{"text_format":"1","workbook":"xlsx","n_sheets":23,"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","Staff Alloc to Programs","MOH & Administrative Staff","Alloc Expenditures","Overall Budget Summary","BOH Membership","Apportionment","Certification"],"not_rendered":{"charts":0,"images":12,"macros":1,"external_links":0,"defined_names":196,"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"]
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["Yes/No"]
["Yes"]
["No"]
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["BOH Membership"]
["Municipal"]
["Provincial"]
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["BOH Membership"]
["Council"]
["Citizen Representative"]
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["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%)"]
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[]
[]
[]
[]
["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":191,"n_cols":4,"rows_kept":191,"cut":false,"hidden":false,"merged":[]}
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[null,null,null,"How to Use the 2024 Annual Service Plan Template"]
[null,null,null,"The following content is intended to provide assistance to boards of health in completing the 2024 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. "]
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[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"]
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[null,null,null,"IMPORTANT to know before completing the template"]
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[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,"   "]
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[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"]
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[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 Obligated Municipalities to complete the Apportionment worksheet."]
[null,null,null,"d)    Total number of Board of Health members to complete the Board membership worksheet. (Figure 2)\n"]
[null,null,null,"Figure 2"]
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[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"]
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[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"]
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[null,null,null,"Figure 5"]
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[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"]
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[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"]
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[null,null,null,"Figure 8"]

{"sheet":"Cover","index":2,"n_rows":8,"n_cols":5,"rows_kept":8,"cut":false,"hidden":false,"merged":[]}
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[null,null,null,"Ministry of Health"]
[null,null,null,null,"2024 Annual Service Plan and Budget Submission"]
[null,null,null,null,"Board of Health for:"]
[null,null,null,null,"the Middlesex-London Health Unit"]
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[null,null,null,null,"Version 1.0"]

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[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
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[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 the ministry approved allocation, intended for the delivery of public health programs and services."]
[null,null,null,"The deadline to submit the 2024 Annual Service Plan is Tuesday, April 2, 2024. \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 Appendix B of the 2017 Program-Based Grants User Guide (as reference only). 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 board of health members, and number of obligated municipalities to complete the apportionment worksheet. Space to enter titles for programs 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 2024 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."]
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[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","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","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","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","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","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"]
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[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."]
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[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); UIIP clinics; and, RSV."]
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[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."]
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[null,null,null,"Immunization","COVID-19 Vaccine Program","Applicable requirements include: Coordinating, overseeing, and direct service delivery for COVID-19 vaccinations, including activities as specified for Immunization in other requirements - Community based Immunization Outreach, Monitoring and Surveillance, Administration and Vaccine Management.","Vaccine administration for the COVID-19 Vaccine Program with focused programming for vulnerable and priority populations. Vaccine inventory management and AEFI investigation. COVaxON data entry and support for local vaccine administrators."]
[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,"Safe Water","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","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."]
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[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."]
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[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.”"]
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[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."]
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[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."]
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[]
[null,null,null,"Substance Use and Injury Prevention","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","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."]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[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."]
[]
[]
[]
[]
[]
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[]
[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","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"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
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[]
[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);\n● For 2024, the COVID-19 Vaccine Program will continue to be reflected as a standardized program under the Immunization Standard.  Similar to other standardized programs in the Annual Service Plan, boards of health are required to provide the 100% budgeted costs for the COVID-19 Vaccine Program as part of their budget submission; and,\n● A review of the Standards is currently underway as part of the Strengthening Public Health strategy announced in August 2023. For the purposes of completing the 2024 Annual Service Plan, boards of health are to assume no change to current requirements in the Standards, pending confirmation from the ministry of future changes to the Standards."]
[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 2024, the sources of funding include:"]
[null,null,null,"Mandatory 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."]
[null,null,null,"Unorganized 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 2023 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.\n\nNew for 2024, boards of health are no longer required to complete separate budget worksheets for the COVID-19 General Program and the COVID-19 Vaccine Program. Boards of health are required to input their 100% budget for the COVID-19 Vaccine Program in the same manner as other programs under the Standards."]
[null,null,null,"The Budget worksheets are organized as follows:\n\nStaff 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. "]
[null,null,null,"Similar to 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.\n\nMedical 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\nSimilar to the Staff Allocation to Programs worksheet,  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. "]
[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 by Standard; and, 3) Staff Allocation by Standard. \n\nPlease note that for the 2024 Annual Service Plan, the Ministry Approved Allocation amounts are based on 2023 ministry approvals (annualized base funding). \n\nFor the purposes of the Annual Service Plan, the cost-share is based on the Board of Health approved budget (at 100%) and the current Ministry Approved Allocation, and may change based on future funding approvals. Note that the cost-share is no longer being calculating based on a 70% provincial share while change processes are underway related to Strengthening Public Health.\n\nOne-Time Funding Requests\nAt this time, one-time requests are limited to requests submitted through the Voluntary Merger Proposal Business Case, to support the Strengthening Public Health strategy. Requests for one-time funding will not be considered through the 2024 Annual Service Plan."]
[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%. \n\nCertification by the Board of Health\nThis worksheet 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":2759,"n_cols":7,"rows_kept":2759,"cut":false,"hidden":false,"merged":[[4,3,4,6]]}
[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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",9]
[null,null,null,"P 1) ","Menu Labelling","# Interventions",3]
[null,null,null,"i 1)","Inspections (FSHH)"]
[null,null,null,"i 2)","Communication and Social Marketing (FSHH)"]
[null,null,null,"i 3)","Surveillance (PHAS)"]
[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",2]
[null,null,null,"i 1)","Clinical Service Delivery (OHCSS)"]
[null,null,null,"i 2)","Surveillance (PHAS)"]
[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) ","Ontario Seniors Dental Care Program","# Interventions",3]
[null,null,null,"i 1)","Communication and Social Marketing (OHCSS)"]
[null,null,null,"i 2)","Clinical Service Delivery (OHCSS)"]
[null,null,null,"i 3)","Surveillance (PHAS)"]
[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)","Communication and Social Marketing (SWTEVBD, SMHSP)"]
[null,null,null,"i 2)","Inspections (SWTEVBD)"]
[null,null,null,"i 3)","Investigations (SWTEVBD)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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) ","Ultraviolet Radiation and Sun Safety","# Interventions",2]
[null,null,null,"i 1)","Surveillance (PHAS)"]
[null,null,null,"i 2)","Communication and Social Marketing (SMHSP)"]
[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) ","Physical Activity and Sedentary Behaviours","# Interventions",7]
[null,null,null,"i 1)","Community and Partner Mobilization (SchH)"]
[null,null,null,"i 2)","Communication and Social Marketing (SchH)"]
[null,null,null,"i 3)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[null,null,null,"i 5)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 6)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 7)","Healthy Public Policy Development (SchH)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ","Food Systems and Nutrition","# Interventions",7]
[null,null,null,"i 1)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 2)","Healthy Public Policy Development (SchH)"]
[null,null,null,"i 3)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 4)","Community and Partner Mobilization (SchH)"]
[null,null,null,"i 5)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[null,null,null,"i 7)","Surveillance (MCHP)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ","General Mental Health Promotion","# Interventions",5]
[null,null,null,"i 1)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 3)","Education and Skill Building (SchH)"]
[null,null,null,"i 4)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[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) ","Perinatal Mental Health Promotion","# Interventions",6]
[null,null,null,"i 1)","Education and Skill Building (NFP-EYGP)"]
[null,null,null,"i 2)","Education and Skill Building (HBHC)"]
[null,null,null,"i 3)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 4)","Clinical Service Delivery (HBHC)"]
[null,null,null,"i 5)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[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",7]
[null,null,null,"i 1)","Inspections (FSHH)"]
[null,null,null,"i 2)","Investigations (FSHH)"]
[null,null,null,"i 3)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 4)","Communication and Social Marketing (FSHH)"]
[null,null,null,"i 5)","Education and Skill Building (FSHH)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[null,null,null,"i 7)","Inspections - Institutions (IDC)"]
[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,"Healthy Environments",null,"# Programs",3]
[null,null,null,"P 1) ","Health Hazards Program","# Interventions",4]
[null,null,null,"i 1)","Communication and Social Marketing (FSHH)"]
[null,null,null,"i 2)","Inspections (FSHH)"]
[null,null,null,"i 3)","Investigations (FSHH)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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) ","Healthy Environments and Climate Change Program","# Interventions",5]
[null,null,null,"i 1)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 2)","Healthy Public Policy Development (FSHH)"]
[null,null,null,"i 3)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[null,null,null,"i 5)","Community and Partner Mobilization (MCHP)"]
[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) ","Active Transportation and Built Environment","# Interventions",6]
[null,null,null,"i 1)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 3)","Community and Partner Mobilization (SchH)"]
[null,null,null,"i 4)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[null,null,null,"i 6)","Healthy Public Policy Development (SchH)"]
[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",5]
[null,null,null,"P 1) ","Early Childhood Development","# Interventions",7]
[null,null,null,"i 1)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 2)","Clinical Service Delivery  (HBHC)"]
[null,null,null,"i 3)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 4)","Education and Skill Building (NFP-EYGP, MCHP)"]
[null,null,null,"i 5)","Education and Skill Building (HBHC)"]
[null,null,null,"i 6)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Healthy Pregnancies","# Interventions",6]
[null,null,null,"i 1)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 2)","Clinical Service Delivery (HBHC)"]
[null,null,null,"i 3)","Education and Skill Building - Smart Start for Babies (NFP-EYGP)"]
[null,null,null,"i 4)","Education and Skill Building - InJoy Prenatal e-Learning (NFP-EYGP)"]
[null,null,null,"i 5)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[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 Sexuality","# Interventions",6]
[null,null,null,"i 1)","Clinical Service Delivery (SH)"]
[null,null,null,"i 2)","Communication and Social Marketing (SH, SMHSP)"]
[null,null,null,"i 3)","Health Resource Inventory Management (SH)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[null,null,null,"i 5)","Clinical Service Delivery - School Health (SchH)"]
[null,null,null,"i 6)","Communication and Social Marketing - School Health (SchH)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ","Infant Nutrition","# Interventions",6]
[null,null,null,"i 1)","Clinical Service Delivery (HBHC)"]
[null,null,null,"i 2)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 3)","Education and Skill Building (NFP-EYGP)"]
[null,null,null,"i 4)","Education and Skill Building (HBHC)"]
[null,null,null,"i 5)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ","Preconception Health","# Interventions",2]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Surveillance (PHAS)"]
[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,"Immunization",null,"# Programs",5]
[null,null,null,"P 1) ","Community Based Immunization Outreach (excluding vaccine administration)","# Interventions",2]
[null,null,null,"i 1)","Communication and Social Marketing (VPD)"]
[null,null,null,"i 2)","Community and Partner Mobilization (VPD)"]
[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) ","COVID-19 Vaccine Program","# Interventions",2]
[null,null,null,"i 1)","Clinical Service Delivery (VPD)"]
[null,null,null,"i 2)","Surveillance (PHAS)"]
[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)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 2)","Investigations (VPD)"]
[null,null,null,"i 3)","Surveillance (PHAS)"]
[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",1]
[null,null,null,"i 1)","Clinical Service Delivery (VPD)"]
[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) ","Vaccine Management","# Interventions",3]
[null,null,null,"i 1)","Health Resource Inventory Management (VPD)"]
[null,null,null,"i 2)","Inspections (VPD)"]
[null,null,null,"i 3)","Investigations (VPD)"]
[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,"Infectious and Communicable Diseases Prevention and Control",null,"# Programs",4]
[null,null,null,"P 1) ","Vector-Borne Diseases Program","# Interventions",7]
[null,null,null,"i 1)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 2)","Education and Skill Building (SWTEVBD)"]
[null,null,null,"i 3)","Communication and Social Marketing (SWTEVBD)"]
[null,null,null,"i 4)","Investigations (SWTEVBD)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[null,null,null,"i 6)","Surveillance - Tick dragging and mosquito trapping (SWTEVBD)"]
[null,null,null,"i 7)","Vector Control (SWTEVBD)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Infectious Disease Control","# Interventions",9]
[null,null,null,"i 1)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 2)","Clinical Service Delivery (IDC)"]
[null,null,null,"i 3)","Investigations (IDC)"]
[null,null,null,"i 4)","Inspections - IPAC (IDC)"]
[null,null,null,"i 5)","Inspections - IAW (SWTEVBD)"]
[null,null,null,"i 6)","Education and Skill Building (IDC)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[null,null,null,"i 8)","Communication and Social Marketing (IDC)"]
[null,null,null,"i 9)","Health Resource Inventory Management (IDC)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Rabies and Zoonotic Disease","# Interventions",5]
[null,null,null,"i 1)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 2)","Investigations (SWTEVBD)"]
[null,null,null,"i 3)","Communications and Social Marketing (SWTEVBD)"]
[null,null,null,"i 4)","Health Resource Inventory Management (VPD)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[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) ","Sexually Transmitted and Blood-Borne Disease","# Interventions",7]
[null,null,null,"i 1)","Case, Contact and Outbreak Management (SH)"]
[null,null,null,"i 2)","Health Resource Inventory Management (SH)"]
[null,null,null,"i 3)","Clinical Service Delivery (SH)"]
[null,null,null,"i 4)","Communication and Social Marketing (SH)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[null,null,null,"i 6)","Community and Partner Mobilization (SH)"]
[null,null,null,"i 7)","Communication and Social Marketing (SchH)"]
[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,"Safe Water",null,"# Programs",2]
[null,null,null,"P 1) ","Drinking Water Program","# Interventions",7]
[null,null,null,"i 1)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 2)","Investigations (SWTEVBD)"]
[null,null,null,"i 3)","Inspections (SWTEVBD)"]
[null,null,null,"i 4)","Communication and Social Marketing (SWTEVBD)"]
[null,null,null,"i 5)","Surveillance - Well-Testing (SWTEVBD)"]
[null,null,null,"i 6)","Surveillance - Fluoride (OHCSS)"]
[null,null,null,"i 7)","Surveillance - Drinking Water (PHAS)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ","Recreational Water Program","# Interventions",5]
[null,null,null,"i 1)","Communication and Social Marketing (SWTEVBD)"]
[null,null,null,"i 2)","Inspections (SWTEVBD)"]
[null,null,null,"i 3)","Investigations (SWTEVBD)"]
[null,null,null,"i 4)","Case, Contact and Outbreak Management (IDC)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[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",4]
[null,null,null,"i 1)","Communication and Social Marketing (OHCSS)"]
[null,null,null,"i 2)","Education and Skill Building (OHCSS)"]
[null,null,null,"i 3)","Clinical Service Delivery (OHCSS)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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)","Clinical Service Delivery (OHCSS)"]
[null,null,null,"i 2)","Surveillance (PHAS)"]
[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"]
[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) ",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",3]
[null,null,null,"i 1)","Education and Skill Building (VPD)"]
[null,null,null,"i 2)","Investigations (VPD)"]
[null,null,null,"i 3)","Surveillance (VPD)"]
[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",7]
[null,null,null,"i 1)","Clinical Service Delivery (SchH)"]
[null,null,null,"i 2)","Communication and Social Marketing (SchH, SMHSP)"]
[null,null,null,"i 3)","Community and Partner Mobilization (SchH, MCHP)"]
[null,null,null,"i 4)","Education and Skill Building (SchH)"]
[null,null,null,"i 5)","Healthy Public Policy Development (SchH)"]
[null,null,null,"i 6)","Healthy Public Policy Development (SMHSP, MCHP)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[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,"Substance Use and Injury Prevention",null,"# Programs",10]
[null,null,null,"P 1) ","Alcohol","# Interventions",4]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (SMHSP, MCHP)"]
[null,null,null,"i 3)","Healthy Public Policy Development (SMHSP, MCHP)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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",6]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (SMHSP, MCHP)"]
[null,null,null,"i 3)","Healthy Public Policy Development (SMHSP, MCHP)"]
[null,null,null,"i 4)","Inspections (SWTEVBD)"]
[null,null,null,"i 5)","Investigations (SWTEVBD)"]
[null,null,null,"i 6)","Surveillance (PHAS)"]
[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",5]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 3)","Healthy Public Policy Development (SMHSP, MCHP)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[null,null,null,"i 5)","Surveillance (SH)"]
[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",6]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (SMHSP, MCHP)"]
[null,null,null,"i 3)","Health Resource Inventory Management (SH)"]
[null,null,null,"i 4)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 5)","Surveillance (PHAS)"]
[null,null,null,"i 6)","Surveillance (SH)"]
[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",4]
[null,null,null,"i 1)","Communication and Social Marketing (SH)"]
[null,null,null,"i 2)","Community and Partner Mobilization (SH)"]
[null,null,null,"i 3)","Health Resource Inventory Management (SH)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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",9]
[null,null,null,"i 1)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (SMHSP)"]
[null,null,null,"i 3)","Education and Skill Building (SMHSP)"]
[null,null,null,"i 4)","Healthy Public Policy Development (SMHSP)"]
[null,null,null,"i 5)","Inspections (SWTEVBD)"]
[null,null,null,"i 6)","Investigations (SWTEVBD)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[null,null,null,"i 8)","Clinical Service Delivery (SchH)"]
[null,null,null,"i 9)","Clinical Service Delivery - Home Visiting (HBHC, NFP-EYGP)"]
[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) ","Adult Injury Prevention","# Interventions",4]
[null,null,null,"i 1)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 2)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 3)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 4)","Surveillance (PHAS)"]
[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 8) ","Childhood Injury Prevention","# Interventions",7]
[null,null,null,"i 1)","Communication and Social Marketing (MCHP)"]
[null,null,null,"i 2)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 3)","Community and Partner Mobilization (NFP-EYGP, HBHC)"]
[null,null,null,"i 4)","Community and Partner Mobilization (SchH)"]
[null,null,null,"i 5)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 6)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[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",7]
[null,null,null,"i 1)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 2)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 3)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 4)","Clinical Service Delivery (HBHC)"]
[null,null,null,"i 5)","Clinical Service Delivery (OHCSS)"]
[null,null,null,"i 6)","Education and Skill Building (NFP-EYGP)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[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) ","Intimate Partner Violence Prevention","# Interventions",7]
[null,null,null,"i 1)","Clinical Service Delivery (NFP-EYGP)"]
[null,null,null,"i 2)","Clinical Service Delivery (HBHC)"]
[null,null,null,"i 3)","Education and Skill Building (NFP-EYGP)"]
[null,null,null,"i 4)","Community and Partner Mobilization (MCHP)"]
[null,null,null,"i 5)","Healthy Public Policy Development (MCHP)"]
[null,null,null,"i 6)","Communication and Social Marketing (SMHSP)"]
[null,null,null,"i 7)","Surveillance (PHAS)"]
[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)"]
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[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)"]
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[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)"]
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[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)"]
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[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)"]
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[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"For many years prior to the onset of the COVID-19 pandemic, the Middlesex-London Health Unit (MLHU) Community Health Status Resource (CHSR), a publicly accessible website, was used to disseminate information about the well-being of Middlesex-London residents. This platform serves as a crucial tool for monitoring the changing health needs of the population. However, in response to the demands of the pandemic, various non-COVID population health assessment and surveillance activities were temporarily paused, and the release of key data sources essential for evaluating population health was deferred.\n\nIn 2023, the MLHU redirected its efforts to revitalize CHSR data, focusing on creating dynamic dashboards for different topic areas. This strategic initiative aimed to enhance our understanding of shifts in population health needs since the start of the COVID-19 pandemic. Currently, seven CHSR dashboards have been developed, covering diverse areas, including Geography and Population Profile, Healthy Growth and Development, Healthy Pregnancy, Immunizations, Infectious Diseases, Oral Health, and Substance Use. These dashboards will be reviewed, finalized, and posted throughout 2024,  prioritized based on the needs of populations and interest among internal and external partners.\n\nThe CHSR provides a comprehensive synthesis of data from various sources, offering a detailed overview of the population health landscape in the Middlesex-London region. Beyond census-derived demographic data, the CHSR incorporates insights from sources such as the Our Health Counts London survey by the Southwest Ontario Aboriginal Health Access Centre. Routinely available public health data, including but not limited to IntelliHealth, Better Outcomes Registry and Network (BORN), COVID-19 Case and Contact Management (CCM), Cognos Report Net (CRN), Panorama Enhanced Analytical Reporting (PEAR), Canadian Community Health Survey (CCHS), Acute Care Enhanced Surveillance (ACES), is compiled to identify temporal changes and assess local rates compared to other jurisdictions like Peer Group boards of health, Ontario, and Canada. Social determinants of health, such as income, education, employment status, and urban/rural classification, are also considered when applicable, aiding in identifying potential priority groups within the population. As the CHSR is updated and evolves, our commitment remains to expand equity-related analyses wherever data is accessible and releasable.\n\nThe 2021 Census has revealed a dynamic shift in the Middlesex-London region's demographic profile, marked by rapid growth and transformation. Over the five-year period from 2016 to 2021, the population in Middlesex-London expanded by 9.9%, surpassing the growth rate of Ontario as a whole (5.8%). In 2022, there were 4,883 births in Middlesex-London, an increase of 225 births compared to five years previous (2017, n=4,658), and an increase of 241 from two years prior (2020, n=4,642).  Both the City of London and Middlesex County populations witnessed notable growth of 10.0% and 9.2%, respectively. Furthermore, the 2021 Census indicated that 4.1% of the Middlesex-London population had immigrated in the previous five years, showing an increase from 2016 (2.6%). Notably, 24.7% of the population identified as a member of a racialized group, signifying an upward trend compared to 2016 (17.0%) and 2011 (13.7%). This demographic evolution reflects an ongoing assessment of the needs and priorities of a growing population, coupled with a shifting demographic profile. Our commitment is to modify and orient our programs and interventions to effectively address the needs of equity-deserving groups.\n\nIn oral health, Middlesex-London faces challenges, with a significantly lower percentage of the population reporting regular tooth brushing compared to Ontario. Additionally, the rate of emergency department visits for non-traumatic oral health conditions in Middlesex-London surpasses both Ontario and Peer Group boards of health, highlighting the need for targeted interventions in this domain. The Health Unit remains committed to advancing comprehensive oral health initiatives to address these disparities and promote overall well-being in the community.\n"]
[null,null,null,"In addition to analyzing publicly available health data, the MLHU leverages information regularly entered into Ministry-mandated systems [e.g., Canadian Community Health Survey (CCM), Integrated Public Health Information System (iPHIS), Panorama, Oral Health Information Support System (OHISS)] to monitor population health needs. Continuous monitoring of diseases of public health significance (DOPHS) has unveiled ongoing increases in bacterial sexually transmitted infections (STIs) in the Middlesex-London region, mirroring trends in Ontario. For example, the number of Syphilis (latent, other) cases reported in 2023 was three times higher than the annual average from the previous five years, as well as the reemergence of early congenital Syphilis cases, which had not be reported for more than 10 years prior to 2022. Responding to this, the Health Unit has developed a comprehensive STI strategy tailored to the identified risks and priority populations, including unhoused individuals, and people who inject drugs. \n\nSimilarly, routine monitoring of immunization rates among school-aged children exposed a population-level gap in coverage that emerged during the COVID-19 pandemic. Starting in 2022 and continuing into 2023, the Health Unit responded by implementing enhanced screening and increased immunization opportunities to address this gap. By the end of the 2022-2023 school year, coverage for vaccines required under the Immunization of School Pupils act (ISPA) were approaching pre-pandemic levels in the 7-year old cohort, the 17-year old cohort, and the 7 to 17-year old cohort. Our commitment is to use data in Ministry-mandated systems to gauge progress in addressing these and other community risks. Each Health Unit program contributes to a vast reservoir of data, offering invaluable insights into who accesses our services and how population health needs evolve over time.\n\nAn organizational priority is the expansion and standardization of social determinants of health (SDOH) data collection from Health Unit clients, in alignment with MLHU’s strategic Taking Action for Reconciliation report and Anti-Black Racism Plan. In response to needs identified by community partners, a pilot began among four teams in the summer of 2023, focusing initially on collecting information about Indigenous identity and racial identity, with plans for expansion to additional data domains and programs in the future (i.e., income, gender identity, and sexual orientation). From July 4th – December 31st, 2023, among the pilot teams, the majority (90%, n=1409) of clients who were asked to provide the information were willing to participate in SDOH data collection. Starting in 2023 and continuing into 2024, analysis of these data will help us understand whether there are differences among our clients identifying as Indigenous and/or racialized by various health outcomes. Collecting and analyzing SDOH data from local clients will be used to assess, report, modify, and orient MLHU interventions and service delivery to better suit the needs of clients and contribute to the population health assessment of the 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's Provisional Plan emphasizes a commitment to prioritizing initiatives aligned with Taking Action for Reconciliation and the Anti-Black Racism Plan. In keeping with this commitment, Indigenous communities, as well as Black and other racialized communities, have been identified as organizational priority populations. \n\nWithin the region, three First Nations communities—Chippewas of the Thames First Nation (Anishinaabe), Munsee-Delaware Nation (Leni-Lunaape), and Oneida Nation of the Thames (Haudenosaunee)—are key constituents. The Indigenous-led Our Health Counts London study estimates that up to 30,000 individuals of Indigenous origin reside in the area. This population faces health disparities linked to social determinants, with the study revealing that 22% of Indigenous adults experienced precarious housing or homelessness, a significant contrast to the approximately 4% reported among Canadian adults.\n\nThe 2021 Census highlighted the evolving demographic landscape, indicating that 24.7% of the Middlesex-London population identified as a member of a racialized group—an increase from previous years. Notably, between 2016 and 2021, the number of individuals identifying as Black surged by 54.6%, reaching nearly 18,000.\n"]
[null,null,null,"Recent immigrants constitute another local priority population, with 4.7% of the Middlesex-London population having immigrated in the preceding five years (2016-2021), reflecting a notable 1.7% increase from the 2016 Census. To address the needs of newcomers, the Healthy Baby Healthy Children screening tool assesses whether infants and families require newcomer support, particularly focusing on factors such as newness to Canada, lack of social supports, and social isolation. The percentage of infants screened with families in need of newcomer support has exhibited a significant increase in Middlesex-London compared to Ontario and Peer Group boards of health from 2015-2022, with a notable doubling in 2020 compared to 2015. The impact of the COVID-19 pandemic on screening numbers raises questions about the observed increase in 2020, emphasizing the need for nuanced analysis.\n\nIncome, as a determinant of health, is a critical consideration, with 12.6% of the Middlesex-London population living below the low-income measure, after tax (LIM-AT) in 2021. Local unemployment rates, which surpassed 10% during the early stages of the COVID-19 pandemic, have since decreased to 6.1% in December 2023. Persistent monitoring of the personal and household impact of increased unemployment remains a priority.\n\nHomelessness has emerged as a local priority, with a 2018 survey reporting 408 individuals experiencing homelessness in London; anecdotally, that number has continued to increase. A subsequent increase in numbers prompted the City of London to endorse a collaborative Whole of Community System Response plan with over 70 agencies, including the Health Unit, to address homelessness and the associated health impacts.\n\nIntimate partner violence (IPV), acknowledged as dating violence in adolescents, is an extensive concern with significant health consequences. Women, transgender, and gender non-binary individuals are identified as priority populations. The Health Unit has adopted evidence-based IPV prevention strategies, addressing socioecological risk factors through various programs.\n"]
[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 2021 Census reported that between 2016 and 2021, the Middlesex-London region experienced a remarkable 9.9% increase in population, surpassing the 5.8% growth observed across Ontario during the same period. This growth phenomenon extends across both urban and rural areas within the Middlesex-London region. Notably, the City of London has ascended to become the 15th largest municipality in Canada, marked by the fourth-highest growth rate among large municipalities from 2016 to 2021. Furthermore, Lucan Biddulph, a lower-tier municipality, exhibited extraordinary growth exceeding 20%, ranking it among the top 25 fastest-growing municipalities in Canada during the same period.\n\nThe Middlesex-London region observed an approximately 8% increase in its racialized population from 2016 to 2021. These demographic shifts pose challenges associated with managing the repercussions of rapid population growth, particularly in meeting the diverse needs of the community. As our region undergoes this significant demographic evolution, it becomes imperative to ensure that resources and support are readily available to address the unique requirements of various populations and ensuring they are tailored effectively to address the distinct needs of equity-deserving groups, such as newcomer support. Addressing these challenges requires proactive adaptation of programs to meet the evolving needs of a diverse community, fostering inclusivity and well-being.\n\nThe Middlesex-London region continues to face persistent challenges related to opioid and substance use, a situation that was further exacerbated by the COVID-19 pandemic. Notably, the rate of emergency department visits for opioid poisonings in the Middlesex-London region has consistently exceeded those in Ontario and Peer Group from 2017 to 2022 and in the first half of 2023.\n"]
[null,null,null,"The Health Unit remains committed to addressing opioid and substance use, with a particular focus on crystal methamphetamine, which has become an additional substance of concern impacting the region more significantly than the provincial average. Since 2019, rates of methamphetamine toxicity deaths have approximately tripled, underscoring the urgent need for comprehensive services provided by the Health Unit in collaboration with community partners.\n\nThe region is witnessing a concurrent surge in homelessness, linked with mental health and substance use challenges. The Health Unit actively engages in a community collaborative effort with the City of London and other community partners to address this multifaceted issue, exploring innovative data analysis methods to better comprehend the intersection of health and homelessness.\n\nRecognizing health disparities within subgroups of the Middlesex-London population, the Health Unit emphasizes an equity lens in analyzing population health assessment data. Ongoing efforts are in place to understand the impact of these disparities on health outcomes, guiding program and service delivery. Existing assessments based on income, education, and urban/rural status are complemented by initiatives addressing systemic inequities and fostering reconciliation with Indigenous Peoples, aligning with overarching efforts such as MLHU’s Taking Action for Reconciliation and Anti-Black Racism Plan.\n"]

{"sheet":"Foundational Standards","index":6,"n_rows":48,"n_cols":4,"rows_kept":48,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Population health assessment (PHA) information is used by the MLHU to assess, plan, prioritize, and evaluate programs and interventions. The primary means by which PHA information is made available to internal partners is through the Community Health Status Resource (CHSR), a web-based site that provides ready access to a wide range of population-level data spanning the entire spectrum of public health topics and programs. Throughout 2024 this resource will be updated to include the most recently available data. PHA is also provided through focused reports, as relevant for specified projects and initiatives. As an example, in 2023, PHA data contributed to the development of an organizational bacterial sexually transmitted infection (STI) strategy. PHA data helped identify newly emerging priority populations to include as part of the strategy, such as people who inject drugs and those who are underhoused. As well, insights into where youth 15-17 years old access sexual health information were also provided to assist with intervention planning for this priority population. Projects emerging in 2024 will be similarly supported.\n\nSpecific to social determinants of health (SDOH), the MLHU is in the second year of a multi-year initiative to implement collection and analysis of SDOH data provided by clients This organizational strategic priority is aligned to the Health Unit’s Taking Action for Reconciliation report and Anti-Black Racism Plan. In July 2023, four early adopter teams began collecting Indigenous and racial identity information from clients. Through 2023, among pilot teams, the majority (90%) of clients who were asked to provide information were willing to participate in SDOH data collection. Starting in 2023, and continuing into 2024, data collected will be analyzed to help understand health outcomes among clients identifying as Indigenous and/or racialized. As data collection continues and analyses are expanded, the information will be used to modify and orient MLHU interventions to ensure they are representative of and meet the needs of local equity-deserving groups, as well as contributing to broader population health assessment.\n\nIn addition to collecting and analyzing SDOH data provided by MLHU clients, the Population Health Assessment and Surveillance (PHAS) Program is also exploring the feasibility of population-level SDOH-oriented analyses using the data sources to which the Health Unit is provided access, such as hospital administrative data, surveys, surveillance data, etc. Work carried out in 2023 has revealed several potential challenges, including: 1) SDOH data domains are not always available in key datasets, 2) available SDOH data domains are sometimes different across data holdings, which limits comparability of analyses across topics and programs, 3) even where the same domain is available across different data systems, the values may be different from one to another, and 4) where SDOH data exist, sufficient local sample size (that is, specific to Middlesex-London subpopulations) to produce stable estimates and/or meet data release guidelines is not consistently available. The PHAS Program will continue to explore solutions to these challenges, including advocacy for standardized SDOH data collection across data systems, and increased sample sizes in key data sources sufficient to enable disaggregation of local data.\n"]
[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,"MLHU’s PHAS strategy, developed in 2023, includes components to strengthen relationships with municipal and health system partners in the Middlesex-London region, and to position the Health Unit as a regional leader in providing population-level health information to community members and other partners. \n\nThroughout 2023 and continuing into 2024, MLHU continues to forge closer relationships with the Middlesex London Ontario Health Team (MLOHT), engaging with the group as a member of the MLOHT Quality and Analytics working group. Further, MLHU engages with other health system partners, including local acute care, primary care, mental health, and community agencies, in a regional sociodemographic data working group, working toward a common approach across the health care spectrum to collect and report SDOH data for Middlesex-London residents. As well, MLHU is one of 70 community agencies working together as part of the City of London Whole of Community System Response plan, providing strategic leadership and a population-level focus to addressing homelessness and associated health impacts.\n\nAs components of MLHU’s Taking Action for Reconciliation report and the Anti-Black Racism Plan, the Health Unit engages with representatives of Indigenous and Black communities. The Health Unit regularly meets with First Nations Health Centre staff and leadership from the three First Nations communities in the Middlesex-London region, and has formed an Anti-Black Racism Plan Advisory Committee. Through these engagements, constructive feedback has been provided to MLHU about how to collect and report information from clients who identify as Indigenous and/or as Black. As a result of these connections, MLHU has developed new population health assessment products to respond to the identified needs of these partners, such as a monthly aggregated report of diseases of public health significance (DOPHS) reported among people residing in First Nations communities in the region. Engagement with Indigenous and racialized communities will continue, to help ensure that their population health information needs are met.\n\nAnother component of MLHU’s PHAS strategy includes sharing population health information to different audiences, including Health Unit senior leaders and board members, provincial and municipal funders, regional health system partners, and people in the broader Middlesex-London community. \n\nHistorically, local PHAS information has been publicly available through the Community Health Status Resource (CHSR). The CHSR is a web-based site that provides a wide range of population health and surveillance data. Beginning in 2023 and continuing into 2024, a substantial focus of the PHAS Program will be to not only update the CHSR content, but to also redevelop the resource into a series of dynamic data dashboards, and to expand content to include more recently emerging public health topics, such as mental health, and climate change. To date, seven CHSR dashboards have been developed (demographics, healthy growth and development, healthy pregnancy, immunization coverage, infectious diseases, oral health, and substance use). CHSR dashboards will be finalized and posted throughout 2024, updating and expanding the PHAS data available to all community members. \n\nAs work to update and redevelop the CHSR transitions to operational production, in 2024 the PHAS Program will begin to consider development of new ways to provide population health assessment information to community partners. Products may include in-depth PHAS reports for a specified topic, or development of new data dashboards.\n"]
[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 Health Unit purchased a membership individually.\n\nPurchase of additional data sources (e.g., purchasing a local oversample of key surveys to enable local and subpopulation analysis) is cost prohibitive and is not planned for 2024. Aside from the CDP, the PHAS Program will use data sources routinely available to boards of health, such as those accessible through IntelliHealth, Public Health Ontario, Statistics Canada, and data entered into Ministry-mandated data systems.\n\nThe MLHU is exploring collaborative access to other locally-developed data sources to described outcomes not well-defined through traditional data sources. For example, under the City of London's Health and Homelessness Whole of Community response, MLHU and partners are exploring ways to define the Middlesex-London homeless and underhoused populations, and describe health outcomes in these groups. It is unknown at this time if there will be purchase costs associated with this initiative.\n"]
[]
[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,"The Health Equity and Indigenous Reconciliation Team (HEART) 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 Director of the Public Health Foundations 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, trauma and violence informed practice, truth and reconciliation. 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\nHealth equity goals feature prominently on the MLHU's 2023-25 provisional strategic plan. Notably, addressing Indigenous health and anti-Black racism through interventions such as the collection of race-based and social determinants of health data and engagement and relationship management of priority populations. \n\nThe HEART is leading engagement of a broad spectrum of partners impacting the health of Indigenous and Black communities. The goal of this engagement is to understand their current public health needs and priorities. We have already developed formal and informal partnerships and processes to address previously identified public health priorities (example: through bi-weekly meetings with First Nation Health Centres representatives). These engagement mechanisms are utilized to guide the modification and orientation of programs and services and staff capacity building. This work takes a continuous quality improvement approach. Finally, to increase our capacity to assess the equity gaps in our community we have piloted the collection of two SDOH data domains: Indigeneity and Race. Currently, we are working to incorporate the lessons learned from the pilot into daily operations of four MLHU teams which were identified by Indigenous partners as priority services for their community. The ongoing collection of this data will further inform our modification and orientation efforts.\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 is our current primary mechanism to understanding 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). Qualitative feedback from partners and priority populations will validate our intervention effectiveness 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) is incorporated to ensure effectiveness of practice.\t\n"]
[null,null,null,"c) The role of the social determinants of health nurses in this work, if applicable."]
