":4,"rows_kept":530,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Immunization"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address immunization."]
[null,null,null,"Community-Based Immunization Outreach\n• Due to the focus on school catch-up program for ISPA, our community outreach efforts have been done just in time based emerging needs and priorities.  Moving forward we plan to re-establish and develop our partner relationships in a more proactive approach. We also intend to use our local data to inform community needs and priorities in a more systematic way.\n\nImmunization Monitoring and Surveillance\n• The ISPA program (school catch-up program) has been a priority for MLHU in 2022-2023 because of lower immunization coverage rates in the community resulting from the COVID-19 pandemic and health care providers being unavailable to provide routine childhood immunizations. In addtion to enhanced screening and suspension efforts, MLHU has been providing additional immunization clinics for school catch-up programming.\n• Provincial requirements for upcoming COVID-19 booster vaccines, could shift priorities based on available resources.\n\nVaccine Administration\n• High-risk populations were identified based on FSA data and low vaccine coverage rates.  These areas were prioritized for mobile high-risk clinics for COVID-19 vaccines.\n• For high-risk congregate settings such as shelters, COVID-19 and UIIP vaccines are provided.\n• For long-term care homes experiencing difficulties in administering COVID-19 vaccine, MLHU provided assistance.\n\nVaccine Management\n• All HCPs require timely and convenient access to publicly funded vaccine. Over 400 HCPs and organizations order, maintain, store and administer vaccines to the public in Middlesex-London. Priority is to ensure that HCPs have access to provincially funded vaccine and the knowledge required to optimize vaccine safety, efficacy and reduce wastage."]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses immunization with consideration of the required list of topics identified in the Standards."]
[null,null,null,"The ISPA program (school catch-up program) has been a priority for MLHU in 2022-2023 because of lower immunization coverage rates in the community resulting from the COVID-19 pandemic and health care providers being unavailable to provide routine childhood immunizations. In addtion to enhanced screening and suspension efforts, MLHU has been providing additional immunization clinics for school catch-up programming.\n\nProvincial requirements for upcoming COVID-19 booster vaccines, could shift priorities based on available resources."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Community-Based Immunization Outreach\nThe Community-Based Immunization Outreach Program is managed by the Vaccine Preventable Disease (VPD) team as follows: \n• Consultation with HCPs and community partners via Tier 2 line. \nCollaborative meetings on a biweekly basis with LHSC for consultation, education and program updates.\n• The VPD team works with the Health Care Provider Outreach Team to provide education and updates on a regular basis to HCPs in the MLHU area                                                                                                                                                                                       • Collaboration with local FIrst Nations communities through biweekly meetings. Provide consultation and program updates as appropriate. \n\nExternal partners of the Community-Based Immunization Outreach Program include:\n• First Nations \n• London Health Sciences Centre (LHSC)\n• Health Care Providers\n• Local Emergency Medical Services (EMS)\n• School boards: London District Catholic School Board (LDCSB), Thames Valley District School Board (TVDSB), French Board \n\nImmunization Monitoring and Surveillance\n• The program is managed by the Vaccine Preventable Disease team in collaboration with the Infectious Disease Team, and the Population Health Assessment and Surveillance (PHAS) team.  The VPD team has a process for monitoring, investigating and documenting all suspected cases of adverse events following immunization that meet provincial reporting critieria. The VPD team has contingency planning in place to assist the Infectious Disease Control (IDC) team in outbreak management and control. The PHAS team has responsibility to identify vaccine coverage rates, including the monitoring of trends overtime, emerging trends, and identifying priority populations. \n\nExternal partners of the Immunization Monitoring and Surveillance Program include:\n• Health care providers who administer vaccines\n• Public Health Ontario\n"]
[null,null,null,"Vaccine Administration\nThe Vaccine Administration program is managed by the Vaccine Preventable Disease team in collaboration with the Sexual Health Team and the Infectious Disease Team to administer vaccines to individuals meeting publicly funded criteria, particularly individuals at high risk and/ or contacts of vaccine preventable diseases.\n\nExternal partners of the Vaccine Administration Program include:\n• School Boards\n• Schools\n• Shelters\n• Long-term care/ retirement homes\n• Other community partners where vaccine sites are set-up.\n\nVaccine Management\nThis program is managed by the VPD team. The VPD team conducts cold chain inspections in other community health care provider settings where publicly funded vaccines are stored.  The VPD team collaborates with the HCPs and other agencies who store and administer publicly funded vaccines to provide vaccine updates and information required for effective inventory management.\n\nExternal partners of the Vaccine Management Program include:\n• Hospitals\n• Long Term Care Facilities\n• Health Care Providers (working in a variety of settings. E.g. Family practice, Community Clinics\n• Pharmacists\n• Large workplaces with Occupational Health Services \n• Western University Student Health Services\n• Fanshawe College Student Health Services"]
[null,null,null,{"$f":"Structure!D891 & Structure!E891","v":"P 1) Community Based Immunization Outreach (excluding vaccine administration)"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Vaccine Preventable Disease (VPD) Team collaborates and works with community partners to improve public knowledge and confidence in immunization programs and services. VPD provides consultation to community partners on immunization and immunization practices including administration and reporting requirements. VPD is involved in the assessment, maintaining records and reporting on immunizations administered at all MLHU vaccine clinics. \n\nTarget Populations include:\n• Health Care Providers\n• Community Partners\n• General Public"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Reduce or eliminate the burden of vaccine preventable diseases through immunization\n\nIntermediate Outcomes:\n• Increasing public  knowledge and vaccine confidence in immunzation programs and services \n\nShort-Term Outcomes:\n• Increase knowledge and vaccine confidence with HCPs and other partners \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D892 & \" \" & Structure!E892","v":"i 1) Education & Training"}]
[null,null,null,"Increasing HCP knowledge and awareness of Publicly Funded Immunization Schedule.\n\nProvide education and consulation when contacted and during cold-chain inspections to all HCPs and community partners who store and administer public-funded vaccine. "]
[null,null,null,{"$f":"Structure!D893 & \" \" & Structure!E893","v":"i 2) Partnerships"}]
[null,null,null,"Collaborate with the school board, school health team and schools to plan school catch-up program, as well as Grade 7 school programming. Information sessions are provided to high risk schools by the school health team in the fall. \n\nThe VPD team also partners with First Nations Community Health Centres and local hospitals, Emergency Medical Services (EMS), universities, and colleges to support their immunization efforts. "]
[null,null,null,{"$f":"Structure!D894 & \" \" & Structure!E894","v":"i 3) Health Promotion & Communications"}]
[null,null,null,"Continue with yearly update to HCPs re information to improve their knowledge and understanding of the publicly funded schedule to increase confidence.  Monthly HCP e-newsletter highlighting changes and reminders  to vaccination schedules and trends."]
[null,null,null,{"$f":"Structure!D895 & \" \" & Structure!E895","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D896 & \" \" & Structure!E896","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D897 & \" \" & Structure!E897","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D898 & \" \" & Structure!E898","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D899 & \" \" & Structure!E899","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D900 & \" \" & Structure!E900","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D901 & \" \" & Structure!E901","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D902 & Structure!E902 & \"               (Please refer to COVID-19 Vaccine Program worksheet)\"","v":"P 2) COVID-19 Vaccine Program               (Please refer to COVID-19 Vaccine Program worksheet)"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D903 & \" \" & Structure!E903","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D904 & \" \" & Structure!E904","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D905 & \" \" & Structure!E905","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D906 & \" \" & Structure!E906","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D907 & \" \" & Structure!E907","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D908 & \" \" & Structure!E908","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D909 & \" \" & Structure!E909","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D910 & \" \" & Structure!E910","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D911 & \" \" & Structure!E911","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D912 & \" \" & Structure!E912","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D913 & Structure!E913","v":"P 3) Immunization Monitoring and Surveillance"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Immunization Monitoring & Surveillance program monitors immunization trends and responds to emergent issues including vaccine preventable disease outbreaks.  Ongoing immunization surveillance identifies priority populations facing barriers to immunizations, their associated risk factors, and emerging trends. Through the Adverse Vaccine Events & Safety intervention, reporting and managing adverse events following immunization (AEFIs) are documented in a timely manner. Through the Outbreak Investigation & Management intervention, vaccines are administered as required in the event of an outbreak.\n\nTarget Population\n- Internal staff for planning purposes\n- Health care providers\n- Community partners"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce or eliminate the burden of vaccine preventable diseases through immunizations\n\nIntermediate Outcomes:\n• Timely and effective detection and identification of children susceptible to vaccine preventable diseases, their associated risk factors and emerging trends\n• Timely and effective detection and identification of priority populations facing barriers to immunizations, their associated risk factors and emerging trends\n\nShort-Term Outcomes:\n• Increased surveillance and reporting on vaccine preventable diseases, vaccine coverage and adverse events following immunization, including monitoring of trends over time, emerging trends, and priority populations. \n• Timely and effective outbreak management related to vaccine preventable diseases. "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D914 & \" \" & Structure!E914","v":"i 1) Adverse Vaccine Events & Safety"}]
[null,null,null,"The Vaccine Preventable Disease (VPD) Team promotes reporting of adverse events following immunization (AEFIs) by health care providers to the Board of Health in accordance with the Health Protection and Promotion Act. Suspect AEFIs reported to public health are investigated and reviewed by the Associate Medical Officer of Health (AMOH) for follow-up recommendations. AEFIs meeting provincial reporting criteria, are forwarded to Ministry using the Integrated Public Health Information System (iPHIS). Epidemiological analysis of surveillance data for adverse events following immunization is conducted yearly in collaboration with the Population Health Assessment and Surveillance (PHAS) team. "]
[null,null,null,{"$f":"Structure!D915 & \" \" & Structure!E915","v":"i 2) Outbreak Investigations & Management"}]
[null,null,null,"Outbreak Investigation and Management is a key intervention to identify the cause of outbreaks within a setting, school or community and to implement vaccination measures  to reduce the risk of ongoing transmission. When the health unit declares the outbreak, the IDC team will collaborate with VPD if the outbreak can be mitigated with vaccines."]
[null,null,null,{"$f":"Structure!D916 & \" \" & Structure!E916","v":"i 3) Monitoring & Surveillance"}]
[null,null,null,"Ongoing monitoring and reporting of vaccine preventable diseases including vaccine coverage rates and associated risk factors as well as tracking adverse events following immunization. In addition, surveillance data is used to monitor trends over time and identify priority populations facing barriers to immunization.   "]
[null,null,null,{"$f":"Structure!D917 & \" \" & Structure!E917","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D918 & \" \" & Structure!E918","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D919 & \" \" & Structure!E919","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D920 & \" \" & Structure!E920","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D921 & \" \" & Structure!E921","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D922 & \" \" & Structure!E922","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D923 & \" \" & Structure!E923","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D924 & Structure!E924","v":"P 4) Vaccine Administration"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Vaccine Administration Program aims to reduce or eliminate the burden of vaccine preventable diseases through immunizations interventions aimed at:\n• Reducing the incidence of vaccine preventable diseases; \n• Co-ordinating access to immunization services in the community; and\n• Providing immunization services to eligible priority populations who do not have access to provincially funded immunization programs and services. \n• Providing school-based clinics for Grade 7 program, mass and mobile clinics in the event of outbreaks/Pandemics, and administration of Rabies vaccine as required. \n\nTarget populations\n• Grade 7 students\n• In 2022-23, targeting students aged 4-18 for ISPA controlled vaccines under the Ontario publicly-funded immunization schedule.\n• General population when contact of vaccine preventable disease case. \n• Individuals living in the Middlesex-London area who do not have a health care provider\n• Individuals living in the Middlesex-London area who do not have a valid Ontario health card\n \nPriority populations\n• Vulnerable and underserved individuals (For COVID-19 vaccine through identification of FSA areas with low coverage rates)."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce or eliminate the burden of vaccine preventable diseases through immunizations\n\nIntermediate Outcomes:\n• Reduced incidence of vaccine preventable diseases\n• Increase public confidence in immunizations\n\nShort-Term Outcomes:\n• Eligible persons, including underserved and priority populations, have access to provincially funded immunization programs and services                                                                                     \n• Improved uptake of provincially funded vaccines among Ontarians."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D925 & \" \" & Structure!E925","v":"i 1) School-based clinics"}]
[null,null,null,"Vaccines (HPV, HepB, Men) are offered at school based clinics in the fall and the spring every school year.  Education regarding the diseases and side effects of vaccines is offered at point of vaccination. "]
[null,null,null,{"$f":"Structure!D926 & \" \" & Structure!E926","v":"i 2) High-risk clinics"}]
[null,null,null,"Providing immunization services to eligible priority populations who do not have access to provincially funded immunization programs and services. These include individuals who do not have a health care provider, do not have a Ontario Health Card Number (OHCN), 18 yrs of age and younger where primary health care provider unable to provide immunizations at all or in a timely way. The VPD team works with the Population Health and Surveillance (PHAS) team to assess and identify areas of lower COVID-19 vaccination rates . In addition, the VPD team collaborates with community partners providing services in the area where feasible. \n\n• Operate immunization clinics two days a week at CitiPlaze location and once a month in Strathroy for individuals aged infant to 18 years of age, and individuals living in the Middlesex-London area who do not have a health care provider and/or health card  \n\n• UIIP: Provide mobile clinics in the community in areas where underserved and vulnerable populations live and work for COVID-19 and influenza vaccines."]
[null,null,null,{"$f":"Structure!D927 & \" \" & Structure!E927","v":"i 3) Outbreak clinics"}]
[null,null,null,"Collaborate with IDC when outbreak declared and identified as a vaccine preventable disease. Vaccine clinics are provided as indicated."]
[null,null,null,{"$f":"Structure!D928 & \" \" & Structure!E928","v":"i 4) Mass Immunization & Catch Up Clinics"}]
[null,null,null,"When required to vaccinate a large number of people in a short period of time, mass immunization clinics are provided in the community.  Clinics may be offered by appointment, walk-in, or both based on best practice at the time. \n\nDuring the 2022/23 school year, catch-up immunization clinics were offered to provide access to specific publicly funded vaccines for all school age students overdue for all publicly funded vaccines including HPV and Hep B vaccine.                                                                                                          \n\nCatch up opportunities for post secondary students were also provided for Hep B, Men ACYW135, and HPV as indicated in special extension of eligibility."]
[null,null,null,{"$f":"Structure!D929 & \" \" & Structure!E929","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D930 & \" \" & Structure!E930","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D931 & \" \" & Structure!E931","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D932 & \" \" & Structure!E932","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D933 & \" \" & Structure!E933","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D934 & \" \" & Structure!E934","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D935 & Structure!E935","v":"P 5) Vaccine Management"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Vaccine Preventable Disease (VPD) team is responsible for maintaining an inventory of publicly funded vaccine from Government Pharmacy including the following management processes: vaccine ordering, storage, distribution, maintenance and wastage monitoring according to the Vaccine Storage and Handling Protocol, 2018. \n• Annual cold chain inspections are conducted by PHNs on the VPD Team  wherever vaccine is being stored in the community. \n• Suspect cold chain incidents reported by healthcare providers are investigated to ensure that the vaccine is safe and effective for use. \n• The VPD team provides health care providers (HCPs) with comprehensive information and education to promote effective inventory management for provincially funded vaccines in accordance with Ministry Vaccine Storage and Handling Guidelines, 2018\n\nTarget populations for the Vaccine Management program are vaccine administrators/coordinators in settings where publicly funded vaccines are stored and administered:\n• Pharmacies\n• Health Care Clinics \n• Nursing agencies \n• Workplaces\n• Hospitals"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization\n\nIntermediate Outcomes:\n• Effective inventory management of provincially funded vaccines by the Board of Health and HCPs in the community where provincially funded vaccines are stored according to the Vaccine Storage and Handling Protocol, 2018 \n\nShort-Term Outcomes:\n• Health care providers will be provided with information and training according to Ministry Vaccine Storage and Handling Guidelines, 2018 during yearly cold chain inspections at all locations where provincially funded vaccine is stored. \n• Vaccine cold chain incidents will be investigated in order to ensure vaccine safety and efficacy\n• Reduction in the amount of vaccine wastage due to cold chain incidents and expired vaccine according to the Vaccine Storage and Handling Protocol, 2018 "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D936 & \" \" & Structure!E936","v":"i 1) Education & Training"}]
[null,null,null,"The VPD team provides health care providers with comprehensive information and education to promote effective inventory management for provincially funded vaccines in accordance with Ministry Vaccine Storage and Handling Guidelines, 2018  Vaccine Storage and Handling Protocol, 2018 (gov.on.ca) Provide education and updates through  HCP outreach e-newsletter and at the time of annual cold chain investigations. VPD team is available to address any education and training required for new offices and staff as required. "]
[null,null,null,{"$f":"Structure!D937 & \" \" & Structure!E937","v":"i 2) Enforcement"}]
[null,null,null,"The VPD team is responsible for  the prevention, management and and reporting of vaccine wastage. The VPD team investigates all reports of cold chain incidents within 24 hrs of receiving a report. If necessary vaccines will be withheld for a determined length of time. The incident will be communicated and documented, including the monetary value, as outlined in the Vaccine Storage and Handling Guidelines 2012. If vaccines are being  withheld due to non-compliance, an advisory will be issued by the MOH. Once in compliance, vaccine storage can be resumed."]
[null,null,null,{"$f":"Structure!D938 & \" \" & Structure!E938","v":"i 3) Inspections"}]
[null,null,null,"• Annual cold chain inspections are conducted by PHNs on the VPD Team.\n• Annual cold-chain inspections are conducted in all settings where publicly funded vaccines are stored. Locations include new/existing HCP offices, nursing agencies, pharmacies and workplaces. Cold chain inspections are conducted to ensure publicly funded vaccines are being handled appropriately, remain potent, and are not wasted. \n• Suspect cold chain incidents reported by HCPs are investigated to ensure that the vaccine is safe and effective for use.  "]
[null,null,null,{"$f":"Structure!D939 & \" \" & Structure!E939","v":"i 4) Inventory Management"}]
[null,null,null,"The VPD team is responsible for maintaining an inventory of publicly funded vaccine from Government Pharmacy including the following management processes: vaccine ordering, storage, distribution, maintenance and wastage monitoring according to the Vaccine Storage and Handling Protocol, 2018.  \nPublicly-funded vaccines are ordered from the Ontario Government Pharmacy and inventoried at the time of reciept.  HCPs order through Public Health Ordering System (PHOS) and pick-up these vaccines from the Health Unit. "]
[null,null,null,{"$f":"Structure!D940 & \" \" & Structure!E940","v":"i 5) Investigations"}]
[null,null,null,"• Suspect cold chain incidents reported by HCPs are investigated to ensure that the vaccine is safe and effective for use. \n• If there is a power failure or problem with the refrigerator storing publicly-funded vaccines such that temperatures have gone outside the required 2°C and 8°C, the Health Unit will provide advice on whether these vaccines can still be used or must be returned as wastage.  "]
[null,null,null,{"$f":"Structure!D941 & \" \" & Structure!E941","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D942 & \" \" & Structure!E942","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D943 & \" \" & Structure!E943","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D944 & \" \" & Structure!E944","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D945 & \" \" & Structure!E945","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D946 & Structure!E946","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D947 & \" \" & Structure!E947","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D948 & \" \" & Structure!E948","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D949 & \" \" & Structure!E949","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D950 & \" \" & Structure!E950","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D951 & \" \" & Structure!E951","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D952 & \" \" & Structure!E952","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D953 & \" \" & Structure!E953","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D954 & \" \" & Structure!E954","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D955 & \" \" & Structure!E955","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D956 & \" \" & Structure!E956","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D957 & Structure!E957","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D958 & \" \" & Structure!E958","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D959 & \" \" & Structure!E959","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D960 & \" \" & Structure!E960","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D961 & \" \" & Structure!E961","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D962 & \" \" & Structure!E962","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D963 & \" \" & Structure!E963","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D964 & \" \" & Structure!E964","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D965 & \" \" & Structure!E965","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D966 & \" \" & Structure!E966","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D967 & \" \" & Structure!E967","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D968 & Structure!E968","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D969 & \" \" & Structure!E969","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D970 & \" \" & Structure!E970","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D971 & \" \" & Structure!E971","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D972 & \" \" & Structure!E972","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D973 & \" \" & Structure!E973","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D974 & \" \" & Structure!E974","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D975 & \" \" & Structure!E975","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D976 & \" \" & Structure!E976","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D977 & \" \" & Structure!E977","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D978 & \" \" & Structure!E978","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D979 & Structure!E979","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D980 & \" \" & Structure!E980","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D981 & \" \" & Structure!E981","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D982 & \" \" & Structure!E982","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D983 & \" \" & Structure!E983","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D984 & \" \" & Structure!E984","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D985 & \" \" & Structure!E985","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D986 & \" \" & Structure!E986","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D987 & \" \" & Structure!E987","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D988 & \" \" & Structure!E988","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D989 & \" \" & Structure!E989","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D990 & Structure!E990","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D991 & \" \" & Structure!E991","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D992 & \" \" & Structure!E992","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D993 & \" \" & Structure!E993","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D994 & \" \" & Structure!E994","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D995 & \" \" & Structure!E995","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D996 & \" \" & Structure!E996","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D997 & \" \" & Structure!E997","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D998 & \" \" & Structure!E998","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D999 & \" \" & Structure!E999","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1000 & \" \" & Structure!E1000","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1001 & Structure!E1001","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1002 & \" \" & Structure!E1002","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1003 & \" \" & Structure!E1003","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1004 & \" \" & Structure!E1004","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1005 & \" \" & Structure!E1005","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1006 & \" \" & Structure!E1006","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1007 & \" \" & Structure!E1007","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1008 & \" \" & Structure!E1008","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1009 & \" \" & Structure!E1009","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1010 & \" \" & Structure!E1010","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1011 & \" \" & Structure!E1011","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1012 & Structure!E1012","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1013 & \" \" & Structure!E1013","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1014 & \" \" & Structure!E1014","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1015 & \" \" & Structure!E1015","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1016 & \" \" & Structure!E1016","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1017 & \" \" & Structure!E1017","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1018 & \" \" & Structure!E1018","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1019 & \" \" & Structure!E1019","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1020 & \" \" & Structure!E1020","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1021 & \" \" & Structure!E1021","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1022 & \" \" & Structure!E1022","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1023 & Structure!E1023","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1024 & \" \" & Structure!E1024","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1025 & \" \" & Structure!E1025","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1026 & \" \" & Structure!E1026","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1027 & \" \" & Structure!E1027","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1028 & \" \" & Structure!E1028","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1029 & \" \" & Structure!E1029","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1030 & \" \" & Structure!E1030","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1031 & \" \" & Structure!E1031","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1032 & \" \" & Structure!E1032","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1033 & \" \" & Structure!E1033","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1034 & Structure!E1034","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1035 & \" \" & Structure!E1035","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1036 & \" \" & Structure!E1036","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1037 & \" \" & Structure!E1037","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1038 & \" \" & Structure!E1038","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1039 & \" \" & Structure!E1039","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1040 & \" \" & Structure!E1040","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1041 & \" \" & Structure!E1041","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1042 & \" \" & Structure!E1042","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1043 & \" \" & Structure!E1043","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1044 & \" \" & Structure!E1044","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1045 & Structure!E1045","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1046 & \" \" & Structure!E1046","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1047 & \" \" & Structure!E1047","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1048 & \" \" & Structure!E1048","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1049 & \" \" & Structure!E1049","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1050 & \" \" & Structure!E1050","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1051 & \" \" & Structure!E1051","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1052 & \" \" & Structure!E1052","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1053 & \" \" & Structure!E1053","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1054 & \" \" & Structure!E1054","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1055 & \" \" & Structure!E1055","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1056 & Structure!E1056","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1057 & \" \" & Structure!E1057","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1058 & \" \" & Structure!E1058","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1059 & \" \" & Structure!E1059","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1060 & \" \" & Structure!E1060","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1061 & \" \" & Structure!E1061","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1062 & \" \" & Structure!E1062","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1063 & \" \" & Structure!E1063","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1064 & \" \" & Structure!E1064","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1065 & \" \" & Structure!E1065","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1066 & \" \" & Structure!E1066","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1067 & Structure!E1067","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1068 & \" \" & Structure!E1068","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1069 & \" \" & Structure!E1069","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1070 & \" \" & Structure!E1070","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1071 & \" \" & Structure!E1071","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1072 & \" \" & Structure!E1072","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1073 & \" \" & Structure!E1073","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1074 & \" \" & Structure!E1074","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1075 & \" \" & Structure!E1075","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1076 & \" \" & Structure!E1076","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1077 & \" \" & Structure!E1077","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1078 & Structure!E1078","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1079 & \" \" & Structure!E1079","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1080 & \" \" & Structure!E1080","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1081 & \" \" & Structure!E1081","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1082 & \" \" & Structure!E1082","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1083 & \" \" & Structure!E1083","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1084 & \" \" & Structure!E1084","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1085 & \" \" & Structure!E1085","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1086 & \" \" & Structure!E1086","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1087 & \" \" & Structure!E1087","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1088 & \" \" & Structure!E1088","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1089 & Structure!E1089","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1090 & \" \" & Structure!E1090","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1091 & \" \" & Structure!E1091","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1092 & \" \" & Structure!E1092","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1093 & \" \" & Structure!E1093","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1094 & \" \" & Structure!E1094","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1095 & \" \" & Structure!E1095","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1096 & \" \" & Structure!E1096","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1097 & \" \" & Structure!E1097","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1098 & \" \" & Structure!E1098","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1099 & \" \" & Structure!E1099","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1100 & Structure!E1100","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1101 & \" \" & Structure!E1101","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1102 & \" \" & Structure!E1102","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1103 & \" \" & Structure!E1103","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1104 & \" \" & Structure!E1104","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1105 & \" \" & Structure!E1105","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1106 & \" \" & Structure!E1106","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1107 & \" \" & Structure!E1107","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1108 & \" \" & Structure!E1108","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1109 & \" \" & Structure!E1109","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1110 & \" \" & Structure!E1110","v":"i10) "}]

{"sheet":"ICDP","index":12,"n_rows":530,"n_cols":4,"rows_kept":530,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Infectious and Communicable Diseases Prevention and Control"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address infectious and communicable diseases."]
[null,null,null,"Vector-Borne Diseases Program\nThe key data and information which demonstrates the public health issue and communities needs for public health intervention come from a variety of sources both internal and external. Since 2002, West Nile Virus has been a focus across the province because the virus was being found in birds and mosquitoes across the province. Similarly, in 2009, Lyme Disease became a priority across the province because Blacklegged Ticks were found to be carrying the disease. The Vector Borne Disease team has tracked, recorded and shared local VBD activity, with our partners at the Ministry of Health and Long-Term Care as well as Public Health Ontario. \n\nBased on the data below and the OPHS there is:\n • Significant increase in WNV human cases acquired within Middlesex-London.\n• Increase in the number of WNV positive mosquitoes \n• Increase in requests to attend special events throughout the community\n• Increase in educational materials requested/distributed\n• Increase in traffic to the VBD webpage \n• Media requests/coverage related to Vector-Borne diseases  \n\nThe following data will be collected to determine priority interventions:\n• # of blacklegged ticks submitted/identified vectors/positive\n• # of WNV positive mosquito pools\n• # of surveillance site visits\n• # of catch basins treated\n• # of standing water sites treated\n• # and type of requests received from the public\n• # of requests/private properties investigated\n• # of standing water sites remediated\n• # of positive lab confirmed human cases\n\nTo support the above requests from Ministry and local partners, our Vector Borne Disease team has prioritized increasing our outreach for public education events across the community. Similarly, since North Middlesex was flagged as a Lyme Disease risk area, our program has increased our efforts around ticks and Lyme Disease awareness by increasing active and passive tick surveillance across the community. Finally, since the identification of Aedes albopictus and Aedes aegypti mosquitoes found in the Windsor region in 2016, adult mosquito trapping across Middlesex-London has incorporated BG-Sentinel traps in hopes of identifying these potential Zika carrying mosquito early before they become established in our region.  \n\nInfectious Disease Control\n• Diseases of public health significance data that is collected from various sources.\nInternal database is reviewed by BOH to determine/address local priorities in IDC.\n• Rates of blood borne infections in the community.\n• Homelessness, under-housed, illicit drug use, poverty, health inequity.\n\nRabies and Zoonotic Disease\n• The Safe Water, Rabies and VBD team investigates all cases where there has been an animal/person contact in Middlesex-London which have been increasing steadily each year. The following is the four-year summary of the number of investigations and number of people who accessed to rabies post exposure prophylaxis (PEP) treatment: \n2017: Total number of investigations:1060\n2018: Total number of investigations:1094\n2019: Total number of investigations:1110\n2020: Total number of investigations:1030\n2021: Total number of investigations:1155   \n2022: Total number of investigations: 1229\n\nSexually Transmitted and Blood-Borne Disease\n• M-L has high chlamydia & gonorrhea rates in individuals <30 yrs. of age. Syphilis rates are also increasing.\n• A Sexually Transmitted Infection (STI) Strategy, using both primary and secondary prevention strategies, will be developed Spring 2023 and then implemented throughout 2023 and 2024 to work towards reducing the rates of bacterial STIs in Middlesex-London and increasing healthy sexual practices.\n• The burden of STI/BBIs in the ML region provides the context in which The Clinic offers services. STBBI rates in the ML region are calculated using local and provincial disease counts retrieved from the iPHIS.\n• Locally, the MLHU continues to see higher counts of chlamydia and gonorrhea. There were 1,588 chlamydia and 420 gonorrhea cases in 2021.  MLHU has had rates higher seen provincially and continue to increase. Syphilis rates have been increasing yearly.  In 2021 there were 115 cases and in 2022 over 165 cases plus two congenital syphilis cases which exceeds the annual average. HIV, and Hepatitis C infection were significantly higher in Middlesex-London when compared to provincial rates, and these increases were felt to be related, in part, to the use of injection drugs by community members (Middlesex-London Health Unit, 2018).\n• Prior to 2013, HIV rates in Middlesex-London were lower than or similar to the rate in Ontario. Since 2014, HIV rates have increased in Middlesex-London whereas the provincial rate has gradually declined. Local HIV/AIDS infections peaked in 2016, at 12.8/100,000. The Health Unit continues to see a number of infections confirmed each year. There have been 13 cases reported to date in 2022. Since declaring the community crisis in 2016, the profile of risk factors reported by cases has changed. Among 2016 cases, the most commonly reported risk factor was injection drug use (74.1%). While still a commonly reported risk factor, the proportion of cases who report using injection drugs in 2021 decreased to 19.0%.\n\n"]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses infectious and communicable diseases."]
[null,null,null,"Given the burden of illness associated with infectious diseases during the pandemic was primarily concentrated in congregate settings with older adults, these settings and interventions targeted at these settings like institutional IPAC will be a priority in 2023. "]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Vector-Borne Diseases Program\n• This program is managed by the Safe Water, Rabies and Vector-Borne Disease Team. The Infectious Disease Control Team monitors and investigates all positive human case lab reports.  The collection of epidemiological data, which includes the incidence, prevalence, source and cause of the infectious disease, assists in determining biological and environmental risk factors for acquiring the infection. The Infectious Disease Control team collects the reported exposure location, this data is used to direct the VBD team’s enhanced mosquito surveillance and control in the given location. West Nile Virus (WNV) and Lyme disease (LD), are classified as diseases of public health significance under the Health Protection and Promotion Act.\n• External partners include: City of London, Middlesex County, Ministry of Health and Long-Term Care, Public Health Ontario, Ministry of the Environment, Conservation and Parks, Ministry of Natural Resources and Forestry, City of London Library, Middlesex County Library, Township of Adelaide Metcalfe, Township of Lucan Biddulph, Municipality of Middlesex Centre, Municipality of North Middlesex, Municipality of Southwest Middlesex, Municipality of Strathroy-Caradoc, Municipality of Thames Centre, Village of Newbury, Thames Valley District School Board, London Catholic District School Board, Middlesex EarlyON Child & Family Centre, Ontario Early Years Centres, Western University, Wild Child Outdoor Group, Hydro One, Union Gas London Hydro, Children's Museum, Chippewas of the Thames Nation, Oneida Nation of the Thames. Health Care Providers in London and Middlesex County\n\nInfectious Disease Control\n• The IDC Team is primarily responsible for implementation of the IDC Program.\n• External partners include: First Nation, Métis, and Inuit Community Leaders, City of London Shelter Operators, Southwest Infection Prevention and Control HUB, Ontario Health West, London Middlesex Triad, London Health Sciences Centre, Regional Testing Advisory Committee, Community Wide Infection Control Committee\n"]
[null,null,null,"Rabies and Zoonotic Disease\n• The Safe Water, Rabies and VBD team leads this program and works closely with the Vaccine Preventable Disease team for rabies post exposure prophylaxis storage, delivery and administration when necessary. The Infectious Disease Control team coordinates the management of Avian Chlamydiosis in birds, management of Avian Influenza or Novel Influenza in Birds or Animals and management of Echinococcus Multilocularis infections in animals. The Safe Water, Rabies and VBD team provides support as needed. The Vaccine Preventable Disease Team may also collaborate on the delivery of this program. \n• External partners include: City of London, Middlesex County, Ministry of Health and Long-Term Care, Public Health Ontario, Ministry of the Environment, Conservation and Parks, Ministry of Natural Resources and Forestry, Ministry of Agriculture Food and Rural Affairs, Canadian Food Inspection Agency, London Health Sciences Centre, Local and Provincial Police Departments, Ontario Association of Veterinary Technicians, City of London Library, Middlesex County Library, Township of Adelaide Metcalfe, Township of Lucan Biddulph, Municipality of Middlesex Centre, Municipality of North Middlesex, Municipality of Southwest Middlesex, Municipality of Strathroy-Caradoc, Municipality of Thames Centre, Village of Newbury, Western University\n\nSexually Transmitted and Blood-Borne Disease\n• The STI-BBI Program is managed by the Sexual Health (SH) Team. They work closely with the Community Outreach and Clinical Support Services (Outreach) Team, Infectious Disease Control (IDC) Team, Community Health Promotion Team and Secondary School Team and Elementary School Team.  The Sexual Health Promotion (SHP) Team develops resources and campaigns that target ages 15-24 years of age to reduce the rate of infectious diseases.  The Secondary School Team works with the population 15-17 years of age and both programs often connect with SHP Team about resources as well as training for medical directives i.e. testing for gonorrhea and chlamydia.  There are often clients who may be diagnosed with Group A strep which is reported to the IDC Team.  The IDC Team will then connect with SH Team and the Outreach Team as this client may already be a part of the caseload and have another infectious disease i.e. Hep C or HIV.  The client then would be managed by the team who has a relationship with the client.  \n• External partners include:\n- All health care providers, as the SH Team provides Ministry funded STI medication to health care providers for treatment of clients.\n- Some of the key health care providers or community organizations that provide client services are; Walk-in clinics, hospitals, EMDC healthcare, private practice, First Nations health centres, Infection Disease Care Program, Community Health Access Centres, University/College health care, London Intercommunity Health Centre, Regional HIV/AIDS Connection, Southwest Ontario Health Access Centre, Shelters, Ministry of Health, Southwest Public Health, London Cares Homeless Response, HIV Leadership Team.\n"]
[null,null,null,{"$f":"Structure!D1112 & Structure!E1112 & \"               (Please refer to COVID-19 General Program worksheet)\"","v":"P 1) COVID-19 General Program               (Please refer to COVID-19 General Program worksheet)"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1113 & \" \" & Structure!E1113","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1114 & \" \" & Structure!E1114","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1115 & \" \" & Structure!E1115","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1116 & \" \" & Structure!E1116","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1117 & \" \" & Structure!E1117","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1118 & \" \" & Structure!E1118","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1119 & \" \" & Structure!E1119","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1120 & \" \" & Structure!E1120","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1121 & \" \" & Structure!E1121","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1122 & \" \" & Structure!E1122","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1123 & Structure!E1123","v":"P 2) Vector-Borne Diseases Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Vector-Borne Diseases (VBD) program is comprised of larval mosquito surveillance and identification, larviciding, adult mosquito trapping and viral testing, human surveillance, source reduction, public education, responding to public inquiries, and passive and active tick surveillance. The long-term outcome is to reduce all Middlesex-London residents’ exposure to mosquito and tick bites in order to reduce the incidence of disease transmission through the following interventions. \n\n•Assess standing water sites in Middlesex-London on public property and develop local vector-borne disease control strategies based on this data.\n• Adult mosquito surveillance and viral testing, monitoring for invasive vector species.\n• Detailed surveillance of Environmentally Sensitive Areas (ESAs), as per Ministry of Natural Resources and Forestry, and Ministry of the Environment and Climate Change permit requirements.\n• Assess private properties when standing water concerns are reported and oversee remedial actions.\n• Active and passive tick surveillance to identify Lyme disease risk areas.\n• Respond to complaints and inquiries from residents regarding West Nile Virus (WNV), Eastern Equine Encephalitis (EEE) and Lyme disease (LD).\n• Distribute educational /promotional materials.\n• Educate and engage residents in practices and activities at local community events in order to reduce exposure to WNV, LD and EEE.\n• Monitoring and investigation of positive human lab results .\n• Consultation with Health Care Providers regarding Personal Protective Equipment (PPE).\n\nThe target population for our Vector Borne Disease program is the entire population of Middlesex-London. People of all ages may come into contact with mosquitoes and ticks across the entire region, therefore it is important for versatile messaging.  Education about ticks and mosquitoes and the diseases and viruses they can transmit is key to helping our population stay healthy. Our team’s priority populations focus on people who choose to spend time outdoors for work or leisure because they are more likely to come into contact with mosquitoes and ticks. \n\na) People who make up our priority population include outdoor sports enthusiasts, campers, hikers, etc. Additionally, people who work outdoors such as farmers, construction workers, etc., can also come in contact with both mosquitoes and ticks during their work day.\nb) Possible social determinants of health (SDOH) and/or health inequities associated with our Vector Borne Disease program can impact new immigrants to Canada or those with language barriers because it’s possible they come from an area where mosquitoes and ticks are not a health concern.   \n\nWhen presenting at educational opportunities across Middlesex-London, we utilize the approach of building accurate base knowledge with whatever population we are speaking to. That way we are better able to tailor our messaging depending on the knowledge level our audience has about mosquitoes, tick and the potential disease they can transmit. Additionally, our team continuously develops a variety of products and educational resources to help support the community as a whole.  These items are strategic and effective, but most importantly are based on community need.\n"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n • Prevent the occurrence and/or reduce the burden of vector-borne diseases in our community (OPHS)\n\nIntermediate Outcomes:\n•  Use of local data to develop programs and services for the prevention of vector-borne diseases.\n•  Address the identified needs of the community, including priority populations, associated with  vector-borne diseases (OPHS)\n• Timely and effective detection, identificaton, and management of exposures and local cases/outbreaks vector-borne diseases, including diseases of public health significance, their associated risk factors, and emerging trends (OPHS)\n• Reduce the transmission of vector-borne diseases.\n•  Increased resident’s capacity to independently identify and remediate WNV and LD risk factors.\n• Increase knowledge of the public identify and to reduce mosquito breeding habitat on private  property.\n• Reduce the transmission of WNV and LD to humans by encouraging the community to practice personal protection, submit samples (e.g. ticks).\n\nShort-Term Outcomes:\n• Develop a local vector-borne management strategy based on surveillance data and emerging  trends in accordance with the Infectious Diseases Protocol, 2018 (or as current).\n• Increase knowledge/awareness of positive WNV and LD activity to reduce associated risks.\n• Increase public knowledge of personal protection methods and how to identify signs and symptoms related WNV and LD.                                                                                                                                                                         • Increased ability of the public to self-identify tick samples so they can reach out to their health care provider in a timely manner.\n• Increased awareness among the media and residents of recent WNV and LD activity in Middlesex-London and Ontario.\n• Increased public engagement by educating and assisting residents in managing risk factors (e.g. removal of mosquito and tick habitat and permanent source reduction) "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1124 & \" \" & Structure!E1124","v":"i 1) Enforcement"}]
[null,null,null,"Upon investigation and education if compliance is not achieved, enforcement is the next step to address noncompliance with the HPPA and act with respect to health hazards associated with vector borne diseases. "]
[null,null,null,{"$f":"Structure!D1125 & \" \" & Structure!E1125","v":"i 2) Health Promotion & Communications"}]
[null,null,null,"Provide health promotion and education to increase awareness of risks associated with vector borne diseases. Engage health care practitioners and community partners through various media formats and provide vector-borne disease related resources and support. Disclose pertinent risk messaging to the community related to vector borne disease activity.  Provide information to general public through the MLHU website and social media.   "]
[null,null,null,{"$f":"Structure!D1126 & \" \" & Structure!E1126","v":"i 3) Investigations "}]
[null,null,null,"Receive and respond to reports and complaints of vector-borne diseases and investigate in accordance with the Health Hazard Response Protocol and the Health Protection and Promotion Act. Upon receipt of a complaint or identification of a potential health hazard, a response is initiated to determine the potential public health risk and take appropriate action as required based on the Ministry protocol. \n"]
[null,null,null,{"$f":"Structure!D1127 & \" \" & Structure!E1127","v":"i 4) Monitoring & Surveillance"}]
[null,null,null,"Conduct surveillance and analysis, including the monitoring of trends over time, emerging trends, and use the information obtained through assessment and surveillance to inform program development, and monitor case numbers of vector borne disease within the Middlesex-London Health Unit. The monitoring of vector borne diseases is achieved through active and passive vector borne disease sampling for mosquitoes and ticks to inform the vector control program.  \t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\nConduct surveillance and analysis, including the monitoring of trends over time, emerging trends, and use the information obtained through assessment and surveillance to inform program development, and monitor case numbers of vector borne disease within the Middlesex-London Health Unit. The monitoring of vector borne diseases is achieved through active and passive vector borne disease sampling for mosquitoes and ticks to inform the vector control program.  \t\t\t\t\t\t\t"]
[null,null,null,{"$f":"Structure!D1128 & \" \" & Structure!E1128","v":"i 5) Vector Control "}]
[null,null,null,"Controlling vector mosquito larvae is key to reducing the spread of WNV infection to the public. Utilizing an integrated pest management control strategy aims to manage vector mosquito populations while remaining economically and environmentally conscious. This comprehensive surveillance process includes the collection and identification of larval mosquito samples prior to performing larvicide treatments in catch basins and surface waters. Approximately 38,000 catch basins located in the city of London and Middlesex County are treated 3x by a hired service provider. 260 surface water sites are monitored and treated (when necessary) on a weekly basis by MLHU staff. "]
[null,null,null,{"$f":"Structure!D1129 & \" \" & Structure!E1129","v":"i 6) Case & Contact Management"}]
[null,null,null,"Case and contact management are specialized skills that public health staff use in an investigation of any Disease of Public Health Significance (DOPHS) that legislatively must be reported to the health unit. Case investigation is the identification of any person with suspect, confirmed, and probable diagnoses. The management of the case is variable depending on the type of pathogen that is reported. The investigation typically begins with a thorough interview to determine and identify close contacts (contact tracing) using a series of questions and data collecting methods so that information can be documented in a case and contact management tool. Contact investigation or contact tracing is the identification, monitoring and support of the individuals or contacts, who have been exposed to the case and possibly infected themselves. This process prevents further transmission of disease by separating people who have or may have an infectious disease from people who do not.\n"]
[null,null,null,{"$f":"Structure!D1130 & \" \" & Structure!E1130","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1131 & \" \" & Structure!E1131","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1132 & \" \" & Structure!E1132","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1133 & \" \" & Structure!E1133","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1134 & Structure!E1134","v":"P 3) Infectious Disease Control"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Infectious Disease Control (IDC) Program plays an important role in protecting the communities from infectious diseases. The program aims to quickly and effectively responds to disease episodes and help implement prevention and control measures across settings. Interventions conducted by IDC include conducting outbreak investigation and management, case and contact management, clinical support, institutional infection prevention and control, inspections, community infection prevention and control, FoodNet Canada, health promotion and communication, tier 2 intake, and surveillance, monitoring and reporting. \n\nTarget and priority population are the most vulnerable in our community i.e. under housed or homeless and people who inject drugs. Public Health inspectors inspect for infection prevention and control purposes every personal service settings and licensed child care settings in Middlesex London. Using a risk based approach each premise is inspected from 1 to 3 times annually.  Inspectors work with the owner/operator to ensure that regulations and infection control practices are met. Often this involves ongoing education.  IDC Team provides a phone line 24/7 and an online mailbox for members of the public to notify MLHU of any IPAC concern. A public health inspector and public health nurse are assigned to investigate all IPAC complaints outside of mandated settings. \n\nSurveillance monitoring demonstrated an increase number of diseases of public health significance in homeless, under housed and people who use drugs e.g. iGAS, Hepatitis A, TB. Shelter staff educated about early detection of infectious disease to prevent secondary cases. Each staff of the IDC assigned to investigate and monitor diseases of public health significance to limit secondary cases and reduce transmission. The team prioritize the education of health care providers to identify, diagnose, treat and report diseases of public health significance.\n"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of respiratory, enteric and other infectious disease of public health significance. \n\nIntermediate Outcomes:\n• Analyze and use local data to influence and inform the development of local healthy public policy and its programs and services for the prevention of infectious and communicable disease.  \n• Design program interventions to address the identified needs of the community, including priority populations, associated with respiratory, enteric and other infectious disease. (OPHS) \n• Timely and effective detection, identification, and management of exposures and local cases/outbreaks respiratory, enteric and other infectious disease of public health significance, including diseases of public health significance, their associated risk factors, and emerging trends.  \n• Effective case management results in limited secondary cases. \n• Reduced progression from latent tuberculosis infection (LTBI) to active tuberculosis (TB) disease. \n• Reduced development of acquired drug-resistance among active TB cases. \n• Effective and efficient management and mitigation of public health risks associated with infection prevention and control lapses.  \n• Increased awareness and use of infection prevention and control practices in settings that are required to be inspected. \n\nShort-Term Outcomes:\n• Conduct population health assessment and surveillance regarding respiratory, enteric and other infectious disease and their determinants (OPHS). \n• Communicate, in a timely and comprehensive manner, with all relevant health care providers and other partners about urgent and emerging respiratory, enteric and other infectious disease. \n• Provide timely public health management of cases, contacts, and outbreaks of tuberculosis to minimize the public health risk \n• Provide public education to increase awareness related to infection prevention and control measures, including respiratory etiquette, and hand hygiene  \n• Notify the public of a lapse according to the IPAC Disclosure protocol \n• Educate public about IPAC best practices.  \n• Raise awareness of the public of infection control requirements \n• Increase the knowledge of the public about infection prevention and control. \n• Work with community partners and service providers to determine and address the need for knowledge translation resources and supports in the area of infection prevention and control  \n• Educate stakeholders about IPAC best practices. \n• Increase the knowledge of Health Care Providers regarding mandatory reporting requirements and management of infectious diseases. \n• Work with appropriate partners to increase awareness among relevant community partners, including correctional facilities, health care, and other service providers, of Infection prevention and control practices and reporting requirements for diseases of public health significance.  \n• Receive reports of complaints regarding infection prevention and control practices and respond to and/or refer to appropriate regulatory bodies \n• Effective and efficient management and mitigation of public health risks associated with infection prevention and control lapses. \n• Inspect all required facilities to ensure compliance with the infectious disease protocol, and to educate owner/operators and staff of the inspected facilities on the infection control practices required in each of the specific service settings \n\n\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1135 & \" \" & Structure!E1135","v":"i 1) Outbreak Investigation & Management"}]
[null,null,null,"Outbreak Investigation and Management is a key intervention to identify the cause of outbreaks within a setting and to implement infection control measures to reduce the risk of ongoing transmission. An outbreak is an increase from the usual number of cases of disease or infection. Outbreaks are reported by facilities as soon as they're suspected or identified or alternatively, when the health unit has investigated cases that have exposures linked to a particular location, product, or setting. When the health unit declares the outbreak, outbreak control measures are implemented to stop any ongoing transmission of disease.\n"]
[null,null,null,{"$f":"Structure!D1136 & \" \" & Structure!E1136","v":"i 2) Case & Contact Management"}]
[null,null,null,"Case and contact management are specialized skills that public health staff use in an investigation of any Disease of Public Health Significance (DOPHS) that legislatively must be reported to the health unit. Case investigation is the identification of any person with suspect, confirmed, and probable diagnoses. The management of the case is variable depending on the type of pathogen that is reported. The investigation typically begins with a thorough interview to determine and identify close contacts (contact tracing) using a series of questions and data collecting methods so that information can be documented in a case and contact management tool. Contact investigation or contact tracing is the identification, monitoring and support of the individuals or contacts, who have been exposed to the case and possibly infected themselves. This process prevents further transmission of disease by separating people who have or may have an infectious disease from people who do not.\n"]
[null,null,null,{"$f":"Structure!D1137 & \" \" & Structure!E1137","v":"i 3) Clinical Support"}]
[null,null,null,"Due to the lack of community physicians’ available to provide the health care needs to individuals with latent, suspect or active tuberculosis (TB), the Middlesex-London Health Unit provides services through clinics run by the IDC team in partnership with a Respirologist. Currently, TB clinic routinely see the following clients: active TB cases with no specialist involved in care at time of diagnosis, immigrants who have been indicated for surveillance under the TB Immigration Surveillance (IMS) Program, contacts of cases with no family physician that are interested in LTBI treatment, Government Assisted refugees (GARs) with positive TB skin tests, GARs with negative TB skin tests and abnormal chest x-rays, referrals, and latent tuberculosis infection (LTBI) clients with no family physician that are interested in treatment.\n"]
[null,null,null,{"$f":"Structure!D1138 & \" \" & Structure!E1138","v":"i 4) Institutional Infection & Prevention Control"}]
[null,null,null,"The IDC program is responsible for supporting high-risk congregate settings long-term care and retirement homes, shelters and other congregate settings, to limit the spread of infectious diseases. Some of the activities associated with this intervention include;\n• provide education and training, supporting communities of practice,\n• learning and networking among IPAC leaders ,\n• support the development of IPAC programs,\n• policy and procedures within sites,\n• assessments and audits of IPAC programs and practice,\n• recommendations to strengthen IPAC programs and practices,\n• mentoring of IPAC service delivery within homes,\n• working with public health partners and congregate living settings to develop outbreak management plans, and\n• supporting the congregate living setting to implement IPAC recommendations."]
[null,null,null,{"$f":"Structure!D1139 & \" \" & Structure!E1139","v":"i 5) Inspections "}]
[null,null,null,"Compliance inspections at institutional food kitchens, personal service settings, and childcare centres are completed by Public Health Inspectors using risk assessment as per protocol. Re-inspection required when non-compliance or violations are found. The IDC team ensures that an updated list of premises are entered into Hedgehog, the data system for all public health inspections. All inspection results are posted on the MLHU website."]
[null,null,null,{"$f":"Structure!D1140 & \" \" & Structure!E1140","v":"i 6) IPAC Complaints & Investigations "}]
[null,null,null,"As per the Ministry of Health and Long-Term Care, Infection Prevention and Control Protocol, public health is expected to follow up on certain IPAC complaints related to high-risk settings e.g. personal service settings, dental and medical offices. In some circumstances notification of regulatory body is needed. Depending on the type of complaint or investigation consultation with Public Health Ontario is needed. Similar to inspections, IPAC lapses are disclosed on the health unit website as needed. Some complaints may also generate a case report and sharing of findings with clients."]
[null,null,null,{"$f":"Structure!D1141 & \" \" & Structure!E1141","v":"i 7) FoodNet Canada"}]
[null,null,null,"FoodNet Canada is an initiative of the Public Health Agency of Canada. It is a national integrated sentinel surveillance system that works across the farm-to-fork continuum to identify sources of enteric pathogens that contribute to illness among Canadians.\n\nEnhanced epidemiological and microbiological data is collected for human enteric disease cases reported through sentinel sites. MLHU is one of four sentinel sites in Canada. The FoodNet program focuses on four key components: retail, farm, water and human. MLHU is responsible for enhanced follow-up of cases of reportable enteric illnesses among Middlesex-London residents, purchase of retail food commodities and sampling of surface water along the Thames River to be tested for enteric pathogens."]
[null,null,null,{"$f":"Structure!D1142 & \" \" & Structure!E1142","v":"i 8) Health Promotion & Communications "}]
[null,null,null,"Proactive efforts are made to prevent the spread of infectious diseases. These efforts include Health Care Provider infectious disease articles for e-newsletter, Health Care Provider resources for office binder, and the review and update of paper and electronic resources on website. The program also identifies the intersection between the social determinants of health and the risks of infectious disease transmission associated with these determinants. During the COVID-19 pandemic, housing has been a significant factor in determining the amount of transmission of infectious disease. Public health has been able to provide recommendations to decision-makers regarding the need for adequate housing for individuals to isolate when infectious or potentially incubating an infectious disease.\n"]
[null,null,null,{"$f":"Structure!D1143 & \" \" & Structure!E1143","v":"i 9) Infectious Disease Control Intake"}]
[null,null,null,"Tier 2 intake is a service provided to the public calling or emailing about issues pertaining to infectious disease control. The IDC tier 2 intake deals with all pathogens except for COVID-19 and have a Public Health Nurse or Public Health Inspector assigned daily to triage calls from the community. The COVID-19 tier 2 intake responds to all inquiries regarding COVID-19 that can’t be resolved by tier 1 Client Service Representatives. The IDC tier 2 line operates Monday to Friday 8:30am to 4:30pm and the COVID-19 tier 2 lines from 9:00am to 8:00pm."]
[null,null,null,{"$f":"Structure!D1144 & \" \" & Structure!E1144","v":"i10) Surveillance, Monitoring & Reporting "}]
[null,null,null,"Daily and monthly surveillance reports summarize the diseases of public health significance in the Middlesex and London region. The surveillance reports inform the local program planning, prioritization and interventions. A daily outbreak report is generated and distributed to internal and external stakeholders e.g., LTC institutions and hospitals. During influenza season, from November to May, MLHU distributes a weekly a Community Influenza report to local stakeholders and is posted on the MLHU website. The Daily Surveillance Report (DSR) is prepared and distributed to key stakeholders to notify them about the current cases being monitored in our community. There is also a monthly Surveillance Report prepared by epidemiologist and reviewed by Manager and AMOH.COVID-19 has additional surveillance tools that support daily reporting on the MLHU Dashboard. Reporting through the dashboard is made possible through detailed case reporting from the case screening and investigations processes.\n"]
[null,null,null,{"$f":"Structure!D1145 & Structure!E1145","v":"P 4) Rabies and Zoonotic Disease"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The purpose of the program is to prevent the occurrence of rabies in Middlesex-London residents. The target population is the people living in Middlesex-London Region. The main interventions to prevent the rabies occurrence of rabies includes investigating human exposures to animals suspected of having rabies; confirming the rabies vaccination status of the animals (suspected of having rabies); ensuring individuals requiring treatment have access to rabies post exposure prophylaxis; liaising with Canada Food Inspection Agency for the testing of animals for rabies; organizing rabies awareness programs; sending reminders to stakeholders (healthcare providers, police department) to report related incidents.\n\nThe target population for the program is the entire population of Middlesex-London. People of all ages may come into contact with animals."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Reduce the burden of rabies and other zoonotic diseases in our community\n\nIntermediate Outcomes:\n• Use local data to develop programs and services for the prevention of rabies and other zoonotic diseases \n• Identify and address the needs of the community, including priority populations, associated with rabies and other zoonotic diseases\n• Increased reporting of all potential rabies exposure by community partners, and health care providers• •Increased reporting of all animal cases of avian chlamydiosis, avian influenza, novel influenza and Echinococcus multilocularis infection by veterinarians for appropriate follow up of human contacts of infected animals\n\nShort-Term Outcomes: \n• Improved risk communications to appropriate stakeholders on identified risks associated with rabies and other zoonotic diseases.\n• Timely receipt and responce to all reported cases of potential rabies exposures received from the public, community partners, and health care providers\n• Prevention and control of rabies threats is addressed as per a local Rabies Contingency Plan and in consultation with other relevant agencies and orders of government\n• Timely receipt and responce to all reported animal cases of avian chlamydiosis (infection of birds with the causative agent of psittacosis in humans), avian influenza, novel influenza, and Echinococcus multilocularis infection"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1146 & \" \" & Structure!E1146","v":"i 1) Enforcement"}]
[null,null,null,"To prevent, detect and manage potential rabies infections within the community through animal rabies surveillance and the management of human rabies exposures. Once clinical symptoms appear in humans, rabies is virtually 100% fatal. Address noncompliance with the HPPA and act with respect to rabies investigations according to the Ministry protocol and regulations using the enforcement tools available as per the Health Protection and Promotion Act (HPPA). "]
[null,null,null,{"$f":"Structure!D1147 & \" \" & Structure!E1147","v":"i 2) Health Promotion & Communication"}]
[null,null,null,"To prevent, detect, and manage potential rabies infections within the community through animal rabies surveillance and the management of human rabies exposures.  Work with community partners to increase awareness of the reporting requirements for diseases of public health significance, as specified in the Health Protection and Promotion Act and Regulation 557 – Communicable Disease.   Some of the communication modes used are MLHU website, verbal/written interactions and social media.   "]
[null,null,null,{"$f":"Structure!D1148 & \" \" & Structure!E1148","v":"i 3) Investigations"}]
[null,null,null,"Investigate all reported cases of potential rabies exposures received from the public, community partners, and health care providers in accordance with the Health Protection and Promotion Act; the Management of Potential Rabies Exposures Guideline, 2018; and the Rabies Prevention and Control Protocol, 2018.  Follow the investigation plan and implement next appropriate interventions as per Ministry Rabies Protocol.\n"]
[null,null,null,{"$f":"Structure!D1149 & \" \" & Structure!E1149","v":"i 4) Monitoring & Surveillance"}]
[null,null,null,"Conduct surveillance and analysis, including the monitoring of trends over time, emerging trends, and use the information obtained through assessment and surveillance to inform program development, and monitor case numbers of rabies positive animals within the Middlesex-London Health Unit.   "]
[null,null,null,{"$f":"Structure!D1150 & \" \" & Structure!E1150","v":"i 5) Vaccine Distribution"}]
[null,null,null,"Assess and respond to health care providers’ orders for Rabies Post Exposure Prophylaxis and Rabies Immunoglobulin so that vaccine quantities meet the demand based on the potential rabies exposures and attempt to minimize wastage at the storage locations.  To mitigate and prevent potential rabies infections through provision of immunoglobulin or post exposure prophylaxis. "]
[null,null,null,{"$f":"Structure!D1151 & \" \" & Structure!E1151","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1152 & \" \" & Structure!E1152","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1153 & \" \" & Structure!E1153","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1154 & \" \" & Structure!E1154","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1155 & \" \" & Structure!E1155","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1156 & Structure!E1156","v":"P 5) Sexually Transmitted and Blood-Borne Disease"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Sexually Transmitted and Blood-Borne Disease Program aims to prevent and control sexually transmitted and blood-borne infections (STBBIs) by completing STI follow-up and case management and contact tracing to ensure the appropriate treatment and education in provided and conducting population health assessment and surveillance regarding infectious and communicable diseases and their determinants.The Sexually Transmitted and Blood-Borne Disease (STBBD) Program is delivered through six intervenions:  Case and Contact Management, STI Clinic, Outreach, Health Promotion and Communications, Outreach Partnership, and Monitoring and Surveillance. In addition, the Comprehensive School Health Program addresses STBBI in the school setting with the Secondary School Team (SST) Screening, Clinical Assessment & Case Management intervention.\t\t\n\nTarget Populations include:\n• Young and young adults under the age of 30 years are a target population. The population for young adults under the age of 30 was chosen as a result population health data. The rates of chlamydia and gonorrhea reported in this age group are higher than any other age group.\n • The more specific target population that has been prioritized for chlamydia and gonorrhea is youth between the ages of 15-24 years of age due to the increased risk of STBBIs. (February 2023 sexual health campaign will target youth between the ages of 15-29 at risk for chlamydia and gonorrhea.)  \n • The more specific target population that has been prioritized for syphilis is males between the ages 25-35 years of age (Sexual Health Promotion Campaign in 2022 focused on targeting the population at risk for syphilis.)  "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of sexually transmitted and blood-borne disease of public health significance.\n\nIntermediate Outcomes:\n• The board of health is aware of and uses local data to influence and inform the development of local healthy public policy and its programs and services for the prevention of sexually transmitted and blood-borne infections . (OPHS)\n• Board of health programs and services are designed to address the identified needs of the community, including priority populations, associated with sexually transmitted and blood-borne infections. (OPHS)\nTimely and effective detection, identification, and management of exposures and local cases/outbreaks of sexually transmitted infections and blood-borne infections of public health significance, including their associated risk factors, and emerging trends. (OPHS)\n• Effective case management results in limited secondary cases. (OPHS)\n\nShort-Term Outcomes:\n• The board of health shall conduct population health assessment and surveillance regarding sexually transmitted infections and blood-borne infections and their determinants (OPHS).\n• Surveillance of internal database and iPHIS.\n• To document internally and in iPHIS.\n• The board of health shall communicate, in a timely and comprehensive manner, with all relevant health care providers and other partners about urgent and emerging sexually transmitted infections and blood-borne infections. (OPHS)\n• The board of health shall, based on local epidemiology, supplement provincial efforts in managing risk communications to appropriate stakeholders on identified risks associated with sexually transmitted infections and blood-borne infections of public health significance. (OPHS)\n• The board of health shall provide public health management of cases, contacts, to minimize the public health risk. (OPHS)\n• To successfully connect with contacts of clients with sexually transmitted infections and blood-borne infections.\n• To provide treatment and follow up information as required."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1157 & \" \" & Structure!E1157","v":"i 1) Case and Contact Management"}]
[null,null,null,"Contact and Case Management aims to prevent and control sexually transmitted and blood-borne infections (STIBBIs) completing follow-up and case management and contact tracing to ensure the appropriate treatment and education is provided. To prevent the spread of sexually transmitted infections, people with laboratory-confirmed sexually transmitted infections (chlamydia, gonorrhea, syphilis, HIV/AIDS, and Hepatitis B & C) are reported to the Health Unit.  A Public Health Nurse begins the follow-up process by contacting the client (if they were diagnosed at an MLHU Clinic), or by contacting the ordering health care provider (if the client was tested elsewhere). The nurse will ensure the client has been counselled and treated, and ask for contact information for the clients’ sexual contacts and/or encourage the client to notify their own contacts. Case contacts are encouraged to be tested and treated either at an MLHU STI clinic or at another health care provider.  Information on the client and their contacts are entered into the MOHLTC’s electronic Integrated Public Health Information System (iPHIS) database. Ministry funded STI medication is available for HCP's to treat their client's and contacts.  \n"]
[null,null,null,{"$f":"Structure!D1158 & \" \" & Structure!E1158","v":"i 2) STI Clinic"}]
[null,null,null,"The Sexually Transmitted Infection Clinic operates Monday and Wednesday evenings and Friday mornings with appointments (some drop-ins accepted), no health card, free counselling, testing, treatment for clients of any age.  The clinic provides access for sexual health services to priority populations to ensure testing and treatment is available to reduce the burden and transmission of STI’s and BBI’s. \n"]
[null,null,null,{"$f":"Structure!D1159 & \" \" & Structure!E1159","v":"i 3) Outreach Team and Partnerships"}]
[null,null,null,"The Outreach team works collaboratively with community partners to support clients who are HIV positive and considered difficult/vulnerable to reach in community-based environments. The team provides information, education, referrals, and supplies applying a harm reduction approach to treatment. The goal is to support clients in minimizing their risk of transmission via TaP (treatment as prevention) as an evidence-based approach. The community partnership provides opportunity to enhance services, identify those who have the greatest need and provide wrap-around care, with each partner working in their area of expertise. This partnership ensures that the client’s needs are met, regardless of their socio-economic status, the co-morbidities they experience or the social determinants of health that influence the client's well-being."]
[null,null,null,{"$f":"Structure!D1160 & \" \" & Structure!E1160","v":"i 4) Health Promotion and Communications"}]
[null,null,null,"The Sexual Health Team develops social media and mass media campaigns, educational materials, and presentations to promote various sexual health messages.  These messages are in response to surveillance data that includes increased rates of STIBBI’s.  The messages will target the population most impacted by the STIBBI’s or have increased risk factors.  The SH team will use various behaviour theories and research current trends to target the priority population.  Messages will focus promoting Sexual Health Clinic services such as free testing and treatment, free condoms, and sexually transmitted infections signs and symptoms. "]
[null,null,null,{"$f":"Structure!D1161 & \" \" & Structure!E1161","v":"i 5) Monitoring and Surveillance"}]
[null,null,null,"Conducting population health assessment and surveillance to monitor and evaluate disease trends, rates and testing patterns as well as identify risk factors and populations at-risk to inform program development and health promotion campaigns regarding communicable diseases and other infectious diseases of public health significance.                                                                                   "]
[null,null,null,{"$f":"Structure!D1162 & \" \" & Structure!E1162","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1163 & \" \" & Structure!E1163","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1164 & \" \" & Structure!E1164","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1165 & \" \" & Structure!E1165","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1166 & \" \" & Structure!E1166","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1167 & Structure!E1167","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1168 & \" \" & Structure!E1168","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1169 & \" \" & Structure!E1169","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1170 & \" \" & Structure!E1170","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1171 & \" \" & Structure!E1171","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1172 & \" \" & Structure!E1172","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1173 & \" \" & Structure!E1173","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1174 & \" \" & Structure!E1174","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1175 & \" \" & Structure!E1175","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1176 & \" \" & Structure!E1176","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1177 & \" \" & Structure!E1177","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1178 & Structure!E1178","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1179 & \" \" & Structure!E1179","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1180 & \" \" & Structure!E1180","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1181 & \" \" & Structure!E1181","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1182 & \" \" & Structure!E1182","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1183 & \" \" & Structure!E1183","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1184 & \" \" & Structure!E1184","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1185 & \" \" & Structure!E1185","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1186 & \" \" & Structure!E1186","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1187 & \" \" & Structure!E1187","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1188 & \" \" & Structure!E1188","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1189 & Structure!E1189","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1190 & \" \" & Structure!E1190","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1191 & \" \" & Structure!E1191","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1192 & \" \" & Structure!E1192","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1193 & \" \" & Structure!E1193","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1194 & \" \" & Structure!E1194","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1195 & \" \" & Structure!E1195","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1196 & \" \" & Structure!E1196","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1197 & \" \" & Structure!E1197","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1198 & \" \" & Structure!E1198","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1199 & \" \" & Structure!E1199","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1200 & Structure!E1200","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1201 & \" \" & Structure!E1201","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1202 & \" \" & Structure!E1202","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1203 & \" \" & Structure!E1203","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1204 & \" \" & Structure!E1204","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1205 & \" \" & Structure!E1205","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1206 & \" \" & Structure!E1206","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1207 & \" \" & Structure!E1207","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1208 & \" \" & Structure!E1208","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1209 & \" \" & Structure!E1209","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1210 & \" \" & Structure!E1210","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1211 & Structure!E1211","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1212 & \" \" & Structure!E1212","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1213 & \" \" & Structure!E1213","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1214 & \" \" & Structure!E1214","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1215 & \" \" & Structure!E1215","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1216 & \" \" & Structure!E1216","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1217 & \" \" & Structure!E1217","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1218 & \" \" & Structure!E1218","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1219 & \" \" & Structure!E1219","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1220 & \" \" & Structure!E1220","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1221 & \" \" & Structure!E1221","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1222 & Structure!E1222","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1223 & \" \" & Structure!E1223","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1224 & \" \" & Structure!E1224","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1225 & \" \" & Structure!E1225","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1226 & \" \" & Structure!E1226","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1227 & \" \" & Structure!E1227","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1228 & \" \" & Structure!E1228","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1229 & \" \" & Structure!E1229","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1230 & \" \" & Structure!E1230","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1231 & \" \" & Structure!E1231","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1232 & \" \" & Structure!E1232","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1233 & Structure!E1233","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1234 & \" \" & Structure!E1234","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1235 & \" \" & Structure!E1235","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1236 & \" \" & Structure!E1236","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1237 & \" \" & Structure!E1237","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1238 & \" \" & Structure!E1238","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1239 & \" \" & Structure!E1239","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1240 & \" \" & Structure!E1240","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1241 & \" \" & Structure!E1241","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1242 & \" \" & Structure!E1242","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1243 & \" \" & Structure!E1243","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1244 & Structure!E1244","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1245 & \" \" & Structure!E1245","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1246 & \" \" & Structure!E1246","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1247 & \" \" & Structure!E1247","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1248 & \" \" & Structure!E1248","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1249 & \" \" & Structure!E1249","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1250 & \" \" & Structure!E1250","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1251 & \" \" & Structure!E1251","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1252 & \" \" & Structure!E1252","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1253 & \" \" & Structure!E1253","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1254 & \" \" & Structure!E1254","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1255 & Structure!E1255","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1256 & \" \" & Structure!E1256","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1257 & \" \" & Structure!E1257","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1258 & \" \" & Structure!E1258","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1259 & \" \" & Structure!E1259","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1260 & \" \" & Structure!E1260","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1261 & \" \" & Structure!E1261","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1262 & \" \" & Structure!E1262","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1263 & \" \" & Structure!E1263","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1264 & \" \" & Structure!E1264","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1265 & \" \" & Structure!E1265","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1266 & Structure!E1266","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1267 & \" \" & Structure!E1267","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1268 & \" \" & Structure!E1268","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1269 & \" \" & Structure!E1269","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1270 & \" \" & Structure!E1270","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1271 & \" \" & Structure!E1271","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1272 & \" \" & Structure!E1272","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1273 & \" \" & Structure!E1273","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1274 & \" \" & Structure!E1274","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1275 & \" \" & Structure!E1275","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1276 & \" \" & Structure!E1276","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1277 & Structure!E1277","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1278 & \" \" & Structure!E1278","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1279 & \" \" & Structure!E1279","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1280 & \" \" & Structure!E1280","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1281 & \" \" & Structure!E1281","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1282 & \" \" & Structure!E1282","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1283 & \" \" & Structure!E1283","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1284 & \" \" & Structure!E1284","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1285 & \" \" & Structure!E1285","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1286 & \" \" & Structure!E1286","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1287 & \" \" & Structure!E1287","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1288 & Structure!E1288","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1289 & \" \" & Structure!E1289","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1290 & \" \" & Structure!E1290","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1291 & \" \" & Structure!E1291","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1292 & \" \" & Structure!E1292","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1293 & \" \" & Structure!E1293","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1294 & \" \" & Structure!E1294","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1295 & \" \" & Structure!E1295","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1296 & \" \" & Structure!E1296","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1297 & \" \" & Structure!E1297","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1298 & \" \" & Structure!E1298","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1299 & Structure!E1299","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1300 & \" \" & Structure!E1300","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1301 & \" \" & Structure!E1301","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1302 & \" \" & Structure!E1302","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1303 & \" \" & Structure!E1303","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1304 & \" \" & Structure!E1304","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1305 & \" \" & Structure!E1305","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1306 & \" \" & Structure!E1306","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1307 & \" \" & Structure!E1307","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1308 & \" \" & Structure!E1308","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1309 & \" \" & Structure!E1309","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1310 & Structure!E1310","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1311 & \" \" & Structure!E1311","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1312 & \" \" & Structure!E1312","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1313 & \" \" & Structure!E1313","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1314 & \" \" & Structure!E1314","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1315 & \" \" & Structure!E1315","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1316 & \" \" & Structure!E1316","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1317 & \" \" & Structure!E1317","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1318 & \" \" & Structure!E1318","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1319 & \" \" & Structure!E1319","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1320 & \" \" & Structure!E1320","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1321 & Structure!E1321","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1322 & \" \" & Structure!E1322","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1323 & \" \" & Structure!E1323","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1324 & \" \" & Structure!E1324","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1325 & \" \" & Structure!E1325","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1326 & \" \" & Structure!E1326","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1327 & \" \" & Structure!E1327","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1328 & \" \" & Structure!E1328","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1329 & \" \" & Structure!E1329","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1330 & \" \" & Structure!E1330","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1331 & \" \" & Structure!E1331","v":"i10) "}]

{"sheet":"Safe Water","index":13,"n_rows":532,"n_cols":4,"rows_kept":532,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Safe Water"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address safe water."]
[null,null,null,"Drinking Water Program\nHistorical data shows that there have been over 100 AWQIs every year and public health interventions support/guide the operators in taking necessary steps to remediate those incidents. Adverse Water Quality Incidents continue to occur in SDWSs. Public health intervention is needed to guide the owners and operators of SDWSs and ensure the provision of safe drinking water. Local Priorities for the Drinking Water Program include:\n• In the councillor survey for the Middlesex County Report, 100% of respondents indicated that it is important for MLHU to focus on safe water.\n• Key informants noted that the well water drop-off sites are a valuable service to Middlesex residents.\n• Municipal lead testing continues to be a priority for municipal staff and residents within the City of London. Supportive documentation and educational materials will be distributed to affected property owners, public inquiries, and partner agencies.\n\nRecreational Water Program\nAlthough recreational water facilities are being used by the general public, susceptible populations such as children and elderly regularly use these facilities. \nA recreational water facility that is not properly operated or maintained results in unnecessary risks for bathers, including the potential exposure to water-borne illnesses and life-threatening injuries.\n"]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses safe water."]
[null,null,null,"The programs and interventions that have been articulated in this Standard reflect the local priorities to address associated risk and protective factors. The MLHU conducts surveillance and analysis, including the monitoring of trends over time, emerging trends, and use the information obtained through assessment and surveillance to inform program development, including reports of adverse drinking water systems, governed under the Health Protection and Promotion Act or the Safe Drinking Water Act, 2002. Perform ongoing compliance monitoring of small drinking water systems using the most current version of the Laboratory Results Management Application (LRMA) and watch for any potential increased risk to the users of the water supply."]
[null,null,null,"c) Your boards of health's approach to disclosure of inspection results (onsite posting and website posting) and evaluation of the program."]
