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{"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"]
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["Board of Health"]
["the District of Algoma Health Unit"]
["the Chatham-Kent Health Unit"]
["the Durham Region Health Department"]
["the Eastern Ontario Health Unit"]
["the Grand Erie Health Unit"]
["the Grey Bruce Health Unit"]
["the Haliburton, Kawartha, Northumberland, and Peterborough Health Unit"]
["the Halton Region Health Department"]
["the City of Hamilton, Public Health Services"]
["the Huron Perth Health Unit"]
["the Lambton Health Unit"]
["the Middlesex-London Health Unit"]
["the Niagara Region Public Health Department"]
["the North Bay Parry Sound District Health Unit"]
["the Northeastern Health Unit"]
["the Northwestern Health Unit"]
["Ottawa Public Health"]
["the Oxford Elgin St. Thomas Health Unit"]
["Peel Public Health"]
["the Renfrew County & District Health Unit"]
["the Simcoe Muskoka District Health Unit"]
["the South East Health Unit"]
["the Sudbury and District Health Unit"]
["the Thunder Bay District 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"]
[]
[]
[]
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[]
["One-Time Request Categories"]
["Capital"]
["Public Health Inspector Practicum Program"]
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[]
[]
[]
[]
[]
["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":192,"n_cols":4,"rows_kept":192,"cut":false,"hidden":false,"merged":[]}
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[null,null,null,"How to Use the Annual Service Plan Template"]
[null,null,null,"The following content is intended to provide assistance to boards of health in completing the 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 One-Time Requests (max. of 5 requests)."]
[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"]

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[null,null,null,"Ministry of Health"]
[null,null,null,null,"2025 Annual Service Plan and Budget Submission"]
[null,null,null,null,"Board of Health for:"]
[null,null,null,null,"the Middlesex-London Health Unit"]
[]
[null,null,null,null,"Version 1.0"]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Please note that a review of the Ontario Public Health Standards (OPHS) is currently underway as part of the Strengthening Public Health strategy announced in August 2023.  The revised OPHS and incorporated documents will be released to the sector by August 2025, with an effective date of January 2, 2026. For the purposes of completing the 2025 Annual Service Plan, boards of health are to complete the 2025 template based on the current OPHS and incorporated protocols and guidelines, which remain in effect."]
[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 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 2025 Annual Service Plan is extended to Monday, March 31, 2025.\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 2025 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, immunization 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: management of clinics, including the Universal Influenza Immunization Program (UIIP); and Panorama data entry and support for local vaccine administrators  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 Prevention Programs."]
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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 immunization products ; promoting appropriate  inventory management ((a) prevention, management, and reporting of cold chain incidences, (b) prevention, management, and reporting of wastage); and, ensuring that the storage and distribution of provincially funded immunization products 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 immunization products; and, activities related to the storage, handling and distribution of immunization products."]
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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."]
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[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.  "]
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[]
[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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[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. It is also important to note that some public health programs may be delivered under multiple Standards; therefore, boards of health are required to allocate these programs across all applicable Standards, as applicable.\n"]
[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 2025, 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. \n\nFunding received at 100% for the MOH/AMOH Compensation Initiative should not be included in the Annual Service Plan. Boards of health should only reflect the cost-shared base salaries and benefits budgeted for their MOH and AMOH positions, excluding any \"top-up\" or ministry funded stipends under this Initiative.\n\n"]
[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 budgeted full-time equivalents (FTEs) and total budget for those FTEs for each position title under each Standard in the light blue cells, as well as the percentage of bi-lingual FTEs for each Standard and Program. 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 budgeted FTEs and budget to each program listed under that Program Standard. Cells will be yellow until all FTEs and budgets have been allocated. Data inputted in this worksheet will pre-populate salaries and wages in the Allocation of Expenditures worksheet. Boards of health are also required to allocate a budget for each Foundational Standard. \n\nNew for 2025, boards of health are required to input the total headcount per position title. A row has been added at the end of the Staff Allocation to Programs worksheet for total headcount per position to be included as at January 1, 2025. For the purposes of the Annual Service Plan, headcount refers to total people actually employed in each position, which may differ from total budgeted FTEs for the full budget year."]
[null,null,null,"Medical Officer of Health & Administrative Staff: Boards of health are required to input the total budgeted FTEs and total budget for the Medical Officer of Health (MOH) position and each administrative position in this separate worksheet, as well as the percentage of bi-lingual FTEs that make up the total FTEs for each position category. 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, and new for 2025, boards of health are required to input the total headcount per position title. A column has been added to the MOH & Administrative Staff worksheet for total headcount per position to be included as at January 1, 2025.\n\n"]
[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\nFor budget and planning purposes, the Ministry Planned Allocation amounts in the budget summary reflect the planned base funding increase for 2025, specifically the additional 1% growth for 2025 for mandatory programs (which will be subject to government approval).  \n\nFor the purposes of the Annual Service Plan, the provincial share for mandatory programs is being calculated at 75% of the Board of Health approved budget (at 100%) and the variance is calculated between the provincial share and the Planned Ministry Allocation. New for 2025, boards of health are required to provide a description of any variance for all base funding by funding source (i.e., changes in programs, increased staffing costs, etc.) and mitigation plans to address these variances, where applicable. \n\nMerged public health units effective January 1, 2025 will provide updated budgets related to out-year merger costs as part of a separate process. Where applicable, merger costs submitted through these separate processes must align with financial reports (i.e., in-year reporting) submitted throughout 2025-26.\n\nOne-Time Funding Requests\nAny requests for one-time funding must be identified in the one-time funding requests worksheet of the 2025 Annual Service Plan. Prior to completing the one-time request worksheet, boards of health must input the total number of one-time requests in the Annual Service Plan Structure worksheet (maximum of 5 requests) and include the category/type of project and title for each request. This information will then pre-populate the One-Time Requests worksheet. A Summary worksheet automatically populates total one-time funding requested. One-Time Requests are limited to the following categories:\n\nUrgent/Critical One-Time Capital - The ministry will consider one-time funding requests for urgent/critical capital and infrastructure renewal projects to support the delivery of critical public health programs and services. The projects must meet the following criteria: be a very urgent (i.e., health and safety risk) and minor infrastructure renewal project that can be completed by March 31, 2026; is not part of an existing approved project that is funded by the ministry (i.e., merger transition and stabilization funding); is a Tangible Asset or Capital Leased Asset that will have a useful life extending beyond one year and is intended to be used on a continual basis; extends the useful life of the Asset or improves the facility’s quality or functionality; is capitalizable; costs between $5,000 and $1.1M, inclusive; does not require an increase to the operating budget; and, the board of health is not planning to move to a new site over the next 24 months. New for 2025, The ministry will consider one-time funding requests to support the purchase and installation of new purpose-built immunization product refrigerators as part of the Urgent/Critical One-Time Capital category. The one-time funding request should include costs for peripheral devices (e.g., temperature monitoring and recording device, voltage safeguard, alarm), freight, refrigerator setup, warranty and applicable taxes. Please ensure that the request includes: a rationale as to why a new purpose-built immunization product refrigerator is required (e.g., refrigerator failure or imminent likelihood of failure, new sub-office, refrigerator capacity, currently using non purpose-built refrigerators, etc.); the size of the refrigerator(s) (in cubic feet); and, the number of refrigerators required."]
[null,null,null,"Public Health Inspector Practicum Program - The ministry will consider one-time funding requests to support one (1) or more public health inspector practicum position(s). One-time funding requests should include costs for student salaries, wages and benefits, transportation expenses associated with the practicum position, equipment, and educational expenses. Please ensure that the request for one-time funding includes: the ability of the hosting board of health to comply with the requirements of the Canadian Institute of Public Health Inspectors (CIPHI) Board of Certification (BOC) for field training for a 12-week period and, the availability of a qualified supervisor/mentor to oversee the practicum student’s term.\n\nThe ministry may consider one-time funding for critical projects or initiatives outside of the categories listed above on a case by case basis, and dependent on the availability of funding as communicated by the ministry. \n"]
[]
[null,null,null,"Board of Health Membership \nBoards of health are required to provide details on board of health membership on this worksheet. Boards of health must enter the total number of board of health members in the Annual Service Plan Structure worksheet, which will provide sufficient space to complete details for each member."]
[null,null,null,"Apportionment of Board of Health Costs\nBoards of health are required to provide information on how their costs are apportioned to obligated municipalities, totalling 100%. \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":2770,"n_cols":7,"rows_kept":2770,"cut":false,"hidden":false,"merged":[[4,3,4,6]]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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",12]
[null,null,null,"P 1) ","Menu Labelling","# Interventions",1]
[null,null,null,"i 1)","Menu Labelling Investigations (Investigations)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","Child Care Centre Fluoride Varnish Services (Clinical Service Delivery)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","Ontario Seniors Dental Care Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","Tanning Bed Investigations (Investigations)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Physical Activity and Sedentary Behaviour","# Interventions",2]
[null,null,null,"i 1)","Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Food Systems and Nutrition","# Interventions",4]
[null,null,null,"i 1)","Food Systems and Nutrition Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 2)","Harvest Bucks Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)","Food Systems and Nutrition Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 4)","Nutritious Food Basket Surveillance (Surveillance)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","General Mental Health Promotion","# Interventions",2]
[null,null,null,"i 1)","Early Childhood Development Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 2)","Early Childhood Development Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Perinatal Mental Health Promotion","# Interventions",4]
[null,null,null,"i 1)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 2)","Healthy Growth and Development Phone Support (Education and Skill Building)"]
[null,null,null,"i 3)","NFP Clinical Services (Clinical Services Delivery)"]
[null,null,null,"i 4)","HBHC Clinical Services (Clinical Services Delivery)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Poverty Reduction","# Interventions",1]
[null,null,null,"i 1)","Poverty Reduction (Healthy Public Policy Development)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Housing and Homelessness","# Interventions",1]
[null,null,null,"i 1)","City of London Health and Homelessness Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Anti-Racism and Anti-Oppression","# Interventions",1]
[null,null,null,"i 1)","City of London Anti-Racism Mobilization (Community and Partner Mobilization) "]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Health System Reorientation","# Interventions",2]
[null,null,null,"i 1)","Health System Reorientation Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","MLOHT Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Food Safety",null,"# Programs",1]
[null,null,null,"P 1) ","Food Safety Program","# Interventions",8]
[null,null,null,"i 1)","Food Safety Inspections (Inspections)"]
[null,null,null,"i 2)","Food Safety Investigations (Investigations)"]
[null,null,null,"i 3)","Institutional Food Safety Inspections (Inspections)"]
[null,null,null,"i 4)","Institutional Food Safety Investigations (Investigations)"]
[null,null,null,"i 5)","Middlesex County Food Safety Inspections (Inspections)"]
[null,null,null,"i 6)","Middlesex County Food Safety Investigations (Investigations)"]
[null,null,null,"i 7)","Food Safety Education (Education and Skill Building)"]
[null,null,null,"i 8)","Enteric Disease Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 2) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Healthy Environments",null,"# Programs",3]
[null,null,null,"P 1) ","Health Hazards Program","# Interventions",4]
[null,null,null,"i 1)","Health Hazard Investigations (Investigations)"]
[null,null,null,"i 2)","Middlesex County Health Hazard Investigations (Inspections)"]
[null,null,null,"i 3)","Health Hazard Inspections (Inspections)"]
[null,null,null,"i 4)","Middlesex County Health Hazard Inspections (Inspections)"]
[null,null,null,"i 5)"]
[null,null,null,"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",2]
[null,null,null,"i 1)","Healthy Environments and Climate Change Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 2)","Healthy Environments and Climate Change Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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 the Built Environment","# Interventions",2]
[null,null,null,"i 1)","Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 2)","Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 4) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 5) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 6) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 7) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 8) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 9) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P10) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P12) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P13) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P14) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P15) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P16) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P17) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P18) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P19) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P20) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"Healthy Growth and Development",null,"# Programs",4]
[null,null,null,"P 1) ","Early Childhood Development","# Interventions",6]
[null,null,null,"i 1)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 4)","Healthy Growth and Development Phone Support (Education and Skill Building)"]
[null,null,null,"i 5)","Early Childhood Development Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 6)","Early Childhood Development Mobilization (Community and Partner Mobilization)"]
[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 Pregnancies","# Interventions",4]
[null,null,null,"i 1)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 4)","Online Health Education (Education and Skill Building)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Healthy Sexuality","# Interventions",3]
[null,null,null,"i 1)","Family Planning Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","Sexual Health Outreach Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","Contraception Inventory Management (Health Resource Inventory Management)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Infant Nutrition","# Interventions",4]
[null,null,null,"i 1)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 4)","Healthy Growth and Development Phone Support (Education and Skill Building)"]
[null,null,null,"i 5)"]
[null,null,null,"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,"Immunization",null,"# Programs",5]
[null,null,null,"P 1) ","Community Based Immunization Outreach (excluding vaccine administration)","# Interventions",1]
[null,null,null,"i 1)","Community Immunization Social Marketing (Social Marketing)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","COVID-19 Vaccine Clinical Services (Clinical Services Delivery)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",2]
[null,null,null,"i 1)","VPD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 2)","AEFI Investigations (Investigations)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",2]
[null,null,null,"i 1)","Priority Population and Outbreak Vaccine Administration (Clinical Services Delivery)"]
[null,null,null,"i 2)","School-aged Children Vaccine Administration (Clinical Services Delivery)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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)","Vaccine Inventory Management (Health Resource Inventory Management)"]
[null,null,null,"i 2)","Vaccine Management Inspections (Inspections)"]
[null,null,null,"i 3)","Vaccine Management Investigations (Investigations)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",5]
[null,null,null,"i 1)","VBD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 2)","VBD Education (Education and Skill Building)"]
[null,null,null,"i 3)","VBD Investigations (Investigations)"]
[null,null,null,"i 4)","VBD Surveillance (Surveillance)"]
[null,null,null,"i 5)","VBD Vector Control (Vector Control) "]
[null,null,null,"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) ","Infectious Disease Control","# Interventions",9]
[null,null,null,"i 1)","Community Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 2)","Institutional Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 3)","Community IPAC Education (Education and Skill Building)"]
[null,null,null,"i 4)","Institutional IPAC Education (Education and Skill Building)"]
[null,null,null,"i 5)","IAW Inspections (Inspections)"]
[null,null,null,"i 6)","IPAC Inspections (Inspections)"]
[null,null,null,"i 7)","IPAC Investigations (Investigations)"]
[null,null,null,"i 8)","TB Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 9)","TB Medication Inventory (Health Resource Inventory Management)"]
[null,null,null,"i10)"]
[null,null,null,"P 3) ","Rabies and Zoonotic Disease","# Interventions",3]
[null,null,null,"i 1)","Rabies and Zoonotic Disease Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 2)","Rabies and Zoonotic Disease Investigations (Investigations)"]
[null,null,null,"i 3)","Rabies Inventory Management (Health Resource Inventory Management)   "]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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 Diseases","# Interventions",6]
[null,null,null,"i 1)","STBBD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"]
[null,null,null,"i 2)","STBBD Medication Inventory Management (Health Resource Inventory Management)"]
[null,null,null,"i 3)","PHN Led STI Clinic (Clinical Services Delivery)"]
[null,null,null,"i 4)","Physician Led STI Clinic (Clinical Services Delivery)"]
[null,null,null,"i 5)","Sexual Health Outreach Clinical Services (Clinical Services Delivery)"]
[null,null,null,"i 6)","STBBD Social Marketing (Social Marketing)"]
[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,"Safe Water",null,"# Programs",2]
[null,null,null,"P 1) ","Drinking Water Program","# Interventions",4]
[null,null,null,"i 1)","Drinking Water Investigations (Investigations)"]
[null,null,null,"i 2)","Drinking Water Inspections (Inspections)"]
[null,null,null,"i 3)","Well Testing Surveillance (Surveillance)"]
[null,null,null,"i 4)","Fluoride Surveillance (Surveillance)"]
[null,null,null,"i 5)"]
[null,null,null,"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) ","Recreational Water Program","# Interventions",2]
[null,null,null,"i 1)","Recreational Water Inspections (Inspections)"]
[null,null,null,"i 2)","Recreational Water Investigations (Investigations)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","Healthy Smiles Ontario Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",1]
[null,null,null,"i 1)","Oral Health Assessment Surveillance (Surveillance)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",2]
[null,null,null,"i 1)","ISPA Investigations (Investigations)"]
[null,null,null,"i 2)","Immunization Record Surveillance (Surveillance)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",3]
[null,null,null,"i 1)","School Health Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","School Health Education and Skill Building (Education and Skill Building)"]
[null,null,null,"i 3)","School Health Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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,"Substance Use and Injury Prevention",null,"# Programs",10]
[null,null,null,"P 1) ","Alcohol","# Interventions",5]
[null,null,null,"i 1)","Alcohol Social Marketing (Social Marketing)"]
[null,null,null,"i 2)","Alcohol Municipal Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)","Alcohol Regional Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 4)","Alcohol Municipal Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 5)","Alcohol Regional / Provincial Policy Development (Healthy Public Policy Development)"]
[null,null,null,"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",2]
[null,null,null,"i 1)","Cannabis Municipal Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","Cannabis Investigations (Investigations)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 3) ","Other Drugs","# Interventions",2]
[null,null,null,"i 1)","Other Drugs Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","Opioids and Other Drugs Monitoring Surveillance (Surveillance)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",8]
[null,null,null,"i 1)","Opioids Social Marketing (Social Marketing)"]
[null,null,null,"i 2)","Opioids Municipal Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)","Opioids Regional Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 4)","Naloxone Inventory Management (Health Resource Inventory Management)"]
[null,null,null,"i 5)","Opioids Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 6)","Opioids and Other Drugs Monitoring Surveillance (Surveillance)"]
[null,null,null,"i 7)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 8)","NFP Clinical Services (Clinical Service Delivery)"]
[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",1]
[null,null,null,"i 1)","Needle Syringe Inventory Management (Health Resource Inventory Management)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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)","Tobacco and Vapour Product Social Marketing (Social Marketing)"]
[null,null,null,"i 2)","Tobacco and Vapour Product Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)","Nicotine and Tobacco Cessation Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 4)","Tobacco and Vapour Education and Skill Building (Education and Skill Building)"]
[null,null,null,"i 5)","Tobacco and Vapour Product Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 6)","Tobacco and Vapour Product Inspections (Inspections)"]
[null,null,null,"i 7)","Tobacco and Vapour Product Investigations (Investigations)"]
[null,null,null,"i 8)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 9)","NFP Clinical Services (Clinical Service Delivery)"]
[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",2]
[null,null,null,"i 1)","Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 2)","Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"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",5]
[null,null,null,"i 1)","Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 2)","Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 3)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 4)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 5)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P 9) ","Violence Prevention","# Interventions",3]
[null,null,null,"i 1)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
[null,null,null,"i 6)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P10) ","Intimate Partner Violence Prevention","# Interventions",6]
[null,null,null,"i 1)","NFP Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 2)","iHEAL Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 3)","HBHC Clinical Services (Clinical Service Delivery)"]