[null,null,null,"The Health Equity and Indigenous Reconciliation Team is composed of a Manager, two Health Promotion Specialists and a Public Health Nurse. The nurse within the team is currently focused on:\n• Engagement activities associated with implementing the MLHU Anti-Black Racism Plan; This includes but it is not limited to – Co-Charing the ABRP Advisory Committee, planning community engagement activities, providing liaison between Black communities and leaders and MLHU programs\n• Educating and supporting nurses within MLHU to operationalize the equity standard within their public health practices. \n• Supporting the implementation of infrastructure projects connected with embedding the health equity standard across the organization (example: Race-based data collection) "]
[]
[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 Strategy, Planning and Performance (SPP) program at MLHU 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.\n\nThe SPP program can support decision-making in many different ways. For example, the SPP 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\nAs a part of the Management Operating System (MOS) project, work is also being done to implement routine performance measurement to ensure there is a regular cadence of management review, critical reflection, and action planning on the performance of interventions/teams and programs. This includes development of program and intervention descriptions and logic models, with identified key performance indicators (KPIs). This process will support identification of strategic projects related to program assessment, planning and/or evaluation, as required, each year.\n\nInterventions of the SPP program include: \n• Program Reporting\n• Project Support and Technical Assistance\n• Public Health Strategy Framework \n   • Planning and Evaluation Framework (PEF)\n   • Management Operating System\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, in partnership with Public Health Ontario (PHO). The core objectives of the SLSP HUB are to 1) provide Ontario public health units without an in-house library with access to up-to-date information and scientific resources, 2) provide support for HUB health units with evidence-based practices via Librarian expertise in searching for evidence, and 3) preserve the existing library infrastructure across the province.\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 electronic newsletters and live events / webinars for targeted audiences (i.e., Healthcare Providers, Early Years Educators). Various strategies and modalities are used to effectively convey public health information to the intended audiences at the appropriate time. Combined with accessible, engaging, reliable, and up-to-date information related to MLHU programs and services, the Communications Team maintains uniform graphic standards to promote and enhance the MLHU’s brand, profile and reputation as a public health leader. \n"]
[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, including Western University. The agency's involvement with research is limited by capacity constraints. 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 (OPHS) 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\nThis program will be enhanced through initiation of the Management Operating System (MOS) Project, which aims to 1) define the work of MLHU and provide integrity and accountability mechanisms to ensure that it is done well, 2) define the system of policies and processes by which the MLHU is directed and managed, 3) describe the governance structure including accountabilities and decision-making authority across the organization, along with the program and organizational structure, and 4) to provide a framework that ensures consistent quality (efficiency and effectiveness) across our programs and services. Throughout 2024, the MLHU will more specifically support this by refining program and intervention descriptions and logic models to identify the key performance indicators (KPIs), which will be routinely monitored and reported on both internally and external.\n\nInterventions of the Quality and Transparency Program include: \n- Liaison Work\n- Performance Management\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,"Focus will continue specifically on the development of updated Emergency Response Plans (ERPs) to respond to public health crises. During this development, review of the updated Ministry of Health Emergency Management Guideline (2024) will be completed to ensure that the emergency management program remains compliant.\n\nInternal stakeholders, such as key program managers, will be consulted on the development of emergency plans through documentation reviews and 1:1 meetings with the Strategic Advisor - Emergency Management, responsible for coordinating planning efforts. 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. Specific focus will also be given to collaborative planning efforts with partners across the health sector (e.g., Hospitals, Middlesex-London OHT, etc.), including the potential formation of the Middlesex-London Health System Emergency Management Table (MLHSEMT), as emphasized by the CMOH on sustaining preparedness after COVID-19.\n\nFurther prioritization will be done to develop the sub-plans to the MLHU ERP, or the specific plans and protocols to respond to potential health hazards or risks prioritized through local HIRA's. Sub-plans to develop include, but are not limited to, Continuity of Operations Plans (COOPs), Labour Distruption Plan, Facility / Infrastructure Failure Plan, Extreme Temperature Procedure (hot and cold events), and Respiratory Season Plans (including Pandemic Plan and Mass Vaccination Plan).\n"]
[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. Once the updated MLHU Emergency Response Plan (ERP) is approved and implemented, MLHU will undertake a process to re-assess the most business-critical operations through a series of business impact analyses. MLHU is an active member of the Ontario Public Health Emergency Management Network (OPHEMN) Working Group, supporting the project of developing the Public Health Recovery and Business Continuity Guidance.  The projected completion is April-June of 2024. This guide will support developing the MLHU COOP.\n\nThe MLHU will also continue to promote a healthy work environment that supports the physical and mental health of staff, needed for recovery and maintenance of critical health services. This work has been prioritized within the 2023-2025 Provisional (Strategic) Plan. This will include the policies, procedures, and educational campaigns delivered by Occupational Health and Safety and the internal staff-led wellness committee, \"BeWell\"."]
[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, eNewsletter distribution lists (e.g., Healthcare Provider Outreach, Early Years Outreach, Emergency Management Community Partners, such as municipalities, etc.), Webinars and Teams live events, direct media engagement, and social media posts. The MLHU has also historically utilized Ham radios during emergency responses to coordinate information with those involved in the response, but are exploring the ongoing feasibility of this option in consultation with community partners. Additionally, we have implemented an internal mass 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 Occupational Health & Safety (OHS), MLHU implemented services from RAVE Mobile Safety - the notification system supported and funded by the Ministry of Health. This includes internal mass notification to all staff via email, text or phone call or in the event of a disruption or emergency. The system also supports group-specific notification so MLHU can effectively notify specific groups impacted by an event if required. The \"Internal Mass Notification System\" Policy was implemented internally in 2023, which details the processes and procedures describing how and when internal mass notifications would be provided for staff during responses. This initiative replaced the manual fan-out list was historically 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 and Middlesex County, to support any mass notification as required under the direction of the municipal Emergency Operations Centre (EOC) Policy Group or County Emergency Control Group (CECG). 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.    \n"]
[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 2024.\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 2024, 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 and Board of Health members on courses offered by Emergency Management Ontario (i.e., IMS 200, BEM 200).    \n\nThe MLHU also plans to further develop a comprehensive Emergency Management (EM) SharePoint site for internal staff access, for continued awareness and education on Emergency Preparedness, the MLHU Emergency Response Plan, and educational resources and links to supplemental learning. Another folder of the EM SharePoint site will include a specific site for those MLHU staff assigned to direct roles in an emergency response for enhanced knowledge and training opportunities. \n\nLastly, MLHU's Strategic Advisor - Emergency Management will attend municipal emergency response exercises to identify alignment strategies in Emergency Response Plans, in preparation for conducting an annual exercise at the MLHU in order to build capacity of those having emergency response roles.  "]
[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\nSpecific evalualtive activities from COVID-19 included a series of evaluations that were completed on MLHU's COVID-19 vaccination response, which included evaluations of COVID-19 Mass and Mobile Clinic Operations, COVID-19 Mass and Mobile Clinic Leadership, COVID-19 Vaccine Distribution, and Inernal and External Perspectives on Community Partnership. Additional COVID-19 debrief sessions were conducted with municipal partners to assess lessons learned from the COVID-19 pandemic repsonse. This included engagement specifically with Middlesex County, including all lower tier municipalities. These lessons learned are being summarized in 2024 for validation and will include recommended actions to strengthen response and partnership efforts.\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: Short-Term Outcomes:\n• Complete the update and redevelopment of the Community Health Status Resource (CHSR), the primary means of publicly sharing PHAS information\n• Contribute to enhancing the systematic collection and analysis of SDOH data from MLHU clients\n• Contribute to the identification of health inequities and priority populations, particularly those related to Indigenous and Black community members, in alignment with organizational strategic priorities\n• Contribute technical and analytical expertise to organizational priority projects, such as those defining MLHU's Management Operating System and creating detailed descriptions of interventions and their associated key performance indicators\n• Provide population-level data analysis and interpretation as required to inform local planning and decision making\n• Monitor and detect emerging health issues and priorities in the local population using population-level data\n• Contribute to the development of short-term health outcomes for other programs in the MLHU by contributing to their awareness of relevant and current population health information\n\nHealth Equity and Indigenous Public Health Practice: Short-Term Outcomes\n• Through ongoing implementation of our Interpretation Services Policy and Procedure, language barriers are reduced when accessing MLHU programs and services. \n• Increase confidence of staff in the collection of Indigenous and Race-based identity data\n• Increasing confidence of staff in engaging Indigenous partners in culturally humble ways through regular and consistent engagement.\n• Increasing our organizational understanding of staff’s current baseline approach and ability to engage Indigenous and Black populations to modify and orient services to better meet their needs.\n• Increased confidence of staff in application of knowledge related to Public Health Sciences specific to advancing health equity.\n• Implementing prioritized recommendations of the Taking Action for Reconciliation plan based on feedback gathered through engagement of First Nation partners in 2023.\n• Implementing prioritized recommendations of the Anti-Black Racism Plan based on feedback gathered through engagement of African, Caribbean, and Black community members in 2023.\n\nProgram Planning and Evaluation: Short-Term Outcomes\n• Increase awareness, knowledge and skills of MLHU staff to use the Planning and Evaluation Framework (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 competencies and standards.\n• Increase awareness of best practices and/or practice enhancements.\n\nCommunications: Short-Term Outcomes\n• The public and community partners are aware of ongoing public health priorities, values, programs and services, and urgent public health messages (i.e., food-borne illness outbreak, heat/cold alerts, etc.).  \n• The Communications team works with staff to develop clear and comprehensible key messages,  design engaging content, and identify strategies and channels, to effectively convey information to intended audiences.\n• Maintain graphic standards across all external communications and promote brand through promotional materials.  \n• Coordinate translation services for the agency, to improve the accessibility and reach of public health information. \n• The MLHU website is kept up-to-date to ensure public access to important information (i.e., inspection results to support making evidence-informed choices, local health information such as respiratory illness summary. \n• Support internal communication methods, such as weekly virtual Townhall meetings, to ensure staff are informed of key information and priorities.\n• Foster open, two-way communication with the community via \"health@mlhu\" email inbox and social media platforms.\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• All members are aware of how to access meeting materials.\n• Development of Continuous Quality Improvement (CQI) action plans.\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• Staff and leaders have access to evidenced-informed best practices.\n• A customer relationship management framework is identified and implemented.\n\nEmergency Management: Short-Term Outcomes\n• Implement a mass notification system for internal information dissemination in the event of a emergency response.\n• Update the Emergency Response and Continuity of Operations Plans, including information review of COVID 19 pandemic.\n• Build capacity in staff and the public by providing and supporting education and awareness on public health emergency preparedness.\n\n\n"]
[]
[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\nThe following internal partners are involved in carrying out PHAS program/services:\n• The PHAS Program is led by the PHAS team, which is comprised of data analysts, epidemiologists, and a team manager. The PHAS team’s primary objective is to fulfill the requirements of the Population Health Assessment Foundational Standard. This includes providing population-level data analysis and interpretation to inform local planning and decision making, as well as working closely with all other program standard areas to embed PHAS data into ongoing work.\n• The PHAS team collaborates closely with other teams and leadership in the Public Health Foundations (PHF) division, including the Director, as well as the Health Equity and Reconciliation team (HEART) and the Strategy, Planning, and Performance (SPP) team. Examples of collaborative work to mutually advance the Foundational Standard include a project to gather and analyse SDOH data from MLHU clients (HEART, PHAS team, SPP team), as well as an initiative to develop key performance indicators for programs and interventions (SPP team, PHAS team). Collectively, the mission of the PHF division is to provide agency-wide leadership in foundational public health principles and practices to ensure that the work of MLHU is exceptional quality, population-oriented, proactive, innovative, equity-driven, and evidence-informed.\n• Senior leaders, including Directors, the Chief Executive Officer, Associate Medical Officer of Health and Medical Officer of Health are also key internal partners. They provide ongoing strategic leadership and direction to carry out PHAS interventions and services. \n• Leadership and staff of other program standard areas are consulted and engaged as needed/required to identify operational needs, and content expertise, for PHAS Program deliverables.\n\nThe MLHU collaborates with the following groups and external partners in PHAS program/service delivery:\n• Ontario Health and Middlesex London Ontario Health Team (MLOHT): Collaboration occurs through working groups, such as the MLOHT Data and Analytics working group, and through project work, such as the regional sociodemographic data collection initiative.\n• Acute care (London Health Sciences Centre, St. Joseph’s Health Care, Middlesex Hospital Alliance): Share ‘front line’ observations of potential emerging situations (e.g., increases in drug toxicity cases), as well as data more formally provided under data sharing agreements (e.g., opioid toxicity emergency department visits aggregate data) \n• Indigenous and Black community representatives: These groups have been consulted through meetings and working groups for several PHAS activities, including the collection of SDOH data from clients, and enhancements to DOPHS reporting to meet community needs\n• Others with expertise in analytical approaches relevant for public health: Through existing and emerging relationships, the Health Unit often confers with researchers and professors at Western University. Expertise and guidance are also often sought through the Association of Public Health Epidemiologists, which is available to all who hold memberships\n• Provincial data providers: The MLHU collaborates with several provincial agencies who provide provincial level data, including the Office of the Chief Coroner, Connex Ontario, and Public Health Ontario\n• Provincial surveillance leadership: The MLHU collaborates with Public Health Ontario and the Ministry of Health through various provincial working groups, such as the CCM users and iPHIS Cognos Surveillance working groups \n\nEngagement and strong relationships with community, municipal, and provincial partners is one of the MLHU Provisional Plan goals. In 2024, the Health Unit is beginning a project to develop a Partnership Engagement Framework, including an inventory of MLHU relationships with key partners. It is expected that the PHAS Program will be assessed as part of this project, and so a more fulsome catalog of the external partners with which the Health Unit collaborates to carry out PHAS-related programs and services will emerge as the project unfolds.\n\nHealth Equity\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 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+, among others. \n• MLHU's Anti-Black Racism Plan Advisory Committee (composed of members of the diverse African, Caribbean, and Black communities of London and Middlesex), is a key mechanism to communicating and receiving feedback on the implementation of the MLHU Anti-Black Racism Plan. HEART meets a minimum of 5 times a year with the committee. HEART also leverages members of this committee to co-create engagement activities and inform public health intervention planning, such as mobile vaccination clinics.\n• HEART coordinates and chairs bi-weekly meetings with First Nation Health Centre partners. These meetings serve as a critical coordination and collaboration mechanism to advance public health goals as identified by leaders within the health centres of the local First Nations. The meetings include representatives from Oneida Nation of the Thames, Chippewas of the Thames First Nation, Munsee Delaware Nation.\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 University, Atlohsa Family Healing Centre, W.E.A.N Community 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, St Joseph’s Health Care, London Intercommunity Health Centre, Ontario Health West, Canadian Mental Health Association, Muslim Resource Centre, Accès Franco-Santé London, Nigerian Association of London and Area\n\nProgram Planning and Evaluation\n• The Strategy, Planning and Performance (SPP) 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 (OPHEN; e.g. peer support; knowledge exchange) and Public Health Ontario (e.g. ethics support)\n\nResearch and Knowledge Exchange\n• The Research and Knowledge Exchange (RKE) program is managed by the Strategy, Planning and Performance Team, 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 support 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 (OPHEN), Chief Nursing Officers Network, professional practice leads in public health units across the province. \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• Key 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 Specialist, 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 (professional practices for individuals and organizational performance management), Nursing Practice Council and other professional practice groups (support accountability and excellence in nursing/professional practice through committee meetings), and Population Health Assessment and Surveillance Team .\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)\n\nEmergency Management\n• The Strategic Advisor - Emergency Management (on the Strategy, Planning and Performance 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. This includes participating in regional working groups, such as the Ontario Public Health Emergency Management Network (OPHEMN).  \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.  \n\nMLHU will continue to strengthen relationships through participation in municipality emergency response exercises/table tops, collaborate to amplify Emergency Preparedness education campaign and activity opportunities, maintain communication and support for the Emergency Response Plan development.  \n"]

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[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Through the development and implementation of the MLHU's Management Operating System, the agency is developing a new annual strategic prioritization process. The process will ensure a robust evidence-informed review of priorities. For 2024, priorities for this Standard have been developed through a review of the relevant programs and the associated interventions. \n\nNon-Mandatory Oral Health Programs\n• In 2017/18,  72.5% of Middlesex-London residents aged 12 and older reported having dental insurance. In addition, 31% of Middlesex-London residents aged 12 and older reported having oral or facial pain within the past month [Source: Canadian Community Health Survey (CCHS)]\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. \n\nOntario Seniors Dental Care Program\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 ($22,200/individual senior or $37,000/couple).  The increase in the number of eligible seniors has caused the waiting list for care at the MLHU dental clinic to increase. Currently there are 525 people on a waitlist for a new patient exam. MLHU receives up to 10 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 patients we have seen, have not had a dentist or regular dental care prior to becoming a patient at our clinic. \n\nPhysical Activity and Sedentary Behaviour\n• 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 Adults18-64 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• Further work is needed in 2024 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\nFood Systems and Nutrition\nAdditional research and updated local/regional data collection is needed in 2024 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.\n\nPerinatal Mental Health Promotion\n• According to the 2021 Census, a third (33.6%) of individuals 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• There is evidence of increasing risk factors and complex challenges experienced by families in M-L (PHO, Risk Factors for Healthy Child Development Report, 2021)\n• In M-L, 30.8% of families reported having a parent or partner with a mental illness.  This is compared to the provincial average of 19.3%.\n• In M-L, 8.7% of families identified requiring newcomer support.  This compares to 2.5% provincially. *M-L reported the highest percentage across all health units.  The next highest was 4.6%.  \n• In M-L, 15.2% of families reported having concerns about money.  This is compared to the provincial average of 2.7% *This was the highest reported percentage across all health units.  The next highest was 6%.  \n• In M-L, 4.8% of families reported having a parent or partner with a disability.  This is compared to the provincial average of 0.9%. *M-L had the second highest reported percentage across all health units.  The highest percentage was 6.2%.\n\nThe built environment is also a priority and is discussed more in the Healthy Environments section.\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. Sleep is addressed within other target populations (infants and children), and through both the School Health standard, and Healthy Growth and Development standard. Given capacity limitations, limited activity is currently occuring with regards to UV Radiation and Sun Safety. Work with regards to General Mental Health Promotion is generally captured by interventions occuring within other programs. "]
[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\nBased on complaints, the Safe Water, Tobacco Enforcement and Vector Borne Disease (SWTEVBD) team delivers Menu Labelling interventions in Middlesex County for facilities that have greater than 20 premises as a chain across Ontario. Similarily, 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\nExternal partners include the Ministry of Health (MOH):  The MOH provides training materials 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 Programs\nThe Non-Mandatory Oral Health Program is managed by the Oral Health & Clinical Support Services Team.\n\nInternal partners include:\n• School Health Team: the Oral Health & Clinical Support Services Team works with the School Health Team to plan oral health month activities in the schools. \n• Communications Team: the Oral Health & Clinical Support Services Team works with the Communications Team to plan oral health month activities and implement other health promotion initiatives related to oral health.\n\nExternal partners include: \n• Licenced Child Care centres located near high risk schools: the Oral Health & Clinical Support Services Team works with Child Care centres  to obtain parental consent that allow the Oral Health & Clinical Support Services Team 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 example, individuals who reach out to us between the ages of 18-64 yrs. old.\n\nOntario Seniors Dental Care Program\nThe Ontario Seniors Dental Care Program (OSDCP) is managed by the Oral Health & Clinical Support Services Team.\n\nInternal Partners of the OSDCP include: \n• Communications Team: The Communications Team at MLHU assists with health promotion initiatives and promotion of the OSDCP when required. \n• Strategy, Planning and Performance (SPP) Team: The Oral Health & Clinical Support Services Team uses the services of the SPP 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 approximately 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 250 OSDCP patients as part of their patient roster. . 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 partnering to provide denture at a low cost to MLHU oral health patients. \n\nTanning Beds\n• The Program Manager and the Supervisor of the Safe Water Tobacco Enforcement and Vector Borne Disease (SWTEVBD) team provide oversight to the designated Enforcement Officers 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\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\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 staff meet monthly, or as needed to share information, make referrals and coordinate joint inspection/enforcement activity, where appropriate. \n\nUltraviolet Radiation and Sun Safety\nFor the following reasons and partnerships, the sun safety component of this program is no longer delivered:\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).\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.\n• Canadian Dermatology Association - celebrates and promotes Sun Awareness Week every year through the provision of social marketing and public education.\n\nPhysical Activity and Sedentary Behaviour\n• The Physical Activity and Sedentary Behaviours program is managed by the Family and Community Health division. Program interventions and activities focus across the lifespan with primary focus on influencing healthy behaviours and health supporting environments in school-aged through older adult populations.  \n• Internal partners: Collaboration occurs between the Municipal and Community Health Promotion team, the Social Marketing and Health System Partnerships team, the School Health team, and the Population Health Assessment and Surveillance team as well as other teams delivering interventions of relevant ASP identified programs including General Mental Health as appropriate. \n• External partners include municipalities and schools/school boards. Partnership tables that health unit staff are part of related to this program area include: City of London, Age Friendly London/Child and Youth Network and Middlesex Children's Services Network.  \n• In 2024 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\nFood Systems and Nutrition - Internal Partners:\n• The Food Systems and Nutrition program is managed through the Family and Community Health division. This 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 and Nutrition program collaborates with the School Health team 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 teachers and families.\n• The Food Systems and Nutrition program collaborates with the Healthy Pregnancies and Infant Nutrition programs to support prenatal nutrition programming.\n\nFood Systems and Nutrition - External Partners:\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 School Health team\n\nFood Systems and Nutrition - Provincial Partners:\nOntario Dietitians in Public Health, Public Health Ontario, Dietitians of Canada, Unlock Food\n\nGeneral Mental Health Promotion\nThe Family and Community Health division will coordinate program activities associated with general mental health promotion. The division will coordinate teams and programs engaging in general mental health promotion, including the School Health program, the Alcohol program, Perinatal Mental Health program, Violence Prevention and Intimate Partner Violence programs and the Food Systems and Nutrition program. Additionally, the General Mental Health Promotion 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\nThe program will underpin work within the Family and Community Health division by supporting a broad and collective understanding of mental health between programs.\n\n*This program is separate from, but works together with the Perinatal Mental Health Promotion Program 444, which focuses on perinatal, infant and early childhood mental health. \n\n• This program is new in the 2024 year and many stakeholders have not been established. \nInternal Stakeholders: Municipal and Community Health Promotion Team, School Health Team, Social Marketing and Health System Partnership Team and Public Health Assessment and Surveillance, Nurse-Family Partnership and Early Years Group Programs Team, HBHC Team, Sexual Health 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\n\nPerinatal Mental Health Promotion\n• The Perinatal Mental Health Promotion program is managed by the Family and Community Health division.  The NFP and Early Years Group Programs team and the HBHC team collaborate by sharing information, making cross-team referrals, and providing input on mental health program development.  Collaboration across relevant teams is facilitated at the leadership level and through participation on relevant committees and communities of practice.   \n• The Healthy Babies Healthy Children and NFP and Early Years Group Programs teams provide perinatal mental health screening and assessments, the promotion of positive mental health and community referrals as appropriate.\n•  The NFP and Early Years Group Programming team also implements the Canadian Prenatal Nutrition (CPNP) Program, otherwise called Smart Start for Babies (SSFB), to women identifying with food insecurities.  Mental health topics are incorporated into the sessions.  \n• The HBHC team supports the Healthy Growth and Development phone line which provides health teaching and support to clients regarding mental health and referrals to internal and external programs. \n•  The Social Marketing and Health System Partnerships team maintains information on the MLHU website, and provides health care providers with up-to-date information and resources through Health Care Provider Outreach as appropriate.\n\nRelevant teams within the Family and Community Health division collaborate as needed to support information sharing with other MLHU Divisions and Teams through an informal reporting relationship.    \n•  Health Equity and Reconciliation Team supports with providing an equity lens in the planning and implementation of mental health promotion.\n\nInterested:  The following community partners work in collaboration with the Family and Community Health Division to support perinatal mental health: \nChildren's Aid Society of London and Middlesex, , London Intercommunity Health Centre -referrals, Muslim Resource Centre, Street Level Women at Risk, 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, Health Care Providers, LHSC\n"]
[]
[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,"The target population for this program is individuals who consume food from food premises chains (greater than 20 locations in Ontario) where menu labelling information is required.  "]
[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, 2024."]
[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,"Complaint-based 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. "]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of chronic diseases of public health importance and improve well-being (OPHS goal)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of chronic diseases. (OPHS outcome)\n\nShort-Term\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with chronic diseases. (OPHS outcome)\n• Food premises are in compliance with the Healthy Menu Choices Act, 2015 (OPHS outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of chronic diseases. (OPHS outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D8 & \" \" & Structure!E8","v":"i 1) Inspections (FSHH)"}]
[null,null,null,"As per the updated 2024 protocol, the MLHU has shifted to a complaint-based approach with regards to enforcement of the HMCA. Complaints are reviewed by PHIs who are designated by the Ministry of Health and are employed at MLHU. When required, inspections are conducted to ensure that menu labelling requirements (display of caloric information, contextual statements) are displayed in a manner that is compliant with the Healthy Menu Choices Act, 2015. The Food Safety and Health Hazards (FSHH) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D9 & \" \" & Structure!E9","v":"i 2) Communication and Social Marketing (FSHH)"}]
[null,null,null,"The Food Safety and Health Hazards (FSHH) Team supports communication activities that involve creating and disseminating health information to the public and via the MLHU website. "]
[null,null,null,{"$f":"Structure!D10 & \" \" & Structure!E10","v":"i 3) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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 Oral Health & Clinical Support Services 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 children in these schools found to have decay. "]
[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-Mandatory 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 Non-Mandatory Oral Health (OH) Programs 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. The Oral Health and Clinical Support Services Team provides fluoride varnish application in high-risk child care centres. \n\nInterventions of the Non-Mandatory Oral Health (OH) Program include:  \n•  Clinical Services Delivery\n•  Surveillance\n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 has 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 Oral Health & Clinical Support Services 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 from 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.\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,"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 & Clinical Support Services 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.\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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of oral diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-being Program Goal).\n• There is a reduction in population health inequities related to dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n\nIntermediate\n• There is an increased adoption of oral health promoting behaviours among populations targeted through program interventions for the prevention of dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n\nShort-Term\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n• The board of health shall increase awareness of available oral health services among community partners, providers, and clients (adapted OPHS Oral Health Protocol Standard).\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of chronic diseases (OPHS Chronic Disease Prevention and Well-being Program Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D19& \" \" &Structure!E19","v":"i 1) Clinical Service Delivery (OHCSS)"}]
[null,null,null,"Clinical service delivery for Non-Mandatory Oral Health Programs offers one-on-one services to clients including fluoride varnish application in high-risk licensed child care centres. Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the oral health care preventive services support the optimal oral health of children, their families, and the community as a whole). These clinical services are delivered in the community (e.g., child care centres). The Oral Health and Clinical Support Services (OHCSS) Team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D20& \" \" &Structure!E20","v":"i 2) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D21& \" \" &Structure!E21","v":"i 3) "}]
[]
[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."]
[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 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 Ontario Seniors Dental Care Program (OSDCP) is to enable an increased proportion of low-income seniors to have optimal oral health. The program achieves this by requiring Public Health Units to support awareness of, access to, and utilization of the OSDCP. The program provides free, routine dental services to low-income seniors who are 65 years of age or older. This includes both preventive (cleanings) and restorative (fillings, extractions) services. By connecting eligible seniors will the dental care they need, the program helps to support healthy living and an increased quality of life. \n\nInterventions of the Ontario Seniors Dental Care Program (OSDCP) include:  \n•  Communication and Social Marketing\n•  Clinical Services Delivery\n•  Surveillance\t\n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 & Clinical Support Services 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of oral diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-being Program Goal).\n• There is a reduction in population health inequities related to dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n\nIntermediate\n• There is an increased adoption of oral health promoting behaviours among populations targeted through program interventions for the prevention of dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with dental diseases (adapted OPHS Chronic Disease Prevention and Well-being Program Outcome).\n• The board of health shall increase awareness of available oral health services among community partners, providers, and clients, and encourage participation in the OSDCP (adapted OPHS Oral Health Protocol Standard).\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of chronic diseases (OPHS Chronic Disease Prevention and Well-being Program Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D30& \" \" &Structure!E30","v":"i 1) Communication and Social Marketing (OHCSS)"}]
[null,null,null,"Communication activities for the Ontario Seniors Dental Care Program involve maintaining information about oral health on the MLHU website. Activities within this intervention aim to increase knowledge about oral health, services and eligibility and promote the health of individuals and populations. The Oral Health and Clinical Support Services (OHCSS) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D31& \" \" &Structure!E31","v":"i 2) Clinical Service Delivery (OHCSS)"}]
[null,null,null,"Clinical service delivery for the Ontario Seniors Dental Care Program offers one-on-one dental services to eligible low-income seniors. Although these services are delivered at an individual level, they are part of a priority population focused approach. Activities include client registration, preventative and restorative services along with the instrument re-processing for clinical operations. These clinical services are delivered at MLHU Oral Health clinics in both the City of London and County of Middlesex. The Oral Health and Clinical Support Services (OHCSS) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D32& \" \" &Structure!E32","v":"i 3) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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 and health promotion programming priorities, 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 2024 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 explicitly through its own dedicated program, or through integration within other programs.  Based on the results from the program review in 2022/2023, some health topics may have had less intensive programming moving forward than in past years.\n"]
[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• Communication and Social Marketing,\n• Inspections,\n• Investigations,\n• Surveillance. \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,"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,"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."]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\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\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\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.\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of chronic diseases."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D41 & \" \" & Structure!E41","v":"i 1) Communication and Social Marketing (SWTEVBD, SMHSP)"}]
[null,null,null,"The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team and the Social Marketing and Health System Partnership (SMHSP) Team supports communication activities that involve creating and disseminating health information to the public and community partners using the MLHU website."]