[null,null,null,"The MLHU Safe Water program discloses inspection results for all small drinking water facilities, recreational water facilities, public beaches, and all enforcement activities on the organizations website. The disclosure system received ongoing evaluations."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Drinking Water Program\nThe Drinking Water Program is managed by the Safe Water, Rabies and Vector-Borne Disease Team. The Oral Health Team  receives reports from the municipal water system operators and monitors fluoride levels. In case of an AWQI relative to Fluoride levels, the Safe Water, Rabies and Vector-Borne Disease team collaborates with the Oral Health team to issue an advisory.  Ministry of Health and Long-Term Care, Public Health Ontario, Ministry of the Environment, Conservation and Parks, City of London, Middlesex County, City of London Library, Middlesex County Library, Township of Adelaide Metcalfe, Township of Lucan Biddulph, Municipality of Middlesex Centre, Municipality of North Middlesex, Municipality of Southwest Middlesex, Municipality of Strathroy-Caradoc, Municipality of Thames Centre, Village of Newbury\n"]
[null,null,null,"Recreational Water Program\nThe Recreational Water Program is managed by the Safe Water, Rabies and Vector-Borne Disease Team. \nExternal Partners: Ministry of Health and Long-Term Care, Public Health Ontario, City of London, Middlesex County, Recreational Water Facility owners/operators "]
[null,null,null,{"$f":"Structure!D1333 & Structure!E1333","v":"P 1) Drinking Water Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"Drinking Water Program aims to prevent/reduce the burden of water-borne illness related to drinking water in Middlesex-London. The target population is the people living in Middlesex-London. Key interventions of the Drinking Water Program include risk assessment of Smal Drinking Water Systems (SDWS), the regular monitoring of test results associated with SDWSs, responding to Adverse Water Quality Incidents (AWQI) in SDWSs and large regulated municipal drinking water systems; issuing Drinking/Boil Water Advisories when needed; providing resources (test kits and information) and guidance to private well owners; and shipping private well water samples to the Regional Public Health Laboratory for testing. The Drinking Water program serves three different population groups: General public, private well water owners and users, and children in child care centres and schools. \nRural community residents often face a variety of access barriers to services. The MLHU has been working closely with the stakeholders in rural areas to reduce the barriers for rural residents. The MLHU’s enhanced private well water program stemmed from the need to enhance services in Middlesex County. Although SDWSs are located in rural parts of Middlesex-London, with the consideration of the transient populations using drinking water from these systems, there is a significant portion of the public that has access to drinking water provided by SDWSs. \n\nChildren in child care centres and schools are among the susceptible populations and unsafe drinking water would affect their health significantly. "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Prevent or reduce the burden of water-borne illnesses related to drinking water\n\nIntermediate Outcomes:\n• Use of  local data to develop services related to safe drinking water.\n•  Prompt identification and addressing the needs of the community including priority populations, associated with safe water.\n•  Timely response to drinking water contaminants and illnesses, their associated risk factors, and emerging trends, including levels of fluoride outside the recommended range.\n• Mitigate water borne illness risks related to unsafe drinking water\n• Increased awareness among members of the public who use private drinking water system to safely manage private drinking water systems\n• The public is aware of drinking water safety, including the potential risk of illnesses related to unsafe drinking water\n• Timely use of the local data for developing the SDWS program.\n•  Identify the needs of the SDWS owners/operators and users to safely operate these systems  \n•  Owners/operators of small drinking water systems operate in a safe and sanitary manner\n•  Public awareness of drinking water safety, including the potential risk of illnesses related to unsafe drinking water from SDWSs\n\nShort-Term Outcomes:\n•  Surveillance of adverse water quality\n•  Surveillance of fluoride levels.\n•  Timely response to adverse water quality incidents within 24 hours\n•  Increase testing of private well water in Middlesex-London region \n•  Risk assessments of Small Drinking Water Systems (SDWS)\n•  Regular monitoring of test results of SDWS\n•  Timely response to adverse water quality incidents in SDWS\n•  Availability of education and training for owners/operators of small drinking water systems"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1334 & \" \" & Structure!E1334","v":"i 1) Enforcement"}]
[null,null,null,"Address non-compliance with the HPPA, related regulations, and Reg. 319/08: Small Drinking Water Systems and act when water that is intended for human consumption may not be safe. In the event of an adverse test result (including but not limited to exceedances of an Ontario Drinking Water Quality Standard in the Ontario Drinking Water Quality Standard Regulation, under the Safe Drinking Water Act, 2002), the respective process for responding to adverse drinking water results is followed. "]
[null,null,null,{"$f":"Structure!D1335 & \" \" & Structure!E1335","v":"i 2) Health Promotion & Communication"}]
[null,null,null,"Using a comprehensive health promotion and communication approach that addresses risks associated with drinking water and protective factors to reduce the burden of illness, including the provision of information to respond appropriately. Communication strategies to inform the general public are health unit website and social media. Support those on well water by providing kits for water testing along with educational material/fact sheets. Provide education and training for owners/operators of small drinking water systems in accordance with the  Safe Drinking Water and Fluoride Monitoring Protocol, 2018; and the Small Drinking Water Systems Risk Assessment Guideline, 2018.  "]
[null,null,null,{"$f":"Structure!D1336 & \" \" & Structure!E1336","v":"i 3) Monitoring & Surveillance"}]
[null,null,null,"Conduct surveillance and analysis, including the monitoring of trends over time, emerging trends, and use the information obtained through assessment and surveillance to inform program development, including reports of adverse drinking water systems, governed under the Health Protection and Promotion Act or the Safe Drinking Water Act, 2002. Perform ongoing compliance monitoring of small drinking water systems using the most current version of the Laboratory Results Management Application (LRMA) and watch for any potential increased risk to the users of the water supply. "]
[null,null,null,{"$f":"Structure!D1337 & \" \" & Structure!E1337","v":"i 4) Investigations"}]
[null,null,null,"Receive and investigate reports of adverse events, report of illness or death, outbreaks, related to drinking water, such as reports of adverse drinking water systems, governed under the Health Protection and Promotion Act, the Safe Drinking Water Act, 2002, or the Regulation 319, to prevent or reduce the burden of water-borne illnesses related to drinking water. The Safe Water Team responds to notifications, complaints, and reports related to SDWS within 24 hours of notification of the report to determine the appropriate response."]
[null,null,null,{"$f":"Structure!D1338 & \" \" & Structure!E1338","v":"i 5) Public Health Assessment & Monitoring"}]
[null,null,null,"Oral health trends and risk factors within the community are monitored and reported in the Annual Oral Health Report. As required, programs and services are adjusted in response to observed trends to ensure interventions are always evidence-informed.\nThe Oral Health Manager monitors fluoride levels in community water systems as per the Safe Drinking Water and Fluoride Monitoring Protocol (2018). The Oral Health Manager will consult with the Medical officer of health should fluoride levels be outside of the therapeutic range for more than 90 days to ensure appropriate action is taken. "]
[null,null,null,{"$f":"Structure!D1339 & \" \" & Structure!E1339","v":"i 6) Inspections"}]
[null,null,null,"Inspections of Small Drinking Water Systems to prevent and reduce the burden of water-borne illnesses related to drinking water. Small Drinking Water System inspections include the development and issuance of directives to owners of SDWS in accordance with section 7 of the SDWS Regulation, outline required specifications of the drinking water system to reduce the risk of water-borne illness. Using site-specific requirements outlined in the directives are in addition to the minimum requirements specified in the SDWS Regulation under the HPPA. Risk assessments using Ministry-approved risk categorizations are utilized to assign risk to the SDWS and determine the frequency of subsequent inspections and risk assessments. "]
[null,null,null,{"$f":"Structure!D1340 & \" \" & Structure!E1340","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1341 & \" \" & Structure!E1341","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1342 & \" \" & Structure!E1342","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1343 & \" \" & Structure!E1343","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1344 & Structure!E1344","v":"P 2) Recreational Water Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Recreational Water Program aims to prevent/reduce the burden of water-borne illness and injury related to recreational water use in Middlesex-London.\n\nThe target population is the people living in Middlesex-London. The main program interventions include inspection of public pools, inspection of public spas, inspection of wading pools, splash pads and receiving basins, education sessions for public pool and spa operators, and complaint investigations related to recreational water facilities. The target population for the Recreational Water Program is the people living in Middlesex-London.\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• Prevent or reduce the burden of water-borne illnesses and injuries related to recreational water use.\n\nIntermediate Outcome\n•  Increase use of data to influence and inform the development of its services\n•  Prompt identification and addressing the identified needs of the community, including priority populations\n• Water-borne illness and injuries related to recreational water use are mitigated \n•  Safe and Sanitary operation of recreational water facilities\n•  Increase awareness of potential risk of illnesses and injuries related to recreational water   facilities and public beach use\n• Reduce public exposure to recreational water-related illnesses and injuriesmes:\n\nShort-Term Outcomes:\n• Routine inspections of public pools and public spas, wading pools/splash pads and other public recreational water facilities\n•  Availability of education and training for owners/operators of recreational water facilities\n• Routine environmental assessment and monitoring of public beaches in Middlesex London"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1345 & \" \" & Structure!E1345","v":"i 1) Enforcement"}]
[null,null,null,"Address noncompliance with the Health Protection and Promotion Act (HPPA) and applicable regulations. Taking required action with respect to recreational water use at public recreational water facilities and public beaches/recreational camp waterfront areas, where a health hazard exists or may exist during recreational water use. "]
[null,null,null,{"$f":"Structure!D1346 & \" \" & Structure!E1346","v":"i 2) Health Promotion & Communications"}]
[null,null,null,"Address noncompliance with the Health Protection and Promotion Act (HPPA) and applicable regulations. Taking required action with respect to recreational water use at public recreational water facilities and public beaches/recreational camp waterfront areas, where a health hazard exists or may exist during recreational water use. "]
[null,null,null,{"$f":"Structure!D1347 & \" \" & Structure!E1347","v":"i 3) Inspections"}]
[null,null,null,"Inspections of public recreational water facilities to assist in the prevention and reduction of water-borne illness and injury related to recreational water use. Facility inspections include observations to determine compliance with applicable facility and water safety regulations under the HPPA. This include the review of test logs and response procedures; testing water quality parameters and collection of water samples, as applicable and as deemed necessary.  and communication of inspection results and, if applicable, requirements to the owner or operator of the recreational water facility. Inspections of recreational water facilities include public pools, whirlpools and spas, splash pads, spray pads, wading pools, beaches, and water slide receiving basins. "]
[null,null,null,{"$f":"Structure!D1348 & \" \" & Structure!E1348","v":"i 4) Investigations"}]
[null,null,null,"Receive and respond to reports of water-related emergencies, reports of injury, illness or death, outbreaks and incidents related to recreational water use. The Safe Water Team responds to reports related to recreational water use at public recreational water facilities and public beaches/recreational camp waterfront areas, within 24 hours of notification of the report to determine the appropriate response. \n"]
[null,null,null,{"$f":"Structure!D1349 & \" \" & Structure!E1349","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1350 & \" \" & Structure!E1350","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1351 & \" \" & Structure!E1351","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1352 & \" \" & Structure!E1352","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1353 & \" \" & Structure!E1353","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1354 & \" \" & Structure!E1354","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1355 & Structure!E1355","v":"P 3) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1356 & \" \" & Structure!E1356","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1357 & \" \" & Structure!E1357","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1358 & \" \" & Structure!E1358","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1359 & \" \" & Structure!E1359","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1360 & \" \" & Structure!E1360","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1361 & \" \" & Structure!E1361","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1362 & \" \" & Structure!E1362","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1363 & \" \" & Structure!E1363","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1364 & \" \" & Structure!E1364","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1365 & \" \" & Structure!E1365","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1366 & Structure!E1366","v":"P 4) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1367 & \" \" & Structure!E1367","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1368 & \" \" & Structure!E1368","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1369 & \" \" & Structure!E1369","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1370 & \" \" & Structure!E1370","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1371 & \" \" & Structure!E1371","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1372 & \" \" & Structure!E1372","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1373 & \" \" & Structure!E1373","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1374 & \" \" & Structure!E1374","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1375 & \" \" & Structure!E1375","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1376 & \" \" & Structure!E1376","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1377 & Structure!E1377","v":"P 5) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1378 & \" \" & Structure!E1378","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1379 & \" \" & Structure!E1379","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1380 & \" \" & Structure!E1380","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1381 & \" \" & Structure!E1381","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1382 & \" \" & Structure!E1382","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1383 & \" \" & Structure!E1383","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1384 & \" \" & Structure!E1384","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1385 & \" \" & Structure!E1385","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1386 & \" \" & Structure!E1386","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1387 & \" \" & Structure!E1387","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1388 & Structure!E1388","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1389 & \" \" & Structure!E1389","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1390 & \" \" & Structure!E1390","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1391 & \" \" & Structure!E1391","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1392 & \" \" & Structure!E1392","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1393 & \" \" & Structure!E1393","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1394 & \" \" & Structure!E1394","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1395 & \" \" & Structure!E1395","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1396 & \" \" & Structure!E1396","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1397 & \" \" & Structure!E1397","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1398 & \" \" & Structure!E1398","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1399 & Structure!E1399","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1400 & \" \" & Structure!E1400","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1401 & \" \" & Structure!E1401","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1402 & \" \" & Structure!E1402","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1403 & \" \" & Structure!E1403","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1404 & \" \" & Structure!E1404","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1405 & \" \" & Structure!E1405","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1406 & \" \" & Structure!E1406","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1407 & \" \" & Structure!E1407","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1408 & \" \" & Structure!E1408","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1409 & \" \" & Structure!E1409","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1410 & Structure!E1410","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1411 & \" \" & Structure!E1411","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1412 & \" \" & Structure!E1412","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1413 & \" \" & Structure!E1413","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1414 & \" \" & Structure!E1414","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1415 & \" \" & Structure!E1415","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1416 & \" \" & Structure!E1416","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1417 & \" \" & Structure!E1417","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1418 & \" \" & Structure!E1418","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1419 & \" \" & Structure!E1419","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1420 & \" \" & Structure!E1420","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1421 & Structure!E1421","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1422 & \" \" & Structure!E1422","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1423 & \" \" & Structure!E1423","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1424 & \" \" & Structure!E1424","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1425 & \" \" & Structure!E1425","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1426 & \" \" & Structure!E1426","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1427 & \" \" & Structure!E1427","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1428 & \" \" & Structure!E1428","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1429 & \" \" & Structure!E1429","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1430 & \" \" & Structure!E1430","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1431 & \" \" & Structure!E1431","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1432 & Structure!E1432","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1433 & \" \" & Structure!E1433","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1434 & \" \" & Structure!E1434","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1435 & \" \" & Structure!E1435","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1436 & \" \" & Structure!E1436","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1437 & \" \" & Structure!E1437","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1438 & \" \" & Structure!E1438","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1439 & \" \" & Structure!E1439","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1440 & \" \" & Structure!E1440","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1441 & \" \" & Structure!E1441","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1442 & \" \" & Structure!E1442","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1443 & Structure!E1443","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1444 & \" \" & Structure!E1444","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1445 & \" \" & Structure!E1445","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1446 & \" \" & Structure!E1446","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1447 & \" \" & Structure!E1447","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1448 & \" \" & Structure!E1448","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1449 & \" \" & Structure!E1449","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1450 & \" \" & Structure!E1450","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1451 & \" \" & Structure!E1451","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1452 & \" \" & Structure!E1452","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1453 & \" \" & Structure!E1453","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1454 & Structure!E1454","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1455 & \" \" & Structure!E1455","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1456 & \" \" & Structure!E1456","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1457 & \" \" & Structure!E1457","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1458 & \" \" & Structure!E1458","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1459 & \" \" & Structure!E1459","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1460 & \" \" & Structure!E1460","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1461 & \" \" & Structure!E1461","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1462 & \" \" & Structure!E1462","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1463 & \" \" & Structure!E1463","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1464 & \" \" & Structure!E1464","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1465 & Structure!E1465","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1466 & \" \" & Structure!E1466","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1467 & \" \" & Structure!E1467","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1468 & \" \" & Structure!E1468","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1469 & \" \" & Structure!E1469","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1470 & \" \" & Structure!E1470","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1471 & \" \" & Structure!E1471","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1472 & \" \" & Structure!E1472","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1473 & \" \" & Structure!E1473","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1474 & \" \" & Structure!E1474","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1475 & \" \" & Structure!E1475","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1476 & Structure!E1476","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1477 & \" \" & Structure!E1477","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1478 & \" \" & Structure!E1478","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1479 & \" \" & Structure!E1479","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1480 & \" \" & Structure!E1480","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1481 & \" \" & Structure!E1481","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1482 & \" \" & Structure!E1482","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1483 & \" \" & Structure!E1483","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1484 & \" \" & Structure!E1484","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1485 & \" \" & Structure!E1485","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1486 & \" \" & Structure!E1486","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1487 & Structure!E1487","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1488 & \" \" & Structure!E1488","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1489 & \" \" & Structure!E1489","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1490 & \" \" & Structure!E1490","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1491 & \" \" & Structure!E1491","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1492 & \" \" & Structure!E1492","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1493 & \" \" & Structure!E1493","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1494 & \" \" & Structure!E1494","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1495 & \" \" & Structure!E1495","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1496 & \" \" & Structure!E1496","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1497 & \" \" & Structure!E1497","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1498 & Structure!E1498","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1499 & \" \" & Structure!E1499","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1500 & \" \" & Structure!E1500","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1501 & \" \" & Structure!E1501","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1502 & \" \" & Structure!E1502","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1503 & \" \" & Structure!E1503","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1504 & \" \" & Structure!E1504","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1505 & \" \" & Structure!E1505","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1506 & \" \" & Structure!E1506","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1507 & \" \" & Structure!E1507","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1508 & \" \" & Structure!E1508","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1509 & Structure!E1509","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1510 & \" \" & Structure!E1510","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1511 & \" \" & Structure!E1511","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1512 & \" \" & Structure!E1512","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1513 & \" \" & Structure!E1513","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1514 & \" \" & Structure!E1514","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1515 & \" \" & Structure!E1515","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1516 & \" \" & Structure!E1516","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1517 & \" \" & Structure!E1517","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1518 & \" \" & Structure!E1518","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1519 & \" \" & Structure!E1519","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1520 & Structure!E1520","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1521 & \" \" & Structure!E1521","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1522 & \" \" & Structure!E1522","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1523 & \" \" & Structure!E1523","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1524 & \" \" & Structure!E1524","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1525 & \" \" & Structure!E1525","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1526 & \" \" & Structure!E1526","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1527 & \" \" & Structure!E1527","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1528 & \" \" & Structure!E1528","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1529 & \" \" & Structure!E1529","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1530 & \" \" & Structure!E1530","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1531 & Structure!E1531","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1532 & \" \" & Structure!E1532","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1533 & \" \" & Structure!E1533","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1534 & \" \" & Structure!E1534","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1535 & \" \" & Structure!E1535","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1536 & \" \" & Structure!E1536","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1537 & \" \" & Structure!E1537","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1538 & \" \" & Structure!E1538","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1539 & \" \" & Structure!E1539","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1540 & \" \" & Structure!E1540","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1541 & \" \" & Structure!E1541","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1542 & Structure!E1542","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1543 & \" \" & Structure!E1543","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1544 & \" \" & Structure!E1544","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1545 & \" \" & Structure!E1545","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1546 & \" \" & Structure!E1546","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1547 & \" \" & Structure!E1547","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1548 & \" \" & Structure!E1548","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1549 & \" \" & Structure!E1549","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1550 & \" \" & Structure!E1550","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1551 & \" \" & Structure!E1551","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1552 & \" \" & Structure!E1552","v":"i10) "}]

{"sheet":"School Health","index":14,"n_rows":2682,"n_cols":4,"rows_kept":2682,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"School Health"]
[null,null,null,"School Health - Oral Health"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address oral health."]
[null,null,null,"Healthy Smiles Ontario Program\n• During the 2021-2022 school year, 1700 (12.5%) students were found to have urgent dental needs and 5010 (36.9%) students would benefit from preventive services (dental cleaning, dental sealants, fluoride application). 27 (20.5%) of elementary schools were classified as medium intensity and 18 (13.65%) elementary schools were classified as high intensity.\n\nOral Health Assessment and Surveillance\n• During the 2021-2022 school year, 1700 (12.5%) students were found to have urgent dental needs and 5010 (36.9%) students would benefit from preventive services (dental cleaning, dental sealants, fluoride application). 27 (20.5%) of elementary schools were classified as medium intensity and 18 (13.65%) elementary schools were classified as high intensity."]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses oral health."]
[null,null,null,"The programs and interventions that have been articulated in this Standard reflect the local priorities to address the risk and protective factors associated with this Standard."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Healthy Smiles Ontario (HSO)Program\nThe program is managed by the Oral Health Team in collaboration with the Elementary School Team to conduct work in elementary schools. \n\nExternal partners include:\n• Thames Valley District School Board, London District Catholic School Board, Conseil Scolaire Catholique Providence, and Conseil Scolaire Viamonde: These school boards work with the Oral Health Team to schedule school screening, provide student information when required and problem solve any hurdles in conducting school screening. \n• The Children's Aid Society of London & Middlesex (CAS): MLHU works closely with CAS to educate about the HSO program, ensure caseworkers understand the importance of dental screenings and assist case workers in helping familes find Dentists.\n• The University of Western Ontario, Schulich School of Medicine and Dentistry: MLHU staff refer children with Healthy Smiles Ontario (HSO) coverage who are struggling to find a provider to the anesthesiology unit and Western University's Children's Dental Clinic. Dental Students plan to shadow Hygienists during school screening as a way to enhance their learning."]
[null,null,null,"Oral Health Assessment and Surveillance\nThe program is managed by the Oral Health Team who collaborates with the Elementary School Team to conduct work in elementary schools.  \n\nExternal partners include:\n• Thames Valley District School Board, London District Catholic School Board, Conseil scolaire catholique Providence, and Conseil scolaire Viamonde: These school boards work with the Oral Health Team to schedule school screening, provide student information when required and problem solve any hurdles in conducting school screening. \n• Southwestern Public Health (SWPH): MLHU works in close partnership with SWPH as we share most school boards and so we ensure our practices, and doucmentation we share with the board is the same. We also have regular meetings with the school boards together in conjunction with our Elementary School Team. "]
[null,null,null,{"$f":"Structure!D1554 & Structure!E1554","v":"P 1) Healthy Smiles Ontario Program"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"Publicly-funded elementary schools, some private schools and schools located in neighbouring Indigenous Nations participate in the school-based dental screening program. Students in JK, SK, Grade 2 and 4 may be screened for urgent dental needs in accordance with the Oral Health Protocol (2018). Based on the screening results of the Grade 2 students at each school, the school is categorized into the following levels of screening intensity: low, medium and high as per the protocol. The Oral Health team screens all grade 7 students regardless of screening intensity of the school, because that is the last opportunity to provide dental screening in schools. The parents of the students in these grades who decline to have their children screened advise the school administrators who then pass this information on to MLHU staff. Children whose parents have consented to screening but who are absent on the day of the screening may be screened on a subsequent screening day, or are provided a \"sorry we missed you\" card and invited to attend a screening clinic at the health unit dental clinic. Student level data is collected by Registered Dental Hygienists, with the support of a Clinical Dental Assistant, and stored in the ministry application Oral Health Information Support System (OHISS). The need for urgent dental care or preventive dental services is recorded and parents are advised by sending forms home with the children requiring care. Registered Dental Hygienists follow up accordingly with all students identified as having an urgent oral health condition during the screening and work wtih families to ensure they can obtain care for the child.\n\nJK, SK and Grade 2 students are the priority populations to be screened in schools as set out by the Oral Health Protocol (2018).\n\nJK/SK Students: \n• Children 3-5 years of age in Junior and Senior Kindergarten\n• Children entering school have often not visited a dental provider and should be screened for urgent dental conditions.\n\nGrade 2 Students: \n• Children 7-8 years of age in Grade 2\n• Children entering Grade 2 are starting to get their 6-year molars. This is the perfect time to place dental sealants to prevent tooth decay in permanent teeth. \n\nGrade 7 Students: \n• Children 12-13 years of age in Grade 7\n• Children entering Grade 7 are starting to get their 12-year molars. This is the perfect time to place dental sealants to prevent tooth decay in permanent teeth. Screening children in Grade 7 allow for a final screening and allows the Registered Dental Hygienist to ensure treatment has been initiated prior to high school. \n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"The Oral Health team follows the Oral Health Protocol, 2021 and goes above and beyond and screens grade 7 students in all schools regardless of screening intensity. All grade 7 students are screened because that is the last opportunity to provide dental screening in elementary schools. Additionally, the Oral Health team also offers screenings to private schools and schools located in neighbouring Indigenous Nations.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"Many psychiatric disorders, such as severe mental illness, and eating disorders, are linked with oral health concerns such as caries, and periodontitis. Additionally, when oral health concerns are not treated individuals run the risk of losing their teeth. Individuals with mental illness are 2.7 times more likely to lose all their teeth, compared with the general population. Poor oral health can also affect eating, speech, causing social and psychological impacts as well. Additionally, the Oral Health team must be aware that more than one half of the population has some anxiety about visiting the dentist. As such, the team works diligently to use a client centered approach and create a welcome and caring environment for our patients. \n\nSource: Kisely S. No Mental Health without Oral Health. Can J Psychiatry. 2016 May;61(5):277-82. doi: 10.1177/0706743716632523. Epub 2016 Feb 10. PMID: 27254802; PMCID: PMC4841282."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools.\n\nIntermediate Outcomes:\n• Children and youth from low-income families have improved access to oral health care. \n\nShort-Term Outcomes:\n• The board of health achieves timely and effective detection and identification of children and youth at risk of poor oral health outcomes, their associated risk factors, and emerging trends."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1555 & \" \" & Structure!E1555","v":"i 1) Awareness"}]
[null,null,null,"Members of the Oral Health Team occasionally work with community groups who service youth and young adult populations to provide educational opportunities, and to ensure they are aware of the Healthy Smiles Ontario (HSO) program. The Oral Health team works internally to ensure all health unit staff are aware of the HSO program and they work with School Health Nurses to support any oral health education required in the schools.  The Oral Health team works very frequently with individuals seeking assistance with navigation of publicly funded dental programs such as HSO. "]
[null,null,null,{"$f":"Structure!D1556 & \" \" & Structure!E1556","v":"i 2) Screening, Clinical Assessment, Clinical Services & Case Management "}]
[null,null,null,"Dental screening is provided each school year in all publicly funded elementary schools, some private schools and schools located in neighbouring Indigenous Nations. Once screening is conducted, Registered Dental Hygienists follow-up on all urgent cases identified as per the Oral Health Protocol, 2021. Dental Hygienists work very closely with families to help provided education when necessary, allievate their concerns, enroll in HOS and navigate the system to find a Dentist. Additionally, Dental Hygenists see children at the MLHU Dental Clinic for preventative oral health services. MLHU also holds an Emergency and Essential Services Stream screening clinic daily.  "]
[null,null,null,{"$f":"Structure!D1557 & \" \" & Structure!E1557","v":"i 3) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing public health units and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the program include active participation at the Ontario Association of Public Health Dentistry (OAPHD). MLHU and The University of Western Ontario Schulich School of Medicine and Dentistry are working to develop a symbiotic working relationship going forward. Additionally, the Manager and Associate Manager of Oral Health work collaboratively with the other six Heath Units in the Southwestern region of Ontario by way of participation and leadership of an Inter-agency Oral Health Mangers working group."]
[null,null,null,{"$f":"Structure!D1558 & \" \" & Structure!E1558","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1559 & \" \" & Structure!E1559","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1560 & \" \" & Structure!E1560","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1561 & \" \" & Structure!E1561","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1562 & \" \" & Structure!E1562","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1563 & \" \" & Structure!E1563","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1564 & \" \" & Structure!E1564","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1565 & Structure!E1565","v":"P 2) Oral Health Assessment and Surveillance"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"Publicly-funded elementary schools, some private schools and schools located in neighbouring Indigenous Nations participate in the school-based dental screening program. Students in JK, SK, Grade 2 and 4 may be screened for urgent dental needs in accordance with the Oral Health Protocol (2018). Based on the screening results of the Grade 2 students at each school, the school is categorized into the following levels of screening intensity: low, medium and high as per the protocol. The Oral Health team screens all grade 7 students regardless of screening intensity of the school, because it is the last opportunity to provide dental screening in schools. The parents of the students in these grades who decline to have their children screened advise the school administrators who then pass this information on to MLHU staff. Children whose parents have consented to screening but who are absent on the day of the screening may be screened on a subsequent screening day, or are provided a \"sorry we missed you\" card and invited to attend a screening clinic at the health unit dental clinic. Student level data is collected by Registered Dental Hygienists, with the support of a Clinical Dental Assistant, and stored in the ministry application Oral Health Information Support System (OHISS). The need for urgent dental care or preventive dental services is recorded and parents are advised by sending forms home with the children requiring care.  \n\nJK, SK and Grade 2 students are the priority populations to be screened in schools as set out by the Oral Health Protocol (2018).\n\nJK/SK Students: \n• Children 3-5 years of age in Junior and Senior Kindergarten\n• Children entering school have often not visited a dental provider and should be screened for urgent dental conditions.\n\nGrade 2 Students: \n• Children 7-8 years of age in Grade 2\n• Children entering Grade 2 are starting to get their 6-year molars. This is the perfect time to place dental sealants to prevent tooth decay in permanent teeth. \n\nGrade 7 Students: \n• Children 12-13 years of age in Grade 7\n• Children entering Grade 7 are starting to get their 12-year molars. This is the perfect time to place dental sealants to prevent tooth decay in permanent teeth. Screening children in Grade 7 allow for a final screening and allows the Registered Dental Hygienist to ensure treatment has been initiated prior to high school. \n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"The OH team follows the Oral Health Protocol, 2021 and goes above and beyond and screens grade 7 students in all schools regardless of screening intensity. All grade 7 students are screened because that is the last opportunity to provide dental screening in elementary schools. Additionally, the OH team also offers screenings to private schools and schools located in neighbouring Indigenous Nations.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"Many psychiatric disorders, such as severe mental illness, and eating disorders, are linked with oral health concerns such as caries, and periodontitis. Additionally, when oral health concerns are not treated individuals run the risk of losing their teeth.  Individuals with mental illness are 2.7 times more likely to lose all their teeth, compared with the general population. Poor oral health can also affect eating, speech, causing social and psychological impacts as well. Additionally, the Oral Health team must be aware that more than one half of the population has some anxiety about visiting the dentist. As such, the team works diligently to use a client centered approach and create a welcome and caring environment for our patients. \n\nSource: Kisely S. No Mental Health without Oral Health. Can J Psychiatry. 2016 May;61(5):277-82. doi: 10.1177/0706743716632523. Epub 2016 Feb 10. PMID: 27254802; PMCID: PMC4841282."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools.\n\nIntermediate Outcomes:\n• Children and youth from low-income families have improved access to oral health care. \n\nShort-Term Outcomes:\n• The board of health achieves timely and effective detection and identification of children and youth at risk of poor oral health outcomes, their associated risk factors, and emerging trends.\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1566 & \" \" & Structure!E1566","v":"i 1) Screening, Clinical Assessment, Clinical Services & Case Management"}]
[null,null,null,"Dental screening is provided each school year in all publicly funded elementary schools, some private schools and schools located in neighbouring Indigenous Nations. Oral Health team staff work very closely with the school board and individual schools to book screening dates, ensure letters are sent home infoming parents about screening and manage any notes from parents excluding their children in screening. Registered Dental Hygienists conduct dental screening in all schools. Children are identified as requiring urgent dental care or preventive services and parents are notified by sending dental report cards home from school. Ministry forms are sent home with children who require urgent dental care to ensure their parents are notified. \t"]
[null,null,null,{"$f":"Structure!D1567 & \" \" & Structure!E1567","v":"i 2) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing public health units and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the program include active participation at the Ontario Association of Public Health Dentistry (OAPHD). MLHU and The University of Western Ontario Schulich School of Medicine and Dentistry are working to develop a symbiotic working relationship going forward. Additionally, the Manager and Associate Manager of Oral Health work collaboratively with the other six Heath Units in the Southwestern region of Ontario by way of participation and leadership of an Inter-agency Oral Health Mangers working group.  MLHU also works very clsoely with our local school boards and indiviudal schools to perepare for school screening. "]
[null,null,null,{"$f":"Structure!D1568 & \" \" & Structure!E1568","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1569 & \" \" & Structure!E1569","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1570 & \" \" & Structure!E1570","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1571 & \" \" & Structure!E1571","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1572 & \" \" & Structure!E1572","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1573 & \" \" & Structure!E1573","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1574 & \" \" & Structure!E1574","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1575 & \" \" & Structure!E1575","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1576 & Structure!E1576","v":"P 3) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1577 & \" \" & Structure!E1577","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1578 & \" \" & Structure!E1578","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1579 & \" \" & Structure!E1579","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1580 & \" \" & Structure!E1580","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1581 & \" \" & Structure!E1581","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1582 & \" \" & Structure!E1582","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1583 & \" \" & Structure!E1583","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1584 & \" \" & Structure!E1584","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1585 & \" \" & Structure!E1585","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1586 & \" \" & Structure!E1586","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1587 & Structure!E1587","v":"P 4) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1588 & \" \" & Structure!E1588","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1589 & \" \" & Structure!E1589","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1590 & \" \" & Structure!E1590","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1591 & \" \" & Structure!E1591","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1592 & \" \" & Structure!E1592","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1593 & \" \" & Structure!E1593","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1594 & \" \" & Structure!E1594","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1595 & \" \" & Structure!E1595","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1596 & \" \" & Structure!E1596","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1597 & \" \" & Structure!E1597","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1598 & Structure!E1598","v":"P 5) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1599 & \" \" & Structure!E1599","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1600 & \" \" & Structure!E1600","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1601 & \" \" & Structure!E1601","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1602 & \" \" & Structure!E1602","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1603 & \" \" & Structure!E1603","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1604 & \" \" & Structure!E1604","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1605 & \" \" & Structure!E1605","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1606 & \" \" & Structure!E1606","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1607 & \" \" & Structure!E1607","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1608 & \" \" & Structure!E1608","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1609 & Structure!E1609","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1610 & \" \" & Structure!E1610","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1611 & \" \" & Structure!E1611","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1612 & \" \" & Structure!E1612","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1613 & \" \" & Structure!E1613","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1614 & \" \" & Structure!E1614","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1615 & \" \" & Structure!E1615","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1616 & \" \" & Structure!E1616","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1617 & \" \" & Structure!E1617","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1618 & \" \" & Structure!E1618","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1619 & \" \" & Structure!E1619","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1620 & Structure!E1620","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1621 & \" \" & Structure!E1621","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1622 & \" \" & Structure!E1622","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1623 & \" \" & Structure!E1623","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1624 & \" \" & Structure!E1624","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1625 & \" \" & Structure!E1625","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1626 & \" \" & Structure!E1626","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1627 & \" \" & Structure!E1627","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1628 & \" \" & Structure!E1628","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1629 & \" \" & Structure!E1629","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1630 & \" \" & Structure!E1630","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1631 & Structure!E1631","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1632 & \" \" & Structure!E1632","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1633 & \" \" & Structure!E1633","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1634 & \" \" & Structure!E1634","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1635 & \" \" & Structure!E1635","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1636 & \" \" & Structure!E1636","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1637 & \" \" & Structure!E1637","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1638 & \" \" & Structure!E1638","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1639 & \" \" & Structure!E1639","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1640 & \" \" & Structure!E1640","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1641 & \" \" & Structure!E1641","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1642 & Structure!E1642","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1643 & \" \" & Structure!E1643","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1644 & \" \" & Structure!E1644","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1645 & \" \" & Structure!E1645","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1646 & \" \" & Structure!E1646","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1647 & \" \" & Structure!E1647","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1648 & \" \" & Structure!E1648","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1649 & \" \" & Structure!E1649","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1650 & \" \" & Structure!E1650","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1651 & \" \" & Structure!E1651","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1652 & \" \" & Structure!E1652","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1653 & Structure!E1653","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1654 & \" \" & Structure!E1654","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1655 & \" \" & Structure!E1655","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1656 & \" \" & Structure!E1656","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1657 & \" \" & Structure!E1657","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1658 & \" \" & Structure!E1658","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1659 & \" \" & Structure!E1659","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1660 & \" \" & Structure!E1660","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1661 & \" \" & Structure!E1661","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1662 & \" \" & Structure!E1662","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1663 & \" \" & Structure!E1663","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1664 & Structure!E1664","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1665 & \" \" & Structure!E1665","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1666 & \" \" & Structure!E1666","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1667 & \" \" & Structure!E1667","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1668 & \" \" & Structure!E1668","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1669 & \" \" & Structure!E1669","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1670 & \" \" & Structure!E1670","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1671 & \" \" & Structure!E1671","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1672 & \" \" & Structure!E1672","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1673 & \" \" & Structure!E1673","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1674 & \" \" & Structure!E1674","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1675 & Structure!E1675","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1676 & \" \" & Structure!E1676","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1677 & \" \" & Structure!E1677","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1678 & \" \" & Structure!E1678","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1679 & \" \" & Structure!E1679","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1680 & \" \" & Structure!E1680","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1681 & \" \" & Structure!E1681","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1682 & \" \" & Structure!E1682","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1683 & \" \" & Structure!E1683","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1684 & \" \" & Structure!E1684","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1685 & \" \" & Structure!E1685","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1686 & Structure!E1686","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1687 & \" \" & Structure!E1687","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1688 & \" \" & Structure!E1688","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1689 & \" \" & Structure!E1689","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1690 & \" \" & Structure!E1690","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1691 & \" \" & Structure!E1691","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1692 & \" \" & Structure!E1692","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1693 & \" \" & Structure!E1693","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1694 & \" \" & Structure!E1694","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1695 & \" \" & Structure!E1695","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1696 & \" \" & Structure!E1696","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1697 & Structure!E1697","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1698 & \" \" & Structure!E1698","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1699 & \" \" & Structure!E1699","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1700 & \" \" & Structure!E1700","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1701 & \" \" & Structure!E1701","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1702 & \" \" & Structure!E1702","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1703 & \" \" & Structure!E1703","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1704 & \" \" & Structure!E1704","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1705 & \" \" & Structure!E1705","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1706 & \" \" & Structure!E1706","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1707 & \" \" & Structure!E1707","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1708 & Structure!E1708","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1709 & \" \" & Structure!E1709","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1710 & \" \" & Structure!E1710","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1711 & \" \" & Structure!E1711","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1712 & \" \" & Structure!E1712","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1713 & \" \" & Structure!E1713","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1714 & \" \" & Structure!E1714","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1715 & \" \" & Structure!E1715","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1716 & \" \" & Structure!E1716","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1717 & \" \" & Structure!E1717","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1718 & \" \" & Structure!E1718","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1719 & Structure!E1719","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1720 & \" \" & Structure!E1720","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1721 & \" \" & Structure!E1721","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1722 & \" \" & Structure!E1722","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1723 & \" \" & Structure!E1723","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1724 & \" \" & Structure!E1724","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1725 & \" \" & Structure!E1725","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1726 & \" \" & Structure!E1726","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1727 & \" \" & Structure!E1727","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1728 & \" \" & Structure!E1728","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1729 & \" \" & Structure!E1729","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1730 & Structure!E1730","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1731 & \" \" & Structure!E1731","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1732 & \" \" & Structure!E1732","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1733 & \" \" & Structure!E1733","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1734 & \" \" & Structure!E1734","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1735 & \" \" & Structure!E1735","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1736 & \" \" & Structure!E1736","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1737 & \" \" & Structure!E1737","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1738 & \" \" & Structure!E1738","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1739 & \" \" & Structure!E1739","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1740 & \" \" & Structure!E1740","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1741 & Structure!E1741","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1742 & \" \" & Structure!E1742","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1743 & \" \" & Structure!E1743","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1744 & \" \" & Structure!E1744","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1745 & \" \" & Structure!E1745","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1746 & \" \" & Structure!E1746","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1747 & \" \" & Structure!E1747","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1748 & \" \" & Structure!E1748","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1749 & \" \" & Structure!E1749","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1750 & \" \" & Structure!E1750","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1751 & \" \" & Structure!E1751","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1752 & Structure!E1752","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1753 & \" \" & Structure!E1753","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1754 & \" \" & Structure!E1754","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1755 & \" \" & Structure!E1755","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1756 & \" \" & Structure!E1756","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1757 & \" \" & Structure!E1757","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1758 & \" \" & Structure!E1758","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1759 & \" \" & Structure!E1759","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1760 & \" \" & Structure!E1760","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1761 & \" \" & Structure!E1761","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1762 & \" \" & Structure!E1762","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1763 & Structure!E1763","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1764 & \" \" & Structure!E1764","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1765 & \" \" & Structure!E1765","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1766 & \" \" & Structure!E1766","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1767 & \" \" & Structure!E1767","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1768 & \" \" & Structure!E1768","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1769 & \" \" & Structure!E1769","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1770 & \" \" & Structure!E1770","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1771 & \" \" & Structure!E1771","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1772 & \" \" & Structure!E1772","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1773 & \" \" & Structure!E1773","v":"i10) "}]
[]
[null,null,null,"School Health - Vision"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address vision."]
[null,null,null,"Child Visual Health and Vision Screening\nIn 2016, there were 19,845 children in the Middlesex-London area between the ages of 3 and 6 years of age. \nSource: Population Estimates, Date Extracted: Dec 23, 2019, Ontario Ministry of Health and Long-Term Care, IntelliHEALTH Ontario.\n\nAccording to the Ontario College of Optometrists, there are 84 Optometrists registered to practice in the City of London. However, it is not known if all of these individuals see children. In Middlesex County there are 13 Optometrists (Dorchester (4), Strathroy (4), Parkhill (1) and Glencoe (4). "]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses vision."]
[null,null,null,"The programs and interventions that have been articulated in this Standard reflect the local priorities to address the risk and protective factors associated with this Standard."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Child Visual Health and Vision Screening\nThe Vision Program falls under the Oral Health Team, and community awareness is provided by the Elementary School Team.\n\nExternal partners include:\nThames Valley District School Board\nLondon District Catholic School Board\nPrivate Schools\nConseil Scolaire Catholique Providence\nConseil Scolaire Viamonde\nFamily Centres in Middlesex London\n\nThe above organizations receive the information and assist with dissemination to their students and clients. "]
[]
[null,null,null,{"$f":"Structure!D1775 & Structure!E1775","v":"P 1) Child Visual Health and Vision Screening"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"Child visual health initiatives at MLHU are intended to increase the proportion of individuals who understand the importance of visual health, including the importance of early detection of vision disorders. Additionally, promotion of OHIP-covered comprehensive eye examinations and service navigation assistance are intended outcomes of MLHU visual health initiatives. Staff work with school boards, teachers and parents to support awareness of, access to, and utilization of visual health services by notifying parents of the importance of visual assessments and assisting parents in finding a local optometrist.\n\nThe Child Visual Health and Vision Screening Protocol (2018) identifies that Senior Kindergarten (SK) students are the priority population. However, Children in Junior Kindergarten (JK) are eligible for The Eye See…Eye Learn® program which would provide them with a free pair of glasses if required, therefore, MLHU staff will promote visual health to parents/guardians of JK and SK aged children to promote the importance of visual health.\n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"The Child Visual Health and Vision Screening Protocol (2018) identifies that Senior Kindergarten (SK) students are the priority population. However, Children in Junior Kindergarten (JK) are eligible for The Eye See…Eye Learn® program which would provide them with a free pair of glasses if required, therefore, MLHU staff will promote visual health to parents/guardians of JK and SK aged children."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"Mental health promotion is not specifically addressed, but is a secondary outcome to achieving better visual health. "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools.\n• The visual health of children is improved.\n\nIntermediate Outcomes:\n• Children from low-income families have improved access to visual health care.\n• An increased proportion of JK and SK children receive preventative eye examinations. \n\nShort-Term Outcomes:\n• The board of health and parents/guardians are aware of the visual health needs of school-aged children.\n• An increased number of parents/caregivers are aware that the Canadian Association of Optometrists (CAO) recommends that preschool children at low risk should have at least one eye exam between ages two and five years old."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1776 &\" \" & Structure!E1776","v":"i 1) Awareness"}]
[null,null,null,"The Oral Health Team will work with school boards to disseminate information related to the visual health needs of school-aged children, the importance of eye exams, and the wide availability of annual free eye examinations for children. MLHU will continue to keep visual health information available on the website. Additionally, information will be provided to parents/guardians of children aged 3-6yrs of age (JK/SK). This will be done through outreach and educational activities in schools and other community settings. MLHU staff will assist parents/guardians to find an optometrist and/or programs that may provide cost free eyewear. "]
[null,null,null,{"$f":"Structure!D1777 &\" \" & Structure!E1777","v":"i 2) Supportive Environments"}]
[null,null,null,"In conjunction with partner organizations such as school boards, Family Centres and the MLHU Elementary School Team, the Oral Health team will ensure that parents/caregivers are able to navigate the health care system to find an optometrist and programs that may provide free eyewear. "]
[null,null,null,{"$f":"Structure!D1778 &\" \" & Structure!E1778","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1779 &\" \" & Structure!E1779","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1780 &\" \" & Structure!E1780","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1781 &\" \" & Structure!E1781","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1782 &\" \" & Structure!E1782","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1783 &\" \" & Structure!E1783","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1784 &\" \" & Structure!E1784","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1785 &\" \" & Structure!E1785","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1786 & Structure!E1786","v":"P 2) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1787 &\" \" & Structure!E1787","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1788 &\" \" & Structure!E1788","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1789 &\" \" & Structure!E1789","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1790 &\" \" & Structure!E1790","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1791 &\" \" & Structure!E1791","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1792 &\" \" & Structure!E1792","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1793 &\" \" & Structure!E1793","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1794 &\" \" & Structure!E1794","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1795 &\" \" & Structure!E1795","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1796 &\" \" & Structure!E1796","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1797 & Structure!E1797","v":"P 3) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1798 &\" \" & Structure!E1798","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1799 &\" \" & Structure!E1799","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1800 &\" \" & Structure!E1800","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1801 &\" \" & Structure!E1801","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1802 &\" \" & Structure!E1802","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1803 &\" \" & Structure!E1803","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1804 &\" \" & Structure!E1804","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1805 &\" \" & Structure!E1805","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1806 &\" \" & Structure!E1806","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1807 &\" \" & Structure!E1807","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1808 & Structure!E1808","v":"P 4) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1809 & \" \" & Structure!E1809","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1810 & \" \" & Structure!E1810","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1811 & \" \" & Structure!E1811","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1812 & \" \" & Structure!E1812","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1813 & \" \" & Structure!E1813","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1814 & \" \" & Structure!E1814","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1815 & \" \" & Structure!E1815","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1816 & \" \" & Structure!E1816","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1817 & \" \" & Structure!E1817","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1818 & \" \" & Structure!E1818","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1819 & Structure!E1819","v":"P 5) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1820 &\" \" & Structure!E1820","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1821 &\" \" & Structure!E1821","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1822 &\" \" & Structure!E1822","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1823 &\" \" & Structure!E1823","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1824 &\" \" & Structure!E1824","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1825 &\" \" & Structure!E1825","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1826 &\" \" & Structure!E1826","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1827 &\" \" & Structure!E1827","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1828 &\" \" & Structure!E1828","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1829 &\" \" & Structure!E1829","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1830 & Structure!E1830","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1831 & \" \" & Structure!E1831","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1832 & \" \" & Structure!E1832","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1833 & \" \" & Structure!E1833","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1834 & \" \" & Structure!E1834","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1835 & \" \" & Structure!E1835","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1836 & \" \" & Structure!E1836","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1837 & \" \" & Structure!E1837","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1838 & \" \" & Structure!E1838","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1839 & \" \" & Structure!E1839","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1840 & \" \" & Structure!E1840","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1841 & Structure!E1841","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1842 &\" \" & Structure!E1842","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1843 &\" \" & Structure!E1843","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1844 &\" \" & Structure!E1844","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1845 &\" \" & Structure!E1845","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1846 &\" \" & Structure!E1846","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1847 &\" \" & Structure!E1847","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1848 &\" \" & Structure!E1848","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1849 &\" \" & Structure!E1849","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1850 &\" \" & Structure!E1850","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1851 &\" \" & Structure!E1851","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1852 & Structure!E1852","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1853 &\" \" & Structure!E1853","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1854 &\" \" & Structure!E1854","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1855 &\" \" & Structure!E1855","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1856 &\" \" & Structure!E1856","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1857 &\" \" & Structure!E1857","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1858 &\" \" & Structure!E1858","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1859 &\" \" & Structure!E1859","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1860 &\" \" & Structure!E1860","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1861 &\" \" & Structure!E1861","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1862 &\" \" & Structure!E1862","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1863 & Structure!E1863","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1864 &\" \" & Structure!E1864","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1865 &\" \" & Structure!E1865","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1866 &\" \" & Structure!E1866","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1867 &\" \" & Structure!E1867","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1868 &\" \" & Structure!E1868","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1869 &\" \" & Structure!E1869","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1870 &\" \" & Structure!E1870","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1871 &\" \" & Structure!E1871","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1872 &\" \" & Structure!E1872","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1873 &\" \" & Structure!E1873","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1874 & Structure!E1874","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1875 &\" \" & Structure!E1875","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1876 &\" \" & Structure!E1876","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1877 &\" \" & Structure!E1877","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1878 &\" \" & Structure!E1878","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1879 &\" \" & Structure!E1879","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1880 &\" \" & Structure!E1880","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1881 &\" \" & Structure!E1881","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1882 &\" \" & Structure!E1882","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1883 &\" \" & Structure!E1883","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1884 &\" \" & Structure!E1884","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1885 & Structure!E1885","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1886 &\" \" & Structure!E1886","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1887 &\" \" & Structure!E1887","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1888 &\" \" & Structure!E1888","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1889 &\" \" & Structure!E1889","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1890 &\" \" & Structure!E1890","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1891 &\" \" & Structure!E1891","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1892 &\" \" & Structure!E1892","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1893 &\" \" & Structure!E1893","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1894 &\" \" & Structure!E1894","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1895 &\" \" & Structure!E1895","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1896 & Structure!E1896","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1897 &\" \" & Structure!E1897","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1898 &\" \" & Structure!E1898","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1899 &\" \" & Structure!E1899","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1900 &\" \" & Structure!E1900","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1901 &\" \" & Structure!E1901","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1902 &\" \" & Structure!E1902","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1903 &\" \" & Structure!E1903","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1904 &\" \" & Structure!E1904","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1905 &\" \" & Structure!E1905","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1906 &\" \" & Structure!E1906","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1907 & Structure!E1907","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1908 &\" \" & Structure!E1908","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1909 &\" \" & Structure!E1909","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1910 &\" \" & Structure!E1910","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1911 &\" \" & Structure!E1911","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1912 &\" \" & Structure!E1912","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1913 &\" \" & Structure!E1913","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1914 &\" \" & Structure!E1914","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1915 &\" \" & Structure!E1915","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1916 &\" \" & Structure!E1916","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1917 &\" \" & Structure!E1917","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1918 & Structure!E1918","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1919 &\" \" & Structure!E1919","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1920 &\" \" & Structure!E1920","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1921 &\" \" & Structure!E1921","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1922 &\" \" & Structure!E1922","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1923 &\" \" & Structure!E1923","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1924 &\" \" & Structure!E1924","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1925 &\" \" & Structure!E1925","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1926 &\" \" & Structure!E1926","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1927 &\" \" & Structure!E1927","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1928 &\" \" & Structure!E1928","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1929 & Structure!E1929","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1930 &\" \" & Structure!E1930","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1931 &\" \" & Structure!E1931","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1932 &\" \" & Structure!E1932","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1933 &\" \" & Structure!E1933","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1934 &\" \" & Structure!E1934","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1935 &\" \" & Structure!E1935","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1936 &\" \" & Structure!E1936","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1937 &\" \" & Structure!E1937","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1938 &\" \" & Structure!E1938","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1939 &\" \" & Structure!E1939","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1940 & Structure!E1940","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1941 &\" \" & Structure!E1941","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1942 &\" \" & Structure!E1942","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1943 &\" \" & Structure!E1943","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1944 &\" \" & Structure!E1944","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1945 &\" \" & Structure!E1945","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1946 &\" \" & Structure!E1946","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1947 &\" \" & Structure!E1947","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1948 &\" \" & Structure!E1948","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1949 &\" \" & Structure!E1949","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1950 &\" \" & Structure!E1950","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1951 & Structure!E1951","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1952 &\" \" & Structure!E1952","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1953 &\" \" & Structure!E1953","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1954 &\" \" & Structure!E1954","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1955 &\" \" & Structure!E1955","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1956 &\" \" & Structure!E1956","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1957 &\" \" & Structure!E1957","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1958 &\" \" & Structure!E1958","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1959 &\" \" & Structure!E1959","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1960 &\" \" & Structure!E1960","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1961 &\" \" & Structure!E1961","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1962 & Structure!E1962","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1963 &\" \" & Structure!E1963","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1964 &\" \" & Structure!E1964","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1965 &\" \" & Structure!E1965","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1966 &\" \" & Structure!E1966","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1967 &\" \" & Structure!E1967","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1968 &\" \" & Structure!E1968","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1969 &\" \" & Structure!E1969","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1970 &\" \" & Structure!E1970","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1971 &\" \" & Structure!E1971","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1972 &\" \" & Structure!E1972","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1973 & Structure!E1973","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1974 &\" \" & Structure!E1974","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1975 &\" \" & Structure!E1975","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1976 &\" \" & Structure!E1976","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1977 &\" \" & Structure!E1977","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1978 &\" \" & Structure!E1978","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1979 &\" \" & Structure!E1979","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1980 &\" \" & Structure!E1980","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1981 &\" \" & Structure!E1981","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1982 &\" \" & Structure!E1982","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1983 &\" \" & Structure!E1983","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1984 & Structure!E1984","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1985 & \" \" &Structure!E1985","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1986 & \" \" &Structure!E1986","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1987 & \" \" &Structure!E1987","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1988 & \" \" &Structure!E1988","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1989 & \" \" &Structure!E1989","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1990 & \" \" &Structure!E1990","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1991 & \" \" &Structure!E1991","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1992 & \" \" &Structure!E1992","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1993 & \" \" &Structure!E1993","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1994 & \" \" &Structure!E1994","v":"i10) "}]
[]
[null,null,null,"School Health - Immunization"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address school health immunization."]
[null,null,null,"During the COVID-19 pandemic, screening, maintaining, and assessing records was put on hold. Because of lower vaccination rates in children for non-COVID vaccines and lack of record screening during the pandemic, MLHU prioritized screening of all student records in 2022. Over 45% of records were not up to date in the Panorama system, and as a result we prioritized resources towards this program to ensure data entry and enforcement activities could occur. \n\nThere are over 80,000 school age children enrolled from JK to Grade 12 in the Middlesex-London who will be  screened on a yearly basis. There are over 110 licensed child care settings with over 13,000 attendees.\n"]
[null,null,null,"b) Your board of health’s determination of the local priorities for a program of public health interventions that addresses school health immunization with consideration of the required list of topics identified in the Standards."]
[null,null,null,"During the COVID-19 pandemic, screening, maintaining, and assessing records was put on hold. Because of lower vaccination rates in children for non-COVID vaccines and lack of record screening during the pandemic, MLHU prioritized screening of all student records in 2022. Over 45% of records were not up to date in the Panorama system, and as a result we prioritized resources towards this program to ensure data entry and enforcement activities could occur. "]
[null,null,null,"c) A description of how other topics for consideration not addressed in the Annual Service Plan were assessed or considered under School Health - Immunization."]
[null,null,null,"Due to the large number of students screened under ISPA, MLHU deferred screening in Licensed Child Care (LCC) settings in 2022 due to limited resources for data entry and follow-up.  Plans are in place to resume this screening in Fall 2023."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"The School Health Immunization Program is managed by the Vaccine Preventable Disease Team in collaboration with the Elementary School and Secondary School Teams. \n\nSchool Age:\nThe VPD team works in collaboration with the school boards, individual Principals, families and students to ensure support of and compliance with the ISPA.   \n• Education and notification to school boards occurs in the fall with all suspension dates being communicated. Schools are notified closer to the suspension date with lists of students who are overdue and who may be suspended.\n• Screening of all grades for all years to occur on a yearly basis. Information letters to be sent out to all overdue students early in the Fall of each school year. A second letter will go out, suspension letter, 2 -3 weeks prior to suspension date. \n• Students who are non-compliant, will be suspended from school until in compliance.                                                                                                                                                            \n\nChild Care and Early Years: \n• The VPD team provides direction to licensees of child day cares for immunization requirements for children attending child care settings in accordance with the current provincially publicly funded immunization schedules. \n• The VPD team requests and collects information from licensees and assists in the immunization assessment processes.\n• Children in non-compliance with the CCEYA may be removed from child care during an outbreak. "]
[null,null,null,"Key Partners and Stakeholders:\n• Elementary School Team\n• Secondary School Team\n• School boards\n• Elementary and high school administrative staff and educators\n• Licensed childcare operators"]
[null,null,null,{"$f":"Structure!D1996 & Structure!E1996","v":"P 1) Immunizations for Children in Schools and Licensed Child Care Settings"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The Immunizations for Children in Schools and Licensed Child Care Settings aims to reduce or eliminate the burden of vaccine preventable diseases in schools and licensed child care settings by:\n• Maintain and update policies and procedures with regard to immunzation assessment, exemptions, suspensions and exclusion processes\n• Providing students and parents with information about the importance of vaccines, publicly funded schedules, and legislative requirements. \n• Inform school boards, school operators and child care licensees in advance about planned immunization assessment activities that will affect their students or attendees \n• Conduct education sesssions as required for school operators, child care licensees, students, and their parents about the importance of immunization and the requirement to comply with the ISPA and CCEYA         \n• Collect, maintain records, assess and  report on the immunization status for students in school and those in licensesd Child Care centres as outlined in Immunization for Children in Schools and Lincesed CHild Care Settings Protocol , 2018                                   \n• Conducting yearly immunization screening and suspensions initiatives according to the Immunization of School Pupils Act and Child Care and Early Years Act, 2014; and                                                                                                                                         \n• Enforcement activities are undertaken for students in non-compliance of the ISPA legislation in school settings.\n\nTarget populations\n• School aged children JK-grade 12 who are not up to date with required vaccines under the ISPA. \n• Children attending licensed childcare settings who are not up to date with required vaccines under CCEYA.\n"]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"• Identified schools in the area that have indigenous students, Connected with First Nations Health Centres in the area to work together to assist and support families to up date records and vaccinate as necessary.  \n• We have identifed new immigrants in our area with language barriers that have difficulty with understanding the legislation and requirements. We have been working closely with schools, families and local agencies to support families in the process.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"Mental Health Promotion is not specifically addressed. "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization and maintenance of records\n\nIntermediate Outcomes:\n• Students have up-to-date immunizations according to the current Publicly Funded Immunization Schedules for Ontario and in accordance with the Immunization of School Pupils Act\n• Children have up-to-date immunizations according to the current Publicly Funded Immunization Schedules for Ontario and in accordance with the Child Care and Early Years Act\n• Timely and effectve detection and indentifcation of children suseptible to vaccine preventable diseases, their associated risk factors, and emerging trends. \n\nShort-Term Outcomes:\n• School students immunization records are up-to-date\n• Children in licensed childcare centres immunization records are up-to-date"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1997 & \" \" & Structure!E1997","v":"i 1) Education & Enforcement"}]
[null,null,null,"Under the ISPA, students who are not up to date, or whose records are not up to date in the Provincial database, may be suspended or excluded (in the event of an outbreak) from school. Following the screening of vaccine records, written notice requesting immunization is sent to all parents of students with not up-to-date vaccine records. Education of students and their parents on the importance of immunizations and need to comply with the order occurs through written information letters. In order to have a valid exemption, parents/students requesting an exemption will be directed to an online education session to complete. Following the written notice, a suspension order will be issued at the agreed upon date if the vaccine records are still not up-to-date. The team works closely with the schools and has written policies and procedures outlining assessment, exemptions, suspension, and exclusion processes.                                 \n\nUnder the CCEYA, in the event of an outbreak of a designated disease, children may be excluded from the Licensed Child Care (LCC) setting if they do not have the required immunization information on file. Education of child care licensees and parents on the importance of immunizations and need to comply with the order occurs through written information letters."]
[null,null,null,{"$f":"Structure!D1998 & \" \" & Structure!E1998","v":"i 2) Investigations: Assessing and Maintaining Records"}]
[null,null,null,"This involves screening of all children in schools and LCC settings to ensure up-to-date vaccine records exist in the Provincial database. \n\nUnder ISPA all demographic and immunization information for students in schools is collected and stored in Panaorama. This includes any exemptions that may be in place. Annual assessments are conducted with notifications sent to parents and students for overdue or missing information. Children are required to have up-to-date immunizations according to the current Publicly Funded Immunization Schedules for Ontario, and in accordance with the Immunization of School Pupils Act and the Child Care and Early Years Act, 2014. This also includes the reporting and documenting of conscience or religious belief in Panorama.\n"]
[null,null,null,{"$f":"Structure!D1999 & \" \" & Structure!E1999","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2000 & \" \" & Structure!E2000","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2001 & \" \" & Structure!E2001","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2002 & \" \" & Structure!E2002","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2003 & \" \" & Structure!E2003","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2004 & \" \" & Structure!E2004","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2005 & \" \" & Structure!E2005","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2006 & \" \" & Structure!E2006","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2007 & Structure!E2007","v":"P 2) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2008 & \" \" & Structure!E2008","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2009 & \" \" & Structure!E2009","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2010 & \" \" & Structure!E2010","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2011 & \" \" & Structure!E2011","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2012 & \" \" & Structure!E2012","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2013 & \" \" & Structure!E2013","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2014 & \" \" & Structure!E2014","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2015 & \" \" & Structure!E2015","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2016 & \" \" & Structure!E2016","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2017 & \" \" & Structure!E2017","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2018 & Structure!E2018","v":"P 3) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2019 & \" \" & Structure!E2019","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2020 & \" \" & Structure!E2020","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2021 & \" \" & Structure!E2021","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2022 & \" \" & Structure!E2022","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2023 & \" \" & Structure!E2023","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2024 & \" \" & Structure!E2024","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2025 & \" \" & Structure!E2025","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2026 & \" \" & Structure!E2026","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2027 & \" \" & Structure!E2027","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2028 & \" \" & Structure!E2028","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2029 & Structure!E2029","v":"P 4) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2030 & \" \" & Structure!E2030","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2031 & \" \" & Structure!E2031","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2032 & \" \" & Structure!E2032","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2033 & \" \" & Structure!E2033","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2034 & \" \" & Structure!E2034","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2035 & \" \" & Structure!E2035","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2036 & \" \" & Structure!E2036","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2037 & \" \" & Structure!E2037","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2038 & \" \" & Structure!E2038","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2039 & \" \" & Structure!E2039","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2040 & Structure!E2040","v":"P 5) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2041 & \" \" & Structure!E2041","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2042 & \" \" & Structure!E2042","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2043 & \" \" & Structure!E2043","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2044 & \" \" & Structure!E2044","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2045 & \" \" & Structure!E2045","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2046 & \" \" & Structure!E2046","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2047 & \" \" & Structure!E2047","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2048 & \" \" & Structure!E2048","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2049 & \" \" & Structure!E2049","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2050 & \" \" & Structure!E2050","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2051 & Structure!E2051","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2052 & \" \" & Structure!E2052","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2053 & \" \" & Structure!E2053","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2054 & \" \" & Structure!E2054","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2055 & \" \" & Structure!E2055","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2056 & \" \" & Structure!E2056","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2057 & \" \" & Structure!E2057","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2058 & \" \" & Structure!E2058","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2059 & \" \" & Structure!E2059","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2060 & \" \" & Structure!E2060","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2061 & \" \" & Structure!E2061","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2062 & Structure!E2062","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2063 & \" \" & Structure!E2063","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2064 & \" \" & Structure!E2064","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2065 & \" \" & Structure!E2065","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2066 & \" \" & Structure!E2066","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2067 & \" \" & Structure!E2067","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2068 & \" \" & Structure!E2068","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2069 & \" \" & Structure!E2069","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2070 & \" \" & Structure!E2070","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2071 & \" \" & Structure!E2071","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2072 & \" \" & Structure!E2072","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2073 & Structure!E2073","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2074 & \" \" & Structure!E2074","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2075 & \" \" & Structure!E2075","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2076 & \" \" & Structure!E2076","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2077 & \" \" & Structure!E2077","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2078 & \" \" & Structure!E2078","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2079 & \" \" & Structure!E2079","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2080 & \" \" & Structure!E2080","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2081 & \" \" & Structure!E2081","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2082 & \" \" & Structure!E2082","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2083 & \" \" & Structure!E2083","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2084 & Structure!E2084","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2085 & \" \" & Structure!E2085","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2086 & \" \" & Structure!E2086","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2087 & \" \" & Structure!E2087","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2088 & \" \" & Structure!E2088","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2089 & \" \" & Structure!E2089","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2090 & \" \" & Structure!E2090","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2091 & \" \" & Structure!E2091","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2092 & \" \" & Structure!E2092","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2093 & \" \" & Structure!E2093","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2094 & \" \" & Structure!E2094","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2095 & Structure!E2095","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2096 & \" \" & Structure!E2096","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2097 & \" \" & Structure!E2097","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2098 & \" \" & Structure!E2098","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2099 & \" \" & Structure!E2099","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2100 & \" \" & Structure!E2100","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2101 & \" \" & Structure!E2101","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2102 & \" \" & Structure!E2102","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2103 & \" \" & Structure!E2103","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2104 & \" \" & Structure!E2104","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2105 & \" \" & Structure!E2105","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2106 & Structure!E2106","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2107 & \" \" & Structure!E2107","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2108 & \" \" & Structure!E2108","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2109 & \" \" & Structure!E2109","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2110 & \" \" & Structure!E2110","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2111 & \" \" & Structure!E2111","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2112 & \" \" & Structure!E2112","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2113 & \" \" & Structure!E2113","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2114 & \" \" & Structure!E2114","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2115 & \" \" & Structure!E2115","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2116 & \" \" & Structure!E2116","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2117 & Structure!E2117","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2118 & \" \" & Structure!E2118","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2119 & \" \" & Structure!E2119","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2120 & \" \" & Structure!E2120","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2121 & \" \" & Structure!E2121","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2122 & \" \" & Structure!E2122","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2123 & \" \" & Structure!E2123","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2124 & \" \" & Structure!E2124","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2125 & \" \" & Structure!E2125","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2126 & \" \" & Structure!E2126","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2127 & \" \" & Structure!E2127","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2128 & Structure!E2128","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2129 & \" \" & Structure!E2129","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2130 & \" \" & Structure!E2130","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2131 & \" \" & Structure!E2131","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2132 & \" \" & Structure!E2132","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2133 & \" \" & Structure!E2133","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2134 & \" \" & Structure!E2134","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2135 & \" \" & Structure!E2135","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2136 & \" \" & Structure!E2136","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2137 & \" \" & Structure!E2137","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2138 & \" \" & Structure!E2138","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2139 & Structure!E2139","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2140 & \" \" & Structure!E2140","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2141 & \" \" & Structure!E2141","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2142 & \" \" & Structure!E2142","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2143 & \" \" & Structure!E2143","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2144 & \" \" & Structure!E2144","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2145 & \" \" & Structure!E2145","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2146 & \" \" & Structure!E2146","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2147 & \" \" & Structure!E2147","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2148 & \" \" & Structure!E2148","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2149 & \" \" & Structure!E2149","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2150 & Structure!E2150","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2151 & \" \" & Structure!E2151","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2152 & \" \" & Structure!E2152","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2153 & \" \" & Structure!E2153","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2154 & \" \" & Structure!E2154","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2155 & \" \" & Structure!E2155","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2156 & \" \" & Structure!E2156","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2157 & \" \" & Structure!E2157","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2158 & \" \" & Structure!E2158","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2159 & \" \" & Structure!E2159","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2160 & \" \" & Structure!E2160","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2161 & Structure!E2161","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2162 & \" \" & Structure!E2162","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2163 & \" \" & Structure!E2163","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2164 & \" \" & Structure!E2164","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2165 & \" \" & Structure!E2165","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2166 & \" \" & Structure!E2166","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2167 & \" \" & Structure!E2167","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2168 & \" \" & Structure!E2168","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2169 & \" \" & Structure!E2169","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2170 & \" \" & Structure!E2170","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2171 & \" \" & Structure!E2171","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2172 & Structure!E2172","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2173 & \" \" & Structure!E2173","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2174 & \" \" & Structure!E2174","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2175 & \" \" & Structure!E2175","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2176 & \" \" & Structure!E2176","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2177 & \" \" & Structure!E2177","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2178 & \" \" & Structure!E2178","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2179 & \" \" & Structure!E2179","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2180 & \" \" & Structure!E2180","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2181 & \" \" & Structure!E2181","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2182 & \" \" & Structure!E2182","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2183 & Structure!E2183","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2184 & \" \" & Structure!E2184","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2185 & \" \" & Structure!E2185","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2186 & \" \" & Structure!E2186","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2187 & \" \" & Structure!E2187","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2188 & \" \" & Structure!E2188","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2189 & \" \" & Structure!E2189","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2190 & \" \" & Structure!E2190","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2191 & \" \" & Structure!E2191","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2192 & \" \" & Structure!E2192","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2193 & \" \" & Structure!E2193","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2194 & Structure!E2194","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2195 & \" \" & Structure!E2195","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2196 & \" \" & Structure!E2196","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2197 & \" \" & Structure!E2197","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2198 & \" \" & Structure!E2198","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2199 & \" \" & Structure!E2199","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2200 & \" \" & Structure!E2200","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2201 & \" \" & Structure!E2201","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2202 & \" \" & Structure!E2202","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2203 & \" \" & Structure!E2203","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2204 & \" \" & Structure!E2204","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2205 & Structure!E2205","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2206 & \" \" & Structure!E2206","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2207 & \" \" & Structure!E2207","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2208 & \" \" & Structure!E2208","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2209 & \" \" & Structure!E2209","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2210 & \" \" & Structure!E2210","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2211 & \" \" & Structure!E2211","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2212 & \" \" & Structure!E2212","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2213 & \" \" & Structure!E2213","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2214 & \" \" & Structure!E2214","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2215 & \" \" & Structure!E2215","v":"i10) "}]
[]
[null,null,null,"School Health - Other"]
[null,null,null,"A. Community Needs and Priorities\na) Please identify which topics of consideration listed in requirement 4 of the School Health Standard are being prioritized by your board of health over the reporting period. Please briefly describe your rationale (i.e., key data and information including but not limited to, local conditions, comparison with provincial rates, acute elevations) to demonstrate why these topics are being prioritized."]
[null,null,null,"Mental health promotion; Substance use and harm reduction; Violence and bullying; Healthy sexuality - These topics have been prioritized based on discussions with our local school board partners.  Data sources used to inform these priority topics include School Climate Surveys, COMPASS, OSDHUS, School Mental Health Ontario.\n\nHealthy eating behaviours and food safety - Locally we have prioritized healthy eating.  Traditional healthy eating messages promoted in schools by public health and educators include teaching children and youth about the healthfulness of food and placing food into categories based on nutrition quality (e.g., labeling foods as good and bad foods).  Evidence now demonstrates that this approach may not have been effective in improving diet quality or promoting positive eating habits (DeCosta et al., 2017;  Frerichs, Intolubbe-Chmil, & Trowbridge, 2016; Larkin & Rice, 2005; Langellotto & Gupta, 2012; Maher et al., 2017; Welch & Leahy, 2018). Well-intended messages about “healthy eating” can inadvertently cause harm by leading to preoccupation and fear of food (Lytle et al., 1997; O’Dea, 2000; Pinhas et al., 2013). Alternatively, food education in schools can be delivered in a way that is protective against disordered eating behaviours and supports the development of health promoting eating habits and a positive relationship with food in the long-term (Welch & Leahy, 2018). To achieve this, food education should focus on neutral food exploration and food literacy (Cunningham-Sabo & Lohse, 2014; DeCosta et al., 2017; Welch & Leahy, 2018).   \n\nImmunization - Locally,  a large drop in coverage for some vaccines was found. Based on immunization reporting data, immunization of students has been prioritized.\n"]
[null,null,null,"b) Please briefly describe how the topics for consideration listed in requirement 4 of the School Health Standard that are not addressed in the Annual Service Plan were assessed or considered.  "]
[null,null,null,"UV exposure;Visual Health - Lack of demand for these topics and resources are the primary reasons these topics are not addressed comprehensively in schools.  "]
[null,null,null,"c) Considering the concept of proportionate universalism, describe how your board of health determines which school communities to prioritize for engagement and the provision of programs and services. "]
[null,null,null,"The school team takes a proportionate universalism approach to delivering service by providing a more intensive level of service to the school communities that need it most. This ensures disproportionate pockets of need are met with proportionate care and attention.  Prioritizing of schools is based on the Ontario Education Index data and yearly school situational assessments."]