[null,null,null,"i 4)","Smart Start for Babies (Education and Skill Building)"]
[null,null,null,"i 5)","IPV Prevention Mobilization (Community and Partner Mobilization)"]
[null,null,null,"i 6)","IPV Prevention Policy Development (Healthy Public Policy Development)"]
[null,null,null,"i 7)"]
[null,null,null,"i 8)"]
[null,null,null,"i 9)"]
[null,null,null,"i10)"]
[null,null,null,"i11)"]
[null,null,null,"i12)"]
[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"P11) ",null,"# Interventions"]
[null,null,null,"i 1)"]
[null,null,null,"i 2)"]
[null,null,null,"i 3)"]
[null,null,null,"i 4)"]
[null,null,null,"i 5)"]
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[null,null,null,"i15)"]
[null,null,null,"P12) ",null,"# Interventions"]
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[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)"]
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[null,null,null,"i15)"]
[null,null,null,"P14) ",null,"# Interventions"]
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[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)"]
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[null,null,null,"P15) ",null,"# Interventions"]
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[null,null,null,"i13)"]
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[null,null,null,"P16) ",null,"# Interventions"]
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[null,null,null,"P17) ",null,"# Interventions"]
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[null,null,null,"i12)"]
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[null,null,null,"i14)"]
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[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)"]
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[null,null,null,"P19) ",null,"# Interventions"]
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[null,null,null,"i13)"]
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[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)"]
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[null,null,null,"i13)"]
[null,null,null,"i14)"]
[null,null,null,"i15)"]
[null,null,null,"One-Time Funding Requests",null,"# Requests",2]
[null,null,null,"O1 Type","Capital"]
[null,null,null,"O1 Title","Vaccine Fridge"]
[null,null,null,"O2 Type","Public Health Inspector Practicum Program"]
[null,null,null,"O2 Title","Public Health Inspector Practicum Program"]
[null,null,null,"O3 Type"]
[null,null,null,"O3 Title"]
[null,null,null,"O4 Type"]
[null,null,null,"O4 Title"]
[null,null,null,"O5 Type"]
[null,null,null,"O5 Title"]
[null,null,null,"Board of Health Membership",null,"# Members",9]
[null,null,null,"Apportionment of Board of Health Costs",null,"# Municipalities",2]

{"sheet":"Community Assessment","index":5,"n_rows":13,"n_cols":4,"rows_kept":13,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Over the past two years, the Middlesex-London Health Unit has made the revitalization of the Community Health Status Resource (CHSR) a key priority, and this focus will continue throughout 2025. Originally a publicly accessible website designed to share information about the health and well-being of Middlesex-London residents, the Community Health Status Resource has evolved. Its current emphasis is on developing dynamic dashboards that cover a range of health topics, providing a more interactive and comprehensive way to monitor the changing health needs of our population.\n\nIn November 2024, the Community Health Status Resource introduced its first dynamic dashboard on substance use, which is now available on the Middlesex-London Health Unit website. It is planned that a further 15 Community Health Status Resource dashboards will be refined and posted throughout 2025, with their release prioritized based on the needs of the population and feedback from both internal and external partners. \n\nThe Community Health Status Resource provides a comprehensive overview of the population health landscape in the Middlesex-London region, synthesizing data from a wide array of sources. In addition to census-based demographic data, the resource incorporates findings from the Our Health Counts London survey conducted by the Southwest Ontario Aboriginal Health Access Centre, along with routinely available public health data, including IntelliHealth, Better Outcomes Registry and Network, Cognos Report Net, Panorama Enhanced Analytical Reporting, and Canadian Community Health Survey. This information is used to track temporal health changes and assess local health indicators to better understand local population health needs and priorities.\n\nAs the Community Health Status Resource continues to evolve, we remain committed to expanding equity-related analyses, ensuring that data is incorporated to better serve the diverse needs of our community. Social determinants of health data, such as income, education, employment status, and urban/rural classification, are considered when applicable, aiding in identifying potential priority groups within the population. \n\nThe 2021 Census showed 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 10%, surpassing the growth rate of Ontario as a whole (5.8%). Statistics Canada has released updated population projections, highlighting the continued rapid growth of Middlesex-London since 2021. As of July 1st, 2024, the projected population for the region in 2024 is 579,471, encompassing all ages and genders. In 2023, there were 4,944 births in Middlesex-London, an increase of 223 births compared to five years earlier (2018, n=4,721), and an increase of 68 from two years prior (2021, n=4,876). 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%). 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 2024, Middlesex-London launched a comprehensive Respiratory Surveillance Report, designed to track key indicators of respiratory illness in the community. This tool monitors various factors such as new outbreaks in healthcare facilities, emergency department visits due to influenza-like illness, new hospitalizations, and the percentage of positive tests for COVID-19 and influenza. During the 2023-2024 season, COVID-19 remained the predominant cause of laboratory-confirmed respiratory illness cases and outbreaks in Middlesex-London and across the province. However, there was concurrent circulation of respiratory pathogens, such as influenza, that were more commonly seen before the pandemic. COVID-19 outbreaks continued to be identified throughout the season, extending into August 2024.\n\n"]
[null,null,null,"In 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 from 2017-2023, 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. The Middlesex-London Health Unit has completed the expansion of its dental operatories at the Citi Plaza location. The construction of the additional operatories enable MLHU to provide an increased number of appointment for clients through the Ontario Seniors Dental Care Program (OSDCP), thus reducing to almost eliminating the waitlist. Funded by the Ontario Ministry of Health, this project enhances MLHU services and better meets the needs of the local community.\n\nIn addition to analyzing publicly available health data, the MLHU leverages information regularly entered into Ministry-mandated systems [e.g. 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) is an important means of assessing population health needs and priorities related to infectious diseases. In 2024, routine surveillance helped detect, and was integral to responding to, emerging community clusters of chickenpox disease among post-secondary students and a community outbreak of Legionnaire’s disease. While not associated with outbreaks, active tuberculosis, invasive group A streptococcus and syphilis (including congenital syphilis) are all important priorities for follow up of DOPHS. 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\nRoutine monitoring of immunization rates among school-aged children revealed a significant gap in coverage that emerged during the COVID-19 pandemic. This global decline in immunization coverage has led to a resurgence of vaccine-preventable diseases such as chickenpox, pertussis, and measles. Enforcement of the Immunization of School Pupils Act (ISPA) is essential to improving immunization rates and protecting the community. In the summer of 2022, 41,000 students in Middlesex-London were identified as overdue for at least one vaccination. Since then, the Vaccine Preventable Disease (VPD) team at the Health Unit has successfully re-screened students across all school boards. By the 2023-24 school year, the number of overdue students had dropped to 17,500, demonstrating the effectiveness of the strategies implemented. Preliminary data shows that ongoing efforts by the VPD team have positively impacted vaccine coverage. From the 2022-23 to the 2023-24 school year, compliance and coverage estimates increased for all but one vaccine-preventable disease in the 7- to 17-year-old cohort. The exception was poliomyelitis, which saw a slight decrease due to the Ministry of Health's update that invalidated all doses of oral polio vaccine (OPV) administered after April 1, 2016. For all other diseases, vaccine coverage and compliance now meet or exceed pre-pandemic levels. For both DOPHS and routine immunizations, the Health Unit remains committed to using data from Ministry-mandated systems to monitor progress in addressing community health risks.\n\nAn organizational priority is the expansion and standardization of social determinants of health (SDOH) data collection from Health Unit clients, in alignment with the Middlesex-London Health Unit’s strategic Taking Action for Reconciliation Plan and Anti-Black Racism Plan. In response to identified community needs, a project was launched in the summer of 2023, involving four early adopter teams initially focused on gathering data related to Indigenous identity and racial identity. Future plans include expanding the data collection if capacity allows, and linking SDOH data collected by early adopter teams to health outcome data. Between January 1 and September 30, 2024, 99% (n=2605) of clients asked to participate in SDOH data collection within the pilot teams agreed to provide information. The ongoing collection and analysis of this data will help us identify any disparities in health outcomes among clients who identify as Indigenous and/or racialized. By collecting and analyzing SDOH data from local clients, the Health Unit will be better equipped to assess, report, and adjust its interventions and service delivery to meet the evolving needs of the community and contribute to the broader population health assessment.\n\n"]
[null,null,null,"B. Priority Populations\nProvide a high-level description of the priority populations (including Indigenous, Francophone, and Black populations, as appropriate) within your community. Provide a list of the Indigenous, Francophone and Black  population communities and organizations that your board of health currently engages with or has been working to establish collaborative relationships with."]
[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%, reaching nearly 18,000.\n\nRecent immigrants constitute another local priority population, with 4.1% of the Middlesex-London population having immigrated in the preceding five years (2016-2021), reflecting a notable 2.6% 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 2015-2023, 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 13.8% of the Middlesex-London population living below the low-income measure, after tax (LIM-AT) in 2021. Local unemployment rates have increased by 1.8% since the previous year (January 2023, 4.9%) compared to 6.7% in November 2024. Persistent monitoring of the personal and household impact of increased unemployment remains a priority.\n"]
[null,null,null,"Homelessness has emerged as a local priority, with a 2018 survey reporting 408 individuals experiencing homelessness in London; anecdotally, that number has continued to increase with the latest estimates as of September 30, 2024 reporting that 1,935 individuals are currently experiencing homelessness in London. The 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), also recognized as dating violence among adolescents, is a widespread issue with profound health implications. Women, transgender, and gender non-binary individuals are particularly vulnerable and are identified as priority populations. The Health Unit has implemented evidence-based IPV prevention strategies, targeting the socioecological risk factors that contribute to this violence through a range of tailored programs. One such initiative, iHEAL, offers personalized support to empower women in overcoming common challenges they face as they work toward safer, healthier, and more fulfilling lives.\n\niHEAL is specifically designed for women from all backgrounds who have experienced any form of violence—be it physical, emotional, sexual, or financial—by a partner or ex-partner, whether the abuse is ongoing or occurred in the past.\n\nIn Middlesex-London, 32.2% of women reported a maternal mental health concern during pregnancy. This percentage was significantly higher than Ontario and the Peer Group from 2013-2022. Additionally, in Middlesex-London, the percentage of infants with a parent or partner with a mental illness was significantly higher than Ontario from 2015-2023. The Health Unit supports pregnant women and families through various partnerships and programs aimed at improving mental health, addressing these challenges, and providing essential care for both mothers and their infants.\n"]
[null,null,null,"C. Unique Challenges and Risks\nDescribe any unique challenges, issues, and/or risks faced by your community in your catchment area and its impacts on programming and service delivery decisions."]
[null,null,null,"The 2021 Census revealed that between 2016 and 2021, the Middlesex-London region experienced a significant 9.9% population increase, outpacing the 5.8% growth observed across Ontario. This growth was seen across both urban and rural areas, with the City of London becoming Canada’s 15th largest municipality, and Lucan Biddulph emerging as one of the fastest-growing municipalities in the country. \n\nThe Middlesex-London region observed an approximately 8% increase in its racialized population from 2016 to 2021. These demographic shifts have presented challenges in meeting the diverse needs of the community, especially for equity-deserving groups such as newcomers. To address these, the Health Unit is adopting programs to be more inclusive and responsive to evolving community needs.\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. From 2017-2023, the rate of emergency department visits for opioid poisonings in the Middlesex-London region has consistently exceeded those in Ontario and Peer Group. Although rates have shown signs of decline in both 2022 and 2023, the burden of illness associated with the opioid crisis remains significant in Middlesex-London, requiring an ongoing comprehensive community approach along the four pillars of prevention, treatment, harm reduction, and enforcement. \n\nIn 2022, the rates of methamphetamine toxicity deaths have approximately tripled in Middlesex-London compared to 2019, underscoring the urgent need for comprehensive services provided by the Health Unit in collaboration with community partners for other substances, beyond opioids."]
[null,null,null,"In July 2024, the Health Unit declared an outbreak of Legionnaires' Disease, with 30 confirmed cases. All 30 individuals required hospitalization, with nine being admitted to the Intensive Care Unit (ICU), and two fatalities occurred. Despite extensive environmental sampling of 18 cooling tower sites, no direct source of the outbreak was identified. The outbreak was declared over by early October 2024, and the Health Unit's response efforts were crucial in tracking cases, managing hospitalizations and attempting to identify the environmental source. This outbreak response highlights the unpredictability of emerging infectious disease outbreaks, as well as the intensity of response required when they do emerge, and the inherent challenges they may present.\n\nFrom 2015-2023, the rate of emergency department visits and hospitalizations for injuries due to intentional self-harm was significantly higher in Middlesex-London compared to Ontario and the Peer Group.  Additionally, Middlesex-London is witnessing a concurrent surge in homelessness, linked in part 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, substance use, 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."]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 work is incorporated into assessment, planning, and prioritization processes in several ways. In 2025, in addition to routine surveillance activities, a key priority will be to continue to revitalize the MLHU Community Health Status Resource (CHSR). This online resource synthesizes data from a variety of available sources into dynamic data dashboards covering a range of public health topics and providing information to better understand the health needs and priorities of the community. As a publicly accessible resource, it provides data for planning and prioritization activities of internal teams and initiatives, as well as those of community members and community partner organizations.\n\nWhile population health assessment and surveillance data are provided whenever required to inform internal planning and decision making, one of the planned ways population health assessment work will be incorporated into organizational planning and prioritization in 2025 is through MLHU Coordination Committees. These are interdisciplinary groups that will prioritize and plan work for programs that are delivered by several teams offering different interventions. The initial phase of each Coordinating Committee is to review the available population health data, from the Community Health Status Resource and other sources, to better understand local health needs and priorities, including priority populations. Additionally, this process will identify data and analytical gaps that may need to be addressed in the longer term, to enhance the utility of population health assessments for planning purposes. In 2025, MLHU will convene Coordinating Committees for Healthy Environments, Infectious Disease Control, School Health, and Substance Use programs. \n\nSpecific to social determinants of health (SDOH), data such as income, education, employment status, and rural/urban residence are incorporated into analyses where available within the data source, such as surveys like the Canadian Community Health Survey (CCHS), acute care administrative data like the Discharge Abstract Database (DAD), and Ministry-supported surveillance systems including Better Outcomes Registry and Network (BORN). It is important to note that SDOH domains are not always available in key datasets, and if they are, they may not be consistently formatted across data holdings or have sufficient sample sizes to support release of local analyses. As such, it is not always possible to incorporate SDOH data into local population health assessment and surveillance products. \n\nOne of the ways that MLHU is starting to address the limited availability of SDOH data in available data sources is to undertake a multi-year initiative to collect and analyze Indigenous and racial identity data provided by clients. Between January 1 and September 30, 2024, 99% of clients asked to participate in this data collection by four early adopter teams agreed to provide their information. It is anticipated that similarly high participation will be achieved in 2025. Further, in 2025, MLHU will explore ways to link client SDOH data gathered by early adopter teams to other health outcome data they collect. Both the collection and analysis of Indigenous and racial identity data, as well as linking these data to team-generated health outcome data, will provide an invaluable source of information to assess and report, and modify and orient interventions to ensure they are representative of and meet the needs of local equity-deserving groups, in alignment with recommendations from MLHU’s Anti-Black Racism Plan and in support of the Taking Action for Reconciliation plan. \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,"The MLHU Population Health Assessment and Surveillance strategy includes components to strengthen relationships with municipal and health system partners in the Middlesex-London region, and to position the MLHU as a regional leader in providing population-level health information. This will continue to be an area of ongoing development for MLHU in 2025. \n\nWhen MLHU was actively responding to the COVID-19 pandemic, a new tool that emerged for providing population health information to health system partners and the general public was an online data dashboard of COVID-19 data indicators. The dashboard then transitioned to a Respiratory Illness dashboard. Refreshed each week, this tool continues to be an important means to communicate whether the region is in a high-risk period for respiratory illnesses, and to share information about influenza, respiratory syncytial virus (RSV), COVID-19, and other respiratory illnesses. This product will continue to be refreshed through 2025 and will be updated and expanded as new data becomes available, or new data needs are identified. \n\nHistorically, the primary means by which population health assessment information has been shared with the public and other health system partners has been through the Community Health Status Resource. As previously noted, this online resource synthesizes a wide range of population health data and is being redeveloped into data dashboards that help monitor and report on the health and well-being of Middlesex-London residents. In November 2024 the first updated dashboard (Substance Use) was launched. MLHU will continue the work to revitalize this resource, with a further 15 topics planned to be developed and released throughout 2025. \n\nEngagement with and building meaningful relationships with Black and Indigenous communities in the Middlesex-London are embedded in the MLHU 2023-25 Provisional Plan, and are foundational to both the MLHU Taking Action for Reconciliation plan and Anti-Black Racism Plan. As part of these commitments, MLHU’s Anti-Black Racism Plan Advisory Committee, and leadership at First Nation Health Centres in local Indigenous communities are key health system partners for MLHU. Specific to Population Health Assessment work, both these groups have provided important feedback on how to collect and report Indigenous and racial identity information gathered from clients. Further, MLHU has developed a routine surveillance report of diseases of public health significance (DOPHS) to share with each Indigenous community, and this report will continue to be refined based on feedback received. These types of engagements with Indigenous and racialized communities will continue to be developed throughout 2025, both at an organizational level and more specifically for Population Health Assessment activities. \n\nThroughout 2025, MLHU will continue to foster close working relationships with the Middlesex London Ontario Health Team (MLOHT). The MLHU is a cluster representative for the MLOHT, as well as a member of the Quality and Analytics group, and participates in the MLOHT Data Strategy Working Group, which focuses on developing common approaches to collect and report sociodemographic data of clients in the region. As part of this latter group, MLHU engages with a wide range of health system partners, including local acute care, mental health, and community agencies. \n\nMLHU also engages with health system partners through the City of London Whole of Community System Response to Health and Homelessness initiative. Providing strategic leadership and a population-level focus, MLHU is one of approximately 70 community agencies representing first responders, social services, healthcare, education, and municipal services. This collaborative will continue to work toward addressing homelessness and associated health impacts. Work is underway with researchers at Western University to develop a method to estimate the prevalence of homelessness and ultimately identify health outcomes for this cohort. The plan is for these methods to be adopted by the MLHU to provide ongoing surveillance of these measures to monitor outcomes of the initiative and health of that sub-population in the future.\n\nThroughout 2025, the Population Health Assessment program will continue to consider, and develop where feasible, new ways to engage with and provide population health information to the public, and other key health system partners.\n\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,"To support gaining access to data required for population health assessment activities, the MLHU has purchased a five-year membership (2022-2026) to the Community Data Program, as a partner in the City of London data consortium. The total cost for MLHU’s portion of the five-year subscription is $4,750, amortized over the membership period; $1,000 will be paid in 2025. By partnering with the City of London, the membership cost is substantially less than it would be if the MLHU purchased a membership individually.\n\nThe purchase of any other data sources is cost prohibitive and is not planned for 2025. Aside from the Community Data Program, data sources routinely available to local public health agencies are used for population health assessment and surveillance, including IntelliHealth, various Public Health Ontario reports and data portals, Statistics Canada, Office of the Chief Coroner, and data entered into Ministry-mandated data systems. For some programs, the MLHU is exploring whether it is possible to access other sources of data collated and housed by local community partners, e.g., results of testing drugs at Carepoint Consumption and Treatment Service.\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 monthly 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. Continuous relationship building and nurturing have led to the development of a infectious disease data-sharing MOU (in progress) between First Nation Health Centres and the MLHU. 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. The collection of this data has become a key performance indicator (KPI) for the teams currently collecting it. We have initiated work in collaboration with Indigenous and Black communities partners to develop governance structures for the use of this data. \n\n"]
[null,null,null,"b) How will local strategies to reduce health inequities be identified and implemented to support programs and service delivery among communities (including Indigenous, Francophone, and Black populations)?"]