[null,null,null,{"$f":"Structure!D42 & \" \" & Structure!E42","v":"i 2) Inspections (SWTEVBD)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, and enforcing legal requirements of the Skin Cancer Prevention Act. This intervention relies heavily on providing education to owners/operators/proprietors/individuals to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of skin cancer. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D43 & \" \" & Structure!E43","v":"i 3) Investigations (SWTEVBD)"}]
[null,null,null,"Through investigations the Enforcement Officers collect data regarding known or potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Tanning Bed program investigations are complaint- based. The Investigations intervention may require enforcement activities, where necessary. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D44 & \" \" & Structure!E44","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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) Ultraviolet Radiation and Sun Safety"}]
[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,"Locally, the decision has been made that MLHU will not implement the Sun Safety program due to program prioritization. Program interventions are limited to communications and social marketing, as well as surveillance."]
[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 Ultraviolet Radiation and Sun Safety program will address requirement 1 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,"UV exposure"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Interventions of the Ultraviolet Radiation and Sun Safety Program include: \n• Surveillance"]
[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 adressed"]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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,"Short-Term\n• The board of health is aware of and uses data to influence and inform the development of  its programs and services."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D52 & \" \" & Structure!E52","v":"i 1) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D53 & \" \" & Structure!E53","v":"i 2) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) Team supports communication activities that involve creating and disseminating health information for the public and community partners using multi-media approaches including the MLHU website. "]
[null,null,null,{"$f":"Structure!D54 & \" \" & Structure!E54","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D55 & \" \" & Structure!E55","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D56 & \" \" & Structure!E56","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D57 & \" \" & Structure!E57","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D58 & \" \" & Structure!E58","v":"i 7) "}]
[]
[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) Physical Activity and Sedentary Behaviours"}]
[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,"• School age population and their families\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\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"]
[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 Physical Activity and Sedentary Behaviour program will address Requirements 1 and 2 under 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,"This program addresses physical activity and sedentary behaviour. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Physical Activity and Sedentary Behaviours program addresses physical activity and sedentary behaviour for communities in Middlesex County and London. The program contributes to the physical well-being of the population and is directly linked with the Active Transportation and Built Environment and Comprehensive School Health programs to enable safe and active transportation modes and safe environments for increasing physical activity. "]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"• Elementary School Children (4-13 Years): this is the target group for initiatives related to promoting active school travel (School Health team leads this work).  \n• Municipal stakeholders and decision makers: Ensuring that municipal plans and strategies prioritize healthy community design and will impact the health of the community over the long term by promoting safe environments for increasing physical activity.     "]
[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.\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,"The Physical Activity and Sedentary Behaviour program is linked to requirements under the Healthy Environments and the School Health 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of sedentary behaviour related chronic diseases of public health importance and improve well-being (modified OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to sedentary behaviour related chronic diseases (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of sedentary behaviour related chronic diseases (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n\nShort-Term\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of sedentary behaviour related chronic diseases (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of sedentary behaviour related chronic diseases (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of sedentary behaviour related chronic diseases and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with sedentary behaviour related chronic diseases (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D63 & \" \" & Structure!E63","v":"i 1) Community and Partner Mobilization (SchH)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The School Health team supports this intervention by supporting the development of physical activity positive schools, through engaging school boards and secondary schools."]
[null,null,null,{"$f":"Structure!D64 & \" \" & Structure!E64","v":"i 2) Communication and Social Marketing (SchH)"}]
[null,null,null,"Communication activities involve creating and disseminating health information for the public and community partners using multi-media approaches including the MLHU website. The School Health Team supports this intervention."]
[null,null,null,{"$f":"Structure!D65 & \" \" & Structure!E65","v":"i 3) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) team also supports this information by maintaining information on the MLHU website."]
[null,null,null,{"$f":"Structure!D66 & \" \" & Structure!E66","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D67 & \" \" & Structure!E67","v":"i 5) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring physical activity, through focus on active transportation and built environment, are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, Board, and municipalities; \n• providing feedback on notice of applications, and review the master plan of the municipalities. "]
[null,null,null,{"$f":"Structure!D68 & \" \" & Structure!E68","v":"i 6) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on London Middlesex Road Safety Committee and the Active and Safe Routes to School Committee."]
[null,null,null,{"$f":"Structure!D69 & \" \" & Structure!E69","v":"i 7) Healthy Public Policy Development (SchH)"}]
[null,null,null,"School health related healthy public policy development involves ensuring issues related to physical activity and sedentary behaviours among students are on the agenda of school board policy makers.  The School Health team supports activities that include identifying and developing policy briefings for public health issues relating to student physical activity levels; identifying and developing policy options for student physical activity levels; providing evidence-based feedback on the health impacts of school health-related policies; and providing technical assistance to develop or change school health-related policies.\n"]
[null,null,null,{"$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) Food Systems and Nutrition"}]
[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 and Nutrition program will be examined and defined throughout the 2024 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 and Nutrition 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 and Nutrition program will address the following topics of consideration listed in the standard: 1) Built environment, 2) Healthy eating behaviours, and  4) Mental health promotion.\t\t"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Food Systems and Nutrition 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. \nFollowing an ecological health promotion framework, the food systems program considers the social, economic and environmental factors that influence eating behaviours. \nThe Food Systems and Nutrition 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.\nThe program also supports the Middlesex-London Food Policy Council, which addresses regional food system policies and decision-making, and the London Food Bank, to build capacity and food literacy into community plans (e.g., SOHO alliance, Harvest Bucks initiative).\nInterventions of this program include: \n• Healthy Public Policy Development,\n• Community and Partner Mobilization,\n• Communication and Social Marketing, and\n• Surveillance."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"Priority populations have been identified for this program area in the past and will be examined and further defined throughout the 2024 year through local data, and research.  A key priority area for focus are people and populations experiencing food insecurity and supporting access to nutritious 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 priority populations can be found above in a5."]
[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 and Nutrition program promotes mental wellness through community connectedness, and cultural preferences and norms as it relates to food habits and consumption. The food systems program addresses 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.\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,"The program will also address 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of food and nutrition-related chronic diseases of public health importance and improve well-being (Modified OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to food and nutrition-related chronic diseases (Modified OPHS Chronic Disease Prevention and Well-Being Outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of food and nutrition-related chronic diseases (Modified OPHS Chronic Disease Prevention and Well-Being Outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of food and nutrition-related chronic diseases (Modified OPHS Chronic Disease Prevention and Well-Being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of food and nutrition-related chronic diseases and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (Modified OPHS Chronic Disease Prevention and Well-Being Outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with food and nutrition-related chronic diseases (Modified OPHS Chronic Disease Prevention and Well-Being Outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of food and nutrition-related chronic diseases (Modified OPHS Chronic Disease Prevention and Well-Being Outcome).\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) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Food and nutrition healthy public policy development involves ensuring that the burden of food and nutrition-related chronic diseases are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• providing strategic leadership at the Middlesex-London Food Policy Council; \n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources with focus on food affordability; and\n• developing policy briefings and resources relevant to municipalities and the province; "]
[null,null,null,{"$f":"Structure!D75 & \" \" & Structure!E75","v":"i 2) Healthy Public Policy Development (SchH)"}]
[null,null,null,"The School Health team also supports the Healthy Public Policy Development intervention by:\n• working with school boards to support policies that create healthy and supportive food environments in schools and\n• supporting the completion of food program grants for eligible schools."]
[null,null,null,{"$f":"Structure!D76 & \" \" & Structure!E76","v":"i 3) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Food and nutrition community and partner mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes with respect to the burden of food and nutrition-related chronic diseases. The Municipal and Community Health Promotion (MCHP) team supports this intervention by providing administrative support to the Middlesex-London Food Policy Council and supporting the Harvest Bucks initiative. "]
[null,null,null,{"$f":"Structure!D77 & \" \" & Structure!E77","v":"i 4) Community and Partner Mobilization (SchH)"}]
[null,null,null,"The School Health team supports this intervention through working with school boards to identify gaps with current infrastructure, policy, and resources with focus on food literacy and supporting the completion of grant applications for school food programs."]
[null,null,null,{"$f":"Structure!D78 & \" \" & Structure!E78","v":"i 5) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) team leads communication activities that involve creating and disseminating health information for the public and community partners using multi-media approaches such as the MLHU website."]
[null,null,null,{"$f":"Structure!D79 & \" \" & Structure!E79","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D80 & \" \" & Structure!E80","v":"i 7) Surveillance (MCHP)"}]
[null,null,null,"The Municipal and Community Health Promotion (MCHP) team supports this intervention through the development of an annual Nutritious Food Basket."]
[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) General Mental Health Promotion"}]
[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 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 Family and Community Health division (e.g., School Health team) and the Environmental Health, Infectious Diseases and Clinical Services Division (e.g., Oral Health and Clinical Support Services team).  "]
[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.   "]
[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 General Mental Health Promotion program will address multiple topics of consideration including healthy eating behaviours, healthy sexuality, mental health promotion, physical activity and sedentary behaviour and substance use. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The General Mental Health Promotion program is a re-defined program area for MLHU in 2024. 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 general mental health well-being of Middlesex-London residents.\nProgram planning is in development, however priority areas include: mental health promotion and mental health literacy, and healthy aging.\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).\nInterventions for this program include:\n• Healthy Public Policy Development,\n• Community and Partner Mobilization,\n• Education and Skill Building,\n• Communication and Social Marketing, and\n• Surveillance."]
[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,"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\n58% of students surveyed with the 2021 COMPASS survey in schools reported their anxiety had increased since COVID-19. "]
[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 Family and Community Health 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 General Mental Health Promotion 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To improve mental well-being (modified OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to poor mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of poor mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome) \n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of poor mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the promotion of mental wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with poor mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome) \n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of poor mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D85 & \" \" & Structure!E85","v":"i 1) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring general mental health promotion is on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by developing policy briefings and a situational assessment for MOH and Board regarding social media and mental health."]
[null,null,null,{"$f":"Structure!D86 & \" \" & Structure!E86","v":"i 2) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on City and County Community and Safety Well-Being Committees, the Age Friendly London/Child and Youth Network Governance Committee, the Family Centred Service System Governance Committee and the Middlesex Children's Services Network. "]
[null,null,null,{"$f":"Structure!D87 & \" \" & Structure!E87","v":"i 3) Education and Skill Building (SchH)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ general mental health knowledge and improve behaviour, attitudes, and skills. The School Health team supports this intervention by working with families in secondary schools to support high-quality mental health education and programming, and influence school health culture."]
[null,null,null,{"$f":"Structure!D88 & \" \" & Structure!E88","v":"i 4) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Communication activities involve creating and disseminating health information for the public and community partners using multi-media approaches. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention by maintaining the MLHU website."]
[null,null,null,{"$f":"Structure!D89 & \" \" & Structure!E89","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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) Perinatal Mental Health Promotion"}]
[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(s): Pregnant individuals and parents/caregivers with children (birth to school entry): parent/caregiver is < 25 years of age; has a history of or identifies a mental health concern on the HBHC Screening Tool; parents/caregivers of babies/young children with secure attachment concerns (related to either mom or child); parent or child exposed to violence. \n\nPriority Population: Indigenous, racialized, 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.  \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, previous divisional mental health review), including a review of the evidence, situational assessments, and environmental scans. "]
[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 Perinatal Mental Health 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,"4) Mental Health Promotion"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goals of the Perinatal Mental Health Promotion program are to provide a range of services designed to foster optimal parental mental health. The Perinatal Mental Health Promotion Program is directly linked to the Early Childhood Development Program with a goal of decreasing Adverse Childhood Experiences (ACEs), which include growing up in a household with mental health problems.\n\nInterventions for this program are aligned with interventions supporting the Early Childhood Development program.  These include:  \n•  Communication and Social Marketing   \n•  Clinical Services Delivery\n•  Education and Skill Building  \n•  Surveillance\n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"• Priority Population(s): Priority populations include pregnant individuals and parents/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.  For the SSFB Program, eligible clients are those who are experiencing or are at risk for food insecurity. \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,"This program provides services to 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."]
[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,"Healthy Growth and Development (prevention of ACE's)"]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To improve perinatal mental well-being  (modified OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n \nIntermediate\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the promotion of perinatal mental wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome) \n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for the prevention of poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D96 & \" \" & Structure!E96","v":"i 1) Education and Skill Building (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ perinatal health knowledge and improve behaviour, attitudes, and skills. The NFP and Early Years Group Programming (NFP-EYGP) team supports perinatal mental health through the delivery of mental health related content as part of the Smart Start for Babies program."]
[null,null,null,{"$f":"Structure!D97 & \" \" & Structure!E97","v":"i 2) Education and Skill Building (HBHC)"}]
[null,null,null,"Education and Skill Building for Healthy Growth and Development Phone Support involves the development and implementation of client/family-centered one-on-one discussion. Activities include education, screening, and phone assessment on topics related to perinatal mental health. The intention of the discussions is to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population (i.e., clients and families) with a focus on information to support perinatal mental health. This intervention also provides specific tools and/or strategies to build capacity and support behavior change including referrals to other MLHU programs and community services as appropriate. This intervention is delivered over the phone by the Healthy Babies Healthy Children (HBHC) Team.\n"]
[null,null,null,{"$f":"Structure!D98 & \" \" & Structure!E98","v":"i 3) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients.  The NFP and Early Years Group Programs (NFP-EYGP) 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 NFP and Early Years Group Programming 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.  "]
[null,null,null,{"$f":"Structure!D99 & \" \" & Structure!E99","v":"i 4) Clinical Service Delivery (HBHC)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. Public Health Nurses work with families to promote optimal perinatal mental health. Although these services are delivered at an individual level, they are part of a population-wide (i.e., universal screening) and priority population focused approach to identify clients with risk factors related to compromised parenting and child development. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g. the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered predominantly in the home with some visits in the community and support provided over the phone. \n"]
[null,null,null,{"$f":"Structure!D100 & \" \" & Structure!E100","v":"i 5) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) Team supports communication activities that involve creating and disseminating health information for the public and community partners (including Health Care Providers through Health Care Provider Outreach) using multi-media approaches including the MLHU website."]
[null,null,null,{"$f":"Structure!D101 & \" \" & Structure!E101","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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.  \n\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 based 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,"The lead team for the Food Safety Program is the Food Safety and Health Hazards Team.\n\nInternal Partners:\n\n• Safe Water, Tobacco Enforcement and Vector borne Disease Team (SWTEVBD):  Food premises within Middlesex County are inspected by PHIs on the SWTEVBD team due to efficiencies in program delivery when delivered in concert with other programs specific to the SWTEVBD team.  Due to the larger geographical area in the county, a generalist approach is necessary.  PHIs who work on the SWTEVBD team conducting food safety inspections report to the manager of the SWTEVBD 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 Food Safety and Health Hazards (FS&HH) 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.  \n\nExternal Partners:\n\n•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.  \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.    \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.  "]
[null,null,null,"•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.    \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.    \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.  \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.  "]
[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• Inspections \n• Investigations\n• Case, Contact and Outbreak Management  \n• Communication and Social Marketing \n• Surveillance \n• Education and Skill Building\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 and/or special events.\n\nPriority Populations for this program include:\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\nThis program will address all requirements under Food Safety Standard with the long term goal of reducing incidence and burden of food-borne illness.\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\n• The burden of food-borne illness is prevented and reduced (OPHS Program Goal)\n• There is a reduced incidence of food-borne illnesses (OPHS Program Outcome)  \n\nIntermediate\n• Food-borne illness risks are mitigated (OPHS Program Outcome)\n\nShort-Term\n• Food premise operators comply with food safety practices (Program Generated Outcome)\n• Timely and effective detection, identification, and response to food-borne illnesses, their associated risk factors, emerging trends, and unsafe food offered for public consumption (OPHS Program Outcome)\n• Food handlers are educated in food safety to handle and manage food for public consumption in a safe and sanitary manner (OPHS Program Outcome)\n• The public and community partners are aware of safe food handling practices and food safety issues (OPHS Program Outcome)\n• The public and community partners have the knowledge and skills needed to handle food in a safe manner (OPHS Program Outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to food safety (OPHS Program Outcome)\n• Board of health programs and services are designed to address the identified needs of the community, including priority populations, associated with food safety. (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D229 & \" \" & Structure!E229","v":"i 1) Inspections (FSHH)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, assisting the City of London’s Licensing Program, collecting samples (e.g., food samples), and enforcing legal requirements of Health Protection and Promotion Act and Ontario Reg. 493/17: Food Premises. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g., food-borne illness). Output indicators include number of food safety inspections conducted and number of enforcement actions taken. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D230 & \" \" & Structure!E230","v":"i 2) Investigations (FSHH)"}]
[null,null,null,"Investigations collect data regarding potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on food safety service requests, complaints received, and reports of foodborne illness or outbreaks. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention when case exposures are linked to food premises. The Investigations intervention may also include enforcement activities, where necessary. Within 24 hours of receiving notice, service requests are responded to and risk assessed for the most appropriate response. Output indicators include the number of food safety investigations conducted, number of suspected and confirmed foodborne illnesses responded to, and the number of enforcement actions taken. The Food Safety and Health Hazards (FSHH) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D231 & \" \" & Structure!E231","v":"i 3) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS). The management of the case is variable depending on the type of pathogen that is reported. The case investigation typically begins with a thorough interview to determine and identify close contacts (contact tracing) using a series of questions and data collecting methods so that information can be documented in a case and contact management tool. Contact investigation or contact tracing is the identification, monitoring and support of the individuals or contacts who have been exposed to the case and possibly infected themselves. Outbreak management involves identifying the cause of outbreaks within a location, product or setting and implementing infection control measures to reduce the risk of ongoing transmission.  When the health unit declares the outbreak, outbreak control measures are implemented. Output indicators include the number of outbreak investigations conducted, number of cases investigated, and number of contacts followed-up. The Infectious Disease Control (IDC) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D232 & \" \" & Structure!E232","v":"i 4) Communication and Social Marketing (FSHH)"}]
[null,null,null,"Communication and Social Marketing activities involve creating and disseminating food safety information to the public and community partners through the MLHU website, DineSafe (a web-based disclosure system to display food safety inspection summary results in accordance with Ministry of Health protocols) and phone / email consultations. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices about safe food handling practices in order to promote and protect the health of individuals and populations. Output indicators include the number of phone/email consultations and number of web pages updated. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D233 & \" \" & Structure!E233","v":"i 5) Education and Skill Building (FSHH)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population, and present information about food safety issues and safe food handling practices. They also provide specific tools and/or strategies to handle and manage food for public consumption in a safe and sanitary manner. This intervention is delivered face-to-face by the London Training Centre (LTC) and monitored by MLHU through a Memorandum of Understanding. Output indicators include the number of individuals receiving a food handler certificate in a calendar year. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D234 & \" \" & Structure!E234","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"Surveillance involves an ongoing process of collecting, analyzing and interpreting population-level health data related to foodborne illnesses for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. Surveillance activities are completed primarily by Epidemiologists, and they are conducted as necessary and not on a set schedule. Activities also involve surveillance of food premises types/categories/products in London and Middlesex County, conducted by the Program Manager and Public Health Inspectors.  Output indicators include the number of instances when monitoring and surveillance data are used to inform Public Health actions. The Population Health Assessment and Surveillance (PHAS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D235 & \" \" & Structure!E235","v":"i 7) Inspections - Institutions (IDC)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, assisting the City of London’s Licensing Program, collecting samples (e.g., food samples), and enforcing legal requirements of Health Protection and Promotion Act and Ontario Reg. 493/17: Food Premises. This intervention is conducted by the Infectious Disease Control Team and includes food premises inspections in institutional settings. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g., food-borne illness). Output indicators include number of food safety inspections conducted and number of enforcement actions taken."]
[null,null,null,{"$f":"Structure!D236 & \" \" & Structure!E236","v":"i 8) "}]
[]
[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,{"$f":"Structure!D397 & \" \" & Structure!E397","v":"i 4) "}]
[]
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[]
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[]
[null,null,null,{"$f":"Structure!D400 & \" \" & Structure!E400","v":"i 7) "}]
[]
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[]
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[]
[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) "}]
[]
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[null,null,null,{"$f":"Structure!D412 & \" \" & Structure!E412","v":"i 8) "}]
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[null,null,null,{"$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,{"$f":"Structure!D428 & \" \" & Structure!E428","v":"i 2) "}]
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[]
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[null,null,null,{"$f":"Structure!D433 & \" \" & Structure!E433","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D434 & \" \" & Structure!E434","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D435 & \" \" & Structure!E435","v":"i 9) "}]
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[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) "}]
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[]
[null,null,null,{"$f":"Structure!D442 & \" \" & Structure!E442","v":"i 5) "}]
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[null,null,null,{"$f":"Structure!D443 & \" \" & Structure!E443","v":"i 6) "}]
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[null,null,null,{"$f":"Structure!D444 & \" \" & Structure!E444","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D445 & \" \" & Structure!E445","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D446 & \" \" & Structure!E446","v":"i 9) "}]
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[null,null,null,{"$f":"Cover!E4","v":"2024 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,"Through the development and implementation of the MLHU's Management Operating System, the agency is developing a new annual strategic prioritization process. The process will ensure a robust evidence-informed review of priorities. For 2024, priorities for this Standard have been developed through a review of the relevant programs and the associated interventions.\n\nHealth Hazards \nProgram 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\nLocal Priorities\n• Local priorities for the health hazard program include risk assessment strategies and providing mitigation strategies for individuals most at risk to adverse health outcomes from health hazards.  Interventions are delivered strategically in collaboration with internal and external stakeholders. The interventions that are conducted under this 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. \n\nThe MLHU Community Health Status Resource 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 and Climate Change 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 the development of agency and community protocols to respond to emerging health risks (such as air quality risks, heat risks, etc), 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.  \n\nActive Transportation and the Built Environment\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• Further work is needed in 2024 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\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 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 approach 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). 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• The Food Safety and Health Hazard Team is the lead team for the Health Hazards Program.\n• Safe Water, Tobacco Enforcement and Vector borne Disease team (SWTEVBD):  The SWTEVBD 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 SWTEVBD team has a significant rural component versus the work of the FS&HH 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.  \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.   On request, PHO has helped facilitate local data collection or arranging for sampling programs to help better understand local health risks.    \n\nHealthy Environments and Climate Change Program\n• The Communications team:  The communications team assists the Healthy Environment and Climate Change program 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. \n• The Food Safety and Health Hazards and Municipal and Community Health Promotion teams collaborate on Healthy Public Policy Development to ensure that healthy environments and climate change are on the agenda of policy makers both internal and external to the health sector. \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• Tamarack Community Climate Transitions\n• Western University\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"]
[null,null,null,"Active Transportation and the Built Environment\n• The Active Transportation and Built Environment program is managed by the Family and Community Health Division. 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 a 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 between teams in the Family and Community Health Division, such as the School Health team, Municipal and Community Health Promotion team, and Social Marketing and Health System Partnerships team. The Public Health Foundations division also supports this intervention. This program also collaborates with other ASP identified programs including Food Systems and Nutrition and General Mental Health Promotion programs. 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 reviews and submitting public health input to municipal planning processes and documents. \n\n• External partners include but are not limited to City of London and County of Middlesex planning, environmental, road and transportation departments and school boards;  Partnership tables that health unit staff are part of related to this program area include: London-Middlesex Road Safety Committee;  Active and Safe Routes to School Steering Committee, Regional Built Environment Network, the Age Friendly London/Child and Youth Network, and the Middlesex Children's Services Network.\n \n• In 2024 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"]
[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 mitigation strategies. Potential health hazards may exist in the natural or built environment in a variety of settings that the public has access to. Environmental health risks may include biological, chemical or physical hazards. 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.\n\nInterventions include;\n• Communication and Social Marketing,\n• Inspections,\n• Investigations,\n• Surveillance.\n\nThe target population for this program includes individuals who reside in congregate living settings where environmental risk factors may exist. These settings may be subject to public health inspection, which are either mandated or required by partner agencies through licensing agreements. Target populations also include 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.). 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. \n\nPriority Populations identified for the Health Hazard Program include equity deserving populations who are more at risk to the impacts of environmental health hazards within the natural and built environment. This includes individuals who reside in substandard housing  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• 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.(OPHS program goal)\n\nIntermediate Outcomes:\n• There is reduced public exposure to health hazards (OPHS program outcome)\n\nShort-Term Outcomes:\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to reducing exposure to health hazards and promoting healthy built and natural environments. (OPHS program outcome)\n• Board of health 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 program outcome)\n• Timely and effective detection, identification, and response to health hazards and associated public health risks, trends, and illnesses. (OPHS program outcome)\n• The public and community partners are aware of the risks of health hazard incidents. (OPHS program outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D450 & \" \" & Structure!E450","v":"i 1) Communication and Social Marketing (FSHH)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU website, print resources, newsletters, social media, and other media channels. Activities within this intervention include standardized public response to anticipated environmental health hazards including extreme heat and cold, inclement weather, special air quality statements, etc. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D451 & \" \" & Structure!E451","v":"i 2) Inspections (FSHH)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting samples (e.g., water samples), and enforcing legal requirements of Public Health acts and regulations. This intervention includes inspections conducted at recreational camps, boarding/lodging, and community homes. This intervention relies heavily on providing education to owners/operators/proprietors/individuals to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance.  The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D452 & \" \" & Structure!E452","v":"i 3) Investigations (FSHH)"}]
[null,null,null,"Investigations collect data regarding identified or emerging health hazards which pose a risk to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on service requests, complaints received, and reports of illness or outbreaks. The Investigations intervention may also include enforcement activities, where necessary. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D453 & \" \" & Structure!E453","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D454 & \" \" & Structure!E454","v":"i 5) "}]
[]
[null,null,null,{"$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• Healthy Public Policy Development,\n• Community and Partner Mobilization,\n• Communication and Social Marketing, and\n• 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.    \n\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"]
[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 exposure to environmental 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 (OPHS Healthy Environments goal)\n• There is reduced public exposure to environmental health hazards (modified OPHS Healthy Environments outcome)\n• There is a decrease in health inequities related to exposure to environmental health hazards (modified OPHS Healthy Environments outcome)\n\nIntermediate Outcomes:\n• Timely and effective detection, identification, and response to environmental health hazards and associated public health risks, trends, and illnesses (modified OPHS Healthy Environments outcomes) \n\nShort-Term Outcomes:\n• Community partners have the information necessary to create healthy public policies related to reducing exposure to environmental health hazards and creating healthy built and natural environments (modified OPHS Healthy Environments outcomes)\n• The public and community partners are aware of the risks of environment health hazard incidents (modified OPHS Healthy Environments outcomes)\n• The public and community partners are aware of health protection and prevention activities related to environmental health hazards and conditions that create healthy built and natural environments (modified OPHS Healthy Environments outcomes)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to reducing exposure to environmental health hazards and promoting healthy built and natural environments (modified OPHS Healthy Environments outcomes)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D461 & \" \" & Structure!E461","v":"i 1) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring that healthy environments and climate change on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion supports this intervention by:\n• considering both mitigation and adaption, work with municipalities and partners to provide clinical expertise in identifying gaps with current infrastructure, policy, and resources; and\n• developing policy briefings and resources relevant to senior leaders, the Board, and municipalities."]
[null,null,null,{"$f":"Structure!D462 & \" \" & Structure!E462","v":"i 2) Healthy Public Policy Development (FSHH)"}]
[null,null,null,"The Food Safety and Health Hazards (FSHH) team supports this intervention providing consultative support to the Municipal and Community Health Promotion Team when necessary."]
[null,null,null,{"$f":"Structure!D463 & \" \" & Structure!E463","v":"i 3) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health Systems Partnership (SMHSP) team supports the communication activities that involve creating and disseminating health information for the public and community partners using multi-media approaches including the MLHU website."]
[null,null,null,{"$f":"Structure!D464 & \" \" & Structure!E464","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D465 & \" \" & Structure!E465","v":"i 5) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the Tamarack Community Climate Transitions initiative. "]
[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) Active Transportation and Built Environment"}]
[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 Active Transportation and Built Environment program addresses the 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. 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. \n\nThis 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 2024 and going forward, including an equity lens. \n\nInterventions for this program include:\n• Healthy Public Policy Development,\n• Community and Partner Mobilization,\n• Communication and Social Marketing, and\n• Surveillance.\n\n• 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. A 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 (School Health team leads this work).  \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."]
[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\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 (OPHS Healthy Environments goal)\n• There is a decrease in health inequities related to exposure to health hazards, such as unhealthy built environments (adapted OPHS Healthy Environments outcome)\n• There is reduced public exposure to health hazards, such as unhealthy built environments (adapted OPHS Healthy Environments outcome)\n• To reduce the burden of preventable injuries associated with active transportation among vulnerable road users (adapted OPHS Substance Use and Injury Prevention goal)\n• There is a reduction in population health inequities related to injuries associated with active transportation among vulnerable road users (adapted OPHS Substance Use and Injury Prevention outcome)\n\nIntermediate\n• Timely and effective detection, identification, and response to health hazards, such as unhealthy built environments, and associated public health risks, trends, and illnesses (adapted OPHS Healthy Environments outcome)\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for reducing injuries associated with active transportation among vulnerable road users (adapted OPHS Substance Use and Injury Prevention outcome)\n\nShort-Term\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to reducing exposure to health hazards and promoting healthy built and natural environments (OPHS Healthy Environments outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policies and its programs and services for preventing injuries associated with active transportation among vulnerable road users (OPHS Substance Use and Injury Prevention outcome)\n• The public and community partners are aware of the risks of health hazard incidents created by unhealthy environments (adapted OPHS Healthy Environments outcome)\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 Healthy Environments outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with the injuries related to active transportation among vulnerable road users (adapted OPHS Substance Use and Injury Prevention outcome)\n• Community partners have the information necessary to create healthy public policies related to reducing exposure to health hazards and creating healthy built and natural environments (OPHS Healthy Environments outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of injuries associated with active transportation among vulnerable road users (adapted OPHS Substance Use and Injury Prevention outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D472 & \" \" & Structure!E472","v":"i 1) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring active transportation and built environment are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, Board, and municipalities; \n• providing feedback on notice of applications, and review the master plan of the municipalities. \nThe Active Transportation and Built Environment program works closely with municipalities, neighbouring health units, and communities. The aim is bringing people and organizations together in a structured way to achieve community, population, and/or systemic changes."]
[null,null,null,{"$f":"Structure!D473 & \" \" & Structure!E473","v":"i 2) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on London Middlesex Road Safety Committee and the Active and Safe Routes to School Committee."]
[null,null,null,{"$f":"Structure!D474 & \" \" & Structure!E474","v":"i 3) Community and Partner Mobilization (SchH)"}]
[null,null,null,"The School Health team supports this intervention by working with school boards to identify gaps with current infrastructure, policy, and resources with focus on active safe routes to school."]
[null,null,null,{"$f":"Structure!D475 & \" \" & Structure!E475","v":"i 4) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health Systems Partnership (SMHSP) supports communication activities that involve creating and disseminating health information for the public and community partners using multi-media approaches including the MLHU website."]
[null,null,null,{"$f":"Structure!D476 & \" \" & Structure!E476","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D477 & \" \" & Structure!E477","v":"i 6) Healthy Public Policy Development (SchH)"}]
[null,null,null,"The School Health Team supports healthy public policy development to ensure that issues related to active transportation and the built environment are on the agenda of school board policy makers.  Activities include identifying and developing policy briefings; identifying and developing policy options; providing evidence-based feedback on the health impacts of school health-related policies; and providing technical assistance to develop or change school health-related policies."]