[null,null,null,"B. Key Partners/Stakeholders\na) Provide a high-level summary of school board and school partners (e.g., school administrators, school staff) you will collaborate with to deliver on this Standard. Include a description of the contribution/role of school boards and schools in program and service delivery, the mechanism(s) for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and the frequency of engagement. Please also describe any situations where the programming provided by the school board and / or school partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Our key external partners are our 4 local school boards: Thames Valley District School Board, London District Catholic School Board, Conseil Scolaire Viamonde, and Conseil Scolaire Catholique Providence. Within each school board staff work directly with Superintendents, Learning Coordinators, Principals, Vice-principals, teachers, social workers, educational assistants, students and families on a daily basis in order implement the Comprehensive School Health approach. The team also works with some private schools & First Nations schools. "]
[]
[null,null,null,"b) Provide a high-level summary of key internal partners and external partners other than school board and school partners you will collaborate with to deliver on this Standard (e.g., students, broader school community, parents / guardians, not-for-profit organizations, university partners, researchers, municipalities, etc). Include a description of the contribution/role of the key internal and other external partners in program and service delivery, the mechanism(s) for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and the frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"The Comprehensive School Health Program is jointly managed by the Elementary and Secondary School Teams. \nThe two school teams collaborate with the following MLHU teams when delivering interventions related to this program: Community Health Promotion, Substance Use Prevention, Vaccine Preventable Disease, Oral Health, Infectious Disease Control, Sexual Health, and Food Safety and Healthy Environment.\n\nThe Comprehensive School Health Program is primarily coordinated with the other teams through an internal School Health Planning committee and sub-working groups. This committee coordinates school health messaging, scheduling, and reporting for in-school services and clinics (e.g. ISPA clinics and Oral Health screening) then shares this information in a streamlined fashion both internally and with schools and school boards.     "]
[null,null,null,"Secondary external stakeholders include Faculty of Education, Western University, Southwestern Public Health, Ontario Student Nutrition Program, and Settlement Service Agencies. We work with these stakeholders to collaborate on specific programs and services offered within schools.\n\nKey internal partners/Teams include Vaccine Preventable Disease (implementation of the Immunization of School Pupils Act), Sexual Health (implementation of sexual health clinic services in schools), Substance Use Program Team (implementation of health promotion and prevention initiatives around vaping, tobacco and substance use), Oral Health (coordination of school screening and oral health promotion messages), Infectious Disease Control (communication and prevention of reportable diseases in schools), and Communications (creation and implementation of mass health communication messaging). \n"]
[null,null,null,{"$f":"Structure!D2217 & Structure!E2217","v":"P 1) Comprehensive School Health"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target population for the Comprehensive School Health Program includes all elementary and secondary school communities. MLHU uses the Education Opportunities Index to help identify high risk and low risk school communities in our region. All schools are connected to a Public Health Nurse and have access to our comprehensive suite of curriculum supports, resources and programs. However, only those schools deemed to be high risk receive dedicated in-school support on a regular basis and have access to a more intensive level of programs and services from the school health teams. This approach helps the school health teams address inequities between the schools in terms of need, risk, and capacity. \n\nThe priority population varies with the topic and interventions and includes: \n- school age children and youth at high risk schools \n- school administrators and staff at high risk schools \n- parents and caregivers of students at high risk schools\n- First Nations school communities \n- Newcomer students and parents\n\nSchool Health nurses complete a comprehensive school health assessment and action plan in high risk schools to determine how to most effectively work together to support the development of a healthy school community. "]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[null,null,null,"1 to 6, 8"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[null,null,null,"1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 13) Violence and bullying.\n"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Schools are the most immediate setting for promoting the lifelong health of children and youth (Pan‐Canadian Joint Consortium for School Health, 2018; Seigart, Dietsch, & Parent, 2013). The overall goal of the School Health Team (SHT) is to achieve optimal health of school-aged children and youth using a Comprehensive School Health approach. This is an internationally recognized approach that supports improvement in students’ educational outcomes while addressing school health in a planned, integrated and holistic way. This whole-school model is implemented in collaboration with school boards and schools (Ontario Public Health School Standard, 2018). Specifically, the teams work with students, parents, teachers, principals, school board staff and community partners to plan and implement evidence-based activities, influence the development and implementation of healthy policies, and create or enhance supportive environments. The SHT supports approximately 33 secondary schools and 150 elementary schools in the Middlesex-London region by providing resources, programs and services. The allocation of resources, programs, and services within the SHT is informed by proportionate universalism, whereby the team strives to achieve a blend of universal and targeted interventions to reduce inequities within our school communities (Health Equity Guideline, 2018). In accordance with a Comprehensive School Health approach, the work of the SHT targets: Awareness, Education and Skill Building,  Advocacy & Healthy Public Policy, Partnerships & Collective Community Action, Supportive Environments and Screening, Clinical Assessment & Case Management.\t\t\t\n\t\t\t"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"(A) Children and Youth health outcomes are greatly impacted by educational attainment and  the school environment (Nihiser et al., 2013). In order to support improvement in students’ educational outcomes and the school environment in a planned, integrated and holistic way, the internationally recognized Comprehensive School Health approach serves as the foundation for demonstrating community need to public health interventions in school broadly. (B) To determine local priorities for public health intervention in schools MLHU uses provincial and local level children and youth data such as:\n- Ontario Student Drug Use and Health Survey (OSDUHS)\n- Canadian Community Health Survey (CCHS)\n- COMPASS\n- Local school board climate survey data\nAditionally, each year a comprehensive needs assessment is conducted with school boards and individual schools to help determine board and school priorities.  Example board priorities include Mental Health Promotion, Substance Use Prevention and Management (vaping), Sexual Health Promotion, and Parent Engagement.  These priorities are further assessed and addressed at the school level.\nNeeds have been identified for 2023 in the areas of for Healthy Eating, Physical Activity and Sedentary Behaviour, and Healthy Sexuality.\n"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"In addition to schools being prioritized, some priority populations within school are further identified.  These include low socioeconomic students, newcomer students/families, and Indigenious students.  Interventions are modified to be culturally sensitive."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The comprehensive school health program has several interventions aimed at improving the mental health of students in schools. These include programs and resources supporting individual students, classrooms and whole schools.  \n\nIndividual level: Public Health Nurses provided one-on-one supports related to upstream mental health and well-being, as well as provide assessment and community referrals for individuals who may be experiencing mental illness. \n\nClassroom level: public health staff provide curriculum supports and will deliver learning activities that complement curriculum. Furthermore, public health staff (in collaboration with school partners), run small group sessions (e.g., Healthy Relationships Plus Program) that involve an intense level of knowledge and skill development to improve health behaviours and outcomes, many of which are related to mental health. These small groups aim to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments.  \n\nSchool level: public health staff work with school staff and student groups, such as the Gay Straight Alliance (club), Healthy Schools Committee and Bullying Prevention and Intervention Committee to identify and help obtain grants for mental health initiatives and to plan and implement school-wide activities that create supportive environments for mental health and well-being. Public health staff also support messaging in schools and for the parent community to increase awareness and knowledge about connectedness and mental well-being.  An evidence-based school toolkit called “Promoting School Connectedness” was created to showcase the different activities and resources related to mental health.  The toolkit follows the Foundations for a Healthy School Framework and meets the OPHS requirements of a comprehensive intervention.\n\n"]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[null,null,null,"Chronic Disease Prevention & Wellbeing, Substance Use & Injury Prevention, Healthy Growth and Development and Immunizations"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n(1) There is an increased adoption of healthy living behaviours among school-aged children and youth.  \n(2) There is a decrease in health inequities related to the health of school-aged\nchildren and youth. \n(3) The oral health of children and youth is improved. \n(4) To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools.\n\nIntermediate Outcomes:\n(1) Data is used to influence and inform the development of local healthy public policy and its programs and services related to the health of school-aged children and youth. \n(2)  Programs and services are designed to address the identified needs of the community, including priority populations, associated with the health of school-aged children and youth. \n(3) Children and youth from low-income families have improved access to oral health care\n\nShort-Term Outcomes:\n(1) School boards and schools are aware of relevant and current population health needs impacting students in their schools. \n(2) School boards and schools are meaningfully engaged in the planning, development, implementation, and evaluation of public health programs and services relevant to school-aged children and youth. \n(3) School boards and schools have the knowledge, skills, and capacity needed to act on the factors associated with the health of school-aged children and youth. \n(4) School-based initiatives relevant to healthy living behaviours and healthy environments are informed by effective partnerships between boards of health, school boards, and schools. \n(5) School-aged children, youth, and their families are aware of factors for healthy growth and development. \n(6) Students and parents/guardians are aware of the importance of immunization. \n(7) Children and youth have up-to-date immunizations. \n(8)  Timely and effective detection and identification of children and youth at risk of poor oral health outcomes, their associated risk factors, and emerging trends.\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2218 & \" \" & Structure!E2218","v":"i 1) EST / SST Awareness"}]
[null,null,null,"The Elementary School Team participates in the development and implementation of interactions where information is created and/or disseminated for the purpose of increasing health-related awareness amongst individuals or populations. Various mediums are used to convey positive health messaging in schools and online. Messages are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of health communication.   \n\nThe Young Adult Team (Secondary School Team) participates in the development and implementation of interactions where information is created and/or disseminated for the purpose of increasing health-related awareness amongst individuals or populations.   Various mediums are used to convey positive health messaging in schools and online.  Messages are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of health communication.  "]
[null,null,null,{"$f":"Structure!D2219 & \" \" & Structure!E2219","v":"i 2) EST Advocacy & Healthy Public Policy "}]
[null,null,null,"Advocacy and Healthy public policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for elementary school-aged children. The Elementary School Team is responsible for developing, reviewing and providing evidence-based feedback for key topic areas. It can involve a coordinated action with other organizations, and can lead to systemic change with a targeted group, or at the local, provincial, and federal levels. The team advocates for evidence-based approaches to health promotion in schools through education and professional development at both the school community and school board levels.  "]
[null,null,null,{"$f":"Structure!D2220 & \" \" & Structure!E2220","v":"i 3) EST Education & Skill Building "}]
[null,null,null,"The Elementary School Team participates in the development and implementation of planned learning opportunities in order to increase knowledge and skills within the school community. Health education is tailored to the target population and presents information on health benefits/threats and provides specific tools and/or strategies to build capacity and support behavior change in an appropriate setting.  Health education interventions are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of school health.   \n"]
[null,null,null,{"$f":"Structure!D2221 & \" \" & Structure!E2221","v":"i 4) EST Partnerships & Collective Community Action "}]
[null,null,null,"Partnerships and Collective Community Action involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. The Elementary School Team collaborates with school communities to support the development and implementation of evidence-informed healthy school and school board policies, guidelines and practices. \n"]
[null,null,null,{"$f":"Structure!D2222 & \" \" & Structure!E2222","v":"i 5) EST Supportive Environments"}]
[null,null,null,"Supportive environments involves both the social and physical environments. Supportive environments strive to support and encourage overall health and well-being of individuals, groups, and communities. A supportive environment aims to reduce health inequities and recognizes the impacts of the social determinants of health. \nThe Elementary School Team participates in the development and creation of both social and physical school environments in collaboration with principals, teachers, parents, students, neighborhood and/or community partners.   "]
[null,null,null,{"$f":"Structure!D2223 & \" \" & Structure!E2223","v":"i 6) SST Advocacy & Healthy Public Policy"}]
[null,null,null,"The Young Adult Team (Secondary School Team) participates in the development, modification, implementation, and evaluation of specific policies and advocacy initiatives. Public health staff collaborate with school board representatives on a quarterly basis to discuss and plan policy related initiatives.  Advocacy and healthy public policy interventions are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of school health. "]
[null,null,null,{"$f":"Structure!D2224 & \" \" & Structure!E2224","v":"i 7) SST Education & Skill Building"}]
[null,null,null,"The Young Adult Team (Secondary School Team) participates in the development and implementation of planned learning opportunities in order to increase knowledge and skills among youth. Health education is tailored to the target population and presents information on health benefits/threats and provides specific tools and/or strategies to build capacity and support behavior change in an appropriate setting.  Education and skill building interventions target topics such as mental health, sexual health, and substance use.  Health education interventions are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of school health.  "]
[null,null,null,{"$f":"Structure!D2225 & \" \" & Structure!E2225","v":"i 8) SST Partnerships & Collective Community Action "}]
[null,null,null,"The Young Adult Team (Secondary School Team) works closely with school boards, schools, and the larger school community, including families and other community partners. Collaboration fosters strong connections between home, school and community organizations, with the goal of advancing school health.   Members from our team participate in planning, implementation and evaluation committees that are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of school health. "]
[null,null,null,{"$f":"Structure!D2226 & \" \" & Structure!E2226","v":"i 9) SST Screening, Clinical Assessment & Case Management"}]
[null,null,null,"The Young Adult Team (Secondary School Team) provides one-on-one health-related situational supports for youth. Example topics addressed through this service include providing up to date information of community services, referral processes, sexual health information and clinical services, substance use reduction/prevention, healthy eating and mental health resilience and coping. Most situational supports are conducted in schools and some occur over the telephone. The goal of this intervention is to assess health concerns, link the individual with necessary community support, and follow up to further support next steps.  "]
[null,null,null,{"$f":"Structure!D2227 & \" \" & Structure!E2227","v":"i10) SST Supportive Environments"}]
[null,null,null,"The Young Adult Team (Secondary School Team) participates in the development and creation of both social and physical school environments in collaboration with principals, teachers, parents, students, neighborhood and/or community partners. Supportive environments strive to support and encourage overall health and well-being of individuals, groups, and communities and aims to reduce health inequities and recognizes the impacts of the social determinants of health. Supportive environment interventions are aligned with priority topics and are designed to enhance and supplement ongoing programs and services and improve comprehensiveness of school health. "]
[null,null,null,{"$f":"Structure!D2228 & Structure!E2228","v":"P 2) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2229 & \" \" & Structure!E2229","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2230 & \" \" & Structure!E2230","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2231 & \" \" & Structure!E2231","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2232 & \" \" & Structure!E2232","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2233 & \" \" & Structure!E2233","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2234 & \" \" & Structure!E2234","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2235 & \" \" & Structure!E2235","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2236 & \" \" & Structure!E2236","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2237 & \" \" & Structure!E2237","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2238 & \" \" & Structure!E2238","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2239 & Structure!E2239","v":"P 3) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2240 & \" \" & Structure!E2240","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2241 & \" \" & Structure!E2241","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2242 & \" \" & Structure!E2242","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2243 & \" \" & Structure!E2243","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2244 & \" \" & Structure!E2244","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2245 & \" \" & Structure!E2245","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2246 & \" \" & Structure!E2246","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2247 & \" \" & Structure!E2247","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2248 & \" \" & Structure!E2248","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2249 & \" \" & Structure!E2249","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2250 & Structure!E2250","v":"P 4) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2251 & \" \" & Structure!E2251","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2252 & \" \" & Structure!E2252","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2253 & \" \" & Structure!E2253","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2254 & \" \" & Structure!E2254","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2255 & \" \" & Structure!E2255","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2256 & \" \" & Structure!E2256","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2257 & \" \" & Structure!E2257","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2258 & \" \" & Structure!E2258","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2259 & \" \" & Structure!E2259","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2260 & \" \" & Structure!E2260","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2261 & Structure!E2261","v":"P 5) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2262 & \" \" & Structure!E2262","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2263 & \" \" & Structure!E2263","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2264 & \" \" & Structure!E2264","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2265 & \" \" & Structure!E2265","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2266 & \" \" & Structure!E2266","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2267 & \" \" & Structure!E2267","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2268 & \" \" & Structure!E2268","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2269 & \" \" & Structure!E2269","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2270 & \" \" & Structure!E2270","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2271 & \" \" & Structure!E2271","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2272 & Structure!E2272","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2273 & \" \" & Structure!E2273","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2274 & \" \" & Structure!E2274","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2275 & \" \" & Structure!E2275","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2276 & \" \" & Structure!E2276","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2277 & \" \" & Structure!E2277","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2278 & \" \" & Structure!E2278","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2279 & \" \" & Structure!E2279","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2280 & \" \" & Structure!E2280","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2281 & \" \" & Structure!E2281","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2282 & \" \" & Structure!E2282","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2283 & Structure!E2283","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2284 & \" \" & Structure!E2284","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2285 & \" \" & Structure!E2285","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2286 & \" \" & Structure!E2286","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2287 & \" \" & Structure!E2287","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2288 & \" \" & Structure!E2288","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2289 & \" \" & Structure!E2289","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2290 & \" \" & Structure!E2290","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2291 & \" \" & Structure!E2291","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2292 & \" \" & Structure!E2292","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2293 & \" \" & Structure!E2293","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2294 & Structure!E2294","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2295 & \" \" & Structure!E2295","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2296 & \" \" & Structure!E2296","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2297 & \" \" & Structure!E2297","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2298 & \" \" & Structure!E2298","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2299 & \" \" & Structure!E2299","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2300 & \" \" & Structure!E2300","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2301 & \" \" & Structure!E2301","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2302 & \" \" & Structure!E2302","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2303 & \" \" & Structure!E2303","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2304 & \" \" & Structure!E2304","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2305 & Structure!E2305","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2306 & \" \" & Structure!E2306","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2307 & \" \" & Structure!E2307","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2308 & \" \" & Structure!E2308","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2309 & \" \" & Structure!E2309","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2310 & \" \" & Structure!E2310","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2311 & \" \" & Structure!E2311","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2312 & \" \" & Structure!E2312","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2313 & \" \" & Structure!E2313","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2314 & \" \" & Structure!E2314","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2315 & \" \" & Structure!E2315","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2316 & Structure!E2316","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2317 & \" \" & Structure!E2317","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2318 & \" \" & Structure!E2318","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2319 & \" \" & Structure!E2319","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2320 & \" \" & Structure!E2320","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2321 & \" \" & Structure!E2321","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2322 & \" \" & Structure!E2322","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2323 & \" \" & Structure!E2323","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2324 & \" \" & Structure!E2324","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2325 & \" \" & Structure!E2325","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2326 & \" \" & Structure!E2326","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2327 & Structure!E2327","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2328 & \" \" & Structure!E2328","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2329 & \" \" & Structure!E2329","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2330 & \" \" & Structure!E2330","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2331 & \" \" & Structure!E2331","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2332 & \" \" & Structure!E2332","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2333 & \" \" & Structure!E2333","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2334 & \" \" & Structure!E2334","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2335 & \" \" & Structure!E2335","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2336 & \" \" & Structure!E2336","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2337 & \" \" & Structure!E2337","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2338 & Structure!E2338","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2339 & \" \" & Structure!E2339","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2340 & \" \" & Structure!E2340","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2341 & \" \" & Structure!E2341","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2342 & \" \" & Structure!E2342","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2343 & \" \" & Structure!E2343","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2344 & \" \" & Structure!E2344","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2345 & \" \" & Structure!E2345","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2346 & \" \" & Structure!E2346","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2347 & \" \" & Structure!E2347","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2348 & \" \" & Structure!E2348","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2349 & Structure!E2349","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2350 & \" \" & Structure!E2350","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2351 & \" \" & Structure!E2351","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2352 & \" \" & Structure!E2352","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2353 & \" \" & Structure!E2353","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2354 & \" \" & Structure!E2354","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2355 & \" \" & Structure!E2355","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2356 & \" \" & Structure!E2356","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2357 & \" \" & Structure!E2357","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2358 & \" \" & Structure!E2358","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2359 & \" \" & Structure!E2359","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2360 & Structure!E2360","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2361 & \" \" & Structure!E2361","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2362 & \" \" & Structure!E2362","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2363 & \" \" & Structure!E2363","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2364 & \" \" & Structure!E2364","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2365 & \" \" & Structure!E2365","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2366 & \" \" & Structure!E2366","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2367 & \" \" & Structure!E2367","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2368 & \" \" & Structure!E2368","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2369 & \" \" & Structure!E2369","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2370 & \" \" & Structure!E2370","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2371 & Structure!E2371","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2372 & \" \" & Structure!E2372","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2373 & \" \" & Structure!E2373","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2374 & \" \" & Structure!E2374","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2375 & \" \" & Structure!E2375","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2376 & \" \" & Structure!E2376","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2377 & \" \" & Structure!E2377","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2378 & \" \" & Structure!E2378","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2379 & \" \" & Structure!E2379","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2380 & \" \" & Structure!E2380","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2381 & \" \" & Structure!E2381","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2382 & Structure!E2382","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2383 & \" \" & Structure!E2383","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2384 & \" \" & Structure!E2384","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2385 & \" \" & Structure!E2385","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2386 & \" \" & Structure!E2386","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2387 & \" \" & Structure!E2387","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2388 & \" \" & Structure!E2388","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2389 & \" \" & Structure!E2389","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2390 & \" \" & Structure!E2390","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2391 & \" \" & Structure!E2391","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2392 & \" \" & Structure!E2392","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2393 & Structure!E2393","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2394 & \" \" & Structure!E2394","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2395 & \" \" & Structure!E2395","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2396 & \" \" & Structure!E2396","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2397 & \" \" & Structure!E2397","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2398 & \" \" & Structure!E2398","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2399 & \" \" & Structure!E2399","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2400 & \" \" & Structure!E2400","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2401 & \" \" & Structure!E2401","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2402 & \" \" & Structure!E2402","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2403 & \" \" & Structure!E2403","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2404 & Structure!E2404","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2405 & \" \" & Structure!E2405","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2406 & \" \" & Structure!E2406","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2407 & \" \" & Structure!E2407","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2408 & \" \" & Structure!E2408","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2409 & \" \" & Structure!E2409","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2410 & \" \" & Structure!E2410","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2411 & \" \" & Structure!E2411","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2412 & \" \" & Structure!E2412","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2413 & \" \" & Structure!E2413","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2414 & \" \" & Structure!E2414","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2415 & Structure!E2415","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2416 & \" \" & Structure!E2416","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2417 & \" \" & Structure!E2417","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2418 & \" \" & Structure!E2418","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2419 & \" \" & Structure!E2419","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2420 & \" \" & Structure!E2420","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2421 & \" \" & Structure!E2421","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2422 & \" \" & Structure!E2422","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2423 & \" \" & Structure!E2423","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2424 & \" \" & Structure!E2424","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2425 & \" \" & Structure!E2425","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2426 & Structure!E2426","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2427 & \" \" & Structure!E2427","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2428 & \" \" & Structure!E2428","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2429 & \" \" & Structure!E2429","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2430 & \" \" & Structure!E2430","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2431 & \" \" & Structure!E2431","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2432 & \" \" & Structure!E2432","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2433 & \" \" & Structure!E2433","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2434 & \" \" & Structure!E2434","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2435 & \" \" & Structure!E2435","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2436 & \" \" & Structure!E2436","v":"i10) "}]

{"sheet":"SUIP","index":15,"n_rows":1050,"n_cols":4,"rows_kept":1050,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Substance Use and Injury Prevention"]
[null,null,null,"A. Community Needs and Priorities\na) Please identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard are being prioritized by your board of health over the reporting period. Please briefly describe your rationale (i.e., key data and information including but not limited to, local conditions, comparison with provincial rates, acute elevations) to demonstrate why these topics are being prioritized."]
[null,null,null,{"$cut":{"chars":18387,"head":"Alcohol\n• Between 2015 and 2017, the prevalence of current alcohol consumption for people aged 15 and older among Middlesex-London residents was 78.9%, while 36.5% of those 19 and older drink two or more drinks per week. Public Health Ontario estimated that in an average year in the Middlesex-London region, there were 154 (4.1%) deaths, 842 (2.4%) hospitalizations and 6,968 (3.8%) emergency department visits among residents age 15 and older attributable to alcohol consumption (Public Health Ontario, 2023).  Harmful alcohol use remains high and has been exacerbated due to COVID-19.  During the COVID-19 pandemic, the sale of alcohol increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). During the COVID-19 pandemic, a significantly higher proportion of Canadian survey participants reported increased alcohol consumption as the pandemic progressed and more Canadians reported consuming five or more drinks on the days where alcohol was consumed (Statistics Canada, June 2020; Statistics Canada, 2021).  Alcohol is the most prevalent substance used by teens: 43% of Ontario students reported drinking alcohol in the past year (grades 7-12); 68.3% in Grade 12; 17% report binge drinking in the past month (grades 7-12); 14% report drinking hazardously in the past year (grades 9-12) (ODSUS, 2017).  \n\nCannabis\n• During the COVID-19 pandemic, the sale of cannabis increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). More Canadians aged 15 and older reported using cannabis daily or almost daily in late 2020 compared to the beginning of 2019 and 2020 (Rotermann, 2021).  According to data collected by Statistics Canada (2022), 27% of Canadians aged 16 years and older reported using cannabis in the past year; an increase from 25% from the previous year. Cannabis use within the last twelve months is highest among young people, with 50% of young adults aged 20-24 and 37% of youth aged 16 to 19 reporting past year use. Twenty-four percent (24%) of those who used cannabis in the past 12 months reported an increase in their cannabis use during the COVID-19 pandemic. This change in use was reported primarily by youth and young adults, with stress, anxiety, boredom, loneliness and a lack of a routine or schedule as the most common reasons cited (Statistics Canada, 2022).   According to the Ontario Student Drug Use and Health Survey (2017), 19% of Ontario grade 7-12 students and 37% of grade 12 students used cannabis in past year. Research has found that youth tend to have more misconceptions around the harms associated with cannabis which can rationalize use thereby putting them at a greater risk of harm (CCSA, 2017).\n• Nearly half (46%) of the M-L population (19+) has used cannabis in their lifetime, 14% reported use in the previous 12 months and 6% used daily or a few times per week in 2015/16 (CCHS). 53% of Ontario cannabis users report moderate or high risk of problems (ASSIST-CIS 4+) (CAMH Monitor 2017). In ML, the 15–24 age group had, by far, the highest rate of cannabis-related ED visits (269.9 per 100,000) followed by the 25–34 age group (127.1 per 100,000) (MLHU CHSR). In ML, nearly four percent (3.8%) of women who gave birth reported cannabis use during their pregnancy in 2017.  This is significantly higher than 2.3% reported in 2013.  ML had a significantly higher rate of use than its peer group comparator and Ontario. (Pregnancy, BORN Information System).\n• Concerning trends regarding cannabis poisoning have been observed over the last ten years. According to Public Health Ontario (2020), emergency department visits for cannabis poisonings in Middlesex-London increased significantly from 2013 to 2018 and were over two times higher than Ontario rates. In the two years following the legalization of cannabis edibles, oils, and extracts in 2019, researchers from The Hospital for Sick Children (SickKids) found that there was a four-fold increase in unintentional cannabis ingestion among children under 12 years, and a three"}}]
[null,null,null,"b) Please briefly describe how the topics for consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard that are not addressed in the Annual Service Plan were assessed or considered.   "]
[null,null,null,"In 2022, after the two-year suspension of many programs under the Substance Use and Injury Prevention Standard due to the required response to the COVID-19 pandemic, an assessment was undertaken to determine the status/priorities of community partnerships moving forward.  As part of this process, a review of both Health Unit and community partner capacity was completed to help identify whether or not programmatic and partnership priorities need to shift. Some of this work is still underway in 2023 due to the sustained community impacts felt by the COVID-19 pandemic.\n\nThe programs and interventions named under the Annual Service Plan cover all health topics named under requirement 2 of the Substance Use and Injury Prevention Standard; however, some health topics are being addressed through integration within other programs, and based on the results from the review in 2022/2023, some health topics may have have less intensive programming moving forward than in past years. "]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners (e.g., community organizations, people with living/lived experience, research institutions, harm reduction agencies) you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanisms for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), substances of focus (i.e., alcohol, cannabis, tobacco, opioids and other drugs), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Alcohol\n• The Substance Use Program staff act as content consultants within the Health Unit, ensuring consistent messaging and the dissemination of best/promising practices or new evidence across the Health Unit for integration into Teams that work with specific target populations (e.g. Elementary School, Secondary School, Sexual Health Promotion and The Clinic, Healthcare Provider Outreach, and the Healthy Start Division Teams).  The Substance Use Program staff also work collaboratively with the Southwest Poly Substance Public Health Working group to facilitate collaborative public health action, finding efficiencies in key message development, public health program development, implementation and evaluation. The Substance Use Program staff also work collaboratively with the OPHA Alcohol Policy Working Group to ensure the development of policy positions on alcohol, on behalf of the OPHA, are in alignment with the local public health voice and experience regarding the health and safety impacts of alcohol-related policy.\n• The Middlesex-London Community Drug and Alcohol Strategy Steering Committee - includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, and Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services, and MLHU.  The CDAS includes alcohol as part of its broad focus on substances.\n• The Southwest Poly Substance Public Health Working Group, comprised of public health unit staff from the seven public health units in southwestern Ontario, work collaboratively to identify priorities and to develop, implement and evaluate tools, resources and interventions (including RethinkYourDrinking.ca) to reduce health harms associated with the consumption of alcohol, cannabis, opioids and other drugs. Safe consumption, needle exchange and naloxone-related programming falls outside of the scope of this partnership.\n• Canadian Centre on Substance Use and Addiction (CCSA) studies the health harms and latest evidence pertaining to alcohol, cannabis, opioids and other drugs.  In January 2023, CCSA released Canada's Guidance on Alcohol and Health.\n• The Joint Agency Enforcement Working Group includes leadership representatives from London Police Services, the Ministry of Labour, the Alcohol Gaming Commission of Ontario, Business Licensing and Bylaw Divisions from the City of London, the Middlesex-London Health Unit's Tobacco, Vaping and Cannabis Enforcement and Food Safety/Health Hazards Divisions, and the City of London's Fire Prevention Services. Monthly meetings serve to share information and coordinate joint enforcement efforts when required. While public health is not involved in the enforcement of any alcohol legislation, this partnership provides an opportunity to share information and intelligence with the AGCO and London Police Services.\n•Ontario Public Health Association (OPHA) Alcohol Working Group develops policy positions on alcohol on behalf of the OPHA, with the goal of strengthening the public health voice regarding the health and safety impact of alcohol-related policy.\n\nCannabis\n• The Substance Use Program staff act as content consultants within the Health Unit, ensuring consistent messaging and the dissemination of best/promising practices or new evidence across the Health Unit for integration into Teams that work with specific target populations (e.g. Elementary School, Secondary School, Sexual Health and Clinic, Healthcare Provider Outreach, and the Healthy Start Division Teams).  The Substance Use Program staff, in a leadership capacity, work collaboratively with members of the Southwest Tobacco Control Area Network Team (SWTCAN) and the Ontario Tobacco Control Area Network to ensure the development and dissemination of consistent “smoke” and “vaping” messages.  The Substance Use Program staff also work collaboratively with the Southwest Poly Substance Public Health Working group, to facilitate collaborative public health action, finding efficiencies in program development, implementation and evaluation. \n• The Middlesex-London Community Drug and Alcohol Strategy Steering Committee - includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, and Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services and MLHU.  The CDAS includes cannabis as part of its broad focus on substances. \n• The Southwest Tobacco Control Area Network and the Ontario Tobacco Control Area Network - Substance Use Program staff, in a leadership capacity (outlined in more detail in the Southwest Tobacco Control Area Network Program), work with public health unit staff from the other six public health units in southwestern Ontario and with the other six Tobacco Control Area Networks (TCANs) across Ontario to set and implement program priorities, increasing the impact of activities, maximizing the utilization of resources, and reducing inefficiencies by minimizing duplication across the Province. Collaboration with TCAN programming ensures the development and dissemination of consistent \"smoke\" and \"vaping\" messages, and allows for coordination when targeting similar audiences.\n• The Southwest Poly Substance Public Health Working Group, comprised of public health unit staff from the seven public health units in southwestern Ontario, work collaboratively to identify priorities and to develop, implement and evaluate tools, resources and interventions to reduce health harms associated with the consumption of cannabis, alcohol, opioids and other drugs. Safe consumption, needle exchange and naloxone-related programming falls outside of the scope of this partnership.\n•  The Joint Agency Enforcement Working Group includes leadership representatives from London Police Services, the Ministry of Labour, the Alcohol Gaming Commission of Ontario, Business Licensing and Bylaw Divisions from the City of London, the Middlesex-London Health Unit's Tobacco, Vaping and Cannabis Enforcement and Food Safety/Health Hazards Divisions, and the City of London's Fire Prevention Services. Monthly meetings serve to share information and coordinate joint enforcement efforts when required.\n• The City of London's Finance Team - since 2019, the Health Unit has received a portion of funding from the City of London's allocation of the Ontario Cannabis Legalization Implementation Fund to address public health needs (enforcement, public education, program assistant costs, etc.). In 2023, this funding will be used to cover the cost of two (2) 1.0 FTE Enforcement Officer positions and the development and implementation of a cannabis social marketing campaign targeted to either youth or young adults, and a parent outreach strategy to address edible cannabis poisonings in young children. \n\nOther Drugs\n• The Other Drugs (not including Opioids) program is managed by the Substance Use Program Team in collaboration with the Sexual Health Team and the Community Outreach and Clinical Support Services (Outreach) Team.  Under the strategy's four pillar approach, that is prevention, treatment, harm reduction and enforcement, interventions that are implemented by the Sexual Health and Outreach teams support achievement of the CDAS recommendations and actions related to the harm reduction pillar.  Upstream health promotion strategies to prevent or delay substance use (the prevention pillar) are implemented by the Substance Use Program Team, in collaboration with CDAS partners and the Health Unit's Elementary School and Secondary School Teams. There is overlap between the pillars (prevention and harm reduction in particular); therefore, internal collaboration between the Substance Use Program Team with Sexual Health, Outreach and the School Teams is critical. The Health Unit's role with the implementation and monitoring of the CDAS and the maintenance of the community partnership are under review and a priority for 2023.  \n• The Middlesex-London Community Drug and Alcohol Strategy Steering Committee includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, and CMHA Thames Valley Addiction and Mental Health Services and MLHU and focuses broadly on all substances with the exception of tobacco. \n\nHarm Reduction Program Enhancement\n• The Harm Reduction Program Enhancement is managed by the Sexual Health (SH) Team in collaboration with the Community Outreach and Clinical Support Services (Outreach) Team.  This intervention includes Naloxone Distribution, Partnerships, including support of Consumption and Treatment Services, Outreach, Health Promotion and Communications, Surveillance and Monitoring.  MLHU is the lead distributer of naloxone and works closely with many of the community organizations that are eligible to ensure they have naloxone available and provide education and resources as needed.  Many of the community organizations worked with MLHU from 2017 onwards addressing the opioid crisis and implementing strategies to decrease HIV and other infectious diseases, opioid overdoses, improperly discarded drug use equipment, outreach teams, and advocacy for the safe injection site. \n Community organizations MLHU works in other parts of this program include; Regional HIV/AIDS Connection (RHAC), My Sisters’ Place, Coffee House-CMHA, Mission Services Community Mental Health Program, local pharmacies, some first nations, London Intercommunity Health Centre, Addiction Services Thames Valley, London Cares, Southwest Ontario Health Access Centre, and Canadian Mental Health Association, City of London, London Police Service, London Cares, Southwest LHIN, London Health Sciences Centre, EMS, Elgin Middlesex-Detention Centre, Community Mental Health Services, Downtown London, Old East Village Business Improvement Area, Goodwill Industries, Salvation Army Centre of Hope, St. Joseph's Health Care Centre, OPP, Unity Project, Anova.  \n\nNeedle Syringe Program\n• The Needle Syringe Program, which includes the interventions of Needle Exchange, Partnerships, and Health Promotion and Communications, is managed by the Sexual Health (SH) Team.  \n• MLHU is a satellite location for needle exchange.  The City of London, MLHU and Regional HIV/AIDS Connection work in partnership to ensure community concerns and questions are responded to in regards to improperly discarded needles.  The City of London also places needle bins (23) throughout the City of London to ensure access to properly discard sharps.  There are 24 access points/satellite/partner locations which clients can access harm reduction materials."]
[null,null,null,"Smoke-Free Ontario\n• Under the leadership of the Substance Use Program Manager and Supervisor, the Substance Use Program staff work collaboratively with tobacco and vapour product staff from the other six public health units in southwestern Ontario to develop, implement and evaluate regional tobacco and vapour product health promotion interventions across the Tobacco Control Area Network (TCAN) region. Additionally, the Substance Use Program Manager and staff work collaboratively with staff from the six other TCANs, non-governmental organizations and members of the provincial Advisory Committees and working groups to plan, implement and evaluate comprehensive health promotion interventions. \n• Within the Middlesex-London Health Unit, Substance Use Program staff act as tobacco and vapour product content consultants within the Health Unit, ensuring consistent messaging and the dissemination of best/promising practices or new evidence across the Health Unit for integration into Teams that work with specific target populations (e.g. Healthy Beginnings Visiting and Group Programs, Healthy Family Home Visiting, and Early Years Community Health Promotion). They also work collaboratively with the Community Health Promotion Team, the Elementary School Team, the Secondary School Team and the Oral Health Team to ensure the development and delivery of consistent, evidence-informed messages and strategies to reach target populations. Substance Use Program staff (enforcement) share premise information with Food Safety Program staff and coordinate efforts (as appropriate) pertaining to City of London business licensing requirements. There is significant collaboration and integration between the regional SWTCAN Program (as outlined in the SWTCAN Program Description) and the Cannabis Program (to ensure consistent messaging related to \"smoking\" and \"vaping\"). This collaborative model of service delivery increases the potential impact of activities, maximizing the utilization of resources and reduces inefficiencies by minimizing duplication.\n• Alliance for a Tobacco Free Ontario (ATFO) members include the Canadian Cancer Society, the Lung Foundation, the Lung Association of Canada, the Heart and Stroke Foundation, and the Ontario Tobacco Research Unit will be engaged with the provincial Advisory Committees.\n• Canadian Cancer Society Smokers’ Helpline, Talk Tobacco, Smoke Free Curious, The Expand Project: Promote cessation services to general population as well as priority populations  \nCentre for Addictions and Mental Health: Participate and promote Training Enhancement in Applied Counselling and Health (TEACH) training, the promotion of the Smoking Treatment for Ontario Patients (STOP) Program for Public Health Units, Community Health Centres (CHCs) / Aboriginal Health Access Centres (AHACs) and Family Health Team, and the promotion of the importance and benefits of nicotine replacement therapy to support quit attempts.  The mechanisms of engagement include teleconferences and training opportunities.\n• Ontario Tobacco Research Unit (OTRU): Scientists from OTRU work with TCAN staff to offer provincial webinars and provide programmatic advice and the provision of data/evidence to inform tobacco and vapour product interventions.\nPublic Health Ontario (PHO): provides a provincial TCAN-PHO SharePoint site to host materials used and created by the provincial Advisory Committee, and  has been providing program planning consultation services. The mechanisms of engagement are meetings and monthly TCAN calls as needed.\n• Southwest Tobacco Control Area Network (TCAN) Public Health Units and Ontario Tobacco Control Area Network: This partnership contributes to program and service delivery and includes regionalized planning, intervention implementation, and a regional budget. The mechanisms of engagement include a Steering Committee (meets quarterly), a Dog and Tom Project Team (meets monthly, a Social Marketing Working Group (meets monthly or as needed), an Enforcement Sub-Committee (meets quarterly) and a Cessation Sub-Committee (meets quarterly). In addition, the seven TCANs across Ontario (CW, East, Central East, Northwest, Northeast, Southwest and Toronto) collaborate to facilitate provincial planning and to negotiate shared budget discussions for provincial projects and initiatives, meeting monthly.  In addition, a Provincial Youth Nicotine Dependence Advisory Committee and a Provincial Adult Nicotine Dependence Advisory Committee have been developed to facilitate 2023 planning across TCANS/PHUs to reduce duplication and maximize resources.\n• The Joint Agency Enforcement Working Group, comprised of leadership from the City of London's Licensing and Bylaw Divisions, London Police Services, the Alcohol and Gaming Commission of Ontario, the Ministry of Labour, the Ministry of Finance, the Health Unit's Food Safety and Health Hazards Programs, Fire Prevention Services and the  Health Unit's Substance Use Program Team meet monthly, or as needed to share information, make referrals and coordinate joint inspection/enforcement activity, where appropriate. \n• The City of London Business Licensing and Bylaw Division-- in accordance with the City of London's Business Licensing Bylaw - L. - 131-16, tobacco and vapour product retailers are required to pay an annual licensing fee to the City of London. Prior to the issuance of a license to a new operator, City of London staff confirm with Substance Use Program (Smoke-free Ontario program) staff that the operator has been inspected and is aware of their obligations under the Smoke-Free Ontario Act, 2017.  For subsequent annual licenses, premise lists are received by the City of London and checked against inspection data maintained by the Smoke-Free Ontario program staff.\n\nInjury Prevention\n• The IP program interventions will be managed across the Healthy Living and Health Start divisions. There will be opportunities for interdivisional collaborations, however each division services different populations (Healthy Start focuses on infants, young children and parent; the Healthy Living Division focuses on school-age children through older adults). The program will focus on education and skill building delivered at the direct client level in HS, and providing education and awareness for school age, and older populations in HL. Public health nurses, and health promoters in both divisions will deliver program interventions.\n• In 2023, the status and focus of pre-pandemic partnership tables will be examined with consideration of strategic alignment with public health mandate and programs.  Past partners will be re-engaged as appropriate; other necessary stakeholders will be engaged and priorities for action will be determined. \n\nSouthwest Tobacco Control Area Network\n• Under the leadership of the Manager, Substance Use Program staff work collaboratively with tobacco and vapour product staff from the other six public health units in southwestern Ontario to develop, implement and evaluate regional tobacco and vapour product health promotion interventions across the Tobacco Control Area Network (TCAN) region. Additionally, the Substance Use Program Manager and staff work collaboratively with staff from the six other TCANs, non-governmental organizations and members of the provincial Advisory Committees and working groups to plan, implement and evaluate comprehensive health promotion interventions. \n• Within the Middlesex-London Health Unit, Substance Use Program staff work collaboratively with the Community Health Promotion Team, the Elementary School Team, the Secondary School Team and the Oral Health Team to ensure the development and delivery of consistent, evidence-informed messages and strategies to reach target populations. There is significant collaboration and integration between the regional SWTCAN and the Tobacco and Vapour Product and Alcohol and Cannabis Programs. This collaborative model of service delivery increases the potential impact of activities, maximizing the utilization of resources and reduces inefficiencies by minimizing duplication.\n• Alliance for a Tobacco Free Ontario (ATFO) members include the Canadian Cancer Society, the Lung Foundation, the Lung Association of Canada, the Heart and Stroke Foundation, and the Ontario Tobacco Research Unit will be engaged with the provincial Advisory Committees.\n• Canadian Cancer Society Smokers’ Helpline, Talk Tobacco, Smoke Free Curious, The Expand Project: Promote cessation services to general population as well as priority populations  \nCentre for Addictions and Mental Health: Participate and promote Training Enhancement in Applied Counselling and Health (TEACH) training, the promotion of the Smoking Treatment for Ontario Patients (STOP) Program for Public Health Units, Community Health Centres (CHCs) / Aboriginal Health Access Centres (AHACs) and Family Health Team, and the promotion of the importance and benefits of nicotine replacement therapy to support quit attempts.  The mechanisms of engagement include teleconferences and training opportunities.\n• Ontario Tobacco Research Unit (OTRU): Scientists from OTRU work with TCAN staff to offer provincial webinars and provide programmatic advice and the provision of data/evidence to inform tobacco and vapour product interventions.\nPublic Health Ontario (PHO): provides a provincial TCAN-PHO SharePoint site to host materials used and created by the provincial Advisory Committee, and  has been providing program planning consultation services. The mechanisms of engagement are meetings and monthly TCAN calls as needed.\nSouthwest Tobacco Control Area Network (TCAN) Public Health Units and Ontario Tobacco Control Area Network: This partnership contributes to program and service delivery and includes regionalized planning, intervention implementation, and a regional budget. • The mechanisms of engagement include a Steering Committee (meets quarterly), a Dog and Tom Project Team (meets monthly), a Social Marketing Working Group (meets monthly or as needed), an Enforcement Sub-Committee (meets quarterly) and a Cessation Sub-Commitee (meets quarterly). In addition, the seven TCANs across Ontario (CW, East, Central East, Northwest, Northeast, Southwest and Toronto) collaborate to facilitate provincial planning and to negotiate shared budget discussions for provincial projects and initiatives, meeting monthly.  In addition, a Provincial Youth Nicotine Dependence Advisory Committee and a Provincial Adult Nicotine Dependence Advisory Committee have been developed to facilitate 2023 planning across TCANS/PHUs to reduce duplication and maximize resources.\n\nViolence Prevention\n• The violence prevention program is delivered in different ways across the health unit. Further work is needed in 2023 to identify and examine updated local data and trends, and community need and priorities in both London and Middlesex County related to this program area.  The information below reflects pre pandemic focus and trends. The Healthy Start (HS) Division manages VP by sharing information, making cross-divisional referrals, and providing input on violence prevention program development. The Healthy Start teams collaborate through division meetings and specific targeted topic/program meetings with representatives from each team as needed for consistent skills and knowledge related to violence. The HL division will continue to review data and assess community needs for primary prevention population health strategies. \n•  The Healthy Families Home Visiting Team implements Healthy Babies Healthy Children and the Healthy Beginnings Visiting and Group Programs Team implements the Nurse Family Partnership and iHeal to provide visits to clients who meet the program criteria during the prenatal, postpartum, and early childhood periods. Public Health Nurses (PHNs) provide information related to healthy relationships, substance use and mental health, and provide support when a client is experiencing a violent/abusive relationship. PHNs conduct case finding and selective screening as indicated as it relates to Intimate Partner Violence (IPV). The Healthy Growth and Development phone line provides information and community resources to clients. \n•  The Healthy Beginnings Visiting and Group Programs Team also implements the Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB), to women identifying with food insecurities, and information about healthy relationships are incorporated into the sessions. PHNs conduct case finding and selective screening as indicated as it relates to IPV.  \n•  Healthy Start manager acts as a liaison with Children's Aid Society (CAS) and updates the “Child Abuse and/or Neglect, and Duty to Report policy”. \n• MLHU Intimate Partner Violence and Client Care (IPV-CC) committee maintains the IPV-CC policy.    \n•  Elementary School and Secondary School Teams (focus on life skills, bullying, mental health, substance use and work to create supportive environments);  \n•  Sexual Health / Clinic Team (focus on promoting gender norms, healthy relationships, and substance use);  \n•  Outreach Team (focus on connecting to services /supports, mental health, substance use);  \n•  Health Equity and Reconciliation Team (focus on increasing staff capacity and changing cultural norms); and  \n•  The community Health promotion team will review primary prevention strategies for violence prevention, and embed violence prevention in their policy and advocacy work.\nCommittees: MLHU Intimate Partner Violence and Client Care Committee; Health Unit Violence Against Women Working Group. \n• Involved external partners include: Western University's intervention for Health Enhancement and Living (iHEAL) Research and Implementation Committee – implementation research.   \n• Supportive external partners include: We support the following community partners with referrals to their services, and receiving referrals and services to MLHU: Children’s Aid Society, Muslim Resource Centre, Regional HIV & AIDS Connection, Regional Sexual Assault & Domestic Violence Treatment Centre, London Intercommunity Health Center, Southwest Ontario Aboriginal Health Access Centre, women’s shelters. \n• Interested external partners include: The following community partners work in collaboration with HS division for referral/recommendation with community partners and resources that support violence prevention: London Coordinating Committee to End Women Abuse (LCCEWA), Middlesex Rural Alliance Coordinating Committee to End Woman Abuse (MRACCEWA), Street Level Women at Risk, MLHU Indigenous Reconciliation Committee, London and Middlesex Local Immigration Partnership, London Police Person’s at-Risk Coordinator, Nurse-Family Partnership Community Advisory Board, Western University (intervention for Health Enhancement and Living (iHEAL)). "]
[null,null,null,{"$f":"Structure!D2438 & Structure!E2438","v":"P 1) Alcohol"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Special-risk populations for this program include youth [7.9% of students grades 7-12 report binge drinking (five or more drinks on one occasion) at least once in the last month and 5.4% of high school students report drinking hazardously or harmfully, (OSDUHS, 2021)], people exceeding the low-risk alcohol drinking guidelines (LRADG) [48% of the ML population 19 years and older report exceeding LRADG (CCHS, 2015/16)], young women (increasing rates of alcohol attributed emergency department visits in Ontario between 2014-2017, with a significant increase among women and young adults).  Young adults are a population of significant interest for this program area as well, given that the City of London is home to both Western University and Fanshawe College.  With the release of Canada's New Guidance on Alcohol and Health, healthcare providers and social service agencies within the Middlesex-London region have also been identified as priority populations for this program for 2023."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1 and 2 in the Substance Use and Injury Prevention Standard will be addressed in the Alcohol program. Requirements 3 and 4 do not pertain to the Alcohol Program."]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"The Alcohol Program will address requirements pertaining to injury prevention through activities to address problematic substance use and the corresponding increased risk of injury. Activities under the Education and Skill-Building intervention and Partnership and Collective Community Action interventions will incorporate injury prevention, harm reduction, mental health promotion and violence prevention messages.  Road and off-road safety is addressed through messages related to impaired driving; however, specific activities to explicitly address alcohol impaired driving are not planned for 2023 due to existing community capacity by local police services, local Road Safety Coalitions and MADD Canada.  Comprehensive tobacco control has its own dedicated programs (Smoke-Free Ontario and the Southwest Tobacco Control Area Network programs); however, some activities related to parent outreach and resource development for educational professionals address all substances, including tobacco and vapour products.  Falls and Concussions are not addressed within the alcohol program. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Alcohol is considered a normative substance in our community, but it is “no ordinary commodity” (Babor et. al, 2022). Alcohol use has continued to increase, along with the associated harms of use. Alcohol is a psychoactive substance that can cause harm to the person who drinks alcoholic beverages and sometimes to those around them. Alcohol is a leading preventable cause of death, disability and social problems, including certain cancers, cardiovascular disease, liver disease, unintentional injuries and violence (Canadian Centre on Substance Use and Addiction (CCSA), 2023).  During the COVID-19 pandemic, the sale of alcohol increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). Harmful alcohol use remains high and has been exacerbated due to COVID-19.  \n\nThe Alcohol Program, using a comprehensive health promotion approach, aims to:\n• prevent or delay alcohol use;\n• decrease alcohol-related harms including injury, chronic diseases and death; and,\n• create a culture of alcohol moderation and reduced normalization.\n\nInterventions of the Alcohol Program include: Education and Skill Building; Advocacy and Healthy Public Policy; Partnerships and Collective Community Action; and, Public Health Assessment and Monitoring. The alcohol program staff work collaboratively with targeted populations/stakeholders including youth, parents, young adults, schools, healthcare providers, workplaces, and municipal leaders.    "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Between 2015 and 2017, the prevalence of current alcohol consumption for people aged 15 and older among Middlesex-London residents was 78.9%, while 36.5% of those 19 and older drink two or more drinks per week. Public Health Ontario estimated that in an average year in the Middlesex-London region, there were 154 (4.1%) deaths, 842 (2.4%) hospitalizations and 6,968 (3.8%) emergency department visits among residents age 15 and older attributable to alcohol consumption (Public Health Ontario, 2023).  Harmful alcohol use remains high and has been exacerbated due to COVID-19.  During the COVID-19 pandemic, the sale of alcohol increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). During the COVID-19 pandemic, a significantly higher proportion of Canadian survey participants reported increased alcohol consumption as the pandemic progressed and more Canadians reported consuming five or more drinks on the days where alcohol was consumed (Statistics Canada, June 2020; Statistics Canada, 2021).  Alcohol is the most prevalent substance used by teens: 43% of Ontario students reported drinking alcohol in the past year (grades 7-12); 68.3% in Grade 12; 17% report binge drinking in the past month (grades 7-12); 14% report drinking hazardously in the past year (grades 9-12) (ODSUS, 2017).  "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Special-risk populations for this program include youth [7.9% of students grades 7-12 report binge drinking (five or more drinks on one occasion) at least once in the last month and 5.4% of high school students report drinking hazardously or harmfully, (OSDUHS, 2021)], people exceeding the low-risk alcohol drinking guidelines (LRADG) [48% of the ML population 19 years and older report exceeding LRADG (CCHS, 2015/16)], and young women (increasing rates of alcohol attributed emergency department visits in Ontario between 2014-2017, with a significant increase among women and young adults).  \n\nYoung adults are a population of significant interest for this program area as well, given that the City of London is home to both Western University and Fanshawe College.\tHigh Risk Drinking among young adults is a public health concern – 64% of young adults ages 19-29 in ON report binge drinking in the last 12 months.  The highest proportion of heavy drinking for both sexes was among those aged 18 to 34. In this age group, 33.5% of males and 23.8% of females were heavy drinkers (Canadian Community Health Survey, 2018)  In the past 30 days, 60% of respondents had consumed alcohol in a pattern consistent with heavy drinking, defined as having 4 or more drinks for females and 5 or more drinks for males on one occasion in the past 30 days (Canadian Postsecondary Education Alcohol and Drug Use Survey, 2019/2020). The Health Unit is involved in a multi-Health Unit social marketing strategy that employs a behaviour change intervention using social identities and the targeting of the \"partier\" peer crowd within the young adult population called \"Before the Floor\". Formative research was conducted at the project outset to ensure message resonance."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The Alcohol program, through interventions that focus on education and dissemination of evidence-based information, creating supportive environments, partnership and capacity building, and policy development, has largely an indirect relationship to the promotion of mental health.  Examples of more focused activities that address mental health include the substance use toolkits for elementary and secondary school educators that focus on supporting youth healthy coping and resiliency, ad hoc consultation by members of public and referral to addiction and mental health resources."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"The Substance Use Program Team works collaboratively with the Elementary School and Secondary School Teams within the Healthy Living Division and teams within the Healthy Start Division to contribute to meeting the requirements under the School Health and Healthy Growth and Development Program Standards. "]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to alcohol and cannabis (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard). \n• To reduce the burden of preventable substance use (OPHS, 2021 –Substance Use and Injury Prevention Standard).  \n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases, injuries, substance use and reducing harms associated with substance use.\n• Use data to influence and inform the development of local healthy public policies, programs, and services to prevent chronic diseases, injuries, substance use, and reduce harms associated with substance use.\n• Community partners, policy makers, and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction.\n• Reduction in population health inequities related to chronic diseases, injuries and substance use.\n\nShort-Term Outcomes:\n• Increase public awareness of the impact of risk factors, protective factors and healthy behaviours associated with chronic diseases, injuries, and substance use, as well as an increase in awareness of the benefits of harm reduction programs and services.\n• Priority populations and health inequities related to chronic diseases, injury and substance use have been identified and relevant data have been communicated to community partners.\n• Programs and services are designed to address the identified needs of the community, including priority populations associated with the prevention of chronic diseases, injury, substance use, and reducing harms associated with substance use.\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, injuries, substance use, and reducing harms associated with substance use, including healthy living behaviours, healthy public policy, and creating supportive environments. \n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases, injuries, and substance use, which includes reducing the harms associated with substance use.\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2439 & \" \" & Structure!E2439","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for those at risk from alcohol use.  Staff are responsible for developing, reviewing and providing evidence-based feedback on policies that impact access to, promotion of and harms associated with alcohol, and involves coordination and collaboration with municipal, provincial and federal partners. "]
[null,null,null,{"$f":"Structure!D2440 & \" \" & Structure!E2440","v":"i 2) Education & Skill Building"}]
[null,null,null,"Education and skill building for the alcohol program involves the development and implementation of materials and planned learning opportunities in order to increase participants' knowledge about the potential harms associated with the use of alcohol, and skills to support behaviour change. Health education is tailored to the target population and setting and presents specific tools and/or strategies to build individual and community capacity, incorporating guidance from Canada's Guidance on Alcohol and Health. "]
[null,null,null,{"$f":"Structure!D2441 & \" \" & Structure!E2441","v":"i 3) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action within the alcohol program involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Key components within the alcohol program include the Community Drug and Alcohol Strategy, participation in the OPHA Alcohol Working Group and a Joint Agency Enforcement Working Group, and the implementation of regional campaigns/initiatives through partnership.  "]
[null,null,null,{"$f":"Structure!D2442 & \" \" & Structure!E2442","v":"i 4) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice for the Alcohol program.  Monitoring and assessment of the latest evidence is required to respond to current and emerging trends related to the use and potential health harms from the consumption of alcohol. Monitoring the local availability of alcohol and updates obtained from local staff from the Alcohol and Gaming Commission of Ontario are a component of this program.  "]
[null,null,null,{"$f":"Structure!D2443 & \" \" & Structure!E2443","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2444 & \" \" & Structure!E2444","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2445 & \" \" & Structure!E2445","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2446 & \" \" & Structure!E2446","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2447 & \" \" & Structure!E2447","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2448 & \" \" & Structure!E2448","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2449 & \" \" & Structure!E2449","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2450 & \" \" & Structure!E2450","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2451 & \" \" & Structure!E2451","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2452 & \" \" & Structure!E2452","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2453 & \" \" & Structure!E2453","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2454 & Structure!E2454","v":"P 2) Cannabis"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Special-risk populations for this program are those who have been identified as having higher risks for cannabis-related harms, including: users with a history or family history of mental health problems, youth under the age of 25 years, and pregnant and breastfeeding women; and, parents/caregivers of young children related to prevention of accidental ingestion and poisoning. In ML the 15–24 age group had the highest rate of cannabis-related ED visits relative to other age groups. Protection from second-hand smoke and vapour, and concerns related to severe lung illness from vaping cannabis are emerging topics of public health interest. "]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1, 2 and 3 in the Substance Use and Injury Prevention Standard will be addressed in the Cannabis program. Requirement 4 does not pertain to the Cannabis Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"The Cannabis Program will address requirements pertaining to injury prevention through activities to address problematic substance use and the corresponding increased risk of injury. Activities under the Education and Skill-Building intervention and Partnership and Collective Community Action interventions will incorporate injury prevention, harm reduction, and mental health promotion and well-being messages.  Road and off-road safety is addressed through messages related to impaired driving.  Specific activities to explicitly address cannabis-impaired driving within the older youth/young adult population are under consideration for 2023. Comprehensive tobacco control has its own dedicated programs (Smoke-Free Ontario and the Southwest Tobacco Control Area Network programs); however, some activities related to parent outreach and resource development for educational professionals address all substances, including tobacco and vapour products.  Since the use of cannabis is regulated under the Smoke-Free Ontario Act, 2017, the integration of messaging and enforcement activities fall under both the Smoke-Free Ontario and the Cannabis Programs. Falls, Concussions and Violence are not addressed within the cannabis program. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Cannabis is considered a normative substance in our community, yet cannabis is not an ordinary commodity (Trangenstein, 2020). Cannabis use has continued to increase, along with the associated harms of use. During the COVID-19 pandemic, the sale of cannabis increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). Harmful cannabis use remains high and has been exacerbated due to COVID-19.  The Cannabis program, using a comprehensive health promotion approach, aims to:\n\n• prevent or delay cannabis use;\n• decrease cannabis-related harms including injury, chronic diseases and death;\n• create a culture of cannabis moderation and reduced normalization; and,\n• reduce exposure to second-hand smoke and vapour. \n\nCannabis for non-medical purposes became legal in Canada in 2018, and in October 2019, cannabis edibles, extracts and topicals were also legalized for purchase. Current research indicates health-related harms of non-medical cannabis use include: respiratory effects; cannabis use disorder; mental health concerns; unintentional injuries; brain development impacts due to youth and young adult use; issues related to cannabis use in pregnancy; and, poisoning from accidental consumption by children (CCSA, 2023).\n\nInterventions of the Cannabis Program include: Education and Skill Building; Advocacy and Healthy Public Policy; Partnerships and Collective Community Action; Public Health Assessment and Monitoring; and Enforcement and Compliance. The cannabis program staff work collaboratively with targeted populations/stakeholders including youth, parents, young adults, schools, healthcare providers, workplaces, municipal leaders, enforcement agency partners, and places of entertainment.    "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"During the COVID-19 pandemic, the sale of cannabis increased significantly compared to the years prior to the pandemic (Myran et al., 2021; Statistics Canada, 2021). More Canadians aged 15 and older reported using cannabis daily or almost daily in late 2020 compared to the beginning of 2019 and 2020 (Rotermann, 2021).  According to data collected by Statistics Canada (2022), 27% of Canadians aged 16 years and older reported using cannabis in the past year; an increase from 25% from the previous year. Cannabis use within the last twelve months is highest among young people, with 50% of young adults aged 20-24 and 37% of youth aged 16 to 19 reporting past year use. Twenty-four percent (24%) of those who used cannabis in the past 12 months reported an increase in their cannabis use during the COVID-19 pandemic. This change in use was reported primarily by youth and young adults, with stress, anxiety, boredom, loneliness and a lack of a routine or schedule as the most common reasons cited (Statistics Canada, 2022).   According to the Ontario Student Drug Use and Health Survey (2017), 19% of Ontario grade 7-12 students and 37% of grade 12 students used cannabis in past year. Research has found that youth tend to have more misconceptions around the harms associated with cannabis which can rationalize use thereby putting them at a greater risk of harm (CCSA, 2017).\n\nNearly half (46%) of the M-L population (19+) has used cannabis in their lifetime, 14% reported use in the previous 12 months and 6% used daily or a few times per week in 2015/16 (CCHS). 53% of Ontario cannabis users report moderate or high risk of problems (ASSIST-CIS 4+) (CAMH Monitor 2017). In ML, the 15–24 age group had, by far, the highest rate of cannabis-related ED visits (269.9 per 100,000) followed by the 25–34 age group (127.1 per 100,000) (MLHU CHSR). In ML, nearly four percent (3.8%) of women who gave birth reported cannabis use during their pregnancy in 2017.  This is significantly higher than 2.3% reported in 2013.  ML had a significantly higher rate of use than its peer group comparator and Ontario. (Pregnancy, BORN Information System).\n\nConcerning trends regarding cannabis poisoning have been observed over the last ten years. According to Public Health Ontario (2020), emergency department visits for cannabis poisonings in Middlesex-London increased significantly from 2013 to 2018 and were over two times higher than Ontario rates. In the two years following the legalization of cannabis edibles, oils, and extracts in 2019, researchers from The Hospital for Sick Children (SickKids) found that there was a four-fold increase in unintentional cannabis ingestion among children under 12 years, and a three-fold increase in intensive care admissions for severe cannabis poisonings across Ontario. Furthermore, there were nine times more emergency department visits per month for cannabis poisonings in young children across Ontario."]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Special-risk populations for this program are those who have been identified as having higher risks for cannabis-related harms, including: users with a history or family history of mental health problems, youth under the age of 25 years, and pregnant and breastfeeding women; and, parents/caregivers of young children related to prevention of accidental ingestion and poisoning. In ML the 15–24 age group had the highest rate of cannabis-related ED visits relative to other age groups.\n\nOlder Youth/Young Adults - Simultaneous use of alcohol and cannabis is prevalent among youth and adults in Canada, and is associated with more harmful consequences than using either substance alone including negative physical, social and behavioural outcomes. Mixing cannabis and alcohol can cause harmful effects on cognitive and psychomotor performance, impaired driving performance, and significantly increase the risks of collision and odds of impaired driving. The percentage of students who used alcohol and/or cannabis increased from 22.1% in grade 9 to 71.4% in grade 12.  The proportion of students who used both alcohol and cannabis in the past year increased steadily from grade 9 to 12 (Gohari, Williams and Leatherdale, 2021).  Provision of education around the negative consequences associated with mixing alcohol and cannabis (which is extensively documented) is an important consideration for minimizing this pattern of use in older youth/young adults. Program planning is underway to determine how best to target older youth/young adults in 2023."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The Cannabis program, through interventions that focus on education and dissemination of evidence-based information, creating supportive environments, partnership and capacity building, and policy development, has largely an indirect relationship to the promotion of mental health.  Examples of more focused activities that address mental health include cannabis related messaging regarding mental health risks with a primary focus on youth, substance use toolkits for elementary and secondary school educators that contain focus on  supporting youth healthy coping and resiliency, ad hoc consultation by members of public and referral to addiction and mental health resources."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"The Substance Use Program Team works collaboratively with the Elementary School and Secondary School Teams within the Healthy Living Division and teams within the Healthy Start Division to contribute to meeting the requirements under the School Health, Chronic Disease Prevention and Well-being, and Healthy Growth and Development Program Standards. "]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to alcohol and cannabis (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard). \n• To reduce the burden of preventable substance use (OPHS, 2021 –Substance Use and Injury Prevention Standard).  \n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases, injuries, substance use and reducing harms associated with substance use.\n• Use data to influence and inform the development of local healthy public policies, programs, and services to prevent chronic diseases, injuries, substance use, and reduce harms associated with substance use.\n• Community partners, policy makers, and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction.\n• Reduction in population health inequities related to chronic diseases, injuries and substance use.\n\nShort-Term Outcomes:\n• Increase public awareness of the impact of risk factors, protective factors and healthy behaviours associated with chronic diseases, injuries, and substance use, as well as an increase in awareness of the benefits of harm reduction programs and services.\n• Priority populations and health inequities related to chronic diseases, injury and substance use have been identified and relevant data have been communicated to community partners.\n• Programs and services are designed to address the identified needs of the community, including priority populations associated with the prevention of chronic diseases, injury, substance use, and reducing harms associated with substance use.\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, injuries, substance use, and reducing harms associated with substance use, including healthy living behaviours, healthy public policy, and creating supportive environments. \n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases, injuries, and substance use, which includes reducing the harms associated with substance use.\n• E-Cigarette vendors and other organizations that are subject to the requirements under the Smoke-Free Ontario Act, 2017 are in compliance with the Act."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2455 & \" \" & Structure!E2455","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for those at risk from cannabis use.  Staff are responsible for developing, reviewing and providing evidence-based feedback on policies that impact access to, promotion of and harms associated with cannabis, and involves coordination and collaboration with municipal, provincial and federal partners. "]
[null,null,null,{"$f":"Structure!D2456 & \" \" & Structure!E2456","v":"i 2) Education & Skill Building"}]
[null,null,null,"Education and skill building for the cannabis program involves the development and implementation of materials and planned learning opportunities in order to increase participants' knowledge about the potential harms associated with the use of cannabis, and skills to support behaviour change. Health education is tailored to the target population and setting and presents specific tools and/or strategies to build individual and community capacity, incorporating guidance from the lower risk cannabis use guidelines. Materials designed to increase individual and proprietor compliance with obligations under the Smoke-Free Ontario Act, 2017 are disseminated. "]
[null,null,null,{"$f":"Structure!D2457 & \" \" & Structure!E2457","v":"i 3) Enforcement & Compliance"}]
[null,null,null,"In compliance with the Tobacco, Vapour and Smoke Protocol, 2021 and Standard Operating Procedures, Inspectors designated by the Minister of Health provide education to promote compliance and conduct inspections of spaces regulated under the Smoke-Free Ontario Act, 2017 to assess compliance with the law. Compliance is achieved through a comprehensive strategy that employs a balance of education, inspection and progressive enforcement, including the use of warnings and graduated charging options. This intervention encompasses key activities, including dissemination of retailer and workplace/public place proprietor educational material, the provision of mandated signage, mandated inspections, engagements with school partners, and premise list maintenance."]
[null,null,null,{"$f":"Structure!D2458 & \" \" & Structure!E2458","v":"i 4) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action within the cannabis program involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Key components within the cannabis program include the Community Drug and Alcohol Strategy, participation in the Joint Agency Enforcement Working Group, and the implementation of regional campaigns/initiatives through partnership.  "]
[null,null,null,{"$f":"Structure!D2459 & \" \" & Structure!E2459","v":"i 5) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice for the Cannabis program.  Monitoring and assessment of the latest evidence is required to respond to current and emerging trends related to the use and potential health harms from cannabis consumption. In compliance with the Tobacco, Vapour and Smoke Protocol, 2021, Inspectors designated by the Minister of Health provide education to promote compliance and conduct inspections at places regulated under the law. Monitoring cannabis retail operator and workplace/public place compliance are a critical component of this program.  "]
[null,null,null,{"$f":"Structure!D2460 & \" \" & Structure!E2460","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2461 & \" \" & Structure!E2461","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2462 & \" \" & Structure!E2462","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2463 & \" \" & Structure!E2463","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2464 & \" \" & Structure!E2464","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2465 & \" \" & Structure!E2465","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2466 & \" \" & Structure!E2466","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2467 & \" \" & Structure!E2467","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2468 & \" \" & Structure!E2468","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2469 & \" \" & Structure!E2469","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2470 & Structure!E2470","v":"P 3) Other Drugs"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"There are inequities influenced by the social determinants of health, that put certain groups that are more at-risk for problematic substance use and disproportionate harm. These groups include: people who are unstably housed or homeless; those with mental health problems; people with a history of trauma; lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ2+) youth; Indigenous persons; and, populations in correctional facilities.\n\nUsing an upstream, primary prevention approach to preventing or delaying substance use, children, youth and their parents/caregivers would be identified as a priority population.\n\nAs it has been almost four years since the release of the Community Drug and Alcohol Strategy (CDAS), a priority for 2023 is to review and reset CDAS recommendations and actions against the current landscape of substance use, and changing priorities and capacity of local partners, while ensuring alignment with the goals and objectives of the Health Unit's substance- and harm reduction-related programs. This work needs to be completed to  inform target and priority populations."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1 and 2 in the Substance Use and Injury Prevention Standard will be addressed in the Other Drugs program. Requirements 3 and 4 do not pertain to the Other Drugs Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"In 2022, after the two-year suspension of many programs under the Substance Use and Injury Prevention Standard due to the required response to the COVID-19 pandemic, an assessment was undertaken to determine the status/priorities of community partnerships moving forward.  As part of this process, a review of both Health Unit and community partner capacity was completed to help identify whether or not programmatic and partnership priorities need to shift. Some of this work is still underway in 2023 due to the sustained community impacts felt by the COVID-19 pandemic.\n\nThe programs and interventions named under the Annual Service Plan cover all health topics named under requirement 2 of the Substance Use and Injury Prevention Standard; however, some health topics are being addressed through integration within other programs, and based on the results from the review in 2022/2023, some health topics may have have less intensive programming moving forward than in past years. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Other Drugs (not including Opioids) Program is to collaborate with local partners to reduce the burden of illness from substance use by:\na) preventing or delaying substance use;\nb) preventing problematic substance use; and,\nc) reducing harms associated with substance use.\n\nUnder the 2023 Annual Service Plan for the Middlesex-London Health Unit, opioids , tobacco and vapour products , alcohol  and cannabis have their own distinct program descriptions with defined interventions and outcomes.\n\nThe Other Drugs Program refers to the work that the Middlesex-London Health Unit has been engaged in related to the Community Drug and Alcohol Strategy (CDAS).  Launched in 2018, CDAS is a locally developed collective impact strategy to prevent and address substance use-related harms in London and Middlesex, based on a \"four-pillars approach\" of prevention, treatment, harm reduction and enforcement.   All substances, with the exception of tobacco and vapour products, fall within scope of the strategy.  Led by a multi-sectoral implementation Steering Committee with backbone support from the Middlesex-London Health Unit, the Strategy identified 23 recommendations with 98 associated actions. Dedicated resourcing for the CDAS was affected between 2020 and 2022 due to the community's COVID-19 pandemic response; however, by August 2022, 68 of the 98 identified actions had been completed or were in various stages of intervention through collective efforts and collaboration. Interventions under the Other Drugs (not including Opioids) program include:\n• Partnerships and Collective Community Action\n• Public Health Assessment and Monitoring\n\nAs it has been almost four years since the release of the CDAS, a priority for 2023 is to review and reset CDAS recommendations and actions against the current landscape of substance use, and changing priorities and capacity of local partners, while ensuring alignment with the goals and objectives of the Health Unit's substance- and harm reduction-related programs."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Substance use continues to be responsible for a significant burden of disease.  More Canadians received substance-related hospital care during the COVID-19 pandemic in 2020 than in the previous year. A substantial increase was observed in both ED visits and hospitalizations for opioids, central nervous system stimulants (not including cocaine), and cannabis from March to September 2020 compared with the same period in 2019.  However, ED visits for harms caused by all substances declined by 5% from 2019 to 2020, while hospitalizations increased by 5%. (CIHI, 2021, Unintended Consequences of COVID-19).\n\nCrystal methamphetamine use has been identified as an issue by community organizations in Middlesex-London. Use appears to be increasing and impacting the community to a greater degree than across Ontario. From 2018 to 2020, methamphetamine toxicity death rates in Middlesex-London more than tripled - with the rate reported in Middlesex-London in 2020 being 2.8 times higher than the rate across the rest of Ontario.  69 methamphetamine-related toxicity deaths were reported in Middlesex-London in 2021, with the rate significantly higher for makes compared to females. (MLHU CHSR Crystal Methamphetamine dashboard).\n\nSubstance use was identified as one of the five MLHU COVID-19 recovery areas.  \n\nAs it has been almost four years since the release of the CDAS, a priority for 2023 is to review and reset CDAS recommendations and actions against the current landscape of substance use, and changing priorities and capacity of local partners, while ensuring alignment with the goals and objectives of the Health Unit's substance- and harm reduction-related programs.\n "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"In 2022, after the two-year suspension of many programs under the Substance Use and Injury Prevention Standard due to the required response to the COVID-19 pandemic and the changing landscape of substance use within the community, an assessment was undertaken to determine the status/priorities of community partnerships moving forward, including the Community Drug and Alcohol Strategy partnership.  As part of this process, a review of both Health Unit and community partner capacity was completed to help identify whether or not programmatic and partnership priorities need to shift. Some of this work is still underway in 2023 due to the sustained community impacts felt by the COVID-19 pandemic.\n\nAs it has been almost four years since the release of the CDAS, a priority for 2023 is to review and reset CDAS recommendations and actions against the current landscape of substance use, and changing priorities and capacity of local partners, while ensuring alignment with the goals and objectives of the Health Unit's substance- and harm reduction-related programs. Based on the current status of this work, specific information regarding the identification of priority populations is not feasible at this time."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Individuals with mental health issues are one group that are more at-risk for problematic substance use and disproportionate harm.  This program aims to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments through the available resources.\n\nThe Community Drug and Alcohol Strategy’s prevention recommendations focus on reducing risk factors and strengthening protective factors for substance use at the family, school and community level. This includes opportunities for recreation, community involvement, social connectedness, and building resiliency. Risk and protective factors for substance use are almost identical to those related to mental wellbeing. "]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"The Substance Use Program Team works collaboratively with the Elementary School and Secondary School Teams within the Healthy Living Division and teams within the Environmental Health and Infectious Diseases Division to contribute to meeting the requirements under the School Health, Infectious and Communicable Diseases Prevention and Control, and Chronic Disease Prevention and Well-Being Standards. "]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to substance use (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard).   \n• To reduce the burden of preventable injuries (related to substance use) and substance use. (OPHS, 2021 –Substance Use and Injury Prevention Standard). \n• To reduce the burden of communicable diseases and other infectious diseases of public health significance related to substance use (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard). \n\nIntermediate Outcomes:\n• Community partners, policy-makers, and the public, including priority populations are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction \n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing injuries, preventing substance use, and reducing harms associated with substance use \n• There is a reduction in population health inequities related to substance use and related chronic disease and injury \n•Reduced transmission of infections and communicable diseases. \n\nShort-Term Outcomes:\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, injuries, substance use and reducing harms associated with substance use, including healthy living behaviours, healthy public policy, and creating supportive environments   \n• Increase use of data to influence and inform policies, programs and services preventing substance use and reducing harms associated with substance use  \n• Priority populations and health inequities related to substance use have been identified and relevant data communicated to community partners \n• Priority populations have increased access to harm reduction services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections \n• There is increased public awareness of the impact of risk and protective factors associated with substance use.  \n• There is increased public awareness of the benefits of and access to harm reduction programs and services. \n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing substance use, and reducing harms associated with substance use \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2471 & \" \" & Structure!E2471","v":"i 1) Partnerships & Collective Action - Community Drug and Alcohol Strategy"}]
[null,null,null,"Focused work on the CDAS partnership was paused for much of 2020 – 2022 as the Middlesex-London Health Unit and community partners shifted to respond to immediate needs of the COVID-19 pandemic. As it has been 4 years since the Strategy launched, a priority for 2023 is a review and re-setting of strategy recommendations under the CDAS, with consideration to partnership structure and function. There is other substance focused work happening in the community by the Health Unit and community partners.  There is a need to ensure strategic engagement of partners and elimination of duplicative efforts to maximize impact within the confines of current community and community partner capacity.  \n\nA CDAS partnership project to develop a Coordinated Service Response for Crystal Methamphetaminewas initiated in 2022 and will move forward over 2023, with implementation leadership from the London Middlesex Mental Health and Addiction Strategic Direction Office and funding from the City of London.  MLHU's involvement is in a supportive role as a CDAS partner."]