[null,null,null,"Engagement with priority populations and cross-sector partners is our primary mechanism to understanding the impact and effectiveness of local strategies. More importantly, the development of strategies to reduce health inequities is co-created through nurturing of existing relationships  and regular engagement with the three local First Nation Health Centres, Indigenous led urban organization, 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) and communication with key contacts at Access Franco Sante London. 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.\n"]
[null,null,null,"c) What engagement plans are in place to foster, and strengthen meaningful relationships with Indigenous communities and organizations, Francophone communities, and Black populations? "]
[null,null,null,"The Health Equity and Indigenous Reconciliation Team develops and executes yearly engagement plans focused on advancing the requirements of the OPHS Health Equity Guidelines (2018). Activities within this work include formal and informal meetings with Indigenous led health organization in urban and on-reserve locations, meetings with the Anti-Black Racism Plan Advisory Committee composed of diverse members of the African, Caribbean, and Black (ACB) communities of London, and service delivery planning meeting with representatives from organization that support Francophone communities (individual Francophone community members are also represented within partner Indigenous and ACB partners). Many of these meetings are formalized through Terms of Reference. Overall, the meetings aim to foster ongoing collaborative relationships built on mutual understanding and trust. The meetings also inform MLHU about the health priorities of these communities and guide service delivery planning and development to serve them better. "]
[null,null,null,"d) How will Indigenous cultural safety training and related learning initiatives be supported?"]
[null,null,null,"The Health Equity and Reconciliation Team (HEART) supports the practical application of required training such as San’yas Anti-Racism Indigenous Cultural Safety Training among several other mandatory training which advance staff knowledge related to anti-racism, Indigenous cultural safety, health equity, diversity, and inclusion. One of the HEART’s primary functions is to consult and support programs and professional practice groups to apply Indigenous cultural safety and engagement principles. "]
[null,null,null,"e) 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-Chairing 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 (e.g., race-based data collection).\nNOTE: The nurse in the team is labelled a Public Health Nurse and not a “social determinants of health nurse”. There is no such role explicitly named within MLHU."]
[]
[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. \n\nAs a part of the Management Operating System (MOS) project, work is 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 will lead to a prioritization process which 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• Planning\n• Evaluation\n• Performance Measurement and Reporting\n• Support and Technical Assistance\n• Training and Capacity Building\n• Framework and Process Development\n• Planning and Evaluation Framework (PEF)\n• Management Operating System\n"]
[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.\nThe MLHU librarian provides evidence to staff and leaders by request and through a monthly newsletter. Searching, completing article requests, consultations and disseminating available trainings are some of the ways the librarian supports incorporating Research into decision making and supporting Knowledge Exchange. \n\nCommunications\nThe Corporate Communications and Client Relations Team, along with the Social Marketing and Health System Partnerships Team deliver the Communications program at MLHU. The Communications program includes such activities as: media / public relations, the development of targeted advertising, marketing and promotional campaign materials; the development and maintenance of the MLHU’s website, social media management , and electronic newsletters, live events / webinars for targeted audiences. 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 Corporate Communications and Client Relations Team maintains uniform graphic standards to promote and enhance the MLHU’s brand, profile and reputation as a public health leader. \n\nThe interventions of the Communications program include:\n•  Public and Media Relations - This intervention is led by the Corporate Communications and Client Relations Team and involves media relations, reputation management, brand building and public relations.\n•  Online Communications - This intervention is led by the Corporate Communications and Client Relations Team. Activities include the development and maintenance of content for the MLHU's website as well as creating online content and social media channels (e.g., LinkedIn, X, Facebook and Instagram).\n•  Social and Web Communications - This intervention is led by the Social Marketing and Health System Partnerships Team, and includes the development of content for the MLHU's website as well as creating online content and social media channels.\n•  Marketing and Promotion - This intervention is led by the Corporate Communications and Client Relations Teams and includes the development of strategies to support teams with the best practices in implementing marketing approaches.\n•  Graphic Standards and Services - This intervention is led by the Corporate Communications and Client Relations Team and includes the development of graphic standards and providing additional services, such as video production, copywriting, and photography to support the health unit.\n•  Healthcare Provider Outreach Communications - This intervention is led by the Social Marketing and Health System Partnerships Team and includes targeted communication to various healthcare providers through the healthcare provider outreach newsletter and webinars on many different health topics.\n•  Early Years Outreach Communications - This intervention is led by the Social Marketing and Health System Partnerships Team and includes creating and disseminating health information through an electronic newsletter on early childhood development to partners delivering services to young children (e.g., daycares and other early years service providers).\n•  School Health Outreach Communications - This intervention is led by the Social Marketing and Health System Partnerships Team and includes creating and disseminating information about the optimal health of school-aged children and youth for the public and community partnerships using multi-media approaches. Communications are targeted to the school board partners, school administrators, educators, parents, and students.\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 and community partners. 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.\n\nMLHU submitted an article to the Canadian Journal of Public Health regarding the agency shift to common interventions as the primary building block of the agency. The article was accepted, and will be published in 2025. It is anticipated that the Management Operating System (MOS) project may result in additional articles being submitted. "]
[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 the 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 2025, the SPP team will more specifically support this by continuing to identify the key performance indicators (KPIs), which will be routinely monitored and reported on both internally and externally.\n\nInterventions of the Quality and Transparency Program include: \n•  Performance Management\n•  Quality Assurance and Continuous Quality Improvement\n•  Support Service Delivery\n•  Process Development\n•  Capacity Building \n•  Client Relations Framework \n•  Incident Reporting\n"]
[]
[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 a re-vamped Continuity of Operations Plan (COOP), with ongoing updating to the Emergency Response Plan (ERP) as required, which was redeveloped and approved by the Medical Officer of Health (MOH) in 2024. Review of the updated Ministry of Health Emergency Management Guideline (2024) will continue to ensure that the MLHU emergency management program remains compliant.\n\nInternal stakeholders, such as key program managers, will be consulted on the development of all 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 ERP and associated sub-plans (e.g., COOP), given that these community partners are instrumental in coordinating emergency responses in our community. Specific focus will be given to collaborative planning efforts with partners across the health sector (e.g., Hospitals, Middlesex-London OHT, Middlesex-London Paramedic Service, etc.), including the formation and leading of the Middlesex-London Health System Emergency Management Table (MLHSEMT) to support planning activities, as emphasized by the CMOH on sustaining preparedness after COVID-19. Inaugural meetings for the MLHSEMT will occur in 2025.\n\nPrioritization has been completed to develop the sub-plans to the MLHU ERP, which are the specific plans and protocols to respond to the most likely health hazards or risks, with support from local HIRA's. Sub-plans to develop include, but are not limited to, 1) Labour Disruption Plan, 2) Infrastructure Failure Plan, and 3) Respiratory Season Plans (including Pandemic Plan and Mass Vaccination Plan).\n\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) had not been updated since prior to the COVID-19 pandemic, and there are many lessons learned from the pandemic that are informing the current iteration of the COOP. Following the update to the MLHU Emergency Response Plan (ERP) in 2024, MLHU initiated a process to re-assess the most time-critical functions and services through a series of business impact analyses (BIA's). In early 2025, the MLHU COOP was finalized, including the identification of the time-critical interventions (TCI's) across MLHU, and assignment into \"tiers\" to support prioritization for emergency response and recovery. Further, 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. \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 time-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, \"Be Well\"."]
[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. Additionally, we have an 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 utilizes 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 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 which 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 and the media, as required, to ensure a consistent response in disseminating the required information.    "]
[null,null,null,"e) Emergency management learning/practice/training opportunities you plan on delivering in order to build capacity (include the planned audience for these opportunities)."]
[null,null,null,"Providing awareness and education on the role of public health in emergency preparedness will be key to build capacity in our community. This will include providing public health emergency preparedness, response and recovery education and support to the City of London and Middlesex County. This will include collaboration on the development of materials and content for Emergency Preparedness Week in May 2025.\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 2025, 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 has developed an internal Emergency Management (EM) SharePoint site for 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 includes specific information and training for MLHU staff assigned to direct roles in an emergency response for enhanced knowledge and training opportunities (our \"Incident Management Team\" [IMT]). \n\nLastly, MLHU's Strategic Advisor - Emergency Management and other key staff (e.g., Medical Officer of Health, Public Health Inspectors, etc.) attend municipal and provincial emergency response exercises to identify alignment strategies in Emergency Response Plans and clarify our role in emergency response situations. The MLHU will also continue to offer exercises to key partners, such as Long-Term Care and Retirement Homes, on how to manage potential emergency situations during respiratory season. Plans to facilitate MLHU-internal emergency response exercises will continue to be considered as the MLHU builds capacity during the re-development of the emergency management program."]
[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 formal activities at MLHU associated with the evaluation process of an emergency response. In the process of updating emergency response plans, formal debriefs were held with partners on our COVID-19 response and used in the development of the MLHU ERP, for example. Processes and procedures will continue to 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.\n\nMLHU has also created a hot wash and corrective action plan (CAP) template to conduct more informal and high-level reviews of emergency responses or exercises, with support from PHO's guidance document. These plans are to be used typically after the management of a public health event (immediately following response), and can also be conducted even in the event of a \"near miss\" emergency event. These documents, and the CAP in particular, will be used to continuously improve and bolster emergency plans and associated procedures, as well as the hot wash and/or AAR process itself moving forward.\n"]
[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 include:\n• Continue revitalizing the Community Health Status Resource (CHSR), which provides public access to dynamic data dashboards covering a range of public health topics. This information is instrumental for monitoring and reporting on the health needs of the Middlesex-London population, and can be integrated into local planning, assessment, and prioritization processes.\n• Contribute population health assessment and surveillance data from the Community Health Status Resource and other sources to MLHU Coordination Committees. Coordination Committees are internal, interdisciplinary groups to prioritize and plan work for programs that are delivered by several teams using different interventions. In 2025, there will be Coordination Committees for the following programs: Healthy Environments; Infectious Disease Control; School Health; Substance Use.\n• Continue supporting the systematic collection and analysis of Indigenous and racial identity data from MLHU clients, and the exploration of data governance mechanisms for the use of race-based and other sociodemographic data from Indigenous, Black, and other priority population groups.\n• Contribute to the identification of health inequities and priority populations by linking sociodemographic data to health outcome data, in alignment with organizational strategic priorities.\n• Contribute technical and analytical expertise to organizational priority projects, including MLHU's Intervention Description and Indicator Development (IDID) project. In 2025, it is planned that key performance indicators for the following interventions will be developed: Investigations; Case, Contact and Outbreak Management; Health Resource Inventory Management; Healthy Public Policy Development.\n• Provide population-level data analysis and interpretation as required to inform other local planning and decision making.\n• Monitor and detect emerging health issues and priorities in the local population using a variety of available 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• Increase confidence of staff to ask questions needed to collect Indigenous and Race-based identity data.\n• Increase confidence of staff in engaging Indigenous partners in culturally humble ways through regular and consistent engagement.\n• Increase 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• Implement prioritized recommendations of the Taking Action for Reconciliation plan based on feedback gathered through engagement of First Nation partners in 2024.\n• Implement prioritized recommendations of the Anti-Black Racism Plan based on feedback gathered through engagement of African, Caribbean, and Black community members in 2024.\n• Explore data governance mechanisms for the use of Race-based and sociodemographic data with Indigenous, Black and other priority population interest-holders and partners.\n• Set the baseline understanding of anti-Black racism and reconciliation concepts for leaders through in-depth training (Black Health Education Collaborative - Black Health Primer) and in person experiential learning (training debriefs and conversations with Indigenous elder/practitioner)\n"]
[null,null,null,"Program Planning and Evaluation: Short-Term Outcomes\n• Increase MLHU staffs' awareness, knowledge and capacity to use the Planning and Evaluation Framework (PEF) tools appropriately and their ability to apply the PEF to all assessment, planning, implementation and evaluation projects.\n• Increase MLHU staffs' awareness, knowledge and capacity to monitor key performance indicators through the implementation of a routine monitoring system.\n\nResearch and Knowledge Exchange: Short-Term Outcomes\n• Transfer of research information and knowledge to MLHU staff and client health units through the delivery of literature searches, articles and books.\n• Increase MLHU staffs' awareness and skills in locating and accessing research information and knowledge through training on library resources. \n• Strengthen the relationships between the HUB Libraries and client health units.\n• Within available resources, participate in high-quality and missioned-centered research that is compliant with methodological, ethical and privacy standards.\n• Increase awareness of best practices and/or practice enhancements by providing evidence.\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 (e.g., food-borne illness outbreak, heat/cold alerts, etc.).  \n• The Corporate Communications and Client Relations Team works with staff to develop clear messaging, 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 (e.g., 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• Create and disseminate health information to targeted groups, including health care providers, early years sector professionals, and school boards and schools.\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• Develop a Continuous Quality Improvement (CQI) tool kit\n• Staff and leaders participate in current CQI processes outlined in procedures related to professional practice reviews, medication and clinical incident reporting, and audits pertaining to documentation practices and implementation of medical directives. \n• Staff and leaders are aware of how to access and complete the Performance Evaluation (PE) tool.\n• Practice policies, procedures and medical directives are reflective of evidence-informed best practices and align with professional practice standards \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• Maintain the mass notification system for internal information dissemination in the event of a emergency response.\n• Maintain and update the Emergency Response Plan and associated sub-plans (e.g., Continuity of Operations Plan).\n• Build capacity in staff and the public by providing and supporting education and awareness on public health emergency preparedness.\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,"The following internal partners are involved in carrying out programs/services under the Population Health Assessment Standard:\n• The Population Health Assessment and Surveillance (PHAS) team is responsible for the delivery of the Population Health Assessment program. The PHAS team is comprised of health data analysts, epidemiologists, and a team manager. The PHAS team provides population-level data analysis and interpretation to inform planning and decision making, as well as for routine monitoring and reporting, in collaboration with all other program standard areas that embed population health assessment and surveillance into ongoing work. The PHAS team also contributes technical, data, and analytical expertise to MLHU teams, interventions, and priority projects. The PHAS team provides population health assessment and surveillance data that helps ensure that the work of MLHU is population-oriented, equity-driven, and evidence informed.\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 leadership and staff of the Health Equity and Reconciliation team (HEART) and the Strategy, Planning, and Performance (SPP) team, to mutually advance the Foundational Standards. 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• Other key internal partners for the Population Health Assessment program include Senior Leaders (Directors, Chief Executive Officer, Associate Medical Officer of Health, Medical Officer of Health), and the leadership and staff of all internal teams, as indicated for specific reporting and initiatives.\n\nThe following external groups and partners are collaborative partners in carrying out programs/services under the Population Health Assessment standard:\n• Others with expertise in analytical approaches relevant for public health, including the Association of Public Health Epidemiologists in Ontario (APHEO), National Collaborating Centre for Methods and Tools (NCCMT), and researchers and professors at Western University, particularly those affiliated with the Schulich School of Medicine and Dentistry programs for Public Health, and Epidemiology and Biostatistics.\n• Provincial surveillance leadership, including the Ministry of Health and Public Health Ontario, through common distribution lists and working groups.\n• Provincial and federal data providers, including Better Outcomes Registry and Network (BORN), Connex Ontario, Ministry of Health - Health Data Branch, the Office of the Chief Coroner, Public Health Ontario, and Statistics Canada, through common distribution lists and key contacts.\n• Local data providers, including Regional HIV/AIDS Connection, through common distribution lists and key contacts.\n• Partners at First Nations Health Centres, through regular meetings coordinated and chaired by the Health Equity and Reconciliation team (HEART), to provide input to refine reporting of diseases of public health significance (DOPHS) relevant for each community.\n• Research partners, including Public Health Agency of Canada (PHAC) FoodNet program and the National Microbiology Laboratory (NML) wastewater division, through common distribution lists, key contacts, and working, advisory, and strategic sharing groups.\n• Other health system partners, including Ontario Health, Middlesex-London Ontario Health Team, Southwestern Ontario Stroke Network, and acute care hospitals (London Health Sciences Centre, St. Joseph’s Health Care, Middlesex Hospital Alliance) through common distribution lists, key contacts, and working groups. \n\nHealth Equity - Internal partners\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 interest-holders 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 primarily Black, racialized and Indigenous peoples with an intersectionality lens (gender, sexual orientation, ableism, ageism, socioeconomic status, migration, etc.). \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 4 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 monthly-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. These meetings also generate other sub-working groups that advance shared goals like data sharing, referral pathways, and mutual capacity building focused in Indigenous Health. \n\nHealth Equity - External Partners\n• 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, N'Amerind (London) Friendship Centre, W.E.A.N Community Centre, Type Diabeat It, The City of London, London Health Sciences Centre, St Joseph’s Health Care \n• Community partners/service providers such as 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 Intercommunity Health Centre, Ontario Health West (OH-W), Regional Black Health Network OH-W, Canadian Mental Health Association, Muslim Resource Centre, Accès Franco-Santé London, Nigerian Association of London and Area, Black Health Education Collaborative \n"]
[null,null,null,"Program 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 Corporate Communications and Client Relations Team and the Social Marketing and Health System Partnerships Team are responsible for the delivery of the Communications Program in partnership with the CEO and 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, early childhood sector partners (e.g., daycares, providers), funders, municipal partners, and Boards of Education.\n\nQuality and Transparency\n• The Chief Nursing Officer, Community Health Nursing Specialist, and the Strategy Planning and Performance (SPP) 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); Professional associations and regulatory bodies \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) Working Group.  \n• MLHU collaborates most frequently with members of the municipal Community Emergency Management Program Committees (CEMPC's). 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), conservation authorities (e.g., Thames Valley Conservation Authority, Ausable Bay Conservation Authority), and First Nation Health Centres.\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 Scolaire 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 municipal emergency response exercises/table tops, collaboration to amplify Emergency Preparedness education campaign and activity opportunities, maintain communication and support for the Emergency Response Plan development. Further, efforts to strengthen partnerships with health sector partners will be completed through initiation of the Middlesex-London Health Sector Emergency Management Table (MLHSEMT), which will include representation from indigenous partners, in 2025.\n"]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Chronic Disease Prevention and Well-Being"]
[null,null,null,"A. Community Needs and Priorities\nPlease identify which topics of consideration listed in requirement 2 of the Chronic Disease Prevention and Well-Being Standard are being prioritized by your board of health over the reporting period. Please briefly describe your rationale (i.e., key data and information including but not limited to, local conditions, comparison with provincial rates, acute elevations) to demonstrate why these topics are being prioritized."]