[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,{"$f":"Structure!D660 & \" \" & Structure!E660","v":"i 2) "}]
[]
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[]
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[]
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[]
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[]
[null,null,null,{"$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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Through the development and implementation of the MLHU's Management Operating System, the agency is developing a new annual strategic prioritization process. The process will ensure a robust evidence-informed review of priorities. For 2024, priorities for this Standard have been developed through a review of the relevant programs and the associated interventions.\n\nEarly Childhood Development\nMLHU, Population Health Data: Early Growth & Development, January 1 to December 31, 2021 \n\n• There is evidence of increasing risk factors and complex challenges experienced by families in M-L (PHO, Risk Factors for Healthy Child Development Report, 2021)\n• In M-L, 8.7% of families identified requiring newcomer support.  This compares to 2.5% provincially. *M-L reported the highest percentage across all health units.  The next highest was 4.6%.  \n• In M-L, 15.2% of families reported having concerns about money.  This is compared to the provincial average of 2.7% *This was the highest reported percentage across all health units.  The next highest was 6%.  \n• In M-L, 4.8% of families reported having a parent or partner with a disability.  This is compared to the provincial average of 0.9%. *M-L had the second highest reported percentage across all health units.  The highest percentage was 6.2%.\n• In M-L, 30.8% of families reported having a parent or partner with a mental illness.  This is compared to the provincial average of 19.3%.\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). \n• There is evidence of increasing risk factors and complex challenges experienced by pregnant and parenting families in M-L (PHO, Risk Factors for Healthy Child Development Report, 2021)\n• In M-L, 8.7% of families identified requiring newcomer support.  This compares to 2.5% provincially. *M-L reported the highest percentage across all health units.  The next highest was 4.6%.  \n• In M-L, 15.2% of families reported having concerns about money.  This is compared to the provincial average of 2.7% *This was the highest reported percentage across all health units.  The next highest was 6%.  \n• In M-L, 4.8% of families reported having a parent or partner with a disability.  This is compared to the provincial average of 0.9%. *M-L had the second highest reported percentage across all health units.  The highest percentage was 6.2%.\n• In M-L, 30.8% of families reported having a parent or partner with a mental illness.  This is compared to the provincial average of 19.3%.\n\nHealthy Sexuality\n• Teen pregnancy rates are higher in Middlesex-London than Ontario.\n• Locally, the Middlesex-London region continues to see higher counts of chlamydia and gonorrhea. There were 1,852 chlamydia and 259 gonorrhea cases in 2023. 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, was developed Spring 2023 and has been 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\nInfant Nutrition\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. \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\nPreconception Health\n• Due to resource constraints, limited interventions are implemented in this program.\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\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 existing 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, with the exception of visual health."]
[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,"Early Childhood Development \n• The Early Childhood Development Program is managed by the Family and Community Health (FCH) Division. Collaboration across relevant teams is facilitated at the leadership level and through participation on relevant committees and communities of practice.  \n• The HBHC Team implements the Healthy Babies Healthy Children (HBHC) intervention and is responsible for Healthy Growth and Development Phone Support. \n• The NFP and Early Years Group Programs Team implements Nurse Family Partnership and Smart Start for Babies. Smart Start for Babies, otherwise called the Canadian Prenatal Nutrition (CPNP) Program, is supported by dietitians on the NFP and Early Year Group Programs Team and the Municipal and Community Health Promotion Team. They provide 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 Municipal and Community Health Promotion Team supports healthy public policy development for senior leadership, the BOH and community partners and also implements program communication activities. \n• The Social Marketing and Health System Partnerships Team implements communication activities related to the MLHU website, Health Care Provider Outreach and Early Years Outreach.  \n\nRelevant teams within the FCH Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship.  \n• Health Equity and Indigenous Reconciliation Team – support with providing an equity lens in planning and implementation.\n• Oral Health & Clinical Support Services Team – Healthy Smiles Ontario 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 Disease Team – collaboration to provide up-to-date information to families in the Clinical Services Delivery - Healthy Babies Healthy Children (HBHC) and Clinical Services Delivery - Nurse Family Partnership interventions, and refer families without a primary care provider to maintain vaccination schedules.\n• Environmental Health, Infectious Disease, and Clinical Services Division - collaboration regarding the FCH Communication and Social Marketing - Early Years Outreach intervention to support childcare centres and early years professionals regarding infectious diseases and IPAC. \n\nEarly Childhood Development External Partners\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's Book Bag \n•  Age Friendly London Network/Child and Youth Network  \n•  Family-Centered Service System  \n•  Middlesex Children's Services Network  \n•  London Health Sciences Centre (LHSC)  \n•  Middlesex Hospital Alliance (Strathroy Hospital) \n•  Children's Aid Society of London-Middlesex  \n•  Thames Valley Children's Centre\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 education for Early Childhood Educators (ECEs), and the advocacy group  \n• Health Care Providers\n\nInterested: The following community partners work in collaboration with the FCH division to support optimal growth and development: Vanier Children's Services, Child & Parent Resource Institute (CPRI), Developmental Resources for Infants (DRI), Tyke TALK, Child Reach, Merrymount Children's Centre, CMHA Thames Valley Addiction and Mental Health Services (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, London Coordinating Committee to End Woman Abuse, Middlesex Rural Alliance to End Violence Against Women. \n\nHealthy Pregnancies\n• The Healthy Pregnancies Program is managed by the Family and Community Health (FCH) Division.  The HBHC and NFP and Early Years Groups Program teams collaborate to share information, make cross-team referrals, and contribute to healthy pregnancies program planning, implementation and evaluation.  Collaboration is facilitated at the leadership level and through participation on relevant committees and community of practice meetings. \n  \n• The NFP and Early Years Group Programs Team (Nurse Family Partnership) and the HBHC Team (Healthy Babies Healthy Children) deliver home visiting services, which includes the provision of education and support regarding pregnancy, infant nutrition and breastfeeding, labour and birth, postpartum care, and newborn care. The NFP and Early Years Groups Programs Team also implements Injoy Prenatal e-Learning and supports maintenance of prenatal related information on the MLHU website (in collaboration with the Social Marketing and Health System Partnerships team). The Smart Start for Babies, otherwise called the Canadian Prenatal Nutrition (CPNP) Program, is supported by PHNs on the NFP and Early Years Group Programs Team and dietitians on the NFP and Early Years Group Programs Team and the Municipal and Community Health Promotion Team. They provide up-to-date information and guidance for best practices related to healthy pregnancies. \n\n• The Social Marketing and Health System Partnerships Team implements communication activities for Health Care Provider Outreach and Early Years Outreach. \n\nRelevant teams within the FCH Division collaborate as needed to support information sharing and referrals with other MLHU Divisions and Teams through an informal reporting relationship. \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 School Health Team - provides counselling services, pregnancy tests, and referrals to the NFP or HBHC interventions. \n• Health Equity and Indigenous Reconciliation Team – support with providing an equity lens in planning and implementation\n• Vaccine Preventable Disease Team – collaboration to provide up-to-date information with families in the Clinical Services Delivery - Nurse Family Partnership and HBHC intervention, and refer families without a primary care provider to maintain vaccination schedules and appropriate vaccination during pregnancy.\n\nHealthy Pregnancies External Partners:\nInvolved: Age Friendly Network/Child and Youth Network and Family Centred Service System using common goals/strategic plans and shared measurement approach. London Health Sciences Centre (LHSC - 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 FCH division regarding delivery of services: London Health Sciences Centre –  Prenatal registration and referral, Child Abuse Prevention Council (community collaboration). \n\nInterested: The following community partners work in collaboration with the FCH 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\n\n"]
[null,null,null,"Healthy Sexuality Program\n• The Sexual Health Team manages the Healthy Sexuality Program and collaborates with the School Health Team. 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 School Health Team to share.  Clients who are pregnant and meet the criteria* can be referred internally to Nurse Family Partnership (NFP) or SMART Start for Babies (SSFB).  The Sexual Health team often collaborates with the Social Marketing and Health System Partnership team in the development of sexual health campaigns, and the Communications team in the development of resources..\n\n• The Healthy Babies Healthy Children Team (Healthy Babies Healthy Children program) and the NFP and Early Years Group Programs Team (NFP and Smart Start for Babies (SSFB) programs) indirectly support the health sexuality program through interventions focussed on home visiting and group prenatal education.  This includes providing condoms and education regarding birth control, completing pregnancy tests and making referrals to the MLHU sexual health clinic or the client’s healthcare provider.   \n\nExternal Partners related to Healthy Sexuality Program:\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 School Health team are connected to high schools.\n\nInfant Nutrition\n• The Infant Nutrition Program is managed by the Family and Community Health (FCH) Division.  The HBHC and NFP and Early Years Group Programs teams collaborate by sharing information and resources, making cross-team referrals, and contributing to breastfeeding and infant feeding best practices. The Social Marketing and Health System Partnership team maintains information on the MLHU website, and provides health care providers with up-to-date information and resources through Health Care Provider Outreach as appropriate. Collaboration is facilitated at the leadership level and through participation at relevant internal committees and community of practice meetings.   \n\nFCH Division:\n• The HBHC Team provides support to breastfeeding clients through Healthy Babies Healthy Children Home Visiting (including International Board Certified Lactation Consultants), and the Healthy Growth and Development Phone Support\n• The NFP and Early Year Group Programs Team implements Nurse-Family Partnership (NFP), which provides breastfeeding information during pregnancy and postpartum breastfeeding support through home visits. The team also implements Smart Start for Babies, otherwise known as the Canadian Prenatal Nutrition Program, which provides prenatal health teaching and support for informed decision-making related to breastfeeding. Smart Start for Babies is supported by dietitians on the NFP and Early Years Group Programs Team and the Municipal and Community Health Promotion Team. They provide up-to-date information and guidance for best practices and the promotion of breastfeeding, and safe infant formula preparation.  \n• The Social Marketing and Health System Partnership team maintains information on the MLHU website, and provides health care providers with up-to-date information and resources through Health Care Provider Outreach as appropriate.\n\nTeams within the Family and Community Health Division collaborate with relevant teams from the Environmental Health, Infectious Disease and Clinical Services Division: \n• Oral Health & Clinical Support Services 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 establishing and promoting breastfeeding. \n• Safe Water, Tobacco Enforcement and Vector-Borne Disease Team (SWTEVBD) – supports infant nutrition, including the use of safe water for preparation of infant formula.\n\nInfant Nutrition External Partners:\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, Family Health Teams\n  \nInterested: \nThe following community partners work in collaboration with FCH 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\nPreconception Health\n• The Preconception Health Program is managed by the Family and Community Health division.\n• The Social Marketing and Health System Partnership team maintains information on the MLHU website, and provides health care providers with up-to-date information and resources through Health Care Provider Outreach as appropriate.\n• The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D670 & Structure!E670","v":"P 1) Early Childhood 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 Early Childhood Development Program are to achieve optimal newborn, child, parental and family health, to optimize growth and developmental outcomes for children, to improve children's readiness for school, and to reduce health inequities related to growth and development. The Family and Community Health (FCH) division provides a range of services designed to address the physical, mental, emotional, and social growth and development of children from birth to school entry using multi-strategy approaches.\n\nInterventions of the Early Childhood Development Program include:\n•  Clinical Services Delivery\n•  Communication and Social Marketing \n•  Education and Skill Building\n•  Healthy Public Policy Development\n•  Surveillance"]
[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,"• Target Population(s): Pregnant Individuals and 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.  For the SSFB Program, eligible clients are those who are experiencing or are at risk for food insecurity. \n\n• Intermediary: Municipal Partners, 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, which have included a review of the evidence, situational assessments, and environmental scans.  \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,"• Through multiple interventions, this program 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 parents/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 Perinatal Mental Health Promotion Program (444 PMHP). "]
[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\n•  Achieving optimal preconception, pregnancy, newborn, child, parental, and family health (adapted OPHS Program Goal)\n•  Decrease health inequities related to healthy growth and development (OPHS Program Outcome)\n\nIntermediate\n•  Individuals (clients and HCPs) use available information, skills and supports to adopt health promoting behaviour in the early years (prior to school entry) (Program generated outcome)\n•  Individuals (clients and HCPs) create safe and supportive environments that promote healthy growth and development in the early years (prior to school entry) (Program generated outcome)\n•  Foster collaboration among community partners, children and parents in the planning, development, implementation and evaluation of programs, services, and policies (OPHS Program Outcome)\n\nShort-Term\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 (OPHS Program Outcome) \n•  Individuals and families have increased knowledge, skills and access to local supports to effectively foster healthy growth and development at different life stages, and progress through the transitions between these stages (OPHS Program Outcome) \n•  Provision of client-centered services in a culturally relevant, diversity sensitive and inclusive manner using an intersectional approach (OPHS Healthy Babies Health Children Protocol Standard)\n•  Community partners including HCPs have knowledge of the factors associated with and effective programs for the promotion of healthy growth and development, as well as managing the stages of the family life cycle (adapted OPHS Program Outcome) \n• The board of health is 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 preconception, pregnancy, newborn, child, youth, parental, and family health (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D671 & \" \" & Structure!E671","v":"i 1) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one services related to early childhood development to first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday.  Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and maternal health for families and the community as a whole). These clinical services are delivered in the home or community (i.e., home visiting). Participation in NFP communities of practice provincially and nationally contributes to best practice and fidelity in implementation. The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D672 & \" \" & Structure!E672","v":"i 2) Clinical Service Delivery  (HBHC)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. Public Health Nurses work with families to promote optimal physical, cognitive, communicative, and psychological development in children through a system of effective prevention and early intervention services for families. Although these services are delivered at an individual level, they are part of a population-wide (i.e., universal screening) and priority population focused approach to identify clients with risk factors related to compromised parenting and child development. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g. the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered predominantly in the home with some visits in the community and support provided over the phone. The Healthy Babies Healthy Children (HBHC) team supports this intervention.  "]
[null,null,null,{"$f":"Structure!D673 & \" \" & Structure!E673","v":"i 3) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Communication activities involve maintaining information about early childhood development on the MLHU website. Activities within this intervention aim to increase knowledge and promote the health of individuals and populations in the early years.  Communication activities for Health Care Provider Outreach and Early Years Outreach involve creating and disseminating health information on early childhood development using newsletters and webinars. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D674 & \" \" & Structure!E674","v":"i 4) Education and Skill Building (NFP-EYGP, MCHP)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills on prenatal nutrition, breastfeeding, and food literacy. Activities within this intervention are tailored to the target population (i.e., pregnant clients and their support persons with food insecurities). SSFB provides specific tools (e.g., grocery store cards, Harvest Bucks, print resources, food literacy items) and/or strategies (e.g., low-cost eating, healthy lifestyles) to build capacity and support behavior change. This intervention is delivered in person with opportunities to increase accessibility through virtual and in-home support. The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) and Municipal and Community Health Promotion (MCHP) teams supports this intervention."]
[null,null,null,{"$f":"Structure!D675 & \" \" & Structure!E675","v":"i 5) Education and Skill Building (HBHC)"}]
[null,null,null,"Education and Skill Building for Healthy Growth and Development Phone Support involves the development and implementation of client/family-centred one-on-one discussion. Activities include education, screening, and phone assessment on topics related to infant and child growth and development. The intention of the discussions is to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population (i.e., clients and families) with a focus on information to support healthy child development. This intervention also provides specific tools and/or strategies to build capacity and support behavior change including referrals to other MLHU programs and community services as appropriate. This intervention is delivered over the phone by the Healthy Babies Healthy Children (HBHC) team.  "]
[null,null,null,{"$f":"Structure!D676 & \" \" & Structure!E676","v":"i 6) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring issues of public health importance are on the agenda of policy makers both internal and external to the health sector. This intervention promotes health and healthy equity through improving social, environmental, and economic conditions. Activities include identifying gaps with current infrastructure, policies, and resources; developing policy briefings for public health issues relating to early childhood development; providing evidence-based feedback on the health impacts of policies; assessing and establishing a plan for resolution; evaluating policy decisions; and providing technical assistance to develop or change policy. This intervention is focused on the local level. Resources are produced for senior leadership and the Board of Health as well as key community partners. The Municipal and Community Health Promotion (MCHP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D677 & \" \" & Structure!E677","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D678 & \" \" & Structure!E678","v":"i 8) "}]
[]
[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) 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,"Target Population(s): Pregnant Individuals \n\nThe objectives of the Healthy Pregnancies Program are to achieve optimal prenatal health and birth outcomes and to optimize developmental outcomes for newborns. The program aims to create safe and supportive environments that promote healthy pregnancies with interventions intended to help achieve a healthy start in life for infants. The goals include decreasing the rate of intimate partner violence, the incidence of mental health concerns during pregnancy, and health inequities. Other goals include increasing accessibility to services and community support 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•  Clinical Services Delivery \n•  Education and Skill Building\n•  Communication and Social Marketing \n•  Surveillance\n\nDue to resource constraints, in-person prenatal supports (such as HBHC or in-person prenatal classes) have been scaled back to priority populations only. The rest of the population is provided access to online resources. "]
[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,"Target Population(s): Pregnant Individuals \n\n• Priority Population(s): Priority populations of pregnant individuals 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.  For the SSFB Program, eligible clients are those who are experiencing or are at risk for food insecurity. "]
[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 the rates of intimate partner violence, decreasing the incidence of mental health concerns during pregnancy, decreasing health inequities related to healthy pregnancies, increasing accessibility to services and community supports for pregnant individuals, 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 Perinatal Mental Health Promotion Program (444 PMHP). \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\n• Achieving optimal pregnancy, newborn, child, parental and family health (OPHS Program Goal) \n• Decrease health inequities related to healthy pregnancies (adapted OPHS Program Outcome) \n\nIntermediate\n• Individuals (clients and HCPs) use available information, skills and supports to adopt health promoting behaviour during pregnancy (Program generated outcome)\n• Individuals (clients and HCPs) create safe and supportive environments that promote healthy growth and development during pregnancy (Program generated outcome)\n• Foster collaboration among community partners, children and parents in the planning, development, implementation and evaluation of programs, services, and policies (OPHS Program Outcome)\n\nShort-Term\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 during pregnancy (adapted OPHS Program Outcome)\n• Individuals and families have increased knowledge, skills and access to local supports to effectively foster healthy growth and development during pregnancy (adapted OPHS Program Outcome)\n• Provision of client-centered services in a culturally relevant, diversity sensitive and inclusive manner (OPHS Healthy Babies Healthy Children Protocol Standard)\n• Community partners have knowledge of the factors associated with and effective programs for the promotion of healthy growth and development during pregnancy (adapted OPHS Program Outcome)\n• The board of health is 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 preconception, pregnancy, newborn, child, youth, parental, and family health (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D682 & \" \" & Structure!E682","v":"i 1) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one in-person services to first time pregnant clients early in pregnancy (prior to 29 weeks) and until birth. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and maternal health for families and the community as a whole). These clinical services are delivered in the home (e.g., home visiting) or in a community setting. The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D683 & \" \" & Structure!E683","v":"i 2) Clinical Service Delivery (HBHC)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) offers one-on-one in-person services to pregnant clients during pregnancy (that do not qualify for NFP) and until birth. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing complex challenges, including financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and maternal health for families and the community as a whole).  These clinical services are delivered in the home (e.g., home visiting) or in a community setting by the Healthy Babies Healthy Children (HBHC) team."]
[null,null,null,{"$f":"Structure!D684 & \" \" & Structure!E684","v":"i 3) Education and Skill Building - Smart Start for Babies (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills on prenatal nutrition, breastfeeding, and food literacy. Activities within this intervention are tailored to the target population (i.e., pregnant clients and their support persons with food insecurities). SSFB provides specific tools (e.g., grocery store cards, Harvest Bucks, print resources, food literacy items) and/or strategies (e.g., low-cost eating, healthy lifestyles) to build capacity and support behavior change. This intervention is delivered in person with opportunities to increase accessibility through virtual and in-home support. The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D685 & \" \" & Structure!E685","v":"i 4) Education and Skill Building - InJoy Prenatal e-Learning (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building for Injoy online prenatal e-Learning involves the development and implementation of online self-directed educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills on the following health topics: pregnancy, infant nutrition and breastfeeding, labour and birth, comfort measures, postpartum care, and newborn care. Activities within this universal intervention are tailored to pregnant clients and their support persons. Participation in the Ontario ePrenatal Network contributes to maintaining current and consistent prenatal and birth best practices across the province for knowledge and skill development with pregnant individuals and their families, and as a resource for community partners.  The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D686 & \" \" & Structure!E686","v":"i 5) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) team supports communication activities that involve maintaining information about healthy pregnancies on the MLHU website. Activities within this intervention aim to increase awareness of available prenatal supports and evidence-informed prenatal health information in order to promote healthy pregnancies and the health of individuals and populations. "]
[null,null,null,{"$f":"Structure!D687 & \" \" & Structure!E687","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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 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 communication and social marketing strategies on topics such as contraception, pregnancy testing and options, healthy sexuality, and sexual orientation. The Healthy Sexuality program is delivered through four interventions: \n• Clinical Service Delivery\n• Communication and Social Marketing\n• Health Resource Inventory Management\n• Surveillance\n• Clinical Service Delivery - School Health\n• Communication and Social Marketing - School Health\n\nThe Family Planning 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\nSchool based interventions are focussed on school aged children, school staff and school boards. "]
[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,"Youth 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) and individuals who work in the sex trade. The population for young adults under the age of 30 was chosen because of the prevalence 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. High risk pregnant client's may be referred to the Nurse Family Partnership (if they meet program eligibility criteria) or HBHC.\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,"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 Perinatal Mental Health Promotion Program (444 PMHP). "]
[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\n• To achieve optimal preconception, pregnancy, newborn, child, youth, parental, and family health. (OPHS, Healthy Growth and Development goal)\n\nIntermediate\n• There is a decrease in health inequities related to healthy growth and development.  (OPHS; Healthy Growth and Development program outcome)\n\nShort-Term\n• The board of health is 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 preconception, pregnancy, newborn, child, youth, parental, and family health. (OPHS; Healthy Growth and Development program outcome)\n• Youth have knowledge of contraception, healthy sexuality, healthy fertility, and healthy pregnancies. (OPHS; Healthy Growth and Development program outcome)\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. (OPHS; Healthy Growth and Development program outcome)\n• Create supportive environments to promote healthy sexual practices, access to sexual health services, and harm reduction programs and services for priority populations (OPHS, Infectious Disease Control Standard program requirement)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D693 & \" \" & Structure!E693","v":"i 1) Clinical Service Delivery (SH)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients.  Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach. This intervention includes emergency contraception, cervical cancer screening, free condoms, pregnancy tests based on assessment, and sexual health education. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D694 & \" \" & Structure!E694","v":"i 2) Communication and Social Marketing (SH, SMHSP)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners using multi-media approaches. This includes maintaining information on the MLHU website, presentations and developing other communication materials. The Sexual Health team and the Social Marketing and Health System Partnerships (SMHSP) team support this intervention."]
[null,null,null,{"$f":"Structure!D695 & \" \" & Structure!E695","v":"i 3) Health Resource Inventory Management (SH)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. Specifically, this intervention includes the distribution of at-cost contraception to clients. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D696 & \" \" & Structure!E696","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D697 & \" \" & Structure!E697","v":"i 5) Clinical Service Delivery - School Health (SchH)"}]
[null,null,null,"Clinical service delivery- The School Health Team offers sexual health clinical services to clients in secondary schools.  Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach. "]
[null,null,null,{"$f":"Structure!D698 & \" \" & Structure!E698","v":"i 6) Communication and Social Marketing - School Health (SchH)"}]
[null,null,null,"The School Health team supports communication activities that involve creating and disseminating sexual health information to school aged youth. This includes maintaining information on the MLHU website and social media approach."]
[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) Infant Nutrition"}]
[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 Infant Nutrition Program are to increase the initiation, duration and exclusivity of breastfeeding and to decrease health inequities related to infant feeding within Middlesex-London. This also includes the introduction of solids at 6 months of age and establishing healthy eating patterns in early childhood to ensure proper growth and development with the continuation of healthy eating patterns into adulthood. 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-informed infant feeding messaging; and collaborating with community partners. 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 self-efficacy regardless of their feeding choice. \n  \nInterventions of the Infant Nutrition Program include:   \n• Clinical Services Delivery\n• Education and Skill Building \n• Communication and Social Marketing \n• Surveillance \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,"• Target Population(s): Pregnant individuals and 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 HBHC Team and NFP and Early Year Group Programs Team also support clients from the following priority populations through implementation of the Healthy Babies Healthy Children Home Visiting 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); 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., School Team) and Community Partners (i.e., LHSC) who provide service to postpartum clients.\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,"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 Perinatal Mental Health Promotion Program (444 PMHP). "]
[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\n• Achieving optimal preconception, pregnancy, newborn, child, parental, and family health (especially as it relates to infant nutrition and breastfeeding (adapted OPHS Program Goal)\n• Decrease health inequities related to breastfeeding and infant feeding (adapted OPHS Program Outcome)\n\nIntermediate\n• Individuals use available information, skills and supports to adopt health promoting behaviour (Program generated outcome)\n• Individuals (clients and HCPs) create safe and supportive environments that promote healthy growth and development (Program generated outcome)\n• Foster collaboration among community partners, children and parents in the planning, development, implementation and evaluation of programs, services, and policies (OPHS Program Outcome)\n\nShort-Term\n• Individuals and families are aware of the factors associated with infant nutrition including breastfeeding to support healthy growth and development, and the importance of creating safe and supportive environments that promote healthy growth and development (adapted OPHS Program Outcome) \n• Individuals and families have increased knowledge, skills and access to local supports about infant nutrition including breastfeeding to effectively foster healthy growth and development (adapted OPHS Program Outcome) \n• Provision of client-centered services in a culturally relevant, diversity sensitive and inclusive manner (OPHS Healthy Babies Healthy Children Protocol Standard)\n• Community partners have knowledge of the factors associated with the promotion of evidenced-informed infant nutrition including breastfeeding (adapted OPHS Program Outcome) \n• The board of health is 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 preconception, pregnancy, newborn, child, youth, parental, and family health (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D704 & \" \" & Structure!E704","v":"i 1) Clinical Service Delivery (HBHC)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) Home Visiting offers one-on-one services related to infant nutrition to clients and families confirmed with risk in the prenatal period, and anytime from birth until the transition to school. Families are supported to make informed infant feeding decisions. Breastfeeding support is offered to clients with breastfeeding challenges during the early postpartum period (first six weeks). Although these services are delivered at an individual level, they are part of a population-wide (i.e., universal screening) or priority population focused approach (i.e., clients identified with risk for compromised parenting and child development). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and will have an impact beyond the individual receiving the intervention (e.g., the program contributes to newborn, child and maternal health for families and the community as a whole). These clinical services are delivered over the phone and in the home (e.g., home visiting) by the Healthy Babies Healthy Children (HBHC) team."]
[null,null,null,{"$f":"Structure!D705 & \" \" & Structure!E705","v":"i 2) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one services related to infant nutrition to first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday. Families are supported to make informed infant feeding decisions. Breastfeeding support is offered to clients as needed. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and maternal health for families and the community as a whole). These clinical services are delivered in the home (i.e., home visiting) by the Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team."]
[null,null,null,{"$f":"Structure!D706 & \" \" & Structure!E706","v":"i 3) Education and Skill Building (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building through Smart Start for Babies involves the development and implementation of small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills on prenatal nutrition, breastfeeding, and food literacy. Activities within this intervention are tailored to the target population (i.e., pregnant clients and their support persons with food insecurities). SSFB provides specific tools (e.g., grocery store cards, Harvest Bucks, print resources, food literacy items) and/or strategies (e.g., low-cost eating, healthy lifestyles) to build capacity and support behavior change. This intervention is delivered in person with opportunities to increase accessibility through virtual and in-home support. The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D707 & \" \" & Structure!E707","v":"i 4) Education and Skill Building (HBHC)"}]
[null,null,null,"Education and Skill Building through the Healthy Growth and Development Phone Support involves the development and implementation of client/family-centred one-on-one discussion. Activities include education regarding infant nutrition including breastfeeding, introduction of solids, and general infant nutrition that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population (i.e., clients and families) with a focus on breastfeeding information. Screening of clients is conducted to assess if breastfeeding support is needed. This intervention also provides specific tools and/or strategies to build capacity and support behavior change including referrals to other MLHU programs and community services as appropriate. This intervention is delivered over the phone by the Healthy Babies Healthy Children (HBHC) team."]
[null,null,null,{"$f":"Structure!D708 & \" \" & Structure!E708","v":"i 5) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Communication activities involve maintaining information on the MLHU website on infant feeding and breastfeeding. Activities within this intervention aim to increase knowledge and promote the health of individuals and populations with an increase in breastfeeding initiation, exclusivity, and duration.  The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D709 & \" \" & Structure!E709","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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) 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 initiatives at MLHU are intended to increase awareness of the importance of having a reproductive plan, and to reach optimal preconception health prior to conception and during interception. The focus is on what can be done to increase readiness for pregnancy, regardless of gender identity, gender expression or sexual orientation. Being healthy before pregnancy and in between pregnancies improves the chances of making healthy sperm and eggs, getting pregnant/fertility, having a healthy pregnancy, and giving a future baby a healthy start in life. \n\nDue to resource constraints, limited interventions are implemented in this program.\n\nInterventions of the Preconception Health Program include:  \n•  Communication and Social Marketing\n•  Surveillance"]
[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,"Target 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,"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,"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 optimal preconception health also carry potential to improve mental health and wellbeing."]
[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\n• Achieving optimal preconception, pregnancy, newborn, child, parental and family health (OPHS Healthy Growth and Development 2021 Program Goal).\n\nIntermediate\n• Individuals in their reproductive years use available information, skills, and supports to adopt health promoting behaviour during preconception (Program generated outcome)  \n• Individuals in their reproductive years create safe and supportive environments that promote healthy growth and development during preconception (Program generated outcome)  \n\nShort-Term\n• Individuals and families are aware of the factors and the importance of creating safe and supportive environments that promote healthy growth and development related to preconception health (adapted OPHS Growth and Development Outcome)\n• The board of health is 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 preconception, pregnancy, newborn, child, youth, parental, and family health (OPHS Growth and Development Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D715 & \" \" & Structure!E715","v":"i 1) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Communication activities involve creating and disseminating health information on preconception health to the public and community partners through the MLHU website and Health Care Provider Outreach. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices to promote preconception health and protect the health of individuals and populations to have healthier and planned pregnancies. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D716 & \" \" & Structure!E716","v":"i 2) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D717 & \" \" & Structure!E717","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D718 & \" \" & Structure!E718","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D719 & \" \" & Structure!E719","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D720 & \" \" & Structure!E720","v":"i 6) "}]
[]
[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,{"$f":"Structure!D725 & Structure!E725","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D726 & \" \" & Structure!E726","v":"i 1) "}]
[]
[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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Immunization is a key focus for the MLHU. The MLHU continues to see increasing demands for vaccine administration; residents of Middlesex-London are facing increasing challenges in accessing vaccine from primary care providers. The increase in newcomers to the Middlesex-London region has also increased demands for MLHU to provide interpretation of vaccine records, as well as administer vaccines. \n\nCommunity Based Immunization Outreach:\nDue to the focus on school catch-up program for ISPA, our community outreach efforts have been done on a just-in-time basis, based on 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\nCOVID-19 Vaccine Program:\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• Other high-risk populations or settings included congregate settings such as shelters.\n• For long-term care homes experiencing difficulties in administering COVID-19 vaccine, MLHU provides assistance.                                                  \n• The MLHU provides support to HCPs, LTCHs, RHs, hospitals and other organizations that administer COVID vaccines including COVaxON and onboarding.\n\nImmunization Monitoring and Surveillance:\n• The ISPA program (screening program) has been a priority for MLHU since 2022 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 addition to enhanced screening and suspension efforts, MLHU has been providing additional immunization clinics for school catch-up programming. The goal for MLHU is to screen every grade in every school every year.\n•There will be additional pressures in the upcoming year with the introduction of new OPV invalidations (starting May 2024).\n\nVaccine Administration:\n• Clients prioritized for MLHU clinics based on newcomer status, no OHCN and no HCP. It continues to be a real challenge to be able to ensure clients have access to vaccination services in MLHU area. There has been a notable increase in clients without a HCP and/or access to a walk-in that offer vaccination services.  \n• For high-risk congregate settings such as shelters, COVID-19 and UIIP vaccines are provided. Priority populations include: 18 yrs. of age and younger including students under ISPA legislation who are at imminent risk of suspension and cannot access a health care provider or walk-in clinic.  There continues to be a lack of HCPs and walk-in clinics offering vaccination services in MLHU area.\n• For long-term care homes experiencing difficulties in administering COVID-19 vaccine, MLHU provided assistance.\n\nVaccine Management:\n• HCPs and other health organizations such as hospitals, require timely and convenient access to publicly funded vaccine. MLHU provides provincially funded vaccines to over 420 HCPs and organizations.  MLHU is responsible to oversee the ordering of the vaccine, management of storage and  support the  administration of vaccines to the public in Middlesex-London. Priority is to ensure that HCPs and organizations 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 2023-2024 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 addition 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,"Key partners are highlighted based on program.\n\nCommunity Based Immunization Outreach\nThe Community Based Immunization Outreach Program is managed by the Vaccine Preventable Disease (VPD) team. Key initiatives include: \n• Consultation with HCPs and community partners.\n• Collaborative meetings on a biweekly basis with London Health Sciences Centre (LHSC) for consultation, education and program updates.\n• The VPD team works with Social Marketing and Heath Systems Mobilization team to provide education and updates on a regular basis to HCPs in the MLHU area.                                                                                                                                                                                     \n• Collaboration with local First Nations communities through biweekly meetings, with consultation and program updates provided as appropriate. \n\nExternal partners of the Community Based Immunization Outreach Program include:\n• First Nations Communities \n• London Health Sciences Centre (LHSC)\n• Health Care Providers\n• London Intercommunity Health Centre (LIHC)\n• Local Emergency Medical Services (EMS)\n• School boards: London District Catholic School Board (LDCSB), Thames Valley District School Board (TVDSB), French Board\n\nCOVID-19 Vaccine Program\nInternal Partners: \n• Infectious Disease Control Team who partner with high risk congregate settings. I.e. LTCH/RHs       \n• HEART Health Equity and Indigenous Reconciliation Team\n• Population Health Assessment and Surveillance Team                \n\nExternal Partners of the COVID-19 Vaccine Program: \n• Community Paramedicine  Program Team\n• LTCH/RHs\n• Shelters\n• City of London\n• We Bridge\n• ACB (African Caribbean and Black ) Community; \n• LHSC\n• LIHC- London Intercommunity Health Center\n• CCLC- Cross Cultural Learner Center\n\nImmunization Monitoring and Surveillance\n• The Immunization Monitoring & Surveillance program is supported by the Vaccine Preventable Disease (VPD) Team in collaboration with the Infectious Disease Control (IDC) 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 criteria. 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"]
[null,null,null,"Vaccine Administration\nThe Vaccine Administration program is managed by the Vaccine Preventable Disease (VPD) Team in collaboration with the Sexual Health Team, Safe Water Tobacco Enforcement and Vector Borne Disease Team, (SWTEVBD) and the Infectious Disease Control (IDC) Team. Vaccines are administered 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• Hospitals\n\nVaccine Management\nThe Vaccine Management Program is managed by the Vaccine Preventable Disease (VPD) Team. The VPD Team conducts cold chain inspections in other community health care provider settings where provincially funded vaccines are stored. The VPD Team collaborates with the HCPs and other agencies who store and administer provincially 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. 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; London Intercommunity Health Center ; FNHC i.e., Oneida, Muncey and Chippewa; Cross Cultural Learning Center."]