[null,null,null,{"$f":"Structure!D2472 & \" \" & Structure!E2472","v":"i 2) Public Health Assessment & Monitoring"}]
[null,null,null,"Related to the CDAS, a review of other communities' drug and alcohol strategies, including their structures and functions, will help to inform internal and community partner discussions required.  Population health assessment and monitoring activities will assist in identifying substance use trends in the community.  An assessment of community risk and protective factors may also help to determine how best to engage and work with partners to maximize substance use prevention and harm reduction program impact within the confines of current community and community partner capacity.   \n\nWith funding from the Public Health Agency of Canada, MLHU launched a Crystal methamphetamine data dashboard in 2021  to quantify the impacts of crystal methamphetamine use in Middlesex-London. This local surveillance system summarizes data related to fatal and non fatal impacts and is updated regularly by MLHU Population Health Assessment and Surveillance Team.  This project is a key component in the creation of a fulsome and coordinated community response to address methamphetamine use."]
[null,null,null,{"$f":"Structure!D2473 & \" \" & Structure!E2473","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2474 & \" \" & Structure!E2474","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2475 & \" \" & Structure!E2475","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2476 & \" \" & Structure!E2476","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2477 & \" \" & Structure!E2477","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2478 & \" \" & Structure!E2478","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2479 & \" \" & Structure!E2479","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2480 & \" \" & Structure!E2480","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2481 & \" \" & Structure!E2481","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2482 & \" \" & Structure!E2482","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2483 & \" \" & Structure!E2483","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2484 & \" \" & Structure!E2484","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2485 & \" \" & Structure!E2485","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2486 & Structure!E2486","v":"P 4) Harm Reduction Program Enhancement"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target Population:  People who use Drugs \n- London has a large population of people who inject drugs (PWID) and is believed to be one of the largest in the country relative to its population.  While the exact size of the population of PWID remains largely unknown, it has been estimated that there are approximately 6,000 PWID in London (about 2% of London's total population of 404,699).  This places people who use opioids at a greater risk for overdose deaths.  Connecting and providing naloxone to eligible community organizations who are connected with people who are at risk is important to ensure naloxone is placed in the \"hands\" of those at highest risk for overdose.\nPriority Populations\n- There are inequities influenced by the social determinants of health, that put certain groups that are more at-risk for problematic substance use and disproportionate harm. These groups include: People who are unstably housed or homeless; those with mental health problems; people with a history of trauma; Lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ2+) youth;  Indigenous persons; populations in correctional facilities.\n"]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Substance Use and Injury Prevention Requirement 2"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"8) Substance Use"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Harm Reduction Program Enhancement is to reduce the burden of illness relating to substance use.\nMiddlesex-London Health Unit (MLHU) is largely funded by the MOHLTC.   \n\nThe Harm Reduction Program Enhancement (HRPE) funding was made available to build on and leverage programs and services already offered by public health units (PHUs) and community partners. One of the programs is to assist PHUs, or their designated organizations, as naloxone distribution leads for community organizations, which will increase dissemination of kits to priority populations by agencies where these individuals are already receiving services. PHUs may choose to delegate this role to a community organization in their region.\n  \nPHUs or designated naloxone distribution leads (“PHU/Distribution leads”) are responsible for identifying eligible community organizations to distribute naloxone to their clients.  Eligible naloxone distribution sites include:\n• Community Health Centers, including Aboriginal Health Access Centres, AIDS Service Organizations, Shelters, Withdrawal Management Programs, Outreach Programs, Police, Fire, EMS, First Nation Communities, and other eligible expanded access programs.\nProgram interventions within the Harm Reduction Program Enhancement include: \n•  Naloxone Distribution\n•  Health Promotion and Communications \n•  Outreach\n•  Partnership (collaborate with health care providers, key stakeholders, and other relevant partners including support of Consumption and Treatment Services). \n•  Monitoring and Surveillance\n*Note that work related to alcohol and cannabis is covered in the Alcohol and Cannabis Program "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"The Health Unit distributed more than 10,000 naloxone kits in 2022 and 12,000 naloxone kits in 2021.  There were an estimated report of 1,139 overdoses. This is in addition to sharp increases in emergency department visits (545 in 2019; 729 in 2020; and 1,037 in 2021), hospitalizations (75 in 2019; 83 in 2020; and 127 in 2021) and deaths (60 in 2019; 101 in 2020; 2021 data is not yet available) associated with opioid poisonings. Province-wide statistics available through Public Health Ontario also indicate there were 17,052 emergency department visits and 2,405 hospitalizations related to the use of opioids in 2021. Data for opioid-related deaths show that 6,265 people across Canada lost their lives to opioid poisonings, of whom 2,460 were in Ontario."]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Priority Populations\n• There are inequities influenced by the social determinants of health, that put certain groups that are more at-risk for problematic substance use and disproportionate harm. These groups include: People who are unstably housed or homeless; those with mental health problems; people with a history of trauma; Lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ2+) youth;  Indigenous persons; populations in correctional facilities.\n\nIn May 2014 the naloxone program was implemented in Middlesex-London, to engage in drug overdose prevention and mitigation efforts with those most at risk for opioid overdose.  This is a significant risk reduction measure that has saveed valuable lives. \nThe naloxone program role is to provide naloxone kits to those most at risk, the eligible community organizations to dsitribute naloxone are: \n• Community Health Centres (including Aboriginal Health Access Centres);\n• AIDS Service Organizations; \n• Shelters; \n• Outreach programs;\n• Withdrawal management programs;\n• Hospitals with an emergency department or urgent care centre; and,\n• Consumption and Treatment Services and Supervised Consumption Services. \n\nFor the populations that are hard-to-reach/vulnerable/marginalized and there are street-based outreach programs that address the social determinants of health and may provide harm reduction supplies, health care, food, clothing, etc. they are eligible to provide naloxone. There are 43 community organizations which include street outreach that distribute naloxone in Middlesex-London.  In 2012, 41 deaths in London and Middlesex were attributable to overdose with prescription opioids –more than twice the provincial rate. From 2008 to 2012, opioids cause more overdoses, emergency department visits, hospitalizations, and admissions to substance misuse and addictions programs in Middlesex-London than in Ontario.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Individuals with mental health issues are one group that are more at-risk for problematic substance use and disproportionate harm. This program connects individuals to community services, including mental health supports. Interventions addressing mental health promotion within this program include Consumption and Treatment Services, and outreach.  This program aims to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments through the available resources.\n"]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"Infectious and Communicaable Diseases Infection and Control Program Standard"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to substance use (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard).   \n\nIntermediate Outcomes:\n• Community partners, policy-makers, and the public, including priority populations are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards).\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing injuries, preventing substance use, and reducing harms associated with substance use (OPHS, 2021 Substance Use and Injury Prevention Standard) \n• There is a reduction in population health inequities related to substance use and related chronic disease and injury (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards). \n• Reduced transmission of infections and communicable diseases. (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard).  \n\nShort-Term Outcomes:\n• Community partners have knowledge of and increased capacity to act on the factors associated with  reducing harms associated with substance use. (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards).   \n• Increase use of data to influence and inform policies, programs and services preventing substance use and reducing harms associated with substance use (OPHS).  \n• Priority populations and health inequities related to substance use have been identified and relevant data communicated to community partners (OPHS).  \n• Priority populations have increased access to harm reduction services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard). \n• There is an increased adoption of harm reduction practices among populations targeted through program interventions (OPHS, 2021 Substance Use and Injury Prevention Standard). \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2487 & \" \" & Structure!E2487","v":"i 1) Monitoring & Surveillance"}]
[null,null,null,"Population health assessment and surveillance activities will assist in identifying trends, health inequities, and those groups that would benefit most from harm reduction programs and services.   "]
[null,null,null,{"$f":"Structure!D2488 & \" \" & Structure!E2488","v":"i 2) Partnerships"}]
[null,null,null,"Collaboration with health care providers, key stakeholders, and other relevant partners are important to ensure when developing programs, services and campaigns for those priority populations. A key component of this intervention is supporting London's Consumption and Treatment Services."]
[null,null,null,{"$f":"Structure!D2489 & \" \" & Structure!E2489","v":"i 3) Naloxone Distribution"}]
[null,null,null,"The focus of the naloxone distribution intervention is to decrease the number of overdose deaths.  MLHU is the distribution lead for naloxone in Middlesex-London and responsibilities include identifying eligible community organizations, ordering and distributing naloxone, collecting quarterly reports and collating data to report to the Ministry.  MLHU completes Harm Reduction Program Enhancement Activity Report annually. "]
[null,null,null,{"$f":"Structure!D2490 & \" \" & Structure!E2490","v":"i 4) Outreach"}]
[null,null,null,"The Outreach team supports clients who are HIV positive and considered difficult to reach in community-based environments. These clients typically do not respond to traditional approaches to medical intervention and benefit from an active engagement approach. The team provides support to ensure successful attendance at medical appointments. In addition, the team provides information, education, referrals, and supplies applying a harm reduction approach to treatment. Advocacy for these clients would include advocacy both at and individual level and at a systems level. The Outreach team also works collaboratively with community partners to support the clients. The community partnership provides opportunity to enhance services, identify those who have the greatest need and provide wrap-around care, with each partner working in their area of expertise.\t\t\t\t\t\t"]
[null,null,null,{"$f":"Structure!D2491 & \" \" & Structure!E2491","v":"i 5) Health Promotion & Communication"}]
[null,null,null,"The use of illicit substances results in public health issues such as poisoning, infectious disease transmission and related violence and injury (OPHS).  As part of the Harm Reduction Program the role of public health is to develop and implement a program of public health interventions using a comprehensive health promotion approach that addresses risk and protective factors to reduce the burden of substance use in the health unit population.  Public Health will collaborate with health care providers and other relevant community partners to create supportive environment to promote healthy sexual practices which includes access to harm reduction programs and services for priority populations.   "]
[null,null,null,{"$f":"Structure!D2492 & \" \" & Structure!E2492","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2493 & \" \" & Structure!E2493","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2494 & \" \" & Structure!E2494","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2495 & \" \" & Structure!E2495","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2496 & \" \" & Structure!E2496","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2497 & \" \" & Structure!E2497","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2498 & \" \" & Structure!E2498","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2499 & \" \" & Structure!E2499","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2500 & \" \" & Structure!E2500","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2501 & \" \" & Structure!E2501","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2502 & Structure!E2502","v":"P 5) Needle Syringe Program"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target Population:  People who use Drugs \n- London has a large population of people who inject drugs (PWID) and is believed to be one of the largest in the country relative to its population.  While the exact size of the population of PWID remains largely unknown, it has been estimated that there are approximately 6,000 PWID in London (about 2% of London's total population of 404,699).  "]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Substance Use and Injury Prevention Requirement 2"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"8) Substance Use"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Needle Syringe Program is to reduce the harms related to substance use.\nMiddlesex-London Health Unit (MLHU) is largely funded by the MOHLTC.  MLHU provides budget dollars to Regional HIV/AIDS Connection which is considered the main Needle Syringe Location.  RHAC then orders all supplies for satellite locations, tracks inventory and reporting.  This funding also includes disposal costs.  \n\nProgram interventions within the Needle Syringe Program include: \n•  Needle Exchange\n•  Health Promotion and Communications \n•  Partnership"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"• Each year in London, more than 3 million clean needles are distributed to people who inject drugs; of these, about 60% are recovered. People tend to use drugs in public areas, because they don’t otherwise have a safe location to do so. This public drug use can lead to unsafe consumption practices, which increase the risk of overdose and the spread of diseases, such as hepatitis C and HIV. In addition, discarded equipment, such as used needles, pose a potential risk of injury for those who use public spaces where people inject drugs. Ensuring those who need access to harm reduction supplies and education in conjunction with community partners to decrease infectious diseases is important. \n• The safe injection site will open in its new building in 2023 after many delays in service and will need to assess if there is a community need for more than one site or if a mobile site is needed. \n"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"There are inequities influenced by the social determinants of health, that put certain groups that are more at-risk for problematic substance use and disproportionate harm. These groups include: People who are unstably housed or homeless; those with mental health problems; people with a history of trauma; Lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ2+) youth;  Indigenous persons; populations in correctional facilities.\n\nThe Health Unit, City of London, London CAReS (now the City of London), and the Regional HIV/AIDS Connection worked together to develop a comprehensive approach that increased access to safe disposal options, increased NSP return rates, minimize improper disposal of injection equipment and ensure that stray needles and needle debris in the community are dealt with promptly and safely. Strategies included, but were not limited to, improvements in tracking, enhanced information on safe disposal to people who use injection drugs and the general public, and additional stationary bins. There are now up to 28 access points in Middlesex-London for harm reduction materials. There continues to be a mobile van which offers harm reduction supplies pick-up and drop-off throughout the city of London. There are 23 Needle Disposal Bins for the public to access as well as City of London Dispatch available 24/7 for public needle pick-up.  Regional HIV/AIDS Connection also provides service for improperly discarded needles when City if London is not available.  MLHU, RHAC and City of London work closely together to ensure the community has access for questions or if there are improperly discarded needles and  how to pick up harm reduction materials.  There are partnerships with RHAC and all the satellite NSP’s to order supplies, provide stats and share any issues or trends i.e. drug alerts."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Individuals with mental health issues are one group that are more at-risk for problematic substance use and disproportionate harm. This program connects individuals to community services, including mental health supports.This program aims to improve mental health literacy and reduce stigma, integrate mental and physical health, foster social connections, increase resiliency, and create supportive environments through the available resources."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"Infectious and Communicaable Diseases Infection and Control Program Standard"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to substance use (OPHS, 2021 – Chronic Disease Prevention and Well-Being Standard).   \n• To reduce the burden of preventable injuries (related to substance use) and substance use. (OPHS, 2021 –Substance Use and Injury Prevention Standard). \n• To reduce the burden of communicable diseases and other infectious diseases of public health significance related to substance use (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard). \n\nIntermediate Outcomes:\n• Community partners, policy-makers, and the public, including priority populations are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards).\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing injuries, preventing substance use, and reducing harms associated with substance use (OPHS, 2021 Substance Use and Injury Prevention Standard) \n• There is a reduction in population health inequities related to substance use and related chronic disease and injury (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards). \n• Reduced transmission of infections and communicable diseases. (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard).  \n\nShort-Term Outcomes:\n• Community partners have knowledge of and increased capacity to understand the role of the needle exchange program in (OPHS, 2021 – Chronic Disease Prevention and Well-Being and Substance Use and Injury Prevention Standards).   \n• Increase use of data to influence and inform policies, programs and services preventing substance use and reducing harms associated with substance use (OPHS).  \n• Priority populations and health inequities related to substance use have been identified and relevant data communicated to community partners (OPHS).\n• Priority populations have increased access to the needle syringe program (OPHS, 2021 - Infectious and Communicable Diseases Prevention and Control Standard).    \n• There is increased public awareness of where to access the needle syringe program.\n• There is an increased adoption of clean needle use and properly disposing used needles (OPHS, 2021 Substance Use and Injury Prevention Standard). "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2503 & \" \" & Structure!E2503","v":"i 1) Needle Exchange"}]
[null,null,null,"The long-term goal of the Needle Syringe Program is to reduce the burden of illness relating to substance use.  The Middlesex-London Health Unit (MLHU) is largely funded by the Ministry of Health.  The Needle Syringe Program’s goals are to increase the knowledge of community partners about harm reduction practices as well their capacity to provide harm reduction supplies.  With the increase to access to supplies there will be a decrease in the spread of Blood-borne infections such as HIV, Hepatitis B and C, reduce unsafe injection practices, and proper disposal of sharps.  MLHU funds the Regional HIIV/AIDS Connection to support Counterpoint and other satellite locations.  RHAC completes the Needle/Syringe Exchange Program (NEP/NSP) Activity Report annually."]
[null,null,null,{"$f":"Structure!D2504 & \" \" & Structure!E2504","v":"i 2) Partnerships"}]
[null,null,null,"The use of illicit substances results in public health issues such as poisoning, infectious disease transmission and related violence and injury (OPHS).  As part of the Needle Syringe Program the role of public health is to develop, implement health promotion and communications campaigns that addresses risk and protective factors to reduce the burden of substance use in the health unit population.  Public Health will collaborate with health care providers and other relevant community partners to create supportive environment to promote healthy sexual practices which includes access to harm reduction programs and services for priority populations."]
[null,null,null,{"$f":"Structure!D2505 & \" \" & Structure!E2505","v":"i 3) Health Promotion & Communication"}]
[null,null,null,"Collaboration with health care providers, key stakeholders, and other relevant partners are important to ensure when developing programs, services and campaigns for those priority populations."]
[null,null,null,{"$f":"Structure!D2506 & \" \" & Structure!E2506","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2507 & \" \" & Structure!E2507","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2508 & \" \" & Structure!E2508","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2509 & \" \" & Structure!E2509","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2510 & \" \" & Structure!E2510","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2511 & \" \" & Structure!E2511","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2512 & \" \" & Structure!E2512","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2513 & \" \" & Structure!E2513","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2514 & \" \" & Structure!E2514","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2515 & \" \" & Structure!E2515","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2516 & \" \" & Structure!E2516","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2517 & \" \" & Structure!E2517","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2518 & Structure!E2518","v":"P 6) Smoke-Free Ontario"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The findings of the Situational Assessments and the public health unit needs assessment were congruent, and most notably highlighted the sharp increase in vaping among youth (12 - 18 years of age) and that the highest burden of harm for adults continues to be cigarettes.\n\nRisk factors that are associated with higher smoking rates include sociodemographic factors such as education, cultural background, occupation, income, gender, age, co-morbidities and sexual orientation. These disparities suggest that interventions focused on supporting these subpopulations may be needed to reduce the prevalence and related burden of tobacco use. Members of the Substance Use Program Team will participate in the Provincial Adult Nicotine Dependence Advisory Committee collaborative planning in 2023 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations.\n\nMembers of the Substance Use Program Team will participate in the Provincial Youth Nicotine Dependence Advisory Committee collaborative planning processes in 2023 to identify priority populations and develop/modify/orient interventions to decrease health inequities for these priority populations. Specific to addressing youth as a priority population related to vaping, the Not An Experiment initiative has been (and will continue to be) developed with this target audience in mind. The initiative's activities and messages were designed in consultation with the youth target audience, and will also target parents and educators, as significant influencers that can help prevent youth from starting to vape or quit if they're already vaping."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1, 2 and 3 in the Substance Use and Injury Prevention Standard will be addressed in the Smoke-Free Ontario (SFO) program. Requirement 4 does not pertain to the SFO Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"Activities under the Education and Skill-Building intervention and Partnership and Collective Community Action interventions will incorporate mental health promotion and well-being messages.  Comprehensive tobacco control is also addressed in the Southwest Tobacco Control Area Network Program; however, some activities related to parent outreach and resource development for educational professionals address all substances, including  alcohol and cannabis.  Since the use of cannabis is regulated under the Smoke-Free Ontario Act, 2017, the integration of messaging pertaining to \"smoke\" and \"vapour\", and enforcement activities fall under both the Southwest Tobacco Control Area Network and the Cannabis Programs. Falls, Concussions, Violence, Injury Prevention and Road and Off-Road Safety are not addressed within the Smoke-Free Ontario program as they are not applicable."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Tobacco and Vapour Product Program aims to address the burden of tobacco, nicotine and vapour product addiction within Middlesex-London. Tobacco remains the leading cause of preventable disease and death in Canada. Vapour products have become widely available, are extensively promoted/marketed by the industry, and the health harms associated with vapour product use are increasing and becoming better understood.  Vapour products are growing in popularity, especially among youth and young adults. Vapour products expose users to harmful toxins, including cancer-causing chemicals, diacetyl, volatile organic compounds, heavy metals, and ultrafine particles that can be inhaled deeply into the lungs.  Vapour products cause irreversible damage to respiratory and circulatory systems, and dual use of vapour products and tobacco products compounds the health harms experienced.  Tobacco and vapour products have been linked to increased cardiovascular and non-cancer lung disease.  Interventions under the Tobacco and Vapour Product program include:\n\n• Education and skill-building;\n• Advocacy and healthy public policy;\n• Partnerships and collective community action;\n• Public health assessment and monitoring;\n• Enforcement and compliance; and,\n• Screening, clinical assessment, and case management.\n\n* Traditional tobacco use is a sacred and cultural practice for many Indigenous peoples in Canada. For the purposes of this program description, when tobacco is named, it references commercial tobacco products and related harms, unless sacred or traditional tobacco use is clearly specified."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Commercial tobacco use remains a leading cause of preventable death in Ontario accounting for approximately 16,000 deaths every year (PHO TMR 2018) .  Every day tobacco kills more Ontarians than alcohol, illegal drugs, accidents, suicides, and homicides combined. People who use tobacco are more likely to go to the hospital and stay longer. They are also likely to die younger (OPHS 2021).  Smoking rates among Ontario adults continue to decline to lowest prevalence on record, however the number of people who smoke remains high at 1.48 million Ontarians 12 years of age and older reporting daily or occasional cigarette smoking (CCHS Rapid Response 2020).  While this decline in prevalence is progress, the number of people who smoke is still high and remains a burden on our collective health care system, and notably, the decrease in smoking rates observed are a result from a growth in the \"never smoked\" population, not an increase in successful quit attempts. (PSFC 2022.). \n\nSmoking rates among Ontario youth continue to be at an all-time low. The 2021 OSDUHS reported that 4.1% of Ontario students in grades 7-12 indicated they had smoked cigarettes in the past year compared to 5.0% in 2019. The 2021 OSDUHS did not report on all the indicators that were reported on in previous cycles. In 2019, males were significantly more likely to smoke than females, prevalence of cigarette smoking significantly increased with grade and the average age at which a 12th grader reported smoking their first cigarette was 15.2 years old. More than three quarters of the province’s students (in grades 7-12) reported having never smoked in their lifetime (OSDUHS 2019).  \n\nThe youth vaping crisis has seen youth vaping prevalence rates in Ontario more than doubling from an average of 10.7% in 2017 to 22.7 % in 2019. (OSDUHS 2019). Concurrent with Ontario results, the nation-wide prevalence of vaping among students (grades 7-12) has doubled, rising from 10% in 2016-2017 to 20.2% in 2018-2019. In Ontario, 15.7% of grade 7-9 students and 42.6% of grade 10-12 students have ever tried vaping (Health Canada, (CSTADS 2018;2019). \n\nWhile the survey’s 2021 cycle reported 15.3% of respondents reported using e-cigarettes within the past year, limitations and changes to the survey’s methodology due to the COVID-19 pandemic mean that comparisons of results to the survey’s previous cycles should be interpreted with caution (i.e., it is not clear if the 2021 results reflect a true decrease in vaping prevalence from the 2019 cycle) (OSDUHS 2021).  Similar to smoking cigarettes, use of vapes significantly increases with grade, however unlike smoking cigarettes, males and females are just as likely to use vape products (OSDUHS 2019, PHO Vaping Infographic,  Youth HealthTrends Vaping COMPASS 2021, Health Report: Correlates of Vaping Among Adolescents in Canada).  Males and females are equally likely to use vapes. \n\nThe decrease in cigarette smoking and increase in youth vaping reflects a shift in nicotine product use among youth and not a decrease in nicotine initiation. New innovative strategies that support quit attempts and increase quit attempts are needed since quit rates and quit attempts have remained unchanged over the past number of years."]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"The findings of the Situational Assessments and the public health unit needs assessment were congruent, and highlighted the sharp increase in vaping among youth (12 - 18 years of age) and that the highest burden of harm for adults continues to be cigarettes.\n\nRisk factors that are associated with higher smoking rates include sociodemographic factors such as education, cultural background, occupation, income, gender, age, co-morbidities and sexual orientation. These disparities suggest that interventions focused on supporting these subpopulations may be needed to reduce the prevalence and related burden of tobacco use. Members of the Substance Use Program Team will participate in the Provincial Adult Nicotine Dependence Advisory Committee collaborative planning in 2023 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations.\n\nMembers of the Substance Use Program Team will also participate in the Provincial Youth Nicotine Dependence Advisory Committee collaborative planning processes in 2023 to identify priority populations and develop/modify/orient interventions to decrease health inequities for these priority populations. Specific to addressing youth as a priority population related to vaping, the Not An Experiment initiative has been (and will continue to be) developed with this target audience in mind. The initiative's activities and messages were designed in consultation with the youth target audience, and will also target parents and educators, as significant influencers that can help prevent youth from starting to vape or quit if they're already vaping.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Higher rates of tobacco addiction occur in those living with mental illness, making them a priority for tobacco control interventions. Interventions aimed at contributing to mental health promotion include the provision of tobacco cessation counselling services and free nicotine replacement therapy to individuals living with mental illness or poor mental health. Due to funding constraints and a requirement to focus on upstream, population health interventions, the delivery of smoking cessation counselling services and the provision of free NRT will be sunsetted by end of Q2 2023.  \n\nThere are significant concerns pertaining to youth mental health and the use of vaping products.  There are significant concerns related to the effect of vaping, with or without nicotine, on youth brain development, namely, the parts of the brain responsible for memory, education, critical thinking and mood regulation. Many youth and young adults have self-reported the use of vaping products to help cope with stress and mental health challenges; however, there are growing concerns that vaping products may contribute to anxiety, depressive emotions and challenges with mood regulation. Efforts to increase awareness about the evidence around the impact of nicotine on mental health is a priority in 2023. "]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"The Substance Use Program Team works collaboratively with the Elementary School, Secondary School and Oral Health Teams within the Healthy Living Division and teams within the Healthy Start Division to contribute to meeting the requirements under the School Health and Healthy Growth and Development Program Standards."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to tobacco and vapour product use (Chronic Disease Prevention and Well-Being Standard, OPHS, 2021).\n• To reduce the burden of preventable substance use (Substance Use and Injury Prevention Standard, OPHS, 2021).\n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases, injuries and substance use.\n• Increased awareness and use of data to influence and inform the development of local healthy public policy, programs and services to prevent chronic diseases, injuries, substance use, and, to reduce harms associated with substance use.\n• Community partners, policy makers and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction.\n• Reduce the population health inequities related to chronic diseases, injuries and substance use.\nYouth have reduced access to tobacco products and e-cigarettes.\n\nShort-Term Outcomes:\n• Tobacco vendors, e-cigarette vendors and other organizations that are subject to the Smoke-Free Ontario Act, 2017 are in compliance with the Act.\n• Increase public awareness of the impact of risk factors, protective factors, and healthy behaviours associated with chronic diseases, injuries and substance use.\n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases, injuries and substance use.\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, injuries, substance use, and reducing harms associated with substance use, including healthy living behaviours, healthy public policy, and creating supportive environments.\n• Priority populations and health inequities related to chronic diseases, injury and substance use have been identified and relevant data have been communicated to community partners.\n• Programs and services are designed to address the identified needs of the community, including priority populations associated with the prevention of chronic diseases, injury, and substance use."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2519 & \" \" & Structure!E2519","v":"i 1) Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for those at risk from tobacco and vapour product use. Staff are responsible for developing, reviewing and providing evidence-based feedback on policies that impact access to, promotion of and harms associated with tobacco and vapour products, and involves coordination and collaboration with municipal, provincial and federal partners.   "]
[null,null,null,{"$f":"Structure!D2520 & \" \" & Structure!E2520","v":"i 2) Education & Skill Building"}]
[null,null,null,"Education and skill building for the tobacco and vapour product program involves the development and implementation of materials and planned learning opportunities to increase knowledge about the harms associated with the use of tobacco and vapour products, and skills to support behaviour change. Health education is tailored to the target population and setting and promotes specific tools/strategies to prevent the initiation of tobacco and vapour product use, to support cessation, and to build individual and community capacity to create smoke-free/vapour-free spaces. Materials designed to increase retailer, individual and proprietor compliance with obligations under the Smoke-Free Ontario Act, 2017 are disseminated.  "]
[null,null,null,{"$f":"Structure!D2521 & \" \" & Structure!E2521","v":"i 3) Enforcement & Compliance"}]
[null,null,null,"In compliance with the Tobacco, Vapour and Smoke Protocol, 2021 and Standard Operating Procedures, Inspectors designated by the Minister of Health conduct tobacco and vapour product retailer inspections and inspections of spaces regulated under the Smoke-Free Ontario Act, 2017 to assess and promote compliance.  Compliance is achieved through a comprehensive strategy that employs a balance of education, inspection and progressive enforcement, including the use of warnings and graduated charging options. This intervention encompasses key activities, including dissemination of retailer and workplace/public place proprietor educational material, the provision of mandated signage, mandated inspections, engagements with school partners, and premise list maintenance. "]
[null,null,null,{"$f":"Structure!D2522 & \" \" & Structure!E2522","v":"i 4) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action within the tobacco and vapour product program involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the tobacco and vapour product program include active participation in the Provincial Youth Nicotine and Adult Nicotine Dependence Advisory Committees, the SWTCAN, and Inter-agency Enforcement Group, and the implementation of regional initiatives through partnership. "]
[null,null,null,{"$f":"Structure!D2523 & \" \" & Structure!E2523","v":"i 5) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local context are necessary to ensure effective public health practice for the tobacco and vapour product program.  Monitoring and assessment of the latest evidence is required to respond to current and emerging trends related to the use and health harms from tobacco and vapour product use. In compliance with the Tobacco, Vapour and Smoke Protocol, 2021, Inspectors designated by the Minister of Health conduct inspections at places regulated under the law. Monitoring retail compliance with youth access and display, promotion and handling provisions are a critical component of this program.   "]
[null,null,null,{"$f":"Structure!D2524 & \" \" & Structure!E2524","v":"i 6) Screening Clinical Assessment & Case Management"}]
[null,null,null,"Staff deliver behavioural interventions, combined with the provision of free nicotine replacement therapy to priority populations to support them in their effort to quit smoking.  Applying a health equity lens, priority populations include those from the LGBTQI+ community, individuals with low incomes, individuals living with mental health challenges and clients from healthcare partners through a referral mechanism. Applying best practices in smoking cessation service delivery, staff complete clinical screenings and assessments to identify the most appropriate cessation service to meet client need. Clients are referred to local/provincial programs (if appropriate), or become rostered clients.  This intervention will sunset by end of June 2023 due to funding constraints and the program will shift to focus on upstream, population health interventions. "]
[null,null,null,{"$f":"Structure!D2525 & \" \" & Structure!E2525","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2526 & \" \" & Structure!E2526","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2527 & \" \" & Structure!E2527","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2528 & \" \" & Structure!E2528","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2529 & \" \" & Structure!E2529","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2530 & \" \" & Structure!E2530","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2531 & \" \" & Structure!E2531","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2532 & \" \" & Structure!E2532","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2533 & \" \" & Structure!E2533","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2534 & Structure!E2534","v":"P 7) Injury Prevention"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The target populations for the Healthy Start (HS) division are children and families with children aged 0-3. The Target population for the Healthy Living (HL) division is more broad and would be children in schools, through to older adults. More work will need to be done to identify what target populations will be addressed in Healthy Living division for 2023."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"The Injury Prevention program will address Requirements 1 and, 2 under the Substance Use and Injury Prevention Standard.   Requirements 3 and 4 are not applicable and covered elsewhere. \n"]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"11) The program topic areas of focus are being re-evaluated post-pandemic across both the Healthy Living and Health Start division. Community needs will be addressed by newly developed program work."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The program is currently under review and development across the Middlesex-London Health Unit (MLHU). A comprehensive approach will be taken by MLHU to support injury prevention efforts. Activities and approaches will be defined in 2023. Injuries are often unintentional and preventable. The MLHU Injury prevention program focuses on the work related to reducing the burden of injuries across the life course through education, awareness, and partnerships and collective community action. The goal is to reduce harms, and provide up-to-date evidence based information and programming. Further work is needed to identify and examine current Middlesex-London data and trends, community need and priorities, as well as examine pre-pandemic partnership tables, and identify/refine priority areas of program focus for 2023. "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Further work is needed in 2023 to identify and examine updated local data and trends, and community need and priorities in both London and Middlesex County related to this program area.  The information below reflects pre-pandemic focus and trends.\nFalls:  In the 0-19 age group in 2016 in Middlesex-London, falls were the leading cause of ED visits for injury: 4,812 visits per 100,000 populations. (PHO snapshots). Those under 5 had the second highest rate of fall-related ED visits, with males significantly more likely to visit the ED for a fall compared to females. (MLHU Community Health Status Resource, 2019)\nConcussion: Rates of concussion more than tripled between 2005 and 2017 and most affect those under age 19. The rate has been significantly higher in M-L than both Peer Group and the province for the entire period. The age specific rates of concussion-related ED visits were highest in the 10-14 and 15-19 age groups, more than double all other age groups. Ages 5-9 experienced the next highest rate of ED visits for concussions. (MLHU Community Health Status Resource 2019).  Across Canada - falls and transport related incidents accounted for 81% of concussions resulting in hospitalizations (Canadian Injury Compass 2013).  Using bicycle helmets reduces head injuries by more than 40 per cent, serious head injuries by 60 per cent, and traumatic brain injury by 53 per cent (Parachute Canada).\n\nChild Passenger /Motor Vehicle Safety: While at least 75% of young children are restrained in car seats, nearly 75% of children age 4-9 years were not protected by booster seats according to Transport Canada. (Parachute Canada). \nPoisoning prevention: Data demonstrates there has been increased incidence of unintentional cannabis poisoning among children since the legalization of cannabis. Unregulated cannabis edibles has been identified as a frequent source of poisonings. \nSafe Sleep: Following safe sleep practices is one known strategy to decrease SIDS. Of cases reviewed by the Coroner's Office Death Under 5 Committee in 2017, 44% of infants were found in unsafe sleeping environments. Following safe sleep practices is one known strategy to decrease SIDS"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"More work will be done in both the HL and HS division to identify priority populations for 2023."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"This program area is under review. Mental health promotion will be considered in the HS programming with therapeutic nurse-client relationships during home visits and community programs. The programs will address the topics in a variety of settings across the community, which will be determined with program priority areas."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of preventable injuries\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of injuries \t\t\t\t\n\nIntermediate Outcomes:\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with injuries.\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of injurires, including healthy living behaviours, healthy public policy, and creating supportive environments.\n• Community partners, policy-makers, and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of injuries\n\nShort-Term Outcomes:\n•Community partners are aware of healthy behaviours associated with the prevention of injuries\n•There is increased public awareness of the impact of risk and protective factors associated with injuries\n•Individuals and families are aware of the factors associated with healthy growth and development, and the importance of creating safe and supportive environments that promote healthy growth and development \n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2535 & \" \" & Structure!E2535","v":"i 1) HS - Education & Skill Building"}]
[null,null,null,"Health education involves the development and implementation of planned learning opportunities in order to increase participants' knowledge and skills. Health education is tailored to the target population and presents information on health benefits/threats, and provides specific tools and/or strategies to build capacity and support behavior change in an appropriate setting. The Healthy Start Division addresses childhood injury prevention through the MLHU webpages, the early years Outreach e-newsletter, home visiting and group programs, baby friendly workshops, and during discussions with clients and community partners. Additionally, child safety and injury prevention is promoted through community partnerships (provision of safety kits to clients in partnership programs with LHSC) and referrals to community resources and programs."]
[null,null,null,{"$f":"Structure!D2536 & \" \" & Structure!E2536","v":"i 2) HS - Awareness"}]
[null,null,null,"Awareness involves any interaction where information is created and/or disseminated for the purpose of increasing health-related awareness amongst individuals or populations.  The outcome of health awareness activities may result in increased knowledge, attitudes, and practices, to promote, prevent and protect the health of individuals and populations. The Healthy Start Division reviews and updates relevant infant and childhood injury web pages, and print resources."]
[null,null,null,{"$f":"Structure!D2537 & \" \" & Structure!E2537","v":"i 3) HS - Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims.  The Healthy Start division works with community organizations to support best practices and knowledge translation through Early Years Outreach (EYO), including an EYO newsletter for child care providers, and working with community partners at relevant meetings.  In 2023 the status and focus of pre-pandemic partnership tables will be examined with consideration of strategic alignment with public health mandate and programs.  Past partners will be re-engaged as appropriate; other necessary stakeholders will be engaged and priorities for action will be determined"]
[null,null,null,{"$f":"Structure!D2538 & \" \" & Structure!E2538","v":"i 4) HL - Awareness"}]
[null,null,null,"Awareness involves any interaction where information is created and/or disseminated for the purpose of increasing health-related awareness amongst individuals or populations.  The outcome of health awareness activities may result in increased knowledge, attitudes, and practices, to promote, prevent and protect the health of individuals and populations. The Healthy Living Division focuses on awareness across the life course. Awareness includes updating webpages and print resources relevant to priority populations across the division (i.e. school health and older adults). Campaigns may be utilized in the context of Comprehensive School Health to increase awareness among priority populations. Additional work and reviews will be conducted across Healthy Living to determine priority populations and areas of focus."]
[null,null,null,{"$f":"Structure!D2539 & \" \" & Structure!E2539","v":"i 5) HL - Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action  is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation. In 2023 the status and focus of pre-pandemic partnership tables will be examined with consideration of strategic alignment with public health mandate and programs. Past partners will be re-engaged as appropriate; other necessary stakeholders will be engaged and priorities for action will be determined. MLHU will work with community organizations to support reduction in preventable injuries."]
[null,null,null,{"$f":"Structure!D2540 & \" \" & Structure!E2540","v":"i 6) HL - Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for prevention of injury. The Injury Prevention program participates in development, review and providing evidence-based input and feedback into policies that relate to prevention of injuries. It can involve coordinated action internally and with other organizations and can lead to changes that impact a targeted group, or policy or practices at the local, provincial, or federal levels. This intervention was implemented pre-pandemic. Further work is needed in 2023 to reassess the need, activities, and implementation strategy of this intervention. "]
[null,null,null,{"$f":"Structure!D2541 & \" \" & Structure!E2541","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2542 & \" \" & Structure!E2542","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2543 & \" \" & Structure!E2543","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2544 & \" \" & Structure!E2544","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2545 & \" \" & Structure!E2545","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2546 & \" \" & Structure!E2546","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2547 & \" \" & Structure!E2547","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2548 & \" \" & Structure!E2548","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2549 & \" \" & Structure!E2549","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2550 & Structure!E2550","v":"P 8) Southwest Tobacco Control Area Network"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The findings of the Situational Assessments and the public health unit needs assessment were congruent, and most notably highlighted the sharp increase in vaping among youth (12 - 18 years of age) and that the highest burden of harm for adults continues to be cigarettes.\n\nRisk factors that are associated with higher smoking rates include sociodemographic factors such as education, cultural background, occupation, income, gender, age, co-morbidities and sexual orientation. These disparities suggest that interventions focused on supporting these subpopulations may be needed to reduce the prevalence and related burden of tobacco use. Members of the Substance Use Program Team will participate in the Provincial Adult Nicotine Dependence Advisory Committee collaborative planning in 2023 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations.\n\nMembers of the Substance Use Program Team will also participate in the Provincial Youth Nicotine Dependence Advisory Committee collaborative planning processes in 2023 to identify priority populations and develop/modify/orient interventions to decrease health inequities for these priority populations. Specific to addressing youth as a priority population related to vaping, the Not An Experiment initiative has been (and will continue to be) developed with this target audience in mind. The initiative's activities and messages were designed in consultation with the youth target audience, and will also target parents and educators, as significant influencers that can help prevent youth from starting to vape or quit if they're already vaping."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1, 2 and 3 in the Substance Use and Injury Prevention Standard will be addressed in the Southwest Tobacco Control Area Network (SWTCAN) program. Requirement 4 does not pertain to the SWTCAN Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"Activities under the Education and Skill-Building intervention and Partnership and Collective Community Action interventions will incorporate mental health promotion and well-being messages.  Comprehensive tobacco control is also addressed in the Smoke-Free Ontario Program; however, some activities related to parent outreach and resource development for educational professionals address all substances, including  alcohol and cannabis.  Since the use of cannabis is regulated under the Smoke-Free Ontario Act, 2017, the integration of messaging and enforcement activities fall under both the Smoke-Free Ontario and the Cannabis Programs. Falls, Concussions, Violence, Injury Prevention and Road and Off-Road Safety are not addressed within the SWTCAN program as they are not applicable."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Southwest Tobacco Control Area Network (SWTCAN) program is a regional, collaborative program that addresses nicotine addiction through the four pillars of comprehensive tobacco and vapour product control (prevention, cessation, protection and enforcement) to improve population health outcomes.  The Middlesex-London Health Unit operates as the coordinating public health unit for the six other public health units in southwestern Ontario.  Substance Use Program staff that support the implementation of the SWTCAN program work with staff from the other six coordinating public health units in Ontario, which is collectively called the Ontario Tobacco Control Area Network (OTCAN). It is through this regional and multi-regional network that public health unit staff, in partnership with other non-governmental organization partners, develop, implement and evaluate regional, multi-regional and sometimes provincial commercial tobacco and vapour product public health interventions, programs and resources. Using the Ontario Public Health Standards, Public Health Ontario's \"Evidence to Guide Action: Comprehensive Tobacco Control in Ontario\", and numerous other documents, OTCAN compiled two situational assessments in 2022 to help inform program planning for 2023.  Using the Situational Assessments and following Public Health Ontario's Six Steps to Health Promotion Program Planning, two provincial advisory committees (Adult Nicotine Dependence Advisory Committee and Youth Nicotine Dependence Advisory Committee and their corresponding working groups) have been established to support the development, implementation and evaluation of interventions. Interventions under the SWTCAN Program include:\n• Public Health Assessment and Monitoring\n• Advocacy and Healthy Public Policy\n• Education and Skill Building\n• Partnerships and Collective Community Action\n \n**Traditional tobacco use is a sacred and cultural practice for many Indigenous peoples in Canada. For the purposes of this program description, when tobacco is named, it references commercial tobacco products and related harms, unless sacred or traditional tobacco use is clearly specified."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Due to the COVID-19 pandemic/redeployment and other related factors, a significant knowledge gap of the current tobacco and vaping landscape was identified.  In an attempt to address this gap, the Ontario Tobacco Control Area Network (OTCAN) launched a needs assessment survey for public health units to gather local insights and to inform collaborative program planning for 2023.  Several key findings helped to inform the development of the situational assessments conducted by the OTCAN and Public Health Ontario, with significant contributions by Substance Use Program staff. The synergies identified between Ontario public health unit needs and the priorities that emerged from the situational assessments found that:\n\nCigarettes/Tobacco:\n• Smoking cigarettes continue to be the most used nicotine product by adults.\n• Smoking continues to be the cause of the highest burden of societal harm.\n• Smoking cigarettes causes high individual harm, and co-use of cigarettes and vapour products increases harm.\n• Public health units identified cessation supports and resources for adults who smoke as a priority.\n\nVapour Products:\n• Vaping is the primary mode of nicotine consumption among youth.\n• There has been a sharp increase in vapour product use in prohibited spaces, especially schools.\n• Vapour product use is common among youth who have never smoked a cigarette.\n• Public health units identified youth vaping as a priority across all pillars of comprehensive tobacco and vapour product control.\n\nAdditional data is outlined in the Situational Assessments that are being used to inform program planning. There was a collective need identified to: increase quit attempts in the adult population; decrease youth vaping (prevention, prevescalation and cessation); and, promote/increase compliance with the Smoke-Free Ontario Act, 2017. "]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"The findings of the Situational Assessments and the public health unit needs assessment were congruent, and most notably highlighted the sharp increase in vaping among youth (12 - 18 years of age) and that the highest burden of harm for adults continues to be cigarettes.\n\nRisk factors that are associated with higher smoking rates include sociodemographic factors such as education, cultural background, occupation, income, gender, age, co-morbidities and sexual orientation. These disparities suggest that interventions focused on supporting these subpopulations may be needed to reduce the prevalence and related burden of tobacco use. Members of the Substance Use Program Team will participate in the Provincial Adult Nicotine Dependence Advisory Committee collaborative planning in 2023 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations.\n\nMembers of the Substance Use Program Team will also participate in the Provincial Youth Nicotine Dependence Advisory Committee collaborative planning processes in 2023 to identify priority populations and develop/modify/orient interventions to decrease health inequities for these priority populations. Specific to addressing youth as a priority population related to vaping, the Not An Experiment initiative has been (and will continue to be) developed with this target audience in mind. The initiative's activities and messages were designed in consultation with the youth target audience, and will also target parents and educators, as significant influencers that can help prevent youth from starting to vape or quit if they're already vaping."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"Mental Health Promotion is a consideration within planning regional and multi-regional programming. In particular when working with youth and young adults, the approach is to engage the target population and develop tools that support skill building to support decision making at the school and community level. Efforts to increase awareness about the evidence around the impact of nicotine on mental health is also a priority in 2023. "]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"The Substance Use Program Team works collaboratively with the Elementary School and Secondary School Teams within the Healthy Living Division and teams within the Healthy Start Division to meet the requirements under the School Health and Healthy Growth and Development Program Standards."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n• To reduce the burden of chronic diseases and improve well-being related to tobacco and vapour product use (Chronic Disease Prevention and Well-Being Standard, OPHS, 2021).\n• To reduce the burden of preventable substance use (Substance Use and Injury Prevention Standard, OPHS, 2021).\n\nIntermediate Outcomes:\n• Increase adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases, injuries and substance use.\n• Increased awareness and use of data to influence and inform the development of local healthy public policy, programs and services to prevent chronic diseases, injuries, substance use, and, to reduce harms associated with substance use.\n• Community partners, policy makers and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases, injuries, substance use and harm reduction.\n• Reduce the population health inequities related to chronic diseases, injuries and substance use.\n\nShort-Term Outcomes:\n• Increase public awareness of the impact of risk factors, protective factors, and healthy behaviours associated with chronic diseases, injuries and substance use.\n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases, injuries and substance use.\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of chronic diseases, injuries, substance use, and reducing harms associated with substance use, including healthy living behaviours, healthy public policy, and creating supportive environments.\n• Priority populations and health inequities related to chronic diseases, injury and substance use have been identified and relevant data have been communicated to community partners.\n• Programs and services are designed to address the identified needs of the community, including priority populations associated with the prevention of chronic diseases, injury, and substance use."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2551 & \" \" & Structure!E2551","v":"i 1) Public Health Assessment & Monitoring"}]
[null,null,null,"Population health data and health evidence adapted to the local, regional and provincial context are necessary to ensure effective public health practice for the Southwest Tobacco Control Area Network program.  Monitoring and assessment of the latest evidence is required to respond to current and emerging trends related to the use and health harms from tobacco and vapour product use, and is used to support regional (Southwest Tobacco Control Area Network) and multi-regional (Ontario Tobacco Control Area Network) program planning, implementation and evaluation. "]
[null,null,null,{"$f":"Structure!D2552 & \" \" & Structure!E2552","v":"i 2) Advocacy & Healthy Public Policy "}]
[null,null,null,"Advocacy and Healthy Public Policy involves a comprehensive approach to ensure health is on the agenda of policy makers internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable for those at risk from tobacco and vapour product use. Staff are responsible for developing, reviewing and providing evidence-based feedback on policies that impact access to, promotion of and harms associated with tobacco and vapour products. Staff coordinate and collaborate regionally and provincially through Ontario TCAN.    "]
[null,null,null,{"$f":"Structure!D2553 & \" \" & Structure!E2553","v":"i 3) Education & Skill Building"}]
[null,null,null,"Education and skill building for the Southwest Tobacco Control Area Network program involves the development and implementation of materials and planned learning opportunities to increase knowledge about the harms associated with the use of tobacco and vapour products, and skills to support behaviour change. Health education is tailored to the target population and setting and promotes specific tools/strategies to prevent the initiation of tobacco and vapour product use, to support cessation, and to build individual and community capacity to create smoke-free/vapour-free spaces. Activities are coordinated regionally (SW Ontario) and provincially through the Ontario Tobacco Control Area Network (7 regions).  "]
[null,null,null,{"$f":"Structure!D2554 & \" \" & Structure!E2554","v":"i 4) Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action within the Southwest Tobacco Control Area Network program involves bringing public health units and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if efforts are coordinated across sectors, rather than working in isolation on interventions with similar aims. Key components within the program include active participation and leadership on the Provincial Youth Nicotine and Adult Nicotine Dependence Advisory Committees, coordination and implementation of regional initiatives across the SWTCAN, and participation in the Inter-agency Enforcement Group.  "]
[null,null,null,{"$f":"Structure!D2555 & \" \" & Structure!E2555","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2556 & \" \" & Structure!E2556","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2557 & \" \" & Structure!E2557","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2558 & \" \" & Structure!E2558","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2559 & \" \" & Structure!E2559","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2560 & \" \" & Structure!E2560","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2561 & \" \" & Structure!E2561","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2562 & \" \" & Structure!E2562","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2563 & \" \" & Structure!E2563","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2564 & \" \" & Structure!E2564","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2565 & \" \" & Structure!E2565","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2566 & Structure!E2566","v":"P 9) Violence Prevention"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The violence prevention program is implemented across the Healthy Living and Healthy Start divisions in order to support diverse target populations across the lifespan. Work is underway to identify and examine current Middlesex-London data and trends, community need and priorities, and identify/refine priority areas of program focus for 2023.  There is no one risk factor for violence, it occurs as a result of multiple factors across the social-ecological model. Prevention of violence should include a trauma- and violence-informed care approach. A comprehensive health promotion approach to reduce violence involves education and awareness, developing personal skills, addressing risk and protective factors, screening and referral, creating supportive environments, and encouraging healthy public policy. Violence prevention programming is delivered across many teams to address the following: healthy prenatal /early childhood development, substance use, mental health, child / youth life skills, community connectedness and support, gender and cultural norms and victim supports / services.  "]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Substance Use and Injury Prevention Standard (Requirements #1, 2) "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[null,null,null,"(9) Violence"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Further work is needed to identify the specific activities in the Violence Prevention program for 2023. The violence prevention program is delivered in different ways across the health unit. Client facing teams in the Healthy Start Division address violence and prevention of violence through health education and skill building, screening and referral, and involvement in partnerships and collective community action.  Women at risk for or experiencing violence are identified through screening and case finding, and a trauma and violence informed approach is embedded in this work.  Cross organizational capacity building is a key area of focus within MLHU’s focus on violence prevention, with the existence of policies that support appropriate screening and response to intimate partner violence and a cross-agency Intimate Partner Violence and Client Care workgroup which supports capacity building and consistent practice. \nOutside of intimate partner and family violence, further work is needed to identify the specific activities in the violence prevention program for 2023 and going forward.    \nProgram activities include:                                                                                                                                                                                                                                                                                    \n•  The Healthy Beginnings Visiting and Group Programs Team also implements the Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB), to women identifying with food insecurities, and information about healthy relationships are incorporated into the sessions. PHNs conduct case finding and selective screening as indicated as it relates to IPV.  \n•  Healthy Start manager acts as a liaison with Children's Aid Society (CAS) and updates the “Child Abuse and/or Neglect, and Duty to Report policy”. \n• MLHU Intimate Partner Violence and Client Care (IPV-CC) committee maintains the IPV-CC policy.    \n•  Elementary School and Secondary School Teams (focus on life skills, bullying, mental health, substance use and work to create supportive environments);  \n•  Sexual Health / Clinic Team (focus on promoting gender norms, healthy relationships, and substance use);  \n•  Outreach Team (focus on connecting to services /supports, mental health, substance use);  \n•  Health Equity and Reconciliation Team (focus on increasing staff capacity and changing cultural norms); and  \n•  The community Health promotion team will review primary prevention strategies for violence prevention, and embed violence prevention in their policy and advocacy work.\nCommittees: \n•  MLHU Intimate Partner Violence and Client Care Committee; Health Unit Violence Against Women Working Group. "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Further work is needed in 2023 to identify and examine updated local data and trends, and community need and priorities in both London and Middlesex County related to this program area.  \nIntimate partner violence (IPV) rates were higher than other forms of family violence and London IPV rates were higher than Ontario. \n\nWith regards to police reported family violence in London, the rate of child and youth victims was 156 per 100,000, while the rate of older adult victims was 36 per 100,000; slightly lower than the Ontario average. The rate of victims of intimate partner violence is 254 per 100,000, which is slightly higher than the Ontario average (Statistics Canada, 2017). Family violence is known to be underreported.  \nFor assault-related injury visits to the emergency department, the rate has been increasing since 2015 and was 325.6 per 100,000 in 2017, higher than Ontario (MLHU Community Health Status Resource (CHSR)).  \n\nOf Middlesex-London grade 9-12 students, 17% were bullied, while 9% had bullied other students in the previous month. Specifically, 13% were verbally attacked, 5% were cyber-bullied, and 3% were physically attacked (COMPASS, 2016-2017). A lower % of students on average across Ontario reported physical attacks (1%), while all other bullying measures reported were numerically lower in M-L than Ontario averages (OSDUHS, 2019). There have been recent media reports re school violence and possible underreporting (CBC London, 2019).  \n\n71.5% of Middlesex-London residents reported a very or somewhat strong sense of community belonging in 2015/16 (MLHU CHSR) which reflects social engagement and participation within communities, and often translates to lower rates of violence. It is also associated with more positive physical and mental health. Similarly, 78% of high school students in Middlesex London reported feeling that they are a part of their school, 76% close to people at school, 86% feeling safe at school (COMPASS, 2016-2017)"]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[null,null,null,"Further review will need to be done in 2023 to identity priority populations however considerations for program interventions include: females at all ages, males 20-44 (non-family violence), people identifying as LGTBQ2+, persons with a disability, new immigrants, racialized and Indigenous individuals."]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The overall goal of primary prevention is to use a strength-based approach and reduce risk factors and enhance protective factors.  Evidence has shown that when prevention starts early and continues across the life span, there are positive long-term impacts and it reaches both those at highest risk of being a victim and a perpetrator. Therefore, from a violence prevention lens, it is important to focus on: enhancing protective factors and reducing risk factors common among multiple types of violence and emphasizing early interventions targeted towards children and youth."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null,"School Health (Violence and bullying) Standard, and the Healthy Growth and Development Standard\n"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available. An organization-wide initiative was initiated in 2022 to develop intervention descriptions that identify short-term, intermediate and long-term outcomes. In 2023, work will progress to identifying key indicators for program outcomes."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health Outcomes:\n•  To reduce the burden of preventable injuries resulting from violence.  \n•  To decrease population health inequities related to intentional injuries resulting from violence  \n\nIntermediate Outcomes:\n•  Increased capacity among staff and community partners to act on factors associated with the prevention of violence-related injuries (i.e., healthy living behaviours, public policy, & creating supportive environments)  \n•  Increased capacity among health unit staff to practice from a trauma –and violence-informed perspective  \n•  Increased capacity among health unit staff that provide direct client care to identify and respond to intimate partner violence  \n•   Increased capacity among individuals experiencing intimate partner violence to increase their own safety, and when applicable, the safety of their children  \n\nShort-Term Outcomes:\n•  Increased awareness among health unit staff and community partners of the impact of risk and protective factors associated with intentional injuries resulting from multiple forms of violence  \n•  Increased awareness among health unit staff and community partners of the health inequities related to intentional injuries resulting from multiple forms of violence  \n•  Increased awareness among health unit staff of available community resources available for individuals experiencing or who have experienced violence  \n•  Increased awareness among individuals and families of the characteristics of abusive vs healthy relationships and the health effects of exposure to violence  \n•  Awareness among health unit staff about the risk factors, indicators, and best practices related to IPV  \n•  Increased awareness among health unit staff of available community resources available for individuals experiencing or who have experienced violence  \n•  Increased awareness among individuals and families of the characteristics of abusive vs healthy relationships and the health effects of exposure to violence\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2567 & \" \" & Structure!E2567","v":"i 1) HS - Education & Skill building"}]
[null,null,null,"Health education involves the development and implementation of planned learning opportunities in order to increase participants' knowledge and skills. Health education is tailored to the target population and presents information on health benefits/threats, and provides specific tools and/or strategies to build capacity and support behavior change in an appropriate setting. In HS individuals are who are at risk for IPV are supported during direct client programs including home visiting programs (HBHC, NFP), phone calls and group programming (SSFB).  PHNs are educated about risk and protective factors and engage in case finding and selective screening using  a trauma and violence informed approach.  HS is piloting the iHEAL program which is a women lead, nurse delivered intervention where nurses support women who may be experiencing or have experienced violence (physical, emotional, financial from a current or ex-partner. "]
[null,null,null,{"$f":"Structure!D2568 & \" \" & Structure!E2568","v":"i 2) HS - Partnerships & Collective Community Action"}]
[null,null,null,"Partnerships and Collective Community Action involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. The HS division works with partnership organizations to support efforts of reducing violence. Notable partnerships include Western University, Children's Aid Society of M-L and Violence Against Women Shelters/Agencies."]
[null,null,null,{"$f":"Structure!D2569 & \" \" & Structure!E2569","v":"i 3) HL - Advocacy & Healthy Public Policy"}]
[null,null,null,"Advocacy and Healthy public policy involves a comprehensive approach to ensure health is on the agenda of policy makers both internal and external to the health sector. Engaging in advocacy and healthy public policy ensures that health impacts are considered for decision making and that making choices that promote health are easy and equitable.  The work in this program area includes developing, reviewing and providing evidence based feedback for prevention of violence. It can involve a coordinated action with other organizations, and can lead to systemic change with a targeted group, or at the local, provincial, and federal levels. HL will look to develop partnerships in 2023 to support healthy public policy around violence prevention, and address risk and protective factors."]
[null,null,null,{"$f":"Structure!D2570 & \" \" & Structure!E2570","v":"i 4) HL - Supportive Environments"}]
[null,null,null,"Supportive environments involves both the social and physical environments. Supportive environments strive to support and encourage overall health and well-being of individuals, groups, and communities. A supportive environment aims to reduce health inequities and recognizes the impacts of the social determinants of health. In 2023 the HL division will be reviewing how program areas can address risk and protective factors for violence prevention. "]
[null,null,null,{"$f":"Structure!D2571 & \" \" & Structure!E2571","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2572 & \" \" & Structure!E2572","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2573 & \" \" & Structure!E2573","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2574 & \" \" & Structure!E2574","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2575 & \" \" & Structure!E2575","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2576 & \" \" & Structure!E2576","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2577 & \" \" & Structure!E2577","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2578 & \" \" & Structure!E2578","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2579 & \" \" & Structure!E2579","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2580 & \" \" & Structure!E2580","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2581 & \" \" & Structure!E2581","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2582 & Structure!E2582","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2583 & \" \" & Structure!E2583","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2584 & \" \" & Structure!E2584","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2585 & \" \" & Structure!E2585","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2586 & \" \" & Structure!E2586","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2587 & \" \" & Structure!E2587","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2588 & \" \" & Structure!E2588","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2589 & \" \" & Structure!E2589","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2590 & \" \" & Structure!E2590","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2591 & \" \" & Structure!E2591","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2592 & \" \" & Structure!E2592","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2593 & \" \" & Structure!E2593","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2594 & \" \" & Structure!E2594","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2595 & \" \" & Structure!E2595","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2596 & \" \" & Structure!E2596","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2597 & \" \" & Structure!E2597","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2598 & Structure!E2598","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2599 & \" \" & Structure!E2599","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2600 & \" \" & Structure!E2600","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2601 & \" \" & Structure!E2601","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2602 & \" \" & Structure!E2602","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2603 & \" \" & Structure!E2603","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2604 & \" \" & Structure!E2604","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2605 & \" \" & Structure!E2605","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2606 & \" \" & Structure!E2606","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2607 & \" \" & Structure!E2607","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2608 & \" \" & Structure!E2608","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2609 & \" \" & Structure!E2609","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2610 & \" \" & Structure!E2610","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2611 & \" \" & Structure!E2611","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2612 & \" \" & Structure!E2612","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2613 & \" \" & Structure!E2613","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2614 & Structure!E2614","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2615 & \" \" & Structure!E2615","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2616 & \" \" & Structure!E2616","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2617 & \" \" & Structure!E2617","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2618 & \" \" & Structure!E2618","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2619 & \" \" & Structure!E2619","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2620 & \" \" & Structure!E2620","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2621 & \" \" & Structure!E2621","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2622 & \" \" & Structure!E2622","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2623 & \" \" & Structure!E2623","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2624 & \" \" & Structure!E2624","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2625 & \" \" & Structure!E2625","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2626 & \" \" & Structure!E2626","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2627 & \" \" & Structure!E2627","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2628 & \" \" & Structure!E2628","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2629 & \" \" & Structure!E2629","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2630 & Structure!E2630","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2631 & \" \" & Structure!E2631","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2632 & \" \" & Structure!E2632","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2633 & \" \" & Structure!E2633","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2634 & \" \" & Structure!E2634","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2635 & \" \" & Structure!E2635","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2636 & \" \" & Structure!E2636","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2637 & \" \" & Structure!E2637","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2638 & \" \" & Structure!E2638","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2639 & \" \" & Structure!E2639","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2640 & \" \" & Structure!E2640","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2641 & \" \" & Structure!E2641","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2642 & \" \" & Structure!E2642","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2643 & \" \" & Structure!E2643","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2644 & \" \" & Structure!E2644","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2645 & \" \" & Structure!E2645","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2646 & Structure!E2646","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2647 & \" \" & Structure!E2647","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2648 & \" \" & Structure!E2648","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2649 & \" \" & Structure!E2649","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2650 & \" \" & Structure!E2650","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2651 & \" \" & Structure!E2651","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2652 & \" \" & Structure!E2652","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2653 & \" \" & Structure!E2653","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2654 & \" \" & Structure!E2654","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2655 & \" \" & Structure!E2655","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2656 & \" \" & Structure!E2656","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2657 & \" \" & Structure!E2657","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2658 & \" \" & Structure!E2658","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2659 & \" \" & Structure!E2659","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2660 & \" \" & Structure!E2660","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2661 & \" \" & Structure!E2661","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2662 & Structure!E2662","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2663 & \" \" & Structure!E2663","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2664 & \" \" & Structure!E2664","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2665 & \" \" & Structure!E2665","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2666 & \" \" & Structure!E2666","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2667 & \" \" & Structure!E2667","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2668 & \" \" & Structure!E2668","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2669 & \" \" & Structure!E2669","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2670 & \" \" & Structure!E2670","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2671 & \" \" & Structure!E2671","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2672 & \" \" & Structure!E2672","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2673 & \" \" & Structure!E2673","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2674 & \" \" & Structure!E2674","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2675 & \" \" & Structure!E2675","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2676 & \" \" & Structure!E2676","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2677 & \" \" & Structure!E2677","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2678 & Structure!E2678","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2679 & \" \" & Structure!E2679","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2680 & \" \" & Structure!E2680","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2681 & \" \" & Structure!E2681","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2682 & \" \" & Structure!E2682","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2683 & \" \" & Structure!E2683","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2684 & \" \" & Structure!E2684","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2685 & \" \" & Structure!E2685","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2686 & \" \" & Structure!E2686","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2687 & \" \" & Structure!E2687","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2688 & \" \" & Structure!E2688","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2689 & \" \" & Structure!E2689","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2690 & \" \" & Structure!E2690","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2691 & \" \" & Structure!E2691","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2692 & \" \" & Structure!E2692","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2693 & \" \" & Structure!E2693","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2694 & Structure!E2694","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2695 & \" \" & Structure!E2695","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2696 & \" \" & Structure!E2696","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2697 & \" \" & Structure!E2697","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2698 & \" \" & Structure!E2698","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2699 & \" \" & Structure!E2699","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2700 & \" \" & Structure!E2700","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2701 & \" \" & Structure!E2701","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2702 & \" \" & Structure!E2702","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2703 & \" \" & Structure!E2703","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2704 & \" \" & Structure!E2704","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2705 & \" \" & Structure!E2705","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2706 & \" \" & Structure!E2706","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2707 & \" \" & Structure!E2707","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2708 & \" \" & Structure!E2708","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2709 & \" \" & Structure!E2709","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2710 & Structure!E2710","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2711 & \" \" & Structure!E2711","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2712 & \" \" & Structure!E2712","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2713 & \" \" & Structure!E2713","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2714 & \" \" & Structure!E2714","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2715 & \" \" & Structure!E2715","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2716 & \" \" & Structure!E2716","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2717 & \" \" & Structure!E2717","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2718 & \" \" & Structure!E2718","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2719 & \" \" & Structure!E2719","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2720 & \" \" & Structure!E2720","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2721 & \" \" & Structure!E2721","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2722 & \" \" & Structure!E2722","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2723 & \" \" & Structure!E2723","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2724 & \" \" & Structure!E2724","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2725 & \" \" & Structure!E2725","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2726 & Structure!E2726","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2727 & \" \" & Structure!E2727","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2728 & \" \" & Structure!E2728","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2729 & \" \" & Structure!E2729","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2730 & \" \" & Structure!E2730","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2731 & \" \" & Structure!E2731","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2732 & \" \" & Structure!E2732","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2733 & \" \" & Structure!E2733","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2734 & \" \" & Structure!E2734","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2735 & \" \" & Structure!E2735","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2736 & \" \" & Structure!E2736","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2737 & \" \" & Structure!E2737","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2738 & \" \" & Structure!E2738","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2739 & \" \" & Structure!E2739","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2740 & \" \" & Structure!E2740","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2741 & \" \" & Structure!E2741","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2742 & Structure!E2742","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2743 & \" \" & Structure!E2743","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2744 & \" \" & Structure!E2744","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2745 & \" \" & Structure!E2745","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2746 & \" \" & Structure!E2746","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2747 & \" \" & Structure!E2747","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2748 & \" \" & Structure!E2748","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2749 & \" \" & Structure!E2749","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2750 & \" \" & Structure!E2750","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2751 & \" \" & Structure!E2751","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2752 & \" \" & Structure!E2752","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2753 & \" \" & Structure!E2753","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2754 & \" \" & Structure!E2754","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2755 & \" \" & Structure!E2755","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2756 & \" \" & Structure!E2756","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2757 & \" \" & Structure!E2757","v":"i15) "}]

{"sheet":"Covid-19 General","index":16,"n_rows":206,"n_cols":63,"rows_kept":206,"cut":false,"hidden":false,"merged":[[205,3,205,52],[205,53,205,58],[203,3,203,16],[203,17,203,52],[203,53,203,58],[204,3,204,16],[204,17,204,52],[204,53,204,58],[201,3,201,16],[201,17,201,52],[201,53,201,58],[202,3,202,16],[202,17,202,52],[202,53,202,58],[199,3,199,16],[199,17,199,52],[199,53,199,58],[200,3,200,16],[200,17,200,52],[200,53,200,58],[196,3,197,16],[196,17,196,52],[196,53,197,58],[197,50,197,52],[198,3,198,16],[198,17,198,49],[198,50,198,52],[198,53,198,58],[191,3,191,16],[191,17,191,52],[191,53,191,58],[192,3,192,52],[192,53,192,58],[194,3,194,58],[189,3,189,16],[189,17,189,52],[189,53,189,58],[190,3,190,16],[190,17,190,52],[190,53,190,58],[187,3,187,16],[187,17,187,52],[187,53,187,58],[188,3,188,16],[188,17,188,52],[188,53,188,58],[185,3,185,16],[185,17,185,49],[185,50,185,52],[185,53,185,58],[186,3,186,16],[186,17,186,52],[186,53,186,58],[179,3,179,16],[179,17,179,52],[179,53,179,58],[180,3,180,52],[180,53,180,58],[183,3,184,16],[183,17,183,52],[183,53,184,58],[184,50,184,52],[177,3,177,16],[177,17,177,52],[177,53,177,58],[178,3,178,16],[178,17,178,52],[178,53,178,58],[175,3,175,16],[175,17,175,52],[175,53,175,58],[176,3,176,16],[176,17,176,52],[176,53,176,58],[173,3,173,16],[173,17,173,49],[173,50,173,52],[173,53,173,58],[174,3,174,16],[174,17,174,52],[174,53,174,58],[168,3,168,52],[168,53,168,58],[171,3,172,16],[171,17,171,52],[171,53,172,58],[172,50,172,52],[166,3,166,16],[166,17,166,52],[166,53,166,58],[167,3,167,16],[167,17,167,52],[167,53,167,58],[164,3,164,16],[164,17,164,52],[164,53,164,58],[165,3,165,16],[165,17,165,52],[165,53,165,58],[162,3,162,16],[162,17,162,52],[162,53,162,58],[163,3,163,16],[163,17,163,52],[163,53,163,58],[159,3,160,16],[159,17,159,52],[159,53,160,58],[160,50,160,52],[161,3,161,16],[161,17,161,49],[161,50,161,52],[161,53,161,58],[154,17,154,52],[154,53,154,58],[155,17,155,52],[155,53,155,58],[156,3,156,52],[156,53,156,58],[151,17,151,52],[151,53,151,58],[152,17,152,52],[152,53,152,58],[153,17,153,52],[153,53,153,58],[149,3,149,16],[149,17,149,49],[149,50,149,52],[149,53,149,58],[150,17,150,52],[150,53,150,58],[140,3,140,52],[140,53,140,58],[142,3,142,52],[142,53,142,58],[144,3,144,58],[147,3,148,16],[147,17,147,52],[147,53,148,58],[148,50,148,52],[138,3,138,18],[138,19,138,52],[138,53,138,58],[139,3,139,18],[139,19,139,52],[139,53,139,58],[136,3,136,18],[136,19,136,52],[136,53,136,58],[137,3,137,18],[137,19,137,52],[137,53,137,58],[134,3,134,18],[134,19,134,52],[134,53,134,58],[135,3,135,18],[135,19,135,52],[135,53,135,58],[132,3,132,18],[132,19,132,52],[132,53,132,58],[133,3,133,18],[133,19,133,52],[133,53,133,58],[130,3,130,18],[130,19,130,52],[130,53,130,58],[131,3,131,18],[131,19,131,52],[131,53,131,58],[128,3,128,18],[128,19,128,52],[128,53,128,58],[129,3,129,18],[129,19,129,52],[129,53,129,58],[124,3,124,52],[124,53,124,58],[126,3,126,58],[127,3,127,18],[127,19,127,52],[127,53,127,58],[122,3,122,18],[122,19,122,52],[122,53,122,58],[123,3,123,18],[123,19,123,52],[123,53,123,58],[120,3,120,18],[120,19,120,52],[120,53,120,58],[121,3,121,18],[121,19,121,52],[121,53,121,58],[118,3,118,18],[118,19,118,52],[118,53,118,58],[119,3,119,18],[119,19,119,52],[119,53,119,58],[116,3,116,18],[116,19,116,52],[116,53,116,58],[117,3,117,18],[117,19,117,52],[117,53,117,58],[114,3,114,18],[114,19,114,52],[114,53,114,58],[115,3,115,18],[115,19,115,52],[115,53,115,58],[110,3,110,52],[110,53,110,58],[112,3,112,58],[113,3,113,18],[113,19,113,52],[113,53,113,58],[108,3,108,18],[108,19,108,52],[108,53,108,58],[109,3,109,18],[109,19,109,52],[109,53,109,58],[106,3,106,18],[106,19,106,52],[106,53,106,58],[107,3,107,18],[107,19,107,52],[107,53,107,58],[104,3,104,18],[104,19,104,52],[104,53,104,58],[105,3,105,18],[105,19,105,52],[105,53,105,58],[102,3,102,18],[102,19,102,52],[102,53,102,58],[103,3,103,18],[103,19,103,52],[103,53,103,58],[100,3,100,18],[100,19,100,52],[100,53,100,58],[101,3,101,18],[101,19,101,52],[101,53,101,58],[96,3,96,18],[96,19,96,52],[96,53,96,58],[97,3,97,52],[97,53,97,58],[99,3,99,58],[94,3,94,18],[94,19,94,52],[94,53,94,58],[95,3,95,18],[95,19,95,52],[95,53,95,58],[92,3,92,18],[92,19,92,52],[92,53,92,58],[93,3,93,18],[93,19,93,52],[93,53,93,58],[90,3,90,18],[90,19,90,52],[90,53,90,58],[91,3,91,18],[91,19,91,52],[91,53,91,58],[88,3,88,18],[88,19,88,52],[88,53,88,58],[89,3,89,18],[89,19,89,52],[89,53,89,58],[86,3,86,18],[86,19,86,52],[86,53,86,58],[87,3,87,18],[87,19,87,52],[87,53,87,58],[84,3,84,18],[84,19,84,52],[84,53,84,58],[85,3,85,18],[85,19,85,52],[85,53,85,58],[80,3,80,52],[80,53,80,58],[82,3,82,58],[83,3,83,18],[83,19,83,52],[83,53,83,58],[78,3,78,18],[78,19,78,52],[78,53,78,58],[79,3,79,18],[79,19,79,52],[79,53,79,58],[76,3,76,18],[76,19,76,52],[76,53,76,58],[77,3,77,18],[77,19,77,52],[77,53,77,58],[74,50,74,52],[75,3,75,18],[75,19,75,45],[75,46,75,49],[75,50,75,52],[75,53,75,58],[69,3,69,52],[69,53,69,58],[70,3,70,52],[70,53,70,58],[72,3,72,58],[73,3,74,18],[73,19,73,52],[73,53,74,58],[74,19,74,45],[74,46,74,49],[66,3,66,52],[66,53,66,58],[67,3,67,18],[67,19,67,52],[67,53,67,58],[68,3,68,18],[68,19,68,52],[68,53,68,58],[64,3,64,18],[64,19,64,52],[64,53,64,58],[65,3,65,18],[65,19,65,52],[65,53,65,58],[62,3,62,58],[63,3,63,18],[63,19,63,52],[63,53,63,58],[56,54,56,58],[58,3,58,27],[58,28,58,29],[58,30,58,31],[58,32,58,33],[58,34,58,35],[58,36,58,38],[58,39,58,42],[58,43,58,45],[58,46,58,49],[56,34,56,35],[56,36,56,38],[56,39,56,42],[56,43,56,45],[56,46,56,49],[56,50,56,53],[56,3,56,16],[56,17,56,27],[56,28,56,29],[56,30,56,31],[56,32,56,33],[58,50,58,53],[58,54,58,58],[59,3,59,58],[60,3,60,58],[54,46,54,49],[54,50,54,53],[54,54,54,58],[55,4,55,16],[55,17,55,27],[55,28,55,29],[55,30,55,31],[55,32,55,33],[55,34,55,35],[55,36,55,38],[55,39,55,42],[55,43,55,45],[55,46,55,49],[55,50,55,53],[55,54,55,58],[54,4,54,16],[54,17,54,27],[54,28,54,29],[54,30,54,31],[54,32,54,33],[54,34,54,35],[54,36,54,38],[54,39,54,42],[54,43,54,45],[52,46,52,49],[52,50,52,53],[52,54,52,58],[53,4,53,16],[53,17,53,27],[53,28,53,29],[53,30,53,31],[53,32,53,33],[53,54,53,58],[53,34,53,35],[53,36,53,38],[53,39,53,42],[53,43,53,45],[53,46,53,49],[53,50,53,53],[52,4,52,16],[52,17,52,27],[52,28,52,29],[52,30,52,31],[52,32,52,33],[52,34,52,35],[52,36,52,38],[52,39,52,42],[52,43,52,45],[50,4,50,16],[50,17,50,27],[50,28,50,29],[50,30,50,31],[50,32,50,33],[50,54,50,58],[51,4,51,16],[51,17,51,27],[51,28,51,29],[51,30,51,31],[51,32,51,33],[51,34,51,35],[51,36,51,38],[51,39,51,42],[51,43,51,45],[50,34,50,35],[50,36,50,38],[50,39,50,42],[50,43,50,45],[50,46,50,49],[50,50,50,53],[51,46,51,49],[51,50,51,53],[51,54,51,58],[48,46,48,49],[48,50,48,53],[48,54,48,58],[49,4,49,16],[49,17,49,27],[49,28,49,29],[49,30,49,31],[49,32,49,33],[49,34,49,35],[49,36,49,38],[49,39,49,42],[49,43,49,45],[49,46,49,49],[49,50,49,53],[49,54,49,58],[48,4,48,16],[48,17,48,27],[48,28,48,29],[48,30,48,31],[48,32,48,33],[48,34,48,35],[48,36,48,38],[48,39,48,42],[48,43,48,45],[46,46,46,49],[46,50,46,53],[46,54,46,58],[47,4,47,16],[47,17,47,27],[47,28,47,29],[47,30,47,31],[47,32,47,33],[47,54,47,58],[47,34,47,35],[47,36,47,38],[47,39,47,42],[47,43,47,45],[47,46,47,49],[47,50,47,53],[46,4,46,16],[46,17,46,27],[46,28,46,29],[46,30,46,31],[46,32,46,33],[46,34,46,35],[46,36,46,38],[46,39,46,42],[46,43,46,45],[44,4,44,16],[44,17,44,27],[44,28,44,29],[44,30,44,31],[44,32,44,33],[44,54,44,58],[45,4,45,16],[45,17,45,27],[45,28,45,29],[45,30,45,31],[45,32,45,33],[45,34,45,35],[45,36,45,38],[45,39,45,42],[45,43,45,45],[44,34,44,35],[44,36,44,38],[44,39,44,42],[44,43,44,45],[44,46,44,49],[44,50,44,53],[45,46,45,49],[45,50,45,53],[45,54,45,58],[41,3,41,58],[42,3,43,3],[42,4,43,16],[42,17,43,27],[42,28,42,35],[42,36,43,38],[42,39,43,42],[42,43,43,45],[42,46,43,49],[42,50,43,53],[42,54,43,58],[43,28,43,29],[43,30,43,31],[43,32,43,33],[43,34,43,35],[39,36,39,38],[39,39,39,42],[39,43,39,45],[39,46,39,49],[39,50,39,53],[39,54,39,58],[39,3,39,16],[39,17,39,27],[39,28,39,29],[39,30,39,31],[39,32,39,33],[39,34,39,35],[38,36,38,38],[38,39,38,42],[38,43,38,45],[38,46,38,49],[38,50,38,53],[38,54,38,58],[38,4,38,16],[38,17,38,27],[38,28,38,29],[38,30,38,31],[38,32,38,33],[38,34,38,35],[37,36,37,38],[37,39,37,42],[37,43,37,45],[37,46,37,49],[37,50,37,53],[37,54,37,58],[37,4,37,16],[37,17,37,27],[37,28,37,29],[37,30,37,31],[37,32,37,33],[37,34,37,35],[36,36,36,38],[36,39,36,42],[36,43,36,45],[36,46,36,49],[36,50,36,53],[36,54,36,58],[36,4,36,16],[36,17,36,27],[36,28,36,29],[36,30,36,31],[36,32,36,33],[36,34,36,35],[35,36,35,38],[35,39,35,42],[35,43,35,45],[35,46,35,49],[35,50,35,53],[35,54,35,58],[35,4,35,16],[35,17,35,27],[35,28,35,29],[35,30,35,31],[35,32,35,33],[35,34,35,35],[34,36,34,38],[34,39,34,42],[34,43,34,45],[34,46,34,49],[34,50,34,53],[34,54,34,58],[34,4,34,16],[34,17,34,27],[34,28,34,29],[34,30,34,31],[34,32,34,33],[34,34,34,35],[33,36,33,38],[33,39,33,42],[33,43,33,45],[33,46,33,49],[33,50,33,53],[33,54,33,58],[33,4,33,16],[33,17,33,27],[33,28,33,29],[33,30,33,31],[33,32,33,33],[33,34,33,35],[32,36,32,38],[32,39,32,42],[32,43,32,45],[32,46,32,49],[32,50,32,53],[32,54,32,58],[32,4,32,16],[32,17,32,27],[32,28,32,29],[32,30,32,31],[32,32,32,33],[32,34,32,35],[31,36,31,38],[31,39,31,42],[31,43,31,45],[31,46,31,49],[31,50,31,53],[31,54,31,58],[31,4,31,16],[31,17,31,27],[31,28,31,29],[31,30,31,31],[31,32,31,33],[31,34,31,35],[30,36,30,38],[30,39,30,42],[30,43,30,45],[30,46,30,49],[30,50,30,53],[30,54,30,58],[30,4,30,16],[30,17,30,27],[30,28,30,29],[30,30,30,31],[30,32,30,33],[30,34,30,35],[29,36,29,38],[29,39,29,42],[29,43,29,45],[29,46,29,49],[29,50,29,53],[29,54,29,58],[29,4,29,16],[29,17,29,27],[29,28,29,29],[29,30,29,31],[29,32,29,33],[29,34,29,35],[28,36,28,38],[28,39,28,42],[28,43,28,45],[28,46,28,49],[28,50,28,53],[28,54,28,58],[28,4,28,16],[28,17,28,27],[28,28,28,29],[28,30,28,31],[28,32,28,33],[28,34,28,35],[27,36,27,38],[27,39,27,42],[27,43,27,45],[27,46,27,49],[27,50,27,53],[27,54,27,58],[27,4,27,16],[27,17,27,27],[27,28,27,29],[27,30,27,31],[27,32,27,33],[27,34,27,35],[26,36,26,38],[26,39,26,42],[26,43,26,45],[26,46,26,49],[26,50,26,53],[26,54,26,58],[26,4,26,16],[26,17,26,27],[26,28,26,29],[26,30,26,31],[26,32,26,33],[26,34,26,35],[25,36,25,38],[25,39,25,42],[25,43,25,45],[25,46,25,49],[25,50,25,53],[25,54,25,58],[25,4,25,16],[25,17,25,27],[25,28,25,29],[25,30,25,31],[25,32,25,33],[25,34,25,35],[24,36,24,38],[24,39,24,42],[24,43,24,45],[24,46,24,49],[24,50,24,53],[24,54,24,58],[24,4,24,16],[24,17,24,27],[24,28,24,29],[24,30,24,31],[24,32,24,33],[24,34,24,35],[23,36,23,38],[23,39,23,42],[23,43,23,45],[23,46,23,49],[23,50,23,53],[23,54,23,58],[23,4,23,16],[23,17,23,27],[23,28,23,29],[23,30,23,31],[23,32,23,33],[23,34,23,35],[22,36,22,38],[22,39,22,42],[22,43,22,45],[22,46,22,49],[22,50,22,53],[22,54,22,58],[22,4,22,16],[22,17,22,27],[22,28,22,29],[22,30,22,31],[22,32,22,33],[22,34,22,35],[21,36,21,38],[21,39,21,42],[21,43,21,45],[21,46,21,49],[21,50,21,53],[21,54,21,58],[21,4,21,16],[21,17,21,27],[21,28,21,29],[21,30,21,31],[21,32,21,33],[21,34,21,35],[20,36,20,38],[20,39,20,42],[20,43,20,45],[20,46,20,49],[20,50,20,53],[20,54,20,58],[20,4,20,16],[20,17,20,27],[20,28,20,29],[20,30,20,31],[20,32,20,33],[20,34,20,35],[19,36,19,38],[19,39,19,42],[19,43,19,45],[19,46,19,49],[19,50,19,53],[19,54,19,58],[19,4,19,16],[19,17,19,27],[19,28,19,29],[19,30,19,31],[19,32,19,33],[19,34,19,35],[4,3,4,58],[6,3,6,58],[7,3,7,58],[8,3,8,58],[10,3,10,58],[11,3,11,58],[17,46,18,49],[17,50,18,53],[17,54,18,58],[18,28,18,29],[18,30,18,31],[18,32,18,33],[18,34,18,35],[12,3,12,58],[14,3,14,58],[16,3,16,58],[17,3,18,3],[17,4,18,16],[17,17,18,27],[17,28,17,35],[17,36,18,38],[17,39,18,42],[17,43,18,45]]}
[null,null,"",{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"COVID-19 General Program "]
[null,null,null,"Similar to 2022 reports, boards of health are required to input the total budgeted costs for the COVID-19 General Program at 100% (both provincial and municipal portions), as well as the total COVID-19 costs that can be managed within the mandatory programs cost-shared budget and Unorganized Territories, if applicable. Refer to the Instructions for details on how to complete this worksheet."]