[null,null,null,{"$cut":{"chars":25797,"head":"Chronic diseases, such as cancers, cardiovascular diseases, chronic lower respiratory diseases and diabetes, cause about two-thirds of all deaths in Ontario (Public Health Ontario, 2019). The average annual number of deaths from 2019 to 2021 for some of the top 10 leading causes of death (e.g., cardiovascular diseases, ischaemic heart diseases, respiratory diseases, cerebrovascular diseases, falls, and diabetes) are not significantly different from the Ontario rate (Public Health Ontario, 2024a). \n\nMiddlesex London Health Unit prioritizes the prevention of chronic diseases and the enhancement of well-being through the following programs. Key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nNon-Mandatory Oral Health Programs\n• 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. \n• Oral health is important for overall health and well being, including prevention of dental concerns (e.g., cavities, gum disease) and reduced risk of systemic health concerns (e.g., heart disease). Routine dental visits are an important part of managing and preventing more serious health concerns. Yet 2022 data from the Canadian Community Health Survey (CCHS) shows that almost one in four Canadians (24%) reported avoiding going to a dental professional due to cost, with a higher proportion of West Asian (38%), Arab (34%), Latin American (34%), South Asian (29%), Black (28%), Chinese (27%) and Filipino (27%) people reporting that cost was a barrier, compared with the non-racialized, non-Indigenous population (22%).\n• While Ontario did not update comparable oral health data in 2022, we do know that in 2017/18 data from the CCHS indicates approximately one-fifth (21.4%) of Middlesex-London residents reported not visiting a dental professional for a check-up at least once in the previous 12 months (which is not different from the Ontario rate). Just over one-quarter (26.9%) of Middlesex-London residents reported not having dental insurance (which is not different from the Ontario rate). In addition, emergency department visits for oral health conditions have been higher in Middlesex-London compared to Ontario across 2017-2020.\n\nOntario Senior Dental Care Program\n• 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. Poor oral health is linked with a range of negative health outcomes in seniors including respiratory diseases (e.g., pneumonia), malnutrition, cognitive impairment, depression, and poor quality of life (F. Liu et al., 2022). \n• While the total number of seniors in Middlesex London who qualify for OSDCP is unknown, we do know that using the 2021 Census, based on low-income measure (LIM), after tax, 10,385 low-income seniors 65 years and older may be eligible in Middlesex-London for the OSDCP based on the income threshold identified by the government ($25,000/individual senior or $41,500/couple). \n• Data from the CCHS indicates that in 2017/2018, 64.8% of seniors (age 65+) reported brushing their teeth at least twice a day (which is not significantly different from the Ontario rate) and 42.1% of Middlesex-London seniors (age 65+) reported having dental insurance (which is not significantly different from the Ontario rate). \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 Program\n• The Physical Activity and Sedentary Behaviours program addresses physical activity and sedentary behaviour for communities in Middlesex London. This program is directly linked with the Active Transportation and Built Environment and School Health programs to enable safe and active transportation modes and safe environments for increasing physical activity. Research shows that sedentary behaviour is associated wi"}}]
[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 and UV exposure. 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 occurring with regards to addressing UV exposure. Work with regards to General Mental Health Promotion is generally captured by interventions occurring 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:\nInternal partners:\n• The Food Safety and Health Hazards Team delivers Menu Labelling interventions in London for facilities that have greater than 20 premises as a chain across Ontario. \n• The Safe Water, Tobacco Enforcement and Vector-Borne Disease team delivers Menu Labelling interventions in Middlesex County where there are food premises that belong to a chain with greater than 20 locations across Ontario. \n\nExternal partners:\n• The Ministry of Health (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 Healthy Menu Choices Act (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\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• Corporate Communications and Client Relations Team: The Corporate Communications and Client Relations 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 dentures at a low cost to MLHU oral health patients. \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• Education and Skills Team: The Oral Health & Clinical Support Services Team works with the Education and Skills Team to plan oral health month activities in the schools. \n• Corporate Communications and Client Relations Team: The Oral Health & Clinical Support Services Team works with the Corporate Communications and Client Relations 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 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\nTanning Beds\nInternal partners\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 investigations, 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 premises list. \n\nExternal partners\n• Tanning bed operators: Using a progressive enforcement approach, tanning bed operator education and outreach is an important component of the program.\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\nPhysical Activity and Sedentary Behaviour\nThe Physical Activity and Sedentary Behaviours program is managed by the Family and Community Health division. Program interventions and activities focus across the lifespan with a primary focus on influencing healthy behaviours and health supporting environments in school-aged through older adult populations. Related interventions are assigned to the Municipal and Community Health Promotion team. \n\nExternal partners include: City of London, Child and Youth Network/Age Friendly London Network, Middlesex Children's Services Network, London Middlesex Road Safety Committee, Active and Safe Routes to School Committee, and local school boards.\n\n"]
[null,null,null,"Food Systems and Nutrition\nThe Food Systems and Nutrition program is managed by 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. Collaboration occurs between the Municipal and Community Health Promotion and other teams delivering interventions of relevant ASP identified programs including School Health, Health Pregnancies and Infant Nutrition.\n\nFood Systems and Nutrition - External Partners include: London Food Bank, City of London (Child and Youth Network/Age Friendly London Network), Middlesex London Food Policy Council, Youth Opportunities Unlimited, Growing Chefs, Locally Driven Collaborative Project (Measuring What Matters: A Collaborative Approach to Chronic Disease Prevention Program Outcome Measurement in Ontario), local school boards, Ontario Dietitians in Public Health, Public Health Ontario, Dietitians of Canada\n\nGeneral Mental Health Promotion\nThe General Mental Health Promotion Program is managed by the Family and Community Health division. Collaboration occurs between teams delivering interventions of relevant ASP identified programs including, the Early Childhood Development, School Health, Food Systems and Nutrition, IPV Prevention and Substance Use programs. The 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., HBHC and NFPEYGP teams) and the Environmental Health, Infectious Diseases and Clinical Services Division (e.g., Oral Health and Clinical Support Services team). \n\n*This program is separate from, but works together with the Perinatal Mental Health Promotion Program, which focuses on perinatal, infant and early childhood mental health. \n\nExternal partners: as outlined in relevant ASP identified programs\n\nPerinatal Mental Health Promotion\nThe Perinatal Mental Health Promotion program is managed by the Family and Community Health division. Related interventions are assigned to the NFP and Early Years Group Programs and HBHC who collaborate to ensure consistent approaches across interventions and teams. \n\nExternal Partners include but are not limited to: Health care providers; Vanier Children's Services, Child & Parent Resource Institute (CPRI), Child Reach, Early ON Child and Family Centres, South London Community Resource Centre, Northwest London Community Resource Centre, YMCA, Youth Opportunities Unlimited, Middlesex County Libraries, Merrymount Children's Centre, CMHA Thames Valley Addiction and Mental Health Services (Heart Space), Muslim Resource Centre for Social Support and Integration, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing), Children's Aid Society of London-Middlesex\n\nPoverty Reduction - Internal Partners:\nThe Poverty Reduction program is managed through the Family and Community Health division. This program focuses on promoting and facilitating poverty reduction policies and initiatives in Middlesex London and in Ontario. Related interventions are assigned to the Municipal and Community Health Promotion team. \n\nPoverty Reduction - External Partners:\n• City of London, London Food Bank, Early ON Child and Family Centres; Neighbourhood Resource Centres; Middlesex London School Boards\n\nHousing and Homelessness - Internal Partners:\n• The Housing and Homelessness program is managed through the Family and Community Health division which leads the Social Conditions program cluster. The intervention within this program involves the Medical Officer of Health attending the Health and Homelessness Whole of Community Response.\n\nHousing and Homelessness - External Partners:\n• The Housing and Homelessness program includes the community collaboration led by the City of London called the Health and Homelessness Whole of Community Response. This cross-sector collaboration involves nearly 70 local organizations across community health, social services, healthcare, education, emergency services, business and economic development, land and housing development, as well as multiple levels of government. The Health and Homelessness Whole of Community Response aims to address the health and homelessness crisis in London through coordinated system transformation in order to support those who are marginalized and experiencing homelessness in the community with timely and direct pathways to housing. \n\nAnti-Racism and Anti-Oppression - Internal Partners:\n• The Anti-Racism and Anti-Oppression program is managed through the Public Health Foundations division through their participation in the Anti-Hate Pilot Project Steering Committee administered by the City of London.\n\nAnti-Racism and Anti-Oppression Program - External Partners:\n• The Anti-Hate Pilot Project reflects an extensive collaboration of over 50 different equity-denied communities, institutions and community partners.\n• Specifically, the Anti-Hate Pilot Project Steering Committee is comprised of 21 members from a range of sectors including education, public sector, healthcare, and French service providers, including: Huron University College, Western University, King's University College, Brescia University College, Fanshawe College, Thames Valley District School Board, London Catholic District School Board, City of London (4 representatives), London Police Services, London Transit Commission, London & Middlesex Local Immigration Partnership, London Public Library, London Health Sciences Centre, St. Joseph's Health Care London, The Centre for Research on Health Equity and Social Inclusion (Western University), Réseau en Immigration Francophone du Centre-Sud-Ouest de l’Ontario, Carrefour Communautaire Francophone de London, and Middlesex-London Health Unit.\n• In June 2023, the City of London received $500,000 in funding for the two-year Anti-Hate Pilot Project by the Ontario Ministry of Citizenship and Multiculturalism with the aim to create inclusive communities and identify, address and prevent racism, hate, discrimination and oppression within the city. \n\nHealth Systems Reorientation - Internal Partners:\n• The Health Systems Reorientation program is managed through the Family and Community Health division. \n• The Health Systems Reorientation program reflects a collaboration between the Social Marketing and Health Systems Partnership Team and the Office of the Medical Officer of Health.\n\nHealth Systems Reorientation - External Partners:\n•  Middlesex-London Ontario Health Team (MLOHT)\n•  Middlesex-London Primary Care Network\n"]
[null,null,null,{"$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 includes 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 (HMCA), 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 investigations are covered under requirement #4 of the Menu Labelling Protocol, which fall under the topic of 2) Healthy Eating Behaviours within the Chronic Disease Prevention and Well-Being Standard."]
[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. Notification from the Ministry of Health was sent on Feb 15, 2024 to indicate HMCA inspections are no longer required. Investigations are completed on a complaint basis only. "]
[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 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2025, 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)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D8 & \" \" & Structure!E8","v":"i 1) Menu Labelling Investigations (Investigations)"}]
[null,null,null,"As per the updated 2024 protocol, the MLHU has shifted to a complaint-based approach with regards to enforcement of the Healthy Menu Choices Act (HMCA). Complaints are reviewed by PHIs who are designated by the Ministry of Health and are employed at MLHU. When required,  investigations are conducted to ensure that menu labelling requirements (display of caloric information, contextual statements) are displayed in a manner that is compliant with the Healthy Menu Choices Act, 2015. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D9 & \" \" & Structure!E9","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D10 & \" \" & Structure!E10","v":"i 3) "}]
[]
[null,null,null,{"$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 Oral Health 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•  Child Care Centre Fluoride Varnish Services and screening "]
[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.  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."]
[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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the % of clients served for the Child Care Centre Fluoride Varnish Services intervention. The following key performance indicator (KPI) was established in Q3 of 2024 that will be reported on each quarter:\n• % of children at licensed childcare centres who receive a fluoride varnish application \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Non-Mandatory Oral Health Programs.\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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D19& \" \" &Structure!E19","v":"i 1) Child Care Centre Fluoride Varnish Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Non-Mandatory Oral Health Programs offers one-on-one services to clients including screening and fluoride varnish application in high-risk licensed child care centres (three times throughout the year).  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,{"$f":"Structure!D20& \" \" &Structure!E20","v":"i 2) "}]
[]
[null,null,null,{"$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 that make up the budget assumptions (i.e., number of seniors enrolled, waitlists)."]
[null,null,null,"Low-income older adults 65 years and older who have an individual income below $25,000 or household income below $41,500. \n\nAs per the Ministry of Health provided enrollment data for October 31, 2024 there were 3,378 individuals enrolled in the OSDCP in London and 371 in Middlesex County. \n\nThere is no waiting list for services at MLHU at this time. Patients calling to book a new patient exam can be seen in approximately 2 weeks at the Strathroy office, and 2 months in London. "]
[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 that make up the budget assumptions (i.e., types of services - dentures, emergency services, partnerships with community dentists and service providers), including mitigation strategies to ensure no impact to services. "]
[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•  Ontario Seniors Dental Care Clinical Services\t\n\nThe MLHU Dental Clinics provide the full scope of care for individuals with OSDCP coverage with the exception of individuals who require treatment by a specialist (complex endodontics and oral surgery). Additionally, MLHU sends individuals who require dentures to two local denturists as it was determined that was more cost effective than having the MLHU salaried dentist fabricate dentures. At this point in time most emergency appointments can be accommodated in house, however, should we be overwhelmed with emergency appointment request we also have contracts with a few general dentist who we can refer clients to  mitigate any wait times for these appointments. \n"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities), including any data or information on how the program will track utilization of the federal Canadian Dental Care Program, and describe any impacts to the delivery of the OSDCP (i.e., less uptake)."]
[null,null,null,"See Section A, Community Needs and Priorities.\n\nThe Canadian Dental Care Program (CDCP) has impacted the uptake of the OSDCP at MLHU, however, it is difficult to determine to what extent. The expansion of the dental clinic in London from 2 operatories to 4 coincided with the launch of the CDCP. At this time our waiting list was reduced in a matter of a few months from just over 700 people to approximately 150. This is because we were able to see more people with our doubled capacity, but also because we had individuals switch to the CDCP. Currently, we have a list of 111 people from our prior waiting list who have been called and offered a new patient exam. However, we have not heard back from these individuals and are assuming they are now using the CDCP. \n\nAccurate tracking of the utilization of the CDCP is not possible as there is no data sharing agreement with the federal government. Staff have track the information when interacting with clients, however, patients are not always forthcoming about their use of the CDCP. Also, patients lost to follow up could be for a variety of reasons, it cannot be assumed they are now utilizing the CDCP. Data that is collected is used to inform educated estimates for quarterly reporting to the Ministry regarding CDCP utilization. "]
[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.\n\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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the percentage of clients served for the Ontario Seniors Dental Care Clinical Services intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• % of OSDCP clients who receive preventive or treatment services out of the number of scheduled appointments\n• # of clients on waitlist\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Ontario Seniors Dental Care Program.\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 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, 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D30& \" \" &Structure!E30","v":"i 1) Ontario Seniors Dental Care Clinical Services (Clinical Service Delivery)"}]
[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. Some patients left MLHU to go to the Canadian Dental Care Program as their dentist is closer to their home. However due to the balance billing some have returned to MLHU. 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,{"$f":"Structure!D31& \" \" &Structure!E31","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D32& \" \" &Structure!E32","v":"i 3) "}]
[]
[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 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,"As stated above, this program addresses requirement 3, the enforcement of the Skin Cancer Prevention Act (Tanning Beds), 2013 in accordance with the Tanning Beds Protocol 2018. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"Interventions of the Tanning Beds Program include: \n• Tanning Bed Investigations"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"Tanning 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).\n\nExposure 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.  "]
[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,"Adolescents have been identified as a priority population because early exposure to tanning beds can increase a person's chance of developing melanoma by up to 75% (Zhang, M. et al, 2012). Among those who first used a tanning bed before age 35, the risk of melanoma increased by 59% because tanning devices emit 15X the amount of UV rays as from sun exposure (Boniol, M. et al, 2012) . Despite the enactment of tanning bed legislation, research commissioned by the Ontario Sun Safety Working Group shows that there was no reduction in adolescence tanning bed use prevalence (Reimann, J., et al, 2018); therefore, ongoing work is required at the local level to support both the promotion and enforcement of the provincial policy.\n\nTanning Bed Investigations are not modified based on the identified priority population. All complaints are followed-up.  "]
[null,null,null,"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 to develop intervention descriptions that identified short-term, intermediate and long-term outcomes. In 2025, 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.\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D41 & \" \" & Structure!E41","v":"i 1) Tanning Bed Investigations (Investigations)"}]
[null,null,null,"Tanning Bed Investigations involve responding to complaints about tanning beds. This intervention relies heavily on providing education to owners/operators/proprietors/individuals about the signage and operating requirements for tanning bed operators to gain legislative compliance, but enforcement activities may also be required. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D42 & \" \" & Structure!E42","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D43 & \" \" & Structure!E43","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D44 & \" \" & Structure!E44","v":"i 4) "}]
[]
[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) Physical Activity and Sedentary Behaviour"}]
[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• 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"]
[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,"1) Built environment; 4) Mental health promotion; 6) 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 Behaviour 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, Adult Injury Prevention, Childhood Injury Prevention and School Health programs to enable safe and active transportation modes and safe environments for increasing physical activity. \n\nInterventions include:\n• Active Transportation and Built Environment Mobilization\n• Active Transportation and Built Environment Policy Development"]
[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.\n\nThis is not a prioritized program in 2025, but rather efforts within the implementation of the Active Transportation and Built Environment program also aim to achieve outcomes related to reducing the burden of sedentary behaviour related chronic diseases."]