[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 Community Based Immunization Outreach Program involves collaboration and work with community partners and healthcare providers to improve public knowledge and confidence in immunization programs and services. The Vaccine Preventable Disease (VPD) Team provides consultation to community partners on immunization and immunization practices including administration and reporting requirements. The VPD team collaborates with schoolboards/schools, priority populations and Indigenous partners to support community immunization efforts in Middlesex-London. \n\nInterventions of the Community Based Immunization Outreach Program include:\n• Communication and Social Marketing\n• Community and Partner Mobilization, including consultation and support with HCPs, hospitals and other agencies\n\nTarget Populations include:\n• Health Care Providers\n• Community Partners\n• General Public\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\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Program Goal).\n\nIntermediate\n• Improved uptake of provincially funded vaccines among Ontarians (OPHS Program Outcome).\n• Reduced incidence of vaccine preventable diseases (OPHS Program Outcome).\n\nShort-Term\n• Increased public confidence in immunizations (OPHS Program Outcome). \n• Eligible persons, including underserved and priority populations, have access to provincially funded immunization programs and services (OPHS Program Outcome).\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D892 & \" \" & Structure!E892","v":"i 1) Communication and Social Marketing (VPD)"}]
[null,null,null,"Communication activities involve creating and disseminating information about vaccine schedules and reporting requirements on the MLHU website. Activities include the development of content for healthcare providers, school boards and early years outreach.  The agency is also reviewing the need for broader public awareness campaigns to increase vaccine confident and address vaccine hesitancy; provincial leadership and coordination in this area is critical."]
[null,null,null,{"$f":"Structure!D893 & \" \" & Structure!E893","v":"i 2) Community and Partner Mobilization (VPD)"}]
[null,null,null,"Community and Partner Mobilization for Community Based Immunization Outreach involves bringing people and organizations together in a structured way to support immunization efforts. Activities include outreach to FNIM, schoolboards/schools, newcomers, and priority populations."]
[null,null,null,{"$f":"Structure!D894 & \" \" & Structure!E894","v":"i 3) "}]
[]
[null,null,null,{"$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","v":"P 2) COVID-19 Vaccine Program"}]
[null,null,null,"Program Description:\nDescribe the program per items and activities described in other Immunization requirements (i.e., Community based Immunization Outreach, Monitoring and Surveillance, Administration and Vaccine Management), including the population(s) to be served, with specifics on priority populations, as well as COVaxON reporting and support. For priority populations 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 COVID-19 Vaccine Program delivers COVID-19 vaccine to priority populations in the community through targeted mobile clinics. 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. Of note, the uptake of healt care providers in COVID-19 vaccine administration remains very low.\n\nInterventions of the Community Based Immunization Outreach Program include:\n• Clinical Services Delivery\n• Surveillance\n\nThe target populations for the COVID-19 Vaccine Program are priority populations including:  children  2 yrs of age and younger: high risk congregate settings; vulnerable populations with low vaccine uptake."]
[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\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Program Goal).\n\nIntermediate\n• Improved uptake of provincially funded vaccines among Ontarians (OPHS Program Outcome).\n• Reduced incidence of COVID-19 (adapted OPHS Program Outcome).\n\nShort-Term\n• Eligible persons, including underserved and priority populations, have access to provincially funded immunization programs and services (OPHS Program Outcome)."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D903 & \" \" & Structure!E903","v":"i 1) Clinical Service Delivery (VPD)"}]
[null,null,null,"Clinical service delivery for the COVID-19 Program provides targeted mobile clinics to deliver COVID-19 vaccine to priority populations. The Vaccine Preventable Disease (VPD) team delivers this intervention. Of note, MLHU no longer has sufficient resources to provide broad public access to COVID-19 vaccine clinics, and will no longer be operating a mass vaccination site."]
[null,null,null,{"$f":"Structure!D904 & \" \" & Structure!E904","v":"i 2) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$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 and Surveillance Program monitor 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 Investigations intervention, reporting and managing adverse events following immunization (AEFIs) are documented in a timely manner. The program also involves outbreak management where vaccines are administered as required in the event of an outbreak.\n\nInterventions of the Immunization Monitoring and Surveillance Program include:\n• Case, Contact and Outbreak Management \n• Investigations\n• Surveillance\n\nTarget Population\n• Health care providers to maximize vaccine administration \n• Community partners \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\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Program Goal).\n\nIntermediate\n• Improved uptake of provincially funded vaccines among Ontarians (OPHS Program Outcome).\n• Reduced incidence of vaccine preventable diseases (OPHS Program Outcome).\n\nShort-Term\n• Timely and effective detection and identification of priority populations facing barriers to immunization, their associated risk factors, and emerging trends (OPHS Program Outcome).\n• Health care providers report adverse events following immunization to the board of health (OPHS Program Outcome).\n• Timely and effective outbreak management related to vaccine preventable diseases (OPHS Program Outcome).  "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D914 & \" \" & Structure!E914","v":"i 1) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Outbreak management involves identifying the cause of outbreaks within a location, product or setting and implementing infection control measures to reduce the risk of ongoing transmission. When the health unit declares the outbreak, vaccines are administered as required. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D915 & \" \" & Structure!E915","v":"i 2) Investigations (VPD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Reports of Adverse Events Following Immunization (AEFIs) are investigated and reviewed. AEFIs meeting provincial reporting criteria are forwarded to the Ministry using the Integrated Public Health Information System (iPHIS). The Vaccine Preventable Disease (VPD) team delivers this intervention."]
[null,null,null,{"$f":"Structure!D916 & \" \" & Structure!E916","v":"i 3) Surveillance (PHAS)"}]
[null,null,null,"Surveillance for this public health intervention involves monitoring and assessing immunization uptake and coverage. The Population Health Assessment and Surveillance (PHAS) team supports this intervention."]
[null,null,null,{"$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. The intervention provides: \n• Immunization services to eligible priority populations who do not have access to provincially funded immunization programs and services;\n• Administration of Rabies vaccine; \n• School-based clinics for Grade 7 students; and\n• Mobile clinics in the event of outbreaks and for priority populations.\n\nInterventions of the Vaccine Administration Program include:\n• Clinical Service Delivery\n\nTarget populations\n• Grade 7 students\n• In 2023-2024 targeting students aged 4-18 for ISPA controlled vaccines under the Ontario publicly-funded immunization schedule.\n• General population when a contact of a vaccine preventable disease case and /or animal bite (post-exposure prophylaxis)\n• Individuals Under 18 yrs. of age  living in the Middlesex-London area who do not have a health care provider\n• Individuals under 18 years of age living in the Middlesex-London area who do not have a valid Ontario health card\n\nPriority populations\n• Vulnerable and underserved individuals \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\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Program Goal)\n\nIntermediate\n• Improved uptake of provincially funded vaccines among Ontarians (OPHS Program Outcome)\n• Reduced incidence of vaccine preventable diseases (OPHS Program Outcome)\n\nShort-Term\n• Eligible persons, including underserved and priority populations, have access to provincially funded immunization programs and services (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D925 & \" \" & Structure!E925","v":"i 1) Clinical Service Delivery (VPD)"}]
[null,null,null,"Clinical service delivery for the Vaccine Administration Program provides vaccine clinics for priority populations and outbreaks, including rabies post exposure prophylaxis. This intervention also includes the Grade 7 vaccination program provided in schools and ISPA catch-up clinics. The Vaccine Preventable Disease (VPD) team delivers this intervention."]
[null,null,null,{"$f":"Structure!D926 & \" \" & Structure!E926","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D927 & \" \" & Structure!E927","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D928 & \" \" & Structure!E928","v":"i 4) "}]
[]
[null,null,null,{"$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 provincially 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\nInterventions of the Vaccine Management Program include:\n• Health Resource Inventory Management\n• Inspections\n• Investigations\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          \n• LTCH/RHs\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\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Program Goal) \n\nIntermediate\n• Effective inventory management for provincially funded vaccines (OPHS Program Outcome)\n\nShort-Term\n• Prevention, management, and reporting of vaccine wastage (Vaccine Storage and Handling Protocol, 2018)\n• Healthcare providers comply with the Vaccine Storage and Handling Guidelines, 2012 (Program Generated Outcome)\n• Prevention, management, and reporting of cold chain incidences (Vaccine Storage and Handling Protocol, 2018)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D936 & \" \" & Structure!E936","v":"i 1) Health Resource Inventory Management (VPD)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of vaccine. Vaccine is distributed to healthcare providers, hospitals, and long-term care homes. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D937 & \" \" & Structure!E937","v":"i 2) Inspections (VPD)"}]
[null,null,null,"Inspections for Vaccine Management involve cold chain inspections in all settings where publicly funded vaccines are stored. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D938 & \" \" & Structure!E938","v":"i 3) Investigations (VPD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. This intervention investigates cold chain incidents and power failure incidents where publicly funded vaccines are stored. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D939 & \" \" & Structure!E939","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D940 & \" \" & Structure!E940","v":"i 5) "}]
[]
[null,null,null,{"$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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"The burden of infectious diseases continues to increase in the Middlesex-London region, related in part to population growth, increasing globalization and immigration, climate change, global vaccine hesitancy, and expanding inequities with regards to the social determinants of health. The resources required by the agency to respond to reportable diseases and support IPAC in all settings are increasing annually, despite ongoing efforts to optimize processes.\n\nVector-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 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 Safe Water, Tobacco Enforcement and Vector Borne Disease (SWTEVBD) 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, the MLHU SWTEVBD 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 is collected from various sources, with internal database reviewed to determine local priorities in IDC.\n• The social determinants of health play a critical role in infectious disease transmission, including homelessness, under-housed, illicit drug use, poverty, and health inequity.\n• Municipal and hospitalization data is reviewed as part of program planning\n\nRabies and Zoonotic Disease:\nThe Safe Water, Tobacco Enforcement and Vector Borne Disease (SWTEVBD) team investigates all rabies cases where there has been an animal/person contact in Middlesex-London which have been increasing steadily each year. The following is the seven-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\n2023: Total number of investigations:1240\nThe MLHU continues to see an increase in animal bite reports requiring increased capacity to respond and investigate.\n\nSexually Transmitted and Blood-Borne Disease:\n• Middlesex-London 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, was developed in the Spring 2023 and then implemented throughout 2023. Actions from the strategy are being implemented in 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 MLHU Sexual Health Clinics offer 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 1,851 chlamydia and 259 gonorrhea cases in 2023.  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, in 2023 there were 168 syphilis case and 1 congenital syphilis case in 2023 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 in 2022 and 20 in 2023. 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%). Although not a category shown in the chart, in 2023, nearly one-third (6/19, 32%) of reported cases lived in or traveled to a country where HIV is endemic. Among cases with this risk factor indicated, only one (1/6, 17%) had an immigration birth country listed. 21% of cases from 2023 reported injection drug use as a risk factor. One of the cases who identified that they injected drugs also reported sharing needles and other drug equipment.\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,"VBD program has resumed as per the OPHS requirements."]
[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 internal partners:\n• The Vector-Borne Diseases program is managed by the Safe Water, Tobacco Enforcement and Vector-Borne Disease (SWTEVBD) Team. The Infectious Disease Control Team monitors and investigates all positive human case lab reports as part of the Case, Contact and Outbreak Management intervention. This includes 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 also collects the reported exposure location, this data is used to direct the SWTEVBD team’s enhanced mosquito surveillance and control in the given location.\n\nVector-Borne Diseases Program external partners include:\n• 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 Infectious Disease Control (IDC) Team is primarily responsible for implementation of the IDC Program. The Safe Water, Tobacco Enforcement and Vector Borne Disease team takes the lead on investigations relevant to international agricultural workers housing and animal bites. The Population Health Assessment and Surveillance team will conduct surveillance. \n\nInfectious Disease Control External Partners include:\n• 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"]
[null,null,null,"Rabies and Zoonotic Disease:\nThe SWTEVBD 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 SWTEVBD team provides support as needed. The Vaccine Preventable Disease Team may also collaborate on the delivery of this program. \n\nRabies and Zoonotic Disease External Partners include:\n• 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, local Veterinarians\n\nSexually Transmitted and Blood-Borne Disease:\n• The STI-BBI Program is managed by the Sexual Health (SH) Team. They work closely with Infectious Disease Control (IDC) Team, Municipal and Community Health Promotion Team and School Health Team.  The Sexual Health (SH) Team develops resources and campaigns that target ages 15-29 years of age to reduce the rate of STIBBIs.  The School Team works with the population 15-17 years of age in secondary schools and often connect with SH Team about resources as well as training for medical directives i.e. testing for gonorrhea and chlamydia. The client is supported by the team with whom has the relationship with the client.  \n\nSexually Transmitted and Blood-Borne Disease 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 student health, London Intercommunity Health Centre, Regional HIV/AIDS Connection, Southwest Ontario Health Access Centre, Shelters, Ministry of Health, Southwest Public Health, London Cares Homeless Response"]
[null,null,null,{"$f":"Structure!D1112 & Structure!E1112","v":"P 1) 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 goal of the Vector-Borne Diseases (VBD) program is to reduce all Middlesex-London residents’ exposure to mosquito and tick bites in order to reduce the incidence of vector-borne disease transmission. Interventions for this program include:\n\n• Case, Contact and Outbreak Management\n• Education and Skill Building\n• Communication and Social marketing\n• Investigations\n• Surveillance\n• Surveillance - Tick dragging and mosquito trapping\n• Vector Control \n\nThe 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\nPeople 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.  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.\nThis program will address requirements 1, 3, 6, 11, 15, and 16 of the Infectious Disease Control Standard. "]
[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\n• To reduce the burden of vector-borne diseases of public health significance (Adapted OPHS Program Goal). \n\nIntermediate\n• Reduced transmission of vector-borne diseases (Adapted OPHS program outcome).\n\nShort-Term\n• Timely and effective detection, identification, and management of exposures and local cases/outbreaks of infectious and communicable diseases of public health significance, including diseases of public health significance, their associated risk factors, and emerging trends (OPHS program outcome).\n• Effective case management results in limited secondary cases (OPHS program outcome).\n• Effective inspection and investigation of potential public health hazards in the environment related to vector-borne disease (Adapted Health Hazard Response Protocol, 2019)\n• Board of health programs and services are designed to address the identified needs of the community, including priority populations, associated with infectious and communicable diseases (OPHS program outcome).\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 infectious and communicable diseases. (OPHS program outcome)\n• The board of health shall develop an integrated vector-borne management plan comprised of: a) Vector surveillance, including surveillance of both mosquito and tick populations; b) Non-human host surveillance (when applicable); c) Human surveillance; d) Public education on personal preventive measures; and e) Vector control programs (e.g., larviciding and/or adulticiding) where required\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1113 & \" \" & Structure!E1113","v":"i 1) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Case management is the process that public health staff use to identify cases and those at risk of any Disease of Public Health Significance (DOPHS) that legislatively must be reported to the health unit. Case investigation is the identification of any person with suspect, confirmed, and probable diagnoses. The management of the case is variable depending on the type of pathogen that is reported.  Community based investigations typically begin with a series of questions and data collecting methods so that information can be documented in a case and contact management tool. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention in order to limit the spread of diseases, for example, when case exposures are linked to vector-borne diseases. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1114 & \" \" & Structure!E1114","v":"i 2) Education and Skill Building (SWTEVBD)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ knowledge and build skills related to vector-borne disease. Activities within this intervention are tailored to the target population, and include public presentations and student training. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1115 & \" \" & Structure!E1115","v":"i 3) Communication and Social Marketing (SWTEVBD)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners including health care providers using multi-media approaches including the MLHU website and social media. These activities aim to increase awareness of risks associated with vector borne diseases,  Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent vector-borne disease, increase community understanding related to vector-borne disease risks, and promote the health of individuals and populations. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1116 & \" \" & Structure!E1116","v":"i 4) Investigations (SWTEVBD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include receiving and responding to reports and complaints of vector-borne diseases and investigating 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 vector-borne disease, a response is initiated to determine the potential public health risk and take appropriate action as required based on the Ministry protocol. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention, for example, when case exposures are linked to vector-borne diseases. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1117 & \" \" & Structure!E1117","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. Surveillance activities are completed primarily by Epidemiologists on the Population Health Assessment and Surveillance (PHAS) team, and they are conducted as necessary and not on a set schedule. Output indicators include the number of instances when monitoring and surveillance data are used to inform Public Health actions. "]
[null,null,null,{"$f":"Structure!D1118 & \" \" & Structure!E1118","v":"i 6) Surveillance - Tick dragging and mosquito trapping (SWTEVBD)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of vector-Borne disease cases within Middlesex-London. The monitoring of vector borne diseases is achieved through active and passive vector borne disease sampling for adult mosquitoes, larval mosquito samples, and ticks to inform the vector control program. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1119 & \" \" & Structure!E1119","v":"i 7) Vector Control (SWTEVBD)"}]
[null,null,null,"Vector Control is part of a vector-borne management strategy that is based on surveillance data and emerging trends in accordance with the Infectious Diseases Protocol, 2018. It includes using an integrated pest management control strategy to manage vector mosquito populations while remaining economically and environmentally conscious. Controlling vector mosquito larvae is key to reducing the spread of West Nile Virus infection to the public. Utilizing an integrated pest management control strategy aims to manage vector mosquito populations while remaining economically and environmentally conscious.  Approximately 38,000 catch basins located in the city of London and Middlesex County are treated 3x by a hired service provider. 260 surface water sites are monitored and treated (when necessary) on a weekly basis by MLHU staff. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$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) 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 respond to disease episodes and help implement prevention and control measures across settings. Interventions conducted by IDC include:\n• Case, Contact and Outbreak Management \n• Clinical Services Delivery \n• Investigations \n• Inspections – IPAC\n• Inspections - IAW\n• Education and Skill Building \n• Surveillance\n• Communication and Social Marketing\n• Health Resource Inventory Management . \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. This program will address requirements 1, 2, 3, 4, 5, 6, 11, 12, 17, 18, 19, and 20 of the Infectious Disease Control Standard."]
[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\n• To reduce the burden of communicable diseases and other infectious disease of public health significance. (OPHS goal)\n\nIntermediate\n• Reduced transmission of infections and communicable diseases. (OPHS program outcome)\n\nShort-Term\n• Effective case management results in limited secondary cases. (OPHS program outcome)\n• Timely and effective detection, identification, and management of exposures and local cases/outbreaks of infectious disease of public health significance, including diseases of public health significance, their associated risk factors, and emerging trends. (OPHS program outcome)\n• Reduced development of acquired drug-resistance among active TB cases. (OPHS program outcome)\n• Reduced progression from latent tuberculosis infection (LTBI) to active tuberculosis (TB) disease. (OPHS program outcome)\n• Effective and efficient management and mitigation of public health risks associated with infection prevention and control lapses. (OPHS program outcome)\n• Increased awareness and use of infection prevention and control practices in settings that are required to be inspected. (OPHS program outcome)\n• Increased awareness and use of infection prevention and control practices in high risk congregate settings (Adapted IPAC Hub)\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 infectious and communicable diseases (OPHS program outcome).\n• Board of health programs and services are designed to program interventions to address the identified needs of the community, including priority populations, associated with respiratory, enteric and other infectious disease. (OPHS program outcome) \n• The board of health shall provide public education to increase awareness related to infection prevention and control measures, including respiratory etiquette, and hand hygiene. (OPHS requirement)\n• The board of health is responsible for ensuring a reliable supply of TB medications to ensure the effective management of TB cases. (Adapted TB program guideline)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1124 & \" \" & Structure!E1124","v":"i 1) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"This intervention focuses on Case, Contact and Outbreak Management in congregate settings and community settings. Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS)  that legislatively must be reported to the health unit, as well as other diseases including Respiratory Syncytial Virus. 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. Public Health Nurse may refer clients to the Outreach Workers as required to locate a client that has been unsuccessful to contact in order for the IDC staff to  complete case and contact management for the follow-up of diseases of public health significance (DOPHS). An outbreak is an increase from the usual number of cases of disease or infection. Outbreaks may be identified when the health unit has investigated cases that have exposures linked to a particular location, product, or setting.  Outbreaks are reported by facilities as soon as they're suspected or identified.  Outbreak Investigation and Management identifies the cause of outbreaks within the congregate settings and implements infection control measures to reduce the risk of ongoing transmission. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1125 & \" \" & Structure!E1125","v":"i 2) Clinical Service Delivery (IDC)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients. Due to the lack of community physicians’ available to provide the health care needs to individuals with latent tuberculosis (TB), the Middlesex-London Health Unit provides services through clinics run by the IDC team in partnership with a Respirologist. Currently, TB clinic routinely see the following clients:  immigrants who have been indicated for surveillance under the TB Immigration Surveillance (IMS) Program, contacts of cases with no family physician that are interested in LTBI treatment, Government Assisted refugees (GARs) with positive TB skin tests, GARs with negative TB skin tests and abnormal chest x-rays, referrals, and latent tuberculosis infection (LTBI) clients with no family physician that are interested in treatment. Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach to limit the spread of tuberculosis in our community. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1126 & \" \" & Structure!E1126","v":"i 3) Investigations (IDC)"}]
[null,null,null,"Investigations collect data regarding known or potential exposure to the health of the population. As per the Ministry of Health's 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. Key steps include determining the existence and risk of the exposure, finding the source of the exposure, and determining appropriate control measures. 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. The Investigations intervention often works closely with the Case, Contact and Outbreak Management. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1127 & \" \" & Structure!E1127","v":"i 4) Inspections - IPAC (IDC)"}]
[null,null,null,"IPAC inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, and enforcing legal requirements of Public Health acts and regulations. Compliance inspections in personal service settings, and childcare centre (IPAC inspections) are completed by Public Health Inspectors using risk assessment as per protocol. Re-inspection may be required when non-compliance or violations are found. The IDC team ensures that an updated list of premises are entered into Hedgehog, the data system for all public health inspections. All inspection results are posted on the MLHU website. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1128 & \" \" & Structure!E1128","v":"i 5) Inspections - IAW (SWTEVBD)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities that house international agricultural workers, conducting risk assessments, performing inspections and re-inspections, and enforcing legal requirements of Public Health acts and regulations. This intervention relies heavily on providing education to operators to gain legislative compliance. The long-term outcome of this intervention is to prevent diseases, illnesses, and injuries of public health significance in international agricultural worker accommodations.  The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1129 & \" \" & Structure!E1129","v":"i 6) Education and Skill Building (IDC)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. The intervention supports high-risk congregate settings, long-term care and retirement homes, shelters and other congregate settings and community settings to prevent and limit the spread of infectious diseases. Some of the activities associated with this intervention include; providing education and training, supporting communities of practice, learning and networking among IPAC leaders, supporting the development of IPAC programs, reviewing IPAC policy and procedures within sites, conducting assessments and audits of IPAC programs and practices, mentoring of IPAC service delivery to strengthen IPAC programs and practices. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1130 & \" \" & Structure!E1130","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. 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. During influenza season, from November to May, MLHU distributes a weekly Community Influenza report to local stakeholders and the community via  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. The Population Health Assessment and Surveillance (PHAS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1131 & \" \" & Structure!E1131","v":"i 8) Communication and Social Marketing (IDC)"}]
[null,null,null,"Communication activities involve creating and disseminating infectious disease information to the public and community partners using multi-media approaches including Health Care Provider infectious disease articles for e-newsletter, Health Care Provider resources for office binder, and the review and update of paper and electronic resources on website. These proactive efforts are made to prevent the spread of infectious diseases.  The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1132 & \" \" & Structure!E1132","v":"i 9) Health Resource Inventory Management (IDC)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. This intervention focuses on management of medications for Tuberculosis Infection. It also involves the management and oversight of inventory systems to support public health programs and the delivery of clinical services. For the purposes of this intervention, health resources are considered those that are distributed to MLHU clients and community partners, and do not include centralized supplies for internal MLHU clinics and services. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1133 & \" \" & Structure!E1133","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1134 & Structure!E1134","v":"P 3) 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 Rabies and Zoonotic Disease program is to prevent rabies and other zoonotic disease infection in Middlesex-London residents. Interventions for this program include:\n• Case, Contact and Outbreak Management\n• Investigations\n• Communications and Social Marketing\n• Health Resource Inventory Management, and\n• Surveillance\n\nThe target population for the Rabies and Zoonotic Disease program is people living in Middlesex-London Region. This program will address requirements  1, 3, 5, 6, 11, 13, 14, and 15 of he Infectious Disease Control Standard."]
[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\n• Reduce the burden of rabies and other zoonotic diseases of public health significance.  (Adapted OPHS Goal)\n\nIntermediate\n• Reduced transmission of Rabies and other Zoonotic diseases. (Adapted OPHS Program Outcome)\n\nShort-Term\n• Timely and effective detection, identification, and management of exposures and local cases/outbreaks of infectious and communicable diseases of public health significance, including diseases of public health significance, their associated risk factors, and emerging trends. (OPHS Program Outcome)\n• The public, community partners, and health care providers report all potential rabies exposures. (OPHS Program Outcome)\n• Veterinarians report all animal cases of avian chlamydiosis, avian influenza, novel influenza, and Echinococcus multilocularis infection for appropriate follow up of human contacts of infected animals. (OPHS Program Outcome)\n• The board of health shall ensure individuals requiring prophylaxis have access to rabies PEP within 24 hours of receiving a request for PEP made by a healthcare provider. (Rabies Prevention and Control Protocol, 2023)\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 infectious and communicable diseases. (OPHS Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1135 & \" \" & Structure!E1135","v":"i 1) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS). Potential zoonotic DOPHS include: Blastomycosis, Psittacosis/Ornithosis, Trichinosis, etc. The management of the case is variable depending on the type of pathogen that is reported. Zoonotic disease may be reported to MLHU by the provincial Veterinarian or be identified as a result of a human exposure.  Investigations typically begin with a series of questions and data collecting methods so that information can be documented in a case and contact management tool. Contact investigation or contact tracing is the identification, monitoring and support of the individuals or contacts who have been exposed to the case and possibly infected themselves. This process prevents further transmission of disease by separating people who have or may have an infectious disease from people who do not. If a zoonotic disease outbreak is suspected, the Case, Contact and Outbreak management Lead will notify the Investigations Lead to begin an Investigation. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1136 & \" \" & Structure!E1136","v":"i 2) Investigations (SWTEVBD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population.  All reported cases of potential rabies exposure and zoonotic diseases of public health significance  received from the public, community partners, the Ministry of Health, and health care providers will be investigated 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. The investigation plan will be followed and appropriate interventions implemented as per Ministry Rabies Protocol. The investigations intervention will include enforcement activities where necessary in order to address noncompliance with the Health Protection and Promotion Act. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1137 & \" \" & Structure!E1137","v":"i 3) Communications and Social Marketing (SWTEVBD)"}]
[null,null,null,"Communication activities involve creating and disseminating information to the public and community partners using multi-media approaches including the MLHU website, verbal/written interactions and social media. Social marketing activities focus on influencing behavior within Middlesex-London residents to promote disease reporting. Activities within this intervention ultimately aim to increase awareness of the reporting requirements for diseases of public health significance, as specified in the Health Protection and Promotion Act and Regulation 557 – Communicable Disease. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1138 & \" \" & Structure!E1138","v":"i 4) Health Resource Inventory Management (VPD)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. This intervention includes Rabies Post Exposure Prophylaxis and Rabies Immunoglobulin. To mitigate and prevent potential rabies infections, MLHU will 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. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1139 & \" \" & Structure!E1139","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves a range of activities, from monitoring and assessing key data for the purposes of community risk assessment and determining the need for further action. Surveillance also includes the ongoing process of monitoring and interpreting population-level health data for the purposes of detecting trends and changes in the incidence and prevalence of rabies and other zoonotic disease risk factors. Data used for surveillance may be provided by other health system partners or it may be collected by MLHU program teams through other interventions. Data collected through this intervention will inform program development, and allow for the monitoring of rabies positive animals and other zoonotic diseases within Middlesex-London. The Population Health Assessment and Surveillance (PHAS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1140 & \" \" & Structure!E1140","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1141 & \" \" & Structure!E1141","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1142 & \" \" & Structure!E1142","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1143 & \" \" & Structure!E1143","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1144 & \" \" & Structure!E1144","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1145 & Structure!E1145","v":"P 4) 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). The Sexually Transmitted and Blood-Borne Disease (STBBD) Program is delivered through the following interventions: \n• Case, Contact and Outbreak Management\n• Health Resource Inventory Management\n• Clinical Services Delivery\n• Communication and Social Marketing (Sexual Health Team)\n• Communication and Social Marketing (School Health Team) \n• Surveillance\n• Community and Partner Mobilization\n\nTarget populations are those populations at risk of adverse health outcomes and for whom public health interventions can be reasonably considered to have a substantial impact at the population level. Based on the epidemiological analysis, adolescents, and young adults 15 to 29 years of age are at significant risk for sexually transmitted infections, especially gonorrhea and chlamydia. Likewise, men who have sex with men are at greater risk for all STIs. Based on the epidemiological data, along with information gathered in the community partner interviews and the evidence review, the key target populations for this program are University/College Students and the MSM community.\n \nPriority populations are populations experiencing poor outcomes due to the broader social determinants of health, the burden of disease, and/or the intersection between these factors. Based on the epidemiological analysis and the perspectives from community partners, the priority populations for this program include sex trade workers, people who use drugs, and those who are underhoused or experiencing homelessness, especially women (MLHU STI Strategy Evidence Review, 2023).  The Sexually Transmitted and Blood-Borne Disease program will address requirements 1, 3, 5, 6, 7, 8, 9, 10, and 11 of the Infectious Disease Control Standard. "]
[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\n• To reduce the burden of sexually transmitted and blood-borne diseases of public health significance. (Adapted OPHS Goal)\n\nIntermediate\n• Reduced transmission of infectious and communicable disease. (OPHS Program Outcome)\n\nShort-Term\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 Program Outcome)\n• Timely 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  Program Outcome)\n• The board of health shall  use health promotion approaches to increase adoption of healthy behaviors among the population regarding sexual practices and injection drug use to prevent and reduce exposures to sexually transmitted and blood-borne infections by collaborating with and engaging health care providers, community and other relevant partners, and priority populations. (OPHS requirement)\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 Program Outcome)\n• Priority populations have increased access to sexual health services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections. (Adapted OPHS Program Outcome)\n• The board of health shall have a mechanism in place to ensure the provision of publicly-funded STBBI medication at no cost to the person with STBBI or the provider. (STBBI Prevention and Control Protocol)\n• Effective case management results in limited secondary cases. (OPHS  Program Outcome)\n• The board of health shall collaborate with health care providers and other relevant partners to ensure access to, or provide based on local assessment, harm reduction programs in accordance with the Substances Use Prevention and Harm Reduction guideline, 2018)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1146 & \" \" & Structure!E1146","v":"i 1) Case, Contact and Outbreak Management (SH)"}]
[null,null,null,"Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS). This intervention aims to prevent and control sexually transmitted and blood-borne infections (STIBBIs) including chlamydia, gonorrhea, syphilis, HIV/AIDS, and Hepatitis B & C. To prevent the spread of sexually transmitted infections, case investigation begins when laboratory-confirmed cases of sexually transmitted infections are reported to the Middlesex-London Health Unit. Case investigation begins 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).  Public Health Nurse may refer clients to the Outreach Workers if there is difficulty connecting with the client and they require support to complete case and contact management for the follow-up of diseases of public health significance (DOPHS). The PHN 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 (exception syphilis and HIV where confirmation of notification is required). The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1147 & \" \" & Structure!E1147","v":"i 2) Health Resource Inventory Management (SH)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. It also involves the management and oversight of inventory systems to support public health programs and the delivery of clinical services. For the purposes of this intervention, health resources are considered those that are distributed to MLHU clients and community partners, and do not include centralized supplies for internal MLHU clinics and services. This intervention includes distributing condoms and lubricant directly to MLHU clients and community partners. This intervention also includes the distribution of publicly-funded STIBBI medications to healthcare providers to treat their client’s and contacts identified via contact investigations. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1148 & \" \" & Structure!E1148","v":"i 3) Clinical Service Delivery (SH)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients. This includes follow up with STBBI test results. Clinics operate with appointments (some drop-ins accepted), no health card, free counselling, testing, treatment for clients of any age. The clinics provide access for sexual health services to target populations including university/college students, non-student young adults, identified priority populations, and the MSM community, to ensure testing and treatment is available to reduce the burden and transmission of STI’s and BBI’s. Although these services are delivered at an individual level, they are part of a population-wide and priority population focused approached and are scalable to have a population-level impact beyond the individual receiving the intervention. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1149 & \" \" & Structure!E1149","v":"i 4) Communication and Social Marketing (SH)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners using multi-media approaches including social media, presentation, the MLHU website, etc. The Sexual Health Team develops social media and mass media campaigns, educational materials, and presentations to promote various sexual health messages. These messages are in response to surveillance data that includes increased rates of STIBBI’s. The messages will target the population most impacted by the STIBBI’s or have increased risk factors. Messages will focus promoting Sexual Health Clinic services such as free testing and treatment, free condoms, and sexually transmitted infections signs and symptoms. Activities within this intervention aim to increase knowledge surrounding STIBBI’s and change attitudes, beliefs, and practices in order to prevent disease and promote treatment seeking to protect the health of individuals and populations."]