[]
[null,null,null,"Program Description",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[null,null,null,"Please describe how the COVID-19 General Program is being delivered in the public health unit area including unique local considerations. "]
[null,null,null,"The COVID-19 General Program is a comprehensive public health response to prevent the spread of the virus and mitigate its impact on indviduals. This program includes several key interventions: \n•  Outbreak Investigation and Management\n•  Instutitional Infection Prevention and Control\n•  Health Promotion and Communications\n•  Surveillance, Monitoring and Reporting\nUnique local considerations include the types and number of congregate settings that we are required to work with and their specific needs. \n"]
[]
[null,null,null,"Budget Assumptions"]
[null,null,null,"Please describe assumptions used to budget costs."]
[null,null,null,"A list of staffing requirements was estimated.  The salary and benefits were calculated from this list.\nGeneral expenses were estimated based on trending over the past 3 years with a projected reduction for 2023.\nPlease note that overtime is not tracked by position title, but rather for the department as a whole."]
[]
[null,null,null,"Staffing Section - for the period of January 1, 2023 to December 31, 2023"]
[]
[null,null,null,"Program Staff"]
[null,null,null,"#","Position Title",null,null,null,null,null,null,null,null,null,null,null,null,"Activities",null,null,null,null,null,null,null,null,null,null,"# F.T.E. \n(based on regular and overtime hours)",null,null,null,null,null,null,null,"# of Regular Hours",null,null,"Salary\nRegular\nHours\n($)",null,null,null,"# of\nOvertime\nHours",null,null,"Salary\nOvertime\nHours\n($)",null,null,null,"Total\n# of\nHours",null,null,null,"Total\nSalaries\nJan 1-Dec 31\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"#\nP",null,"#\nT",null,"#\nR",null,"#\nTotal"]
[null,null,null,1,"Associate Medical Officer of Health",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC20:AH20)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AK20+AR20","v":0},null,null,null,{"$f":"AN20+AU20","v":0}]
[null,null,null,2,"Program Director",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,3,"Program Manager/Supervisor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,4,"Case and Contact Management Manager",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,5,"Team Leads",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,6,"Program Assistants",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,7,"Health Promoter",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,8,"Public Health Inspectors",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,9,"Call Centre Staff (not including Nurses)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,10,"Public Health Physicians",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,11,"PHNs/RPNs/NPs/RNs",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40003-818",null,null,null,null,null,null,null,null,null,null,7,null,13,null,null,null,20,null,null,null,null,1536327,null,null,null,null,null,null,null,null,null,null,0,null,null,null,1536327]
[null,null,null,12,"Community Liaison",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,13,"Epidemiologists",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40030-818",null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,1,null,null,null,null,94057,null,null,null,null,null,null,null,null,null,null,0,null,null,null,94057]
[null,null,null,14,"Other Program Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Program Assistant (Acct 40005)",null,null,null,null,null,null,null,null,null,null,0.5,null,6,null,null,null,6.5,null,null,null,null,333326,null,null,null,null,null,null,null,null,null,null,0,null,null,null,333326]
[null,null,null,15,"Total Overtime",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,624534,null,null,null,0,null,null,null,624534]
[null,null,null,16,"Total Shift Premium & On Call",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,17500,null,null,null,null,null,null,null,null,null,null,0,null,null,null,17500]
[null,null,null,17,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,18,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,19,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,20,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,"Total Program Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC20:AD39)","v":7.5},null,{"$f":"SUM(AE20:AF39)","v":20},null,{"$f":"SUM(AG20:AH39)","v":0},null,{"$f":"SUM(AI20:AJ39)","v":27.5},null,{"$f":"SUM(AK20:AM39)","v":0},null,null,{"$f":"SUM(AN20:AQ39)","v":1981210},null,null,null,{"$f":"SUM(AR20:AT39)","v":0},null,null,{"$f":"SUM(AU20:AX39)","v":624534},null,null,null,{"$f":"SUM(AY20:BB39)","v":0},null,null,null,{"$f":"SUM(BC20:BG39)","v":2605744}]
[]
[null,null,null,"Administrative Staff"]
[null,null,null,"#","Position Title",null,null,null,null,null,null,null,null,null,null,null,null,"Activities",null,null,null,null,null,null,null,null,null,null,"# F.T.E. \n(based on regular and overtime hours)",null,null,null,null,null,null,null,"# of Regular Hours",null,null,"Salary\nRegular\nHours\n($)",null,null,null,"# of\nOvertime\nHours",null,null,"Salary\nOvertime\nHours\n($)",null,null,null,"Total\n# of\nHours",null,null,null,"Total\nSalaries\nJan 1-Dec 31\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"#\nP",null,"#\nT",null,"#\nR",null,"#\nTotal"]
[null,null,null,21,"Medical Officer of Health",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC45:AH45)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AK45+AR45","v":0},null,null,null,{"$f":"AN45+AU45","v":0}]
[null,null,null,22,"Chief Executive Officer",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,23,"Director/Business Administrator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,24,"Manager/Supervisor",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40002-818",null,null,null,null,null,null,null,null,null,null,4.4000000000000004,null,null,null,null,null,4.4000000000000004,null,null,null,null,339750,null,null,null,null,null,null,null,null,null,null,0,null,null,null,339750]
[null,null,null,25,"Secretarial/Admin Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,26,"Financial Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40005-818",null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,3,null,null,null,null,235637,null,null,null,null,null,null,null,null,null,null,0,null,null,null,235637]
[null,null,null,27,"I & IT Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40019-818",null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,1,null,null,null,null,69282,null,null,null,null,null,null,null,null,null,null,0,null,null,null,69282]
[null,null,null,28,"Communications Manager/Media Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,29,"Volunteer Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,30,"Human Resources Staff/Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,31,"Maintenance/Custodian/Security",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,32,"Other Administrative Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Please identify each position title, activities, and cost per position title.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,"Total Administrative Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC45:AD56)","v":5.4},null,{"$f":"SUM(AE45:AF56)","v":3},null,{"$f":"SUM(AG45:AH56)","v":0},null,{"$f":"SUM(AI45:AJ56)","v":8.4},null,{"$f":"SUM(AK45:AM56)","v":0},null,null,{"$f":"SUM(AN45:AQ56)","v":644669},null,null,null,{"$f":"SUM(AR45:AT56)","v":0},null,null,{"$f":"SUM(AU45:AX56)","v":0},null,null,null,{"$f":"SUM(AY45:BB56)","v":0},null,null,null,{"$f":"SUM(BC45:BG56)","v":644669}]
[]
[null,null,null,"Total January 1 2023 to December 31, 2023",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AC40+AC57","v":12.9},null,{"$f":"AE40+AE57","v":23},null,{"$f":"AG40+AG57","v":0},null,{"$f":"AI40+AI57","v":35.9},null,{"$f":"AK40+AK57","v":0},null,null,{"$f":"AN40+AN57","v":2625879},null,null,null,{"$f":"AR40+AR57","v":0},null,null,{"$f":"AU40+AU57","v":624534},null,null,null,{"$f":"AY40+AY57","v":0},null,null,null,{"$f":"BC40+BC57","v":3250413}]
[]
[null,null,null,"Cost per Category - for the period of January 1, 2023 to December 31, 2023"]
[]
[null,null,null,"1. Staffing"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description\n(Please provide details not already included in the staffing section)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BC59","v":3250413}]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Sub-total Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB65-BB66","v":3250413}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,535693]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Sub-total Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB68-BB69","v":535693}]
[null,null,null,"Total Staffing Expenses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB67+BB70","v":3786106}]
[]
[null,null,null,"2. Travel and Accommodation"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description\n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# of KM",null,null,null,"$ per KM"]
[null,null,null,"Staff Travel",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1363.64,null,null,null,0.55000000000000004,null,null,{"$f":"AU76*AY76","v":750.00200000000007}]
[null,null,null,"Other Travel"]
[null,null,null,"Staff Accommodation"]
[null,null,null,"Other Accommodation"]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Travel and Accommodation Expenses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(BB76:BG79)-BB80","v":750.00200000000007}]
[]
[null,null,null,"3. Supplies and Equipment "]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Personal Protective Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,200]
[null,null,null,"Office Supplies",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,263]
[null,null,null,"Medical Supplies"]
[null,null,null,"Cleaning Supplies"]
[null,null,null,"I&IT equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,125000]
[null,null,null,"Telephone Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10000]
[null,null,null,"Furnishings",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8547]
[]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB85:BG96)-BB97","v":144010}]
[]
[null,null,null,"4. Purchased Services"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Leasing/Rental Costs ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Please include important terms of the lease/rental agreement including lease period and termination clause."]
[null,null,null,"Security Services ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,461000]
[null,null,null,"Maintenance & Cleaning Services "]
[null,null,null,"Professional Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,603]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB102:BG109)-BB110","v":461603}]
[]
[null,null,null,"5. Communications"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Media Campaign",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,600]
[null,null,null,"Translation"]
[null,null,null,"Printing"]
[]
[]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB115:BG123)-BB124","v":600}]
[]
[null,null,null," 6. Other Operating (please specify)"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Cellphones",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,45000]
[null,null,null,"Legal"]
[null,null,null,"Courier Services"]
[null,null,null,"Interest Charges",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20000]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Other Operating",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB129:BG139)-BB140","v":65000}]
[]
[null,null,null,"Total 100% COVID-19 General Program Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB71+BB81+BB98+BB111+BB125+BB141","v":4458069.0020000003}]
[]
[null,null,null,"COVID-19 General Program Costs to be Managed Within the Budget"]
[]
[null,null,null,"Within Mandatory Programs (provincial and municipal portions)"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 General Program Costs to be Managed within Mandatory Programs (provincial and municipal portions)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB150:BG156)","v":0}]
[]
[null,null,null,"Within Mandatory Programs (municipal contribution over 30%, if applicable)"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 General Program Costs to be Managed Within Mandatory Programs (municipal contribution over 30%)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB162:BG168)","v":0}]
[]
[null,null,null,"Within Unorganized Territories"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 General Program Costs to be Managed Within Unorganized Territories",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB174:BG180)","v":0}]
[]
[null,null,null,"COVID-19 General Program Costs to be Managed Within the Budget"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AY150+AY162+AY174","v":0},null,null,{"$f":"BB150+BB162+BB174","v":0},null,null,{"$f":"BE150+BE162+BE174","v":0}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB151+BB163+BB175","v":0},null,null,0]
[null,null,null,"Travel and Accommodation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Other Operating (please specify)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Total COVID-19 General Program Costs to be Managed within the Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB186:BG192)","v":0}]
[]
[null,null,null,"COVID-19 General Program Extraordinary Costs"]
[]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AI59-AY150-AY162-AY174","v":35.9},null,null,{"$f":"BB67-BB150-BB162-BB174","v":3250413}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB70-BB151-BB163-BB175","v":535693}]
[null,null,null,"Travel and Accommodation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB81-BB152-BB164-BB176","v":750.00200000000007}]
[null,null,null,"Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB98-BB153-BB165-BB177","v":144010}]
[null,null,null,"Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB111-BB154-BB166-BB178","v":461603}]
[null,null,null,"Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB125-BB155-BB167-BB179","v":600}]
[null,null,null,"Other Operating (please specify)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB141-BB156-BB168-BB180","v":65000}]
[null,null,null,"COVID-19 General Program Extraordinary Costs ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB199:BG205)","v":4458069.0020000003}]

{"sheet":"Covid-19 Vaccine","index":17,"n_rows":207,"n_cols":57,"rows_kept":207,"cut":false,"hidden":false,"merged":[[206,3,206,52],[206,53,206,58],[204,3,204,16],[204,17,204,52],[204,53,204,58],[205,3,205,16],[205,17,205,52],[205,53,205,58],[202,3,202,16],[202,17,202,52],[202,53,202,58],[203,3,203,16],[203,17,203,52],[203,53,203,58],[200,3,200,16],[200,17,200,52],[200,53,200,58],[201,3,201,16],[201,17,201,52],[201,53,201,58],[197,3,198,16],[197,17,197,52],[197,53,198,58],[198,50,198,52],[199,3,199,16],[199,17,199,49],[199,50,199,52],[199,53,199,58],[192,3,192,16],[192,17,192,52],[192,53,192,58],[193,3,193,52],[193,53,193,58],[195,3,195,58],[190,3,190,16],[190,17,190,52],[190,53,190,58],[191,3,191,16],[191,17,191,52],[191,53,191,58],[188,3,188,16],[188,17,188,52],[188,53,188,58],[189,3,189,16],[189,17,189,52],[189,53,189,58],[186,3,186,16],[186,17,186,49],[186,50,186,52],[186,53,186,58],[187,3,187,16],[187,17,187,52],[187,53,187,58],[180,3,180,16],[180,17,180,52],[180,53,180,58],[181,3,181,52],[181,53,181,58],[184,3,185,16],[184,17,184,52],[184,53,185,58],[185,50,185,52],[178,3,178,16],[178,17,178,52],[178,53,178,58],[179,3,179,16],[179,17,179,52],[179,53,179,58],[176,3,176,16],[176,17,176,52],[176,53,176,58],[177,3,177,16],[177,17,177,52],[177,53,177,58],[174,3,174,16],[174,17,174,49],[174,50,174,52],[174,53,174,58],[175,3,175,16],[175,17,175,52],[175,53,175,58],[168,3,168,16],[168,17,168,52],[168,53,168,58],[169,3,169,52],[169,53,169,58],[172,3,173,16],[172,17,172,52],[172,53,173,58],[173,50,173,52],[166,3,166,16],[166,17,166,52],[166,53,166,58],[167,3,167,16],[167,17,167,52],[167,53,167,58],[164,3,164,16],[164,17,164,52],[164,53,164,58],[165,3,165,16],[165,17,165,52],[165,53,165,58],[162,3,162,16],[162,17,162,49],[162,50,162,52],[162,53,162,58],[163,3,163,16],[163,17,163,52],[163,53,163,58],[157,3,157,52],[157,53,157,58],[160,3,161,16],[160,17,160,52],[160,53,161,58],[161,50,161,52],[154,17,154,52],[154,53,154,58],[155,17,155,52],[155,53,155,58],[156,17,156,52],[156,53,156,58],[151,17,151,52],[151,53,151,58],[152,17,152,52],[152,53,152,58],[153,17,153,52],[153,53,153,58],[145,3,145,58],[148,3,149,16],[148,17,148,52],[148,53,149,58],[149,50,149,52],[150,3,150,16],[150,17,150,49],[150,50,150,52],[150,53,150,58],[140,3,140,18],[140,19,140,52],[140,53,140,58],[141,3,141,52],[141,53,141,58],[143,3,143,52],[143,53,143,58],[138,3,138,18],[138,19,138,52],[138,53,138,58],[139,3,139,18],[139,19,139,52],[139,53,139,58],[136,3,136,18],[136,19,136,52],[136,53,136,58],[137,3,137,18],[137,19,137,52],[137,53,137,58],[134,3,134,18],[134,19,134,52],[134,53,134,58],[135,3,135,18],[135,19,135,52],[135,53,135,58],[132,3,132,18],[132,19,132,52],[132,53,132,58],[133,3,133,18],[133,19,133,52],[133,53,133,58],[130,3,130,18],[130,19,130,52],[130,53,130,58],[131,3,131,18],[131,19,131,52],[131,53,131,58],[128,3,128,18],[128,19,128,52],[128,53,128,58],[129,3,129,18],[129,19,129,52],[129,53,129,58],[124,3,124,18],[124,19,124,52],[124,53,124,58],[125,3,125,52],[125,53,125,58],[127,3,127,58],[122,3,122,18],[122,19,122,52],[122,53,122,58],[123,3,123,18],[123,19,123,52],[123,53,123,58],[120,3,120,18],[120,19,120,52],[120,53,120,58],[121,3,121,18],[121,19,121,52],[121,53,121,58],[118,3,118,18],[118,19,118,52],[118,53,118,58],[119,3,119,18],[119,19,119,52],[119,53,119,58],[116,3,116,18],[116,19,116,52],[116,53,116,58],[117,3,117,18],[117,19,117,52],[117,53,117,58],[114,3,114,18],[114,19,114,52],[114,53,114,58],[115,3,115,18],[115,19,115,52],[115,53,115,58],[110,3,110,18],[110,19,110,52],[110,53,110,58],[111,3,111,52],[111,53,111,58],[113,3,113,58],[108,3,108,18],[108,19,108,52],[108,53,108,58],[109,3,109,18],[109,19,109,52],[109,53,109,58],[106,3,106,18],[106,19,106,52],[106,53,106,58],[107,3,107,18],[107,19,107,52],[107,53,107,58],[104,3,104,18],[104,19,104,52],[104,53,104,58],[105,3,105,18],[105,19,105,52],[105,53,105,58],[102,3,102,18],[102,19,102,52],[102,53,102,58],[103,3,103,18],[103,19,103,52],[103,53,103,58],[98,3,98,52],[98,53,98,58],[100,3,100,58],[101,3,101,18],[101,19,101,52],[101,53,101,58],[96,3,96,18],[96,19,96,52],[96,53,96,58],[97,3,97,18],[97,19,97,52],[97,53,97,58],[94,3,94,18],[94,19,94,52],[94,53,94,58],[95,3,95,18],[95,19,95,52],[95,53,95,58],[92,3,92,18],[92,19,92,52],[92,53,92,58],[93,3,93,18],[93,19,93,52],[93,53,93,58],[90,3,90,18],[90,19,90,52],[90,53,90,58],[91,3,91,18],[91,19,91,52],[91,53,91,58],[88,3,88,18],[88,19,88,52],[88,53,88,58],[89,3,89,18],[89,19,89,52],[89,53,89,58],[86,3,86,18],[86,19,86,52],[86,53,86,58],[87,3,87,18],[87,19,87,52],[87,53,87,58],[84,3,84,18],[84,19,84,52],[84,53,84,58],[85,3,85,18],[85,19,85,52],[85,53,85,58],[80,3,80,18],[80,19,80,52],[80,53,80,58],[81,3,81,52],[81,53,81,58],[83,3,83,58],[78,3,78,18],[78,19,78,52],[78,53,78,58],[79,3,79,18],[79,19,79,52],[79,53,79,58],[76,3,76,18],[76,19,76,45],[76,46,76,49],[76,50,76,52],[76,53,76,58],[77,3,77,18],[77,19,77,52],[77,53,77,58],[70,3,70,52],[70,53,70,58],[71,3,71,52],[71,53,71,58],[73,3,73,58],[74,3,75,18],[74,19,74,52],[74,53,75,58],[75,46,75,49],[75,50,75,52],[67,3,67,52],[67,53,67,58],[68,3,68,18],[68,19,68,52],[68,53,68,58],[69,3,69,18],[69,19,69,52],[69,53,69,58],[65,3,65,18],[65,19,65,52],[65,53,65,58],[66,3,66,18],[66,19,66,52],[66,53,66,58],[63,3,63,58],[64,3,64,18],[64,19,64,52],[64,53,64,58],[57,54,57,58],[59,3,59,27],[59,28,59,29],[59,30,59,31],[59,32,59,33],[59,34,59,35],[59,36,59,38],[59,39,59,42],[59,43,59,45],[59,46,59,49],[57,34,57,35],[57,36,57,38],[57,39,57,42],[57,43,57,45],[57,46,57,49],[57,50,57,53],[57,3,57,16],[57,17,57,27],[57,28,57,29],[57,30,57,31],[57,32,57,33],[59,50,59,53],[59,54,59,58],[60,3,60,58],[61,3,61,58],[55,46,55,49],[55,50,55,53],[55,54,55,58],[56,4,56,16],[56,17,56,27],[56,28,56,29],[56,30,56,31],[56,32,56,33],[56,34,56,35],[56,36,56,38],[56,39,56,42],[56,43,56,45],[56,46,56,49],[56,50,56,53],[56,54,56,58],[55,4,55,16],[55,17,55,27],[55,28,55,29],[55,30,55,31],[55,32,55,33],[55,34,55,35],[55,36,55,38],[55,39,55,42],[55,43,55,45],[53,46,53,49],[53,50,53,53],[53,54,53,58],[54,4,54,16],[54,17,54,27],[54,28,54,29],[54,30,54,31],[54,32,54,33],[54,54,54,58],[54,34,54,35],[54,36,54,38],[54,39,54,42],[54,43,54,45],[54,46,54,49],[54,50,54,53],[53,4,53,16],[53,17,53,27],[53,28,53,29],[53,30,53,31],[53,32,53,33],[53,34,53,35],[53,36,53,38],[53,39,53,42],[53,43,53,45],[51,4,51,16],[51,17,51,27],[51,28,51,29],[51,30,51,31],[51,32,51,33],[51,54,51,58],[52,4,52,16],[52,17,52,27],[52,28,52,29],[52,30,52,31],[52,32,52,33],[52,34,52,35],[52,36,52,38],[52,39,52,42],[52,43,52,45],[51,34,51,35],[51,36,51,38],[51,39,51,42],[51,43,51,45],[51,46,51,49],[51,50,51,53],[52,46,52,49],[52,50,52,53],[52,54,52,58],[49,46,49,49],[49,50,49,53],[49,54,49,58],[50,4,50,16],[50,17,50,27],[50,28,50,29],[50,30,50,31],[50,32,50,33],[50,34,50,35],[50,36,50,38],[50,39,50,42],[50,43,50,45],[50,46,50,49],[50,50,50,53],[50,54,50,58],[49,4,49,16],[49,17,49,27],[49,28,49,29],[49,30,49,31],[49,32,49,33],[49,34,49,35],[49,36,49,38],[49,39,49,42],[49,43,49,45],[47,46,47,49],[47,50,47,53],[47,54,47,58],[48,4,48,16],[48,17,48,27],[48,28,48,29],[48,30,48,31],[48,32,48,33],[48,54,48,58],[48,34,48,35],[48,36,48,38],[48,39,48,42],[48,43,48,45],[48,46,48,49],[48,50,48,53],[47,4,47,16],[47,17,47,27],[47,28,47,29],[47,30,47,31],[47,32,47,33],[47,34,47,35],[47,36,47,38],[47,39,47,42],[47,43,47,45],[45,4,45,16],[45,17,45,27],[45,28,45,29],[45,30,45,31],[45,32,45,33],[45,54,45,58],[46,4,46,16],[46,17,46,27],[46,28,46,29],[46,30,46,31],[46,32,46,33],[46,34,46,35],[46,36,46,38],[46,39,46,42],[46,43,46,45],[45,34,45,35],[45,36,45,38],[45,39,45,42],[45,43,45,45],[45,46,45,49],[45,50,45,53],[46,46,46,49],[46,50,46,53],[46,54,46,58],[42,3,42,58],[43,3,44,3],[43,4,44,16],[43,17,44,27],[43,28,43,35],[43,36,44,38],[43,39,44,42],[43,43,44,45],[43,46,44,49],[43,50,44,53],[43,54,44,58],[44,28,44,29],[44,30,44,31],[44,32,44,33],[44,34,44,35],[40,36,40,38],[40,39,40,42],[40,43,40,45],[40,46,40,49],[40,50,40,53],[40,54,40,58],[40,3,40,16],[40,17,40,27],[40,28,40,29],[40,30,40,31],[40,32,40,33],[40,34,40,35],[39,36,39,38],[39,39,39,42],[39,43,39,45],[39,46,39,49],[39,50,39,53],[39,54,39,58],[39,4,39,16],[39,17,39,27],[39,28,39,29],[39,30,39,31],[39,32,39,33],[39,34,39,35],[38,36,38,38],[38,39,38,42],[38,43,38,45],[38,46,38,49],[38,50,38,53],[38,54,38,58],[38,4,38,16],[38,17,38,27],[38,28,38,29],[38,30,38,31],[38,32,38,33],[38,34,38,35],[37,36,37,38],[37,39,37,42],[37,43,37,45],[37,46,37,49],[37,50,37,53],[37,54,37,58],[37,4,37,16],[37,17,37,27],[37,28,37,29],[37,30,37,31],[37,32,37,33],[37,34,37,35],[36,36,36,38],[36,39,36,42],[36,43,36,45],[36,46,36,49],[36,50,36,53],[36,54,36,58],[36,4,36,16],[36,17,36,27],[36,28,36,29],[36,30,36,31],[36,32,36,33],[36,34,36,35],[35,36,35,38],[35,39,35,42],[35,43,35,45],[35,46,35,49],[35,50,35,53],[35,54,35,58],[35,4,35,16],[35,17,35,27],[35,28,35,29],[35,30,35,31],[35,32,35,33],[35,34,35,35],[34,36,34,38],[34,39,34,42],[34,43,34,45],[34,46,34,49],[34,50,34,53],[34,54,34,58],[34,4,34,16],[34,17,34,27],[34,28,34,29],[34,30,34,31],[34,32,34,33],[34,34,34,35],[33,36,33,38],[33,39,33,42],[33,43,33,45],[33,46,33,49],[33,50,33,53],[33,54,33,58],[33,4,33,16],[33,17,33,27],[33,28,33,29],[33,30,33,31],[33,32,33,33],[33,34,33,35],[32,36,32,38],[32,39,32,42],[32,43,32,45],[32,46,32,49],[32,50,32,53],[32,54,32,58],[32,4,32,16],[32,17,32,27],[32,28,32,29],[32,30,32,31],[32,32,32,33],[32,34,32,35],[31,36,31,38],[31,39,31,42],[31,43,31,45],[31,46,31,49],[31,50,31,53],[31,54,31,58],[31,4,31,16],[31,17,31,27],[31,28,31,29],[31,30,31,31],[31,32,31,33],[31,34,31,35],[30,36,30,38],[30,39,30,42],[30,43,30,45],[30,46,30,49],[30,50,30,53],[30,54,30,58],[30,4,30,16],[30,17,30,27],[30,28,30,29],[30,30,30,31],[30,32,30,33],[30,34,30,35],[29,36,29,38],[29,39,29,42],[29,43,29,45],[29,46,29,49],[29,50,29,53],[29,54,29,58],[29,4,29,16],[29,17,29,27],[29,28,29,29],[29,30,29,31],[29,32,29,33],[29,34,29,35],[28,36,28,38],[28,39,28,42],[28,43,28,45],[28,46,28,49],[28,50,28,53],[28,54,28,58],[28,4,28,16],[28,17,28,27],[28,28,28,29],[28,30,28,31],[28,32,28,33],[28,34,28,35],[27,36,27,38],[27,39,27,42],[27,43,27,45],[27,46,27,49],[27,50,27,53],[27,54,27,58],[27,4,27,16],[27,17,27,27],[27,28,27,29],[27,30,27,31],[27,32,27,33],[27,34,27,35],[26,36,26,38],[26,39,26,42],[26,43,26,45],[26,46,26,49],[26,50,26,53],[26,54,26,58],[26,4,26,16],[26,17,26,27],[26,28,26,29],[26,30,26,31],[26,32,26,33],[26,34,26,35],[25,36,25,38],[25,39,25,42],[25,43,25,45],[25,46,25,49],[25,50,25,53],[25,54,25,58],[25,4,25,16],[25,17,25,27],[25,28,25,29],[25,30,25,31],[25,32,25,33],[25,34,25,35],[24,36,24,38],[24,39,24,42],[24,43,24,45],[24,46,24,49],[24,50,24,53],[24,54,24,58],[24,4,24,16],[24,17,24,27],[24,28,24,29],[24,30,24,31],[24,32,24,33],[24,34,24,35],[23,36,23,38],[23,39,23,42],[23,43,23,45],[23,46,23,49],[23,50,23,53],[23,54,23,58],[23,4,23,16],[23,17,23,27],[23,28,23,29],[23,30,23,31],[23,32,23,33],[23,34,23,35],[22,36,22,38],[22,39,22,42],[22,43,22,45],[22,46,22,49],[22,50,22,53],[22,54,22,58],[22,4,22,16],[22,17,22,27],[22,28,22,29],[22,30,22,31],[22,32,22,33],[22,34,22,35],[21,36,21,38],[21,39,21,42],[21,43,21,45],[21,46,21,49],[21,50,21,53],[21,54,21,58],[21,4,21,16],[21,17,21,27],[21,28,21,29],[21,30,21,31],[21,32,21,33],[21,34,21,35],[20,36,20,38],[20,39,20,42],[20,43,20,45],[20,46,20,49],[20,50,20,53],[20,54,20,58],[20,4,20,16],[20,17,20,27],[20,28,20,29],[20,30,20,31],[20,32,20,33],[20,34,20,35],[19,36,19,38],[19,39,19,42],[19,43,19,45],[19,46,19,49],[19,50,19,53],[19,54,19,58],[19,4,19,16],[19,17,19,27],[19,28,19,29],[19,30,19,31],[19,32,19,33],[19,34,19,35],[4,3,4,58],[6,3,6,58],[7,3,7,58],[8,3,8,58],[10,3,10,58],[11,3,11,58],[17,46,18,49],[17,50,18,53],[17,54,18,58],[18,28,18,29],[18,30,18,31],[18,32,18,33],[18,34,18,35],[12,3,12,58],[14,3,14,58],[16,3,16,58],[17,3,18,3],[17,4,18,16],[17,17,18,27],[17,28,17,35],[17,36,18,38],[17,39,18,42],[17,43,18,45]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"COVID-19 Vaccine Program "]
[null,null,null,"Similar to 2022 reports, boards of health are required to input the total budgeted costs for the COVID-19 Vaccine Program at 100% (both provincial and municipal portions), as well as the total COVID-19 costs that can be managed within the mandatory programs cost-shared budget and Unorganized Territories, if applicable. Refer to the Instructions section for details on how to complete this worksheet."]
[]
[null,null,null,"Program Description"]
[null,null,null,"Please describe how the COVID-19 Vaccine Program is being delivered in the public health unit area including unique local considerations. "]
[null,null,null,"The COVID vaccine program is currently being delivered through the following interventions:  \n•  one mass clinic site open 5 days per week; \n•  two weekly mobile clinics; and, \n•  the homebound program. \n\nWe have also augmented our mobile program through collaboration with GO VAxx to provide clinics in high risk areas and in LTCH and RHs who require assistance. Other organizations involved in the administration of COVID-19 vaccine include LTCHs, RHs, (to their residents and staff), specific pharmacies and some health care providers in the area."]
[]
[null,null,null,"Budget Assumptions"]
[null,null,null,"Please describe assumptions used to budget costs."]
[null,null,null,"A list of staffing requirements was estimated.  The salary and benefits were calculated from this list.\nGeneral expenses were estimated based on trending over the past 3 years with a projected reduction for 2023.\nPlease note that overtime is not tracked by position title, but rather for the department as a whole."]
[]
[null,null,null,"Staffing Section - for the period of January 1, 2023 to December 31, 2023"]
[]
[null,null,null,"Program Staff"]
[null,null,null,"#","Position Title",null,null,null,null,null,null,null,null,null,null,null,null,"Activities",null,null,null,null,null,null,null,null,null,null,"# F.T.E. \n(based on regular and overtime hours)",null,null,null,null,null,null,null,"# of Regular Hours",null,null,"Salary\nRegular\nHours\n($)",null,null,null,"# of\nOvertime\nHours",null,null,"Salary\nOvertime\nHours\n($)",null,null,null,"Total\n# of\nHours",null,null,null,"Total\nSalaries\nJan 1-Dec 31\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"#\nP",null,"#\nT",null,"#\nR",null,"#\nTotal"]
[null,null,null,1,"Associate Medical Officer of Health",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC20:AH20)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AK20+AR20","v":0},null,null,null,{"$f":"AN20+AU20","v":0}]
[null,null,null,2,"Clinic Supervisor / Manager",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,3,"Clinical Practice Lead",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,4,"Non-clinical Practice Lead",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40021-816",null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,1,null,null,null,null,79190,null,null,null,null,null,null,null,null,null,null,0,null,null,null,79190]
[null,null,null,5,"Vaccinator/ Immunizers",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40020-816",null,null,null,null,null,null,null,null,null,null,null,null,7.5,null,null,null,7.5,null,null,null,null,674205,null,null,null,null,null,null,null,null,null,null,0,null,null,null,674205]
[null,null,null,6,"Preload Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,7,"Screener Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,8,"Vaccine Runner",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,9,"Client Flow Monitor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,10,"Pre-Reg Administration",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,11,"Pre-Reg Client Support",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40017-816",null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,3,null,null,null,null,178449,null,null,null,null,null,null,null,null,null,null,0,null,null,null,178449]
[null,null,null,12,"Pre-Reg Nurse",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40003-816",null,null,null,null,null,null,null,null,null,null,null,null,6,null,null,null,6,null,null,null,null,453959,null,null,null,null,null,null,null,null,null,null,0,null,null,null,453959]
[null,null,null,13,"Post Registration Administration",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,14,"Post-Vaccination Monitor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,15,"Cold-Chain / Inventory Management",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40041-816",null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,4,null,null,null,null,207808,null,null,null,null,null,null,null,null,null,null,0,null,null,null,207808]
[null,null,null,16,"Paramedics",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,17,"Other Program Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Program Assistant (Acct 40005)",null,null,null,null,null,null,null,null,null,null,1,null,4,null,null,null,5,null,null,null,null,261219,null,null,null,null,null,null,null,null,null,null,0,null,null,null,261219]
[null,null,null,18,"Total Overtime",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,581558,null,null,null,0,null,null,null,581558]
[null,null,null,19,"Total Shift Premium & On Call",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,7500,null,null,null,null,null,null,null,null,null,null,0,null,null,null,7500]
[null,null,null,20,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,21,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC40:AH40)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,"Total Program Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC20:AD40)","v":1},null,{"$f":"SUM(AE20:AF40)","v":25.5},null,{"$f":"SUM(AG20:AH40)","v":0},null,{"$f":"SUM(AI20:AJ40)","v":26.5},null,{"$f":"SUM(AK20:AM40)","v":0},null,null,{"$f":"SUM(AN20:AQ40)","v":1862330},null,null,null,{"$f":"SUM(AR20:AT40)","v":0},null,null,{"$f":"SUM(AU20:AX40)","v":581558},null,null,null,{"$f":"SUM(AY20:BB40)","v":0},null,null,null,{"$f":"SUM(BC20:BG40)","v":2443888}]
[]
[null,null,null,"Administrative Staff"]
[null,null,null,"#","Position Title",null,null,null,null,null,null,null,null,null,null,null,null,"Activities",null,null,null,null,null,null,null,null,null,null,"# F.T.E. \n(based on regular and overtime hours)",null,null,null,null,null,null,null,"# of Regular Hours",null,null,"Salary\nRegular\nHours\n($)",null,null,null,"# of\nOvertime\nHours",null,null,"Salary\nOvertime\nHours\n($)",null,null,null,"Total\n# of\nHours",null,null,null,"Total\nSalaries\nJan 1-Dec 31\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"#\nP",null,"#\nT",null,"#\nR",null,"#\nTotal"]
[null,null,null,22,"Medical Officer of Health",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC46:AH46)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AK46+AR46","v":0},null,null,null,{"$f":"AN46+AU46","v":0}]
[null,null,null,23,"Chief Executive Officer",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,24,"Director/ Business Administrator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,25,"Manager/Supervisor",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40002-816",null,null,null,null,null,null,null,null,null,null,7,null,null,null,null,null,7,null,null,null,null,630822,null,null,null,null,null,null,null,null,null,null,0,null,null,null,630822]
[null,null,null,26,"Secretarial/Admin Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,27,"Financial Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,28,"I & IT Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40005-816",null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,2,null,null,null,null,100935,null,null,null,null,null,null,null,null,null,null,0,null,null,null,100935]
[null,null,null,29,"Communications Manager/Media Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40007-816",null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,1,null,null,null,null,51462,null,null,null,null,null,null,null,null,null,null,0,null,null,null,51462]
[null,null,null,30,"Volunteer Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,31,"Human Resources Staff/Coordinator",null,null,null,null,null,null,null,null,null,null,null,null,"Account 40005-816",null,null,null,null,null,null,null,null,null,null,2.5,null,2,null,null,null,4.5,null,null,null,null,337298,null,null,null,null,null,null,null,null,null,null,0,null,null,null,337298]
[null,null,null,32,"Maintenance/Custodian/Security",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,33,"Other Administrative Staff",null,null,null,null,null,null,null,null,null,null,null,null,"Please identify each position title, activities, and cost per position title.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[null,null,null,"Total Administrative Staff",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AC46:AD57)","v":9.5},null,{"$f":"SUM(AE46:AF57)","v":5},null,{"$f":"SUM(AG46:AH57)","v":0},null,{"$f":"SUM(AI46:AJ57)","v":14.5},null,{"$f":"SUM(AK46:AM57)","v":0},null,null,{"$f":"SUM(AN46:AQ57)","v":1120517},null,null,null,{"$f":"SUM(AR46:AT57)","v":0},null,null,{"$f":"SUM(AU46:AX57)","v":0},null,null,null,{"$f":"SUM(AY46:BB57)","v":0},null,null,null,{"$f":"SUM(BC46:BG57)","v":1120517}]
[]
[null,null,null,"Total January 1, 2023 to December 31, 2023",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AC41+AC58","v":10.5},null,{"$f":"AE41+AE58","v":30.5},null,{"$f":"AG41+AG58","v":0},null,{"$f":"AI41+AI58","v":41},null,{"$f":"AK41+AK58","v":0},null,null,{"$f":"AN41+AN58","v":2982847},null,null,null,{"$f":"AR41+AR58","v":0},null,null,{"$f":"AU41+AU58","v":581558},null,null,null,{"$f":"AY41+AY58","v":0},null,null,null,{"$f":"BC41+BC58","v":3564405}]
[]
[null,null,null,"Cost per Category - for the period of January 1, 2023 to December 31, 2023"]
[]
[null,null,null,"1. Staffing"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description\n(Please provide details not already included in the staffing section)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BC60","v":3564405}]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Sub-total Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB66-BB67","v":3564405}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,636317]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Sub-total Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB69-BB70","v":636317}]
[null,null,null,"Total Staffing Expenses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB68+BB71","v":4200722}]
[]
[null,null,null,"2. Travel and Accommodation"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description\n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# of KM",null,null,null,"$ per KM"]
[null,null,null,"Staff Travel",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13450.91,null,null,null,0.55000000000000004,null,null,{"$f":"AU77*AY77","v":7398.0005000000001}]
[null,null,null,"Other Travel"]
[null,null,null,"Staff Accommodation"]
[null,null,null,"Other Accommodation"]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Travel and Accommodation Expenses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(BB77:BG80)-BB81","v":7398.0005000000001}]
[]
[null,null,null,"3. Supplies and Equipment "]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Personal Protective Equipment"]
[null,null,null,"Office Supplies"]
[null,null,null,"Medical Supplies",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,300000]
[null,null,null,"Cleaning Supplies"]
[null,null,null,"I&IT equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,137900]
[null,null,null,"Telephone Equipment"]
[null,null,null,"Furnishings"]
[null,null,null,"Vaccine Fridges",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Please include the number (#) of vaccine fridges/freezers purchased, as well as the model number and size for each"]
[null,null,null,"Equipment Repairs & Maintenance",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15000]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB86:BG97)-BB98","v":452900}]
[]
[null,null,null,"4. Purchased Services"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Leasing/Rental Costs ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Please include important terms of the lease/rental agreement including lease period and termination clause.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,700877]
[null,null,null,"Security Services ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,453046]
[null,null,null,"Maintenance & Cleaning Services ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,116188]
[null,null,null,"Partnerships"]
[null,null,null,"Hazardous Waste Disposal"]
[null,null,null,"Transportation clients to/from vaccine clinics"]
[null,null,null,"Professional Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,232276]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB103:BG110)-BB111","v":1502387}]
[]
[null,null,null,"5. Communications"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Media Campaign",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12815]
[null,null,null,"Translation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3106]
[null,null,null,"Printing",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14189]
[]
[]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB116:BG124)-BB125","v":30110}]
[]
[null,null,null," 6. Other Operating (please specify)"]
[null,null,null,"Cost Item",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,"Cellphones"]
[null,null,null,"Legal"]
[null,null,null,"Courier Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,228]
[null,null,null,"Staff Development",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3205]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Minus: Revenue from Other Funding Sources"]
[null,null,null,"Total Other Operating",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB130:BG140)-BB141","v":3433}]
[]
[null,null,null,"Total 100% COVID-19 Vaccine Program Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB72+BB82+BB99+BB112+BB126+BB142","v":6196950.0005000001}]
[]
[null,null,null,"COVID-19 Vaccine Program Costs to be Managed Within the Budget"]
[]
[null,null,null,"Within Mandatory Programs (provincial and municipal portions)"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 Vaccine Program Costs to be Managed within Mandatory Programs (provincial and municipal portions)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB151:BG157)","v":0}]
[]
[null,null,null,"Within Mandatory Programs (municipal contribution over 30%, if applicable)"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 Vaccine Program Costs to be Managed Within Mandatory Programs (municipal contribution over 30%)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB163:BG169)","v":0}]
[]
[null,null,null,"Within Unorganized Territories"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries"]
[null,null,null,"Benefits"]
[null,null,null,"Travel and Accommodation"]
[null,null,null,"Supplies and Equipment"]
[null,null,null,"Purchased Services"]
[null,null,null,"Communications"]
[null,null,null,"Other Operating (please specify)"]
[null,null,null,"COVID-19 Vaccine Program Costs to be Managed Within Unorganized Territories",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB175:BG181)","v":0}]
[]
[null,null,null,"COVID-19 Vaccine Program Costs to be Managed Within the Budget"]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AY151+AY163+AY175","v":0},null,null,{"$f":"BB151+BB163+BB175","v":0},null,null,{"$f":"BE151+BE163+BE175","v":0}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB152+BB164+BB176","v":0},null,null,0]
[null,null,null,"Travel and Accommodation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Other Operating (please specify)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,0]
[null,null,null,"Total COVID-19 Vaccine Program Costs to be Managed within the Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB187:BG193)","v":0}]
[]
[null,null,null,"COVID-19 Vaccine Program Extraordinary Costs"]
[]
[null,null,null,"Cost Category",null,null,null,null,null,null,null,null,null,null,null,null,null," Description \n(Please identify each item and the cost per item)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Budget\nAmount\n($)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# F.T.E."]