[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.\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, Substance Use and Injury Prevention 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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Physical Activity Mobilization intervention. The following two KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of Active and Safe Routes to School partnership meetings attended\n• # of London Middlesex Road Safety Committee meetings attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Physical Activity and Sedentary Behaviour Program.\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 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!D52 & \" \" & Structure!E52","v":"i 1) Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"}]
[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,{"$f":"Structure!D53 & \" \" & Structure!E53","v":"i 2) Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring active transportation and built environment are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, Board, and municipalities; \n• providing feedback on notice of applications, and review the master plan of the municipalities. \nWork for this intervention involves liaising closely with municipalities, neighbouring health units, and communities. The aim is bringing people and organizations together in a structured way to achieve community, population, and/or systemic changes."]
[null,null,null,{"$f":"Structure!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) 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, racialized groups (Black, South Asian), female lone-parent families, and low-income households. Across 2021-2023, approximately 1 in 5 (20.5%) households in Middlesex-London reported food insecurity which is not significantly different from the Ontario rate.\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 2025 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, racialized groups, female 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."]
[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. \n\nFollowing an ecological health promotion framework, the food systems program considers the social, economic and environmental factors that influence eating behaviours. \n\nThe Food Systems 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., Vision SoHo Alliance [an affordable housing development South of Horton (SoHO)], Harvest Bucks initiative).\n\nIntervention delivered in this program include:\n• Food Systems and Nutrition Policy Development\n• Harvest Bucks Mobilization\n• Food Systems and Nutrition Mobilization\n• Nutritious Food Basket 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 2025 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, racialized groups (Black, South Asian), lone-parent families, and low-income households.  Data and informational details informing priority populations can be found above in a5.\n"]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The Food Systems 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 Food Systems and Nutrition program is linked to 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 chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Food Systems Mobilization and Harvest Bucks Mobilization interventions. The following four KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of partnership meetings attended related to Middlesex London Food Policy Council\n• # of community organizations that participated in the Harvest Bucks program\n• # of community programs that participate in the Harvest Bucks program\n• % of Harvest Bucks vouchers redeemed \n \nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Food Systems and Nutrition Program.\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 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,{"$f":"Structure!D63 & \" \" & Structure!E63","v":"i 1) Food Systems and Nutrition Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Food and nutrition healthy public policy development involves ensuring that the burden of food and nutrition-related chronic diseases are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• providing strategic leadership at the Middlesex-London Food Policy Council; \n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources with focus on food affordability; and\n• developing policy briefings and resources relevant to municipalities and the province"]
[null,null,null,{"$f":"Structure!D64 & \" \" & Structure!E64","v":"i 2) Harvest Bucks Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"The Harvest Bucks Mobilization Intervention produces, distributes, and redeems food literacy resource kits to Londoners to increase consumption of fresh vegetables and fruit. This 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. "]
[null,null,null,{"$f":"Structure!D65 & \" \" & Structure!E65","v":"i 3) Food Systems and Nutrition Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Food and nutrition community and partner mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes with respect to the burden of food and nutrition-related chronic diseases. The Municipal and Community Health Promotion (MCHP) team supports this intervention by supporting the Middlesex-London Food Policy Council. \n"]
[null,null,null,{"$f":"Structure!D66 & \" \" & Structure!E66","v":"i 4) Nutritious Food Basket Surveillance (Surveillance)"}]
[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,{"$f":"Structure!D67 & \" \" & Structure!E67","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D68 & \" \" & Structure!E68","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D69 & \" \" & Structure!E69","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D70 & \" \" & Structure!E70","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D71 & \" \" & Structure!E71","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D72 & \" \" & Structure!E72","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D73 & Structure!E73","v":"P 7) 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 young children to older adults. Priority populations are identified in relevant ASP identified programs. "]
[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,"2) Healthy eating behaviours, 4) Mental health promotion, 6) Physical activity and sedentary behaviour, 8) Substance use. "]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The program will conduct interventions to raise awareness and engage with community partners to support or develop programs in our community to support general mental health well-being of Middlesex-London residents.\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).\n\nInterventions for this program include:\n• Early Childhood Development Policy Development\n• Early Childhood Development Mobilization\n\nWhile two interventions are formally assigned to this program, it is recognized that there are other interventions that contribute in part to general mental health promotion the following program standards: School Health, Substance Use and Injury Prevention, and Healthy Growth and Development."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"This is not a prioritized program in 2025, but rather efforts within the implementation of the relevant programs are also aiming to achieve outcomes related to improved mental health and well-being among target populations."]
[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 (Statistics Canada, 2022). Less Canadians reported self-perceived mental health as “high” in 2020 (60%) than 2019 (67%), and in 2021, those rates dropped to 58% (Statistics Canada, 2022). \n\nFindings from the COMPASS survey, a prospective cohort study that was designed to annually collect longitudinal data from a convenience sample of secondary schools, including in Ontario, shows that Canadian student's anxiety and depression scores increased following the onset of COVID-19, with increases in anxiety scores especially linked to income inequality (Benny et al., 2023). Aspects of the 2023 Canadian Health Survey on Children and Youth (CHSCY) were just released in September of 2024 and these findings also reflected concerning changes in Canadian children’s mental health across the pandemic. For example, in 2019, 12% of Canadian youth aged 12 to 17 rated their mental health as “fair” or “poor”—this number more than doubled for these same youth in 2023 to 26% (Statistics Canada, 2024). \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,"This program will address mental health promotion at the population health level."]
[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, Substance Use and Injury Prevention, 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 chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Early Childhood Development Mobilization intervention, which feeds into the General Mental Health Program. The following KPI was established in Q3 of 2024 that will be reported on each quarter:\n• # of Child and Youth Network / Age Friendly London partnership meetings attended \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Food Systems and Nutrition Program.\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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D74 & \" \" & Structure!E74","v":"i 1) Early Childhood Development Policy Development (Healthy Public Policy Development)"}]
[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,{"$f":"Structure!D75 & \" \" & Structure!E75","v":"i 2) Early Childhood Development Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the Child and Youth Network / Age Friendly London. "]
[null,null,null,{"$f":"Structure!D76 & \" \" & Structure!E76","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D77 & \" \" & Structure!E77","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D78 & \" \" & Structure!E78","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D79 & \" \" & Structure!E79","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D80 & \" \" & Structure!E80","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D81 & \" \" & Structure!E81","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D82 & \" \" & Structure!E82","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D83 & \" \" & Structure!E83","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D84 & Structure!E84","v":"P 8) 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. "]
[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 Healthy Pregnancies and Early Childhood Development Programs.\n\nInterventions for this program include:\n• Smart Start for Babies\n• Healthy Growth and Development Phone Support\n• NFP Clinical Services\n• HBHC Clinical Services"]
[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: Indigenous, racialized, recent immigrants, refugees and asylum-seeking, low income, unemployment or job insecurity, low educational attainment, people with disabilities, housing insecurity, food insecurity, lack of social network, lack of access to health services.  \n \nPriority populations were determined using NFP and HBHC program eligibility criteria, data from the Healthy Babies Healthy Children Screening Tools (BORN, Integrated Services for Children Information System (ISCIS), and ISCIS Reporting Sub-System (IRSS)); and relevant program reviews (e.g., infant nutrition - breastfeeding review, healthy growth and development review).  "]
[null,null,null,"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, while indirectly supporting the mental health of infants and young children through decreasing exposure to Adverse Childhood Experiences and supporting responsive parenting and Parent-Child attachment. "]
[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 "]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available for this program. In 2025, work will continue to identify locally developed indicators for interventions related to the Perinatal Mental Health Promotion program.\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 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• Clients are aware of healthy behaviours associated with the prevention of poor perinatal mental health (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Clients have knowledge of and increased capacity to act on the factors associated with the promotion of perinatal mental wellbeing, including healthy living behaviours (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,{"$f":"Structure!D85 & \" \" & Structure!E85","v":"i 1) Smart Start for Babies (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ perinatal health knowledge and improve behaviour, attitudes, and skills. The NFP and Early Years Group Programming (NFP-EYGP) team supports perinatal mental health through the delivery of mental health related content as part of the Smart Start for Babies program."]
[null,null,null,{"$f":"Structure!D86 & \" \" & Structure!E86","v":"i 2) Healthy Growth and Development Phone Support (Education and Skill Building)"}]
[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 discussions. 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."]
[null,null,null,{"$f":"Structure!D87 & \" \" & Structure!E87","v":"i 3) NFP Clinical Services (Clinical Services Delivery)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients.  The NFP and Early Years Group Programs (NFP-EYGP) team implements the Nurse Family Partnership to provide home visiting to clients who meet the program criteria during the prenatal, postpartum, and early childhood periods. Public Health Nurses (PHNs) provide perinatal mental health screening and assessments, the promotion of positive mental health and community referrals as appropriate. Although these services are delivered at an individual level, they are part of a priority population focused approach to identify clients with risk factors related to compromised parenting and child development. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g. the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered predominantly in the home with some visits in the community. "]
[null,null,null,{"$f":"Structure!D88 & \" \" & Structure!E88","v":"i 4) HBHC Clinical Services (Clinical Services Delivery)"}]
[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 Public Health Nurses (PHNs) provide perinatal mental health screening and assessments, the promotion of positive mental health and community referrals as appropriate. 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. "]
[null,null,null,{"$f":"Structure!D89 & \" \" & Structure!E89","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D90 & \" \" & Structure!E90","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D91 & \" \" & Structure!E91","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D92 & \" \" & Structure!E92","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D93 & \" \" & Structure!E93","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D94 & \" \" & Structure!E94","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D95 & Structure!E95","v":"P 9) Poverty Reduction"}]
[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: low income Middlesex-London residents\n\nPriority population: pregnant individuals and single-parent families with young children, non-binary people, Indigenous people, racialized groups (e.g., African, Caribbean, and Black residents), refugees and recent immigrants, people experiencing homelessness"]
[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 Poverty Reduction 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,"2) Healthy eating behaviour (food insecurity)"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The goal of the Poverty Reduction program is to promote and facilitate poverty reduction policies and initiatives in Middlesex-London.\n\nInterventions include: \n• Poverty Reduction Policy Development"]
[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, 19.2% of London households, with or without children (106,080 people), were low income based on the Census Family Low Income Measure (CFLIM-AT). According to the 2021 Census, poverty is more likely to be experienced by one-parent families with young children, non-binary people, large urban centers, Indigenous people, most racialized groups, and refugees and recent immigrants. During the inception of this program, priority populations are drawn from this data and will be amended during collaborative work with community partners."]
[null,null,null,"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 through the Poverty Reduction program. "]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators for Healthy Public Policy Development interventions are slated to be developed in 2025."]
[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• Preventing or reducing poverty (program generated outcome)\n• Reducing the burden of poverty-related chronic diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-Being Goal); and\n• Reducing population health inequities related to poverty-related chronic diseases (adapted OPHS Chronic Disease Prevention and Well-Being Goal).\n\nIntermediate\n• Reducing harms associated with poverty (program generated outcome) \n\nShort-Term\n• Community partners are aware of healthy behaviours associated with the prevention of poverty-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 poverty-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• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours associated with poverty-related chronic diseases (adapted 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 poverty-related chronic diseases (adapted 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) Poverty Reduction (Healthy Public Policy Development)"}]
[null,null,null,"Poverty reduction policy development involves ensuring that the burden of poverty-related impacts 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 identifying gaps with current infrastructure, policies, and resources; developing policy briefings for public health issues relating to poverty reduction; providing evidence-based feedback on poverty-related policies; evaluating policy decisions; and providing technical assistance to develop or change policy. "]
[null,null,null,{"$f":"Structure!D97 & \" \" & Structure!E97","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D98 & \" \" & Structure!E98","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D99 & \" \" & Structure!E99","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D100 & \" \" & Structure!E100","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D101 & \" \" & Structure!E101","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D102 & \" \" & Structure!E102","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D103 & \" \" & Structure!E103","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D104 & \" \" & Structure!E104","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D105 & \" \" & Structure!E105","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D106 & Structure!E106","v":"P10) Housing and Homelessness"}]
[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 of the Housing and Homelessness program includes the various local partners within the integrated health system that are working together to provide support to those who are marginalized and experiencing homelessness. MLHU's involvement aims to influence the directions of the Housing and Homelessness Whole of Community System Response plan to address homelessness and the associated health impacts."]
[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 Housing and Homelessness 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,"The Housing and Homelessness program may address the following topics of consideration listed in the standard: 1) 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, and an \"Other\" topic of housing as an essential component of healthcare and a fundamental human right.\n"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Housing and Homelessness program includes MLHU's participation in the Health and Homelessness Whole of Community System Response.\n\nInterventions include:\n• City of London Health and Homelessness Mobilization"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"London is experiencing a significant health and homelessness crisis, and has emerged as a local priority. The City of London maintains a \"By-Name List\" of people actively experiencing homelessness which recognizes the ever changing circumstances impacting homelessness. As of September 30, 2024, there are currently 1,935 individuals experiencing homelessness which reflects a steady increase over time. Of these individuals, 14.2% were chronically homeless, 18% were Indigenous, 58% were male, 13.8% were aged 16 to 24, 37.4% were 25 to 39, 37.4% were 40 to 59 and 12.1% were 60+. \n\nA significant increase in the number of individuals experiencing homelessness over the last few years prompted the City of London to establish a collaborative Whole of Community System Response plan with over 70 agencies, including the Health Unit, to address homelessness and the associated health impacts."]
[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 priority population for this Housing and Homelessness program includes the marginalized community members in London who are experiencing homelessness and complex health challenges."]
[null,null,null,"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 Health and Homelessness Whole of Community Response partnership includes representation from organizations that support mental health and wellness. The collaboration aims to transform the way the various systems operate, including mental health service provision, in order to provide timely and direct pathways to housing for the community members who are experiencing homelessness.\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 Housing and Homelessness program is linked to requirements under the Substance Use and Injury Prevention and Healthy Environments program standards."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available for this program. In 2025, work will continue to identify locally developed indicators for program outcomes related to the Housing and Homelessness program.\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 the burden of chronic diseases related to experiencing homelessness (modified OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to chronic diseases among those experiencing homelessness (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n\nIntermediate\n• Community partners, policy-makers, and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases among those experiencing homelessness (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 chronic diseases among those experiencing homelessness (modified OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of chronic diseases among those experiencing homelessness (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 chronic diseases and promotion of wellbeing among those experiencing homelessness, including healthy living behaviours, healthy public policy, and creating supportive environments (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,{"$f":"Structure!D107 & \" \" & Structure!E107","v":"i 1) City of London Health and Homelessness Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"The Office of the Medical Officer of Health supports the City of London Health and Homelessness Mobilization intervention through collaboration with other local partners in the Health and Homelessness Whole of Community Response. This partnership includes a cross-sectoral collective of nearly 70 local organizations across community health, social services, healthcare, education, emergency services, business and economic development, land and housing development, as well as multiple levels of government. The Health and Homelessness Whole of Community Response aims to address the health and homelessness crisis in London through coordinated system transformation in order to support those who are marginalized and experiencing homelessness in the community with timely and direct pathways to housing. \n\nMLHU is involved in supporting the partnership including participation in various meetings including the Strategy and Accountability Table.\n"]
[null,null,null,{"$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) Anti-Racism and Anti-Oppression"}]
[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 Stop Tolerhating campaign supported by the Anti-Hate Pilot Project is aimed at individuals and businesses within the London community to combate the experiences of hate, racism and discrimination in London. The campaign aims to educate Londoners regarding the challenges and experiences faced by equity-denied groups, provides education to bystanders to equip them with strategies to combate hate and intolerance, and empower equity-denied individuals, communities and organizations.\n\nThe campaign will aim to address the intersectional identities of those who experience hate, including but not limited to; Indigenous, Black, Muslim, Racialized, 2SLGBTQIA+, those who have disabilities, immigrants and refugees, and other bodies that experience racism and oppression.\n\nSources: \nCity of London. (2024) Stop Tolerhating campaign [webpage]. Available at: https://london.ca/stoptolerhating/about-stop-tolerhating\nCity of London. (2024). Anti-Hate Project Steering Committee Terms of Reference. City of London."]
[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 Anti-Racism and Anti-Oppression 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, and 11) Other - systemic and individual racism effects the health of individuals and populations"]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"MLHU is involved as a partner of the Anti-Hate Project Steering Committee. The project has a two-fold approach:\n(1) it has established an online portal of resources, videos and bystander tips aimed at addressing hate and discrimination within London.\n(2) it has developed and is implementing a coordinated anti-hate public awareness campaign including a multi-media strategy to increase knowledge, awareness and education on hate and discrimination, as well as ways to counter it. The campaign aims to draw individuals to the online portal.\n\nInterventions in this program include:\n• City of London Anti-Racism Mobilization"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"See the Anti-Racism and Anti-Oppression section under the 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 Stop Tolerhating campaign supported by the Anti-Hate Pilot Project will aim to address the intersectional identities of those who experience hate, including but not limited to; Indigenous, Black, Muslim, Racialized, 2SLGBTQIA+, those who have disabilities, immigrants and refugees, and other bodies that experience racism and oppression.\n\nRefer to section A, Community Needs and Priorities under the Anti-Racism and Oppression Program for reference to the data and information to inform the decisions regarding this program."]