[null,null,null,{"$f":"Structure!D1150 & \" \" & Structure!E1150","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. This intervention includes conducting population health assessment and surveillance to monitor and evaluate STI and BBI disease trends, rates and testing patterns. This intervention will also seek to 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. The Population Health Assessment and Surveillance (PHAS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1151 & \" \" & Structure!E1151","v":"i 6) Community and Partner Mobilization (SH)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. The Middlesex-Lonond HIV Leadership table is able to rapidly implement strategies with an aim to stop or decrease the transmission of HIV. Activities in this intervention include identifying opportunities for coordinated access, tracking and information sharing among organizations, sharing resources among community organizations, identifying opportunities for collaboration, finding opportunities for additional funding to support the strategy, identifying and addressing the gaps in service delivery in the community, and provide input for the Middlesex-London Community Drug and Alcohol Strategy. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1152 & \" \" & Structure!E1152","v":"i 7) Communication and Social Marketing (SchH)"}]
[null,null,null,"The School Health team supports communication activities that involve creating and disseminating sexual health information to school aged youth using social media, the MLHU website. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent sexually transmitted and blood-borne disease and promote and protect the health of individuals and populations. "]
[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) "}]
[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,{"$f":"Structure!D1157 & \" \" & Structure!E1157","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1158 & \" \" & Structure!E1158","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1159 & \" \" & Structure!E1159","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1160 & \" \" & Structure!E1160","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1161 & \" \" & Structure!E1161","v":"i 5) "}]
[]
[null,null,null,{"$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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 Adverse Water Quality Incidents (AWQIs) each year and public health interventions support/guide the operators in taking necessary steps to remediate those incidents. AWQIs continue to occur in Small Drinking Water Systems (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• In the same survey, 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. A 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. The MLHU also performs 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.\n"]
[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 receives 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, Tobacco Enforcement and Vector-Borne Disease Team (SWTEVBD). The Oral Health & Clinical Support Services Team receives reports from the municipal water system operators and monitors fluoride levels. In case of an AWQI relative to Fluoride levels, the SWTEVBD team collaborates with the Oral Health & Clinical Support Services team to issue an advisory. Key external partners include; Ministry of Health, 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."]
[null,null,null,"Recreational Water Program:\nThe Recreational Water Program is managed by the Safe Water, Tobacco Enforcement and Vector-Borne Disease (SWTEVBD) Team. \nExternal Partners include the Ministry of Health, Public Health Ontario, City of London, Middlesex County, and 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,"The Drinking Water Program at MLHU assists in the prevention and reduction of water-borne illness related to drinking water in the City of London and Middlesex County. Interventions for this program include:\n\n• Case, Contact and Outbreak Management\n• Investigations\n• Inspections\n• Communication and Social Marketing\n• Surveillance – Drinking Water\n• Surveillance – Fluoride \n• Surveillance – Well Testing\n\nThe target population for the Drinking Water Program is owners and users of private wells, Owner/Operators of Small Drinking Water Systems, children in child-care centers and schools, and the general public who access drinking water in Middlesex-London. \n\nThe MLHU provides enhanced private well water services to private well owners/operators in the City of London and Middlesex County. Rural community residents often face a variety of access barriers to services. MLHU offers enhanced services to rural residents in Middlesex County to reduce barriers and appropriately support Small Drinking Water Systems (SDWS) in those communities. \n\nThe Drinking Water Program will address requirements 1-8 under the Safe Water Standard, excluding the specific references to recreational water.\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 prevent or reduce the burden of water-borne illnesses related to drinking water (OPHS goal)\n\nIntermediate Outcomes:\n• Water-borne illness risks related to drinking water are mitigated (adapted OPHS program outcome)\n\nShort-Term Outcomes:\n•  The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to safe water (OPHS program outcome)\n• Board of health programs and services are designed to address the identified needs of the community, including priority populations, associated with safe water (OPHS program outcome)\n• Timely and effective detection, identification and response to drinking water contaminants and illnesses, their associated risk factors, and emerging trends, including levels of fluoride outside the recommended range (OPHS Program Outcome)\n• Members of the public who use private drinking water supplies (e.g. private wells) are aware of how to safely manage their own drinking water systems (OPHS program outcome)\n• The public is aware of drinking water safety, including the potential risk of illnesses related to unsafe drinking water (OPHS program outcome)\n\n• Owners/operators of small drinking water systems operate in a safe and sanitary manner (OPHS program outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1334 & \" \" & Structure!E1334","v":"i 1) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS). Potential drinking water DOPHS include: giardiasis, cryptosporidiosis, cyclosporiasis, cholera, typhoid fever, hepatitis A, salmonella and E.coli.  Case investigation typically begins with a thorough interview to determine the source of the potential water-borne pathogen.  This involves using a series of questions and data collection methods to document required information in a case and contact management tool. The Case, Contact and Outbreak Management intervention focuses on human cases of water-borne illnesses and implements infection control measures as appropriate. If a water-borne outbreak is suspected, the Case, Contact and Outbreak management Lead will notify the Investigations Lead to begin an Investigation. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1335 & \" \" & Structure!E1335","v":"i 2) Investigations (SWTEVBD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. MLHU receives reports, including reports of adverse drinking water systems, governed under the Health Protection and Promotion Act, the Safe Drinking Water Act, 2002 or Regulation 319. Investigations commence within 24 hours of service requests, complaints received, and reports of illness or outbreaks. The Investigations intervention may also include enforcement activities, where necessary. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention, for example, when case exposures are linked to drinking water systems. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1336 & \" \" & Structure!E1336","v":"i 3) Inspections (SWTEVBD)"}]
[null,null,null,"Drinking Water Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting samples (e.g., water samples), and enforcing legal requirements of Public Health acts and regulations, including Section 7 of the Small Drinking Water Regulation. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. Output indicators include the number of inspections conducted and number of enforcement actions taken. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1337 & \" \" & Structure!E1337","v":"i 4) Communication and Social Marketing (SWTEVBD)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners through the MLHU website, social media, and print materials (e.g. water testing kits and fact sheets).  Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent disease and promote and protect the health of individuals and populations. Education and training will also be provided to owners and 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. Output indicators include the number of water testing kits distributed and number of web pages updated. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1338 & \" \" & Structure!E1338","v":"i 5) Surveillance - Well-Testing (SWTEVBD)"}]
[null,null,null,"Surveillance involves an ongoing process of collecting, analyzing and interpreting population-level health data related to drinking water and water-borne illnesses for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. Activities part of this intervention include testing of drinking water for private wells. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1339 & \" \" & Structure!E1339","v":"i 6) Surveillance - Fluoride (OHCSS)"}]
[null,null,null,"This intervention involves the monitoring of fluoride levels in community water systems as per the Safe Drinking Water and Fluoride Monitoring Protocol (2018). The Oral Health Manager collaborates with the City of London to monitor for abnormal fluoride levels in community water. Should fluoride levels be outside of the therapeutic range for more than 90 days the Oral Health Manager would work with the Medical officer of Health and the Communications Team to inform the public as required. Output indicators include the number of reports reviewed quarterly, number and type of Public Health actions taken to address abnormal fluoride levels. The Oral Health and Clinical Support Services (OHCSS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1340 & \" \" & Structure!E1340","v":"i 7) Surveillance - Drinking Water (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases based on key population health outcome indicators. Surveillance activities are completed primarily by Epidemiologists on the Population Health Assessment and Surveillance (PHAS) team, and they are conducted as necessary and not on a set schedule. "]
[null,null,null,{"$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 at MLHU assists in the prevention and reduction water-borne illness and injury related to recreational water use in the City of London and Middlesex County. Interventions for this program include:\n• Communication and Social Marketing\n• Inspections\n• Investigations\n• Case, Contact and Outbreak Management\n• Surveillance\nThe target populations for the Recreational Water program include recreational water premises operators, and the general public who access those premises.  The MLHU Recreational Water Program will address requirements 1-8 under the Safe Water Standard. Excluding the specific references to drinking water."]
[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 prevent or reduce the burden of water-borne illnesses and injuries related to recreational water use (OPHS goal)\n\nIntermediate Outcome\n•  Water-borne illness risks related to recreational water are mitigated (adapted OPHS program outcome)\n\nShort-Term Outcomes:\n• The public is aware of potential risk of illnesses and injuries related to recreational water facilities and public beach use (OPHS program outcome)\n• Owners/operators of recreational water facilities operate in a safe and sanitary manner (OPHS program outcome)\n• Public exposure to recreational water-related illnesses and hazards is reduced (OPHS program outcome)                                                                 \n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to safe water (OPHS program outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1345 & \" \" & Structure!E1345","v":"i 1) Communication and Social Marketing (SWTEVBD)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners through phone /email consultations, MLHU website, and the web-based disclosure system which displays inspection summary results in accordance with Ministry of Health protocols.  Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent disease and promote and protect the health of individuals and populations. Output indicators include the number of phone/email consultations and number of web pages updated.   The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1346 & \" \" & Structure!E1346","v":"i 2) Inspections (SWTEVBD)"}]
[null,null,null,"Recreational Water Inspections include maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting water samples, reviewing test logs and response procedures, testing water quality, and enforcing legal requirements of Public Health acts and regulations. Recreational water premises subject to inspections include public pools, whirlpools and spas, splash pads, spray pads, wading pools, beaches, and water slide receiving basins. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g. water-borne illness). Output indicators include the number of recreational water inspections conducted and number of enforcement actions taken. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1347 & \" \" & Structure!E1347","v":"i 3) Investigations (SWTEVBD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations commence within 24 hours of service requests, complaints received, and reports of illness or outbreaks. The Investigations intervention may also include enforcement activities, where necessary. Output indicators include the number of investigations conducted, number of suspected and confirmed water-borne illnesses responded to, and the number of enforcement actions taken. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1348 & \" \" & Structure!E1348","v":"i 4) Case, Contact and Outbreak Management (IDC)"}]
[null,null,null,"Case and contact management is the process public health staff use to identify cases and those at risk for any Disease of Public Health Significance (DOPHS). Potential recreational water DOPHS include: giardiasis, cryptosporidiosis, cyclosporiasis, cholera, typhoid fever, hepatitis A, salmonella and E. coli.  Case investigation typically begins with a thorough interview to determine the source of the potential water-borne pathogen. This involves using a series of questions and data collecting methods to document required information in a case and contact management tool. The Case, Contact and Outbreak Management intervention focuses on human cases of water-borne illnesses, while the investigations intervention focuses on environmental sources of water-borne illnesses. If a water-borne outbreak is suspected, outbreak management will work closely with the investigations intervention to identify the cause and source within a location, product or setting and implement environmental and infection control measures to reduce the risk of ongoing transmission. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1349 & \" \" & Structure!E1349","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 Oral Health & Clinical Support Services 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 & Clinical Support Services Team also offers screenings to private schools and schools located in neighbouring First Nations.\n"]
[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 Program\nThe program is managed by the Oral Health & Clinical Support Services Team in collaboration with the School Health Team to conduct work in elementary schools. \n\nHealthy Smiles Ontario Program external 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 & Clinical Support Services Team to schedule school screening, provide student information when required and problem solve any hurdles in conducting school screening.\n• Private schools and Indigenous schools in the MLHU region \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 families 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.\nChildren's Museum - supporting the development of the oral health exhibit for the new museum being constructed in the City of London"]
[null,null,null,"Oral Health Assessment and Surveillance\nThe program is managed by the Oral Health & Clinical Support Services Team who collaborates with the School Health Team to conduct work in elementary schools. \n\nOral Health Assessment and Surveillance external 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 & Clinical Support Services Team to schedule school screening, provide student information when required and problem solve any hurdles in conducting school screening. \nIncluding private and Indigenous schools in the MLHU region\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 documentation we share with the board is the same. We also have regular meetings with the school boards together in conjunction with our School Health 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 First 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 (2021). Based on Grade 2 student screening results, schools are categorized into screening intensity levels as per the Protocol. Grade 7 students are also screened because it is the last opportunity to provide dental screening in schools. Student level data is collected by Registered Dental Hygienists, with the support of a 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 through forms sent home with the children requiring care. Registered Dental Hygienists follow up with students identified as having an urgent oral health condition during screening and work with families to ensure they can obtain care for the child. Preventive oral health services are provided at the MLHU Dental Clinic. \n\nInterventions of the Healthy Smiles Ontario (HSO) Program include:  \n• Communication and Social Marketing\n• Education and Skill Building\n• Clinical Services Delivery\n• Surveillance\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 4 Students:\nChildren ages 9 to 10 years of age in Grade 4\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. "]
[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 & Clinical Support Services Team follows the Oral Health Protocol, 2021 and also 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 & Clinical Support Services Team also offers screenings to private schools and schools located in neighbouring First Nations."]
[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 & Clinical Support Services 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\n• To achieve optimal oral health of school-aged children and youth through partnership and collaboration with school boards and schools (adapted OPHS School Health Program Goal).\n• There is a decrease in health inequities related to the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome).\n\nIntermediate\n• The oral health of children and youth is improved (OPHS School Health Program Outcome).\n• There is an increased adoption of healthy living behaviours related to oral health among school-aged children and youth (adapted OPHS School Health Program Outcome). \n• Children and youth from low-income families have improved access to oral health care (OPHS School Health Program Outcome).\n\nShort-Term\n• School boards and schools have the knowledge, skills, and capacity needed to act on the factors associated with the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome).\n• School-aged children, youth, and their families are aware of factors associated with good oral health  (adapted OPHS School Health Program Outcome).\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 (OPHS School Health Program Outcome).\n• The board of health shall increase awareness of available oral health services among community partners, providers, and clients, and encourage participation in the HSO Program (adapted OPHS Oral Health Protocol Standard).\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1555 & \" \" & Structure!E1555","v":"i 1) Communication and Social Marketing (OHCSS)"}]
[null,null,null,"Communication activities for the Healthy Smiles Ontario (HSO) Program involve maintaining information about oral health and program services on the MLHU website. Activities within this intervention aim to increase knowledge and promote the oral health of individuals and populations.  "]
[null,null,null,{"$f":"Structure!D1556 & \" \" & Structure!E1556","v":"i 2) Education and Skill Building (OHCSS)"}]
[null,null,null,"Education and Skill Building for the Healthy Smiles Ontario (HSO) Program involves the development and implementation of educational activities that are designed to increase participants’ knowledge about the program and oral health in general. Activities within this intervention are tailored to the target population (i.e., community groups who serve JK/SK, grade 2, and grade 7 students), and present information on health benefits/threats. They also assist with the navigation of publicly funded dental programs (i.e., HSO). This intervention is delivered in person.  \n\nMLHU is also working with the London Children Museum to develop the exhibit pertaining to oral health for children and their family who visit the museum."]
[null,null,null,{"$f":"Structure!D1557 & \" \" & Structure!E1557","v":"i 3) Clinical Service Delivery (OHCSS)"}]
[null,null,null,"Clinical service delivery offers one-on-one dental screening services to students each school year. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., JK/SK, grade 2, and grade 7 students). Activities include client registration and instrument re-processing for clinical operations. These clinical services are delivered in publicly funded elementary schools, some private schools, and schools located in neighbouring Indigenous communities. "]
[null,null,null,{"$f":"Structure!D1558 & \" \" & Structure!E1558","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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 (2021). Based on Grade 2 student screening results, schools are categorized into screening intensity levels as per the Protocol. Grade 7 students are also screened because it is the last opportunity to provide dental screening in schools. 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 through forms sent home with the children requiring care.  \n\nInterventions of the Oral Health Assessment and Surveillance Program include:  \n• Clinical Services Delivery\n• Surveillance\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 4 students\nAges 9 to 10 years of age\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. "]
[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 & Clinical Support Services Team follows the Oral Health Protocol, 2021 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 & Clinical Support Services Team also offers screenings to private schools and schools located in neighbouring Indigenous Nations."]
[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 & Clinical Support Services 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\n• To achieve optimal oral health of school-aged children and youth through partnership and collaboration with school boards and schools (adapted OPHS School Health Program Goal).\n• There is a decrease in health inequities related to the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome).\n\nIntermediate\n• The oral health of children and youth is improved (OPHS School Health Program Outcome).\n• Board of health programs and services are designed to address the identified needs of the community, including priority populations, associated with the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome).\n• There is an increased adoption of healthy living behaviours related to oral health among school-aged children and youth (adapted OPHS School Health Program Outcome). \n• Children and youth from low-income families have improved access to oral health care (OPHS School Health Program Outcome).\n\nShort-Term\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services related to the oral health of school-aged children and youth (adapted OPHS School Health Program Outcome).\n• School boards and schools are aware of relevant and current population oral health needs impacting students in their schools (adapted OPHS School Health Program Outcome).\n• School-aged children, youth, and their families are aware of factors associated with good oral health (adapted OPHS School Health Program Outcome).\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 (OPHS School Health Program Outcome)."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1566 & \" \" & Structure!E1566","v":"i 1) Clinical Service Delivery (OHCSS)"}]
[null,null,null,"Clinical service delivery offers one-on-one dental screening services to students each school year. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., JK/SK, grade 2, grade 4 and grade 7 students). These clinical services are delivered in publicly funded elementary schools, some private schools, and schools located in neighbouring Indigenous communities. The Oral Health and Clinical Support Services (OHCSS) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D1567 & \" \" & Structure!E1567","v":"i 2) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level dental screening data of students (JK/SK, grade 2 and grade 7) for the purposes of identifying ‘at risk’ segments of the surveyed population. The data are used to calculate screening intensity levels for schools and inform the need for services. The dental screening data are collected by Registered Dental Hygienists and inputted into the Oral Health Information Support System (OHISS) database. The data are analysed and interpreted by the Population Health Assessment and Surveillance (PHAS) team. "]
[null,null,null,{"$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,"Given resource constraints and evidence of minimal impact, the MLHU's interventions in the Child Visual Health and Vision Screening are limited.\n\nWith regards to the community needs, from the 2021 Census, there were 21,741 children in the Middlesex-London area between the ages of 3 and 6 years of age. \nSource: Population Estimates and Projections, Date Extracted: April 2, 2024, 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.  Locally the decision has been made that MLHU will not implement the Child Visual Health and Vision Screening Protocol."]
[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,"N/A"]
[]
[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,"Locally the decision has been made that MLHU will not implement the Child Visual Health and Vision Screening Program due to program prioritization."]
[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,"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.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"N/A"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"N/A"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1776 &\" \" & Structure!E1776","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1777 &\" \" & Structure!E1777","v":"i 2) "}]
[]
[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,"Immunizations for Children in Schools and Licensed Child Care Settings\nMLHU prioritized screening of all student records since 2022. Over 45% of records were not up to date in the Panorama system, and as a result resources were prioritized towards this program to ensure data entry/update and enforce follow up 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 to ensure ISPA requirements are met.  MLHU will continue to prioritize administration of Grade 7 publicly funded vaccines to all school boards.  There are over 110 licensed child care settings with over 13,000 attendees. Communication was initiated with Licenced Child Care Centers to collaborate and support their role in maintaining up to date records for all children enrolled in a child care setting. This has been put on hold due to ISPA catch up program. \n\nPlease see the Immunization Standard for more details. The resource requirements to implement the ISPA program continues to increase due to population growth and decreased access to primary care.\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 since 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. MLHU continues to prioritize the screening of all students in all grades."]
[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  due to limited resources for data entry and follow-up. Plans are in place to resume this screening later in 2024."]
[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,"Immunizations for Children in Schools and Licensed Child Care Settings\nThe Immunizations for Children in Schools and Licensed Child Care Settings Program is managed by the Vaccine Preventable Disease (VPD)Team in collaboration with the School Health Team. \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. Screening for compliance is  currently on hold due to the resource demands of the ISPA screening  and suspension process.\n\nKey Partners and Stakeholders:\n• School Health Team\n• School boards\n• Elementary and high school administrative staff and educators\n• Licensed childcare operators\n"]
[]
[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 Program aims to reduce or eliminate the burden of vaccine preventable diseases in schools and licensed child care settings by:\n• Providing students and parents with information about the importance of vaccines, publicly funded schedules, and legislative requirements. \n• Conduct education sessions 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• Inform school boards, school operators and child care licensees about planned immunization assessment activities that will affect their students or attendees. \n• Collect, maintain records, assess, and report on the immunization status for students in school and those in licensed Child Care centres as outlined in Immunization for Children in Schools and Licensed Child Care Settings Protocol, 2018.                                  \n• Conduct yearly immunization screening and suspensions initiatives according to the Immunization of School Pupils Act and Child Care and Early Years Act (CCEYA), 2014. \n\nInterventions of the Immunizations for Children in Schools and Licensed Child Care Settings Program include:\n• Education and Skill Building\n• Investigations\n• Surveillance\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\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. We have 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 identified newcomers 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."]
[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\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools (OPHS School Health Program Goal)\n• To reduce or eliminate the burden of vaccine preventable diseases through immunization (OPHS Immunization Program Goal)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours related to immunizations among school-aged children and youth (adapted OPHS School Health Program Outcome)\n• Improved uptake of provincially funded vaccines among Ontarians (OPHS Immunization Program Outcome)\n• Reduced incidence of vaccine preventable diseases (OPHS Immunization Program Outcome)\n\nShort-Term\n• Students and parents/guardians are aware of the importance of immunization (OPHS School Health Program Outcome)\n• Increased public confidence in immunizations (OPHS Immunization Program Outcome) \n• Children and youth 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 (OPHS School Health Program Outcome)\n• Children 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 (OPHS Immunization Program Outcome)\n• Timely and effective detection and identification of children susceptible to vaccine preventable diseases, their associated risk factors, and emerging trends (OPHS Immunization Program Outcome)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1997 & \" \" & Structure!E1997","v":"i 1) Education and Skill Building (VPD)"}]
[null,null,null,"Education and Skill Building for this intervention involves directing parents to the MLHU website for information and exemption process. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1998 & \" \" & Structure!E1998","v":"i 2) Investigations (VPD)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. This intervention conducts ISPA suspensions and assessment of exemptions. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1999 & \" \" & Structure!E1999","v":"i 3) Surveillance (VPD)"}]
[null,null,null,"Surveillance for this public health intervention involves the screening of immunization records and data entry. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$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; Healthy sexuality; Healthy eating and food security - These topics have been prioritized based on health unit priorities and 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\nCoordination and communication of other health unit services in schools is supported through the Comprehensive School Health (CSH) program, including vaccine preventable disease and oral health services.\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; Concussion and Injury Prevention - Lack of demand for these topics and resources and duplication of other supports 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 universal services to elementary schools and a more intensive level of service to high school communities that need it most. This ensures disproportionate pockets of need are met with proportionate care and attention. Prioritizing of high schools is based on the Ontario Education Opportunity Index data and yearly school situational assessments.  School 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,"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 (TVDSB), London District Catholic School Board (LDCSB), 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.  We have signed Partnership Declarations and data sharing agreements with TVDSB and LDCSB.  Meetings are held quarterly with these school boards.  "]
[]
[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,"Key internal partners/teams include Vaccine Preventable Disease team (implementation of the Immunization of School Pupils Act), Sexual Health team (implementation of sexual health clinic services in schools), Nurse-Family Partnership and Early Years Group Programs team (support of pregnant and parenting youth), Social Marketing and Healthy Systems Partnership team and Tobacco Enforcement team (implementation of health promotion, prevention and protection initiatives around vaping, tobacco and substance use), Oral Health team (coordination of school screening and oral health promotion messages), Infectious Disease Control team (communication and prevention of reportable diseases in schools), and Communications (creation and implementation of mass health communication messaging). \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 then shares this information in a streamlined fashion both internally and with schools and school boards.  Shared workplans will be developed with relevant teams to implement health unit programs and services in schools.     \n\nSecondary external stakeholders include Faculty of Education, Western University (Healthy Relationships Plus Program), Southwestern Public Health (coordination of common programs and services across shared school boards), Ontario Student Nutrition Program (e.g., funding of breakfast programs), and Settlement Service Agencies (targeted student supports), COMPASS (school climate data sharing and school level action planning), Human Environments Analysis Lab, Western University (applied research on youth vaping), School Mental Health Ontario (system level knowledge dissemination of resources locally). \n\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 secondary school communities. MLHU uses the Education Opportunities Index to help identify high risk and low risk school communities in our region. All schools have access to a Public Health Nurse through a centralized triaging process.  Schools and families also have access to health unit resources through the health unit website. 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 team. This approach helps the school health team 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- youth at high risk schools \n- school administrators and staff at high risk schools \n- First Nations school communities \n- Newcomer students and caregivers"]
[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 to 10"]
[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) Healthy eating behaviours and food safety, 2) Healthy sexuality, 3) Immunization, 4) Infectious disease prevention, 5) Life promotion, suicide risk and prevention, 6) Mental health promotion, 7) Oral health, 8) Physical activity and sedentary behaviour, 9) Road and off-road safety, 10) Substance use and harm reduction, 11) Violence and bullying."]
[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 families, 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 secondary 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). \n\nInterventions of the Comprehensive School Health program include:\n• Clinical Services Delivery,\n• Communication and Social Marketing,\n• Community and Partner Mobilization,\n• Education and Skill Building,\n• Healthy Public Policy Development, and\n• Surveillance. "]
[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\nAdditionally, each year a comprehensive needs assessment is conducted with school boards and individual schools to help determine board and school priorities. \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 schools are further identified.  These include low socioeconomic students, newcomer students/families, and Indigenous 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 and well-being of students in schools. These include programs and resources supporting individual students, classrooms, whole schools and board level initiatives.  \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\nBoard level: public health staff work with school board employees in the planning and implementation of large board level programs and initiatives to promote student mental well-being.\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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To achieve optimal health of school-aged children and youth through partnership and collaboration with school boards and schools (OPHS School Health Goal)\n• There is a decrease in health inequities related to the health of school-aged children and youth (OPHS School Health Outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours among school-aged children and youth (OPHS School Health Outcome)\n\nShort-Term\n• School boards and schools are aware of relevant and current population health needs impacting students in their schools (OPHS School Health Outcome)\n• 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 (OPHS School Health Outcome)\n• School-based initiatives relevant to healthy living behaviours and healthy environments are informed by effective partnerships between boards of health, school boards, and schools (OPHS School Health Outcome)\n• School-aged children, youth, and their families are aware of factors for healthy growth and development (OPHS School Health Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2218 & \" \" & Structure!E2218","v":"i 1) Clinical Service Delivery (SchH)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to secondary students.  Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach. To deliver clinical services as part of public health work, these services must be scalable to have a population-level impact and will often have impact beyond the individual receiving the intervention (e.g., smoking cessation services for youth protects the individual, their family members, and the community as a whole through the reduction of second hand smoke). These clinical services are delivered in the school setting. For example, smoking cessation and sexual health services are offered in secondary schools by the Public Health Nurses on the School Health Team."]
[null,null,null,{"$f":"Structure!D2219 & \" \" & Structure!E2219","v":"i 2) Communication and Social Marketing (SchH, SMHSP)"}]
[null,null,null,"School health communication activities involve creating and disseminating health information about the optimal health of school-aged children and youth for the public and community partners using multi-media approaches, including the MLHU website and social media. Activities within this intervention aim to gather and use target population insights to develop targeted communication materials that increase knowledge and change attitudes, beliefs, and practices in order to achieve optimal health of school-aged children and promote and protect the health of individuals and populations. The School Health team and the Social Marketing and Health System Partnerships (SMHSP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2220 & \" \" & Structure!E2220","v":"i 3) Community and Partner Mobilization (SchH, MCHP)"}]
[null,null,null,"School health related community and partner mobilization involves bringing people and organizations together in a structured way, regarding the optimal health of school-aged children and youth, to achieve individual, population, and/or systemic changes. For example, MLHU provides staff support for the Age Friendly London and Child and Youth Network and Middlesex Children's Services Network. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include maintaining partnerships and cross-sector collaboration, with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The School Health team and the Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2221 & \" \" & Structure!E2221","v":"i 4) Education and Skill Building (SchH)"}]
[null,null,null,"School health related education and skill building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase student’s knowledge and improve school health-related behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population, and present information on the health benefits/threats of a variety of student health concerns. They also provide specific tools and/or strategies to build capacity and support behavior change in an appropriate setting. The School Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2222 & \" \" & Structure!E2222","v":"i 5) Healthy Public Policy Development (SchH)"}]
[null,null,null,"School health related healthy public policy development involves ensuring issues related to optimal student health are on the agenda of policy makers both internal and external to the health sector. This intervention ensures issues of health equity in school settings are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to optimal school health; identifying and developing policy options for optimal school health; providing evidence-based feedback on the health impacts of school health-related policies; and providing technical assistance to develop or change school health-related policies. The School Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2223 & \" \" & Structure!E2223","v":"i 6) Healthy Public Policy Development (SMHSP, MCHP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships team will support school health related healthy public policy by developing policy briefings for senior leadership and the Board.\n\nThe Municipal and Community Health Promotion team will support school health related healthy public policy by developing policy briefings and conducting a situational assessment for MOH and Board regarding social media and mental health."]
[null,null,null,{"$f":"Structure!D2224 & \" \" & Structure!E2224","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D2225 & \" \" & Structure!E2225","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2226 & \" \" & Structure!E2226","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2227 & \" \" & Structure!E2227","v":"i10) "}]
[]
[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) "}]
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[null,null,null,{"$f":"Structure!D2400 & \" \" & Structure!E2400","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D2402 & \" \" & Structure!E2402","v":"i 9) "}]
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[null,null,null,{"$f":"Structure!D2403 & \" \" & Structure!E2403","v":"i10) "}]
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[null,null,null,{"$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)."]
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[]
[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)."]