[null,null,null,"Salaries",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AI60-AY151-AY163-AY175","v":41},null,null,{"$f":"BB68-BB151-BB163-BB175","v":3564405}]
[null,null,null,"Benefits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB71-BB152-BB164-BB176","v":636317}]
[null,null,null,"Travel and Accommodation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB82-BB153-BB165-BB177","v":7398.0005000000001}]
[null,null,null,"Supplies and Equipment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB99-BB154-BB166-BB178","v":452900}]
[null,null,null,"Purchased Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB112-BB155-BB167-BB179","v":1502387}]
[null,null,null,"Communications",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB126-BB156-BB168-BB180","v":30110}]
[null,null,null,"Other Operating (please specify)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BB142-BB157-BB169-BB181","v":3433}]
[null,null,null,"COVID-19 Vaccine Program Extraordinary Costs ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,null,{"$f":"SUM(BB200:BG206)","v":6196950.0005000001}]

{"sheet":"Staff Alloc to Programs","index":18,"n_rows":559,"n_cols":40,"rows_kept":559,"cut":false,"hidden":false,"merged":[[546,3,547,3],[548,3,549,3],[550,3,551,3],[552,3,553,3],[554,3,555,3],[557,3,558,3],[534,3,535,3],[536,3,537,3],[538,3,539,3],[540,3,541,3],[542,3,543,3],[544,3,545,3],[522,3,523,3],[524,3,525,3],[526,3,527,3],[528,3,529,3],[530,3,531,3],[532,3,533,3],[509,3,510,3],[512,3,513,3],[514,3,515,3],[516,3,517,3],[518,3,519,3],[520,3,521,3],[497,3,498,3],[499,3,500,3],[501,3,502,3],[503,3,504,3],[505,3,506,3],[507,3,508,3],[485,3,486,3],[487,3,488,3],[489,3,490,3],[491,3,492,3],[493,3,494,3],[495,3,496,3],[473,3,474,3],[475,3,476,3],[477,3,478,3],[479,3,480,3],[481,3,482,3],[483,3,484,3],[460,3,461,3],[462,3,463,3],[464,3,465,3],[467,3,468,3],[469,3,470,3],[471,3,472,3],[448,3,449,3],[450,3,451,3],[452,3,453,3],[454,3,455,3],[456,3,457,3],[458,3,459,3],[436,3,437,3],[438,3,439,3],[440,3,441,3],[442,3,443,3],[444,3,445,3],[446,3,447,3],[424,3,425,3],[426,3,427,3],[428,3,429,3],[430,3,431,3],[432,3,433,3],[434,3,435,3],[411,3,412,3],[413,3,414,3],[415,3,416,3],[417,3,418,3],[419,3,420,3],[422,3,423,3],[399,3,400,3],[401,3,402,3],[403,3,404,3],[405,3,406,3],[407,3,408,3],[409,3,410,3],[387,3,388,3],[389,3,390,3],[391,3,392,3],[393,3,394,3],[395,3,396,3],[397,3,398,3],[374,3,375,3],[377,3,378,3],[379,3,380,3],[381,3,382,3],[383,3,384,3],[385,3,386,3],[362,3,363,3],[364,3,365,3],[366,3,367,3],[368,3,369,3],[370,3,371,3],[372,3,373,3],[350,3,351,3],[352,3,353,3],[354,3,355,3],[356,3,357,3],[358,3,359,3],[360,3,361,3],[338,3,339,3],[340,3,341,3],[342,3,343,3],[344,3,345,3],[346,3,347,3],[348,3,349,3],[325,3,326,3],[327,3,328,3],[329,3,330,3],[332,3,333,3],[334,3,335,3],[336,3,337,3],[313,3,314,3],[315,3,316,3],[317,3,318,3],[319,3,320,3],[321,3,322,3],[323,3,324,3],[301,3,302,3],[303,3,304,3],[305,3,306,3],[307,3,308,3],[309,3,310,3],[311,3,312,3],[289,3,290,3],[291,3,292,3],[293,3,294,3],[295,3,296,3],[297,3,298,3],[299,3,300,3],[276,3,277,3],[278,3,279,3],[280,3,281,3],[282,3,283,3],[284,3,285,3],[287,3,288,3],[264,3,265,3],[266,3,267,3],[268,3,269,3],[270,3,271,3],[272,3,273,3],[274,3,275,3],[252,3,253,3],[254,3,255,3],[256,3,257,3],[258,3,259,3],[260,3,261,3],[262,3,263,3],[239,3,240,3],[242,3,243,3],[244,3,245,3],[246,3,247,3],[248,3,249,3],[250,3,251,3],[227,3,228,3],[229,3,230,3],[231,3,232,3],[233,3,234,3],[235,3,236,3],[237,3,238,3],[215,3,216,3],[217,3,218,3],[219,3,220,3],[221,3,222,3],[223,3,224,3],[225,3,226,3],[203,3,204,3],[205,3,206,3],[207,3,208,3],[209,3,210,3],[211,3,212,3],[213,3,214,3],[190,3,191,3],[192,3,193,3],[194,3,195,3],[197,3,198,3],[199,3,200,3],[201,3,202,3],[178,3,179,3],[180,3,181,3],[182,3,183,3],[184,3,185,3],[186,3,187,3],[188,3,189,3],[166,3,167,3],[168,3,169,3],[170,3,171,3],[172,3,173,3],[174,3,175,3],[176,3,177,3],[154,3,155,3],[156,3,157,3],[158,3,159,3],[160,3,161,3],[162,3,163,3],[164,3,165,3],[141,3,142,3],[143,3,144,3],[145,3,146,3],[147,3,148,3],[149,3,150,3],[152,3,153,3],[129,3,130,3],[131,3,132,3],[133,3,134,3],[135,3,136,3],[137,3,138,3],[139,3,140,3],[117,3,118,3],[119,3,120,3],[121,3,122,3],[123,3,124,3],[125,3,126,3],[127,3,128,3],[104,3,105,3],[107,3,108,3],[109,3,110,3],[111,3,112,3],[113,3,114,3],[115,3,116,3],[92,3,93,3],[94,3,95,3],[96,3,97,3],[98,3,99,3],[100,3,101,3],[102,3,103,3],[80,3,81,3],[82,3,83,3],[84,3,85,3],[86,3,87,3],[88,3,89,3],[90,3,91,3],[68,3,69,3],[70,3,71,3],[72,3,73,3],[74,3,75,3],[76,3,77,3],[78,3,79,3],[55,3,56,3],[57,3,58,3],[59,3,60,3],[62,3,63,3],[64,3,65,3],[66,3,67,3],[43,3,44,3],[45,3,46,3],[47,3,48,3],[49,3,50,3],[51,3,52,3],[53,3,54,3],[37,3,38,3],[39,3,40,3],[41,3,42,3],[19,3,20,3],[21,3,22,3],[23,3,24,3],[25,3,26,3],[27,3,28,3],[29,3,30,3],[4,3,4,4],[5,3,6,3],[8,3,9,3],[11,3,12,3],[14,3,15,3],[17,3,18,3],[31,3,32,3],[33,3,34,3],[35,3,36,3]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null,"                                "]
[null,null,null,"Staff Allocation to Programs"]
[null,null,null,"Program",null,"Associate Medical Officer of Health","Chief Nursing Officer","Program Director","Program Manager/\nSupervisor","Project Officer","Public Health Nurse","Registered Nurse","Registered Practical Nurse","Nurse Practitioner","Social Determinants of Health Nurse","Infection Prevention and Control Nurse","Public Health Inspector","Dentist","Dental Hygienist","Dental Assistant","Health Promoter","Nutritionist","Dietitian","Epidemiologist","Program Coordinator ","Program Support Staff","SFOA Inspector","Tobacco Control Coordinator/\nManager","TCAN Coordinator","Youth Development Specialist","Youth Engagement Coordinator","Other SFO staff","Student","Communications Staff","Program Evaluator","Data Analyst","Covid-19 Staff","Other Program Staff","Total","% of Bilingual FTEs"]
[null,null,null,"Total Population Health Assessment","F.T.E.#",0.2,null,0.01,0.81,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.4,null,0.02,null,null,null,null,null,null,null,null,null,0.81,null,0.01,{"$f":"ROUND(SUM(F6:AL6),2)","v":4.26}]
[null,null,null,null,"$",44770,null,1069,89869,null,null,null,null,null,null,null,null,null,null,null,null,null,null,221194,null,791,null,null,null,null,null,null,null,null,null,51731,null,366,{"$f":"ROUND(SUM(F7:AL7),0)","v":409790}]
[]
[null,null,null,"Total Health Equity","F.T.E.#",null,null,0.01,0.66,null,2.6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.34,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F9:AL9),2)","v":3.62}]
[null,null,null,null,"$",null,null,1069,65051,null,208235,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17198,null,null,null,null,null,null,null,null,null,null,null,366,{"$f":"ROUND(SUM(F10:AL10),0)","v":291919}]
[]
[null,null,null,"Total Effective Public Health Practice","F.T.E.#",0.1,null,0.35,3.59,2,4.9000000000000004,null,null,null,null,null,null,null,null,null,null,null,null,0.6,null,1.24,null,null,null,null,null,null,null,3,5,0.2,null,1.05,{"$f":"ROUND(SUM(F12:AL12),2)","v":22.03}]
[null,null,null,null,"$",22387,null,45695,358239,150452,418830,null,null,null,null,null,null,null,null,null,null,null,null,55298,null,66476,null,null,null,null,null,null,null,187347,359332,12854,null,72291,{"$f":"ROUND(SUM(F13:AL13),0)","v":1749201}]
[]
[null,null,null,"Total Emergency Management","F.T.E.#",0.05,null,0.01,0.01,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.02,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F15:AL15),2)","v":0.1}]
[null,null,null,null,"$",11193,null,1069,1151,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,791,null,null,null,null,null,null,null,null,null,null,null,366,{"$f":"ROUND(SUM(F16:AL16),0)","v":14570}]
[]
[null,null,null,"Total Chronic Disease Prevention and Well-Being","F.T.E.#",null,null,0.32,4.34,null,4.7,null,null,null,null,null,0.7,2,8.5299999999999994,10.61,0.75,null,3.72,null,null,1.87,0.03,null,null,0.01,null,null,null,null,null,0.02,null,0.51,{"$f":"ROUND(SUM(F18:AL18),2)","v":38.11}]
[null,null,null,null,"$",null,null,44214,468783,null,394488,null,null,null,null,null,52491,315959,599138,574467,51920,null,273966,null,null,94582,1677,null,null,621,null,null,null,null,null,795,null,30465,{"$f":"ROUND(SUM(F19:AL19),0)","v":2903566}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F18-SUM(F22,F24,F26,F28,F30,F32,F34,F36,F38,F40,F42,F44,F46,F48,F50,F52,F54,F56,F58,F60)","v":0},{"$f":"G18-SUM(G22,G24,G26,G28,G30,G32,G34,G36,G38,G40,G42,G44,G46,G48,G50,G52,G54,G56,G58,G60)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL18-SUM(AL22,AL24,AL26,AL28,AL30,AL32,AL34,AL36,AL38,AL40,AL42,AL44,AL46,AL48,AL50,AL52,AL54,AL56,AL58,AL60)","v":0},{"$f":"SUM(F20:AL20)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F19-SUM(F23,F25,F27,F29,F31,F33,F35,F37,F39,F41,F43,F45,F47,F49,F51,F53,F55,F57,F59,F61)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL19-SUM(AL23,AL25,AL27,AL29,AL31,AL33,AL35,AL37,AL39,AL41,AL43,AL45,AL47,AL49,AL51,AL53,AL55,AL57,AL59,AL61)","v":0},{"$f":"SUM(F21:AL21)","v":0}]
[null,null,null,{"$f":"Structure!E7","v":"Menu Labelling"},"F.T.E.#",null,null,0.01,0.06,null,null,null,null,null,null,null,0.7,null,null,null,null,null,null,null,null,7.0000000000000007E-2,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F22:AL22),2)","v":0.85}]
[null,null,null,null,"$",null,null,1069,6773,null,null,null,null,null,null,null,52491,null,null,null,null,null,null,null,null,3356,null,null,null,null,null,null,null,null,null,null,null,366,{"$f":"ROUND(SUM(F23:AL23),0)","v":64055}]
[null,null,null,{"$f":"Structure!E18","v":"Non-Mandatory Oral Health Programs"},"F.T.E.#",null,null,0.06,0.73,null,0.2,null,null,null,null,null,null,null,2.33,2.21,null,null,null,null,null,0.73,null,null,null,null,null,null,null,null,null,0.02,null,0.49,{"$f":"ROUND(SUM(F24:AL24),2)","v":6.77}]
[null,null,null,null,"$",null,null,8201,79898,null,16854,null,null,null,null,null,null,null,153204,111427,null,null,null,null,null,36507,null,null,null,null,null,null,null,null,null,795,null,29552,{"$f":"ROUND(SUM(F25:AL25),0)","v":436438}]
[null,null,null,{"$f":"Structure!E29","v":"Ontario Seniors Dental Care Program"},"F.T.E.#",null,null,"                         -  ",2,null,null,null,null,null,null,null,null,2,6.2,8.4,null,null,null,null,null,0.5,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F26:AL26),2)","v":19.100000000000001}]
[null,null,null,null,"$",null,null,"                         -  ",227689,null,null,null,null,null,null,null,null,315959,445934,463040,null,null,null,null,null,27210,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F27:AL27),0)","v":1479832}]
[null,null,null,{"$f":"Structure!E40","v":"Tanning Beds"},"F.T.E.#",null,null,0.01,0.03,null,0.04,null,null,null,null,null,null,null,null,null,0.01,null,null,null,null,0.03,0.03,null,null,0.01,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F28:AL28),2)","v":0.17}]
[null,null,null,null,"$",null,null,1782,2853,null,2913,null,null,null,null,null,null,null,null,null,621,null,null,null,null,1450,1677,null,null,621,null,null,null,null,null,null,null,547,{"$f":"ROUND(SUM(F29:AL29),0)","v":12464}]
[null,null,null,{"$f":"Structure!E51","v":"Food Systems"},"F.T.E.#",null,null,0.12,0.52,null,1.52,null,null,null,null,null,null,null,null,null,0.25,null,1.27,null,null,0.2,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F30:AL30),2)","v":3.88}]
[null,null,null,null,"$",null,null,16760,51718,null,127929,null,null,null,null,null,null,null,null,null,17513,null,93531,null,null,9906,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F31:AL31),0)","v":317357}]
[null,null,null,{"$f":"Structure!E62","v":"Active Transportation and the Built Environment"},"F.T.E.#",null,null,0.06,0.49,null,1.44,null,null,null,null,null,null,null,null,null,0.24,null,1.2,null,null,0.17,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F32:AL32),2)","v":3.6}]
[null,null,null,null,"$",null,null,8201,48931,null,120878,null,null,null,null,null,null,null,null,null,16548,null,88376,null,null,7963,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F33:AL33),0)","v":290897}]
[null,null,null,{"$f":"Structure!E73","v":"Mental Health and Wellness"},"F.T.E.#",null,null,0.06,0.51,null,1.5,null,null,null,null,null,null,null,null,null,0.25,null,1.25,null,null,0.17,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F34:AL34),2)","v":3.74}]
[null,null,null,null,"$",null,null,8201,50921,null,125914,null,null,null,null,null,null,null,null,null,17238,null,92059,null,null,8190,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F35:AL35),0)","v":302523}]
[null,null,null,{"$f":"Structure!E84","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F36:AL36),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F37:AL37),0)","v":0}]
[null,null,null,{"$f":"Structure!E95","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F38:AL38),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F39:AL39),0)","v":0}]
[null,null,null,{"$f":"Structure!E106","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F40:AL40),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F41:AL41),0)","v":0}]
[null,null,null,{"$f":"Structure!E117","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F42:AL42),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F43:AL43),0)","v":0}]
[null,null,null,{"$f":"Structure!E128","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F44:AL44),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F45:AL45),0)","v":0}]
[null,null,null,{"$f":"Structure!E139","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F46:AL46),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F47:AL47),0)","v":0}]
[null,null,null,{"$f":"Structure!E150","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F48:AL48),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F49:AL49),0)","v":0}]
[null,null,null,{"$f":"Structure!E161","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F50:AL50),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F51:AL51),0)","v":0}]
[null,null,null,{"$f":"Structure!E172","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F52:AL52),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F53:AL53),0)","v":0}]
[null,null,null,{"$f":"Structure!E183","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F54:AL54),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F55:AL55),0)","v":0}]
[null,null,null,{"$f":"Structure!E194","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F56:AL56),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F57:AL57),0)","v":0}]
[null,null,null,{"$f":"Structure!E205","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F58:AL58),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F59:AL59),0)","v":0}]
[null,null,null,{"$f":"Structure!E216","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F60:AL60),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F61:AL61),0)","v":0}]
[]
[null,null,null,"Total Food Safety","F.T.E.#",0.01,null,0.21,0.84,null,0.73,null,null,null,null,null,10.42,null,null,null,null,null,null,null,null,0.82,null,null,null,null,null,null,null,null,null,0.09,null,0.11,{"$f":"ROUND(SUM(F63:AL63),2)","v":13.23}]
[null,null,null,null,"$",2239,null,29604,94857,null,62135,null,null,null,null,null,782607,null,null,null,null,null,null,null,null,42109,null,null,null,null,null,null,null,null,null,4769,null,6149,{"$f":"ROUND(SUM(F64:AL64),0)","v":1024469}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F63-SUM(F67,F69,F71,F73,F75,F77,F79,F81,F83,F85,F87,F89,F91,F93,F95,F97,F99,F101,F103,F105)","v":0},{"$f":"G63-SUM(G67,G69,G71,G73,G75,G77,G79,G81,G83,G85,G87,G89,G91,G93,G95,G97,G99,G101,G103,G105)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL63-SUM(AL67,AL69,AL71,AL73,AL75,AL77,AL79,AL81,AL83,AL85,AL87,AL89,AL91,AL93,AL95,AL97,AL99,AL101,AL103,AL105)","v":0},{"$f":"SUM(F65:AL65)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F64-SUM(F68,F70,F72,F74,F76,F78,F80,F82,F84,F86,F88,F90,F92,F94,F96,F98,F100,F102,F104,F106)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL64-SUM(AL68,AL70,AL72,AL74,AL76,AL78,AL80,AL82,AL84,AL86,AL88,AL90,AL92,AL94,AL96,AL98,AL100,AL102,AL104,AL106)","v":0},{"$f":"SUM(F66:AL66)","v":0}]
[null,null,null,{"$f":"Structure!E228","v":"Food Safety Program"},"F.T.E.#",0.01,null,0.21,0.84,null,0.73,null,null,null,null,null,10.42,null,null,null,null,null,null,null,null,0.82,null,null,null,null,null,null,null,null,null,0.09,null,0.11,{"$f":"ROUND(SUM(F67:AL67),2)","v":13.23}]
[null,null,null,null,"$",2239,null,29604,94857,null,62135,null,null,null,null,null,782607,null,null,null,null,null,null,null,null,42109,null,null,null,null,null,null,null,null,null,4769,null,6149,{"$f":"ROUND(SUM(F68:AL68),0)","v":1024469}]
[null,null,null,{"$f":"Structure!E239","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F69:AL69),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F70:AL70),0)","v":0}]
[null,null,null,{"$f":"Structure!E250","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F71:AL71),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F72:AL72),0)","v":0}]
[null,null,null,{"$f":"Structure!E261","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F73:AL73),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F74:AL74),0)","v":0}]
[null,null,null,{"$f":"Structure!E272","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F75:AL75),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F76:AL76),0)","v":0}]
[null,null,null,{"$f":"Structure!E283","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F77:AL77),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F78:AL78),0)","v":0}]
[null,null,null,{"$f":"Structure!E294","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F79:AL79),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F80:AL80),0)","v":0}]
[null,null,null,{"$f":"Structure!E305","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F81:AL81),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F82:AL82),0)","v":0}]
[null,null,null,{"$f":"Structure!E316","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F83:AL83),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F84:AL84),0)","v":0}]
[null,null,null,{"$f":"Structure!E327","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F85:AL85),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F86:AL86),0)","v":0}]
[null,null,null,{"$f":"Structure!E338","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F87:AL87),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F88:AL88),0)","v":0}]
[null,null,null,{"$f":"Structure!E349","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F89:AL89),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F90:AL90),0)","v":0}]
[null,null,null,{"$f":"Structure!E360","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F91:AL91),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F92:AL92),0)","v":0}]
[null,null,null,{"$f":"Structure!E371","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F93:AL93),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F94:AL94),0)","v":0}]
[null,null,null,{"$f":"Structure!E382","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F95:AL95),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F96:AL96),0)","v":0}]
[null,null,null,{"$f":"Structure!E393","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F97:AL97),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F98:AL98),0)","v":0}]
[null,null,null,{"$f":"Structure!E404","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F99:AL99),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F100:AL100),0)","v":0}]
[null,null,null,{"$f":"Structure!E415","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F101:AL101),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F102:AL102),0)","v":0}]
[null,null,null,{"$f":"Structure!E426","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F103:AL103),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F104:AL104),0)","v":0}]
[null,null,null,{"$f":"Structure!E437","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F105:AL105),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F106:AL106),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D448","v":"Total Healthy Environments"},"F.T.E.#",0.06,null,0.09,0.32,null,null,null,null,null,null,null,3.84,null,null,null,null,null,null,null,null,0.33,null,null,null,null,null,null,null,null,null,null,null,0.05,{"$f":"ROUND(SUM(F108:AL108),2)","v":4.6900000000000004}]
[null,null,null,null,"$",13432,null,11751,35549,null,null,null,null,null,null,null,288870,null,null,null,null,null,null,null,null,16479,null,null,null,null,null,null,null,null,null,null,null,2629,{"$f":"ROUND(SUM(F109:AL109),0)","v":368710}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F108-SUM(F112,F114,F116,F118,F120,F122,F124,F126,F128,F130,F132,F134,F136,F138,F140,F142,F144,F146,F148,F150)","v":0},{"$f":"G108-SUM(G112,G114,G116,G118,G120,G122,G124,G126,G128,G130,G132,G134,G136,G138,G140,G142,G144,G146,G148,G150)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL108-SUM(AL112,AL114,AL116,AL118,AL120,AL122,AL124,AL126,AL128,AL130,AL132,AL134,AL136,AL138,AL140,AL142,AL144,AL146,AL148,AL150)","v":0},{"$f":"SUM(F110:AL110)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F109-SUM(F113,F115,F117,F119,F121,F123,F125,F127,F129,F131,F133,F135,F137,F139,F141,F143,F145,F147,F149,F151)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL109-SUM(AL113,AL115,AL117,AL119,AL121,AL123,AL125,AL127,AL129,AL131,AL133,AL135,AL137,AL139,AL141,AL143,AL145,AL147,AL149,AL151)","v":0},{"$f":"SUM(F111:AL111)","v":0}]
[null,null,null,{"$f":"Structure!E449","v":"Health Hazards Program"},"F.T.E.#",0.01,null,0.06,0.25,null,null,null,null,null,null,null,3.07,null,null,null,null,null,null,null,null,0.25,null,null,null,null,null,null,null,null,null,null,null,0.03,{"$f":"ROUND(SUM(F112:AL112),2)","v":3.67}]
[null,null,null,null,"$",2239,null,7935,27706,null,null,null,null,null,null,null,230876,null,null,null,null,null,null,null,null,12691,null,null,null,null,null,null,null,null,null,null,null,1721,{"$f":"ROUND(SUM(F113:AL113),0)","v":283168}]
[null,null,null,{"$f":"Structure!E460","v":"Healthy Environments and Climate Change Program"},"F.T.E.#",0.05,null,0.03,7.0000000000000007E-2,null,null,null,null,null,null,null,0.77,null,null,null,null,null,null,null,null,0.08,null,null,null,null,null,null,null,null,null,null,null,0.02,{"$f":"ROUND(SUM(F114:AL114),2)","v":1.02}]
[null,null,null,null,"$",11193,null,3816,7843,null,null,null,null,null,null,null,57994,null,null,null,null,null,null,null,null,3788,null,null,null,null,null,null,null,null,null,null,null,908,{"$f":"ROUND(SUM(F115:AL115),0)","v":85542}]
[null,null,null,{"$f":"Structure!E471","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F116:AL116),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F117:AL117),0)","v":0}]
[null,null,null,{"$f":"Structure!E482","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F118:AL118),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F119:AL119),0)","v":0}]
[null,null,null,{"$f":"Structure!E493","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F120:AL120),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F121:AL121),0)","v":0}]
[null,null,null,{"$f":"Structure!E504","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F122:AL122),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F123:AL123),0)","v":0}]
[null,null,null,{"$f":"Structure!E515","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F124:AL124),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F125:AL125),0)","v":0}]
[null,null,null,{"$f":"Structure!E526","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F126:AL126),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F127:AL127),0)","v":0}]
[null,null,null,{"$f":"Structure!E537","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F128:AL128),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F129:AL129),0)","v":0}]
[null,null,null,{"$f":"Structure!E548","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F130:AL130),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F131:AL131),0)","v":0}]
[null,null,null,{"$f":"Structure!E559","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F132:AL132),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F133:AL133),0)","v":0}]
[null,null,null,{"$f":"Structure!E570","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F134:AL134),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F135:AL135),0)","v":0}]
[null,null,null,{"$f":"Structure!E581","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F136:AL136),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F137:AL137),0)","v":0}]
[null,null,null,{"$f":"Structure!E592","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F138:AL138),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F139:AL139),0)","v":0}]
[null,null,null,{"$f":"Structure!E603","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F140:AL140),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F141:AL141),0)","v":0}]
[null,null,null,{"$f":"Structure!E614","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F142:AL142),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F143:AL143),0)","v":0}]
[null,null,null,{"$f":"Structure!E625","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F144:AL144),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F145:AL145),0)","v":0}]
[null,null,null,{"$f":"Structure!E636","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F146:AL146),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F147:AL147),0)","v":0}]
[null,null,null,{"$f":"Structure!E647","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F148:AL148),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F149:AL149),0)","v":0}]
[null,null,null,{"$f":"Structure!E658","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F150:AL150),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F151:AL151),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D669","v":"Total Healthy Growth and Development"},"F.T.E.#",null,null,0.62,3.59,null,19.27,null,null,null,null,null,null,null,null,null,null,null,0.64,null,null,5.93,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F153:AL153),2)","v":30.05}]
[null,null,null,null,"$",null,null,75663,362424,null,1603394,null,null,null,null,null,null,null,null,null,null,null,47429,null,null,303900,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F154:AL154),0)","v":2392810}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F153-SUM(F157,F159,F161,F163,F165,F167,F169,F171,F173,F175,F177,F179,F181,F183,F185,F187,F189,F191,F193,F195)","v":0},{"$f":"G153-SUM(G157,G159,G161,G163,G165,G167,G169,G171,G173,G175,G177,G179,G181,G183,G185,G187,G189,G191,G193,G195)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL153-SUM(AL157,AL159,AL161,AL163,AL165,AL167,AL169,AL171,AL173,AL175,AL177,AL179,AL181,AL183,AL185,AL187,AL189,AL191,AL193,AL195)","v":0},{"$f":"SUM(F155:AL155)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F154-SUM(F158,F160,F162,F164,F166,F168,F170,F172,F174,F176,F178,F180,F182,F184,F186,F188,F190,F192,F194,F196)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL154-SUM(AL158,AL160,AL162,AL164,AL166,AL168,AL170,AL172,AL174,AL176,AL178,AL180,AL182,AL184,AL186,AL188,AL190,AL192,AL194,AL196)","v":0},{"$f":"SUM(F156:AL156)","v":0}]
[null,null,null,{"$f":"Structure!E670","v":"Breastfeeding and Infant Feeding"},"F.T.E.#",null,null,0.12,0.93,null,3.27,null,null,null,null,null,null,null,null,null,null,null,7.0000000000000007E-2,null,null,1.79,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F157:AL157),2)","v":6.18}]
[null,null,null,null,"$",null,null,14581,90079,null,271558,null,null,null,null,null,null,null,null,null,null,null,5126,null,null,91475,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F158:AL158),0)","v":472819}]
[null,null,null,{"$f":"Structure!E681","v":"Growth and Development"},"F.T.E.#",null,null,0.22,1.0900000000000001,null,7.2,null,null,null,null,null,null,null,null,null,null,null,0.1,null,null,1.83,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F159:AL159),2)","v":10.44}]
[null,null,null,null,"$",null,null,26404,115010,null,605161,null,null,null,null,null,null,null,null,null,null,null,7659,null,null,92878,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F160:AL160),0)","v":847112}]
[null,null,null,{"$f":"Structure!E692","v":"Healthy Pregnancies"},"F.T.E.#",null,null,0.12,0.92,null,5.29,null,null,null,null,null,null,null,null,null,null,null,0.35,null,null,1.1100000000000001,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F161:AL161),2)","v":7.79}]
[null,null,null,null,"$",null,null,14581,90746,null,435206,null,null,null,null,null,null,null,null,null,null,null,26101,null,null,57154,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F162:AL162),0)","v":623788}]
[null,null,null,{"$f":"Structure!E703","v":"Healthy Sexuality"},"F.T.E.#",null,null,0.02,0.08,null,0.55000000000000004,null,null,null,null,null,null,null,null,null,null,null,0.02,null,null,0.2,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F163:AL163),2)","v":0.87}]
[null,null,null,null,"$",null,null,2758,8785,null,44840,null,null,null,null,null,null,null,null,null,null,null,1296,null,null,10785,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F164:AL164),0)","v":68464}]
[null,null,null,{"$f":"Structure!E714","v":"Mental Health Promotion"},"F.T.E.#",null,null,0.12,0.52,null,2.71,null,null,null,null,null,null,null,null,null,null,null,0.08,null,null,0.91,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F165:AL165),2)","v":4.34}]
[null,null,null,null,"$",null,null,14581,52341,null,225858,null,null,null,null,null,null,null,null,null,null,null,5951,null,null,47032,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F166:AL166),0)","v":345763}]
[null,null,null,{"$f":"Structure!E725","v":"Preconception Health"},"F.T.E.#",null,null,0.02,0.05,null,0.25,null,null,null,null,null,null,null,null,null,null,null,0.02,null,null,0.09,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F167:AL167),2)","v":0.43}]
[null,null,null,null,"$",null,null,2758,5463,null,20771,null,null,null,null,null,null,null,null,null,null,null,1296,null,null,4576,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F168:AL168),0)","v":34864}]
[null,null,null,{"$f":"Structure!E736","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F169:AL169),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F170:AL170),0)","v":0}]
[null,null,null,{"$f":"Structure!E747","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F171:AL171),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F172:AL172),0)","v":0}]
[null,null,null,{"$f":"Structure!E758","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F173:AL173),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F174:AL174),0)","v":0}]
[null,null,null,{"$f":"Structure!E769","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F175:AL175),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F176:AL176),0)","v":0}]
[null,null,null,{"$f":"Structure!E780","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F177:AL177),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F178:AL178),0)","v":0}]
[null,null,null,{"$f":"Structure!E791","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F179:AL179),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F180:AL180),0)","v":0}]
[null,null,null,{"$f":"Structure!E802","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F181:AL181),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F182:AL182),0)","v":0}]
[null,null,null,{"$f":"Structure!E813","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F183:AL183),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F184:AL184),0)","v":0}]
[null,null,null,{"$f":"Structure!E824","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F185:AL185),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F186:AL186),0)","v":0}]
[null,null,null,{"$f":"Structure!E835","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F187:AL187),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F188:AL188),0)","v":0}]
[null,null,null,{"$f":"Structure!E846","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F189:AL189),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F190:AL190),0)","v":0}]
[null,null,null,{"$f":"Structure!E857","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F191:AL191),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F192:AL192),0)","v":0}]
[null,null,null,{"$f":"Structure!E868","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F193:AL193),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F194:AL194),0)","v":0}]
[null,null,null,{"$f":"Structure!E879","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F195:AL195),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F196:AL196),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D890","v":"Total Immunization"},"F.T.E.#",0.12,null,0.08,1.1399999999999999,null,4.93,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3.69,null,null,null,null,null,null,null,null,null,null,null,0.05,{"$f":"ROUND(SUM(F198:AL198),2)","v":10.01}]
[null,null,null,null,"$",26865,null,9769,119056,null,386202,null,null,null,null,null,null,null,null,null,null,null,null,null,null,178195,null,null,null,null,null,null,null,null,null,null,null,2548,{"$f":"ROUND(SUM(F199:AL199),0)","v":722635}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F198-SUM(F202,F204,F206,F208,F210,F212,F214,F216,F218,F220,F222,F224,F226,F228,F230,F232,F234,F236,F238,F240)","v":0},{"$f":"G198-SUM(G202,G204,G206,G208,G210,G212,G214,G216,G218,G220,G222,G224,G226,G228,G230,G232,G234,G236,G238,G240)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL198-SUM(AL202,AL204,AL206,AL208,AL210,AL212,AL214,AL216,AL218,AL220,AL222,AL224,AL226,AL228,AL230,AL232,AL234,AL236,AL238,AL240)","v":0},{"$f":"SUM(F200:AL200)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F199-SUM(F203,F205,F207,F209,F211,F213,F215,F217,F219,F221,F223,F225,F227,F229,F231,F233,F235,F237,F239,F241)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL199-SUM(AL203,AL205,AL207,AL209,AL211,AL213,AL215,AL217,AL219,AL221,AL223,AL225,AL227,AL229,AL231,AL233,AL235,AL237,AL239,AL241)","v":0},{"$f":"SUM(F201:AL201)","v":0}]
[null,null,null,{"$f":"Structure!E891","v":"Community Based Immunization Outreach (excluding vaccine administration)"},"F.T.E.#",null,null,0.01,0.01,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.02,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F202:AL202),2)","v":0.05}]
[null,null,null,null,"$",null,null,1069,1151,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,791,null,null,null,null,null,null,null,null,null,null,null,366,{"$f":"ROUND(SUM(F203:AL203),0)","v":3377}]
[null,null,null,{"$f":"Structure!E902","v":"COVID-19 Vaccine Program"},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Covid-19 Vaccine'!AY151+'Covid-19 Vaccine'!AY163+'Covid-19 Vaccine'!AY175","v":0},null,{"$f":"'Covid-19 Vaccine'!AY151+'Covid-19 Vaccine'!AY163+'Covid-19 Vaccine'!AY175","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Covid-19 Vaccine'!BB151+'Covid-19 Vaccine'!BB163+'Covid-19 Vaccine'!BB175","v":0},null,{"$f":"'Covid-19 Vaccine'!BB151+'Covid-19 Vaccine'!BB163+'Covid-19 Vaccine'!BB175","v":0}]
[null,null,null,{"$f":"Structure!E913","v":"Immunization Monitoring and Surveillance"},"F.T.E.#",0.01,null,0.02,0.15,null,0.63,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.48,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F206:AL206),2)","v":1.3}]
[null,null,null,null,"$",2239,null,2442,15718,null,49153,null,null,null,null,null,null,null,null,null,null,null,null,null,null,23068,null,null,null,null,null,null,null,null,null,null,null,637,{"$f":"ROUND(SUM(F207:AL207),0)","v":93257}]
[null,null,null,{"$f":"Structure!E924","v":"Vaccine Administration"},"F.T.E.#",0.1,null,0.03,0.71,null,3.14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.3199999999999998,null,null,null,null,null,null,null,null,null,null,null,0.02,{"$f":"ROUND(SUM(F208:AL208),2)","v":6.32}]
[null,null,null,null,"$",22387,null,3816,73984,null,245765,null,null,null,null,null,null,null,null,null,null,null,null,null,null,112174,null,null,null,null,null,null,null,null,null,null,null,908,{"$f":"ROUND(SUM(F209:AL209),0)","v":459034}]
[null,null,null,{"$f":"Structure!E935","v":"Vaccine Management"},"F.T.E.#",0.01,null,0.02,0.27,null,1.1599999999999999,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.87,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F210:AL210),2)","v":2.34}]
[null,null,null,null,"$",2239,null,2442,28203,null,91284,null,null,null,null,null,null,null,null,null,null,null,null,null,null,42162,null,null,null,null,null,null,null,null,null,null,null,637,{"$f":"ROUND(SUM(F211:AL211),0)","v":166967}]
[null,null,null,{"$f":"Structure!E946","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F212:AL212),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F213:AL213),0)","v":0}]
[null,null,null,{"$f":"Structure!E957","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F214:AL214),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F215:AL215),0)","v":0}]
[null,null,null,{"$f":"Structure!E968","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F216:AL216),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F217:AL217),0)","v":0}]
[null,null,null,{"$f":"Structure!E979","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F218:AL218),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F219:AL219),0)","v":0}]
[null,null,null,{"$f":"Structure!E990","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F220:AL220),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F221:AL221),0)","v":0}]
[null,null,null,{"$f":"Structure!E1001","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F222:AL222),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F223:AL223),0)","v":0}]
[null,null,null,{"$f":"Structure!E1012","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F224:AL224),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F225:AL225),0)","v":0}]
[null,null,null,{"$f":"Structure!E1023","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F226:AL226),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F227:AL227),0)","v":0}]
[null,null,null,{"$f":"Structure!E1034","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F228:AL228),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F229:AL229),0)","v":0}]
[null,null,null,{"$f":"Structure!E1045","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F230:AL230),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F231:AL231),0)","v":0}]
[null,null,null,{"$f":"Structure!E1056","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F232:AL232),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F233:AL233),0)","v":0}]
[null,null,null,{"$f":"Structure!E1067","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F234:AL234),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F235:AL235),0)","v":0}]
[null,null,null,{"$f":"Structure!E1078","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F236:AL236),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F237:AL237),0)","v":0}]
[null,null,null,{"$f":"Structure!E1089","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F238:AL238),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F239:AL239),0)","v":0}]
[null,null,null,{"$f":"Structure!E1100","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F240:AL240),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F241:AL241),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D1111","v":"Total Infectious and Communicable Diseases Prevention and Control"},"F.T.E.#",0.34,null,0.44,3.1,null,15.51,null,null,null,null,null,9.24,null,null,null,null,null,null,null,null,11.95,null,null,null,null,null,null,0.7,null,null,null,null,3.46,{"$f":"ROUND(SUM(F243:AL243),2)","v":44.74}]
[null,null,null,null,"$",76114,null,59817,340410,null,1281979,null,null,null,null,null,715212,null,null,null,null,null,null,null,null,650888,null,null,null,null,null,null,43855,null,null,null,null,188599,{"$f":"ROUND(SUM(F244:AL244),0)","v":3356874}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F243-SUM(F247,F249,F251,F253,F255,F257,F259,F261,F263,F265,F267,F269,F271,F273,F275,F277,F279,F281,F283,F285)","v":0},{"$f":"G243-SUM(G247,G249,G251,G253,G255,G257,G259,G261,G263,G265,G267,G269,G271,G273,G275,G277,G279,G281,G283,G285)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL243-SUM(AL247,AL249,AL251,AL253,AL255,AL257,AL259,AL261,AL263,AL265,AL267,AL269,AL271,AL273,AL275,AL277,AL279,AL281,AL283,AL285)","v":0},{"$f":"SUM(F245:AL245)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F244-SUM(F248,F250,F252,F254,F256,F258,F260,F262,F264,F266,F268,F270,F272,F274,F276,F278,F280,F282,F284,F286)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL244-SUM(AL248,AL250,AL252,AL254,AL256,AL258,AL260,AL262,AL264,AL266,AL268,AL270,AL272,AL274,AL276,AL278,AL280,AL282,AL284,AL286)","v":0},{"$f":"SUM(F246:AL246)","v":0}]
[null,null,null,{"$f":"Structure!E1112","v":"COVID-19 General Program"},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Covid-19 General'!AY150+'Covid-19 General'!AY162+'Covid-19 General'!AY174","v":0},null,{"$f":"'Covid-19 General'!AY150+'Covid-19 General'!AY162+'Covid-19 General'!AY174","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'Covid-19 General'!BB150+'Covid-19 General'!BB162+'Covid-19 General'!BB174","v":0},null,{"$f":"'Covid-19 General'!BB150+'Covid-19 General'!BB162+'Covid-19 General'!BB174","v":0}]
[null,null,null,{"$f":"Structure!E1123","v":"Vector-Borne Diseases Program"},"F.T.E.#",0.02,null,0.11,0.33,null,0.14000000000000001,null,null,null,null,null,2.2200000000000002,null,null,null,null,null,null,null,null,0.34,null,null,null,null,null,null,0.7,null,null,null,null,3.46,{"$f":"ROUND(SUM(F249:AL249),2)","v":7.32}]
[null,null,null,null,"$",4477,null,14802,35534,null,11949,null,null,null,null,null,174311,null,null,null,null,null,null,null,null,14767,null,null,null,null,null,null,43855,null,null,null,null,188599,{"$f":"ROUND(SUM(F250:AL250),0)","v":488294}]
[null,null,null,{"$f":"Structure!E1134","v":"Infectious Disease Control"},"F.T.E.#",0.2,null,0.1,0.92,null,6.12,null,null,null,null,null,5.16,null,null,null,null,null,null,null,null,1.36,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F251:AL251),2)","v":13.86}]
[null,null,null,null,"$",44773,null,13429,104416,null,522239,null,null,null,null,null,394847,null,null,null,null,null,null,null,null,72302,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F252:AL252),0)","v":1152006}]
[null,null,null,{"$f":"Structure!E1145","v":"Rabies and Zoonotic Disease"},"F.T.E.#",0.02,null,0.08,0.28000000000000003,null,0.11,null,null,null,null,null,1.86,null,null,null,null,null,null,null,null,0.32,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F253:AL253),2)","v":2.67}]
[null,null,null,null,"$",4477,null,10986,29941,null,9559,null,null,null,null,null,146054,null,null,null,null,null,null,null,null,14657,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F254:AL254),0)","v":215674}]
[null,null,null,{"$f":"Structure!E1156","v":"Sexually Transmitted and Blood-Borne Disease"},"F.T.E.#",0.1,null,0.15,1.57,null,9.14,null,null,null,null,null,"                         -  ",null,null,null,null,null,null,null,null,9.93,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F255:AL255),2)","v":20.89}]
[null,null,null,null,"$",22387,null,20600,170519,null,738232,null,null,null,null,null,"                         -  ",null,null,null,null,null,null,null,null,549162,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F256:AL256),0)","v":1500900}]
[null,null,null,{"$f":"Structure!E1167","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F257:AL257),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F258:AL258),0)","v":0}]
[null,null,null,{"$f":"Structure!E1178","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F259:AL259),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F260:AL260),0)","v":0}]
[null,null,null,{"$f":"Structure!E1189","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F261:AL261),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F262:AL262),0)","v":0}]
[null,null,null,{"$f":"Structure!E1200","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F263:AL263),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F264:AL264),0)","v":0}]
[null,null,null,{"$f":"Structure!E1211","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F265:AL265),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F266:AL266),0)","v":0}]
[null,null,null,{"$f":"Structure!E1222","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F267:AL267),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F268:AL268),0)","v":0}]
[null,null,null,{"$f":"Structure!E1233","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F269:AL269),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F270:AL270),0)","v":0}]
[null,null,null,{"$f":"Structure!E1244","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F271:AL271),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F272:AL272),0)","v":0}]
[null,null,null,{"$f":"Structure!E1255","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F273:AL273),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F274:AL274),0)","v":0}]
[null,null,null,{"$f":"Structure!E1266","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F275:AL275),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F276:AL276),0)","v":0}]
[null,null,null,{"$f":"Structure!E1277","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F277:AL277),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F278:AL278),0)","v":0}]
[null,null,null,{"$f":"Structure!E1288","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F279:AL279),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F280:AL280),0)","v":0}]
[null,null,null,{"$f":"Structure!E1299","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F281:AL281),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F282:AL282),0)","v":0}]
[null,null,null,{"$f":"Structure!E1310","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F283:AL283),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F284:AL284),0)","v":0}]
[null,null,null,{"$f":"Structure!E1321","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F285:AL285),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F286:AL286),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D1332","v":"Total Safe Water"},"F.T.E.#",0.02,null,0.14000000000000001,0.42,null,null,null,null,null,null,null,2.8,null,null,null,null,null,null,null,null,0.44,null,null,null,null,null,null,null,null,null,null,null,7.0000000000000007E-2,{"$f":"ROUND(SUM(F288:AL288),2)","v":3.89}]
[null,null,null,null,"$",4478,null,18617,45109,null,null,null,null,null,null,null,220171,null,null,null,null,null,null,null,null,18832,null,null,null,null,null,null,null,null,null,null,null,3983,{"$f":"ROUND(SUM(F289:AL289),0)","v":311190}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F288-SUM(F292,F294,F296,F298,F300,F302,F304,F306,F308,F310,F312,F314,F316,F318,F320,F322,F324,F326,F328,F330)","v":0},{"$f":"G288-SUM(G292,G294,G296,G298,G300,G302,G304,G306,G308,G310,G312,G314,G316,G318,G320,G322,G324,G326,G328,G330)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL288-SUM(AL292,AL294,AL296,AL298,AL300,AL302,AL304,AL306,AL308,AL310,AL312,AL314,AL316,AL318,AL320,AL322,AL324,AL326,AL328,AL330)","v":0},{"$f":"SUM(F290:AL290)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F289-SUM(F293,F295,F297,F299,F301,F303,F305,F307,F309,F311,F313,F315,F317,F319,F321,F323,F325,F327,F329,F331)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL289-SUM(AL293,AL295,AL297,AL299,AL301,AL303,AL305,AL307,AL309,AL311,AL313,AL315,AL317,AL319,AL321,AL323,AL325,AL327,AL329,AL331)","v":0},{"$f":"SUM(F291:AL291)","v":0}]
[null,null,null,{"$f":"Structure!E1333","v":"Drinking Water Program"},"F.T.E.#",0.01,null,0.08,0.16,null,null,null,null,null,null,null,1.05,"                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                           -  ","                         -  ",0.17,null,null,null,null,null,null,null,null,null,null,null,0.04,{"$f":"ROUND(SUM(F292:AL292),2)","v":1.51}]
[null,null,null,null,"$",2239,null,10682,17204,null,null,null,null,null,null,null,82564,"                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                           -  ","                         -  ",7260,null,null,null,null,null,null,null,null,null,null,null,2262,{"$f":"ROUND(SUM(F293:AL293),0)","v":122211}]
[null,null,null,{"$f":"Structure!E1344","v":"Recreational Water Program"},"F.T.E.#",0.01,null,0.06,0.26,null,null,null,null,null,null,null,1.75,"                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                           -  ","                         -  ",0.27,null,null,null,null,null,null,null,null,null,null,null,0.03,{"$f":"ROUND(SUM(F294:AL294),2)","v":2.38}]
[null,null,null,null,"$",2239,null,7935,27905,null,null,null,null,null,null,null,137607,"                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                         -  ","                           -  ","                         -  ",11572,null,null,null,null,null,null,null,null,null,null,null,1721,{"$f":"ROUND(SUM(F295:AL295),0)","v":188979}]
[null,null,null,{"$f":"Structure!E1355","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F296:AL296),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F297:AL297),0)","v":0}]
[null,null,null,{"$f":"Structure!E1366","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F298:AL298),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F299:AL299),0)","v":0}]
[null,null,null,{"$f":"Structure!E1377","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F300:AL300),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F301:AL301),0)","v":0}]
[null,null,null,{"$f":"Structure!E1388","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F302:AL302),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F303:AL303),0)","v":0}]
[null,null,null,{"$f":"Structure!E1399","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F304:AL304),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F305:AL305),0)","v":0}]
[null,null,null,{"$f":"Structure!E1410","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F306:AL306),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F307:AL307),0)","v":0}]
[null,null,null,{"$f":"Structure!E1421","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F308:AL308),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F309:AL309),0)","v":0}]
[null,null,null,{"$f":"Structure!E1432","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F310:AL310),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F311:AL311),0)","v":0}]
[null,null,null,{"$f":"Structure!E1443","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F312:AL312),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F313:AL313),0)","v":0}]
[null,null,null,{"$f":"Structure!E1454","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F314:AL314),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F315:AL315),0)","v":0}]
[null,null,null,{"$f":"Structure!E1465","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F316:AL316),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F317:AL317),0)","v":0}]
[null,null,null,{"$f":"Structure!E1476","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F318:AL318),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F319:AL319),0)","v":0}]
[null,null,null,{"$f":"Structure!E1487","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F320:AL320),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F321:AL321),0)","v":0}]
[null,null,null,{"$f":"Structure!E1498","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F322:AL322),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F323:AL323),0)","v":0}]
[null,null,null,{"$f":"Structure!E1509","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F324:AL324),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F325:AL325),0)","v":0}]
[null,null,null,{"$f":"Structure!E1520","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F326:AL326),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F327:AL327),0)","v":0}]
[null,null,null,{"$f":"Structure!E1531","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F328:AL328),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F329:AL329),0)","v":0}]
[null,null,null,{"$f":"Structure!E1542","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F330:AL330),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F331:AL331),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D1553","v":"Total School Health - Oral Health"},"F.T.E.#",null,null,0.17,0.4,null,null,null,null,null,null,null,null,null,1.47,1.39,null,null,null,null,null,0.22,null,null,null,null,null,null,null,null,null,null,null,0.09,{"$f":"ROUND(SUM(F333:AL333),2)","v":3.74}]
[null,null,null,null,"$",null,null,23534,44738,null,null,null,null,null,null,null,null,null,96220,69983,null,null,null,null,null,11324,null,null,null,null,null,null,null,null,null,null,null,4794,{"$f":"ROUND(SUM(F334:AL334),0)","v":250593}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F333-SUM(F337,F339,F341,F343,F345,F347,F349,F351,F353,F355,F357,F359,F361,F363,F365,F367,F369,F371,F373,F375)","v":0},{"$f":"G333-SUM(G337,G339,G341,G343,G345,G347,G349,G351,G353,G355,G357,G359,G361,G363,G365,G367,G369,G371,G373,G375)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL333-SUM(AL337,AL339,AL341,AL343,AL345,AL347,AL349,AL351,AL353,AL355,AL357,AL359,AL361,AL363,AL365,AL367,AL369,AL371,AL373,AL375)","v":0},{"$f":"SUM(F335:AL335)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F334-SUM(F338,F340,F342,F344,F346,F348,F350,F352,F354,F356,F358,F360,F362,F364,F366,F368,F370,F372,F374,F376)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL334-SUM(AL338,AL340,AL342,AL344,AL346,AL348,AL350,AL352,AL354,AL356,AL358,AL360,AL362,AL364,AL366,AL368,AL370,AL372,AL374,AL376)","v":0},{"$f":"SUM(F336:AL336)","v":0}]
[null,null,null,{"$f":"Structure!E1554","v":"Healthy Smiles Ontario Program"},"F.T.E.#",null,null,0.11,0.16,null,null,null,null,null,null,null,null,null,0.57999999999999996,0.55000000000000004,null,null,null,null,null,0.09,null,null,null,null,null,null,null,null,null,null,null,0.06,{"$f":"ROUND(SUM(F337:AL337),2)","v":1.55}]
[null,null,null,null,"$",null,null,15333,17905,null,null,null,null,null,null,null,null,null,37988,27630,null,null,null,null,null,4637,null,null,null,null,null,null,null,null,null,null,null,3074,{"$f":"ROUND(SUM(F338:AL338),0)","v":106567}]
[null,null,null,{"$f":"Structure!E1565","v":"Oral Health Assessment and Surveillance"},"F.T.E.#",null,null,0.06,0.24,null,null,null,null,null,null,null,null,null,0.89,0.84,null,null,null,null,null,0.13,null,null,null,null,null,null,null,null,null,null,null,0.03,{"$f":"ROUND(SUM(F339:AL339),2)","v":2.19}]
[null,null,null,null,"$",null,null,8201,26833,null,null,null,null,null,null,null,null,null,58232,42353,null,null,null,null,null,6687,null,null,null,null,null,null,null,null,null,null,null,1720,{"$f":"ROUND(SUM(F340:AL340),0)","v":144026}]
[null,null,null,{"$f":"Structure!E1576","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F341:AL341),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F342:AL342),0)","v":0}]
[null,null,null,{"$f":"Structure!E1587","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F343:AL343),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F344:AL344),0)","v":0}]
[null,null,null,{"$f":"Structure!E1598","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F345:AL345),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F346:AL346),0)","v":0}]
[null,null,null,{"$f":"Structure!E1609","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F347:AL347),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F348:AL348),0)","v":0}]
[null,null,null,{"$f":"Structure!E1620","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F349:AL349),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F350:AL350),0)","v":0}]
[null,null,null,{"$f":"Structure!E1631","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F351:AL351),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F352:AL352),0)","v":0}]
[null,null,null,{"$f":"Structure!E1642","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F353:AL353),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F354:AL354),0)","v":0}]
[null,null,null,{"$f":"Structure!E1653","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F355:AL355),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F356:AL356),0)","v":0}]
[null,null,null,{"$f":"Structure!E1664","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F357:AL357),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F358:AL358),0)","v":0}]
[null,null,null,{"$f":"Structure!E1675","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F359:AL359),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F360:AL360),0)","v":0}]
[null,null,null,{"$f":"Structure!E1686","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F361:AL361),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F362:AL362),0)","v":0}]
[null,null,null,{"$f":"Structure!E1697","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F363:AL363),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F364:AL364),0)","v":0}]
[null,null,null,{"$f":"Structure!E1708","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F365:AL365),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F366:AL366),0)","v":0}]
[null,null,null,{"$f":"Structure!E1719","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F367:AL367),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F368:AL368),0)","v":0}]
[null,null,null,{"$f":"Structure!E1730","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F369:AL369),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F370:AL370),0)","v":0}]
[null,null,null,{"$f":"Structure!E1741","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F371:AL371),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F372:AL372),0)","v":0}]
[null,null,null,{"$f":"Structure!E1752","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F373:AL373),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F374:AL374),0)","v":0}]
[null,null,null,{"$f":"Structure!E1763","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F375:AL375),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F376:AL376),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D1774","v":"Total School Health - Vision"},"F.T.E.#",null,null,0.01,0.02,null,0.05,null,null,null,null,null,null,null,0.01,0.01,null,null,null,null,null,0.02,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F378:AL378),2)","v":0.13}]
[null,null,null,null,"$",null,null,1782,1814,null,4003,null,null,null,null,null,null,null,500,364,138,null,null,null,null,943,null,null,null,null,null,null,null,null,null,null,null,502,{"$f":"ROUND(SUM(F379:AL379),0)","v":10046}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F378-SUM(F382,F384,F386,F388,F390,F392,F394,F396,F398,F400,F402,F404,F406,F408,F410,F412,F414,F416,F418,F420)","v":0},{"$f":"G378-SUM(G382,G384,G386,G388,G390,G392,G394,G396,G398,G400,G402,G404,G406,G408,G410,G412,G414,G416,G418,G420)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL378-SUM(AL382,AL384,AL386,AL388,AL390,AL392,AL394,AL396,AL398,AL400,AL402,AL404,AL406,AL408,AL410,AL412,AL414,AL416,AL418,AL420)","v":0},{"$f":"SUM(F380:AL380)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F379-SUM(F383,F385,F387,F389,F391,F393,F395,F397,F399,F401,F403,F405,F407,F409,F411,F413,F415,F417,F419,F421)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL379-SUM(AL383,AL385,AL387,AL389,AL391,AL393,AL395,AL397,AL399,AL401,AL403,AL405,AL407,AL409,AL411,AL413,AL415,AL417,AL419,AL421)","v":0},{"$f":"SUM(F381:AL381)","v":0}]
[null,null,null,{"$f":"Structure!E1775","v":"Child Visual Health and Vision Screening"},"F.T.E.#",null,null,0.01,0.02,null,0.05,null,null,null,null,null,null,null,0.01,0.01,null,null,null,null,null,0.02,null,null,null,null,null,null,null,null,null,null,null,0.01,{"$f":"ROUND(SUM(F382:AL382),2)","v":0.13}]
[null,null,null,null,"$",null,null,1782,1814,null,4003,null,null,null,null,null,null,null,500,364,138,null,null,null,null,943,null,null,null,null,null,null,null,null,null,null,null,502,{"$f":"ROUND(SUM(F383:AL383),0)","v":10046}]
[null,null,null,{"$f":"Structure!E1786","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F384:AL384),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F385:AL385),0)","v":0}]
[null,null,null,{"$f":"Structure!E1797","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F386:AL386),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F387:AL387),0)","v":0}]
[null,null,null,{"$f":"Structure!E1808","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F388:AL388),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F389:AL389),0)","v":0}]
[null,null,null,{"$f":"Structure!E1819","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F390:AL390),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F391:AL391),0)","v":0}]
[null,null,null,{"$f":"Structure!E1830","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F392:AL392),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F393:AL393),0)","v":0}]
[null,null,null,{"$f":"Structure!E1841","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F394:AL394),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F395:AL395),0)","v":0}]
[null,null,null,{"$f":"Structure!E1852","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F396:AL396),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F397:AL397),0)","v":0}]
[null,null,null,{"$f":"Structure!E1863","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F398:AL398),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F399:AL399),0)","v":0}]
[null,null,null,{"$f":"Structure!E1874","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F400:AL400),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F401:AL401),0)","v":0}]
[null,null,null,{"$f":"Structure!E1885","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F402:AL402),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F403:AL403),0)","v":0}]
[null,null,null,{"$f":"Structure!E1896","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F404:AL404),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F405:AL405),0)","v":0}]
[null,null,null,{"$f":"Structure!E1907","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F406:AL406),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F407:AL407),0)","v":0}]
[null,null,null,{"$f":"Structure!E1918","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F408:AL408),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F409:AL409),0)","v":0}]
[null,null,null,{"$f":"Structure!E1929","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F410:AL410),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F411:AL411),0)","v":0}]
[null,null,null,{"$f":"Structure!E1940","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F412:AL412),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F413:AL413),0)","v":0}]
[null,null,null,{"$f":"Structure!E1951","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F414:AL414),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F415:AL415),0)","v":0}]
[null,null,null,{"$f":"Structure!E1962","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F416:AL416),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F417:AL417),0)","v":0}]
[null,null,null,{"$f":"Structure!E1973","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F418:AL418),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F419:AL419),0)","v":0}]
[null,null,null,{"$f":"Structure!E1984","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F420:AL420),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F421:AL421),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D1995","v":"Total School Health - Immunization"},"F.T.E.#",0.1,null,0.17,0.95,null,4.55,null,null,null,null,null,null,null,null,null,0.02,null,null,null,null,3,null,null,null,null,null,null,null,null,null,null,null,0.09,{"$f":"ROUND(SUM(F423:AL423),2)","v":8.8800000000000008}]
[null,null,null,null,"$",22387,null,23095,99551,null,359014,null,null,null,null,null,null,null,null,null,1482,null,null,null,null,145083,null,null,null,null,null,null,null,null,null,null,null,4699,{"$f":"ROUND(SUM(F424:AL424),0)","v":655311}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F423-SUM(F427,F429,F431,F433,F435,F437,F439,F441,F443,F445,F447,F449,F451,F453,F455,F457,F459,F461,F463,F465)","v":0},{"$f":"G423-SUM(G427,G429,G431,G433,G435,G437,G439,G441,G443,G445,G447,G449,G451,G453,G455,G457,G459,G461,G463,G465)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL423-SUM(AL427,AL429,AL431,AL433,AL435,AL437,AL439,AL441,AL443,AL445,AL447,AL449,AL451,AL453,AL455,AL457,AL459,AL461,AL463,AL465)","v":0},{"$f":"SUM(F425:AL425)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F424-SUM(F428,F430,F432,F434,F436,F438,F440,F442,F444,F446,F448,F450,F452,F454,F456,F458,F460,F462,F464,F466)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL424-SUM(AL428,AL430,AL432,AL434,AL436,AL438,AL440,AL442,AL444,AL446,AL448,AL450,AL452,AL454,AL456,AL458,AL460,AL462,AL464,AL466)","v":0},{"$f":"SUM(F426:AL426)","v":0}]
[null,null,null,{"$f":"Structure!E1996","v":"Immunizations for Children in Schools and Licensed Child Care Settings"},"F.T.E.#",0.1,null,0.17,0.95,null,4.55,null,null,null,null,null,null,null,null,null,0.02,null,null,null,null,3,null,null,null,null,null,null,null,null,null,null,null,0.09,{"$f":"ROUND(SUM(F427:AL427),2)","v":8.8800000000000008}]
[null,null,null,null,"$",22387,null,23095,99551,null,359014,null,null,null,null,null,null,null,null,null,1482,null,null,null,null,145083,null,null,null,null,null,null,null,null,null,null,null,4699,{"$f":"ROUND(SUM(F428:AL428),0)","v":655311}]
[null,null,null,{"$f":"Structure!E2007","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F429:AL429),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F430:AL430),0)","v":0}]
[null,null,null,{"$f":"Structure!E2018","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F431:AL431),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F432:AL432),0)","v":0}]
[null,null,null,{"$f":"Structure!E2029","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F433:AL433),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F434:AL434),0)","v":0}]
[null,null,null,{"$f":"Structure!E2040","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F435:AL435),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F436:AL436),0)","v":0}]
[null,null,null,{"$f":"Structure!E2051","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F437:AL437),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F438:AL438),0)","v":0}]
[null,null,null,{"$f":"Structure!E2062","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F439:AL439),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F440:AL440),0)","v":0}]
[null,null,null,{"$f":"Structure!E2073","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F441:AL441),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F442:AL442),0)","v":0}]
[null,null,null,{"$f":"Structure!E2084","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F443:AL443),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F444:AL444),0)","v":0}]
[null,null,null,{"$f":"Structure!E2095","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F445:AL445),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F446:AL446),0)","v":0}]
[null,null,null,{"$f":"Structure!E2106","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F447:AL447),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F448:AL448),0)","v":0}]
[null,null,null,{"$f":"Structure!E2117","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F449:AL449),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F450:AL450),0)","v":0}]
[null,null,null,{"$f":"Structure!E2128","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F451:AL451),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F452:AL452),0)","v":0}]
[null,null,null,{"$f":"Structure!E2139","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F453:AL453),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F454:AL454),0)","v":0}]
[null,null,null,{"$f":"Structure!E2150","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F455:AL455),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F456:AL456),0)","v":0}]
[null,null,null,{"$f":"Structure!E2161","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F457:AL457),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F458:AL458),0)","v":0}]
[null,null,null,{"$f":"Structure!E2172","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F459:AL459),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F460:AL460),0)","v":0}]
[null,null,null,{"$f":"Structure!E2183","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F461:AL461),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F462:AL462),0)","v":0}]
[null,null,null,{"$f":"Structure!E2194","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F463:AL463),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F464:AL464),0)","v":0}]
[null,null,null,{"$f":"Structure!E2205","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F465:AL465),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F466:AL466),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D2216","v":"Total School Health - Other"},"F.T.E.#",null,null,0.11,2.2200000000000002,null,19.21,null,null,null,null,null,null,null,null,null,1.1100000000000001,null,0.65,null,null,1.06,null,null,null,null,null,null,null,null,null,null,null,0.06,{"$f":"ROUND(SUM(F468:AL468),2)","v":24.42}]
[null,null,null,null,"$",null,null,15333,242903,null,1605679,null,null,null,null,null,null,null,null,null,76225,null,47502,null,null,53017,null,null,null,null,null,null,null,null,null,null,null,3074,{"$f":"ROUND(SUM(F469:AL469),0)","v":2043733}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F468-SUM(F472,F474,F476,F478,F480,F482,F484,F486,F488,F490,F492,F494,F496,F498,F500,F502,F504,F506,F508,F510)","v":0},{"$f":"G468-SUM(G472,G474,G476,G478,G480,G482,G484,G486,G488,G490,G492,G494,G496,G498,G500,G502,G504,G506,G508,G510)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL468-SUM(AL472,AL474,AL476,AL478,AL480,AL482,AL484,AL486,AL488,AL490,AL492,AL494,AL496,AL498,AL500,AL502,AL504,AL506,AL508,AL510)","v":0},{"$f":"SUM(F470:AL470)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F469-SUM(F473,F475,F477,F479,F481,F483,F485,F487,F489,F491,F493,F495,F497,F499,F501,F503,F505,F507,F509,F511)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,{"$f":"AL469-SUM(AL473,AL475,AL477,AL479,AL481,AL483,AL485,AL487,AL489,AL491,AL493,AL495,AL497,AL499,AL501,AL503,AL505,AL507,AL509,AL511)","v":0},{"$f":"SUM(F471:AL471)","v":0}]
[null,null,null,{"$f":"Structure!E2217","v":"Comprehensive School Health"},"F.T.E.#",null,null,0.11,2.2200000000000002,null,19.21,null,null,null,null,null,null,null,null,null,1.1100000000000001,null,0.65,null,null,1.06,null,null,null,null,null,null,null,null,null,null,null,0.06,{"$f":"ROUND(SUM(F472:AL472),2)","v":24.42}]
[null,null,null,null,"$",null,null,15333,242903,null,1605679,null,null,null,null,null,null,null,null,null,76225,null,47502,null,null,53017,null,null,null,null,null,null,null,null,null,null,null,3074,{"$f":"ROUND(SUM(F473:AL473),0)","v":2043733}]
[null,null,null,{"$f":"Structure!E2228","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F474:AL474),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F475:AL475),0)","v":0}]
[null,null,null,{"$f":"Structure!E2239","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F476:AL476),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F477:AL477),0)","v":0}]
[null,null,null,{"$f":"Structure!E2250","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F478:AL478),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F479:AL479),0)","v":0}]
[null,null,null,{"$f":"Structure!E2261","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F480:AL480),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F481:AL481),0)","v":0}]
[null,null,null,{"$f":"Structure!E2272","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F482:AL482),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F483:AL483),0)","v":0}]
[null,null,null,{"$f":"Structure!E2283","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F484:AL484),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F485:AL485),0)","v":0}]
[null,null,null,{"$f":"Structure!E2294","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F486:AL486),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F487:AL487),0)","v":0}]
[null,null,null,{"$f":"Structure!E2305","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F488:AL488),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F489:AL489),0)","v":0}]
[null,null,null,{"$f":"Structure!E2316","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F490:AL490),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F491:AL491),0)","v":0}]
[null,null,null,{"$f":"Structure!E2327","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F492:AL492),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F493:AL493),0)","v":0}]
[null,null,null,{"$f":"Structure!E2338","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F494:AL494),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F495:AL495),0)","v":0}]
[null,null,null,{"$f":"Structure!E2349","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F496:AL496),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F497:AL497),0)","v":0}]
[null,null,null,{"$f":"Structure!E2360","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F498:AL498),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F499:AL499),0)","v":0}]
[null,null,null,{"$f":"Structure!E2371","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F500:AL500),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F501:AL501),0)","v":0}]
[null,null,null,{"$f":"Structure!E2382","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F502:AL502),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F503:AL503),0)","v":0}]