[null,null,null,"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,"Experiences of racism is a noxious stressor that can decrease mental health and well-being (Williams and Etkins, 2021). Racial communities may also experience other disproportional disadvantages (e.g., poverty, social disadvantage), which can result in reduced access to opportunities and resources to combat the negative effects of racism, such as access to culturally competent health services. As such, anti-hate, anti-racism and anti-oppression strategies can have a positive impact on mental health well-being. For example, one of the strategies that the Anti-Hate Project has developed includes a \"Stop Tolerhating\" public awareness campaign aimed at enhancing awareness about the challenges faced by equity-denied groups in the city, equipping bystanders with actionable strategies to combate hate and intolerance; and supporting equity-denied community members (City of London, 2024).\n\nSource: City of London. (2024). Stop Tolerhating campaign [webpage]. Available at: https://london.ca/stoptolerhating/about-stop-tolerhating"]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"N/A"]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the chronic disease prevention and well-being program over the reporting period. "]
[null,null,null,"Locally developed indicators are not currently available for this program. In 2025, work will continue to identify locally developed indicators for program outcomes related to the Anti-Racism and Anti-Oppression program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"The following section describes the outcomes as they relate to the OPHS:\n\nLong-Term / Population Health\n• Preventing or reducing hate and/or discrimination (program generated outcome)\n• Reducing the burden of hate and/or discrimination that may impact chronic diseases of public health importance and improve well-being (adapted OPHS Chronic Disease Prevention and Well-Being Goal); and\n• Reducing population health inequities related to hate and/or discrimination that may impact chronic diseases (adapted OPHS Chronic Disease Prevention and Well-Being Goal).\n\nIntermediate\n• Reducing harms associated with hate and/or discrimination (program generated outcome) \n\nShort-Term\n• Community partners are aware of strategies and tools to address hate and discrimination (program generated outcome)\n• Community partners have knowledge of and increased capacity to act on the factors associated with the prevention of hate and/or discrimination that may impact 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• There is increased public awareness of the impact of risk factors, protective factors and healthy behaviours to address hate and/or discrimination that may impact chronic diseases (adapted 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 hate and/or discrimination that may impact chronic diseases (adapted OPHS Chronic Disease Prevention and Well-being Outcome)\n\nThe Anti-Hate Project Steering Committee through a two-year Anti-Hate Pilot Project will focus on the following objectives:\n• Provide Londoners, service providers, and local partners with tangible tools for addressing hate and discrimination;\n• Build capacity for City of London staff, the London & Middlesex Local Immigration Partnership, and other local organizations working in anti-racism, anti-oppression, and anti-hate;\n• Increase community education and awareness on issues relating to anti-hate;\n• Build an understanding of broader community education opportunities when addressing instances of hate; and,\n• Demonstrate the effectiveness of collaboration between orders of government and a wide range of local community leaders and organizations.\n\nSource: City of London. (2024). Anti-Hate Project Steering Committee Terms of Reference. City of London."]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D118 & \" \" & Structure!E118","v":"i 1) City of London Anti-Racism Mobilization (Community and Partner Mobilization) "}]
[null,null,null,"The Public Health Foundations Division supports the City of London Anti-Racism Mobilization intervention by collaborating with various partners on the Anti-Hate Pilot Project Steering Committee. This partnership includes a cross-sectoral collective of over 50 local equity-denied organizations, institutions and community partners. This partnership collaboration involves providing input on the two components of the project which include (1) the development of an online portal of resources, videos and bystander tips aimed at addressing hate and discrimination within London; and (2) the development a anti-hate public awareness campaign that will include a multi-media strategy to increase knowledge, awareness and education on hate and discrimination, as well as ways to counter it. The Stop Tolerhating campaign was developed through the Anti-Hate Pilot Project."]
[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) Health System Reorientation"}]
[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 served by this program includes healthcare system partners currently involved in existing partnerships in an effort to enhance coordination and collaboration between various partners across primary, secondary and tertiary healthcare. "]
[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 Healthcare System Reorientation 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," 2) Healthy eating behaviours, 3) Healthy sexuality, 4) Mental health promotion, 5) Oral Health, 6) Physical activity and sedentary behaviour, 8) Substance Use."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The Health Systems Reorientation program focuses on community and partner mobilization efforts aimed at transforming the way health systems operate to ensure that they are more effective, equitable, and responsive to the evolving needs of the Middlesex-London population. Interventions of the Healthcare System Reorientation Program include:\n• Health System Reorientation Mobilization\n• Middlesex-London Ontario Health Team (MLOHT) Mobilization"]
[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,"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,"Collaboration with community partners that support mental health with the purpose of enhancing mobilization efforts. These efforts aim to transform the way health systems operate, including mental health service provision,  to ensure that they are more effective, equitable, and responsive to the evolving needs of the Middlesex-London 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., Substance Use and Injury Prevention, School Health, Healthy Growth and Development), please identify those program standards or indicate N/A."]
[null,null,null,"The Health Systems Reorientation program is linked to requirements under the Immunization, Infectious and Communicable Diseases Prevention and Control, Healthy Growth and Development and the 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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Healthcare System Reorientation Mobilization intervention led by the Social Marketing and Health Systems Partnership Team. The following two KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of Middlesex-London Ontario Health Team partnership meetings attended\n• # of Primary Care Alliance partnership meetings attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Healthcare Systems Reorientation Program.\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 the burden of chronic diseases of public health importance and improve well-being (OPHS Chronic Disease Prevention and Well-Being Goal)\n• There is a reduction in population health inequities related to chronic diseases (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 chronic diseases (OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners, policy-makers, and the public, including priority populations, are meaningfully engaged in the planning, implementation, development and evaluation of programs and services for the prevention of chronic diseases (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 chronic diseases (OPHS Chronic Disease Prevention and Well-Being outcome)\n• Community partners are aware of healthy behaviours associated with the prevention of 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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D129 & \" \" & Structure!E129","v":"i 1) Health System Reorientation Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Health System Reorientation Mobilization involves bringing people and organizations together in a structured way to achieve systemic changes across the integrated health system. The Social Marketing and Health Systems Partnership (SMHSP) team supports this intervention by working with the Middlesex-London Ontario Health Team (MLOHT), and the Primary Care Alliance."]
[null,null,null,{"$f":"Structure!D130 & \" \" & Structure!E130","v":"i 2) MLOHT Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"The Office of the Medical Officer of Health supports the Health System Reorientation Mobilization intervention through collaboration at the Middlesex-London Ontario Health Team (MLOHT) meetings, a team of local healthcare providers and community members working together to connect healthcare and supports across Middlesex County and London. The work of this partnership aims to improve the healthcare experience for the local population by developing a more connected health care system."]
[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,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 illness occurs when someone ingests food that has been contaminated with a harmful pathogen, which can include bacteria, parasites, or viruses. Foodborne illnesses can occur whenever there are lapses in food handling. Every year it is estimated that more than 4 million Canadians experience a foodborne illness, with the most common and/or causes being botulism, campylobacter, cronobacter, cyclospora, e. coli, hepatitis A and E, listeria and listeriosis, norovirus, salmonella, shigella, and vibrio (Health Canada, 2023). Disparities in foodborne illnesses have been reported across racial and ethnic groups (Tierney, 2022). It is also well understood that the overall burden of foodborne illness is underreported. Enteric infections, also known as gastrointestinal infections, are caused by foodborne or waterborne illnesses. In many cases it is difficult to discern the origin of enteric infections and therefore coordination between the Food Safety and Safe Water programs is essential. \n\nMiddlesex London Health Unit prioritizes food safety through the Food Safety Program. Where possible, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nFood Safety Program\n• While Canada’s food safety program is considered one of the best in the world, systemic food safety risk continues to evolve over time (Charlebois et al., 2021). In Canada in 2022, the top five enteric pathogens and organism groups reported to the National Enteric Surveillance Program were salmonella (4826 cases), viruses (2789 cases), campylobacter (1088 cases), parasites (1030 cases), and shigella (978 cases). In Ontario some of the pathogens that caused foodborne illnesses are considered Diseases of Public Health Significance and as such are surveilled and reported through Integrated Public Health Information System (iPHIS). For example, in Ontario in 2023, iPHIS data reports a confirmed case count for the following common causes of foodborne illness: botulism (3 cases), campylobacter enteritis (2511 cases), cyclosporiasis (661 cases), verotoxin producing e. coli including Hemolytic Uremic Syndrome (HUS) (134 cases), listeriosis (69 cases), salmonellosis (2357), and shigellosis (261 cases).\n• In 2023 in Middlesex-London, confirmed counts of foodborne illness were as follows: \n   • botulism (0 case, ML rate 0, Ontario rate 0.0),  \n   • campylobacter enteritis (91 cases, ML rate 16.9, Ontario rate 16.4), \n   • cyclosporiasis (3 cases, ML rate 0.6, Ontario rate 4.3), \n   • verotoxin-producing E. coli (2 cases, ML rate 0.4, Ontario rate 0.8), \n   • listeriosis (1 case, ML rate 0.2, Ontario rate 0.5), \n   • salmonellosis (56 cases, ML rate 10.4, Ontario rate 15.5), \n   • shigellosis (4 cases, ML rate 0.7, Ontario rate 1.7).\n• Evolving food safety risks are putting pressure on the Middlesex London Food Safety team. For example, there are an increasing number of special events and pop-up food markets that require MLHU’s support to increase the level of food safety knowledge among food premise staff.\n\nReferences\nCharlebois, S., Juhasz, M., Music, J., & Vézeau, J. (2021). A review of Canadian and international food safety systems: Issues and recommendations for the future. Comprehensive Reviews in Food Science and Food Safety, 20(5), 5043–5066. https://doi.org/10.1111/1541-4337.12816\nHealth Canada. (2023, February 16). Food-Related Illnesses [Backgrounders; notices]. https://www.canada.ca/en/health-canada/services/food-nutrition/food-safety/food-related-illnesses.html\nTierney, R. (2022). Examining Health Disparities Related to Foodborne Illnesses Across Racial and Ethnic Groups. Public Health Theses. https://doi.org/10.57709/28913861"]
[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 online public disclosure of food safety inspection summaries on the health unit website 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.  "]
[null,null,null,"External 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.  \n\n•Public Health Ontario: partner agency provides guidance to assist in informing evidenced-based decision making in delivering food safety interventions.  Public Health Ontario can synthesize the research and provide an evidence-base for local public health on request.    \n\n•Ontario Ministry of Agriculture and Food (OMAF): partner agency conducts food sampling and food safety inspection work focused on manufacturing and production facilities who produce and distribute locally within Ontario.  OMAF 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•*OMAF 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• Food Safety Inspections\n• Food Safety Investigations\n• Institutional Food Safety Inspections\n• Institutional Food Safety Investigations\n• Middlesex County Food Safety Inspections\n• Middlesex County Food Safety Investigations\n• Enteric Disease Case, Contact and Outbreak Management \n• Food Safety Education\n\nThe target populations for the food safety program include food premises operators, individuals interested in safe food handling, and the general public who consume food at food premises 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."]
[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,{"$f":"Structure!D229 & \" \" & Structure!E229","v":"i 1) Food Safety Inspections (Inspections)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, assisting the City of London’s Licensing Program, collecting samples (e.g., food samples), and enforcing legal requirements of Health Protection and Promotion Act and Ontario Reg. 493/17: Food Premises. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g., food-borne illness). The Food Safety and Health Hazards (FSHH) team supports this intervention. The Safe Water, Tobacco Enforcement and Vector Borne Disease team complete inspections in Middlesex County.  "]
[null,null,null,{"$f":"Structure!D230 & \" \" & Structure!E230","v":"i 2) Food Safety Investigations (Investigations)"}]
[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, or 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. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D231 & \" \" & Structure!E231","v":"i 3) Institutional Food Safety Inspections (Inspections)"}]
[null,null,null,"Institutional Food Safety Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting samples (e.g., food samples), and enforcing legal requirements of Health Protection and Promotion Act and Ontario Reg. 493/17: Food Premises for facilities located in institutional settings (e.g. hospitals). This intervention is conducted by the Infectious Disease Control Team and includes food premises inspections in institutional settings. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g., food-borne illness). "]
[null,null,null,{"$f":"Structure!D232 & \" \" & Structure!E232","v":"i 4) Institutional Food Safety Investigations (Investigations)"}]
[null,null,null,"This intervention applies to food premises located in institutional settings (e.g. hospitals). 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, or 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. The Infectious Disease team supports this intervention."]
[null,null,null,{"$f":"Structure!D233 & \" \" & Structure!E233","v":"i 5) Middlesex County Food Safety Inspections (Inspections)"}]
[null,null,null,"Middlesex County food safety inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting samples (e.g., food samples), and enforcing legal requirements of Health Protection and Promotion Act and Ontario Reg. 493/17: Food Premises for premises located in Middlesex County. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance (e.g., food-borne illness). The SWTEVBD team supports this intervention. "]
[null,null,null,{"$f":"Structure!D234 & \" \" & Structure!E234","v":"i 6) Middlesex County Food Safety Investigations (Investigations)"}]
[null,null,null,"This intervention applies to food premises located in Middlesex County. 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, or 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, Middlesex-County service requests are responded to and risk assessed for the most appropriate response. The SWTEVBD team supports this intervention."]
[null,null,null,{"$f":"Structure!D235 & \" \" & Structure!E235","v":"i 7) Food Safety Education (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population, and present information about food safety issues and safe food handling practices. They also provide specific tools and/or strategies to handle and manage food for public consumption in a safe and sanitary manner. This intervention is delivered face-to-face by the London Training Centre (LTC) and monitored by the MLHU Food Safety and Health Hazards (FSHH) team through a Memorandum of Understanding. Output indicators include the number of individuals receiving a food handler certificate in a calendar year."]
[null,null,null,{"$f":"Structure!D236 & \" \" & Structure!E236","v":"i 8) Enteric Disease Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention includes case, contact and outbreak management for Amebiasis, Botulism, Campylobacter enteritis, Cholera, Cryptosporidiosis, Cyclosporiasis, Giardiasis, Listeriosis, Paralytic Shellfish Poisoning, Paratyphoid fever, Salmonella, Shigella, Typhoid fever, VTEC, Yersiniosis, and Trichinosis. 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. The Case, Contact and Outbreak Management intervention often works closely with the Investigations interventions when case exposures are linked to food premises. The Infectious Disease Control (IDC) team supports this intervention."]
[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) "}]
[]
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[]
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[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)."]