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[]
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[null,null,null,{"$f":"Structure!D2433 & \" \" & Structure!E2433","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D2434 & \" \" & Structure!E2434","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D2435 & \" \" & Structure!E2435","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2436 & \" \" & Structure!E2436","v":"i10) "}]

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[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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":20864,"head":"Alcohol Program:\nBetween 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).  With the release of Canada's Guidance on Alcohol and Health in early 2023, the need to promote the new guidance and to help explain health harms associated with alcohol use was identified as a community need.\n\nCannabis Program:\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 canna"}}]
[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 2024 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 2024, some health topics may have had less intensive programming moving forward than in past years. \n"]
[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 Program\n• The Social Marketing and Health System Partnerships 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. School Health, Sexual Health, Healthy Babies Healthy Children and NFP and Early Years Group Programs Teams).  Collaborations occur between teams delivering Alcohol Program related interventions, including the Social Marketing and Health System Partnerships team, the Municipal and Community Health Promotion team and the Population Health Assessment and Surveillance team. \n\nAlcohol Program external partners include:\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 Program\n• The Social Marketing and Healthy System Partnerships team 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. Sexual Health and teams in the Family and Community Health Divisions, such as School Health, Nurse Family Partnership and Early Years Group Programs, and Healthy Babies Healthy Children).  Collaborations occur between teams delivering Cannabis Program related interventions, including the Social Marketing and Healthy System Partnerships team, the Municipal and Community Health Promotion team, the Safe Water Tobacco Enforcement and Vector Borne Disease team and the Population Health Assessment and Surveillance team. \n\nCannabis Program external partners include:\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 - Cannabis Program staff, in a leadership capacity (outlined in more detail in the Smoke Free Ontario 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 2024, 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 Program\n• The Other Drugs (not including Opioids) program is managed by the Director of Family and Community Health. The Community Drug and Alcohol Strategy (CDAS) Steering Committee will be reconvened in 2024 after a pause due to the required COVID-19 pandemic community response. The Health Unit, as a natural convenor, will work closely with community partners to re-establish a table/group to comprehensively assess and discuss the Middlesex-London community response to the drug crisis across all four pillars.  Under the strategy's four pillar approach of prevention, treatment, harm reduction and enforcement, substance-related interventions that are implemented by the Family and Community Health division support the 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 in collaboration with CDAS partners and teams within the Family and Community Health Division. \n\nOther Drugs Program external partners include:\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. This Committee focuses broadly on all substances with the exception of tobacco and vapour products. \n\nHarm Reduction Program Enhancement (Opioids)\n• The Harm Reduction Program Enhancement is managed by the Family and Community Health Division, with collaboration among the Social Marketing and Health System Partnerships, Municipal and Community Health Promotion, Population Health Assessment and Surveillance, and Sexual Health teams. This program includes the following interventions: Health Resource Inventory Management, Communication and Social Marketing, Community and Partner Mobilization, Healthy Public Policy Development, and Surveillance.\n\nHarm Reduction Program Enhancement (Opioids) external partners include:\nMLHU 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\nCommunity 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, CMHA Thames Valley Addiction and Mental Health Services, London Cares, Southwest Ontario Health Access Centre, City of London, London Police Service, 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 is managed by the Sexual Health Team.  \n\nNeedle Syringe Program external partners include:\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 28 access points/satellite/partner locations which clients can access harm reduction materials."]
[null,null,null,"Smoke-Free Ontario\n• Under the leadership of the Family and Community Health Director, the Smoke Free Ontario 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 Smoke Free Ontario team works 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, Smoke Free Ontario 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. NFP and Early Year Programs, Healthy Babies Healthy Children). They also work collaboratively with the School Health team and the Oral Health Team to ensure the development and delivery of consistent, evidence-informed messages and strategies to reach target populations. The enforcement component of the Smoke Free Ontario Act, 2017 has been transferred internally to the Safe Water, Tobacco Enforcement and Vector Borne Disease Team.  The SFO Enforcement Staff continue to work closely with the Social Marketing and Health Systems Partnership Team (i.e., the Smoke Free Ontario program staff) on social marketing, policy and protection-related interventions.  The SFO Enforcement staff share premise information with Food Safety and Health Hazards Program staff and coordinate efforts (as appropriate) pertaining to City of London business licensing requirements. There is significant collaboration and integration between the Smoke Free Ontario program staff and the Cannabis program staff (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\nSmoke-Free Ontario external partners include:\n• Alliance for a Tobacco Free Ontario (ATFO): members include the Canadian Cancer Society, the Lung Health Foundation, the Canadian Lung Association, the Heart and Stroke Foundation, the Ontario Medical Association, the Ontario Public Health Association, and the Ontario Tobacco Research Unit.\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  \n• Centre 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, 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.\n• Public 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 bi-monthly or as needed), an Enforcement Sub-Committee (meets quarterly) and a Cessation Sub-Committee (meets quarterly). In addition, the six TCANs across Ontario (CW, East, Central East, Northwest, Northeast, and Southwest) facilitate provincial planning and priority setting, and negotiate shared budget discussions for multi-TCAN and/or provincial projects and initiatives, meeting monthly.  In addition, a Provincial Nicotine Dependence Advisory Committee structure has been developed to facilitate 2024 planning and intervention development across TCANS/PHUs to reduce duplication, share capacity, 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 Smoke Free Ontario 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 Smoke-free Ontario 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 staff. \n• The Ministry of Public and Business Service Delivery provides information upon request related to legal names, operating names, corporations, business addressing, director(s), and status through corporate search and business name search queries. The information gathered is used for investigative purposes.\n\nAdult Injury Prevention\n• The Adult Injury Prevention program is managed by the Family and Community Health Division. \n\n• Internal partners: Collaboration occurs between teams in the Family and Community Health Division, such as the Municipal and Community Health Promotion team and Social Marketing and Health System Partnerships team. The Public Health Foundations division also supports this intervention. Program staff liaise with other MLHU team key contacts on specific initiatives such as sharing of evidence and developing messaging, and conducting reviews and submitting public health input to municipal planning processes and documents. \n\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.\n\nChildhood Injury Prevention\n• The Childhood Injury Prevention program interventions are managed by the Family and Community Health Division.  Collaborations occur between teams, however specific teams address different populations (e.g., HBHC and NFP and Early Years Group Programs teams focus on infants, young children and caregivers; School Health focuses on school-age children and their families). \n\nChildhood Injury Prevention external partners include:\n• External partners include but are not limited to City of London and County of Middlesex planning, environmental, road and transportation departments; school boards and the Regional Pediatric Injury Prevention Program at Children's Hospital-London Health Sciences Centre Trauma Centre Home Safety Program.  Partnership tables that health unit staff are part of related to this program area include: London-Middlesex Road Safety Committee;  Active and Safe Routes to School Steering Committee, the Age Friendly London/Child and Youth Network, the Middlesex Children's Services Network.\n\nViolence Prevention\nInternal Partners:\n• The Violence Prevention program is delivered in different ways across the health unit. Further work is needed in 2024 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 Family and Community Health division manages the VP program by sharing information and providing input on violence prevention program development. The Family and Community Health division will continue to review data and assess community needs for primary prevention population health strategies.   \n\nViolence Prevention external partners include:\n• Involved external partners include: City of London and Middlesex County (Community Safety and Well-Being plans)\n\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, Shelters. \n\n• Interested external partners include: The following community partners work in collaboration with MLHU for referral/recommendation with community partners and resources that support violence prevention:  MLHU Indigenous Reconciliation Committee, London and Middlesex Local Immigration Partnership, London Police Person’s at-Risk Coordinator, Nurse-Family Partnership Community Advisory Board\n\nIntimate Partner Violence Prevention Program\nInternal partners:\n• The violence prevention program is delivered in different ways across the health unit. Further work is needed in 2024 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 Family and Community Health (FCH) Division manages Intimate Partner Violence (IPV) Prevention by sharing information and providing input on IPV prevention program development. The FCH division will continue to review data and assess community needs for primary prevention population health strategies. \n• MLHU Client Care Committee supports implementation of the IPVCC Policy.\n\nIntimate Violence Partner Prevention Program external partners include:\n• Involved external partners include: implementation research collaboration with Western University “An Evidence-Based Health Promotion Intervention (iHEAL) for Women Experiencing Intimate Partner Violence (IPV): Implementation in Diverse Contexts, Evaluation and Scale-Up”.\n\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, London Abused Women's Centre, women’s shelters. \n\n• Interested external partners include: The following community partners work in collaboration with MLHU for referral/recommendation with community partners and resources that support violence prevention: London Coordinating Committee to End Women Abuse (LCCEWA), Middlesex Rural Alliance to End Violence Against Women (MRAEVAW), 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\n"]
[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 2024.\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,"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, mental health promotion, and violence through activities that address problematic substance use and the corresponding increased risk of injury, mental health challenges, and violence. 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 2024. Smoke-Free Ontario program has its own dedicated 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. \n"]
[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). In January 2023, Canada’s Guidance on Alcohol and Health were released, acknowledging the link between alcohol use and alcohol-related diseases and injuries. 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\nInterventions used by the Alcohol Program include alcohol-related: \n• Healthy Public Policy Development,\n• Communication and Social Marketing, and\n• Community and Partner Mobilization\n• Surveillance\n\nThe Alcohol Program staff work collaboratively with targeted populations/stakeholders including: \n• youth, parents, young adults, schools, post-secondary institutions, healthcare providers, and municipal leaders.    \n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 and throughout media flight implementation to ensure message resonance and likelihood to reconsider drinking behaviours.\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 Alcohol program, through interventions that focus on healthy public policy, community and partner mobilization, communication, and surveillance, 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 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 Social Marketing and Health System Partnerships Team works collaboratively with teams within the Family and Community Health Division, such as the School Health team and the Nurse Family Partnership and Early Years Group Programs, to contribute to meeting the requirements under the School Health and Healthy Growth and Development Program Standards.  \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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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 \n• To reduce the burden of alcohol-related preventable injuries and alcohol use (adapted OPHS Substance Use and Injury Prevention Goal).\n• To reduce the burden of alcohol-related chronic diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-Being Goal)\n• To reduce population health inequities related to alcohol-related injuries and alcohol use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is a reduction in population health inequities related to chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nIntermediate\n• To prevent or delay alcohol use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• To prevent problematic alcohol use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• To reduce harms associated with alcohol use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• Reorienting health services to meet population needs (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing alcohol-related injuries, preventing alcohol use, and reducing harms associated with alcohol use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of alcohol-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of injuries and alcohol use, which includes reducing the harms associated with alcohol use (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of alcohol-related chronic diseases (OPHS Chronic Disease Prevention and Well-being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of alcohol-related injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing alcohol use, and reducing harms associated with alcohol use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of alcohol-related chronic diseases and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (OPHS Chronic Disease Prevention and Well-being Outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with alcohol-related injuries and alcohol use (OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with alcohol-related chronic diseases (OPHS Chronic Disease Prevention and Well-being Outcome)\n\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) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Alcohol-related communication activities, which center on reducing the burden of illness, injuries, and harm reduction related to alcohol, involve creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU and the RethinkYourDrinking.ca website, print resources, newsletters, social media and other media channels. Social marketing activities focus on influencing behaviour within a specific target population, with some overall benefit to society as well as the individual.  Alcohol-related activities within this intervention aim to gather and use target population insights to develop targeted communication materials that increase knowledge and change attitudes, beliefs, and practices in order to prevent alcohol-related diseases and injuries and to promote and protect the health of individuals and populations. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2440 & \" \" & Structure!E2440","v":"i 2) Community and Partner Mobilization (SMHSP, MCHP)"}]
[null,null,null,"Alcohol-related community mobilization involves bringing people and organizations, such as other public health units, together in a structured way to achieve alcohol-related individual, population, and/or systemic changes. For example, staff from the alcohol program participate in and organize change via the Southwest Poly-Substance Working Group, Community Drug and Alcohol Strategy, the OPHA Alcohol Working Group, a Joint Agency Enforcement Working Group, and multi-regional campaigns/initiatives through partnership. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include maintaining alcohol-related partnerships and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2441 & \" \" & Structure!E2441","v":"i 3) Healthy Public Policy Development (SMHSP, MCHP)"}]
[null,null,null,"Alcohol-related healthy public policy development involves identifying and ensuring public health issues related to alcohol are on the agenda of policy makers both internal and external to the health sector. This intervention ensures the health impacts of alcohol and health equity are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to alcohol; developing, reviewing, and providing evidence-based feedback regarding the burden of illness, injury, and harm reduction related to alcohol; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change alcohol-related policies. Examples of avenues for policy development and change include the creation of policy briefings for senior leadership and the board, and the development of policy statements to inform alcohol policy at the municipal, provincial and federal levels. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2442 & \" \" & Structure!E2442","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data related to alcohol consumption practices for the purposes of detecting trends, health inequities, seeking to identify changes in incidence and prevalence of alcohol use and alcohol-related injuries. For example, the Population Health Assessment and Surveillance (PHAS) team receives and analyzes community-level alcohol-related data and populates it on the Community Health Status Resource. The surveillance activities also seek to identify the priority groups that would benefit most from harm reduction programs and services."]
[null,null,null,{"$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. 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. Protection from second-hand smoke and vapour, and concerns related to severe lung illness from vaping cannabis remain emerging topics of public health interest. \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,"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 and mental health promotion through activities that address problematic substance use and the corresponding increased risk of injury and mental health challenges. Activities under the Communication and Social Marketing, and Community and Partner Mobilization 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.  Comprehensive tobacco control has its own dedicated programs (Smoke-Free Ontario program); however, some communication 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.\n"]
[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.  \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. In 2019 London there were 3 licensed cannabis stores, and by the end of 2023, there were 64 licensed cannabis retailers in Middlesex-London. 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 cannabis-related: Healthy Public Policy Development; Communication and Social Marketing; Community and Partner Mobilization; Inspections; Investigations; and Surveillance.\n\nThe Cannabis program staff work collaboratively with targeted populations/stakeholders including: youth, parents, young adults, schools, healthcare providers, workplaces, municipal leaders, enforcement agency partners, and special event operators.    \n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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. 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. \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 2024.\n\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 Cannabis program, through interventions that focus on healthy public policy, communication and social marketing, community and partner mobilization, and surveillance, 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 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 Social Marketing and Health System Partnerships Team works collaboratively with teams within the Family and Community Health Division, such as the School Health team and the Nurse Family Partnership and Early Years Group Programs, to contribute to meeting the requirements under the School Health and Healthy Growth and Development Program Standards.  The Social Marketing and Health Systems Partnership Team also works collaboratively with the Safe Water, Tobacco Enforcement and Vector-Borne Disease Team within the Environmental Health, Infectious Disease and Clinical Support Services Division, to contribute to meeting the requirements under the Substance Use and Injury Prevention Program Standard (enforcement of the Smoke-Free Ontario Act, 2017).\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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of cannabis-related preventable injuries and cannabis use (adapted OPHS Substance Use and Injury Prevention Goal)\n• To reduce the burden of cannabis-related chronic diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to cannabis-related injuries and cannabis use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is a reduction in population health inequities related to cannabis-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nIntermediate\n• To prevent or delay cannabis use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• To prevent problematic cannabis use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• To reduce harms associated with cannabis use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• Re-orienting health services to meet population needs (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing cannabis-related injuries, preventing cannabis use, and reducing harms associated with cannabis use (adapted OPHS Substance Use and Injury Prevention Outcome) \n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of cannabis-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of injuries and cannabis use, which includes reducing the harms associated with cannabis use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of cannabis-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of cannabis-related injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of cannabis-related chronic diseases and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing cannabis use, and reducing harms associated with cannabis use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Cannabis vendors, e-cigarette vendors, schools, workplaces and other organizations that are subject to the Smoke Free Ontario Act, 2017 are in compliance with the Act (adapted OPHS Substance Use and Injury Prevention Outcome).\n• There is increased public awareness of the impact of risk and protective factors associated with cannabis-related injuries and cannabis use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with cannabis-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2455 & \" \" & Structure!E2455","v":"i 1) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Cannabis-related communication activities, which center on reducing the burden of illness, injuries, and harm reduction related to cannabis, involve creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU website, print resources, newsletters, social media, and other media channels. Social marketing activities focus on influencing behaviour within a specific target population, with some overall benefit to society as well as the individual.  Cannabis-related activities within this intervention aim to gather and use target population insights to develop targeted communication materials that increase knowledge and change attitudes, beliefs, and practices in order to prevent cannabis-related diseases and injuries and to promote and protect the health of individuals and populations. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2456 & \" \" & Structure!E2456","v":"i 2) Community and Partner Mobilization (SMHSP, MCHP)"}]
[null,null,null,"Cannabis-related community mobilization involves bringing people and organizations, such as other public health units, together in a structured way to achieve cannabis-related individual, population, and/or systemic changes. For example, staff from the cannabis program participate in and organize change via the Southwest Poly-substance Working Group, Community Drug and Alcohol Strategy, the Joint Agency Enforcement Working Group, and multi-regional campaigns/initiatives through partnerships. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include developing and maintaining cannabis-related partnerships, coalition building and participation, community organizing and engagement, and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention.\n"]
[null,null,null,{"$f":"Structure!D2457 & \" \" & Structure!E2457","v":"i 3) Healthy Public Policy Development (SMHSP, MCHP)"}]
[null,null,null,"Cannabis-related healthy public policy development involves identifying and ensuring public health issues related to cannabis are on the agenda of policy makers both internal and external to the health sector. This intervention ensures the health impacts of cannabis and health equity are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to cannabis; developing, reviewing, and providing evidence-based feedback regarding the access to, promotion of, and harms associated with cannabis; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change cannabis-related policies. An example of an avenue for policy development and change includes participation in the Southwest Poly-Substance Working Group, Joint Agency Enforcement Working Group, Middlesex-London Community Drug and Alcohol Strategy partnership. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2458 & \" \" & Structure!E2458","v":"i 4) Inspections (SWTEVBD)"}]
[null,null,null,"In compliance with the Tobacco, Vapour and Smoke Protocol, 2021 and Standard Operating Procedures, cannabis-related inspections involve maintaining inventories of facilities regulated under the Smoke-Free Ontario Act, 2017, conducting risk assessments, performing inspections and re-inspections, and enforcing legal requirements of the Smoke-Free Ontario Act, 2017. This intervention relies on providing education to owners/operators to gain legislative compliance, but progressive enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of cannabis-related diseases, illnesses, and injuries of public health significance (e.g., child cannabis poisoning). Materials for cannabis proprietors are designed to increase individual and proprietor compliance with obligations under the Smoke-Free Ontario Act, 2017. This intervention includes the provision of mandated signage, engagement with school partners, and premise list maintenance. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D2459 & \" \" & Structure!E2459","v":"i 5) Investigations (SWTEVBD)"}]
[null,null,null,"Investigations collect data regarding known or potential cannabis-related threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on service requests, complaints received, and reports of cannabis-related illness or poisoning. Cannabis-related investigations may also include progressive enforcement activities, where necessary, including the use of warnings and graduated charging options. For example, the Cannabis program determines if the cannabis proprietor, via their “information” activities, is in contravention with the Health Canada legislation (the Federal Cannabis Act) making referrals where appropriate. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D2460 & \" \" & Structure!E2460","v":"i 6) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data related to cannabis consumption practices for the purposes of detecting trends, health inequities, seeking to identify changes in incidence and prevalence of cannabis use and cannabis-related injuries. For example, the Population Health Assessment and Surveillance (PHAS) team receives analyzes community-level cannabis-related data and populates it on the Community Health Status Resource. The surveillance activities also seek to identify the priority groups that would benefit most from harm reduction programs and services."]
[null,null,null,{"$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 at more 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\nThe CDAS vision and content is strong, and despite the pause over the last few years, work has continued within the community by partner agencies, actioning many of the CDAS recommended actions.  The priority for 2024 is to reconvene the CDAS Steering Committee and to review and prioritize recommendations and actions against the current landscape of substance use, 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. \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,"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 2024 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 had less intensive programming moving forward than in past years. \n"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Other Drugs Program (not including Opioids) is to collaborate with local partners to reduce the burden of illness relating to substance use, by preventing or delaying substance use, preventing problematic substance use, and reducing harms associated with substance use.  \n\nUnder the 2024 Annual Service Plan for the Middlesex-London Health Unit, opioids (via HRPE), tobacco and vapour products (via SFO), 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, 83 of the 98 identified actions had been assessed as advancing or completed through comprehensive efforts and collaboration in the community. The priority for 2024 is to reconvene the CDAS Steering Committee and to review and prioritize recommendations and actions against the current landscape of substance use, 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\nInterventions under the Other Drugs (not including Opioids) program include:\n• Communication and Social Marketing,\n• Community and Partner Mobilization,\n• Healthy Public Policy, and\n• Surveillance.\n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 in 2023 to help identify whether or not programmatic and partnership priorities need to shift. \n\nThe CDAS vision and content is strong, and despite the pause over the last few years, work has continued within the community by partner agencies, actioning many of the CDAS recommended actions.  The priority for 2024 is to reconvene the CDAS Steering Committee and to review and prioritize recommendations and actions against the current landscape of substance use, 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,"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 staff working on the Other Drugs Program work collaboratively with other teams within the Family and Community Health division and teams within the Environmental Health, Infectious Diseases, and Clinical Services division (i.e., Sexual Health) 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of substance-related preventable injuries and substance use (OPHS Substance Use and Injury Prevention Goal)\n• To reduce population health inequities related to substance-related injuries and substance use (OPHS Substance Use and Injury Prevention Outcome)\n• Reduced transmission of infections and communicable diseases (OPHS Infectious and Communicable Diseases Prevention and Control Outcome)\n• To reduce the burden of communicable diseases and other infectious diseases of public health importance (OPHS Infectious and Communicable Diseases Prevention and Control Goal)\n\nIntermediate\n• Reducing harms associated with substance use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\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 Substance Use and Injury Prevention Outcome)\n• Priority populations have increased access to sexual health and harm reduction services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections (OPHS Substance Use and Injury Prevention Outcome)\n\nShort-Term\n• There is increased public awareness of the impact of risk and protective factors associated with substance-related injuries and substance use (OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the benefits of and access to harm reduction programs and services (OPHS Substance Use and Injury Prevention Outcome). \n• Community partners are aware of healthy behaviours associated with the prevention of substance-related injuries and substance use, which includes reducing the harms associated with substance use (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of substance-related injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing substance use, and reducing harms associated with substance use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (OPHS Substance Use and Injury Prevention Outcome)\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) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Other drug communication activities, which focus on reducing the burden of illness related to substances, involve creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU and the RethinkYourDrinking.ca website, print resources, newsletters, social media and other media channels. Social marketing activities focus on influencing behaviour within a specific target population, with some overall benefit to society as well as the individual.  Activities within this intervention aim to gather and use target population insights to develop targeted communication materials that increase knowledge and change attitudes, beliefs, and practices regarding safer substance use practices in order to prevent disease and promote and protect the health of individuals and populations. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2472 & \" \" & Structure!E2472","v":"i 2) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Other drug community mobilization involves bringing people and organizations, such as health and social service organizations, together in a structured way to achieve drug-related harm reduction in individuals, populations, and/or systems. For example, the Community Drug and Alcohol Strategy provides opportunities for community members and organizations to learn about substance use, harm reduction, addictions and stigma around drug use. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include maintaining drug and alcohol-related partnerships with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2473 & \" \" & Structure!E2473","v":"i 3) Healthy Public Policy Development (SMHSP, MCHP)"}]
[null,null,null,"Other drug related healthy public policy development involves identifying and ensuring public health issues related to other drugs (excluding opioids), such as crystal meth, are on the agenda of policy makers both internal and external to the health sector. This intervention ensures health impacts of other drugs and health equity are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to other drugs; developing, reviewing, and providing evidence-based feedback regarding the burden of illness, injury and harm reduction related to opioids; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change other drug related policies. Examples of avenues for policy development and change include Middlesex-London Community Drug and Alcohol Strategy partnership. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention."]
[null,null,null,{"$f":"Structure!D2474 & \" \" & Structure!E2474","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. For example, the Population Health Assessment and Surveillance (PHAS) team receives analyzes community-level other drug-related data and populates it on the Community Health Status Resource. "]
[null,null,null,{"$f":"Structure!D2475 & \" \" & Structure!E2475","v":"i 5) Surveillance (SH)"}]
[null,null,null,"Surveillance as a public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data for the purposes of detecting trends, seeking to identify changes in incidence and prevalence of cases. For example, the Other Drugs program receives reports of drug-related deaths from healthcare and community providers. It then communicates these concerns to the PHAS team, which may ultimately lead to Drug Alerts, which are communicated to people who use drugs and health and social service providers. The Sexual Health team supports this intervention.\n"]
[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 1% of London's total population of 543,551 [Statistics Canada, 2021 Census]). 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 involved in sex work; 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."]
[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.\n\nProgram interventions within the Harm Reduction Program Enhancement include: \n•  Health Resource Inventory Management,\n•  Communication and Social Marketing, \n•  Community and Partner Mobilization,\n•  Healthy Public Policy Development, and\n•  Surveillance\n*Note that work related to alcohol and cannabis is covered in the Alcohol and Cannabis Programs. \n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 involved in sex work; 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 saved valuable lives. \nThe naloxone program role is to provide naloxone kits to those most at risk, the eligible community organizations to distribute 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, there are street-based outreach programs that address the social determinants of health and may provide harm reduction supplies, health care, food, clothing, etc. that are eligible to provide naloxone. There are 46 community organizations, including those that provide 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 caused 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 Communicable 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of substance-related preventable injuries and substance use (adapted OPHS Substance Use and Injury Prevention goal)\n• To reduce population health inequities related to substance-related injuries and substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Reduced transmission of infections and communicable diseases (OPHS Infectious and Communicable Diseases Prevention and Control Outcome)\n• To reduce the burden of communicable diseases and other infectious diseases of public health importance (OPHS Infectious and Communicable Diseases Prevention and Control goal)\n\nIntermediate\n• Reducing harms associated with substance use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing substance-related injuries, preventing substance use, and reducing harms associated with substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Priority populations have increased access to sexual health and harm reduction services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections (OPHS Substance Use and Injury Prevention Outcome)\n\nShort-Term\n• There is increased public awareness of the benefits of and access to harm reduction programs and services (OPHS Substance Use and Injury Prevention Outcome). \n• There is increased public awareness of the impact of risk and protective factors associated with substance-related injuries and substance use (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of substance-related injuries and substance use, which includes reducing the harms associated with substance use (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of substance-related injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on reducing harms associated with substance use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome)\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) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Opioid-related communication activities involve reducing the burden of illness related to substances by creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU website, print resources, newsletters, social media, and other media channels. Activities within this intervention focus on influencing behaviours within a specific target population, with some overall benefit to society as well as the individual. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent opioid-related harms, and promote and protect the health of individuals and populations. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2488 & \" \" & Structure!E2488","v":"i 2) Community and Partner Mobilization (SMHSP, MCHP)"}]
[null,null,null,"Opioid-related community and partner mobilization involves bringing people and organizations together in a structured way to achieve opioid-related individual, population, and/or systemic changes. For example, staff from the opioid program participate in and organize change via the Southwest Poly-Substance Working Group and Community Drug and Alcohol Strategy. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include developing and maintaining opioid-related partnerships and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Social Marketing and Health System Partnerships (SMHSP) team and the Municipal and Community Health Promotion (MCHP) team support this intervention.\n"]
[null,null,null,{"$f":"Structure!D2489 & \" \" & Structure!E2489","v":"i 3) Health Resource Inventory Management (SH)"}]
[null,null,null,"Naloxone kit inventory management involves the procurement, storage, distribution and tracking of naloxone kits. It also involves the management and oversight of inventory systems to support harm reduction programs and clinical services. MLHU is the distribution lead for naloxone in Middlesex-London and as such identifies and trains eligible community organizations. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2490 & \" \" & Structure!E2490","v":"i 4) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Opioid-related healthy public policy development involves identifying and ensuring public health issues related to opioids are on the agenda of policy makers both internal and external to the health sector. This intervention ensures health impacts of opioids and health equity are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to opioids; developing, reviewing, and providing evidence-based feedback regarding the burden of illness, injury and harm reduction related to opioids; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change opioid-related policies. Examples of avenues for policy development and change include Middlesex-London Community Drug and Alcohol Strategy partnership. The Municipal and Community Health Promotion (MCHP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2491 & \" \" & Structure!E2491","v":"i 5) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data related to drug consumption practices for the purposes of detecting trends, health inequities, seeking to identify changes in incidence and prevalence of HIV, HCV, HBV, and other pathogens; drug overdose; and soft tissue injuries. For example, the Population Health Assessment and Surveillance (PHAS) team receives reports of drug-related deaths from the Harm Reduction Program Enhancement program and runs analysis to determine if there is an unsafe drug supply in the community. The surveillance activities also seek to identify the priority groups that would benefit most from harm reduction programs and services. "]
[null,null,null,{"$f":"Structure!D2492 & \" \" & Structure!E2492","v":"i 6) Surveillance (SH)"}]
[null,null,null,"The Sexual Health team hears about drug-related overdoses or deaths from clients, partners, or from ministry reports and reaches out to community organizations and the PHAS team to determine if action needs to be taken (e.g., drug alerts). The Sexual Health team supports surveillance activities also to identify the priority groups that would benefit most from harm reduction programs and services.\n"]
[null,null,null,{"$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 inject 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).  \n\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."]
[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 and decrease the spread of STBBI's and other infectious diseases.\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•  Health Resource Inventory Management\n•  Community and Partner Mobilization\n•  Communication and Social Marketing\n•  Surveillance"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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 involved in sex work, 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\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 of 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.\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. 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 Communicable 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of substance-related preventable injuries and substance use (adapted OPHS Substance Use and Injury Prevention goal)\n• To reduce the burden of communicable diseases and other infectious diseases of public health importance (OPHS Infectious and Communicable Diseases Prevention and Control goal)\n\nIntermediate\n•  Reducing harms associated with substance use (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• There is a reduction in population health inequities related to substance-related injuries and substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n\nShort-Term\n•  There is increased public awareness of the benefits of and access to harm reduction programs and services (OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with substance-related injuries and substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated reducing harms associated with substance use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of substance-related injuries and substance use, which includes reducing the harms associated with substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Priority populations have increased access to sexual health and harm reduction services and supports that prevent exposure to and the transmission of sexually transmitted infections and blood-borne infections (OPHS Substance Use and Injury Prevention Outcome)\n• Reduced transmissions of infectious and communicable diseases (OPHS Infectious and Communicable Diseases Prevention and Control Outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for preventing substance-related injuries, preventing substance use, and reducing harms associated with substance use (adapted OPHS Substance Use and Injury Prevention Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2503 & \" \" & Structure!E2503","v":"i 1) Communication and Social Marketing (SH)"}]
[null,null,null,"Needle Syringe Program communication activities, which focus on reducing the burden of illness related to substances, involve creating and disseminating health information to the public and community partners using multi-media approaches including the MLHU website. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices regarding safer substance use practices in order to prevent disease and promote and protect the health of individuals and populations. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2504 & \" \" & Structure!E2504","v":"i 2) Community and Partner Mobilization (SH)"}]
[null,null,null,"Needle Syringe Program community mobilization involves bringing together people and organizations, such as health and social service organizations, in a structured way to achieve drug-related harm reduction in individuals, populations, and/or systems. For example, MLHU and RHAC mobilize community partners regarding the expansion of satellite locations and needle bins. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2505 & \" \" & Structure!E2505","v":"i 3) Health Resource Inventory Management (SH)"}]
[null,null,null,"Needle and syringe inventory management involves the distribution, tracking, and wastage management of needles, syringes, and other injection equipment. It also involves the management and oversight of injection equipment inventory systems to support public health programs and the delivery of clinical services, as well as any training of community members or partners. For example, MLHU provides funding to the Regional HIV/AIDs Connection who supports the Carepoint Needle Syringe Program. MLHU, RHAC, and City of London are partners in needle and syringe disposal. MLHU is one of 28 satellite units and there are 23 needle disposal bins funded by the City of London. Disposal is a shared cost between City of London and RHAC. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D2506 & \" \" & Structure!E2506","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data related to drug consumption practices for the purposes of detecting trends, health inequities, seeking to identify changes in incidence and prevalence of HIV, HCV, HBV, and other pathogens; drug overdose; and soft tissue injuries. For example, the Population Health Assessment and Surveillance (PHAS) team receives analyzes community-level drug-related data and populates it on the Community Health Status Resource. The surveillance activities also seek to identify the priority groups that would benefit most from harm reduction programs and services."]