[null,null,null,{"$f":"Structure!E2393","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F504:AL504),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F505:AL505),0)","v":0}]
[null,null,null,{"$f":"Structure!E2404","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F506:AL506),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F507:AL507),0)","v":0}]
[null,null,null,{"$f":"Structure!E2415","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F508:AL508),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F509:AL509),0)","v":0}]
[null,null,null,{"$f":"Structure!E2426","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F510:AL510),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F511:AL511),0)","v":0}]
[]
[null,null,null,{"$f":"\"Total \" &Structure!D2437","v":"Total Substance Use and Injury Prevention"},"F.T.E.#",null,null,0.67,3.07,null,9.73,null,null,null,null,null,null,null,null,null,1.1200000000000001,null,0.79,null,null,2.94,3.18,null,null,0.99,null,null,null,0.6,null,null,null,1.18,{"$f":"ROUND(SUM(F513:AL513),2)","v":24.27}]
[null,null,null,null,"$",null,null,91865,299800,null,793033,null,null,null,null,null,null,null,null,null,77087,null,58255,null,null,146788,184699,null,null,68330,null,null,null,34704,null,null,null,60197,{"$f":"ROUND(SUM(F514:AL514),0)","v":1814758}]
[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F513-SUM(F517,F519,F521,F523,F525,F527,F529,F531,F533,F535,F537,F539,F541,F543,F545,F547,F549,F551,F553,F555)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,0,{"$f":"SUM(F515:AL515)","v":0}]
[null,null,null,null,"Unalloc.\n$",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,null,0,{"$f":"SUM(F516:AL516)","v":0}]
[null,null,null,{"$f":"Structure!E2438","v":"Alcohol"},"F.T.E.#",null,null,7.0000000000000007E-2,0.24,null,0.46,null,null,null,null,null,null,null,null,null,0.12,null,null,null,null,0.19,0.37,null,null,0.12,null,null,null,null,null,null,null,0.06,{"$f":"ROUND(SUM(F517:AL517),2)","v":1.63}]
[null,null,null,null,"$",null,null,9628,23090,null,37543,null,null,null,null,null,null,null,null,null,7998,null,null,null,null,9282,21620,null,null,7998,null,null,null,null,null,null,null,2574,{"$f":"ROUND(SUM(F518:AL518),0)","v":119733}]
[null,null,null,{"$f":"Structure!E2454","v":"Cannabis"},"F.T.E.#",null,null,7.0000000000000007E-2,0.3,null,0.57999999999999996,null,null,null,null,null,null,null,null,null,0.15,null,null,null,null,0.23,0.47,null,null,0.15,null,null,null,null,null,null,null,7.0000000000000007E-2,{"$f":"ROUND(SUM(F519:AL519),2)","v":2.02}]
[null,null,null,null,"$",null,null,10769,28764,null,47253,null,null,null,null,null,null,null,null,null,10067,null,null,null,null,11478,27211,null,null,10067,null,null,null,null,null,null,null,2942,{"$f":"ROUND(SUM(F520:AL520),0)","v":148551}]
[null,null,null,{"$f":"Structure!E2470","v":"Other Drugs"},"F.T.E.#",null,null,0.13,0.11,null,0.21,null,null,null,null,null,null,null,null,null,0.05,null,null,null,null,0.09,0.17,null,null,0.05,null,null,null,null,null,null,null,0.08,{"$f":"ROUND(SUM(F521:AL521),2)","v":0.89}]
[null,null,null,null,"$",null,null,18186,10986,null,16830,null,null,null,null,null,null,null,null,null,3585,null,null,null,null,4597,9692,null,null,3585,null,null,null,null,null,null,null,3877,{"$f":"ROUND(SUM(F522:AL522),0)","v":71338}]
[null,null,null,{"$f":"Structure!E2486","v":"Harm Reduction Program Enhancement"},"F.T.E.#",null,null,0.01,0.14000000000000001,null,0.98,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.27,null,null,null,null,null,null,null,null,null,null,null,0.45,{"$f":"ROUND(SUM(F523:AL523),2)","v":1.85}]
[null,null,null,null,"$",null,null,1069,15380,null,78947,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13663,null,null,null,null,null,null,null,null,null,null,null,25335,{"$f":"ROUND(SUM(F524:AL524),0)","v":134394}]
[null,null,null,{"$f":"Structure!E2502","v":"Needle Syringe Program"},"F.T.E.#",null,null,0.01,0.14000000000000001,null,1.3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.15,null,null,null,null,null,null,null,null,null,null,null,0.37,{"$f":"ROUND(SUM(F525:AL525),2)","v":1.97}]
[null,null,null,null,"$",null,null,1069,15548,null,104297,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7709,null,null,null,null,null,null,null,null,null,null,null,20352,{"$f":"ROUND(SUM(F526:AL526),0)","v":148975}]
[null,null,null,{"$f":"Structure!E2518","v":"Smoke-Free Ontario"},"F.T.E.#",null,null,0.09,1.04,null,2.06,null,null,null,null,null,null,null,null,null,0.51,null,null,null,null,0.79,1.65,null,null,0.51,null,null,null,null,null,null,null,0.15,{"$f":"ROUND(SUM(F527:AL527),2)","v":6.8}]
[null,null,null,null,"$",null,null,12480,98365,null,166355,null,null,null,null,null,null,null,null,null,35441,null,null,null,null,38415,95797,null,null,35441,null,null,null,null,null,null,null,5117,{"$f":"ROUND(SUM(F528:AL528),0)","v":487411}]
[null,null,null,{"$f":"Structure!E2534","v":"Injury Prevention"},"F.T.E.#",null,null,0.08,0.22,null,0.95,null,null,null,null,null,null,null,null,null,7.0000000000000007E-2,null,0.36,null,null,0.2,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F529:AL529),2)","v":1.88}]
[null,null,null,null,"$",null,null,11317,22831,null,79833,null,null,null,null,null,null,null,null,null,4758,null,26233,null,null,10139,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F530:AL530),0)","v":155111}]
[null,null,null,{"$f":"Structure!E2550","v":"Southwest Tobacco Control Area Network"},"F.T.E.#",null,null,0.05,0.34,null,0.65,null,null,null,null,null,null,null,null,null,0.16,null,null,null,null,0.32,0.52,null,null,0.16,null,null,null,0.6,null,null,null,null,{"$f":"ROUND(SUM(F531:AL531),2)","v":2.8}]
[null,null,null,null,"$",null,null,7060,31979,null,52755,null,null,null,null,null,null,null,null,null,11239,null,null,null,null,15046,30379,null,null,11239,null,null,null,34704,null,null,null,null,{"$f":"ROUND(SUM(F532:AL532),0)","v":194401}]
[null,null,null,{"$f":"Structure!E2566","v":"Violence Prevention"},"F.T.E.#",null,null,0.16,0.54,null,2.54,null,null,null,null,null,null,null,null,null,0.06,null,0.43,null,null,0.7,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F533:AL533),2)","v":4.43}]
[null,null,null,null,"$",null,null,20287,52857,null,209220,null,null,null,null,null,null,null,null,null,3999,null,32022,null,null,36459,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F534:AL534),0)","v":354844}]
[null,null,null,{"$f":"Structure!E2582","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F535:AL535),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F536:AL536),0)","v":0}]
[null,null,null,{"$f":"Structure!E2598","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F537:AL537),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F538:AL538),0)","v":0}]
[null,null,null,{"$f":"Structure!E2614","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F539:AL539),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F540:AL540),0)","v":0}]
[null,null,null,{"$f":"Structure!E2630","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F541:AL541),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F542:AL542),0)","v":0}]
[null,null,null,{"$f":"Structure!E2646","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F543:AL543),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F544:AL544),0)","v":0}]
[null,null,null,{"$f":"Structure!E2662","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F545:AL545),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F546:AL546),0)","v":0}]
[null,null,null,{"$f":"Structure!E2678","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F547:AL547),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F548:AL548),0)","v":0}]
[null,null,null,{"$f":"Structure!E2694","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F549:AL549),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F550:AL550),0)","v":0}]
[null,null,null,{"$f":"Structure!E2710","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F551:AL551),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F552:AL552),0)","v":0}]
[null,null,null,{"$f":"Structure!E2726","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F553:AL553),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F554:AL554),0)","v":0}]
[null,null,null,{"$f":"Structure!E2742","v":0},"F.T.E.#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F555:AL555),2)","v":0}]
[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F556:AL556),0)","v":0}]
[]
[null,null,null,"Grand Total","F.T.E.#",{"$f":"SUM(F6,F9,F12,F15,F18,F63,F108,F153,F198,F204,F243,F247,F288,F333,F378,F423,F468,F513)","v":1.0000000000000002},0,3.4099999999999997,25.48,2,86.179999999999993,0,0,0,0,0,27,2,10.01,12.01,3,0,5.8000000000000007,3,0,33.89,3.21,0,0,1,0,0,0.7,3.6,5,1.1200000000000001,0,6.7599999999999989,{"$f":"SUM(AM6,AM9,AM12,AM15,AM18,AM63,AM108,AM153,AM198,AM204,AM243,AM247,AM288,AM333,AM378,AM423,AM468,AM513)","v":236.17}]
[null,null,null,null,"$",{"$f":"SUM(F7,F10,F13,F16,F19,F64,F109,F154,F199,F205,F244,F248,F289,F334,F379,F424,F469,F514)","v":223865},0,453946,2669304,150452,7116992,0,0,0,0,0,2059351,315959,695858,644814,206852,0,427152,276492,0,1747396,186376,0,0,68951,0,0,43855,222051,359332,70149,0,381028,{"$f":"SUM(AM7,AM10,AM13,AM16,AM19,AM64,AM109,AM154,AM199,AM205,AM244,AM248,AM289,AM334,AM379,AM424,AM469,AM514)","v":18320175}]

{"sheet":"MOH & Administrative Staff","index":19,"n_rows":18,"n_cols":7,"rows_kept":18,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"MOH & Administrative Staff"]
[null,null,null,"Position Titles","F.T.E.#","$","% of Bilingual \nFTEs"]
[null,null,null,"Medical Officer of Health",1,266563]
[null,null,null,"Chief Executive Officer",0.75,160340]
[null,null,null,"Director/ Business Administrator",1,125559]
[null,null,null,"Manager/Supervisor",1.54,167433]
[null,null,null,"Secretarial/Admin Staff",1.75,131563]
[null,null,null,"Financial Staff",5,405912]
[null,null,null,"I & IT Staff",3.85,254343]
[null,null,null,"Communications Manager/Media Coordinator"," "," "]
[null,null,null,"Volunteer Coordinator"," "," "]
[null,null,null,"Human Resources Staff/Coordinator",9.5,804970]
[null,null,null,"Maintenance/Caretaker/Custodian/Security",2,134763]
[null,null,null,"Other Administrative Staff",0.81,42721]
[null,null,null,"Total",{"$f":"SUM(E6:E17)","v":27.2},{"$f":"SUM(F6:F17)","v":2494167}]

{"sheet":"Alloc Expenditures","index":20,"n_rows":314,"n_cols":20,"rows_kept":314,"cut":false,"hidden":false,"merged":[[285,4,285,12],[285,13,285,18],[309,4,309,12],[309,13,309,18],[213,4,213,12],[213,13,213,18],[237,4,237,12],[237,13,237,18],[261,4,261,12],[261,13,261,18],[141,4,141,12],[141,13,141,18],[165,4,165,12],[165,13,165,18],[189,4,189,12],[189,13,189,18],[69,4,69,12],[69,13,69,18],[93,4,93,12],[93,13,93,18],[117,4,117,12],[117,13,117,18],[17,4,17,12],[17,13,17,18],[21,4,21,12],[21,13,21,18],[45,4,45,12],[45,13,45,18],[5,4,5,12],[5,13,5,18],[9,4,9,12],[9,13,9,18],[13,4,13,12],[13,13,13,18]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Allocation of Expenditures"]
[null,null,null,"% of Benefits"]
[null,null,null,"Population Health Assessment","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,"Total Population Health Assessment",{"$f":"'Staff Alloc to Programs'!AM7","v":409790},93856,1440,"                         -  ","                         -  ",1629,-2060,3148,{"$f":"SUM(E8:L8)","v":507803},{"$f":"M8","v":507803},null,null,null,null,{"$f":"SUM(N8:R8)","v":507803},{"$f":"M8-S8","v":0}]
[null,null,null,"_"]
[null,null,null,"Health Equity","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,"Total Health Equity",{"$f":"'Staff Alloc to Programs'!AM10","v":291919},76961,1015,"                         -  ","                         -  ",19855,"                         -  ",4413,{"$f":"SUM(E12:L12)","v":394163},{"$f":"M12","v":394163},null,null,null,null,{"$f":"SUM(N12:R12)","v":394163},{"$f":"M12-S12","v":0}]
[null,null,null,"_"]
[null,null,null,"Effective Public Health Practice","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,"Total Effective Public Health Practice",{"$f":"'Staff Alloc to Programs'!AM13","v":1749201},417630,3535,"                         -  ","                         -  ",20195,-1000,51799,{"$f":"SUM(E16:L16)","v":2241360},{"$f":"M16","v":2241360},null,null,null,null,{"$f":"SUM(N16:R16)","v":2241360},{"$f":"M16-S16","v":0}]
[null,null,null,"_"]
[null,null,null,"Emergency Management","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,"Total Emergency Management",{"$f":"'Staff Alloc to Programs'!AM16","v":14570},2842,1090,"                         -  ","                         -  ",355,-500,4208,{"$f":"SUM(E20:L20)","v":22565},{"$f":"M20","v":22565},null,null,null,null,{"$f":"SUM(N20:R20)","v":22565},{"$f":"M20-S20","v":0}]
[null,null,null,"_"]
[null,null,null,"Chronic Disease Prevention and Well-Being","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)","Ontario Seniors Dental Care Program (100%)",null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E7","v":"Menu Labelling"},{"$f":"'Staff Alloc to Programs'!AM23","v":64055},15837,940,"                         -  ","                         -  ",355,"                         -  ",733,{"$f":"SUM(E24:L24)","v":81920},{"$f":"M24","v":81920},null,null,null,null,{"$f":"SUM(N24:R24)","v":81920},{"$f":"M24-S24","v":0}]
[null,null,null,{"$f":"Structure!E18","v":"Non-Mandatory Oral Health Programs"},{"$f":"'Staff Alloc to Programs'!AM25","v":436438},113940,5926,"                         -  ","                         -  ",5993,-886,36364,597775,{"$f":"M25","v":597775},null,null,null,null,{"$f":"SUM(N25:R25)","v":597775},{"$f":"M25-S25","v":0}]
[null,null,null,{"$f":"Structure!E29","v":"Ontario Seniors Dental Care Program"},{"$f":"'Staff Alloc to Programs'!AM27","v":1479832},353614,17800,70000,"                         -  ",1435816,"                         -  ",336086,3693148,null,{"$f":"M26","v":3693148},null,null,null,3693148,0]
[null,null,null,{"$f":"Structure!E40","v":"Tanning Beds"},{"$f":"'Staff Alloc to Programs'!AM29","v":12464},2954,214,"                         -  ","                         -  ",417,"                         -  ",870,16919,{"$f":"M27","v":16919},null,null,null,null,16919,0]
[null,null,null,{"$f":"Structure!E51","v":"Food Systems"},{"$f":"'Staff Alloc to Programs'!AM31","v":317357},78003,1221,"                         -  ","                         -  ",736,"                         -  ",7596,404913,{"$f":"M28","v":404913},null,null,null,null,404913,0]
[null,null,null,{"$f":"Structure!E62","v":"Active Transportation and the Built Environment"},{"$f":"'Staff Alloc to Programs'!AM33","v":290897},71755,1075,"                         -  ","                         -  ",715,"                         -  ",6476,370918,{"$f":"M29","v":370918},null,null,null,null,370918,0]
[null,null,null,{"$f":"Structure!E73","v":"Mental Health and Wellness"},{"$f":"'Staff Alloc to Programs'!AM35","v":302523},74636,1115,"                         -  ","                         -  ",730,"                         -  ",6702,385706,{"$f":"M30","v":385706},null,null,null,null,385706,0]
[null,null,null,{"$f":"Structure!E84","v":0},{"$f":"'Staff Alloc to Programs'!AM37","v":0},{"$f":"ROUND(E31*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E95","v":0},{"$f":"'Staff Alloc to Programs'!AM39","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E106","v":0},{"$f":"'Staff Alloc to Programs'!AM41","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E117","v":0},{"$f":"'Staff Alloc to Programs'!AM43","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E128","v":0},{"$f":"'Staff Alloc to Programs'!AM45","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E139","v":0},{"$f":"'Staff Alloc to Programs'!AM47","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E150","v":0},{"$f":"'Staff Alloc to Programs'!AM49","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E161","v":0},{"$f":"'Staff Alloc to Programs'!AM51","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E172","v":0},{"$f":"'Staff Alloc to Programs'!AM53","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E183","v":0},{"$f":"'Staff Alloc to Programs'!AM55","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E194","v":0},{"$f":"'Staff Alloc to Programs'!AM57","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E205","v":0},{"$f":"'Staff Alloc to Programs'!AM59","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E216","v":0},{"$f":"'Staff Alloc to Programs'!AM61","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D22","v":"Total Chronic Disease Prevention and Well-Being"},{"$f":"SUM(E24:E43)","v":2903566},710739,28291,70000,{"$f":"SUM(I24:I43)","v":0},{"$f":"SUM(J24:J43)","v":1444762},-886,394827,5551299,{"$f":"SUM(N24:N43)","v":1858151},{"$f":"SUM(O24:O43)","v":3693148},{"$f":"SUM(P24:P43)","v":0},{"$f":"SUM(Q24:Q43)","v":0},{"$f":"SUM(R24:R43)","v":0},{"$f":"SUM(N44:R44)","v":5551299},{"$f":"M44-S44","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D227","v":"Food Safety"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E228","v":"Food Safety Program"},{"$f":"'Staff Alloc to Programs'!AM68","v":1024469},250408,13763,"                         -  ","                         -  ",20452,-29087,29147,{"$f":"SUM(E48:L48)","v":1309152},{"$f":"M48","v":1309152},null,null,null,null,{"$f":"SUM(N48:R48)","v":1309152},{"$f":"M48-S48","v":0}]
[null,null,null,{"$f":"Structure!E239","v":0},{"$f":"'Staff Alloc to Programs'!AM70","v":0},{"$f":"ROUND(E49*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"SUM(N49:R49)","v":0},{"$f":"M49-S49","v":0}]
[null,null,null,{"$f":"Structure!E250","v":0},{"$f":"'Staff Alloc to Programs'!AM72","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E261","v":0},{"$f":"'Staff Alloc to Programs'!AM74","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E272","v":0},{"$f":"'Staff Alloc to Programs'!AM76","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E283","v":0},{"$f":"'Staff Alloc to Programs'!AM78","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E294","v":0},{"$f":"'Staff Alloc to Programs'!AM80","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E305","v":0},{"$f":"'Staff Alloc to Programs'!AM82","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E316","v":0},{"$f":"'Staff Alloc to Programs'!AM84","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E327","v":0},{"$f":"'Staff Alloc to Programs'!AM86","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E338","v":0},{"$f":"'Staff Alloc to Programs'!AM88","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E349","v":0},{"$f":"'Staff Alloc to Programs'!AM90","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E360","v":0},{"$f":"'Staff Alloc to Programs'!AM92","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E371","v":0},{"$f":"'Staff Alloc to Programs'!AM94","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E382","v":0},{"$f":"'Staff Alloc to Programs'!AM96","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E393","v":0},{"$f":"'Staff Alloc to Programs'!AM98","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E404","v":0},{"$f":"'Staff Alloc to Programs'!AM100","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E415","v":0},{"$f":"'Staff Alloc to Programs'!AM102","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E426","v":0},{"$f":"'Staff Alloc to Programs'!AM104","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E437","v":0},{"$f":"'Staff Alloc to Programs'!AM106","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D46","v":"Total Food Safety"},{"$f":"SUM(E48:E67)","v":1024469},250408,13763,0,{"$f":"SUM(I48:I67)","v":0},{"$f":"SUM(J48:J67)","v":20452},-29087,29147,1309152,{"$f":"SUM(N48:N67)","v":1309152},{"$f":"SUM(O48:O67)","v":0},{"$f":"SUM(P48:P67)","v":0},{"$f":"SUM(Q48:Q67)","v":0},{"$f":"SUM(R48:R67)","v":0},{"$f":"SUM(N68:R68)","v":1309152},{"$f":"M68-S68","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D448","v":"Healthy Environments"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E449","v":"Health Hazards Program"},{"$f":"'Staff Alloc to Programs'!AM113","v":283168},69574,4108,"                         -  ","                         -  ",697,-100,2907,{"$f":"SUM(E72:L72)","v":360354},{"$f":"M72","v":360354},null,null,null,null,{"$f":"SUM(N72:R72)","v":360354},{"$f":"M72-S72","v":0}]
[null,null,null,{"$f":"Structure!E460","v":"Healthy Environments and Climate Change Program"},{"$f":"'Staff Alloc to Programs'!AM115","v":85542},20309,1116,"                         -  ","                         -  ",445,-500,1224,108136,{"$f":"M73","v":108136},null,null,null,null,{"$f":"SUM(N73:R73)","v":108136},{"$f":"M73-S73","v":0}]
[null,null,null,{"$f":"Structure!E471","v":0},{"$f":"'Staff Alloc to Programs'!AM117","v":0},{"$f":"ROUND(E74*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E482","v":0},{"$f":"'Staff Alloc to Programs'!AM119","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E493","v":0},{"$f":"'Staff Alloc to Programs'!AM121","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E504","v":0},{"$f":"'Staff Alloc to Programs'!AM123","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E515","v":0},{"$f":"'Staff Alloc to Programs'!AM125","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E526","v":0},{"$f":"'Staff Alloc to Programs'!AM127","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E537","v":0},{"$f":"'Staff Alloc to Programs'!AM129","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E548","v":0},{"$f":"'Staff Alloc to Programs'!AM131","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E559","v":0},{"$f":"'Staff Alloc to Programs'!AM133","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E570","v":0},{"$f":"'Staff Alloc to Programs'!AM135","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E581","v":0},{"$f":"'Staff Alloc to Programs'!AM137","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E592","v":0},{"$f":"'Staff Alloc to Programs'!AM139","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E603","v":0},{"$f":"'Staff Alloc to Programs'!AM141","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E614","v":0},{"$f":"'Staff Alloc to Programs'!AM143","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E625","v":0},{"$f":"'Staff Alloc to Programs'!AM145","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E636","v":0},{"$f":"'Staff Alloc to Programs'!AM147","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E647","v":0},{"$f":"'Staff Alloc to Programs'!AM149","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E658","v":0},{"$f":"'Staff Alloc to Programs'!AM151","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D70","v":"Total Healthy Environments"},{"$f":"SUM(E72:E91)","v":368710},89883,5224,0,{"$f":"SUM(I72:I91)","v":0},{"$f":"SUM(J72:J91)","v":1142},-600,4131,468490,{"$f":"SUM(N72:N91)","v":468490},{"$f":"SUM(O72:O91)","v":0},{"$f":"SUM(P72:P91)","v":0},{"$f":"SUM(Q72:Q91)","v":0},{"$f":"SUM(R72:R91)","v":0},{"$f":"SUM(N92:R92)","v":468490},{"$f":"M92-S92","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D669","v":"Healthy Growth and Development"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E670","v":"Breastfeeding and Infant Feeding"},{"$f":"'Staff Alloc to Programs'!AM158","v":472819},112313,16099,"                         -  ","                         -  ",20359,"                         -  ",16655,{"$f":"SUM(E96:L96)","v":638245},{"$f":"M96","v":638245},null,null,null,null,{"$f":"SUM(N96:R96)","v":638245},{"$f":"M96-S96","v":0}]
[null,null,null,{"$f":"Structure!E681","v":"Growth and Development"},{"$f":"'Staff Alloc to Programs'!AM160","v":847112},213189,7819,"                         -  ","                         -  ",6042,"                         -  ",31634,1105796,1105796,null,null,null,null,{"$f":"SUM(N97:R97)","v":1105796},{"$f":"M97-S97","v":0}]
[null,null,null,{"$f":"Structure!E692","v":"Healthy Pregnancies"},{"$f":"'Staff Alloc to Programs'!AM162","v":623788},148708,9452,"                         -  ","                         -  ",4298,"                         -  ",15108,801354,801354,null,null,null,null,801354,0]
[null,null,null,{"$f":"Structure!E703","v":"Healthy Sexuality"},{"$f":"'Staff Alloc to Programs'!AM164","v":68464},16431,676,"                         -  ","                         -  ",22698,-8100,8596,108765,108765,null,null,null,null,108765,0]
[null,null,null,{"$f":"Structure!E714","v":"Mental Health Promotion"},{"$f":"'Staff Alloc to Programs'!AM166","v":345763},84655,6088,"                         -  ","                         -  ",5994,"                         -  ",12179,454679,454679,null,null,null,null,454679,0]
[null,null,null,{"$f":"Structure!E725","v":"Preconception Health"},{"$f":"'Staff Alloc to Programs'!AM168","v":34864},8325,526,"                         -  ","                         -  ",551,"                         -  ",1245,45511,45511,null,null,null,null,45511,0]
[null,null,null,{"$f":"Structure!E736","v":0},{"$f":"'Staff Alloc to Programs'!AM170","v":0},{"$f":"ROUND(E102*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E747","v":0},{"$f":"'Staff Alloc to Programs'!AM172","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E758","v":0},{"$f":"'Staff Alloc to Programs'!AM174","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E769","v":0},{"$f":"'Staff Alloc to Programs'!AM176","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E780","v":0},{"$f":"'Staff Alloc to Programs'!AM178","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E791","v":0},{"$f":"'Staff Alloc to Programs'!AM180","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E802","v":0},{"$f":"'Staff Alloc to Programs'!AM182","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E813","v":0},{"$f":"'Staff Alloc to Programs'!AM184","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E824","v":0},{"$f":"'Staff Alloc to Programs'!AM186","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E835","v":0},{"$f":"'Staff Alloc to Programs'!AM188","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E846","v":0},{"$f":"'Staff Alloc to Programs'!AM190","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E857","v":0},{"$f":"'Staff Alloc to Programs'!AM192","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E868","v":0},{"$f":"'Staff Alloc to Programs'!AM194","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E879","v":0},{"$f":"'Staff Alloc to Programs'!AM196","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D94","v":"Total Healthy Growth and Development"},{"$f":"SUM(E96:E115)","v":2392810},583621,40660,0,{"$f":"SUM(I96:I115)","v":0},{"$f":"SUM(J96:J115)","v":59942},-8100,85417,3154350,{"$f":"SUM(N96:N115)","v":3154350},{"$f":"SUM(O96:O115)","v":0},{"$f":"SUM(P96:P115)","v":0},{"$f":"SUM(Q96:Q115)","v":0},{"$f":"SUM(R96:R115)","v":0},{"$f":"SUM(N116:R116)","v":3154350},{"$f":"M116-S116","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D890","v":"Immunization"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)","Unorganized Territories / Indigenous Public Health Programs (100%)",null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E891","v":"Community Based Immunization Outreach (excluding vaccine administration)"},{"$f":"'Staff Alloc to Programs'!AM203","v":3377},784,790,"                         -  ","                         -  ",355,"                         -  ",1583,{"$f":"SUM(E120:L120)","v":6889},{"$f":"M120","v":6889},null,null,null,null,{"$f":"SUM(N120:R120)","v":6889},{"$f":"M120-S120","v":0}]
[null,null,null,{"$f":"Structure!E902","v":"COVID-19 Vaccine Program"},{"$f":"'Staff Alloc to Programs'!AM205","v":0},{"$f":"'Covid-19 Vaccine'!$BB$152+'Covid-19 Vaccine'!$BB$164+'Covid-19 Vaccine'!$BB$176","v":0},{"$f":"'Covid-19 Vaccine'!$BB$153+'Covid-19 Vaccine'!$BB$165+'Covid-19 Vaccine'!$BB$177","v":0},null,null,{"$f":"'Covid-19 Vaccine'!$BB$155+'Covid-19 Vaccine'!$BB$167+'Covid-19 Vaccine'!$BB$179","v":0},null,{"$f":"'Covid-19 Vaccine'!$BB$154+'Covid-19 Vaccine'!$BB$156+'Covid-19 Vaccine'!$BB$157+'Covid-19 Vaccine'!$BB$166+'Covid-19 Vaccine'!$BB$168+'Covid-19 Vaccine'!$BB$169+'Covid-19 Vaccine'!$BB$178+'Covid-19 Vaccine'!$BB$180+'Covid-19 Vaccine'!$BB$181","v":0},{"$f":"SUM(E121:L121)","v":0},{"$f":"'Covid-19 Vaccine'!$BB$158+'Covid-19 Vaccine'!$BB$170","v":0},{"$f":"'Covid-19 Vaccine'!$BB$182","v":0},null,null,null,{"$f":"SUM(N121:R121)","v":0},{"$f":"M121-S121","v":0}]
[null,null,null,{"$f":"Structure!E913","v":"Immunization Monitoring and Surveillance"},{"$f":"'Staff Alloc to Programs'!AM207","v":93257},21994,737,"                         -  ","                         -  ",425,-6991,2470,111892,{"$f":"M122","v":111892},null,null,null,null,111892,0]
[null,null,null,{"$f":"Structure!E924","v":"Vaccine Administration"},{"$f":"'Staff Alloc to Programs'!AM209","v":459034},107731,3551,"                         -  ","                         -  ",705,-35454,10347,545914,{"$f":"M123","v":545914},null,null,null,null,545914,0]
[null,null,null,{"$f":"Structure!E935","v":"Vaccine Management"},{"$f":"'Staff Alloc to Programs'!AM211","v":166967},39490,1319,"                         -  ","                         -  ",485,-12897,4090,199454,{"$f":"M124","v":199454},null,null,null,null,199454,0]
[null,null,null,{"$f":"Structure!E946","v":0},{"$f":"'Staff Alloc to Programs'!AM213","v":0},{"$f":"ROUND(E125*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E957","v":0},{"$f":"'Staff Alloc to Programs'!AM215","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E968","v":0},{"$f":"'Staff Alloc to Programs'!AM217","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E979","v":0},{"$f":"'Staff Alloc to Programs'!AM219","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E990","v":0},{"$f":"'Staff Alloc to Programs'!AM221","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1001","v":0},{"$f":"'Staff Alloc to Programs'!AM223","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1012","v":0},{"$f":"'Staff Alloc to Programs'!AM225","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1023","v":0},{"$f":"'Staff Alloc to Programs'!AM227","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1034","v":0},{"$f":"'Staff Alloc to Programs'!AM229","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1045","v":0},{"$f":"'Staff Alloc to Programs'!AM231","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1056","v":0},{"$f":"'Staff Alloc to Programs'!AM233","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1067","v":0},{"$f":"'Staff Alloc to Programs'!AM235","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1078","v":0},{"$f":"'Staff Alloc to Programs'!AM237","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1089","v":0},{"$f":"'Staff Alloc to Programs'!AM239","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1100","v":0},{"$f":"'Staff Alloc to Programs'!AM241","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D118","v":"Total Immunization"},{"$f":"SUM(E120:E139)","v":722635},169999,6397,0,{"$f":"SUM(I120:I139)","v":0},{"$f":"SUM(J120:J139)","v":1970},-55342,18490,864149,{"$f":"SUM(N120:N139)","v":864149},{"$f":"SUM(O120:O139)","v":0},{"$f":"SUM(P120:P139)","v":0},{"$f":"SUM(Q120:Q139)","v":0},{"$f":"SUM(R120:R139)","v":0},{"$f":"SUM(N140:R140)","v":864149},{"$f":"M140-S140","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1111","v":"Infectious and Communicable Diseases Prevention and Control"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)","Unorganized Territories / Indigenous Public Health Programs (100%)",null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E1112","v":"COVID-19 General Program"},{"$f":"'Staff Alloc to Programs'!AM248","v":0},{"$f":"'Covid-19 General'!$BB$151+'Covid-19 General'!$BB$163+'Covid-19 General'!$BB$175","v":0},{"$f":"'Covid-19 General'!$BB$152+'Covid-19 General'!$BB$164+'Covid-19 General'!$BB$176","v":0},null,null,{"$f":"'Covid-19 General'!$BB$154+'Covid-19 General'!$BB$166+'Covid-19 General'!$BB$178","v":0},null,{"$f":"'Covid-19 General'!$BB$153+'Covid-19 General'!$BB$155+'Covid-19 General'!$BB$156+'Covid-19 General'!$BB$165+'Covid-19 General'!$BB$167+'Covid-19 General'!$BB$168+'Covid-19 General'!$BB$177+'Covid-19 General'!$BB$179+'Covid-19 General'!$BB$180","v":0},{"$f":"SUM(E144:L144)","v":0},{"$f":"'Covid-19 General'!$BB$157+'Covid-19 General'!$BB$169","v":0},{"$f":"'Covid-19 General'!$BB$181","v":0},null,null,null,{"$f":"SUM(N144:R144)","v":0},{"$f":"M144-S144","v":0}]
[null,null,null,{"$f":"Structure!E1123","v":"Vector-Borne Diseases Program"},{"$f":"'Staff Alloc to Programs'!AM250","v":488294},115162,20616,"                         -  ","                         -  ",129703,-5601,23822,771996,{"$f":"M145","v":771996},null,null,null,null,{"$f":"SUM(N145:R145)","v":771996},{"$f":"M145-S145","v":0}]
[null,null,null,{"$f":"Structure!E1134","v":"Infectious Disease Control"},{"$f":"'Staff Alloc to Programs'!AM252","v":1152006},258183,8152,"                         -  ","                         -  ",6375,-234258,11627,1202085,{"$f":"M146","v":1202085},null,null,null,null,1202085,0]
[null,null,null,{"$f":"Structure!E1145","v":"Rabies and Zoonotic Disease"},{"$f":"'Staff Alloc to Programs'!AM254","v":215674},50058,2997,"                         -  ","                         -  ",2480,-4521,2939,269627,{"$f":"M147","v":269627},null,null,null,null,269627,0]
[null,null,null,{"$f":"Structure!E1156","v":"Sexually Transmitted and Blood-Borne Disease"},{"$f":"'Staff Alloc to Programs'!AM256","v":1500900},379807,8831,"                         -  ","                         -  ",553776,-203500,223633,2463447,{"$f":"M148","v":2463447},null,null,null,null,2463447,0]
[null,null,null,{"$f":"Structure!E1167","v":0},{"$f":"'Staff Alloc to Programs'!AM258","v":0},{"$f":"ROUND(E149*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1178","v":0},{"$f":"'Staff Alloc to Programs'!AM260","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1189","v":0},{"$f":"'Staff Alloc to Programs'!AM262","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1200","v":0},{"$f":"'Staff Alloc to Programs'!AM264","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1211","v":0},{"$f":"'Staff Alloc to Programs'!AM266","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1222","v":0},{"$f":"'Staff Alloc to Programs'!AM268","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1233","v":0},{"$f":"'Staff Alloc to Programs'!AM270","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1244","v":0},{"$f":"'Staff Alloc to Programs'!AM272","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1255","v":0},{"$f":"'Staff Alloc to Programs'!AM274","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1266","v":0},{"$f":"'Staff Alloc to Programs'!AM276","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1277","v":0},{"$f":"'Staff Alloc to Programs'!AM278","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1288","v":0},{"$f":"'Staff Alloc to Programs'!AM280","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1299","v":0},{"$f":"'Staff Alloc to Programs'!AM282","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1310","v":0},{"$f":"'Staff Alloc to Programs'!AM284","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1321","v":0},{"$f":"'Staff Alloc to Programs'!AM286","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D142","v":"Total Infectious and Communicable Diseases Prevention and Control"},{"$f":"SUM(E144:E163)","v":3356874},803210,40596,0,{"$f":"SUM(I144:I163)","v":0},{"$f":"SUM(J144:J163)","v":692334},-447880,262021,4707155,{"$f":"SUM(N144:N163)","v":4707155},{"$f":"SUM(O144:O163)","v":0},{"$f":"SUM(P144:P163)","v":0},{"$f":"SUM(Q144:Q163)","v":0},{"$f":"SUM(R144:R163)","v":0},{"$f":"SUM(N164:R164)","v":4707155},{"$f":"M164-S164","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1332","v":"Safe Water"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E1333","v":"Drinking Water Program"},{"$f":"'Staff Alloc to Programs'!AM293","v":122211},28489,1756,"                         -  ","                         -  ",5705,-100,8453,{"$f":"SUM(E168:L168)","v":166514},{"$f":"M168","v":166514},null,null,null,null,{"$f":"SUM(N168:R168)","v":166514},{"$f":"M168-S168","v":0}]
[null,null,null,{"$f":"Structure!E1344","v":"Recreational Water Program"},{"$f":"'Staff Alloc to Programs'!AM295","v":188979},44102,2840,"                         -  ","                         -  ",2605,-100,2609,241035,{"$f":"M169","v":241035},null,null,null,null,{"$f":"SUM(N169:R169)","v":241035},{"$f":"M169-S169","v":0}]
[null,null,null,{"$f":"Structure!E1355","v":0},{"$f":"'Staff Alloc to Programs'!AM297","v":0},{"$f":"ROUND(E170*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1366","v":0},{"$f":"'Staff Alloc to Programs'!AM299","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1377","v":0},{"$f":"'Staff Alloc to Programs'!AM301","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1388","v":0},{"$f":"'Staff Alloc to Programs'!AM303","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1399","v":0},{"$f":"'Staff Alloc to Programs'!AM305","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1410","v":0},{"$f":"'Staff Alloc to Programs'!AM307","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1421","v":0},{"$f":"'Staff Alloc to Programs'!AM309","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1432","v":0},{"$f":"'Staff Alloc to Programs'!AM311","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1443","v":0},{"$f":"'Staff Alloc to Programs'!AM313","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1454","v":0},{"$f":"'Staff Alloc to Programs'!AM315","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1465","v":0},{"$f":"'Staff Alloc to Programs'!AM317","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1476","v":0},{"$f":"'Staff Alloc to Programs'!AM319","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1487","v":0},{"$f":"'Staff Alloc to Programs'!AM321","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1498","v":0},{"$f":"'Staff Alloc to Programs'!AM323","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1509","v":0},{"$f":"'Staff Alloc to Programs'!AM325","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1520","v":0},{"$f":"'Staff Alloc to Programs'!AM327","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1531","v":0},{"$f":"'Staff Alloc to Programs'!AM329","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1542","v":0},{"$f":"'Staff Alloc to Programs'!AM331","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D166","v":"Total Safe Water"},{"$f":"SUM(E168:E187)","v":311190},72591,4596,0,{"$f":"SUM(I168:I187)","v":0},{"$f":"SUM(J168:J187)","v":8310},-200,11062,407549,{"$f":"SUM(N168:N187)","v":407549},{"$f":"SUM(O168:O187)","v":0},{"$f":"SUM(P168:P187)","v":0},{"$f":"SUM(Q168:Q187)","v":0},{"$f":"SUM(R168:R187)","v":0},{"$f":"SUM(N188:R188)","v":407549},{"$f":"M188-S188","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1553","v":"School Health - Oral Health"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E1554","v":"Healthy Smiles Ontario Program"},{"$f":"'Staff Alloc to Programs'!AM338","v":106567},26891,1482,"                         -  ","                         -  ",963,-182,8562,{"$f":"SUM(E192:L192)","v":144283},{"$f":"M192","v":144283},null,null,null,null,{"$f":"SUM(N192:R192)","v":144283},{"$f":"M192-S192","v":0}]
[null,null,null,{"$f":"Structure!E1565","v":"Oral Health Assessment and Surveillance"},{"$f":"'Staff Alloc to Programs'!AM340","v":144026},36990,2096,"                         -  ","                         -  ",1287,-280,11537,195656,{"$f":"M193","v":195656},null,null,null,null,{"$f":"SUM(N193:R193)","v":195656},{"$f":"M193-S193","v":0}]
[null,null,null,{"$f":"Structure!E1576","v":0},{"$f":"'Staff Alloc to Programs'!AM342","v":0},{"$f":"ROUND(E194*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1587","v":0},{"$f":"'Staff Alloc to Programs'!AM344","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1598","v":0},{"$f":"'Staff Alloc to Programs'!AM346","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1609","v":0},{"$f":"'Staff Alloc to Programs'!AM348","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1620","v":0},{"$f":"'Staff Alloc to Programs'!AM350","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1631","v":0},{"$f":"'Staff Alloc to Programs'!AM352","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1642","v":0},{"$f":"'Staff Alloc to Programs'!AM354","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1653","v":0},{"$f":"'Staff Alloc to Programs'!AM356","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1664","v":0},{"$f":"'Staff Alloc to Programs'!AM358","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1675","v":0},{"$f":"'Staff Alloc to Programs'!AM360","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1686","v":0},{"$f":"'Staff Alloc to Programs'!AM362","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1697","v":0},{"$f":"'Staff Alloc to Programs'!AM364","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1708","v":0},{"$f":"'Staff Alloc to Programs'!AM366","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1719","v":0},{"$f":"'Staff Alloc to Programs'!AM368","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1730","v":0},{"$f":"'Staff Alloc to Programs'!AM370","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1741","v":0},{"$f":"'Staff Alloc to Programs'!AM372","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1752","v":0},{"$f":"'Staff Alloc to Programs'!AM374","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1763","v":0},{"$f":"'Staff Alloc to Programs'!AM376","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D190","v":"Total School Health - Oral Health"},{"$f":"SUM(E192:E211)","v":250593},63881,3578,0,{"$f":"SUM(I192:I211)","v":0},{"$f":"SUM(J192:J211)","v":2250},-462,20099,339939,{"$f":"SUM(N192:N211)","v":339939},{"$f":"SUM(O192:O211)","v":0},{"$f":"SUM(P192:P211)","v":0},{"$f":"SUM(Q192:Q211)","v":0},{"$f":"SUM(R192:R211)","v":0},{"$f":"SUM(N212:R212)","v":339939},{"$f":"M212-S212","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1774","v":"School Health - Vision"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E1775","v":"Child Visual Health and Vision Screening"},{"$f":"'Staff Alloc to Programs'!AM383","v":10046},2429,109,"                         -  ","                         -  ",363,-2,595,{"$f":"SUM(E216:L216)","v":13540},{"$f":"M216","v":13540},null,null,null,null,{"$f":"SUM(N216:R216)","v":13540},{"$f":"M216-S216","v":0}]
[null,null,null,{"$f":"Structure!E1786","v":0},{"$f":"'Staff Alloc to Programs'!AM385","v":0},{"$f":"ROUND(E217*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"SUM(N217:R217)","v":0},{"$f":"M217-S217","v":0}]
[null,null,null,{"$f":"Structure!E1797","v":0},{"$f":"'Staff Alloc to Programs'!AM387","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1808","v":0},{"$f":"'Staff Alloc to Programs'!AM389","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1819","v":0},{"$f":"'Staff Alloc to Programs'!AM391","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1830","v":0},{"$f":"'Staff Alloc to Programs'!AM393","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1841","v":0},{"$f":"'Staff Alloc to Programs'!AM395","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1852","v":0},{"$f":"'Staff Alloc to Programs'!AM397","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1863","v":0},{"$f":"'Staff Alloc to Programs'!AM399","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1874","v":0},{"$f":"'Staff Alloc to Programs'!AM401","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1885","v":0},{"$f":"'Staff Alloc to Programs'!AM403","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1896","v":0},{"$f":"'Staff Alloc to Programs'!AM405","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1907","v":0},{"$f":"'Staff Alloc to Programs'!AM407","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1918","v":0},{"$f":"'Staff Alloc to Programs'!AM409","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1929","v":0},{"$f":"'Staff Alloc to Programs'!AM411","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1940","v":0},{"$f":"'Staff Alloc to Programs'!AM413","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1951","v":0},{"$f":"'Staff Alloc to Programs'!AM415","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1962","v":0},{"$f":"'Staff Alloc to Programs'!AM417","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1973","v":0},{"$f":"'Staff Alloc to Programs'!AM419","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1984","v":0},{"$f":"'Staff Alloc to Programs'!AM421","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D214","v":"Total School Health - Vision"},{"$f":"SUM(E216:E235)","v":10046},2429,109,0,{"$f":"SUM(I216:I235)","v":0},{"$f":"SUM(J216:J235)","v":363},-2,595,13540,{"$f":"SUM(N216:N235)","v":13540},{"$f":"SUM(O216:O235)","v":0},{"$f":"SUM(P216:P235)","v":0},{"$f":"SUM(Q216:Q235)","v":0},{"$f":"SUM(R216:R235)","v":0},{"$f":"SUM(N236:R236)","v":13540},{"$f":"M236-S236","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1995","v":"School Health - Immunization"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E1996","v":"Immunizations for Children in Schools and Licensed Child Care Settings"},{"$f":"'Staff Alloc to Programs'!AM428","v":655311},154828,5114,"                         -  ","                         -  ",805,-45298,16144,{"$f":"SUM(E240:L240)","v":786904},{"$f":"M240","v":786904},null,null,null,null,{"$f":"SUM(N240:R240)","v":786904},{"$f":"M240-S240","v":0}]
[null,null,null,{"$f":"Structure!E2007","v":0},{"$f":"'Staff Alloc to Programs'!AM430","v":0},{"$f":"ROUND(E241*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"SUM(N241:R241)","v":0},{"$f":"M241-S241","v":0}]
[null,null,null,{"$f":"Structure!E2018","v":0},{"$f":"'Staff Alloc to Programs'!AM432","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2029","v":0},{"$f":"'Staff Alloc to Programs'!AM434","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2040","v":0},{"$f":"'Staff Alloc to Programs'!AM436","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2051","v":0},{"$f":"'Staff Alloc to Programs'!AM438","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2062","v":0},{"$f":"'Staff Alloc to Programs'!AM440","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2073","v":0},{"$f":"'Staff Alloc to Programs'!AM442","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2084","v":0},{"$f":"'Staff Alloc to Programs'!AM444","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2095","v":0},{"$f":"'Staff Alloc to Programs'!AM446","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2106","v":0},{"$f":"'Staff Alloc to Programs'!AM448","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2117","v":0},{"$f":"'Staff Alloc to Programs'!AM450","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2128","v":0},{"$f":"'Staff Alloc to Programs'!AM452","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2139","v":0},{"$f":"'Staff Alloc to Programs'!AM454","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2150","v":0},{"$f":"'Staff Alloc to Programs'!AM456","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2161","v":0},{"$f":"'Staff Alloc to Programs'!AM458","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2172","v":0},{"$f":"'Staff Alloc to Programs'!AM460","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2183","v":0},{"$f":"'Staff Alloc to Programs'!AM462","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2194","v":0},{"$f":"'Staff Alloc to Programs'!AM464","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2205","v":0},{"$f":"'Staff Alloc to Programs'!AM466","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D238","v":"Total School Health - Immunization"},{"$f":"SUM(E240:E259)","v":655311},154828,5114,0,{"$f":"SUM(I240:I259)","v":0},{"$f":"SUM(J240:J259)","v":805},-45298,16144,786904,{"$f":"SUM(N240:N259)","v":786904},{"$f":"SUM(O240:O259)","v":0},{"$f":"SUM(P240:P259)","v":0},{"$f":"SUM(Q240:Q259)","v":0},{"$f":"SUM(R240:R259)","v":0},{"$f":"SUM(N260:R260)","v":786904},{"$f":"M260-S260","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D2216","v":"School Health - Other"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E2217","v":"Comprehensive School Health"},{"$f":"'Staff Alloc to Programs'!AM473","v":2043733},504919,18389,"                         -  ","                         -  ",2049,"                         -  ",39489,{"$f":"SUM(E264:L264)","v":2608579},{"$f":"M264","v":2608579},null,null,null,null,{"$f":"SUM(N264:R264)","v":2608579},{"$f":"M264-S264","v":0}]
[null,null,null,{"$f":"Structure!E2228","v":0},{"$f":"'Staff Alloc to Programs'!AM475","v":0},{"$f":"ROUND(E265*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"SUM(N265:R265)","v":0},{"$f":"M265-S265","v":0}]
[null,null,null,{"$f":"Structure!E2239","v":0},{"$f":"'Staff Alloc to Programs'!AM477","v":0},{"$f":"ROUND(E266*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2250","v":0},{"$f":"'Staff Alloc to Programs'!AM479","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2261","v":0},{"$f":"'Staff Alloc to Programs'!AM481","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2272","v":0},{"$f":"'Staff Alloc to Programs'!AM483","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2283","v":0},{"$f":"'Staff Alloc to Programs'!AM485","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2294","v":0},{"$f":"'Staff Alloc to Programs'!AM487","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2305","v":0},{"$f":"'Staff Alloc to Programs'!AM489","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2316","v":0},{"$f":"'Staff Alloc to Programs'!AM491","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2327","v":0},{"$f":"'Staff Alloc to Programs'!AM493","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2338","v":0},{"$f":"'Staff Alloc to Programs'!AM495","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2349","v":0},{"$f":"'Staff Alloc to Programs'!AM497","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2360","v":0},{"$f":"'Staff Alloc to Programs'!AM499","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2371","v":0},{"$f":"'Staff Alloc to Programs'!AM501","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2382","v":0},{"$f":"'Staff Alloc to Programs'!AM503","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2393","v":0},{"$f":"'Staff Alloc to Programs'!AM505","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2404","v":0},{"$f":"'Staff Alloc to Programs'!AM507","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2415","v":0},{"$f":"'Staff Alloc to Programs'!AM509","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E2426","v":0},{"$f":"'Staff Alloc to Programs'!AM511","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D262","v":"Total School Health - Other"},{"$f":"SUM(E264:E283)","v":2043733},504919,18389,0,{"$f":"SUM(I264:I283)","v":0},{"$f":"SUM(J264:J283)","v":2049},0,39489,2608579,{"$f":"SUM(N264:N283)","v":2608579},{"$f":"SUM(O264:O283)","v":0},{"$f":"SUM(P264:P283)","v":0},{"$f":"SUM(Q264:Q283)","v":0},{"$f":"SUM(R264:R283)","v":0},{"$f":"SUM(N284:R284)","v":2608579},{"$f":"M284-S284","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D2437","v":"Substance Use and Injury Prevention"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null,{"$f":"Structure!E$2438","v":"Alcohol"},{"$f":"'Staff Alloc to Programs'!AM518","v":119733},28596,2276,"                         -  ","                         -  ",1153,"                         -  ",6598,{"$f":"SUM(E288:L288)","v":158356},{"$f":"M288","v":158356},null,null,null,null,{"$f":"SUM(N288:R288)","v":158356},{"$f":"M288-S288","v":0}]
[null,null,null,{"$f":"Structure!E$2454","v":"Cannabis"},{"$f":"'Staff Alloc to Programs'!AM520","v":148551},35512,2843,"                         -  ","                         -  ",1359,"                         -  ",8104,196369,196369,null,null,null,null,{"$f":"SUM(N289:R289)","v":196369},{"$f":"M289-S289","v":0}]
[null,null,null,{"$f":"Structure!E$2470","v":"Other Drugs"},{"$f":"'Staff Alloc to Programs'!AM522","v":71338},16689,1182,"                         -  ","                         -  ",713,"                         -  ",4416,94338,94338,null,null,null,null,94338,0]
[null,null,null,{"$f":"Structure!E$2486","v":"Harm Reduction Program Enhancement"},{"$f":"'Staff Alloc to Programs'!AM524","v":134394},33337,730,"                         -  ","                         -  ",66796,-24300,24262,235219,235219,null,null,null,null,235219,0]
[null,null,null,{"$f":"Structure!E$2502","v":"Needle Syringe Program"},{"$f":"'Staff Alloc to Programs'!AM526","v":148975},35908,690,"                         -  ","                         -  ",96325,-35100,32238,279036,279036,null,null,null,null,279036,0]
[null,null,null,{"$f":"Structure!E$2518","v":"Smoke-Free Ontario"},{"$f":"'Staff Alloc to Programs'!AM528","v":487411},117160,9669,"                         -  ","                         -  ",3889,"                         -  ",25432,643561,643561,null,null,null,null,643561,0]
[null,null,null,{"$f":"Structure!E$2534","v":"Injury Prevention"},{"$f":"'Staff Alloc to Programs'!AM530","v":155111},38308,822,"                         -  ","                         -  ",583,"                         -  ",4913,199737,199737,null,null,null,null,199737,0]
[null,null,null,{"$f":"Structure!E$2550","v":"Southwest Tobacco Control Area Network"},{"$f":"'Staff Alloc to Programs'!AM532","v":194401},45117,3319,"                         -  ","                         -  ",1476,"                         -  ",131444,375757,375757,null,null,null,null,375757,0]
[null,null,null,{"$f":"Structure!E$2566","v":"Violence Prevention"},{"$f":"'Staff Alloc to Programs'!AM534","v":354844},85122,5398,"                         -  ","                         -  ",3553,"                         -  ",9899,458816,458816,null,null,null,null,458816,0]
[null,null,null,{"$f":"Structure!E$2582","v":0},{"$f":"'Staff Alloc to Programs'!AM536","v":0},{"$f":"ROUND(E297*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2598","v":0},{"$f":"'Staff Alloc to Programs'!AM538","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2614","v":0},{"$f":"'Staff Alloc to Programs'!AM540","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2630","v":0},{"$f":"'Staff Alloc to Programs'!AM542","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E300:L300)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2646","v":0},{"$f":"'Staff Alloc to Programs'!AM544","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E301:L301)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2662","v":0},{"$f":"'Staff Alloc to Programs'!AM546","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E302:L302)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2678","v":0},{"$f":"'Staff Alloc to Programs'!AM548","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E303:L303)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2694","v":0},{"$f":"'Staff Alloc to Programs'!AM550","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2710","v":0},{"$f":"'Staff Alloc to Programs'!AM552","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2726","v":0},{"$f":"'Staff Alloc to Programs'!AM554","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2742","v":0},{"$f":"'Staff Alloc to Programs'!AM556","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E307:L307)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D286","v":"Total Substance Use and Injury Prevention"},{"$f":"SUM(E288:E307)","v":1814758},{"$f":"SUM(F288:F307)","v":435749},{"$f":"SUM(G288:G307)","v":26929},0,0,175847,-59400,247306,{"$f":"SUM(E308:L308)","v":2641189},2641189,{"$f":"SUM(O288:O307)","v":0},{"$f":"SUM(P288:P307)","v":0},{"$f":"SUM(Q288:Q307)","v":0},{"$f":"SUM(R288:R307)","v":0},{"$f":"SUM(N308:R308)","v":2641189},{"$f":"M308-S308","v":0}]
[null,null,null,"_"]
[null,null,null,"Indirect Costs","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
[null,null,null," Total Indirect Costs",{"$f":"'MOH & Administrative Staff'!F18","v":2494167},891045,11997,2343926,"                         -  ",874468,-52891,1227807,{"$f":"SUM(E312:L312)","v":7790519},{"$f":"M312","v":7790519},null,null,null,null,{"$f":"SUM(N312:R312)","v":7790519},{"$f":"M312-S312","v":0}]
[null,null,null,"_"]
[null,null,null,"Grand Total",{"$f":"SUM(E8,E12,E16,E20,E44,E68,E92,E116,E140,E164,E188,E212,E236,E260,E284,E308,E312)","v":20814342},5324591,212723,2413926,0,3326728,-703708,2420103,33808705,null,null,null,null,null,{"$f":"SUM(S8,S12,S16,S20,S44,S68,S92,S116,S140,S164,S188,S212,S236,S260,S284,S308,S312)","v":33808705},{"$f":"M314-S314","v":0}]

{"sheet":"Overall Budget Summary","index":21,"n_rows":84,"n_cols":32,"rows_kept":84,"cut":false,"hidden":false,"merged":[[4,14,4,21],[5,14,5,15],[5,16,5,17],[5,18,5,19],[5,20,5,21],[6,14,6,15],[6,16,6,17],[6,18,6,19],[6,20,6,21],[32,30,33,31],[32,18,33,19],[32,20,33,21],[32,22,33,23],[32,24,33,25],[32,26,33,27],[32,28,33,29],[29,18,29,19],[29,20,29,21],[32,3,33,3],[32,4,33,5],[32,6,33,7],[32,8,33,9],[32,10,33,11],[32,12,33,13],[32,14,33,15],[32,16,33,17],[28,16,28,17],[28,18,28,19],[28,20,28,21],[29,4,29,5],[29,6,29,7],[29,8,29,9],[29,10,29,11],[29,12,29,13],[29,14,29,15],[29,16,29,17],[28,4,28,5],[28,6,28,7],[28,8,28,9],[28,10,28,11],[28,12,28,13],[28,14,28,15],[26,4,26,5],[26,6,26,7],[26,8,26,9],[26,10,26,11],[26,12,26,13],[26,14,26,15],[26,16,26,17],[26,18,26,19],[26,20,26,21],[25,4,25,5],[25,6,25,7],[25,8,25,9],[25,10,25,11],[25,12,25,13],[25,14,25,15],[25,16,25,17],[25,18,25,19],[25,20,25,21],[23,16,23,17],[23,18,23,19],[23,20,23,21],[24,4,24,5],[24,6,24,7],[24,8,24,9],[24,10,24,11],[24,12,24,13],[24,14,24,15],[24,16,24,17],[23,4,23,5],[23,6,23,7],[23,8,23,9],[23,10,23,11],[23,12,23,13],[23,14,23,15],[24,18,24,19],[24,20,24,21],[22,4,22,5],[22,6,22,7],[22,8,22,9],[22,10,22,11],[22,12,22,13],[22,14,22,15],[22,16,22,17],[22,18,22,19],[22,20,22,21],[21,4,21,5],[21,6,21,7],[21,8,21,9],[21,10,21,11],[21,12,21,13],[21,14,21,15],[21,16,21,17],[21,18,21,19],[21,20,21,21],[19,16,19,17],[19,18,19,19],[19,20,19,21],[20,4,20,5],[20,6,20,7],[20,8,20,9],[20,10,20,11],[20,12,20,13],[20,14,20,15],[20,16,20,17],[19,4,19,5],[19,6,19,7],[19,8,19,9],[19,10,19,11],[19,12,19,13],[19,14,19,15],[20,18,20,19],[20,20,20,21],[18,4,18,5],[18,6,18,7],[18,8,18,9],[18,10,18,11],[18,12,18,13],[18,14,18,15],[18,16,18,17],[18,18,18,19],[18,20,18,21],[17,4,17,5],[17,6,17,7],[17,8,17,9],[17,10,17,11],[17,12,17,13],[17,14,17,15],[17,16,17,17],[17,18,17,19],[17,20,17,21],[15,16,15,17],[15,18,15,19],[15,20,15,21],[16,4,16,5],[16,6,16,7],[16,8,16,9],[16,10,16,11],[16,12,16,13],[16,14,16,15],[16,16,16,17],[15,4,15,5],[15,6,15,7],[15,8,15,9],[15,10,15,11],[15,12,15,13],[15,14,15,15],[16,18,16,19],[16,20,16,21],[14,4,14,5],[14,6,14,7],[14,8,14,9],[14,10,14,11],[14,12,14,13],[14,14,14,15],[14,16,14,17],[14,18,14,19],[14,20,14,21],[11,18,11,19],[11,20,11,21],[13,4,13,5],[13,6,13,7],[13,8,13,9],[13,10,13,11],[13,12,13,13],[13,14,13,15],[13,16,13,17],[13,18,13,19],[13,20,13,21],[8,16,8,17],[11,4,11,5],[11,6,11,7],[11,8,11,9],[11,10,11,11],[11,12,11,13],[11,14,11,15],[11,16,11,17],[8,3,8,5],[8,6,8,7],[8,8,8,9],[8,10,8,11],[8,12,8,13],[8,14,8,15],[7,6,7,7],[7,8,7,9],[7,10,7,11],[7,12,7,13],[5,3,5,5],[5,6,5,7],[5,8,5,9],[5,10,5,11],[5,12,5,13],[6,6,6,7],[6,8,6,9],[6,10,6,11],[6,12,6,13]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Budget Summary"]
[null,null,null,"Base Funding",null,null,null,null,null,null,null,null,null,null,"Column (E) must be equal to (H)"]
[null,null,null,"Source of Funding",null,null,"Budget\n (at 100%)\n\n\n\n\nA",null,"Provincial\n Share\n\n\n\n\nB= A*Prov.Share",null,"Approved \nAllocation\n\n\n\n\nC",null,"Variance\nSurplus / \n(Municipal Contribution\nOver 30%)\n\nD = C - B",null,"COVID-19 Program Costs to be Managed within Mandatory Programs (provincial and municipal portions)\nE",null,"Budget \n(at 100%)  \nminus Covid-19\n\n\n\nF = A - E",null,"Approved\nAllocation\n(at 100%)\n\n\n\nG = C / 70%",null,"Surplus Available to Offset Covid-19\n\n\n\n\nH = G - F"]
[null,null,null,"Mandatory Programs (Cost-Shared)",null,null,{"$f":"SUM(SUMIF('Alloc Expenditures'!$N$7:$R$7,D7,'Alloc Expenditures'!$N$8:$R$8),SUMIF('Alloc Expenditures'!$N$11:$R$11,D7,'Alloc Expenditures'!$N$12:$R$12),SUMIF('Alloc Expenditures'!$N$15:$R$15,D7,'Alloc Expenditures'!$N$16:$R$16),SUMIF('Alloc Expenditures'!$N$19:$R$19,D7,'Alloc Expenditures'!$N$20:$R$20),SUMIF('Alloc Expenditures'!$N$23:$R$23,D7,'Alloc Expenditures'!$N$44:$R$44),SUMIF('Alloc Expenditures'!$N$47:$R$47,D7,'Alloc Expenditures'!$N$68:$R$68),SUMIF('Alloc Expenditures'!$N$71:$R$71,D7,'Alloc Expenditures'!$N$92:$R$92),SUMIF('Alloc Expenditures'!$N$95:$R$95,D7,'Alloc Expenditures'!$N$116:$R$116),SUMIF('Alloc Expenditures'!$N$119:$R$119,D7,'Alloc Expenditures'!$N$140:$R$140),SUMIF('Alloc Expenditures'!$N$143:$R$143,D7,'Alloc Expenditures'!$N$164:$R$164),SUMIF('Alloc Expenditures'!$N$167:$R$167,D7,'Alloc Expenditures'!$N$188:$R$188),SUMIF('Alloc Expenditures'!$N$191:$R$191,D7,'Alloc Expenditures'!$N$212:$R$212),SUMIF('Alloc Expenditures'!$N$215:$R$215,D7,'Alloc Expenditures'!$N$236:$R$236),SUMIF('Alloc Expenditures'!$N$239:$R$239,D7,'Alloc Expenditures'!$N$260:$R$260),SUMIF('Alloc Expenditures'!$N$263:$R$263,D7,'Alloc Expenditures'!$N$284:$R$284),SUMIF('Alloc Expenditures'!$N$287:$R$287,D7,'Alloc Expenditures'!$N$308:$R$308),SUMIF('Alloc Expenditures'!$N$311:$R$311,D7,'Alloc Expenditures'!$N$312:$R$312))","v":30115557},null,{"$f":"ROUND(G7*70%,0)","v":21080890},null,20004600,null,{"$f":"K7-I7","v":-1076290},null,{"$f":"SUM('Covid-19 Vaccine'!BB158+'Covid-19 General'!BB157)","v":0},null,{"$f":"SUM(SUMIF('Alloc Expenditures'!$N$7:$R$7,D7,'Alloc Expenditures'!$N$8:$R$8),SUMIF('Alloc Expenditures'!$N$11:$R$11,D7,'Alloc Expenditures'!$N$12:$R$12),SUMIF('Alloc Expenditures'!$N$15:$R$15,D7,'Alloc Expenditures'!$N$16:$R$16),SUMIF('Alloc Expenditures'!$N$19:$R$19,D7,'Alloc Expenditures'!$N$20:$R$20),SUMIF('Alloc Expenditures'!$N$23:$R$23,D7,'Alloc Expenditures'!$N$44:$R$44),SUMIF('Alloc Expenditures'!$N$47:$R$47,D7,'Alloc Expenditures'!$N$68:$R$68),SUMIF('Alloc Expenditures'!$N$71:$R$71,D7,'Alloc Expenditures'!$N$92:$R$92),SUMIF('Alloc Expenditures'!$N$95:$R$95,D7,'Alloc Expenditures'!$N$116:$R$116),SUMIF('Alloc Expenditures'!$N$119:$R$119,D7,'Alloc Expenditures'!$N$140:$R$140),SUMIF('Alloc Expenditures'!$N$143:$R$143,D7,'Alloc Expenditures'!$N$164:$R$164),SUMIF('Alloc Expenditures'!$N$167:$R$167,D7,'Alloc Expenditures'!$N$188:$R$188),SUMIF('Alloc Expenditures'!$N$191:$R$191,D7,'Alloc Expenditures'!$N$212:$R$212),SUMIF('Alloc Expenditures'!$N$215:$R$215,D7,'Alloc Expenditures'!$N$236:$R$236),SUMIF('Alloc Expenditures'!$N$239:$R$239,D7,'Alloc Expenditures'!$N$260:$R$260),SUMIF('Alloc Expenditures'!$N$263:$R$263,D7,'Alloc Expenditures'!$N$284:$R$284),SUMIF('Alloc Expenditures'!$N$287:$R$287,D7,'Alloc Expenditures'!$N$308:$R$308),SUMIF('Alloc Expenditures'!$N$311:$R$311,D7,'Alloc Expenditures'!$N$312:$R$312))-'Alloc Expenditures'!N121-'Alloc Expenditures'!N144","v":30115557},null,{"$f":"ROUND(K7/70%,0)","v":28578000},null,{"$f":"S7-Q7","v":-1537557}]
[null,null,null,"Ontario Seniors Dental Care Program (100%)",null,null,{"$f":"SUM(SUMIF('Alloc Expenditures'!$N$7:$R$7,D8,'Alloc Expenditures'!$N$8:$R$8),SUMIF('Alloc Expenditures'!$N$11:$R$11,D8,'Alloc Expenditures'!$N$12:$R$12),SUMIF('Alloc Expenditures'!$N$15:$R$15,D8,'Alloc Expenditures'!$N$16:$R$16),SUMIF('Alloc Expenditures'!$N$19:$R$19,D8,'Alloc Expenditures'!$N$20:$R$20),SUMIF('Alloc Expenditures'!$N$23:$R$23,D8,'Alloc Expenditures'!$N$44:$R$44),SUMIF('Alloc Expenditures'!$N$47:$R$47,D8,'Alloc Expenditures'!$N$68:$R$68),SUMIF('Alloc Expenditures'!$N$71:$R$71,D8,'Alloc Expenditures'!$N$92:$R$92),SUMIF('Alloc Expenditures'!$N$95:$R$95,D8,'Alloc Expenditures'!$N$116:$R$116),SUMIF('Alloc Expenditures'!$N$119:$R$119,D8,'Alloc Expenditures'!$N$140:$R$140),SUMIF('Alloc Expenditures'!$N$143:$R$143,D8,'Alloc Expenditures'!$N$164:$R$164),SUMIF('Alloc Expenditures'!$N$167:$R$167,D8,'Alloc Expenditures'!$N$188:$R$188),SUMIF('Alloc Expenditures'!$N$191:$R$191,D8,'Alloc Expenditures'!$N$212:$R$212),SUMIF('Alloc Expenditures'!$N$215:$R$215,D8,'Alloc Expenditures'!$N$236:$R$236),SUMIF('Alloc Expenditures'!$N$239:$R$239,D8,'Alloc Expenditures'!$N$260:$R$260),SUMIF('Alloc Expenditures'!$N$263:$R$263,D8,'Alloc Expenditures'!$N$284:$R$284),SUMIF('Alloc Expenditures'!$N$287:$R$287,D8,'Alloc Expenditures'!$N$308:$R$308),SUMIF('Alloc Expenditures'!$N$311:$R$311,D8,'Alloc Expenditures'!$N$312:$R$312))","v":3693148},null,{"$f":"G8","v":3693148},null,2191500,null,{"$f":"K8-I8","v":-1501648}]
[null,null,null,"Total",null,null,{"$f":"SUM(G7:H8)","v":33808705},null,{"$f":"SUM(I7:J8)","v":24774038},null,{"$f":"SUM(K7:L8)","v":22196100},null,{"$f":"K9-I9","v":-2577938}]
[]
[null,null,null,"Summary  of Expenditures by Standard"]
[null,null,null,"Standards","Total \nBoard of Health",null,"Salaries and Wages",null,"Benefits",null,"Travel",null,"Building Occupancy",null,"Municipal Charges",null,"Professional Services",null,"Expenditure Recoveries & Offset Revenues",null,"Other Program Expenditures"]
[null,null,null,"Direct Costs"]
[null,null,null,"Population Health Assessment",{"$f":"SUM(G14:V14)","v":507803},null,{"$f":"'Alloc Expenditures'!E8","v":409790},null,{"$f":"'Alloc Expenditures'!F8","v":93856},null,{"$f":"'Alloc Expenditures'!G8","v":1440},null,{"$f":"'Alloc Expenditures'!H8","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!I8","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!J8","v":1629},null,{"$f":"'Alloc Expenditures'!K8","v":-2060},null,{"$f":"'Alloc Expenditures'!L8","v":3148}]
[null,null,null,"Health Equity",{"$f":"SUM(G15:V15)","v":394163},null,{"$f":"'Alloc Expenditures'!E12","v":291919},null,{"$f":"'Alloc Expenditures'!F12","v":76961},null,{"$f":"'Alloc Expenditures'!G12","v":1015},null,{"$f":"'Alloc Expenditures'!H12","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!I12","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!J12","v":19855},null,{"$f":"'Alloc Expenditures'!K12","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!L12","v":4413}]
[null,null,null,"Effective Public Health Practice",2241360,null,{"$f":"'Alloc Expenditures'!E16","v":1749201},null,{"$f":"'Alloc Expenditures'!F16","v":417630},null,{"$f":"'Alloc Expenditures'!G16","v":3535},null,{"$f":"'Alloc Expenditures'!H16","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!I16","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!J16","v":20195},null,{"$f":"'Alloc Expenditures'!K16","v":-1000},null,{"$f":"'Alloc Expenditures'!L16","v":51799}]
[null,null,null,"Emergency Management",22565,null,{"$f":"'Alloc Expenditures'!E20","v":14570},null,{"$f":"'Alloc Expenditures'!F20","v":2842},null,{"$f":"'Alloc Expenditures'!G20","v":1090},null,{"$f":"'Alloc Expenditures'!H20","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!I20","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!J20","v":355},null,{"$f":"'Alloc Expenditures'!K20","v":-500},null,{"$f":"'Alloc Expenditures'!L20","v":4208}]
[null,null,null,"Chronic Disease Prevention and Well-Being",5551299,null,{"$f":"'Alloc Expenditures'!E44","v":2903566},null,{"$f":"'Alloc Expenditures'!F44","v":710739},null,{"$f":"'Alloc Expenditures'!G44","v":28291},null,{"$f":"'Alloc Expenditures'!H44","v":70000},null,{"$f":"'Alloc Expenditures'!I44","v":0},null,{"$f":"'Alloc Expenditures'!J44","v":1444762},null,{"$f":"'Alloc Expenditures'!K44","v":-886},null,{"$f":"'Alloc Expenditures'!L44","v":394827}]
[null,null,null,"Food Safety",1309152,null,{"$f":"'Alloc Expenditures'!E68","v":1024469},null,{"$f":"'Alloc Expenditures'!F68","v":250408},null,{"$f":"'Alloc Expenditures'!G68","v":13763},null,{"$f":"'Alloc Expenditures'!H68","v":0},null,{"$f":"'Alloc Expenditures'!I68","v":0},null,{"$f":"'Alloc Expenditures'!J68","v":20452},null,{"$f":"'Alloc Expenditures'!K68","v":-29087},null,{"$f":"'Alloc Expenditures'!L68","v":29147}]
[null,null,null,"Healthy Environments",468490,null,{"$f":"'Alloc Expenditures'!E92","v":368710},null,{"$f":"'Alloc Expenditures'!F92","v":89883},null,{"$f":"'Alloc Expenditures'!G92","v":5224},null,{"$f":"'Alloc Expenditures'!H92","v":0},null,{"$f":"'Alloc Expenditures'!I92","v":0},null,{"$f":"'Alloc Expenditures'!J92","v":1142},null,{"$f":"'Alloc Expenditures'!K92","v":-600},null,{"$f":"'Alloc Expenditures'!L92","v":4131}]
[null,null,null,"Healthy Growth and Development",3154350,null,{"$f":"'Alloc Expenditures'!E116","v":2392810},null,{"$f":"'Alloc Expenditures'!F116","v":583621},null,{"$f":"'Alloc Expenditures'!G116","v":40660},null,{"$f":"'Alloc Expenditures'!H116","v":0},null,{"$f":"'Alloc Expenditures'!I116","v":0},null,{"$f":"'Alloc Expenditures'!J116","v":59942},null,{"$f":"'Alloc Expenditures'!K116","v":-8100},null,{"$f":"'Alloc Expenditures'!L116","v":85417}]
[null,null,null,"Immunization",864149,null,{"$f":"'Alloc Expenditures'!E140","v":722635},null,{"$f":"'Alloc Expenditures'!F140","v":169999},null,{"$f":"'Alloc Expenditures'!G140","v":6397},null,{"$f":"'Alloc Expenditures'!H140","v":0},null,{"$f":"'Alloc Expenditures'!I140","v":0},null,{"$f":"'Alloc Expenditures'!J140","v":1970},null,{"$f":"'Alloc Expenditures'!K140","v":-55342},null,{"$f":"'Alloc Expenditures'!L140","v":18490}]
[null,null,null,"Infectious and Communicable Diseases Prevention and Control",4707155,null,{"$f":"'Alloc Expenditures'!E164","v":3356874},null,{"$f":"'Alloc Expenditures'!F164","v":803210},null,{"$f":"'Alloc Expenditures'!G164","v":40596},null,{"$f":"'Alloc Expenditures'!H164","v":0},null,{"$f":"'Alloc Expenditures'!I164","v":0},null,{"$f":"'Alloc Expenditures'!J164","v":692334},null,{"$f":"'Alloc Expenditures'!K164","v":-447880},null,{"$f":"'Alloc Expenditures'!L164","v":262021}]
[null,null,null,"Safe Water",407549,null,{"$f":"'Alloc Expenditures'!E188","v":311190},null,{"$f":"'Alloc Expenditures'!F188","v":72591},null,{"$f":"'Alloc Expenditures'!G188","v":4596},null,{"$f":"'Alloc Expenditures'!H188","v":0},null,{"$f":"'Alloc Expenditures'!I188","v":0},null,{"$f":"'Alloc Expenditures'!J188","v":8310},null,{"$f":"'Alloc Expenditures'!K188","v":-200},null,{"$f":"'Alloc Expenditures'!L188","v":11062}]
[null,null,null,"School Health",3748962,null,{"$f":"'Alloc Expenditures'!E212+'Alloc Expenditures'!E236+'Alloc Expenditures'!E260+'Alloc Expenditures'!E284","v":2959683},null,{"$f":"'Alloc Expenditures'!F212+'Alloc Expenditures'!F236+'Alloc Expenditures'!F260+'Alloc Expenditures'!F284","v":726057},null,{"$f":"'Alloc Expenditures'!G212+'Alloc Expenditures'!G236+'Alloc Expenditures'!G260+'Alloc Expenditures'!G284","v":27190},null,{"$f":"'Alloc Expenditures'!H212+'Alloc Expenditures'!H236+'Alloc Expenditures'!H260+'Alloc Expenditures'!H284","v":0},null,{"$f":"'Alloc Expenditures'!I212+'Alloc Expenditures'!I236+'Alloc Expenditures'!I260+'Alloc Expenditures'!I284","v":0},null,{"$f":"'Alloc Expenditures'!J212+'Alloc Expenditures'!J236+'Alloc Expenditures'!J260+'Alloc Expenditures'!J284","v":5467},null,{"$f":"'Alloc Expenditures'!K212+'Alloc Expenditures'!K236+'Alloc Expenditures'!K260+'Alloc Expenditures'!K284","v":-45762},null,{"$f":"'Alloc Expenditures'!L212+'Alloc Expenditures'!L236+'Alloc Expenditures'!L260+'Alloc Expenditures'!L284","v":76327}]
[null,null,null,"Substance Use and Injury Prevention",{"$f":"SUM(G26:V26)","v":2641189},null,{"$f":"'Alloc Expenditures'!E308","v":1814758},null,{"$f":"'Alloc Expenditures'!F308","v":435749},null,{"$f":"'Alloc Expenditures'!G308","v":26929},null,{"$f":"'Alloc Expenditures'!H308","v":0},null,{"$f":"'Alloc Expenditures'!I308","v":0},null,{"$f":"'Alloc Expenditures'!J308","v":175847},null,{"$f":"'Alloc Expenditures'!K308","v":-59400},null,{"$f":"'Alloc Expenditures'!L308","v":247306}]
[null,null,null,"Total Direct Costs",{"$f":"SUM(E14:E26)","v":26018186},null,{"$f":"SUM(G14:G26)","v":18320175},null,{"$f":"SUM(I14:I26)","v":4433546},null,{"$f":"SUM(K14:K26)","v":200726},null,{"$f":"SUM(M14:M26)","v":70000},null,{"$f":"SUM(O14:O26)","v":0},null,{"$f":"SUM(Q14:Q26)","v":2452260},null,{"$f":"SUM(S14:S26)","v":-650817},null,{"$f":"SUM(U14:U26)","v":1192296}]
[null,null,null,"Indirect Costs"]
[null,null,null,"Indirect Costs",{"$f":"SUM(G29:V29)","v":7790519},null,{"$f":"'Alloc Expenditures'!E312","v":2494167},null,{"$f":"'Alloc Expenditures'!F312","v":891045},null,{"$f":"'Alloc Expenditures'!G312","v":11997},null,{"$f":"'Alloc Expenditures'!H312","v":2343926},null,{"$f":"'Alloc Expenditures'!I312","v":"                         -  "},null,{"$f":"'Alloc Expenditures'!J312","v":874468},null,{"$f":"'Alloc Expenditures'!K312","v":-52891},null,{"$f":"'Alloc Expenditures'!L312","v":1227807}]
[null,null,null,"Total Expenditures",{"$f":"SUM(E27,E29)","v":33808705},null,{"$f":"SUM(G27,G29)","v":20814342},null,{"$f":"SUM(I27,I29)","v":5324591},null,{"$f":"SUM(K27,K29)","v":212723},null,{"$f":"SUM(M27,M29)","v":2413926},null,{"$f":"SUM(O27,O29)","v":0},null,{"$f":"SUM(Q27,Q29)","v":3326728},null,{"$f":"SUM(S27,S29)","v":-703708},null,{"$f":"SUM(U27,U29)","v":2420103}]
[]
[null,null,null,"Staff Allocation by Standard"]
[null,null,null,"Position Title","Total \nBoard of Health",null,"Population Health Assessment",null,"Health Equity",null,"Effective Public Health Practice",null,"Emergency Management",null,"Chronic Disease Prevention and Well-Being",null," Food Safety",null," Healthy Environments",null," Healthy Growth and Development",null," Immunization",null," Infectious and Communicable Diseases Prevention and Control",null," Safe Water",null," School Health",null,"Substance Use and Injury Prevention"]
[]
[null,null,null,"Program Staff","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$","F.T.E. #","$"]