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[]
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[]
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[]
[null,null,null,{"$f":"Structure!D399 & \" \" & Structure!E399","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D400 & \" \" & Structure!E400","v":"i 7) "}]
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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,{"$f":"Structure!D405 & \" \" & Structure!E405","v":"i 1) "}]
[]
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[]
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[]
[null,null,null,{"$f":"Structure!D410 & \" \" & Structure!E410","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D411 & \" \" & Structure!E411","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D412 & \" \" & Structure!E412","v":"i 8) "}]
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[]
[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,{"$f":"Structure!D428 & \" \" & Structure!E428","v":"i 2) "}]
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[]
[null,null,null,{"$f":"Structure!D430 & \" \" & Structure!E430","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D431 & \" \" & Structure!E431","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D432 & \" \" & Structure!E432","v":"i 6) "}]
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[null,null,null,{"$f":"Structure!D433 & \" \" & Structure!E433","v":"i 7) "}]
[]
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[]
[null,null,null,{"$f":"Structure!D435 & \" \" & Structure!E435","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D436 & \" \" & Structure!E436","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D437 & Structure!E437","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
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[]
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[]
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{"sheet":"Healthy Environments","index":9,"n_rows":532,"n_cols":4,"rows_kept":532,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Many environmental factors affect Canadian’s health, including sun exposure, air and water quality, pests and pesticides, and climate change. A 2022 report from the Chief Public Health Officer of Canada indicated that climate change requires a coordinated public health effort due to its measurable impact on the health of Canadians (Public Health Agency of Canada, 2022). For example, climate change can cause direct health risks from climate related exposures, such as floods, storms, heat events, and air pollution, and wild fires (Health Canada, 2022b). Climate change can also cause indirect health risks from environmental and social impacts on communities, such as through impacts on food yields, erosion of culture, and changing patterns of employment and migration. Certain communities are at higher risk for health concerns, such as people who are immunocompromised or have a pre-existing illness, seniors, youth and children, Indigenous peoples, racialized communities, people with disabilities, people who are pregnant, emergency responders, residents in northern and remote communities, and economically disadvantaged communities (Health Canada, 2022a, 2022b). Over the last 5 years, the Middlesex London Health Unit has actively given input into climate plans and reports developed by the City of London, including the 2022 Climate Emergency Action Plan.\n\nMiddlesex-London Health Unit prioritizes the Healthy Environments program standard through the following programs. When available, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nHealth Hazards Program\n• Health hazards from our homes or environments can be classified as physical hazards (e.g., extreme temperature or UV light), chemical hazards (e.g., air population or lead in old water pipes), or biological hazards (e.g., bacteria, viruses, fungi, plants, animals). \n• Many physical and chemical environmental hazards have a negative impact on human health, such as heavy metals (e.g., lead, mercury, carbon monoxide), particular matters (e.g., PM10 in air pollution), pesticides (e.g., carbamates), plastics (e.g., high-density polyethylene), and plastic additives (e.g., bisphenol A) (Shetty et al., 2023). The main sources of environmental contaminants globally include air pollution (e.g., PM2.5 and PM10 particulate matter), environmental tobacco smoke, heavy metals, chemicals (including pesticides), ambient temperature, noise, radiation, and urban residential surroundings (Rojas-Rueda et al., 2021). Strong negative health consequences of a number of environmental contaminants have been found, such as NO2 and passive smoking and Type 2 diabetes; 1,2 Butadiene and acuate lymphoblastic leukemia; aluminum and dementia; and road traffic noise and hypertension (Rojas-Rueda et al., 2021). Other associations have been found between, for example, particulate matter (PM2.5 and PM10) and lung cancer (Ciabattini et al., 2021) and all-cause and cause-specific mortality (Chen & Hoek, 2020); nitrate contamination in drinking water and gastric cancer (Picetti et al., 2022); and wildfire PM2.5 and same day all-cause mortality and same-day respiratory outcomes (e.g., hospitalizations, emergency department visits) (Gould et al., 2024). In Canada, air pollution is thought to cause 15,300 premature deaths annually and wildfire smoke inhalation specifically is thought to cause 54 to 240 deaths due to short-term exposure and 570 to 2500 premature deaths due to long-term exposure (Health Canada, 2022a).\n• Biological health hazards also have significant health consequences for Canadians, including bacterial outbreaks (e.g., salmonella, listeria, e. coli and botulism connected with foods and animals; Lyme disease and anaplasma phagocytophilum linked with ticks; legionella linked with water cooling towers) and viral outbreaks (e.g., Hepatitis A, norovirus linked to foods; West Nile linked to mosquitoes; measles) (Public Health Agency of Canada, 2024). MLHU’s community needs with respect to many of these biological health hazards are discussed with respect to different standards (e.g., Food Safety, Infectious and Communicable Disease Prevention).\n• Like many other communities, Middlesex London residents are facing increasing environmental health hazards, including extended heat warnings in the summer months, special air quality statements due to wildfire smoke (e.g., June 2023), and outbreaks of Legionella/Legionnaires’ requiring investigation of potentially contaminated cooling towers.\n\nHealthy Environments and Climate Change Program\n• Climate change refers to long-term shifts in temperature and weather patterns. Some shifts are natural; however, since the 1800s, human activities are the main drivers of climate change due to the burning of fossil fuels (e.g., coal, oil, gas). Burning fossil fuels produces gases in the atmosphere that raise the surface temperature of the earth (aka greenhouse gases). Temperature changes therefore reflect a key indicator of how the climate is changing in response to human activities. In Canada, “the national average temperature for the year 2023 was 2.8 degrees Celsius (°C) above the 1961 to 1990 reference value, making it the second warmest year since 1948” (Environment and Climate Change Canada, 2024).\n• As noted above, climate change results in direct health risks (e.g., floods) and indirect health risks (e.g., impact on food yields). For example, temperature is associated with infectious diseases, mortality, adverse nutritional outcomes (e.g., food insecurity), and increased healthcare service use, including hospital admissions for mental health reasons (Rocque et al., 2021). Extreme weather events, such as flooding, are associated with mortality, mental health consequences (e.g., distress, anxiety), and food and water borne infectious diseases (Rocque et al., 2021). In Canada, for example, extreme heat events are believed to increase deaths in cities by 2% to 13% (Health Canada, 2022a). People experiencing homelessness are at higher risk for weather related events. For example, homeless individuals who are sleeping outside were found to be at greater risk than the general population of mortality due to hypothermia and hypothermic injury (Akhanemhe et al., 2025).\n• Climate change is also expected to affect the geographic and seasonal patterns of zoonotic diseases, or infectious diseases that can spread between animals and humans. For example, warmer temperatures can speed up mosquito development, bite rates, and incubation of diseases, like West Nile Virus, within the mosquito. Lyme disease in Canada is also driven by climate change (Health Canada, 2022a). \n• By 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, 2024).\n\nActive Transportation and Built Environment Program\n• It is well documented that healthy lifestyles, including healthy diets, body weight, physical activity, limited alcohol consumption, and avoidance of smoking, is associated with health benefits, such as a substantial risk reduction in cancer morbidity and mortality (Y.-B. Zhang et al., 2020). Greenspace, or open, undeveloped areas with natural vegetation (e.g., trees, grass, flowering plants, ferns, and mosses) has also been found to be a protective factor against environmental hazards; greenspace also has a beneficial effect on health outcomes, such as reduced all-cause and stroke-specific mortality, cardiovascular disease morbidity, and urban crime, and improved mental health, physical activity, and sleep quality (Rojas-Rueda et al., 2021; Yang et al., 2021). These findings suggest the need to facilitate an environment for healthy lifestyles.\n• Creating infrastructures for active transportation (e.g., walking, cycling, public transportation) or urban physical activity (e.g., park renovations, adding exercise equipment) shows a positive effect on physical activity behaviours (Prochnow et al., 2023; Tcymbal et al., 2020; Y. Zhang et al., 2022). Active transportation behaviours are also affected by factors like “less traffic exposure and more safety features, pedestrian infrastructure for walking and cycling, shorter distances to facilities and greater walkability” (Nordbø et al., 2020). \n• Data from the Canadian Community Health Survey (CCHS) shows that in 2021, 61% of Canadian youth aged 12 to 17 and 41.7% of Canadian adults aged 18 and older report using active transportation options, like walking or cycling, to get to places. Data from Middlesex-London shows the rates of emergency department visits in Middlesex-London for motor vehicle collisions involving pedestrians has been higher than the Ontario average for the following years (2014-2015, 2017-2022), while rates of hospitalizations were only higher in 2017 and 2022 and mortalities were comparable or lower than the Ontario rate for the last 10 years (2013-2022). \n• Emergency department visits and hospitalizations due to motor vehicle collisions involving pedal cyclists were comparable to the Ontario average for the past 10 years (2013-2022) but mortalities were higher in 2012-2014, 2017-2018, and 2021. \n\nReferences\nAkhanemhe, R., Petrokofsky, C., & Ismail, S. A. (2025). Health impacts of cold exposure among people experiencing homelessness: A narrative systematic review on risks and risk-reduction approaches. Public Health, 240, 80–87. https://doi.org/10.1016/j.puhe.2025.01.006\nChen, J., & Hoek, G. (2020). Long-term exposure to PM and all-cause and cause-specific mortality: A systematic review and meta-analysis. Environment International, 143, 105974. https://doi.org/10.1016/j.envint.2020.105974\nCiabattini, M., Rizzello, E., Lucaroni, F., Palombi, L., & Boffetta, P. (2021). Systematic review and meta-analysis of recent high-quality studies on exposure to particulate matter and risk of lung cancer. Environmental Research, 196, 110440. https://doi.org/10.1016/j.envres.2020.110440\nCity of London. (2024). Developing London’s Climate Change Adaptation Framework as part of the Climate Emergency Action Plan. https://getinvolved.london.ca/12452/widgets/49288/documents/136309\nEnvironment and Climate Change Canada. (2024, July 25). Temperature change in Canada [Research]. https://www.canada.ca/en/environment-climate-change/services/environmental-indicators/temperature-change.html\nGould, C. F., Heft-Neal, S., Johnson, M., Aguilera, J., Burke, M., & Nadeau, K. (2024). Health Effects of Wildfire Smoke Exposure. Annual Review of Medicine, 75(Volume 75, 2024), 277–292. https://doi.org/10.1146/annurev-med-052422-020909\nHealth Canada. (2022a). Health of Canadians in a Changing Climate. Health Canada. https://changingclimate.ca/health-in-a-changing-climate/\nHealth Canada. (2022b, January 24). Risks to health from climate change [Guidance]. https://www.canada.ca/en/health-canada/services/climate-change-health/risks-to-health.html\nMorze, J., Danielewicz, A., Przybyłowicz, K., Zeng, H., Hoffmann, G., & Schwingshackl, L. (2021). An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer. European Journal of Nutrition, 60(3), 1561–1586. https://doi.org/10.1007/s00394-020-02346-6\nNordbø, E. C. A., Nordh, H., Raanaas, R. K., & Aamodt, G. (2020). Promoting activity participation and well-being among children and adolescents: A systematic review of neighborhood built-environment determinants. JBI Evidence Synthesis, 18(3), 370. https://doi.org/10.11124/JBISRIR-D-19-00051\nPicetti, R., Deeney, M., Pastorino, S., Miller, M. R., Shah, A., Leon, D. A., Dangour, A. D., & Green, R. (2022). Nitrate and nitrite contamination in drinking water and cancer risk: A systematic review with meta-analysis. Environmental Research, 210, 112988. https://doi.org/10.1016/j.envres.2022.112988\nProchnow, T., Curran, L. S., Amo, C., & Patterson, M. S. (2023). Bridging the Built and Social Environments: A Systematic Review of Studies Investigating Influences on Physical Activity. https://doi.org/10.1123/jpah.2022-0403\nPublic Health Agency of Canada. (2022). Cief Public Health Officer of Canada’s Report on the State of Public Health in Canada: Mobilizing Public Health Action on Climate Change in Canada. https://www.canada.ca/content/dam/phac-aspc/documents/corporate/publications/chief-public-health-officer-reports-state-public-health-canada/state-public-health-canada-2022/report-rapport/report.pdf\nPublic Health Agency of Canada. (2024, June 26). Archived outbreak investigations: Public Health Notices [Navigation page]. https://www.canada.ca/en/public-health/services/public-health-notices/archive.html\nRocque, R. J., Beaudoin, C., Ndjaboue, R., Cameron, L., Poirier-Bergeron, L., Poulin-Rheault, R.-A., Fallon, C., Tricco, A. C., & Witteman, H. O. (2021). Health effects of climate change: An overview of systematic reviews. BMJ Open, 11(6), e046333. https://doi.org/10.1136/bmjopen-2020-046333\nRojas-Rueda, D., Morales-Zamora, E., Alsufyani, W. A., Herbst, C. H., AlBalawi, S. M., Alsukait, R., & Alomran, M. (2021). Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses. International Journal of Environmental Research and Public Health, 18(2), Article 2. https://doi.org/10.3390/ijerph18020704\nShetty, S. S., D, D., S, H., Sonkusare, S., Naik, P. B., Kumari N, S., & Madhyastha, H. (2023). Environmental pollutants and their effects on human health. Heliyon, 9(9), e19496. https://doi.org/10.1016/j.heliyon.2023.e19496\nTcymbal, A., Demetriou, Y., Kelso, A., Wolbring, L., Wunsch, K., Wäsche, H., Woll, A., & Reimers, A. K. (2020). Effects of the built environment on physical activity: A systematic review of longitudinal studies taking sex/gender into account. Environmental Health and Preventive Medicine, 25(1), 75. https://doi.org/10.1186/s12199-020-00915-z\nYang, B.-Y., Zhao, T., Hu, L.-X., Browning, M. H. E. M., Heinrich, J., Dharmage, S. C., Jalaludin, B., Knibbs, L. D., Liu, X.-X., Luo, Y.-N., James, P., Li, S., Huang, W.-Z., Chen, G., Zeng, X.-W., Hu, L.-W., Yu, Y., & Dong, G.-H. (2021). Greenspace and human health: An umbrella review. The Innovation, 2(4), 100164. https://doi.org/10.1016/j.xinn.2021.100164\nZhang, Y., Koene, M., Reijneveld, S. A., Tuinstra, J., Broekhuis, M., van der Spek, S., & Wagenaar, C. (2022). The impact of interventions in the built environment on physical activity levels: A systematic umbrella review. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 156. https://doi.org/10.1186/s12966-022-01399-6\nZhang, Y.-B., Pan, X.-F., Chen, J., Cao, A., Zhang, Y.-G., Xia, L., Wang, J., Li, H., Liu, G., & Pan, A. (2020). Combined lifestyle factors, incident cancer, and cancer mortality: A systematic review and meta-analysis of prospective cohort studies. British Journal of Cancer, 122(7), 1085–1093. https://doi.org/10.1038/s41416-020-0741-x\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\nInternal Partners\n• The Food Safety and Health Hazard Team (FSHH) 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. Inspection and Investigation work conducted by the SWTEVBD team has a significant rural component versus the work of the FSHH team that has primarily an urban focus.  \n\nExternal Partners\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."]
[null,null,null,"Healthy Environments and Climate Change Program\n• The Healthy Environments and Climate Change Program is assigned to the Family and Community Health Division. Related interventions are assigned to the Municipal and Community Health Promotion (MCHP) Team. MCHP collaborates with other teams delivering interventions of relevant ASP identified programs including Health Hazards.\n\nExternal Partners\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•  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\nActive 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.  Related interventions are assigned to the Municipal and Community Health Promotion (MCHP) Team.  MCHP collaborates with other teams delivering interventions of relevant ASP identified programs.\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 Child and Youth Network/Age Friendly London Network, and the Middlesex Children's Services Network."]
[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• Health Hazard Inspections\n• Middlesex County Health Hazard Inspections\n• Health Hazard Investigations\n• Middlesex County Health Hazard Investigations\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\nThe MLHU also issues extreme weather alerts, as they relate to extreme cold or extreme heat. The purpose of these alerts are to notify the public health of the conditions and provide guidance on specific actions that can be taken to minimize poor health outcomes. Additionally, the alerts are utilized by municipal and community partners to trigger certain interventions, including warming and cooling centres.\n\nThe MLHU also monitors air quality and provides public guidance with regards to risk.\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,{"$f":"Structure!D450 & \" \" & Structure!E450","v":"i 1) Health Hazard Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding identified or emerging health hazards which pose a risk to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on service requests, complaints received, and reports of illness or outbreaks. The Investigations intervention may also include enforcement activities, where necessary. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D451 & \" \" & Structure!E451","v":"i 2) Middlesex County Health Hazard Investigations (Inspections)"}]
[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 SWTEVBD team supports this intervention for Health Hazard Investigations located in the county."]
[null,null,null,{"$f":"Structure!D452 & \" \" & Structure!E452","v":"i 3) Health Hazard Inspections (Inspections)"}]
[null,null,null,"Inspections involve maintaining inventories of facilities, conducting risk assessments, performing inspections and re-inspections, collecting samples (e.g., water samples), and enforcing legal requirements of Public Health acts and regulations. This intervention includes inspections conducted at recreational camps, boarding/lodging, and community homes. This intervention relies heavily on providing education to owners/operators/proprietors/individuals to gain legislative compliance, but enforcement activities may also be required. The long-term outcome of this intervention is to prevent and reduce the burden of diseases, illnesses, and injuries of public health significance. The Food Safety and Health Hazards (FSHH) team supports this intervention."]
[null,null,null,{"$f":"Structure!D453 & \" \" & Structure!E453","v":"i 4) Middlesex County Health Hazard Inspections (Inspections)"}]
[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 located in the county. 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 SWTEVBD team supports this intervention."]
[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.\n\nInterventions include:\n• Healthy Environments and Climate Change Policy Development\n• Healthy Environments and Climate Change Mobilization\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 multiple 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\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• 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)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D461 & \" \" & Structure!E461","v":"i 1) Healthy Environments and Climate Change Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring that healthy environments and climate change are 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• considering both mitigation and adaption, working 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 of Health, and municipalities."]
[null,null,null,{"$f":"Structure!D462 & \" \" & Structure!E462","v":"i 2) Healthy Environments and Climate Change Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on the Tamarack Community Climate Transitions initiative."]
[null,null,null,{"$f":"Structure!D463 & \" \" & Structure!E463","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D464 & \" \" & Structure!E464","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D465 & \" \" & Structure!E465","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D466 & \" \" & Structure!E466","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D467 & \" \" & Structure!E467","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D468 & \" \" & Structure!E468","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D469 & \" \" & Structure!E469","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D470 & \" \" & Structure!E470","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D471 & Structure!E471","v":"P 3) Active Transportation and the 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 supports healthy built environments that address neighbourhood design, transportation networks, green and natural spaces, and housing. Promotion of active transportation (walking, biking, etc.) and access to environments that enable safe active transportation modes are key factors in increasing physical activity.  The program also addresses the prevention of injuries associated with active transportation and vulnerable road users and promotes mental well-being by working to increase access to community resources such as recreational opportunities that promote community connectedness. The program includes interventions at the community and public policy levels. \n\nInterventions for this program include:\n• Active Transportation and Built Environment Policy Development\n• Active Transportation and Built Environment Mobilization\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.  \n• Municipal stakeholders and decision makers: Ensuring that municipal plans and strategies prioritize healthy community design will impact the health of the community over the long term.\n\n*Further work is needed to identify priority groups and interventions within these target populations including consideration of local level data, literature, and evidence of effective interventions.\n"]
[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)\n\n\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D472 & \" \" & Structure!E472","v":"i 1) Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring active transportation and built environment are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, the Board of Health, and municipalities; \n• participating and providing health input in the municipal planning process. \nWork for this intervention involves liaising closely with municipalities, neighbouring health units, and communities. The aim is bringing people and organizations together in a structured way to achieve community, population, and/or systemic changes."]
[null,null,null,{"$f":"Structure!D473 & \" \" & Structure!E473","v":"i 2) Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"}]
[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 Middlesex Road Safety Committee and the Active and Safe Routes to School Committee."]