[null,null,null,{"$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.  Additionally, there is concern regarding the uptick of vaping by young adults, and the health harms associated with the dual use of vapour products and cigarettes by young adults (19-24 years of age). \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.  Youth continue to be identified as a priority population due to escalating vaping prevalence rates.  Lastly, young adults, particularly those who work in manufacturing, trades and the hospitality sectors, and those who identify as part of the 'outdoor' social identities peer crowd are identified as priority populations due to sustained smoking prevalence rates, increasing rates of vaping, and health concerns associated with dual use. \n\nMembers of the Smoke Free Ontario program staff will participate in the Provincial Nicotine Dependence Advisory Committee structure to contribute to collaborative planning in 2024 to identify/develop/modify/orient interventions to decrease health inequities for such 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, 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. \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,"Activities under the healthy public policy development, community and partner mobilization, and communication and social marketing interventions will incorporate mental health promotion and well-being messages. 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 Smoke Free Ontario and the Cannabis programs. Falls, Concussions, Violence, Injury Prevention and Road and Off-Road Safety are not addressed by the Smoke-Free Ontario team as they are not applicable."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Smoke Free Ontario 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.  Nicotine is a highly addictive substance, and can have negative impacts on the developing brain. Interventions under the Smoke Free Ontario program include:\n\n• Healthy Public Policy Development,\n• Communication and Social Marketing,\n• Education and Skill Building,\n• Community and Partner Mobilization,\n• Inspections,\n• Investigations,\n• Surveillance, and\n• Clinical Services Delivery.\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.\n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"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.  Additionally, there is concern regarding the uptick of vaping by young adults, and the health harms associated with the dual use of vapour products and cigarettes by young adults (19-24 years of age). \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.  Youth continue to be identified as a priority population due to escalating vaping prevalence rates.  Lastly, young adults, particularly those who work in manufacturing, trades and the hospitality sectors, and those who identify as part of the 'outdoor' social identities peer crowd are identified as priority populations due to sustained smoking prevalence rates, increasing rates of vaping, and health concerns associated with dual use. \n\nMembers of the Smoke Free Ontario program staff will participate in the Provincial Nicotine Dependence Advisory Committee structure to contribute to collaborative planning in 2024 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations.  Program priorities for 2024 include: the @DogandTom Young Adult Social Marketing Strategy; NotanExperiment.ca; DontQuitQuitting.ca; True North Strong Outdoor Peer Crowd Social Identities Social Marketing Strategy; SmokefreeHousingOn.ca and housing policy; the PHAC-funded Pharmacy Cessation Initiative in partnership with Southwestern Public Health; and the promotion of cessation programs tailored to particular priority populations.\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 capacity building activities through the Middlesex-London Cessation Community of Practice and the PHAC-funded Pharmacy Smoking Cessation Project that the Smoke-Free Ontario staff will be implementing in partnership with Southwestern Public Health. \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 will remain a priority for 2024.  \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,"The Smoke Free Ontario program staff work collaboratively with the Safe Water, Tobacco Enforcement and Vector Borne-Disease Team, and other teams in the Family and Community Health Division (e.g., the School Health team, HBHC team, the NFP and Early Years Group Programs Team) 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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of tobacco and vapour product-related preventable injuries and tobacco and vapour product use (adapted OPHS Substance Use and Injury Prevention Goal)\n• To reduce the burden of tobacco and vapour product-related chronic diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-being Goal)\n• There is a reduction in population health inequities related to tobacco and vapour product-related injuries and tobacco and vapour product use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is a reduction in population health inequities related to tobacco and vapour product-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nIntermediate\n• To prevent or delay tobacco and vapour product use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• To prevent problematic tobacco and vapour product use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n• Reducing harms associated with tobacco and vapour product use (adapted OPHS Substance Use Prevention and Harm Reduction Guideline Standard).  \n• Youth have reduced access to tobacco products and e-cigarettes (adapted OPHS Substance Use and Injury Prevention Outcome).\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing tobacco and vapour product-related injuries, preventing tobacco and vapour product use, and reducing harms associated with tobacco and vapour product use (adapted OPHS Substance Use and Injury Prevention Outcome).\n• There is an increased adoption of healthy living behaviours among populations targeted through program interventions for the prevention of tobacco, vapour and smoke-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of tobacco and vapour product-related injuries and tobacco and vapour product use, which includes reducing the harms associated with tobacco and vapour product use and exposure to second-hand smoke and second-hand vapour (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of tobacco and vapour product-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of tobacco and vapour product-related injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of tobacco and vapour product-related chronic diseases and promotion of wellbeing, including healthy living behaviours, healthy public policy, and creating supportive environments (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing tobacco and vapour product use, and reducing harms associated with tobacco and vapour product use, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (adapted OPHS Substance Use and Injury Prevention Outcome).\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 (OPHS Substance Use and Injury Prevention Outcome).\n• There is increased public awareness of the impact of risk and protective factors associated with tobacco, vapour, and smoke-related injuries and tobacco and vapour product use (adapted OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with tobacco, vapour, and smoke-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2519 & \" \" & Structure!E2519","v":"i 1) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Tobacco and vapour product communication activities focus on reducing the burden of illness related to tobacco and vapour product use. These activities involve coordinating with SWTCAN public health units and provincial partners to support the creation, dissemination, and promotion of health information to the public and community partners using multi-media approaches including the MLHU website, www.DontQuitQuitting.ca, www.SmokefreeHousingON.ca, and www.NotanExperiment.ca. Social marketing activities focus on influencing tobacco and vapour product-related behaviour within a specific target population, with some overall benefit to society as well as the individual. Activities within this intervention aim to increase knowledge and change attitudes, beliefs, and practices in order to prevent smoking and vaping-related diseases and injuries and promote and protect the health of individuals and populations. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2520 & \" \" & Structure!E2520","v":"i 2) Community and Partner Mobilization (SMHSP)"}]
[null,null,null,"Tobacco and vapour product community and partner mobilization involves bringing people and organizations, such as other public health units and school boards, together in a structured way to achieve individual, population, and/or systemic changes related to the prevention of smoking and vaping-related diseases and injuries and the promotion and protection of individual and population health. For example, Middlesex-London Health Unit staff participate as active members of the SWTCAN, the Ontario TCAN, the provincial Nicotine Dependence Advisory Committees, as well as various regional and provincial working groups to collaborate, share resources, and join collective efforts to develop, implement and evaluate regional, multi-regional and sometimes provincial commercial tobacco and vapour product public health interventions, programs and resources. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include developing and maintaining partnerships aimed at preventing tobacco and vapour product-related use, coalition building and participation, community organizing and engagement, and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2521 & \" \" & Structure!E2521","v":"i 3) Education and Skill Building (SMHSP)"}]
[null,null,null,"Tobacco and vapour product education and skill building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ tobacco and vapour product use knowledge, as well as strategies to reduce risk and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population, and present information on tobacco and vapour product-related health risks. They also provide specific tools and/or strategies to build capacity to prevent the initiation and/or escalation of tobacco and vapour product-related use, to support cessation, and to create smoke-free/vapour-free spaces. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D2522 & \" \" & Structure!E2522","v":"i 4) Healthy Public Policy Development (SMHSP)"}]
[null,null,null,"Tobacco and vapour product healthy public policy development involves identifying and ensuring tobacco and vapour product-related public health issues are on the agenda of policy makers both internal and external to the health sector. This intervention ensures the health impacts of tobacco and vapour product use and health equity are considered by decision-makers. Activities include coordinating with public health units within the SWTCAN as well as with provincial partners to develop, review, and provide evidence-based feedback regarding the access to, promotion of, and harms associated with tobacco and vapour products; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change tobacco and vapour-related laws, policies, rules and regulations, ordinances, and policies at the local, provincial, and federal levels. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2523 & \" \" & Structure!E2523","v":"i 5) Inspections (SWTEVBD)"}]
[null,null,null,"In compliance with the Tobacco, Vapour and Smoke Protocol, 2021 and Standard Operating Procedures, tobacco, vapour product and smoke-related inspections involve maintaining inventories of facilities in Middlesex-London that are regulated under the Smoke-Free Ontario Act, 2017; conducting risk assessments; performing inspections and re-inspections; and enforcing legal requirements of the Smoke-Free Ontario Act, 2017. Key activities include dissemination of retailer, workplace and public place proprietor educational material; the provision of mandated signage; conducting mandated inspections; engaging with school partners; and maintenance of a premise list. While this intervention relies on providing education to employers and proprietors to gain legislative compliance, progressive enforcement activities may also be required. Monitoring retail compliance regarding promotion and handing of tobacco, vapour, and smoke related products, especially related to youth, is an essential component of this program.  The long-term outcome of this intervention is to prevent and reduce the burden of tobacco, vapour product, and smoke-related diseases, illnesses, and injuries of public health significance (e.g., lung damage). The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D2524 & \" \" & Structure!E2524","v":"i 6) Investigations (SWTEVBD)"}]
[null,null,null,"Tobacco, vapour product, and smoke-related investigations collect data regarding known or potential tobacco, vapour product and smoke-related threats to the health of the Middlesex-London community. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on service requests or complaints received. Tobacco, vapour product and smoke-related investigations may also include progressive enforcement activities, where necessary. Investigations may lead to requiring enforcement action e.g. tickets or Part III summons. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D2525 & \" \" & Structure!E2525","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"Surveillance in this public health intervention involves an ongoing process of collecting, analyzing and interpreting population-level health data related to cannabis consumption practices for the purposes of detecting trends, health inequities, seeking to identify changes in incidence and prevalence of tobacco and vapour product use and tobacco and vapour-related injuries. For example, the Population Health Assessment and Surveillance (PHAS) team receives analyzes community-level tobacco and vapour-related data and populates it on the Community Health Status Resource. The surveillance activities also seek to identify the priority groups that would benefit most from harm reduction programs and services."]
[null,null,null,{"$f":"Structure!D2526 & \" \" & Structure!E2526","v":"i 8) Clinical Service Delivery (SchH)"}]
[null,null,null,"Cessation-related clinical services delivery offers one-on-one services to clients who smoke or use tobacco or vapour products. The School Health team supports this intervention through nicotine cessation services in secondary schools. "]
[null,null,null,{"$f":"Structure!D2527 & \" \" & Structure!E2527","v":"i 9) Clinical Service Delivery - Home Visiting (HBHC, NFP-EYGP)"}]
[null,null,null,"The Healthy Babies Healthy Children (HBHC) and NFP and Early Years Group Programs teams support this intervention through nicotine cessation services with parents. "]
[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) Adult 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,"• 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.                                                 \n• Municipal stakeholders and decision makers: Ensuring that municipal plans and strategies prioritize healthy community design that will impact the health of the community over the long term.\n\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,"The Adult 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,"6) Off-road safety, 7) Road Safety"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The MLHU Adult Injury Prevention program focuses on reducing the burden of injuries related to active transportation and the built environment. \nFurther work is needed to identify and examine current Middlesex-London data and trends, community needs and priorities, as well as examine pre-pandemic partnership tables, and identify/refine priority areas of program focus for 2024.\n\nInterventions used by this program include:\n• Community and Partner Mobilization,\n• Healthy Public Policy Development,\n• Communication and Social Marketing, and\n• Surveillance."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"More work will be done in to identify priority populations for 2024."]
[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."]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of preventable adult injuries (modified OPHS Substance Use and Injury Prevention aim)\n• There is a reduction in population health inequities related to adult injuries (modified OPHS Substance Use and Injury Prevention outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing adult injuries (modified OPHS Substance Use and Injury Prevention outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of adult injuries (modified OPHS Substance Use and Injury Prevention outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of adult injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (modified OPHS Substance Use and Injury Prevention outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with adult injuries (modified OPHS Substance Use and Injury Prevention outcome) \n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for preventing adult injuries (modified OPHS Substance Use and Injury Prevention outcome)\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) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion team supports this intervention by participating on the London Middlesex Road Safety Committee."]
[null,null,null,{"$f":"Structure!D2536 & \" \" & Structure!E2536","v":"i 2) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring adult injury prevention is on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources and \n• developing of policy briefings and resources relevant to senior leadership, Board, and municipalities."]
[null,null,null,{"$f":"Structure!D2537 & \" \" & Structure!E2537","v":"i 3) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships team supports communication activities that involve creating and disseminating health information for the public and community partners using multi-media approaches including the MHLU website."]
[null,null,null,{"$f":"Structure!D2538 & \" \" & Structure!E2538","v":"i 4) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[null,null,null,{"$f":"Structure!D2539 & \" \" & Structure!E2539","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2540 & \" \" & Structure!E2540","v":"i 6) "}]
[]
[null,null,null,{"$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) Childhood 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,"This intervention will target childhood injury prevention across ages (0-18), including school-aged children in school settings. "]
[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 Childhood 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,"6) Off-road safety, 7)Road safety, and 11) Home safety"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The MLHU Childhood Injury Prevention program focuses on the work related to reducing the burden of injuries in children through awareness, partnerships and collective community action. The goal is to reduce injury-related 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 needs and priorities, as well as examine pre-pandemic partnership tables, and identify/refine priority areas of program focus for 2024.\n\nInterventions of this program include:\n• Communication and Social Marketing,\n• Community and Partner Mobilization, \n• Healthy Public Policy Development, and\n• Surveillance"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"More work will be done to identify priority populations for 2024."]
[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."]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of childhood preventable injuries (Modified OPHS Substance Use and Injury Prevention Goal)\n• There is a reduction in population health inequities related to childhood injuries (Modified OPHS Substance Use and Injury Prevention Outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for childhood preventing injuries (Modified OPHS Substance Use and Injury Prevention Outcome)\n• Reorienting health services to meet population needs (OPHS Substance Use Prevention and Harm Reduction Guideline Standard)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of childhood injuries (Modified OPHS Substance Use and Injury Prevention Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of childhood injuries, including healthy living behaviours, healthy public policy, and creating supportive environments (Modified OPHS Substance Use and Injury Prevention Outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with childhood injuries (Modified OPHS Substance Use and Injury Prevention Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2551 & \" \" & Structure!E2551","v":"i 1) Communication and Social Marketing (MCHP)"}]
[null,null,null,"Childhood injury prevention related communication activities center on reducing the burden of childhood preventable injuries. The Municipal and Community Health Promotion (MCHP) team supports this intervention by creating and disseminating health information for the public and community partners using multi-media approaches including the MLHU website. "]
[null,null,null,{"$f":"Structure!D2552 & \" \" & Structure!E2552","v":"i 2) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"The Social Marketing and Health System Partnerships (SMHSP) team will also support the maintenance of the MLHU website regarding content on childhood injury prevention."]
[null,null,null,{"$f":"Structure!D2553 & \" \" & Structure!E2553","v":"i 3) Community and Partner Mobilization (NFP-EYGP, HBHC)"}]
[null,null,null,"Childhood injury prevention related community and partner mobilization involves bringing people and organizations together in a structured way to reduce the burden of childhood injuries at an individual, population, and/or systemic level. The NFP and Early Years Group Programs and HBHC teams support this intervention by supporting and partnering with hospitals in childhood injury prevention (Home Safety Program)."]
[null,null,null,{"$f":"Structure!D2554 & \" \" & Structure!E2554","v":"i 4) Community and Partner Mobilization (SchH)"}]
[null,null,null,"The School Health team supports this intervention by working with school boards to identify gaps with current infrastructure, policy, and resources with focus on active safe routes to school."]
[null,null,null,{"$f":"Structure!D2555 & \" \" & Structure!E2555","v":"i 5) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the London Middlesex Road Safety and Active and Safe Routes to School committees."]
[null,null,null,{"$f":"Structure!D2556 & \" \" & Structure!E2556","v":"i 6) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to provide clinical expertise in identifying gaps;\n• identifying gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, Board, and municipalities;\n• providing feedback on notice of applications; and \n• reviewing the master plan of the municipalities."]
[null,null,null,{"$f":"Structure!D2557 & \" \" & Structure!E2557","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability. "]
[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 MLHU 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 2024. 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. 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 2024. The violence prevention program is delivered in different ways across the health unit. Client facing teams across the organization address violence and prevention of violence through clinical services and education and skill building. Teams in the Family and Community Health Division support healthy public policy development and community and partner mobilization.  \nInterventions of the Violence Prevention Program include:\n• Clinical Services Delivery\n• Education and Skill Building\n• Healthy Public Policy Development\n• Community and Partner Mobilization\n• Surveillance"]
[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 2024 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. \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,"Further review will need to be done in 2024 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.\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,"School Health (Violence and bullying) Standard, and the Healthy Growth and Development Standard (ACEs prevention)"]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of preventable violence (modified Substance Use and Injury Prevention aim)\n• There is a reduction in population health inequities related to violence (modified Substance Use and Injury Prevention outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing violence (modified Substance Use and Injury Prevention outcome)\n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of violence  (modified Substance Use and Injury Prevention outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of violence (modified Substance Use and Injury Prevention outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing violence, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (modified Substance Use and Injury Prevention outcome)\n• There is increased public awareness of the impact of risk and protective factors associated with violence (modified Substance Use and Injury Prevention outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for preventing violence (modified Substance Use and Injury Prevention outcome)\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) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring that violence prevention is on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by developing policy briefings and resources for senior leadership and Board."]
[null,null,null,{"$f":"Structure!D2568 & \" \" & Structure!E2568","v":"i 2) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the: Community Safety and Well-Being Plan (London and Middlesex County), Age Friendly London/Child and Youth Network, Middlesex Children's Services Network"]
[null,null,null,{"$f":"Structure!D2569 & \" \" & Structure!E2569","v":"i 3) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"The NFP and Early Years Group Programs Team provides violence prevention through the Nurse Family Partnership (NFP) program. Violence prevention is integrated into the clinical service delivery of the NFP program for first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday."]
[null,null,null,{"$f":"Structure!D2570 & \" \" & Structure!E2570","v":"i 4) Clinical Service Delivery (HBHC)"}]
[null,null,null,"This intervention provides integrated violence prevention as part of clinical services delivery for Healthy Babies Healthy Children (HBHC) Home Visiting. HBHC Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. The Healthy Babies Healthy Children (HBHC) team supports this intervention.  "]
[null,null,null,{"$f":"Structure!D2571 & \" \" & Structure!E2571","v":"i 5) Clinical Service Delivery (OHCSS)"}]
[null,null,null,"The Oral Health and Clinical Support Services (OHCSS) team provides  violence prevention through Non-Mandatory Oral Health Programs (integrated into the clinical service delivery of fluoride varnish application in high risk elementary schools) and the Ontario Seniors Dental Care Program (integrated into the delivery of dental services to eligible low-income seniors). "]
[null,null,null,{"$f":"Structure!D2572 & \" \" & Structure!E2572","v":"i 6) Education and Skill Building (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that integrate violence prevention as part of the curriculum (i.e., positive parenting; healthy relationship discussions). The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2573 & \" \" & Structure!E2573","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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) Intimate Partner 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 intimate partner violence prevention program is implemented within the Family and Community Health Division 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 2024. There is no one risk factor for intimate partner 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.  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,"5) Mental Health Promotion, 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 2024. The violence prevention program is delivered in different ways across the health unit. Client facing teams in the Family and Community Health Division address violence and prevention of violence through health education and skill building, screening and referral, and policy work.  Women at risk for or experiencing violence are identified through selective 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 Client Care Committee which supports capacity building and consistent practice. \n\nInterventions of the Intimate Partner Violence Prevention Program include:\n• Clinical Services Delivery\n• Education and Skill Building\n• Healthy Public Policy Development\n• Community and Partner Mobilization\n• Communication and Social Marketing \n• Surveillance"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See Section A, 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,"Further review will need to be done in 2024 to identity priority populations however considerations for program interventions include: females at all ages, 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.\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,"School Health (Violence and bullying) Standard, and the Healthy Growth and Development Standard (ACEs prevention)"]
[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,"Results from locally developed indicators are not currently available. An organization-wide initiative began in 2022 and 2023 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2024, work will continue to identify locally developed 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\n• To reduce the burden of preventable intimate partner violence (adapted OPHS Program Goal)\n• There is a reduction in population health inequities related to intimate partner violence (adapted OPHS Program Outcome)\n\nIntermediate\n• There is an increased adoption of healthy living behaviours and personal skills among populations targeted through program interventions for preventing intimate partner violence (adapted OPHS Program Outcome)\n\nShort-Term\n• There is increased public awareness of the impact of risk and protective factors associated with IPV (adapted OPHS Program Outcome)\n• There is increased public awareness of the benefits of and access to IPV prevention programs and services (adapted OPHS Program Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing IPV, and reducing harms associated with IPV, including healthy public policy, and creating supportive environments (adapted OPHS Program Outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with preventing IPV, including healthy living behaviours and developing personal skills, healthy public policy, and creating supportive environments (adapted OPHS Program Outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of intimate partner violence (adapted OPHS Program Outcome)\n• The board of health is aware of and uses data to influence and inform the development of local healthy public policy and its programs and services for preventing IPV, and reducing harms associated with IPV (OPHS Program Outcome)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2583 & \" \" & Structure!E2583","v":"i 1) Clinical Service Delivery (NFP-EYGP)"}]
[null,null,null,"The NFP and Early Years Group Programs (NFP-EYGP) team provides intimate partner violence prevention (IPV) through the iHEAL and Nurse Family Partnership (NFP) programs. The iHEAL Program offers one-on-one services to clients who are experiencing or have experienced intimate partner violence. Intimate partner violence prevention is integrated into the clinical service delivery of the NFP program for first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday."]
[null,null,null,{"$f":"Structure!D2584 & \" \" & Structure!E2584","v":"i 2) Clinical Service Delivery (HBHC)"}]
[null,null,null,"This intervention provides integrated intimate partner violence (IPV) prevention as part of clinical services delivery for Healthy Babies Healthy Children (HBHC) Home Visiting. HBHC Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. The Healthy Babies Healthy Children (HBHC) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D2585 & \" \" & Structure!E2585","v":"i 3) Education and Skill Building (NFP-EYGP)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that integrate intimate partner violence prevention as part of the curriculum (i.e., healthy relationship discussions). The Nurse Family Partnership and Early Years Group Program (NFP-EYGP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2586 & \" \" & Structure!E2586","v":"i 4) Community and Partner Mobilization (MCHP)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the: London Coordinating Committee to End Women Abuse/Middlesex Rural Alliance to End Violence Against Women "]
[null,null,null,{"$f":"Structure!D2587 & \" \" & Structure!E2587","v":"i 5) Healthy Public Policy Development (MCHP)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring that intimate partner violence prevention is on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by developing policy briefings and resources for senior leadership and Board."]
[null,null,null,{"$f":"Structure!D2588 & \" \" & Structure!E2588","v":"i 6) Communication and Social Marketing (SMHSP)"}]
[null,null,null,"Communication activities involve creating and disseminating health information to the public and community partners using the MLHU website. The Social Marketing and Health System Partnerships (SMHSP) team supports this intervention."]
[null,null,null,{"$f":"Structure!D2589 & \" \" & Structure!E2589","v":"i 7) Surveillance (PHAS)"}]
[null,null,null,"The Population Health Assessment and Surveillance (PHAS) team supports this intervention through ongoing surveillance of key population health indicators based on data availability."]
[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) "}]
[]
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[]
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[]
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[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
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[null,null,null,"Budget Summary"]
[null,null,null,"Base Funding",null,null,null,null,null,null,"Column (E) must be equal to (H)"]
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[null,null,null,"Healthy Environments",1035047,null,{"$f":"'Alloc Expenditures'!E92","v":820321},null,{"$f":"'Alloc Expenditures'!F92","v":206813},null,{"$f":"'Alloc Expenditures'!G92","v":6425},null,{"$f":"'Alloc Expenditures'!H92","v":0},null,{"$f":"'Alloc Expenditures'!I92","v":0},null,{"$f":"'Alloc Expenditures'!J92","v":2010},null,{"$f":"'Alloc Expenditures'!K92","v":-8696},null,{"$f":"'Alloc Expenditures'!L92","v":8174}]
[null,null,null,"Healthy Growth and Development",3400644,null,{"$f":"'Alloc Expenditures'!E116","v":2619156},null,{"$f":"'Alloc Expenditures'!F116","v":663950},null,{"$f":"'Alloc Expenditures'!G116","v":23544},null,{"$f":"'Alloc Expenditures'!H116","v":0},null,{"$f":"'Alloc Expenditures'!I116","v":0},null,{"$f":"'Alloc Expenditures'!J116","v":175797},null,{"$f":"'Alloc Expenditures'!K116","v":-195295},null,{"$f":"'Alloc Expenditures'!L116","v":113492}]
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[null,null,null,"Other Program Staff",{"$f":"SUM(G67,I67,K67,M67,O67,Q67,S67,U67,W67,Y67,AA67,AC67,AE67)","v":19.601000000000003},{"$f":"SUM(H67,J67,L67,N67,P67,R67,T67,V67,X67,Z67,AB67,AD67,AF67)","v":1417424},{"$f":"'Staff Alloc to Programs'!$AK6","v":0.30599999999999999},{"$f":"'Staff Alloc to Programs'!$AK7","v":17308},{"$f":"'Staff Alloc to Programs'!$AK9","v":0.89999999999999991},{"$f":"'Staff Alloc to Programs'!$AK10","v":67206},{"$f":"'Staff Alloc to Programs'!$AK12","v":10.491000000000001},{"$f":"'Staff Alloc to Programs'!$AK13","v":781525},{"$f":"'Staff Alloc to Programs'!$AK15","v":1.05},{"$f":"'Staff Alloc to Programs'!$AK16","v":95627},{"$f":"'Staff Alloc to Programs'!$AK18","v":0.19999999999999998},{"$f":"'Staff Alloc to Programs'!$AK19","v":12721},{"$f":"'Staff Alloc to Programs'!$AK63","v":0.191},{"$f":"'Staff Alloc to Programs'!$AK64","v":11264},{"$f":"'Staff Alloc to Programs'!$AK108","v":0.13300000000000001},{"$f":"'Staff Alloc to Programs'!$AK109","v":8234},{"$f":"'Staff Alloc to Programs'!$AK153","v":1.159},{"$f":"'Staff Alloc to Programs'!$AK154","v":77245},{"$f":"'Staff Alloc to Programs'!$AK198","v":0.09},{"$f":"'Staff Alloc to Programs'!$AK199","v":5510},{"$f":"'Staff Alloc to Programs'!$AK243","v":2.9159999999999999},{"$f":"'Staff Alloc to Programs'!$AK244","v":200028},{"$f":"'Staff Alloc to Programs'!$AK288","v":0.44299999999999995},{"$f":"'Staff Alloc to Programs'!$AK289","v":29293},{"$f":"'Staff Alloc to Programs'!$AK333+'Staff Alloc to Programs'!$AK378+'Staff Alloc to Programs'!$AK423+'Staff Alloc to Programs'!$AK468","v":0.95200000000000007},{"$f":"'Staff Alloc to Programs'!AK$334+'Staff Alloc to Programs'!AK$379+'Staff Alloc to Programs'!$AK424+'Staff Alloc to Programs'!AK$469","v":59928},{"$f":"'Staff Alloc to Programs'!$AK513","v":0.77000000000000013},{"$f":"'Staff Alloc to Programs'!$AK514","v":51535}]
[null,null,null,"Total Program Staff",{"$f":"SUM(E36:E67)","v":233.88900000000001},19079073,5.7480000000000002,526352,5.8049999999999997,511050,20.366,1657236,2.1749999999999998,168580,27.913999999999994,2174391,12.456,1035757,9.532,820321,30.841999999999999,2619156,15.582000000000001,1214901,42.534999999999997,3525992,7.0840000000000005,535393,34.231999999999999,2642275,19.618000000000002,1647669]
[null,null,null,"MOH & Administrative Staff","F.T.E. #","$"]
[null,null,null,"Medical Officer of Health",{"$f":"'MOH & Administrative Staff'!E6","v":1},{"$f":"'MOH & Administrative Staff'!F6","v":245088}]
[null,null,null,"Chief Executive Officer",{"$f":"'MOH & Administrative Staff'!E7","v":0.85},{"$f":"'MOH & Administrative Staff'!F7","v":181142}]
[null,null,null,"Director/ Business Administrator",{"$f":"'MOH & Administrative Staff'!E8","v":1},{"$f":"'MOH & Administrative Staff'!F8","v":139609}]
[null,null,null,"Manager/Supervisor",{"$f":"'MOH & Administrative Staff'!E9","v":0},{"$f":"'MOH & Administrative Staff'!F9","v":0}]
[null,null,null,"Secretarial/Admin Staff",{"$f":"'MOH & Administrative Staff'!E10","v":2.7},{"$f":"'MOH & Administrative Staff'!F10","v":221240}]
[null,null,null,"Financial Staff",{"$f":"'MOH & Administrative Staff'!E11","v":5},{"$f":"'MOH & Administrative Staff'!F11","v":371508}]
[null,null,null,"I & IT Staff",{"$f":"'MOH & Administrative Staff'!E12","v":3.8519999999999999},{"$f":"'MOH & Administrative Staff'!F12","v":265917}]
[null,null,null,"Communications Manager/Media Coordinator",{"$f":"'MOH & Administrative Staff'!E13","v":0},{"$f":"'MOH & Administrative Staff'!F13","v":0}]
[null,null,null,"Volunteer Coordinator",{"$f":"'MOH & Administrative Staff'!E14","v":0},{"$f":"'MOH & Administrative Staff'!F14","v":0}]
[null,null,null,"Human Resources Staff/Coordinator",{"$f":"'MOH & Administrative Staff'!E15","v":9.5},{"$f":"'MOH & Administrative Staff'!F15","v":813018}]
[null,null,null,"Maintenance/Caretaker/Custodian/Security",{"$f":"'MOH & Administrative Staff'!E16","v":3},{"$f":"'MOH & Administrative Staff'!F16","v":223802}]
[null,null,null,"Other Administrative Staff",{"$f":"'MOH & Administrative Staff'!E17","v":1.7890000000000001},{"$f":"'MOH & Administrative Staff'!F17","v":120342}]
[null,null,null," Total MOH & Administrative Staff",{"$f":"SUM(E70:E81)","v":28.691000000000003},{"$f":"SUM(F70:F81)","v":2581666}]
[null,null,null,"Total Staffing",{"$f":"E68+E82","v":262.58000000000004},{"$f":"F68+F82","v":21660739}]

{"sheet":"BOH Membership","index":20,"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":"2024 Annual Service Plan and Budget Submission"}]
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[]
[null,null,null,"Board of Health Membership"]
[null,null,null,"(Please input the number of Members on the 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,"Selomon","Menghsha","Provincial"]
[null,null,null,9,"Howard","Shears","Provincial"]
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[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]
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[null,null,null,54]
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[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]
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[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
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[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
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[null,null,null,91]
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[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":21,"n_rows":111,"n_cols":6,"rows_kept":111,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null," "]
[null,null,null,"Apportionment of Board of Health Costs"]
[null,null,null,"(Please input the number of Municipalities on the Annual Service Plan Structure worksheet to be able to complete this worksheet.)"]
[null,null,null,null,"Method of Apportionment"]
[null,null,null,null,"Population"]
[null,null,null,null,"if Other please explain"]
[]
[null,null,null,"#","Municipality Name","% Share"]
[null,null,null,1,"City of London",{"$f":"7565142/(7565142+1447005)","v":0.83943837134480825}]
[null,null,null,2,"County of Middlesex",{"$f":"1-F11","v":0.16056162865519175}]
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[null,null,null,35]
[null,null,null,36]
[null,null,null,37]
[null,null,null,38]
[null,null,null,39]
[null,null,null,40]
[null,null,null,41]
[null,null,null,42]
[null,null,null,43]
[null,null,null,44]
[null,null,null,45]
[null,null,null,46]
[null,null,null,47]
[null,null,null,48]
[null,null,null,49]
[null,null,null,50]
[null,null,null,51]
[null,null,null,52]
[null,null,null,53]
[null,null,null,54]
[null,null,null,55]
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[null,null,null,57]
[null,null,null,58]
[null,null,null,59]
[null,null,null,60]
[null,null,null,61]
[null,null,null,62]
[null,null,null,63]
[null,null,null,64]
[null,null,null,65]
[null,null,null,66]
[null,null,null,67]
[null,null,null,68]
[null,null,null,69]
[null,null,null,70]
[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
[null,null,null,74]
[null,null,null,75]
[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
[null,null,null,79]
[null,null,null,80]
[null,null,null,81]
[null,null,null,82]
[null,null,null,83]
[null,null,null,84]
[null,null,null,85]
[null,null,null,86]
[null,null,null,87]
[null,null,null,88]
[null,null,null,89]
[null,null,null,90]
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[null,null,null,97]
[null,null,null,98]
[null,null,null,99]
[null,null,null,100]
[null,null,null,null,"Total: (Must be 100.00%)",{"$f":"SUM(F11:F110)","v":1}]

{"sheet":"Certification","index":22,"n_rows":10,"n_cols":10,"rows_kept":10,"cut":false,"hidden":false,"merged":[[6,7,6,8],[7,7,7,8],[9,3,9,10],[4,3,4,6],[5,3,5,6],[6,3,6,6],[7,3,7,6],[8,3,8,10],[4,9,4,10],[5,9,5,10],[6,9,6,10],[7,9,7,10],[4,7,4,8],[5,7,5,8]]}
[null,null,null,{"$f":"Cover!E4","v":"2024 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null,1]
[null,null,null,"Certification"]
[null,null,null,"Position",null,null,null,"Name",null,"Date Approved"]
[null,null,null,"Board of Health Chair",null,null,null,"Matthew Newton-Reid",null,"2024-04-18"]
[null,null,null,"Medical Officer of Health / Chief Executive Officer",null,null,null,"Emily Williams",null,"2024-04-02"]
[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,"David Jansseune",null,"2024-04-02"]
[]
[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."]