[null,null,null,"Associate Medical Officer of Health",{"$f":"SUM(G36,I36,K36,M36,O36,Q36,S36,U36,W36,Y36,AA36,AC36,AE36)","v":1.0000000000000002},{"$f":"SUM(H36,J36,L36,N36,P36,R36,T36,V36,X36,Z36,AB36,AD36,AF36)","v":223865},{"$f":"'Staff Alloc to Programs'!$F6","v":0.2},{"$f":"'Staff Alloc to Programs'!$F7","v":44770},{"$f":"'Staff Alloc to Programs'!$F9","v":0},{"$f":"'Staff Alloc to Programs'!F$10","v":0},{"$f":"'Staff Alloc to Programs'!$F12","v":0.1},{"$f":"'Staff Alloc to Programs'!F$13","v":22387},{"$f":"'Staff Alloc to Programs'!$F15","v":0.05},{"$f":"'Staff Alloc to Programs'!F$16","v":11193},{"$f":"'Staff Alloc to Programs'!$F18","v":0},{"$f":"'Staff Alloc to Programs'!F$19","v":0},{"$f":"'Staff Alloc to Programs'!$F63","v":0.01},{"$f":"'Staff Alloc to Programs'!F$64","v":2239},{"$f":"'Staff Alloc to Programs'!$F108","v":0.06},{"$f":"'Staff Alloc to Programs'!F$109","v":13432},{"$f":"'Staff Alloc to Programs'!$F153","v":0},{"$f":"'Staff Alloc to Programs'!F$154","v":0},{"$f":"'Staff Alloc to Programs'!$F198","v":0.12},{"$f":"'Staff Alloc to Programs'!F$199","v":26865},{"$f":"'Staff Alloc to Programs'!$F243","v":0.34},{"$f":"'Staff Alloc to Programs'!F$244","v":76114},{"$f":"'Staff Alloc to Programs'!$F288","v":0.02},{"$f":"'Staff Alloc to Programs'!F$289","v":4478},{"$f":"'Staff Alloc to Programs'!$F333+'Staff Alloc to Programs'!$F378+'Staff Alloc to Programs'!$F423+'Staff Alloc to Programs'!$F468","v":0.1},{"$f":"'Staff Alloc to Programs'!F$334+'Staff Alloc to Programs'!F$379+'Staff Alloc to Programs'!$F424+'Staff Alloc to Programs'!F$469","v":22387},{"$f":"'Staff Alloc to Programs'!$F513","v":0},{"$f":"'Staff Alloc to Programs'!F$514","v":0}]
[null,null,null,"Chief Nursing Officer",{"$f":"SUM(G37,I37,K37,M37,O37,Q37,S37,U37,W37,Y37,AA37,AC37,AE37)","v":0},0,{"$f":"'Staff Alloc to Programs'!$G6","v":0},{"$f":"'Staff Alloc to Programs'!$G7","v":0},{"$f":"'Staff Alloc to Programs'!$G9","v":0},{"$f":"'Staff Alloc to Programs'!G$10","v":0},{"$f":"'Staff Alloc to Programs'!$G12","v":0},{"$f":"'Staff Alloc to Programs'!G$13","v":0},{"$f":"'Staff Alloc to Programs'!$G15","v":0},{"$f":"'Staff Alloc to Programs'!G$16","v":0},{"$f":"'Staff Alloc to Programs'!$G18","v":0},{"$f":"'Staff Alloc to Programs'!G$19","v":0},{"$f":"'Staff Alloc to Programs'!$G63","v":0},{"$f":"'Staff Alloc to Programs'!G$64","v":0},{"$f":"'Staff Alloc to Programs'!$G108","v":0},{"$f":"'Staff Alloc to Programs'!G$109","v":0},{"$f":"'Staff Alloc to Programs'!$G153","v":0},{"$f":"'Staff Alloc to Programs'!G$154","v":0},{"$f":"'Staff Alloc to Programs'!$G198","v":0},{"$f":"'Staff Alloc to Programs'!G$199","v":0},{"$f":"'Staff Alloc to Programs'!$G243","v":0},{"$f":"'Staff Alloc to Programs'!G$244","v":0},{"$f":"'Staff Alloc to Programs'!$G288","v":0},{"$f":"'Staff Alloc to Programs'!G$289","v":0},{"$f":"'Staff Alloc to Programs'!$G333+'Staff Alloc to Programs'!$G378+'Staff Alloc to Programs'!$G423+'Staff Alloc to Programs'!$G468","v":0},{"$f":"'Staff Alloc to Programs'!G$334+'Staff Alloc to Programs'!G$379+'Staff Alloc to Programs'!$G424+'Staff Alloc to Programs'!G$469","v":0},{"$f":"'Staff Alloc to Programs'!$G513","v":0},{"$f":"'Staff Alloc to Programs'!G$514","v":0}]
[null,null,null,"Program Director",3.41,453946,{"$f":"'Staff Alloc to Programs'!$H6","v":0.01},{"$f":"'Staff Alloc to Programs'!$H7","v":1069},{"$f":"'Staff Alloc to Programs'!$H9","v":0.01},{"$f":"'Staff Alloc to Programs'!H$10","v":1069},{"$f":"'Staff Alloc to Programs'!$H12","v":0.35},{"$f":"'Staff Alloc to Programs'!H$13","v":45695},{"$f":"'Staff Alloc to Programs'!$H15","v":0.01},{"$f":"'Staff Alloc to Programs'!H$16","v":1069},{"$f":"'Staff Alloc to Programs'!$H18","v":0.32},{"$f":"'Staff Alloc to Programs'!H$19","v":44214},{"$f":"'Staff Alloc to Programs'!$H63","v":0.21},{"$f":"'Staff Alloc to Programs'!H$64","v":29604},{"$f":"'Staff Alloc to Programs'!$H108","v":0.09},{"$f":"'Staff Alloc to Programs'!H$109","v":11751},{"$f":"'Staff Alloc to Programs'!$H153","v":0.62},{"$f":"'Staff Alloc to Programs'!H$154","v":75663},{"$f":"'Staff Alloc to Programs'!$H198","v":0.08},{"$f":"'Staff Alloc to Programs'!H$199","v":9769},{"$f":"'Staff Alloc to Programs'!$H243","v":0.44},{"$f":"'Staff Alloc to Programs'!H$244","v":59817},{"$f":"'Staff Alloc to Programs'!$H288","v":0.14000000000000001},{"$f":"'Staff Alloc to Programs'!H$289","v":18617},{"$f":"'Staff Alloc to Programs'!$H333+'Staff Alloc to Programs'!$H378+'Staff Alloc to Programs'!$H423+'Staff Alloc to Programs'!$H468","v":0.46},{"$f":"'Staff Alloc to Programs'!H$334+'Staff Alloc to Programs'!H$379+'Staff Alloc to Programs'!$H424+'Staff Alloc to Programs'!H$469","v":63744},{"$f":"'Staff Alloc to Programs'!$H513","v":0.67},{"$f":"'Staff Alloc to Programs'!H$514","v":91865}]
[null,null,null,"Program Manager/\nSupervisor",25.480000000000004,2669304,{"$f":"'Staff Alloc to Programs'!$I6","v":0.81},{"$f":"'Staff Alloc to Programs'!$I7","v":89869},{"$f":"'Staff Alloc to Programs'!$I9","v":0.66},{"$f":"'Staff Alloc to Programs'!I$10","v":65051},{"$f":"'Staff Alloc to Programs'!$I12","v":3.59},{"$f":"'Staff Alloc to Programs'!I$13","v":358239},{"$f":"'Staff Alloc to Programs'!$I15","v":0.01},{"$f":"'Staff Alloc to Programs'!I$16","v":1151},{"$f":"'Staff Alloc to Programs'!$I18","v":4.34},{"$f":"'Staff Alloc to Programs'!I$19","v":468783},{"$f":"'Staff Alloc to Programs'!$I63","v":0.84},{"$f":"'Staff Alloc to Programs'!I$64","v":94857},{"$f":"'Staff Alloc to Programs'!$I108","v":0.32},{"$f":"'Staff Alloc to Programs'!I$109","v":35549},{"$f":"'Staff Alloc to Programs'!$I153","v":3.59},{"$f":"'Staff Alloc to Programs'!I$154","v":362424},{"$f":"'Staff Alloc to Programs'!$I198","v":1.1399999999999999},{"$f":"'Staff Alloc to Programs'!I$199","v":119056},{"$f":"'Staff Alloc to Programs'!$I243","v":3.1},{"$f":"'Staff Alloc to Programs'!I$244","v":340410},{"$f":"'Staff Alloc to Programs'!$I288","v":0.42},{"$f":"'Staff Alloc to Programs'!I$289","v":45109},{"$f":"'Staff Alloc to Programs'!$I333+'Staff Alloc to Programs'!$I378+'Staff Alloc to Programs'!$I423+'Staff Alloc to Programs'!$I468","v":3.5900000000000003},{"$f":"'Staff Alloc to Programs'!I$334+'Staff Alloc to Programs'!I$379+'Staff Alloc to Programs'!$I424+'Staff Alloc to Programs'!I$469","v":389006},{"$f":"'Staff Alloc to Programs'!$I513","v":3.07},{"$f":"'Staff Alloc to Programs'!I$514","v":299800}]
[null,null,null,"Project Officer",2,150452,{"$f":"'Staff Alloc to Programs'!$J6","v":0},{"$f":"'Staff Alloc to Programs'!$J7","v":0},{"$f":"'Staff Alloc to Programs'!$J9","v":0},{"$f":"'Staff Alloc to Programs'!J$10","v":0},{"$f":"'Staff Alloc to Programs'!$J12","v":2},{"$f":"'Staff Alloc to Programs'!J$13","v":150452},{"$f":"'Staff Alloc to Programs'!$J15","v":0},{"$f":"'Staff Alloc to Programs'!J$16","v":0},{"$f":"'Staff Alloc to Programs'!$J18","v":0},{"$f":"'Staff Alloc to Programs'!J$19","v":0},{"$f":"'Staff Alloc to Programs'!$J63","v":0},{"$f":"'Staff Alloc to Programs'!J$64","v":0},{"$f":"'Staff Alloc to Programs'!$J108","v":0},{"$f":"'Staff Alloc to Programs'!J$109","v":0},{"$f":"'Staff Alloc to Programs'!$J153","v":0},{"$f":"'Staff Alloc to Programs'!J$154","v":0},{"$f":"'Staff Alloc to Programs'!$J198","v":0},{"$f":"'Staff Alloc to Programs'!J$199","v":0},{"$f":"'Staff Alloc to Programs'!$J243","v":0},{"$f":"'Staff Alloc to Programs'!J$244","v":0},{"$f":"'Staff Alloc to Programs'!$J288","v":0},{"$f":"'Staff Alloc to Programs'!J$289","v":0},{"$f":"'Staff Alloc to Programs'!$J333+'Staff Alloc to Programs'!$J378+'Staff Alloc to Programs'!$J423+'Staff Alloc to Programs'!$J468","v":0},{"$f":"'Staff Alloc to Programs'!J$334+'Staff Alloc to Programs'!J$379+'Staff Alloc to Programs'!$J424+'Staff Alloc to Programs'!J$469","v":0},{"$f":"'Staff Alloc to Programs'!$J513","v":0},{"$f":"'Staff Alloc to Programs'!J$514","v":0}]
[null,null,null,"Public Health Nurse",86.18,7116992,{"$f":"'Staff Alloc to Programs'!$K6","v":0},{"$f":"'Staff Alloc to Programs'!$K7","v":0},{"$f":"'Staff Alloc to Programs'!$K9","v":2.6},{"$f":"'Staff Alloc to Programs'!K$10","v":208235},{"$f":"'Staff Alloc to Programs'!$K12","v":4.9000000000000004},{"$f":"'Staff Alloc to Programs'!K$13","v":418830},{"$f":"'Staff Alloc to Programs'!$K15","v":0},{"$f":"'Staff Alloc to Programs'!K$16","v":0},{"$f":"'Staff Alloc to Programs'!$K18","v":4.7},{"$f":"'Staff Alloc to Programs'!K$19","v":394488},{"$f":"'Staff Alloc to Programs'!$K63","v":0.73},{"$f":"'Staff Alloc to Programs'!K$64","v":62135},{"$f":"'Staff Alloc to Programs'!$K108","v":0},{"$f":"'Staff Alloc to Programs'!K$109","v":0},{"$f":"'Staff Alloc to Programs'!$K153","v":19.27},{"$f":"'Staff Alloc to Programs'!K$154","v":1603394},{"$f":"'Staff Alloc to Programs'!$K198","v":4.93},{"$f":"'Staff Alloc to Programs'!K$199","v":386202},{"$f":"'Staff Alloc to Programs'!$K243","v":15.51},{"$f":"'Staff Alloc to Programs'!K$244","v":1281979},{"$f":"'Staff Alloc to Programs'!$K288","v":0},{"$f":"'Staff Alloc to Programs'!K$289","v":0},{"$f":"'Staff Alloc to Programs'!$K333+'Staff Alloc to Programs'!$K378+'Staff Alloc to Programs'!$K423+'Staff Alloc to Programs'!$K468","v":23.810000000000002},{"$f":"'Staff Alloc to Programs'!K$334+'Staff Alloc to Programs'!K$379+'Staff Alloc to Programs'!$K424+'Staff Alloc to Programs'!K$469","v":1968696},{"$f":"'Staff Alloc to Programs'!$K513","v":9.73},{"$f":"'Staff Alloc to Programs'!K$514","v":793033}]
[null,null,null,"Registered Nurse",0,0,{"$f":"'Staff Alloc to Programs'!$L6","v":0},{"$f":"'Staff Alloc to Programs'!$L7","v":0},{"$f":"'Staff Alloc to Programs'!$L9","v":0},{"$f":"'Staff Alloc to Programs'!L$10","v":0},{"$f":"'Staff Alloc to Programs'!$L12","v":0},{"$f":"'Staff Alloc to Programs'!L$13","v":0},{"$f":"'Staff Alloc to Programs'!$L15","v":0},{"$f":"'Staff Alloc to Programs'!L$16","v":0},{"$f":"'Staff Alloc to Programs'!$L18","v":0},{"$f":"'Staff Alloc to Programs'!L$19","v":0},{"$f":"'Staff Alloc to Programs'!$L63","v":0},{"$f":"'Staff Alloc to Programs'!L$64","v":0},{"$f":"'Staff Alloc to Programs'!$L108","v":0},{"$f":"'Staff Alloc to Programs'!L$109","v":0},{"$f":"'Staff Alloc to Programs'!$L153","v":0},{"$f":"'Staff Alloc to Programs'!L$154","v":0},{"$f":"'Staff Alloc to Programs'!$L198","v":0},{"$f":"'Staff Alloc to Programs'!L$199","v":0},{"$f":"'Staff Alloc to Programs'!$L243","v":0},{"$f":"'Staff Alloc to Programs'!L$244","v":0},{"$f":"'Staff Alloc to Programs'!$L288","v":0},{"$f":"'Staff Alloc to Programs'!L$289","v":0},{"$f":"'Staff Alloc to Programs'!$L333+'Staff Alloc to Programs'!$L378+'Staff Alloc to Programs'!$L423+'Staff Alloc to Programs'!$L468","v":0},{"$f":"'Staff Alloc to Programs'!L$334+'Staff Alloc to Programs'!L$379+'Staff Alloc to Programs'!$L424+'Staff Alloc to Programs'!L$469","v":0},{"$f":"'Staff Alloc to Programs'!$L513","v":0},{"$f":"'Staff Alloc to Programs'!L$514","v":0}]
[null,null,null,"Registered Practical Nurse",0,0,{"$f":"'Staff Alloc to Programs'!$M6","v":0},{"$f":"'Staff Alloc to Programs'!$M7","v":0},{"$f":"'Staff Alloc to Programs'!$M9","v":0},{"$f":"'Staff Alloc to Programs'!M$10","v":0},{"$f":"'Staff Alloc to Programs'!$M12","v":0},{"$f":"'Staff Alloc to Programs'!M$13","v":0},{"$f":"'Staff Alloc to Programs'!$M15","v":0},{"$f":"'Staff Alloc to Programs'!M$16","v":0},{"$f":"'Staff Alloc to Programs'!$M18","v":0},{"$f":"'Staff Alloc to Programs'!M$19","v":0},{"$f":"'Staff Alloc to Programs'!$M63","v":0},{"$f":"'Staff Alloc to Programs'!M$64","v":0},{"$f":"'Staff Alloc to Programs'!$M108","v":0},{"$f":"'Staff Alloc to Programs'!M$109","v":0},{"$f":"'Staff Alloc to Programs'!$M153","v":0},{"$f":"'Staff Alloc to Programs'!M$154","v":0},{"$f":"'Staff Alloc to Programs'!$M198","v":0},{"$f":"'Staff Alloc to Programs'!M$199","v":0},{"$f":"'Staff Alloc to Programs'!$M243","v":0},{"$f":"'Staff Alloc to Programs'!M$244","v":0},{"$f":"'Staff Alloc to Programs'!$M288","v":0},{"$f":"'Staff Alloc to Programs'!M$289","v":0},{"$f":"'Staff Alloc to Programs'!$M333+'Staff Alloc to Programs'!$M378+'Staff Alloc to Programs'!$M423+'Staff Alloc to Programs'!$M468","v":0},{"$f":"'Staff Alloc to Programs'!M$334+'Staff Alloc to Programs'!M$379+'Staff Alloc to Programs'!$M424+'Staff Alloc to Programs'!M$469","v":0},{"$f":"'Staff Alloc to Programs'!$M513","v":0},{"$f":"'Staff Alloc to Programs'!M$514","v":0}]
[null,null,null,"Nurse Practitioner",0,0,{"$f":"'Staff Alloc to Programs'!$N6","v":0},{"$f":"'Staff Alloc to Programs'!$N7","v":0},{"$f":"'Staff Alloc to Programs'!$N9","v":0},{"$f":"'Staff Alloc to Programs'!N$10","v":0},{"$f":"'Staff Alloc to Programs'!$N12","v":0},{"$f":"'Staff Alloc to Programs'!N$13","v":0},{"$f":"'Staff Alloc to Programs'!$N15","v":0},{"$f":"'Staff Alloc to Programs'!N$16","v":0},{"$f":"'Staff Alloc to Programs'!$N18","v":0},{"$f":"'Staff Alloc to Programs'!N$19","v":0},{"$f":"'Staff Alloc to Programs'!$N63","v":0},{"$f":"'Staff Alloc to Programs'!N$64","v":0},{"$f":"'Staff Alloc to Programs'!$N108","v":0},{"$f":"'Staff Alloc to Programs'!N$109","v":0},{"$f":"'Staff Alloc to Programs'!$N153","v":0},{"$f":"'Staff Alloc to Programs'!N$154","v":0},{"$f":"'Staff Alloc to Programs'!$N198","v":0},{"$f":"'Staff Alloc to Programs'!N$199","v":0},{"$f":"'Staff Alloc to Programs'!$N243","v":0},{"$f":"'Staff Alloc to Programs'!N$244","v":0},{"$f":"'Staff Alloc to Programs'!$N288","v":0},{"$f":"'Staff Alloc to Programs'!N$289","v":0},{"$f":"'Staff Alloc to Programs'!$N333+'Staff Alloc to Programs'!$N378+'Staff Alloc to Programs'!$N423+'Staff Alloc to Programs'!$N468","v":0},{"$f":"'Staff Alloc to Programs'!N$334+'Staff Alloc to Programs'!N$379+'Staff Alloc to Programs'!$N424+'Staff Alloc to Programs'!N$469","v":0},{"$f":"'Staff Alloc to Programs'!$N513","v":0},{"$f":"'Staff Alloc to Programs'!N$514","v":0}]
[null,null,null,"Social Determinants of Health Nurse",0,0,{"$f":"'Staff Alloc to Programs'!$O6","v":0},{"$f":"'Staff Alloc to Programs'!$O7","v":0},{"$f":"'Staff Alloc to Programs'!$O9","v":0},{"$f":"'Staff Alloc to Programs'!O$10","v":0},{"$f":"'Staff Alloc to Programs'!$O12","v":0},{"$f":"'Staff Alloc to Programs'!O$13","v":0},{"$f":"'Staff Alloc to Programs'!$O15","v":0},{"$f":"'Staff Alloc to Programs'!O$16","v":0},{"$f":"'Staff Alloc to Programs'!$O18","v":0},{"$f":"'Staff Alloc to Programs'!O$19","v":0},{"$f":"'Staff Alloc to Programs'!$O63","v":0},{"$f":"'Staff Alloc to Programs'!O$64","v":0},{"$f":"'Staff Alloc to Programs'!$O108","v":0},{"$f":"'Staff Alloc to Programs'!O$109","v":0},{"$f":"'Staff Alloc to Programs'!$O153","v":0},{"$f":"'Staff Alloc to Programs'!O$154","v":0},{"$f":"'Staff Alloc to Programs'!$O198","v":0},{"$f":"'Staff Alloc to Programs'!O$199","v":0},{"$f":"'Staff Alloc to Programs'!$O243","v":0},{"$f":"'Staff Alloc to Programs'!O$244","v":0},{"$f":"'Staff Alloc to Programs'!$O288","v":0},{"$f":"'Staff Alloc to Programs'!O$289","v":0},{"$f":"'Staff Alloc to Programs'!$O333+'Staff Alloc to Programs'!$O378+'Staff Alloc to Programs'!$O423+'Staff Alloc to Programs'!$O468","v":0},{"$f":"'Staff Alloc to Programs'!O$334+'Staff Alloc to Programs'!O$379+'Staff Alloc to Programs'!$O424+'Staff Alloc to Programs'!O$469","v":0},{"$f":"'Staff Alloc to Programs'!$O513","v":0},{"$f":"'Staff Alloc to Programs'!O$514","v":0}]
[null,null,null,"Infection Prevention and Control Nurse",0,0,{"$f":"'Staff Alloc to Programs'!$P6","v":0},{"$f":"'Staff Alloc to Programs'!$P7","v":0},{"$f":"'Staff Alloc to Programs'!$P9","v":0},{"$f":"'Staff Alloc to Programs'!P$10","v":0},{"$f":"'Staff Alloc to Programs'!$P12","v":0},{"$f":"'Staff Alloc to Programs'!P$13","v":0},{"$f":"'Staff Alloc to Programs'!$P15","v":0},{"$f":"'Staff Alloc to Programs'!P$16","v":0},{"$f":"'Staff Alloc to Programs'!$P18","v":0},{"$f":"'Staff Alloc to Programs'!P$19","v":0},{"$f":"'Staff Alloc to Programs'!$P63","v":0},{"$f":"'Staff Alloc to Programs'!P$64","v":0},{"$f":"'Staff Alloc to Programs'!$P108","v":0},{"$f":"'Staff Alloc to Programs'!P$109","v":0},{"$f":"'Staff Alloc to Programs'!$P153","v":0},{"$f":"'Staff Alloc to Programs'!P$154","v":0},{"$f":"'Staff Alloc to Programs'!$P198","v":0},{"$f":"'Staff Alloc to Programs'!P$199","v":0},{"$f":"'Staff Alloc to Programs'!$P243","v":0},{"$f":"'Staff Alloc to Programs'!P$244","v":0},{"$f":"'Staff Alloc to Programs'!$P288","v":0},{"$f":"'Staff Alloc to Programs'!P$289","v":0},{"$f":"'Staff Alloc to Programs'!$P333+'Staff Alloc to Programs'!$P378+'Staff Alloc to Programs'!$P423+'Staff Alloc to Programs'!$P468","v":0},{"$f":"'Staff Alloc to Programs'!P$334+'Staff Alloc to Programs'!P$379+'Staff Alloc to Programs'!$P424+'Staff Alloc to Programs'!P$469","v":0},{"$f":"'Staff Alloc to Programs'!$P513","v":0},{"$f":"'Staff Alloc to Programs'!P$514","v":0}]
[null,null,null,"Public Health Inspector",27,2059351,{"$f":"'Staff Alloc to Programs'!$Q6","v":0},{"$f":"'Staff Alloc to Programs'!$Q7","v":0},{"$f":"'Staff Alloc to Programs'!$Q9","v":0},{"$f":"'Staff Alloc to Programs'!Q$10","v":0},{"$f":"'Staff Alloc to Programs'!$Q12","v":0},{"$f":"'Staff Alloc to Programs'!Q$13","v":0},{"$f":"'Staff Alloc to Programs'!$Q15","v":0},{"$f":"'Staff Alloc to Programs'!Q$16","v":0},{"$f":"'Staff Alloc to Programs'!$Q18","v":0.7},{"$f":"'Staff Alloc to Programs'!Q$19","v":52491},{"$f":"'Staff Alloc to Programs'!$Q63","v":10.42},{"$f":"'Staff Alloc to Programs'!Q$64","v":782607},{"$f":"'Staff Alloc to Programs'!$Q108","v":3.84},{"$f":"'Staff Alloc to Programs'!Q$109","v":288870},{"$f":"'Staff Alloc to Programs'!$Q153","v":0},{"$f":"'Staff Alloc to Programs'!Q$154","v":0},{"$f":"'Staff Alloc to Programs'!$Q198","v":0},{"$f":"'Staff Alloc to Programs'!Q$199","v":0},{"$f":"'Staff Alloc to Programs'!$Q243","v":9.24},{"$f":"'Staff Alloc to Programs'!Q$244","v":715212},{"$f":"'Staff Alloc to Programs'!$Q288","v":2.8},{"$f":"'Staff Alloc to Programs'!Q$289","v":220171},{"$f":"'Staff Alloc to Programs'!$Q333+'Staff Alloc to Programs'!$Q378+'Staff Alloc to Programs'!$Q423+'Staff Alloc to Programs'!$Q468","v":0},{"$f":"'Staff Alloc to Programs'!Q$334+'Staff Alloc to Programs'!Q$379+'Staff Alloc to Programs'!$Q424+'Staff Alloc to Programs'!Q$469","v":0},{"$f":"'Staff Alloc to Programs'!$Q513","v":0},{"$f":"'Staff Alloc to Programs'!Q$514","v":0}]
[null,null,null,"Dentist",2,315959,{"$f":"'Staff Alloc to Programs'!$R6","v":0},{"$f":"'Staff Alloc to Programs'!$R7","v":0},{"$f":"'Staff Alloc to Programs'!$R9","v":0},{"$f":"'Staff Alloc to Programs'!R$10","v":0},{"$f":"'Staff Alloc to Programs'!$R12","v":0},{"$f":"'Staff Alloc to Programs'!R$13","v":0},{"$f":"'Staff Alloc to Programs'!$R15","v":0},{"$f":"'Staff Alloc to Programs'!R$16","v":0},{"$f":"'Staff Alloc to Programs'!$R18","v":2},{"$f":"'Staff Alloc to Programs'!R$19","v":315959},{"$f":"'Staff Alloc to Programs'!$R63","v":0},{"$f":"'Staff Alloc to Programs'!R$64","v":0},{"$f":"'Staff Alloc to Programs'!$R108","v":0},{"$f":"'Staff Alloc to Programs'!R$109","v":0},{"$f":"'Staff Alloc to Programs'!$R153","v":0},{"$f":"'Staff Alloc to Programs'!R$154","v":0},{"$f":"'Staff Alloc to Programs'!$R198","v":0},{"$f":"'Staff Alloc to Programs'!R$199","v":0},{"$f":"'Staff Alloc to Programs'!$R243","v":0},{"$f":"'Staff Alloc to Programs'!R$244","v":0},{"$f":"'Staff Alloc to Programs'!$R288","v":0},{"$f":"'Staff Alloc to Programs'!R$289","v":0},{"$f":"'Staff Alloc to Programs'!$R333+'Staff Alloc to Programs'!$R378+'Staff Alloc to Programs'!$R423+'Staff Alloc to Programs'!$R468","v":0},{"$f":"'Staff Alloc to Programs'!R$334+'Staff Alloc to Programs'!R$379+'Staff Alloc to Programs'!$R424+'Staff Alloc to Programs'!R$469","v":0},{"$f":"'Staff Alloc to Programs'!$R513","v":0},{"$f":"'Staff Alloc to Programs'!R$514","v":0}]
[null,null,null,"Dental Hygienist",10.01,695858,{"$f":"'Staff Alloc to Programs'!$S6","v":0},{"$f":"'Staff Alloc to Programs'!$S7","v":0},{"$f":"'Staff Alloc to Programs'!$S9","v":0},{"$f":"'Staff Alloc to Programs'!S$10","v":0},{"$f":"'Staff Alloc to Programs'!$S12","v":0},{"$f":"'Staff Alloc to Programs'!S$13","v":0},{"$f":"'Staff Alloc to Programs'!$S15","v":0},{"$f":"'Staff Alloc to Programs'!S$16","v":0},{"$f":"'Staff Alloc to Programs'!$S18","v":8.5299999999999994},{"$f":"'Staff Alloc to Programs'!S$19","v":599138},{"$f":"'Staff Alloc to Programs'!$S63","v":0},{"$f":"'Staff Alloc to Programs'!S$64","v":0},{"$f":"'Staff Alloc to Programs'!$S108","v":0},{"$f":"'Staff Alloc to Programs'!S$109","v":0},{"$f":"'Staff Alloc to Programs'!$S153","v":0},{"$f":"'Staff Alloc to Programs'!S$154","v":0},{"$f":"'Staff Alloc to Programs'!$S198","v":0},{"$f":"'Staff Alloc to Programs'!S$199","v":0},{"$f":"'Staff Alloc to Programs'!$S243","v":0},{"$f":"'Staff Alloc to Programs'!S$244","v":0},{"$f":"'Staff Alloc to Programs'!$S288","v":0},{"$f":"'Staff Alloc to Programs'!S$289","v":0},{"$f":"'Staff Alloc to Programs'!$S333+'Staff Alloc to Programs'!$S378+'Staff Alloc to Programs'!$S423+'Staff Alloc to Programs'!$S468","v":1.48},{"$f":"'Staff Alloc to Programs'!S$334+'Staff Alloc to Programs'!S$379+'Staff Alloc to Programs'!$S424+'Staff Alloc to Programs'!S$469","v":96720},{"$f":"'Staff Alloc to Programs'!$S513","v":0},{"$f":"'Staff Alloc to Programs'!S$514","v":0}]
[null,null,null,"Dental Assistant",12.01,644814,{"$f":"'Staff Alloc to Programs'!$T6","v":0},{"$f":"'Staff Alloc to Programs'!$T7","v":0},{"$f":"'Staff Alloc to Programs'!$T9","v":0},{"$f":"'Staff Alloc to Programs'!T$10","v":0},{"$f":"'Staff Alloc to Programs'!$T12","v":0},{"$f":"'Staff Alloc to Programs'!T$13","v":0},{"$f":"'Staff Alloc to Programs'!$T15","v":0},{"$f":"'Staff Alloc to Programs'!T$16","v":0},{"$f":"'Staff Alloc to Programs'!$T18","v":10.61},{"$f":"'Staff Alloc to Programs'!T$19","v":574467},{"$f":"'Staff Alloc to Programs'!$T63","v":0},{"$f":"'Staff Alloc to Programs'!T$64","v":0},{"$f":"'Staff Alloc to Programs'!$T108","v":0},{"$f":"'Staff Alloc to Programs'!T$109","v":0},{"$f":"'Staff Alloc to Programs'!$T153","v":0},{"$f":"'Staff Alloc to Programs'!T$154","v":0},{"$f":"'Staff Alloc to Programs'!$T198","v":0},{"$f":"'Staff Alloc to Programs'!T$199","v":0},{"$f":"'Staff Alloc to Programs'!$T243","v":0},{"$f":"'Staff Alloc to Programs'!T$244","v":0},{"$f":"'Staff Alloc to Programs'!$T288","v":0},{"$f":"'Staff Alloc to Programs'!T$289","v":0},{"$f":"'Staff Alloc to Programs'!$T333+'Staff Alloc to Programs'!$T378+'Staff Alloc to Programs'!$T423+'Staff Alloc to Programs'!$T468","v":1.4},{"$f":"'Staff Alloc to Programs'!T$334+'Staff Alloc to Programs'!T$379+'Staff Alloc to Programs'!$T424+'Staff Alloc to Programs'!T$469","v":70347},{"$f":"'Staff Alloc to Programs'!$T513","v":0},{"$f":"'Staff Alloc to Programs'!T$514","v":0}]
[null,null,null,"Health Promoter",3,206852,{"$f":"'Staff Alloc to Programs'!$U6","v":0},{"$f":"'Staff Alloc to Programs'!$U7","v":0},{"$f":"'Staff Alloc to Programs'!$U9","v":0},{"$f":"'Staff Alloc to Programs'!U$10","v":0},{"$f":"'Staff Alloc to Programs'!$U12","v":0},{"$f":"'Staff Alloc to Programs'!U$13","v":0},{"$f":"'Staff Alloc to Programs'!$U15","v":0},{"$f":"'Staff Alloc to Programs'!U$16","v":0},{"$f":"'Staff Alloc to Programs'!$U18","v":0.75},{"$f":"'Staff Alloc to Programs'!U$19","v":51920},{"$f":"'Staff Alloc to Programs'!$U63","v":0},{"$f":"'Staff Alloc to Programs'!U$64","v":0},{"$f":"'Staff Alloc to Programs'!$U108","v":0},{"$f":"'Staff Alloc to Programs'!U$109","v":0},{"$f":"'Staff Alloc to Programs'!$U153","v":0},{"$f":"'Staff Alloc to Programs'!U$154","v":0},{"$f":"'Staff Alloc to Programs'!$U198","v":0},{"$f":"'Staff Alloc to Programs'!U$199","v":0},{"$f":"'Staff Alloc to Programs'!$U243","v":0},{"$f":"'Staff Alloc to Programs'!U$244","v":0},{"$f":"'Staff Alloc to Programs'!$U288","v":0},{"$f":"'Staff Alloc to Programs'!U$289","v":0},{"$f":"'Staff Alloc to Programs'!$U333+'Staff Alloc to Programs'!$U378+'Staff Alloc to Programs'!$U423+'Staff Alloc to Programs'!$U468","v":1.1300000000000001},{"$f":"'Staff Alloc to Programs'!U$334+'Staff Alloc to Programs'!U$379+'Staff Alloc to Programs'!$U424+'Staff Alloc to Programs'!U$469","v":77845},{"$f":"'Staff Alloc to Programs'!$U513","v":1.1200000000000001},{"$f":"'Staff Alloc to Programs'!U$514","v":77087}]
[null,null,null,"Nutritionist",0,0,{"$f":"'Staff Alloc to Programs'!$V6","v":0},{"$f":"'Staff Alloc to Programs'!$V7","v":0},{"$f":"'Staff Alloc to Programs'!$V9","v":0},{"$f":"'Staff Alloc to Programs'!V$10","v":0},{"$f":"'Staff Alloc to Programs'!$V12","v":0},{"$f":"'Staff Alloc to Programs'!V$13","v":0},{"$f":"'Staff Alloc to Programs'!$V15","v":0},{"$f":"'Staff Alloc to Programs'!V$16","v":0},{"$f":"'Staff Alloc to Programs'!$V18","v":0},{"$f":"'Staff Alloc to Programs'!V$19","v":0},{"$f":"'Staff Alloc to Programs'!$V63","v":0},{"$f":"'Staff Alloc to Programs'!V$64","v":0},{"$f":"'Staff Alloc to Programs'!$V108","v":0},{"$f":"'Staff Alloc to Programs'!V$109","v":0},{"$f":"'Staff Alloc to Programs'!$V153","v":0},{"$f":"'Staff Alloc to Programs'!V$154","v":0},{"$f":"'Staff Alloc to Programs'!$V198","v":0},{"$f":"'Staff Alloc to Programs'!V$199","v":0},{"$f":"'Staff Alloc to Programs'!$V243","v":0},{"$f":"'Staff Alloc to Programs'!V$244","v":0},{"$f":"'Staff Alloc to Programs'!$V288","v":0},{"$f":"'Staff Alloc to Programs'!V$289","v":0},{"$f":"'Staff Alloc to Programs'!$V333+'Staff Alloc to Programs'!$V378+'Staff Alloc to Programs'!$V423+'Staff Alloc to Programs'!$V468","v":0},{"$f":"'Staff Alloc to Programs'!V$334+'Staff Alloc to Programs'!V$379+'Staff Alloc to Programs'!$V424+'Staff Alloc to Programs'!V$469","v":0},{"$f":"'Staff Alloc to Programs'!$V513","v":0},{"$f":"'Staff Alloc to Programs'!V$514","v":0}]
[null,null,null,"Dietitian",5.8000000000000007,427152,{"$f":"'Staff Alloc to Programs'!$W6","v":0},{"$f":"'Staff Alloc to Programs'!$W7","v":0},{"$f":"'Staff Alloc to Programs'!$W9","v":0},{"$f":"'Staff Alloc to Programs'!W$10","v":0},{"$f":"'Staff Alloc to Programs'!$W12","v":0},{"$f":"'Staff Alloc to Programs'!W$13","v":0},{"$f":"'Staff Alloc to Programs'!$W15","v":0},{"$f":"'Staff Alloc to Programs'!W$16","v":0},{"$f":"'Staff Alloc to Programs'!$W18","v":3.72},{"$f":"'Staff Alloc to Programs'!W$19","v":273966},{"$f":"'Staff Alloc to Programs'!$W63","v":0},{"$f":"'Staff Alloc to Programs'!W$64","v":0},{"$f":"'Staff Alloc to Programs'!$W108","v":0},{"$f":"'Staff Alloc to Programs'!W$109","v":0},{"$f":"'Staff Alloc to Programs'!$W153","v":0.64},{"$f":"'Staff Alloc to Programs'!W$154","v":47429},{"$f":"'Staff Alloc to Programs'!$W198","v":0},{"$f":"'Staff Alloc to Programs'!W$199","v":0},{"$f":"'Staff Alloc to Programs'!$W243","v":0},{"$f":"'Staff Alloc to Programs'!W$244","v":0},{"$f":"'Staff Alloc to Programs'!$W288","v":0},{"$f":"'Staff Alloc to Programs'!W$289","v":0},{"$f":"'Staff Alloc to Programs'!$W333+'Staff Alloc to Programs'!$W378+'Staff Alloc to Programs'!$W423+'Staff Alloc to Programs'!$W468","v":0.65},{"$f":"'Staff Alloc to Programs'!W$334+'Staff Alloc to Programs'!W$379+'Staff Alloc to Programs'!WH424+'Staff Alloc to Programs'!W$469","v":47502},{"$f":"'Staff Alloc to Programs'!$W513","v":0.79},{"$f":"'Staff Alloc to Programs'!W$514","v":58255}]
[null,null,null,"Epidemiologist",3,276492,{"$f":"'Staff Alloc to Programs'!$X6","v":2.4},{"$f":"'Staff Alloc to Programs'!$X7","v":221194},{"$f":"'Staff Alloc to Programs'!$X9","v":0},{"$f":"'Staff Alloc to Programs'!X$10","v":0},{"$f":"'Staff Alloc to Programs'!$X12","v":0.6},{"$f":"'Staff Alloc to Programs'!X$13","v":55298},{"$f":"'Staff Alloc to Programs'!$X15","v":0},{"$f":"'Staff Alloc to Programs'!X$16","v":0},{"$f":"'Staff Alloc to Programs'!$X18","v":0},{"$f":"'Staff Alloc to Programs'!X$19","v":0},{"$f":"'Staff Alloc to Programs'!$X63","v":0},{"$f":"'Staff Alloc to Programs'!X$64","v":0},{"$f":"'Staff Alloc to Programs'!$X108","v":0},{"$f":"'Staff Alloc to Programs'!X$109","v":0},{"$f":"'Staff Alloc to Programs'!$X153","v":0},{"$f":"'Staff Alloc to Programs'!X$154","v":0},{"$f":"'Staff Alloc to Programs'!$X198","v":0},{"$f":"'Staff Alloc to Programs'!X$199","v":0},{"$f":"'Staff Alloc to Programs'!$X243","v":0},{"$f":"'Staff Alloc to Programs'!X$244","v":0},{"$f":"'Staff Alloc to Programs'!$X288","v":0},{"$f":"'Staff Alloc to Programs'!X$289","v":0},{"$f":"'Staff Alloc to Programs'!$X333+'Staff Alloc to Programs'!$X378+'Staff Alloc to Programs'!$X423+'Staff Alloc to Programs'!$X468","v":0},{"$f":"'Staff Alloc to Programs'!X$334+'Staff Alloc to Programs'!X$379+'Staff Alloc to Programs'!$X424+'Staff Alloc to Programs'!X$469","v":0},{"$f":"'Staff Alloc to Programs'!$X513","v":0},{"$f":"'Staff Alloc to Programs'!X$514","v":0}]
[null,null,null,"Program Coordinator ",0,0,{"$f":"'Staff Alloc to Programs'!$Y6","v":0},{"$f":"'Staff Alloc to Programs'!$Y7","v":0},{"$f":"'Staff Alloc to Programs'!$Y9","v":0},{"$f":"'Staff Alloc to Programs'!Y$10","v":0},{"$f":"'Staff Alloc to Programs'!$Y12","v":0},{"$f":"'Staff Alloc to Programs'!Y$13","v":0},{"$f":"'Staff Alloc to Programs'!$Y15","v":0},{"$f":"'Staff Alloc to Programs'!Y$16","v":0},{"$f":"'Staff Alloc to Programs'!$Y18","v":0},{"$f":"'Staff Alloc to Programs'!Y$19","v":0},{"$f":"'Staff Alloc to Programs'!$Y63","v":0},{"$f":"'Staff Alloc to Programs'!Y$64","v":0},{"$f":"'Staff Alloc to Programs'!$Y108","v":0},{"$f":"'Staff Alloc to Programs'!Y$109","v":0},{"$f":"'Staff Alloc to Programs'!$Y153","v":0},{"$f":"'Staff Alloc to Programs'!Y$154","v":0},{"$f":"'Staff Alloc to Programs'!$Y198","v":0},{"$f":"'Staff Alloc to Programs'!Y$199","v":0},{"$f":"'Staff Alloc to Programs'!$Y243","v":0},{"$f":"'Staff Alloc to Programs'!Y$244","v":0},{"$f":"'Staff Alloc to Programs'!$Y288","v":0},{"$f":"'Staff Alloc to Programs'!Y$289","v":0},{"$f":"'Staff Alloc to Programs'!$Y333+'Staff Alloc to Programs'!$Y378+'Staff Alloc to Programs'!$Y423+'Staff Alloc to Programs'!$Y468","v":0},{"$f":"'Staff Alloc to Programs'!Y$334+'Staff Alloc to Programs'!Y$379+'Staff Alloc to Programs'!$Y424+'Staff Alloc to Programs'!Y$469","v":0},{"$f":"'Staff Alloc to Programs'!$Y513","v":0},{"$f":"'Staff Alloc to Programs'!Y$514","v":0}]
[null,null,null,"Program Support Staff",33.89,1747396,{"$f":"'Staff Alloc to Programs'!$Z6","v":0.02},{"$f":"'Staff Alloc to Programs'!$Z7","v":791},{"$f":"'Staff Alloc to Programs'!$Z9","v":0.34},{"$f":"'Staff Alloc to Programs'!Z$10","v":17198},{"$f":"'Staff Alloc to Programs'!$Z12","v":1.24},{"$f":"'Staff Alloc to Programs'!Z$13","v":66476},{"$f":"'Staff Alloc to Programs'!$Z15","v":0.02},{"$f":"'Staff Alloc to Programs'!Z$16","v":791},{"$f":"'Staff Alloc to Programs'!$Z18","v":1.87},{"$f":"'Staff Alloc to Programs'!Z$19","v":94582},{"$f":"'Staff Alloc to Programs'!$Z63","v":0.82},{"$f":"'Staff Alloc to Programs'!Z$64","v":42109},{"$f":"'Staff Alloc to Programs'!$Z108","v":0.33},{"$f":"'Staff Alloc to Programs'!Z$109","v":16479},{"$f":"'Staff Alloc to Programs'!$Z153","v":5.93},{"$f":"'Staff Alloc to Programs'!Z$154","v":303900},{"$f":"'Staff Alloc to Programs'!$Z198","v":3.69},{"$f":"'Staff Alloc to Programs'!Z$199","v":178195},{"$f":"'Staff Alloc to Programs'!$Z243","v":11.95},{"$f":"'Staff Alloc to Programs'!Z$244","v":650888},{"$f":"'Staff Alloc to Programs'!$Z288","v":0.44},{"$f":"'Staff Alloc to Programs'!Z$289","v":18832},{"$f":"'Staff Alloc to Programs'!$Z333+'Staff Alloc to Programs'!$Z378+'Staff Alloc to Programs'!$Z423+'Staff Alloc to Programs'!$Z468","v":4.3000000000000007},{"$f":"'Staff Alloc to Programs'!Z$334+'Staff Alloc to Programs'!Z$379+'Staff Alloc to Programs'!$Z424+'Staff Alloc to Programs'!Z$469","v":210367},{"$f":"'Staff Alloc to Programs'!$Z513","v":2.94},{"$f":"'Staff Alloc to Programs'!Z$514","v":146788}]
[null,null,null,"SFOA Inspector",3.21,186376,{"$f":"'Staff Alloc to Programs'!$AA6","v":0},{"$f":"'Staff Alloc to Programs'!$AA7","v":0},{"$f":"'Staff Alloc to Programs'!$AA9","v":0},{"$f":"'Staff Alloc to Programs'!AA$10","v":0},{"$f":"'Staff Alloc to Programs'!$AA12","v":0},{"$f":"'Staff Alloc to Programs'!AA$13","v":0},{"$f":"'Staff Alloc to Programs'!$AA15","v":0},{"$f":"'Staff Alloc to Programs'!AA$16","v":0},{"$f":"'Staff Alloc to Programs'!$AA18","v":0.03},{"$f":"'Staff Alloc to Programs'!AA$19","v":1677},{"$f":"'Staff Alloc to Programs'!$AA63","v":0},{"$f":"'Staff Alloc to Programs'!AA$64","v":0},{"$f":"'Staff Alloc to Programs'!$AA108","v":0},{"$f":"'Staff Alloc to Programs'!AA$109","v":0},{"$f":"'Staff Alloc to Programs'!$AA153","v":0},{"$f":"'Staff Alloc to Programs'!AA$154","v":0},{"$f":"'Staff Alloc to Programs'!$AA198","v":0},{"$f":"'Staff Alloc to Programs'!AA$199","v":0},{"$f":"'Staff Alloc to Programs'!$AA243","v":0},{"$f":"'Staff Alloc to Programs'!AA$244","v":0},{"$f":"'Staff Alloc to Programs'!$AA288","v":0},{"$f":"'Staff Alloc to Programs'!AA$289","v":0},{"$f":"'Staff Alloc to Programs'!$AA333+'Staff Alloc to Programs'!$AA378+'Staff Alloc to Programs'!$AA423+'Staff Alloc to Programs'!$AA468","v":0},{"$f":"'Staff Alloc to Programs'!AA$334+'Staff Alloc to Programs'!AA$379+'Staff Alloc to Programs'!$AA424+'Staff Alloc to Programs'!AA$469","v":0},{"$f":"'Staff Alloc to Programs'!$AA513","v":3.18},{"$f":"'Staff Alloc to Programs'!AA$514","v":184699}]
[null,null,null,"Tobacco Control Coordinator/Manager",0,0,{"$f":"'Staff Alloc to Programs'!$AB6","v":0},{"$f":"'Staff Alloc to Programs'!$AB7","v":0},{"$f":"'Staff Alloc to Programs'!$AB9","v":0},{"$f":"'Staff Alloc to Programs'!AB$10","v":0},{"$f":"'Staff Alloc to Programs'!$AB12","v":0},{"$f":"'Staff Alloc to Programs'!AB$13","v":0},{"$f":"'Staff Alloc to Programs'!$AB15","v":0},{"$f":"'Staff Alloc to Programs'!AB$16","v":0},{"$f":"'Staff Alloc to Programs'!$AB18","v":0},{"$f":"'Staff Alloc to Programs'!AB$19","v":0},{"$f":"'Staff Alloc to Programs'!$AB63","v":0},{"$f":"'Staff Alloc to Programs'!AB$64","v":0},{"$f":"'Staff Alloc to Programs'!$AB108","v":0},{"$f":"'Staff Alloc to Programs'!AB$109","v":0},{"$f":"'Staff Alloc to Programs'!$AB153","v":0},{"$f":"'Staff Alloc to Programs'!AB$154","v":0},{"$f":"'Staff Alloc to Programs'!$AB198","v":0},{"$f":"'Staff Alloc to Programs'!AB$199","v":0},{"$f":"'Staff Alloc to Programs'!$AB243","v":0},{"$f":"'Staff Alloc to Programs'!AB$244","v":0},{"$f":"'Staff Alloc to Programs'!$AB288","v":0},{"$f":"'Staff Alloc to Programs'!AB$289","v":0},{"$f":"'Staff Alloc to Programs'!$AB333+'Staff Alloc to Programs'!$AB378+'Staff Alloc to Programs'!$AB423+'Staff Alloc to Programs'!$AB468","v":0},{"$f":"'Staff Alloc to Programs'!AB$334+'Staff Alloc to Programs'!AB$379+'Staff Alloc to Programs'!$AB424+'Staff Alloc to Programs'!AB$469","v":0},{"$f":"'Staff Alloc to Programs'!$AB513","v":0},{"$f":"'Staff Alloc to Programs'!AB$514","v":0}]
[null,null,null,"TCAN Coordinator",0,0,{"$f":"'Staff Alloc to Programs'!$AC6","v":0},{"$f":"'Staff Alloc to Programs'!$AC7","v":0},{"$f":"'Staff Alloc to Programs'!$AC9","v":0},{"$f":"'Staff Alloc to Programs'!AC$10","v":0},{"$f":"'Staff Alloc to Programs'!$AC12","v":0},{"$f":"'Staff Alloc to Programs'!AC$13","v":0},{"$f":"'Staff Alloc to Programs'!$AC15","v":0},{"$f":"'Staff Alloc to Programs'!AC$16","v":0},{"$f":"'Staff Alloc to Programs'!$AC18","v":0},{"$f":"'Staff Alloc to Programs'!AC$19","v":0},{"$f":"'Staff Alloc to Programs'!$AC63","v":0},{"$f":"'Staff Alloc to Programs'!AC$64","v":0},{"$f":"'Staff Alloc to Programs'!$AC108","v":0},{"$f":"'Staff Alloc to Programs'!AC$109","v":0},{"$f":"'Staff Alloc to Programs'!$AC153","v":0},{"$f":"'Staff Alloc to Programs'!AC$154","v":0},{"$f":"'Staff Alloc to Programs'!$AC198","v":0},{"$f":"'Staff Alloc to Programs'!AC$199","v":0},{"$f":"'Staff Alloc to Programs'!$AC243","v":0},{"$f":"'Staff Alloc to Programs'!AC$244","v":0},{"$f":"'Staff Alloc to Programs'!$AC288","v":0},{"$f":"'Staff Alloc to Programs'!AC$289","v":0},{"$f":"'Staff Alloc to Programs'!$AC333+'Staff Alloc to Programs'!$AC378+'Staff Alloc to Programs'!$AC423+'Staff Alloc to Programs'!$AC468","v":0},{"$f":"'Staff Alloc to Programs'!AC$334+'Staff Alloc to Programs'!AC$379+'Staff Alloc to Programs'!$AC424+'Staff Alloc to Programs'!AC$469","v":0},{"$f":"'Staff Alloc to Programs'!$AC513","v":0},{"$f":"'Staff Alloc to Programs'!AC$514","v":0}]
[null,null,null,"Youth Development Specialist",1,68951,{"$f":"'Staff Alloc to Programs'!$AD6","v":0},{"$f":"'Staff Alloc to Programs'!$AD7","v":0},{"$f":"'Staff Alloc to Programs'!$AD9","v":0},{"$f":"'Staff Alloc to Programs'!AD$10","v":0},{"$f":"'Staff Alloc to Programs'!$AD12","v":0},{"$f":"'Staff Alloc to Programs'!AD$13","v":0},{"$f":"'Staff Alloc to Programs'!$AD15","v":0},{"$f":"'Staff Alloc to Programs'!AD$16","v":0},{"$f":"'Staff Alloc to Programs'!$AD18","v":0.01},{"$f":"'Staff Alloc to Programs'!AD$19","v":621},{"$f":"'Staff Alloc to Programs'!$AD63","v":0},{"$f":"'Staff Alloc to Programs'!AD$64","v":0},{"$f":"'Staff Alloc to Programs'!$AD108","v":0},{"$f":"'Staff Alloc to Programs'!AD$109","v":0},{"$f":"'Staff Alloc to Programs'!$AD153","v":0},{"$f":"'Staff Alloc to Programs'!AD$154","v":0},{"$f":"'Staff Alloc to Programs'!$AD198","v":0},{"$f":"'Staff Alloc to Programs'!AD$199","v":0},{"$f":"'Staff Alloc to Programs'!$AD243","v":0},{"$f":"'Staff Alloc to Programs'!AD$244","v":0},{"$f":"'Staff Alloc to Programs'!$AD288","v":0},{"$f":"'Staff Alloc to Programs'!AD$289","v":0},{"$f":"'Staff Alloc to Programs'!$AD333+'Staff Alloc to Programs'!$AD378+'Staff Alloc to Programs'!$AD423+'Staff Alloc to Programs'!$AD468","v":0},{"$f":"'Staff Alloc to Programs'!AD$334+'Staff Alloc to Programs'!AD$379+'Staff Alloc to Programs'!$AD424+'Staff Alloc to Programs'!AD$469","v":0},{"$f":"'Staff Alloc to Programs'!$AD513","v":0.99},{"$f":"'Staff Alloc to Programs'!AD$514","v":68330}]
[null,null,null,"Youth Engagement Coordinator",0,0,{"$f":"'Staff Alloc to Programs'!$AE6","v":0},{"$f":"'Staff Alloc to Programs'!$AE7","v":0},{"$f":"'Staff Alloc to Programs'!$AE9","v":0},{"$f":"'Staff Alloc to Programs'!AE$10","v":0},{"$f":"'Staff Alloc to Programs'!$AE12","v":0},{"$f":"'Staff Alloc to Programs'!AE$13","v":0},{"$f":"'Staff Alloc to Programs'!$AE15","v":0},{"$f":"'Staff Alloc to Programs'!AE$16","v":0},{"$f":"'Staff Alloc to Programs'!$AE18","v":0},{"$f":"'Staff Alloc to Programs'!AE$19","v":0},{"$f":"'Staff Alloc to Programs'!$AE63","v":0},{"$f":"'Staff Alloc to Programs'!AE$64","v":0},{"$f":"'Staff Alloc to Programs'!$AE108","v":0},{"$f":"'Staff Alloc to Programs'!AE$109","v":0},{"$f":"'Staff Alloc to Programs'!$AE153","v":0},{"$f":"'Staff Alloc to Programs'!AE$154","v":0},{"$f":"'Staff Alloc to Programs'!$AE198","v":0},{"$f":"'Staff Alloc to Programs'!AE$199","v":0},{"$f":"'Staff Alloc to Programs'!$AE243","v":0},{"$f":"'Staff Alloc to Programs'!AE$244","v":0},{"$f":"'Staff Alloc to Programs'!$AE288","v":0},{"$f":"'Staff Alloc to Programs'!AE$289","v":0},{"$f":"'Staff Alloc to Programs'!$AE333+'Staff Alloc to Programs'!$AE378+'Staff Alloc to Programs'!$AE423+'Staff Alloc to Programs'!$AE468","v":0},{"$f":"'Staff Alloc to Programs'!AE$334+'Staff Alloc to Programs'!AE$379+'Staff Alloc to Programs'!$AE424+'Staff Alloc to Programs'!AE$469","v":0},{"$f":"'Staff Alloc to Programs'!$AE513","v":0},{"$f":"'Staff Alloc to Programs'!AE$514","v":0}]
[null,null,null,"Other SFO staff",0,0,{"$f":"'Staff Alloc to Programs'!$AF6","v":0},{"$f":"'Staff Alloc to Programs'!$AF7","v":0},{"$f":"'Staff Alloc to Programs'!$AF9","v":0},{"$f":"'Staff Alloc to Programs'!AF$10","v":0},{"$f":"'Staff Alloc to Programs'!$AF12","v":0},{"$f":"'Staff Alloc to Programs'!AF$13","v":0},{"$f":"'Staff Alloc to Programs'!$AF15","v":0},{"$f":"'Staff Alloc to Programs'!AF$16","v":0},{"$f":"'Staff Alloc to Programs'!$AF18","v":0},{"$f":"'Staff Alloc to Programs'!AF$19","v":0},{"$f":"'Staff Alloc to Programs'!$AF63","v":0},{"$f":"'Staff Alloc to Programs'!AF$64","v":0},{"$f":"'Staff Alloc to Programs'!$AF108","v":0},{"$f":"'Staff Alloc to Programs'!AF$109","v":0},{"$f":"'Staff Alloc to Programs'!$AF153","v":0},{"$f":"'Staff Alloc to Programs'!AF$154","v":0},{"$f":"'Staff Alloc to Programs'!$AF198","v":0},{"$f":"'Staff Alloc to Programs'!AF$199","v":0},{"$f":"'Staff Alloc to Programs'!$AF243","v":0},{"$f":"'Staff Alloc to Programs'!AF$244","v":0},{"$f":"'Staff Alloc to Programs'!$AF288","v":0},{"$f":"'Staff Alloc to Programs'!AF$289","v":0},{"$f":"'Staff Alloc to Programs'!$AF333+'Staff Alloc to Programs'!$AF378+'Staff Alloc to Programs'!$AF423+'Staff Alloc to Programs'!$AF468","v":0},{"$f":"'Staff Alloc to Programs'!AF$334+'Staff Alloc to Programs'!AF$379+'Staff Alloc to Programs'!$AF424+'Staff Alloc to Programs'!AF$469","v":0},{"$f":"'Staff Alloc to Programs'!$AF513","v":0},{"$f":"'Staff Alloc to Programs'!AF$514","v":0}]
[null,null,null,"Student",0.7,43855,{"$f":"'Staff Alloc to Programs'!$AG6","v":0},{"$f":"'Staff Alloc to Programs'!$AG7","v":0},{"$f":"'Staff Alloc to Programs'!$AG9","v":0},{"$f":"'Staff Alloc to Programs'!$AG10","v":0},{"$f":"'Staff Alloc to Programs'!$AG12","v":0},{"$f":"'Staff Alloc to Programs'!$AG13","v":0},{"$f":"'Staff Alloc to Programs'!$AG15","v":0},{"$f":"'Staff Alloc to Programs'!$AG16","v":0},{"$f":"'Staff Alloc to Programs'!$AG18","v":0},{"$f":"'Staff Alloc to Programs'!$AG19","v":0},{"$f":"'Staff Alloc to Programs'!$AG63","v":0},{"$f":"'Staff Alloc to Programs'!$AG64","v":0},{"$f":"'Staff Alloc to Programs'!$AG108","v":0},{"$f":"'Staff Alloc to Programs'!$AG109","v":0},{"$f":"'Staff Alloc to Programs'!$AG153","v":0},{"$f":"'Staff Alloc to Programs'!$AG154","v":0},{"$f":"'Staff Alloc to Programs'!$AG198","v":0},{"$f":"'Staff Alloc to Programs'!$AG199","v":0},{"$f":"'Staff Alloc to Programs'!$AG243","v":0.7},{"$f":"'Staff Alloc to Programs'!$AG244","v":43855},{"$f":"'Staff Alloc to Programs'!$AG288","v":0},{"$f":"'Staff Alloc to Programs'!$AG289","v":0},{"$f":"'Staff Alloc to Programs'!$AG333+'Staff Alloc to Programs'!$AG378+'Staff Alloc to Programs'!$AG423+'Staff Alloc to Programs'!$AG468","v":0},{"$f":"'Staff Alloc to Programs'!AG$334+'Staff Alloc to Programs'!AG$379+'Staff Alloc to Programs'!$AG424+'Staff Alloc to Programs'!AG$469","v":0},{"$f":"'Staff Alloc to Programs'!$AG513","v":0},{"$f":"'Staff Alloc to Programs'!$AG514","v":0}]
[null,null,null,"Communications Staff",3.6,222051,{"$f":"'Staff Alloc to Programs'!$AH6","v":0},{"$f":"'Staff Alloc to Programs'!$AH7","v":0},{"$f":"'Staff Alloc to Programs'!$AH9","v":0},{"$f":"'Staff Alloc to Programs'!$AH10","v":0},{"$f":"'Staff Alloc to Programs'!$AH12","v":3},{"$f":"'Staff Alloc to Programs'!$AH13","v":187347},{"$f":"'Staff Alloc to Programs'!$AH15","v":0},{"$f":"'Staff Alloc to Programs'!$AH16","v":0},{"$f":"'Staff Alloc to Programs'!$AH18","v":0},{"$f":"'Staff Alloc to Programs'!$AH19","v":0},{"$f":"'Staff Alloc to Programs'!$AH63","v":0},{"$f":"'Staff Alloc to Programs'!$AH64","v":0},{"$f":"'Staff Alloc to Programs'!$AH108","v":0},{"$f":"'Staff Alloc to Programs'!$AH109","v":0},{"$f":"'Staff Alloc to Programs'!$AH153","v":0},{"$f":"'Staff Alloc to Programs'!$AH154","v":0},{"$f":"'Staff Alloc to Programs'!$AH198","v":0},{"$f":"'Staff Alloc to Programs'!$AH199","v":0},{"$f":"'Staff Alloc to Programs'!$AH243","v":0},{"$f":"'Staff Alloc to Programs'!$AH244","v":0},{"$f":"'Staff Alloc to Programs'!$AH288","v":0},{"$f":"'Staff Alloc to Programs'!$AH289","v":0},{"$f":"'Staff Alloc to Programs'!$AH333+'Staff Alloc to Programs'!$AH378+'Staff Alloc to Programs'!$AH423+'Staff Alloc to Programs'!$AH468","v":0},{"$f":"'Staff Alloc to Programs'!AH$334+'Staff Alloc to Programs'!AH$379+'Staff Alloc to Programs'!$AH424+'Staff Alloc to Programs'!AH$469","v":0},{"$f":"'Staff Alloc to Programs'!$AH513","v":0.6},{"$f":"'Staff Alloc to Programs'!$AH514","v":34704}]
[null,null,null,"Program Evaluator",5,359332,{"$f":"'Staff Alloc to Programs'!$AI6","v":0},{"$f":"'Staff Alloc to Programs'!$AI7","v":0},{"$f":"'Staff Alloc to Programs'!$AI9","v":0},{"$f":"'Staff Alloc to Programs'!$AI10","v":0},{"$f":"'Staff Alloc to Programs'!$AI12","v":5},{"$f":"'Staff Alloc to Programs'!$AI13","v":359332},{"$f":"'Staff Alloc to Programs'!$AI15","v":0},{"$f":"'Staff Alloc to Programs'!$AI16","v":0},{"$f":"'Staff Alloc to Programs'!$AI18","v":0},{"$f":"'Staff Alloc to Programs'!$AI19","v":0},{"$f":"'Staff Alloc to Programs'!$AI63","v":0},{"$f":"'Staff Alloc to Programs'!$AI64","v":0},{"$f":"'Staff Alloc to Programs'!$AI108","v":0},{"$f":"'Staff Alloc to Programs'!$AI109","v":0},{"$f":"'Staff Alloc to Programs'!$AI153","v":0},{"$f":"'Staff Alloc to Programs'!$AI154","v":0},{"$f":"'Staff Alloc to Programs'!$AI198","v":0},{"$f":"'Staff Alloc to Programs'!$AI199","v":0},{"$f":"'Staff Alloc to Programs'!$AI243","v":0},{"$f":"'Staff Alloc to Programs'!$AI244","v":0},{"$f":"'Staff Alloc to Programs'!$AI288","v":0},{"$f":"'Staff Alloc to Programs'!$AI289","v":0},{"$f":"'Staff Alloc to Programs'!$AI333+'Staff Alloc to Programs'!$AI378+'Staff Alloc to Programs'!$AI423+'Staff Alloc to Programs'!$AI468","v":0},{"$f":"'Staff Alloc to Programs'!AI$334+'Staff Alloc to Programs'!AI$379+'Staff Alloc to Programs'!$AI424+'Staff Alloc to Programs'!AI$469","v":0},{"$f":"'Staff Alloc to Programs'!$AI513","v":0},{"$f":"'Staff Alloc to Programs'!$AI514","v":0}]
[null,null,null,"Data Analyst",1.1200000000000001,70149,{"$f":"'Staff Alloc to Programs'!$AJ6","v":0.81},{"$f":"'Staff Alloc to Programs'!$AJ7","v":51731},{"$f":"'Staff Alloc to Programs'!$AJ9","v":0},{"$f":"'Staff Alloc to Programs'!$AJ10","v":0},{"$f":"'Staff Alloc to Programs'!$AJ12","v":0.2},{"$f":"'Staff Alloc to Programs'!$AJ13","v":12854},{"$f":"'Staff Alloc to Programs'!$AJ15","v":0},{"$f":"'Staff Alloc to Programs'!$AJ16","v":0},{"$f":"'Staff Alloc to Programs'!$AJ18","v":0.02},{"$f":"'Staff Alloc to Programs'!$AJ19","v":795},{"$f":"'Staff Alloc to Programs'!$AJ63","v":0.09},{"$f":"'Staff Alloc to Programs'!$AJ64","v":4769},{"$f":"'Staff Alloc to Programs'!$AJ108","v":0},{"$f":"'Staff Alloc to Programs'!$AJ109","v":0},{"$f":"'Staff Alloc to Programs'!$AJ153","v":0},{"$f":"'Staff Alloc to Programs'!$AJ154","v":0},{"$f":"'Staff Alloc to Programs'!$AJ198","v":0},{"$f":"'Staff Alloc to Programs'!$AJ199","v":0},{"$f":"'Staff Alloc to Programs'!$AJ243","v":0},{"$f":"'Staff Alloc to Programs'!$AJ244","v":0},{"$f":"'Staff Alloc to Programs'!$AJ288","v":0},{"$f":"'Staff Alloc to Programs'!$AJ289","v":0},{"$f":"'Staff Alloc to Programs'!$AJ333+'Staff Alloc to Programs'!$AJ378+'Staff Alloc to Programs'!$AJ423+'Staff Alloc to Programs'!$AJ468","v":0},{"$f":"'Staff Alloc to Programs'!AJ$334+'Staff Alloc to Programs'!AJ$379+'Staff Alloc to Programs'!$AJ424+'Staff Alloc to Programs'!AJ$469","v":0},{"$f":"'Staff Alloc to Programs'!$AJ513","v":0},{"$f":"'Staff Alloc to Programs'!$AJ514","v":0}]
[null,null,null,"Covid-19 Staff",{"$f":"SUM(G67,I67,K67,M67,O67,Q67,S67,U67,W67,Y67,AA67,AC67,AE67)","v":0},{"$f":"SUM(H67,J67,L67,N67,P67,R67,T67,V67,X67,Z67,AB67,AD67,AF67)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"'Staff Alloc to Programs'!AK204","v":0},{"$f":"'Staff Alloc to Programs'!AK205","v":0},{"$f":"'Staff Alloc to Programs'!AK247","v":0},{"$f":"'Staff Alloc to Programs'!AK248","v":0},0,0,0,0,0,0]
[null,null,null,"Other Program Staff",{"$f":"SUM(G68,I68,K68,M68,O68,Q68,S68,U68,W68,Y68,AA68,AC68,AE68)","v":6.76},{"$f":"SUM(H68,J68,L68,N68,P68,R68,T68,V68,X68,Z68,AB68,AD68,AF68)","v":381028},{"$f":"'Staff Alloc to Programs'!$AL6","v":0.01},{"$f":"'Staff Alloc to Programs'!$AL7","v":366},{"$f":"'Staff Alloc to Programs'!$AL9","v":0.01},{"$f":"'Staff Alloc to Programs'!$AL10","v":366},{"$f":"'Staff Alloc to Programs'!$AL12","v":1.05},{"$f":"'Staff Alloc to Programs'!$AL13","v":72291},{"$f":"'Staff Alloc to Programs'!$AL15","v":0.01},{"$f":"'Staff Alloc to Programs'!$AL16","v":366},{"$f":"'Staff Alloc to Programs'!$AL18","v":0.51},{"$f":"'Staff Alloc to Programs'!$AL19","v":30465},{"$f":"'Staff Alloc to Programs'!$AL63","v":0.11},{"$f":"'Staff Alloc to Programs'!$AL64","v":6149},{"$f":"'Staff Alloc to Programs'!$AL108","v":0.05},{"$f":"'Staff Alloc to Programs'!$AL109","v":2629},{"$f":"'Staff Alloc to Programs'!$AL153","v":0},{"$f":"'Staff Alloc to Programs'!$AL154","v":0},{"$f":"'Staff Alloc to Programs'!$AL198","v":0.05},{"$f":"'Staff Alloc to Programs'!$AL199","v":2548},{"$f":"'Staff Alloc to Programs'!$AL243","v":3.46},{"$f":"'Staff Alloc to Programs'!$AL244","v":188599},{"$f":"'Staff Alloc to Programs'!$AL288","v":7.0000000000000007E-2},{"$f":"'Staff Alloc to Programs'!$AL289","v":3983},{"$f":"'Staff Alloc to Programs'!$AL333+'Staff Alloc to Programs'!$AL378+'Staff Alloc to Programs'!$AL423+'Staff Alloc to Programs'!$AL468","v":0.25},{"$f":"'Staff Alloc to Programs'!AL$334+'Staff Alloc to Programs'!AL$379+'Staff Alloc to Programs'!$AL424+'Staff Alloc to Programs'!AL$469","v":13069},{"$f":"'Staff Alloc to Programs'!$AL513","v":1.18},{"$f":"'Staff Alloc to Programs'!$AL514","v":60197}]
[null,null,null,"Total Program Staff",{"$f":"SUM(E36:E68)","v":236.16999999999996},18320175,4.26,409790,3.6199999999999997,291919,22.03,1749201,0.1,14570,38.109999999999992,2903566,13.23,1024469,4.6899999999999995,368710,30.05,2392810,10.01,722635,44.74,3356874,3.8899999999999997,311190,37.17,2959683,24.27,1814758]
[null,null,null,"MOH & Administrative Staff","F.T.E. #","$"]
[null,null,null,"Medical Officer of Health",{"$f":"'MOH & Administrative Staff'!E6","v":1},{"$f":"'MOH & Administrative Staff'!F6","v":266563}]
[null,null,null,"Chief Executive Officer",{"$f":"'MOH & Administrative Staff'!E7","v":0.75},{"$f":"'MOH & Administrative Staff'!F7","v":160340}]
[null,null,null,"Director/ Business Administrator",{"$f":"'MOH & Administrative Staff'!E8","v":1},{"$f":"'MOH & Administrative Staff'!F8","v":125559}]
[null,null,null,"Manager/Supervisor",{"$f":"'MOH & Administrative Staff'!E9","v":1.54},{"$f":"'MOH & Administrative Staff'!F9","v":167433}]
[null,null,null,"Secretarial/Admin Staff",{"$f":"'MOH & Administrative Staff'!E10","v":1.75},{"$f":"'MOH & Administrative Staff'!F10","v":131563}]
[null,null,null,"Financial Staff",{"$f":"'MOH & Administrative Staff'!E11","v":5},{"$f":"'MOH & Administrative Staff'!F11","v":405912}]
[null,null,null,"I & IT Staff",{"$f":"'MOH & Administrative Staff'!E12","v":3.85},{"$f":"'MOH & Administrative Staff'!F12","v":254343}]
[null,null,null,"Communications Manager/Media Coordinator",{"$f":"'MOH & Administrative Staff'!E13","v":" "},{"$f":"'MOH & Administrative Staff'!F13","v":" "}]
[null,null,null,"Volunteer Coordinator",{"$f":"'MOH & Administrative Staff'!E14","v":" "},{"$f":"'MOH & Administrative Staff'!F14","v":" "}]
[null,null,null,"Human Resources Staff/Coordinator",{"$f":"'MOH & Administrative Staff'!E15","v":9.5},{"$f":"'MOH & Administrative Staff'!F15","v":804970}]
[null,null,null,"Maintenance/Caretaker/Custodian/Security",{"$f":"'MOH & Administrative Staff'!E16","v":2},{"$f":"'MOH & Administrative Staff'!F16","v":134763}]
[null,null,null,"Other Administrative Staff",{"$f":"'MOH & Administrative Staff'!E17","v":0.81},{"$f":"'MOH & Administrative Staff'!F17","v":42721}]
[null,null,null," Total MOH & Administrative Staff",{"$f":"SUM(E71:E82)","v":27.2},{"$f":"SUM(F71:F82)","v":2494167}]
[null,null,null,"Total Staffing",{"$f":"E69+E83","v":263.36999999999995},{"$f":"F69+F83","v":20814342}]

{"sheet":"One-Time Funding Requests","index":22,"n_rows":177,"n_cols":7,"rows_kept":177,"cut":false,"hidden":false,"merged":[[174,3,174,5],[175,3,175,5],[176,3,176,5],[168,3,168,5],[169,3,169,5],[170,3,170,5],[171,3,171,5],[172,3,172,5],[173,3,173,5],[159,3,159,5],[160,3,160,5],[161,3,161,5],[162,3,162,5],[163,3,163,5],[164,3,164,5],[153,3,153,5],[154,3,154,5],[155,3,155,5],[156,3,156,5],[157,3,157,5],[158,3,158,5],[142,4,142,6],[143,4,143,6],[145,4,145,6],[148,4,148,6],[151,4,151,6],[152,4,152,6],[136,3,136,5],[137,3,137,5],[139,4,139,6],[140,4,140,6],[141,4,141,6],[130,3,130,5],[131,3,131,5],[132,3,132,5],[133,3,133,5],[134,3,134,5],[135,3,135,5],[124,4,124,6],[125,4,125,6],[126,3,126,5],[127,3,127,5],[128,3,128,5],[129,3,129,5],[114,4,114,6],[115,4,115,6],[116,4,116,6],[118,4,118,6],[121,4,121,6],[107,3,107,5],[108,3,108,5],[109,3,109,5],[110,3,110,5],[112,4,112,6],[113,4,113,6],[101,3,101,5],[102,3,102,5],[103,3,103,5],[104,3,104,5],[105,3,105,5],[106,3,106,5],[91,4,91,6],[94,4,94,6],[97,4,97,6],[98,4,98,6],[99,3,99,5],[100,3,100,5],[85,4,85,6],[86,4,86,6],[87,4,87,6],[88,4,88,6],[89,4,89,6],[78,3,78,5],[79,3,79,5],[80,3,80,5],[81,3,81,5],[82,3,82,5],[83,3,83,5],[72,3,72,5],[73,3,73,5],[74,3,74,5],[75,3,75,5],[76,3,76,5],[77,3,77,5],[61,4,61,6],[62,4,62,6],[64,4,64,6],[67,4,67,6],[70,4,70,6],[71,4,71,6],[55,3,55,5],[56,3,56,5],[58,4,58,6],[59,4,59,6],[60,4,60,6],[49,3,49,5],[50,3,50,5],[51,3,51,5],[52,3,52,5],[53,3,53,5],[54,3,54,5],[43,4,43,6],[44,4,44,6],[45,3,45,5],[46,3,46,5],[47,3,47,5],[48,3,48,5],[33,4,33,6],[34,4,34,6],[35,4,35,6],[37,4,37,6],[40,4,40,6],[26,3,26,5],[27,3,27,5],[28,3,28,5],[29,3,29,5],[31,4,31,6],[32,4,32,6],[20,3,20,5],[21,3,21,5],[22,3,22,5],[23,3,23,5],[24,3,24,5],[25,3,25,5],[10,4,10,6],[13,4,13,6],[16,4,16,6],[17,4,17,6],[18,3,18,5],[19,3,19,5],[4,4,4,6],[5,4,5,6],[8,4,8,6]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"One-Time Funding Requests"]
[null,null,null,"1) Request Title: ",{"$f":"Structure!E2760","v":"Seniors Dental Expansion of Existing Operatories (Citi Plaza)"}]
[null,null,null,"Category",{"$f":"Structure!E2759","v":"Capital"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs.",null,"Additional capital funding is being requested to retrofit a clinical consultation room into a dental operatory at the Middlesex London Health Unit (MLHU) Citi Plaza office location in downtown London. This location currently has 2 operatories which services both OSDCP patients as well as HSO patients coming for preventative services. MLHU has a current waiting list of 480 people for the OSDCP, and typically adds on average 3-5 people to the list each day.\n\nMLHU is building 4 operatories in the town of Strathroy which are expected to open in June 2023. While this is excellent and will help immensely with the waiting list, they will not totally alleviate the problem. London has a much higher population than Strathroy and without additional capital funding will have half the number of operatories as the town of Strathroy. This request for capital funding is to right size this inequity and to work towards eliminating the waiting list for the OSDCP. "]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.",null,"If funding is not received for this capital funding request the City of London (population of approximately 404,000) will have half the number of operatories as compared to the town of Strathroy (population of approximately 8500). While it is excellent that there will be 4 operatories in Strathroy as this will service residents of Eastern Middlesex County, it will mean that patients may have a longer wait time to access the OSDCP in the City of London than they would in Strathroy. It may also mean that MLHU may be required to facilitate transportation for individuals requiring emergency treatment who cannot be seen at the London location. Facilitation of transportation for patients will have ongoing operational budgetary impacts. "]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?","The demand for the OSDCP in the City of London and County of Middlesex far exceeds the current 2 operatories in London and the 4 new ones set to open in Strathroy. With these 6 clinical spaces, it is estimated MLHU will still need to manage a waiting list for the OSDCP. Therefore, the creation of a new operatory in London will be crucial to managing the high demand for the OSDCP."]
[null,null,null,"Can the project be completed by March 31, 2024?","Yes"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?","The area that we are proposing to renovate is 9 ft x 13 ft, or 117 sqft.\nThis is leased space, and yes, the Health Unit would be responsible for the improvement costs."]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"Demo existing drywall",null,null,3000]
[null,null,null,"Electrical ($3500), backing and blocking ($1500), supply and install lead ($5000)",null,null,10000]
[null,null,null,"Install new drywall ($6000), prime and paint ($4000)",null,null,10000]
[null,null,null,"Xray hollow core floor",null,null,2000]
[null,null,null,"New chair location with hookups (air, suction, electrical, plumbing).  Services for cabinetry requirements.",null,null,{"$f":"16500+5000","v":21500}]
[null,null,null,"Floor patching",null,null,10000]
[null,null,null,"Install Hepa filter system",null,null,10000]
[null,null,null,"Contingency (including after hours work, parking, etc)",null,null,6000]
[null,null,null,"CCS Project Management Fee",null,null,16500]
[null,null,null,"Equipment (cabinetry, x-ray unit, handpieces, motors, counter & sink, patient chair/light/delivery system and provider stools)",null,null,56357]
[null,null,null,"Total",null,null,{"$f":"SUM(G20:G29)","v":145357}]
[]
[null,null,null,"2) Request Title: ",{"$f":"Structure!E2762","v":"Public Health Inspector Practicum Program"}]
[null,null,null,"Category",{"$f":"Structure!E2761","v":"Public Health Inspector Practicum Program"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs.","Middlesex-London Health Unit supports the new/recent graduates of the public health and safety / environmental health programs accredited by the Canadian Institute of Public Health Inspectors and enables them to complete their practicums to be able to obtain certification.  There are mentors and practicum coordinators assigned from MLHU staff to the practicum program.  This program has been administered successfully for several years and MLHU is seeking funds to support three (2) qualified participants in 2023."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.","Any risks and / or direct impacts to programs and services are not anticipated to occur as a result of not receiving the requested funding.  Funding is used to support PHI practicums, which are a mandatory requirement for certification.      "]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?","Outcomes will only relate to building PHI specific competencies for PHI practicum students, through PHI training mentorship at MLHU.  Students who perform well and achieve certification, could eventually be hired for contract or permanent positions, when such positions become available.     "]
[null,null,null,"Can the project be completed by March 31, 2024?"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"2 part-time positions",null,null,20000]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G47:G56)","v":20000}]
[]
[null,null,null,"3) Request Title: ",{"$f":"Structure!E2764","v":"Needle Syringe Program"}]
[null,null,null,"Category",{"$f":"Structure!E2763","v":"Needle Syringe Program"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs.","London has a large population of people who inject drugs (PWID) and is believed to be one of the largest in the country relative to its population. While the exact size of the population of PWID remains largely unknown, it has been estimated that there are approximately 6,000 PWID in London (about 2% of London's total population of 404,699). Each year in London, more than 3 million clean needles are distributed to people who inject drugs; of these, about 60% are recovered. "]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.","People tend to use drugs in public areas, because they don’t otherwise have a safe location to do so. This public drug use can lead to unsafe consumption practices, which increase the risk of overdose and the spread of diseases, such as hepatitis C and HIV. In addition, discarded equipment, such as used needles, pose a potential risk of injury for those who use public spaces where people inject drugs. Ensuring those who need access to harm reduction supplies and education in conjunction with community partners to decrease infectious diseases is important. There are now up to 28 access points in Middlesex-London for harm reduction materials. There continues to be a mobile van which offers harm reduction supplies pick-up and drop-off throughout the city of London. There are 23 Needle Disposal Bins for the public to access as well as City of London Dispatch available 24/7 for public needle pick-up.  Regional HIV/AIDS (RHAC) Connection also provides service for improperly discarded needles when City if London is not available.  There is an increase in need to provide safe disposal as well as costs for contracts for disposal.  "]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?","To reduce the burden of communicable diseases and other infectious diseases of public health significance related to substance use. Ensuring access to appropriate needle disposal ensures inappropriately discarded needles and decrease reuse of harm reduction equipment to prevent blood-borne and infectious diseases."]
[null,null,null,"Can the project be completed by March 31, 2024?"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"Cost of Disposal Methods:  An estimated cost for 1 disposal bin is over $2,000 plus disposal fee.",null,null,19000]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G74:G83)","v":19000}]
[]
[null,null,null,"4) Request Title: ",{"$f":"Structure!E2766","v":"Bank Loan Related to Citi Plaza Lease Improvements"}]
[null,null,null,"Category",{"$f":"Structure!E2765","v":"Extraordinary Costs (non-COVID-19)"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs.","In the first quarter of 2020, the Health Unit successfully relocated to newly renovated premises at Citi Plaza in London.  This move represented the culmination of a plan initially envisioned in 2007 to consolidate operations in the City from two locations to one and to significantly right-size the space required for health clinics and changing needs for access to public health for the London and Middlesex communities served.  The need to relocate was also expedited in 2015 when the County of Middlesex advised the Board of Health of its intended redevelopment of its primary leased site at 50 King Street.  The Health Unit entered a phase of careful public study and also initiated a comprehensive RFP process in 2016-2017.\nDuring the period 2019-2021, the Health Unit invested $6,756,703 in leasehold improvements to fit out newly acquired premises at Citi Plaza with a 20-year amortization time frame to coincide with the terms of a long-term lease.  The Health Unit also invested in computer equipment and furniture and fixture upgrades totaling $1,595,466.  These equipment upgrades were instrumental in facilitating effective deployment of staff remotely during the Covid 19 pandemic and ensuring that essential services were maintained throughout that timeframe.    \nThe Health Unit has partly managed to finance the premises using accumulated Technology and Infrastructure and Funding Stabilization reserves ($1,250,000 and $818,000 respectively) set aside over many years.  Favourable lease terms were negotiated with a significant lease inducement payment ($1,800,000) paid to the Health Unit upon satisfactorily completing lease betterments.  These proceeds were used to repay a portion of bank debt incurred.  \nThe Health Unit is seeking one-time funding from MOH to fully extinguish all residual bank debt incurred in connection with the outfitting of its premises at Citi Plaza in London, Ontario.  As at December 31, 2022, this debt is comprised of a revolving term facility of $1,035,000 and fixed term debt of $2,805,625 for total indebtedness of $3,840,625.  The loan repayments could be redistributed to public health programs and prevent lay-off's associated with rising inflationary pressures facing the health unit. \n"]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.","Managing the residual bank debt will be a drag on the operating budget of the Health Unit for the residual term of the 20-year lease and will delay or prevent critical investment in core operations for the foreseeable future.  "]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?","By eliminating the current debt, the Health Unit can focus on developing annual budgets that address current health concerns and can respond quickly to changing health priorities and deployment of health care resources more effectively year by year.   "]
[null,null,null,"Can the project be completed by March 31, 2024?"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"Variable Bank Loan.  Start date of December 2020.  Loan $1,150,000.  20 year amortization with 5 year renewal.  Prime less 0.75% per annum.  Balance stated as at January 1, 2023.",null,null,1035000]
[null,null,null,"Fixed Bank Loan.  Start date of December 2020.  Loan $3,050,000.  20 year amortization with 5 year renewal.  1.915% per annum.  Balance stated as at January 1, 2023.",null,null,2805625]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G101:G110)","v":3840625}]
[]
[null,null,null,"5) Request Title: ",{"$f":"Structure!E2768","v":0}]
[null,null,null,"Category",{"$f":"Structure!E2767","v":0}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested."]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?"]
[null,null,null,"Can the project be completed by March 31, 2024?"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G128:G137)","v":0}]
[]
[null,null,null,"6) Request Title: ",{"$f":"Structure!E2770","v":0}]
[null,null,null,"Category",{"$f":"Structure!E2769","v":0}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested."]
[null,null,null,"Outcomes\nWhat outcome(s) does the board of health intend to achieve with this request/project?"]
[null,null,null,"Can the project be completed by March 31, 2024?"]
[null,null,null,"a) Please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2024?"]
[null,null,null,"Number of new purpose-built vaccine refrigerators being requested. (#)"]
[null,null,null,"Size of new purpose-built vaccine refrigerators being requested. (cubic feet)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"Number of Smoke-Free Ontario Tablets being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Number of needles/syringes/disposal bins requested and cost of other disposal mechanisms."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G155:G164)","v":0}]
[]
[]
[null,null,null,"One-Time Funding Requests Summary",null,null,"Amount"]
[null,null,null,{"$f":"E5","v":"Seniors Dental Expansion of Existing Operatories (Citi Plaza)"},null,null,{"$f":"G30","v":145357}]
[null,null,null,{"$f":"E32","v":"Public Health Inspector Practicum Program"},null,null,{"$f":"G57","v":20000}]
[null,null,null,{"$f":"E59","v":"Needle Syringe Program"},"",null,{"$f":"G84","v":19000}]
[null,null,null,{"$f":"E86","v":"Bank Loan Related to Citi Plaza Lease Improvements"},"",null,{"$f":"G111","v":3840625}]
[null,null,null,{"$f":"E113","v":0},"",null,{"$f":"G138","v":0}]
[null,null,null,{"$f":"E140","v":0},"",null,{"$f":"G165","v":0}]
[null,null,null,"COVID-19 General Program Extraordinary Costs",null,null,{"$f":"'Covid-19 General'!BB206","v":4458069.0020000003}]
[null,null,null,"COVID-19 Vaccine Program Extraordinary Costs",null,null,{"$f":"'Covid-19 Vaccine'!BB207","v":6196950.0005000001}]
[null,null,null,"Total One-Time Funding Requested",null,null,{"$f":"SUM(G169:G176)","v":14680001.002500001}]

{"sheet":"BOH Membership","index":23,"n_rows":107,"n_cols":9,"rows_kept":107,"cut":false,"hidden":false,"merged":[[5,3,6,3],[5,4,6,4],[5,5,6,5],[5,6,5,7],[5,8,6,8]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Board of Health Membership"]
[null,null,null,"(Please provide the # of Members on Annual Service Plan Structure worksheet to be able to complete this worksheet.)"]
[null,null,null,"#","Member First Name","Member Last Name","Type of Appointment",null,"Identify Municipality \n(if applicable)"]
[null,null,null,null,null,null,"(Municipal / Provincial)","If Municipal\n(Council / Citizen Representative)"]
[null,null,null,1,"Matthew","Newton-Reid","Municipal","Citizen Representative - Council","City of London"]
[null,null,null,2,"Skylar","Franke","Municipal","Council","City of London"]
[null,null,null,3,"Peter","Cuddy","Municipal","Council","City of London"]
[null,null,null,4,"Aina","DeViet","Municipal","Council","County of Middlesex"]
[null,null,null,5,"Michelle","Smibert","Municipal","Council","County of Middlesex"]
[null,null,null,6,"Michael ","McGuire","Municipal","Council","County of Middlesex"]
[null,null,null,7,"Michael","Steele","Provincial"]
[null,null,null,8,"Tino","Kasi","Provincial"]
[null,null,null,9,"Selomon","Menghsha","Provincial"]
[null,null,null,10]
[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
[null,null,null,15]
[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,null,21]
[null,null,null,22]
[null,null,null,23]
[null,null,null,24]
[null,null,null,25]
[null,null,null,26]
[null,null,null,27]
[null,null,null,28]
[null,null,null,29]
[null,null,null,30]
[null,null,null,31]
[null,null,null,32]
[null,null,null,33]
[null,null,null,34]
[null,null,null,35]
[null,null,null,36]
[null,null,null,37]
[null,null,null,38]
[null,null,null,39]
[null,null,null,40]
[null,null,null,41]
[null,null,null,42]
[null,null,null,43]
[null,null,null,44]
[null,null,null,45]
[null,null,null,46]
[null,null,null,47]
[null,null,null,48]
[null,null,null,49]
[null,null,null,50]
[null,null,null,51]
[null,null,null,52]
[null,null,null,53]
[null,null,null,54]
[null,null,null,55]
[null,null,null,56]
[null,null,null,57]
[null,null,null,58]
[null,null,null,59]
[null,null,null,60]
[null,null,null,61]
[null,null,null,62]
[null,null,null,63]
[null,null,null,64]
[null,null,null,65]
[null,null,null,66]
[null,null,null,67]
[null,null,null,68]
[null,null,null,69]
[null,null,null,70]
[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
[null,null,null,74]
[null,null,null,75]
[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
[null,null,null,79]
[null,null,null,80]
[null,null,null,81]
[null,null,null,82]
[null,null,null,83]
[null,null,null,84]
[null,null,null,85]
[null,null,null,86]
[null,null,null,87]
[null,null,null,88]
[null,null,null,89]
[null,null,null,90]
[null,null,null,91]
[null,null,null,92]
[null,null,null,93]
[null,null,null,94]
[null,null,null,95]
[null,null,null,96]
[null,null,null,97]
[null,null,null,98]
[null,null,null,99]
[null,null,null,100]

{"sheet":"Apportionment","index":24,"n_rows":111,"n_cols":6,"rows_kept":111,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null," "]
[null,null,null,"Apportionment of Board of Health Costs"]
[null,null,null,"(Please provide the # of Municipalities on Annual Service Plan Structure worksheet to be able to complete this worksheet.)"]
[null,null,null,null,"Method of Apportionment"]
[null,null,null,null,"Population"]
[null,null,null,null,"if Other please explain"]
[]
[null,null,null,"#","Municipality Name","% Share"]
[null,null,null,1,"City of London",0.84]
[null,null,null,2,"County of Middlesex",0.16]
[null,null,null,3]
[null,null,null,4]
[null,null,null,5]
[null,null,null,6]
[null,null,null,7]
[null,null,null,8]
[null,null,null,9]
[null,null,null,10]
[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
[null,null,null,15]
[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,null,21]
[null,null,null,22]
[null,null,null,23]
[null,null,null,24]
[null,null,null,25]
[null,null,null,26]
[null,null,null,27]
[null,null,null,28]
[null,null,null,29]
[null,null,null,30]
[null,null,null,31]
[null,null,null,32]
[null,null,null,33]
[null,null,null,34]
[null,null,null,35]
[null,null,null,36]
[null,null,null,37]
[null,null,null,38]
[null,null,null,39]
[null,null,null,40]
[null,null,null,41]
[null,null,null,42]
[null,null,null,43]
[null,null,null,44]
[null,null,null,45]
[null,null,null,46]
[null,null,null,47]
[null,null,null,48]
[null,null,null,49]
[null,null,null,50]
[null,null,null,51]
[null,null,null,52]
[null,null,null,53]
[null,null,null,54]
[null,null,null,55]
[null,null,null,56]
[null,null,null,57]
[null,null,null,58]
[null,null,null,59]
[null,null,null,60]
[null,null,null,61]
[null,null,null,62]
[null,null,null,63]
[null,null,null,64]
[null,null,null,65]
[null,null,null,66]
[null,null,null,67]
[null,null,null,68]
[null,null,null,69]
[null,null,null,70]
[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
[null,null,null,74]
[null,null,null,75]
[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
[null,null,null,79]
[null,null,null,80]
[null,null,null,81]
[null,null,null,82]
[null,null,null,83]
[null,null,null,84]
[null,null,null,85]
[null,null,null,86]
[null,null,null,87]
[null,null,null,88]
[null,null,null,89]
[null,null,null,90]
[null,null,null,91]
[null,null,null,92]
[null,null,null,93]
[null,null,null,94]
[null,null,null,95]
[null,null,null,96]
[null,null,null,97]
[null,null,null,98]
[null,null,null,99]
[null,null,null,100]
[null,null,null,null,"Total: (Must be 100.00%)",{"$f":"SUM(F11:F110)","v":1}]

{"sheet":"Contacts & Certification","index":25,"n_rows":18,"n_cols":11,"rows_kept":18,"cut":false,"hidden":false,"merged":[[17,3,17,10],[5,3,5,10],[11,3,11,10],[12,3,12,6],[12,7,12,10],[13,3,13,6],[13,7,13,10],[14,3,14,6],[14,7,14,10],[15,3,15,6],[15,7,15,10],[16,3,16,10]]}
[null,null,null,{"$f":"Cover!E4","v":"2023 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null,1]
[null,null,null,"Key Contacts and Certification"]
[null,null,null,"Do not include personal contact information. Contact information (e.g., emails, phone numbers and mailing addresses) should be those of the board of health or a public health unit office."]
[null,null,null,"Key Contacts"]
[null,null,null,"Position","First Name","Last Name","Phone + Extension","Email","Board of Health / PHU Office Mailing Address","City/Town","Postal Code"]
[null,null,null,"Chair, Board of Health","Matt","Reid","519-663-5317","matt.reid@mlhu.on.ca","110-355 Wellington Street","London","N6A 3N7"]
[null,null,null,"Medical Officer of Health","Alexander","Summers","519-663-5317","alexander.summers@mlhu.on.ca","110-355 Wellington Street","London","N6A 3N7"]
[null,null,null,"Chief Executive Officer \n(if applicable)","Emily","Williams","519-663-5317 Ext.2396","emily.williams@mlhu.on.ca","110-355 Wellington Street","London","N6A 3N7"]
[null,null,null,"Business Administrator","David","Jansseune","519-663-5317 Ext.2409","david.jansseune@mlhu.on.ca","110-355 Wellington Street","London","N6A 3N7"]
[null,null,null,"Certification"]
[null,null,null,"Position",null,null,null,"Date Approved"]
[null,null,null,"Board of Health Chair",null,null,null,"2023-04-20"]
[null,null,null,"Medical Officer of Health / Chief Executive Officer",null,null,null,"2023-04-03"]
[null,null,null,"Business Administrator \n(Verifies that the budget data provided in the Annual Service Plan and Budget Submission is accurate)",null,null,null,"2023-04-03"]
[]
[null,null,null,"By submitting the budget and request for funding, the board of health is certifying that all costs and information submitted in this document are accurate, and conform with categories specified as eligible."]