[null,null,null,{"$f":"Structure!D474 & \" \" & Structure!E474","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D475 & \" \" & Structure!E475","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D476 & \" \" & Structure!E476","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D477 & \" \" & Structure!E477","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D478 & \" \" & Structure!E478","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D479 & \" \" & Structure!E479","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D480 & \" \" & Structure!E480","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D481 & \" \" & Structure!E481","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D482 & Structure!E482","v":"P 4) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D483 & \" \" & Structure!E483","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D484 & \" \" & Structure!E484","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D485 & \" \" & Structure!E485","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D486 & \" \" & Structure!E486","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D487 & \" \" & Structure!E487","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D488 & \" \" & Structure!E488","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D489 & \" \" & Structure!E489","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D490 & \" \" & Structure!E490","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D491 & \" \" & Structure!E491","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D492 & \" \" & Structure!E492","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D493 & Structure!E493","v":"P 5) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D494 & \" \" & Structure!E494","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D495 & \" \" & Structure!E495","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D496 & \" \" & Structure!E496","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D497 & \" \" & Structure!E497","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D498 & \" \" & Structure!E498","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D499 & \" \" & Structure!E499","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D500 & \" \" & Structure!E500","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D501 & \" \" & Structure!E501","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D502 & \" \" & Structure!E502","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D503 & \" \" & Structure!E503","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D504 & Structure!E504","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D505 & \" \" & Structure!E505","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D506 & \" \" & Structure!E506","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D507 & \" \" & Structure!E507","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D508 & \" \" & Structure!E508","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D509 & \" \" & Structure!E509","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D510 & \" \" & Structure!E510","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D511 & \" \" & Structure!E511","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D512 & \" \" & Structure!E512","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D513 & \" \" & Structure!E513","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D514 & \" \" & Structure!E514","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D515 & Structure!E515","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D516 & \" \" & Structure!E516","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D517 & \" \" & Structure!E517","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D518 & \" \" & Structure!E518","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D519 & \" \" & Structure!E519","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D520 & \" \" & Structure!E520","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D521 & \" \" & Structure!E521","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D522 & \" \" & Structure!E522","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D523 & \" \" & Structure!E523","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D524 & \" \" & Structure!E524","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D525 & \" \" & Structure!E525","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D526 & Structure!E526","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D527 & \" \" & Structure!E527","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D528 & \" \" & Structure!E528","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D529 & \" \" & Structure!E529","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D530 & \" \" & Structure!E530","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D531 & \" \" & Structure!E531","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D532 & \" \" & Structure!E532","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D533 & \" \" & Structure!E533","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D534 & \" \" & Structure!E534","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D535 & \" \" & Structure!E535","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D536 & \" \" & Structure!E536","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D537 & Structure!E537","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D538 & \" \" & Structure!E538","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D539 & \" \" & Structure!E539","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D540 & \" \" & Structure!E540","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D541 & \" \" & Structure!E541","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D542 & \" \" & Structure!E542","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D543 & \" \" & Structure!E543","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D544 & \" \" & Structure!E544","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D545 & \" \" & Structure!E545","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D546 & \" \" & Structure!E546","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D547 & \" \" & Structure!E547","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D548 & Structure!E548","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D549 & \" \" & Structure!E549","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D550 & \" \" & Structure!E550","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D551 & \" \" & Structure!E551","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D552 & \" \" & Structure!E552","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D553 & \" \" & Structure!E553","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D554 & \" \" & Structure!E554","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D555 & \" \" & Structure!E555","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D556 & \" \" & Structure!E556","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D557 & \" \" & Structure!E557","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D558 & \" \" & Structure!E558","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D559 & Structure!E559","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D560 & \" \" & Structure!E560","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D561 & \" \" & Structure!E561","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D562 & \" \" & Structure!E562","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D563 & \" \" & Structure!E563","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D564 & \" \" & Structure!E564","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D565 & \" \" & Structure!E565","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D566 & \" \" & Structure!E566","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D567 & \" \" & Structure!E567","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D568 & \" \" & Structure!E568","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D569 & \" \" & Structure!E569","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D570 & Structure!E570","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D571 & \" \" & Structure!E571","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D572 & \" \" & Structure!E572","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D573 & \" \" & Structure!E573","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D574 & \" \" & Structure!E574","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D575 & \" \" & Structure!E575","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D576 & \" \" & Structure!E576","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D577 & \" \" & Structure!E577","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D578 & \" \" & Structure!E578","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D579 & \" \" & Structure!E579","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D580 & \" \" & Structure!E580","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D581 & Structure!E581","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D582 & \" \" & Structure!E582","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D583 & \" \" & Structure!E583","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D584 & \" \" & Structure!E584","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D585 & \" \" & Structure!E585","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D586 & \" \" & Structure!E586","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D587 & \" \" & Structure!E587","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D588 & \" \" & Structure!E588","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D589 & \" \" & Structure!E589","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D590 & \" \" & Structure!E590","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D591 & \" \" & Structure!E591","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D592 & Structure!E592","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D593 & \" \" & Structure!E593","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D594 & \" \" & Structure!E594","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D595 & \" \" & Structure!E595","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D596 & \" \" & Structure!E596","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D597 & \" \" & Structure!E597","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D598 & \" \" & Structure!E598","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D599 & \" \" & Structure!E599","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D600 & \" \" & Structure!E600","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D601 & \" \" & Structure!E601","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D602 & \" \" & Structure!E602","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D603 & Structure!E603","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D604 & \" \" & Structure!E604","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D605 & \" \" & Structure!E605","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D606 & \" \" & Structure!E606","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D607 & \" \" & Structure!E607","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D608 & \" \" & Structure!E608","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D609 & \" \" & Structure!E609","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D610 & \" \" & Structure!E610","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D611 & \" \" & Structure!E611","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D612 & \" \" & Structure!E612","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D613 & \" \" & Structure!E613","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D614 & Structure!E614","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D615 & \" \" & Structure!E615","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D616 & \" \" & Structure!E616","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D617 & \" \" & Structure!E617","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D618 & \" \" & Structure!E618","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D619 & \" \" & Structure!E619","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D620 & \" \" & Structure!E620","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D621 & \" \" & Structure!E621","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D622 & \" \" & Structure!E622","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D623 & \" \" & Structure!E623","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D624 & \" \" & Structure!E624","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D625 & Structure!E625","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D626 & \" \" & Structure!E626","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D627 & \" \" & Structure!E627","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D628 & \" \" & Structure!E628","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D629 & \" \" & Structure!E629","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D630 & \" \" & Structure!E630","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D631 & \" \" & Structure!E631","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D632 & \" \" & Structure!E632","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D633 & \" \" & Structure!E633","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D634 & \" \" & Structure!E634","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D635 & \" \" & Structure!E635","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D636 & Structure!E636","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D637 & \" \" & Structure!E637","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D638 & \" \" & Structure!E638","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D639 & \" \" & Structure!E639","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D640 & \" \" & Structure!E640","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D641 & \" \" & Structure!E641","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D642 & \" \" & Structure!E642","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D643 & \" \" & Structure!E643","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D644 & \" \" & Structure!E644","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D645 & \" \" & Structure!E645","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D646 & \" \" & Structure!E646","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D647 & Structure!E647","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D648 & \" \" & Structure!E648","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D649 & \" \" & Structure!E649","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D650 & \" \" & Structure!E650","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D651 & \" \" & Structure!E651","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D652 & \" \" & Structure!E652","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D653 & \" \" & Structure!E653","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D654 & \" \" & Structure!E654","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D655 & \" \" & Structure!E655","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D656 & \" \" & Structure!E656","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D657 & \" \" & Structure!E657","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D658 & Structure!E658","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D659 & \" \" & Structure!E659","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D660 & \" \" & Structure!E660","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D661 & \" \" & Structure!E661","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D662 & \" \" & Structure!E662","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D663 & \" \" & Structure!E663","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D664 & \" \" & Structure!E664","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D665 & \" \" & Structure!E665","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D666 & \" \" & Structure!E666","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D667 & \" \" & Structure!E667","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D668 & \" \" & Structure!E668","v":"i10) "}]

{"sheet":"Healthy Growth Develop","index":10,"n_rows":612,"n_cols":4,"rows_kept":612,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"The early years of a child’s life are essential to healthy growth and development with parents playing an important role in the healthy development of their young children. Data from the 2021 Canadian census suggests that population demographics in Canada are changing: there is a decreasing prevalence of families with young children, parents who are having children are having them later in life, more families are common law, and more families have a diverse ethnocultural background (with one third of families with at least one child aged five or younger identifying as immigrants to Canada) (Statistics Canada, 2024). \nWhile parents play an essential role in early childhood development, the pandemic negatively impacted all levels of support for child development: the microsystem (e.g., families), the mesosystem (e.g., parent-teacher or daycare provider relationships), the exosystem (e.g., parental work relationships), and macrosystem (e.g., culture and economy) (Sato et al., 2023). For example, there have been unique pressures on families with young children since the pandemic, as there have been record high levels of international migration, inflation, and rising housing prices (Statistics Canada, 2024). Research has found a number of concerning, pandemic-related impacts on children, including delayed childhood development at five years of age, increased mental health concerns, impaired sleep quality, decreased physical activity, and increased screen time (Sato et al., 2023). The consequences of the pandemic have trickled down to the local level, as families in Middlesex-London are experiencing significant risk factors (discussed below).\n\nMiddlesex-London Health Unit prioritizes the Healthy Growth and Development program standard through the following programs. Key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nEarly Childhood Development Program\n• Early childhood development refers to children’s cognitive, physical, language, motor, and social and emotional development broadly spanning from birth to age eight. Optimal early childhood development requires nurturing care, which has been defined as “a stable environment that is sensitive to children’s health and nutritional needs, with protection from threats, opportunities for early learning, and interactions that are responsive, emotionally supportive, and developmentally stimulating” (Britto et al., 2017).\n• Data from the Early Development Instrument (EDI), which is collected every three years by the Offord Centre for Child Studies at McMaster University, was designed to assess children’s ability to meet age-appropriate developmental expectations across five domains (physical and wellbeing, social competence, emotional maturity, language and cognitive development, and communication skills and general knowledge. Data from 2018, the last time the data was collected, suggests that 29.7% of children in Middlesex London reported identifying as vulnerable on one or more domains and 13.9% identified as vulnerable on two or more domains, including 17.3% that identified as vulnerable on physical health and well-being and 11.3% identifying as vulnerable on emotional maturity (which was comparable to or lower than the Ontario rate).\n• However, a lot has changed since 2018. Data from the Health Babies Healthy Children (HBHC) Screen describes risk factors for healthy child development. This data showed that in 2023 families in Middlesex-London were experiencing significant risk factors:\no 30.5% reported a parent or partner with a mental illness. The percentage of infants with a parent or partner with a mental illness was significantly higher than Ontario for the following years: 2015-2023.\no 16.7% reported no designated primary provider for the mother and/or infant. The percentage of infants with no designated primary provider for the mother and/or infant was significantly higher than Ontario for the following years: 2015-2023. \no 9.7% of families reported needing newcomer support. This was the highest reported percentage in Ontario. The need for newcomer support was significantly higher than Ontario for the following years: 2015-2023. \no 4.1% of mothers of infants reported being single parents. The percentage of infant mothers reported being a single parent was significantly higher than Ontario for the following years: 2015-2017, 2020-2022 (not significantly higher in 2023). \no 4.3% reported no OHIP number for the mother. The percentage was comparable to Ontario. \no 4.2% reported involvement with child protection services. The percentage was significantly higher than Ontario for the following years: 2015-2017, 2019-2023.\no 3.3% reported a parent or partner with a disability. The percentage was significantly higher than Ontario for the following years: 2015, 2020-2023.\n• In 2022 (the last year with available data): \no 18.7% of families reported concerns about money. This was the highest rate in Ontario. This rate was higher than the Ontario average for all reported years (2015-2018, 2020-2022). \n• The Enhanced 18-month Well-Baby Visit includes the use of standardized tools and promotes increased communication between parents and physicians (or other health professionals) on child development, parenting, early literacy, and local community resources that promote healthy learning, reading and age-appropriate play. In 2022, 19.2% of children aged 12-24 months had received the enhanced 18-month well-baby visit, which was significantly higher than Ontario and peer group. \n\nHealthy Pregnancies Program\n• Births are a key component of population growth and an indicator of the reproductive capacity of a population. Ontario public health units have a mandate to support preconception health, healthy pregnancies, and prevent adverse birth outcomes such as low birth weight, preterm births, birth defects (also referred to as congenital anomalies), and other complications. \n• In 2023, data from the Discharge Abstract Database (DAD) shows that there were 4944 live births in Middlesex London. The rate of live births in Middlesex-London have been comparable to Ontario and the Peer Group from 2013-2021. However, from 2022-2023, the rate of live births were significantly higher in Middlesex-London compared to Ontario.\n• The rate of pre-term births in Middlesex-London have been comparable to Ontario and the peer group from 2013 to 2023. In 2023, the average age of mothers at the birth of the first infant (29.9) is lower than the Ontario or peer group rate. However, like Canadian, Ontario, and peer group trends, the average age of mothers at the birth of the first infant is increasing across time.\n• In 2023, the rate of still births was significantly higher in Middlesex-London (14.2 per 1000 births, live or still) compared to Ontario rate (8.9 per 1000 births, live or still) or the peer group rate (9.2 per 1000 births, live or still). \n• In 2023, the rates of births (live or still) with confirmed genetic anomalies in Middlesex-London (310.3 per 1000 births, live or still) were significantly higher comparable to Ontario (183.1 per 1000 births, live or still).\n\nHealth Sexuality Program\n• The World Health Organization defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.” A comprehensive public health approach to sexual health therefore addresses sexual health (e.g., fertility management, sexual violence prevention, prevention and management of sexually transmitted diseases (STIs)); sexual pleasure (e.g., person and event related); sexual wellbeing (e.g., sexual comfort, safety, respect, and self-esteem); and sexual justice (e.g., sexual rights) (Mitchell et al., 2021). In 2019, Canada made a 10-year commitment to reach an average of $1.4 billion in funding each year by 2023 to support women’s, children’s and adolescents’ health around the world with $700 million of this funding is dedicated to sexual and reproductive health and rights (Government of Canada, 2024). Relatedly, Statistics Canada is currently collecting data via a new survey, the Canadian Sexual and Reproductive Health Survey, which will help to better understand the issues that impact the sexual and reproductive health of women aged 18 to 49 in Canada. Older data from the Canadian Community Health Survey (CCHS) suggests that in 2015/2016, 54.1% of 15- to 24-year-olds in Canada reported having had sexual intercourse (vaginal or anal) in the past 12 months with 37.1% of these sexually active young people reporting sex with multiple partners and only 60.1% reporting using a condom the last time they had intercourse.\n• In Middlesex-London, some aspects of healthy sexuality are addressed in different program areas (e.g., Healthy Relationships Plus in the School Health program addresses relationship wellbeing, including sexual relationships; the Nurse Family Partnership intervention within the Early Childhood Development program counsels young mothers about contraception, spacing of pregnancies, pregnancy testing, STIs, healthy sexuality during the prenatal, postpartum and perinatal period; the Healthy Pregnancies program addresses information related to sexual health; the Sexually Transmitted and Blood Borne Diseases program addresses management of STIs).\n• While waiting for comprehensive data from the Canadian Sexual and Reproductive Health Survey, data is available about a narrower set of information on STIs. Data from Ontario’s integrated Public Health Information System (iPHIS) shows that rates and counts of STIs in Ontario were increasing across time until the pandemic when counts and rates went down, likely due to lack of available healthcare services. Since 2020 rates and counts of STIs are again rising in Ontario. In Middlesex-London in 2023, there were 1,852 cases of chlamydia, 259 cases of gonorrhea, and 171 cases of syphilis (only the rate of chlamydia was higher than the Ontario rate, the rate of gonorrhea and syphilis were lower than Ontario). Middlesex-London has noticed an increase in late latent syphilis from 2022 and ongoing in 2024, as well as 1 early congenital syphilis case.\n• A STI strategy, using both primary and secondary prevention strategies, was developed in the Spring of 2023. This strategy 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\nInfant Nutrition Program\n• Breastfeeding is the biologically natural way to provide infants with the nutrition they need for healthy growth and development. Health Canada recommends breastfeeding exclusively (giving only breastmilk) for the first six months, with continued breastfeeding for up to two years and beyond.\n• In 2023 in Middlesex-London, data from the Better Outcomes Registry & Network (BORN) Information System shows that 94.7% of women intended to breastfeed their infant. The percent of women in Middlesex-London who breastfed at all has remained above 90% from 2014 to 2023, with 93.4% who breastfed at all in 2023. The percent of women in Middlesex-London who exclusively breastfed has ranged from 53-63% across 2013 to 2023, with the lowest rate reported in 2023 (53.3%). In 2023, the percent of women reporting exclusive breastfeeding of an infant was significantly higher in rural areas (63.0%) than urban areas (51.9%). \n• In 2023, 6.6% of mothers reported exclusively feeding their child a breast milk substitute (e.g., formula) (a comparison to Ontario and the peer group is not available for this data). The percent of women in Middlesex-London less than age 25 who exclusively fed a breast milk substitute (formula or other) was significantly higher compared to women in Middlesex-London greater than age 35 from 2019 to 2021.\n\nReferences\nBritto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., Perez-Escamilla, R., Rao, N., Ip, P., Fernald, L. C. H., MacMillan, H., Hanson, M., Wachs, T. D., Yao, H., Yoshikawa, H., Cerezo, A., Leckman, J. F., & Bhutta, Z. A. (2017). Nurturing care: Promoting early childhood development. The Lancet, 389(10064), 91–102. https://doi.org/10.1016/S0140-6736(16)31390-3\nGovernment of Canada. (2024, July 29). Sexual and reproductive health and rights. GAC. https://www.international.gc.ca/world-monde/issues_development-enjeux_developpement/global_health-sante_mondiale/reproductive-reproductifs.aspx?lang=eng\nMitchell, K. R., Lewis, R., O’Sullivan, L. F., & Fortenberry, J. D. (2021). What is sexual wellbeing and why does it matter for public health? The Lancet Public Health, 6(8), e608–e613. https://doi.org/10.1016/S2468-2667(21)00099-2\nSato, K., Fukai, T., Fujisawa, K. K., & Nakamuro, M. (2023). Association Between the COVID-19 Pandemic and Early Childhood Development. JAMA Pediatrics, 177(9), 930–938. https://doi.org/10.1001/jamapediatrics.2023.2096\nStatistics Canada. (2024, October 22). Families with young children: A sociodemographic profile. https://www150.statcan.gc.ca/n1/daily-quotidien/241022/dq241022b-eng.htm\nZaçe, D., Orfino, A., Mariaviteritti, A., Versace, V., Ricciardi, W., & Pietro, M. L. D. (2022). A comprehensive assessment of preconception health needs and interventions regarding women of childbearing age: A systematic review. Journal of Preventive Medicine and Hygiene, 63(1), E174. https://doi.org/10.15167/2421-4248/jpmh2022.63.1.2391\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. Related interventions are assigned to the NFP and Early Years Group Programs, HBHC and Municipal and Community Health Promotion teams. Collaboration occurs between these teams as well as other teams delivering interventions of relevant ASP identified programs, including Healthy Smiles Ontario and Vaccine Administration.  \n \n• External Partners include but are not limited to: Child and Youth Network/Age Friendly London Network, Family-Centered Service System (City of London), Middlesex Children's Services Network, London Health Sciences Centre (LHSC), Middlesex Hospital Alliance (Strathroy Hospital), Oneida Health Centre, Munsee Delaware Nation Health Services, Chippewa Health Centre, Children's Aid Society of London-Middlesex, Thames Valley Children's Centre, Vanier Children's Services, Child & Parent Resource Institute (CPRI), Child Reach, Early ON Child and Family Centres, South London Community Resource Centre, Northwest London Community Resource Centre, YMCA, Youth Opportunities Unlimited, Middlesex County Libraries, Merrymount Children's Centre, CMHA Thames Valley Addiction and Mental Health Services (Heart Space), London Intercommunity Health Centre, Muslim Resource Centre for Social Support and Integration, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing)\n\nHealthy Pregnancies\n• The Healthy Pregnancies Program is managed by the Family and Community Health (FCH) Division. Related interventions are assigned to the NFP and Early Years Group Programs and HBHC teams. Collaboration occurs between these teams as well as other teams delivering interventions of relevant ASP identified programs, including Healthy Sexuality and Vaccine Administration.  \n\n• External Partners include but are not limited to: London Health Sciences Centre (LHSC), Middlesex Hospital Alliance (Strathroy Hospital), Oneida Health Centre, Munsee Delaware Nation Health Services, Chippewa Health Centre, Children's Aid Society of London-Middlesex, Early ON Child and Family Centres, South London Community Resource Centre, Northwest London Community Resource Centre, YMCA, Youth Opportunities Unlimited, Middlesex County Libraries, CMHA Thames Valley Addiction and Mental Health Services (Heart Space), London Intercommunity Health Centre, Muslim Resource Centre for Social Support and Integration, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing), Vitamin Angels, Ontario e-prenatal network.\n"]
[null,null,null,"Healthy Sexuality\nInternal Partners\n• The Healthy Sexuality Program is managed by the Sexual Health Team within the Environmental Health and Infectious Diseases and Clinical Services (EHIDCS) Division.\n• Some pregnant clients may be referred to other MLHU interventions (e.g. Nurse Family Partnership (NFP), Healthy Babies Healthy Children (HBHC), and Smart Start for Babies (SSFB).\n\nInfant Nutrition\n• The Infant Nutrition Program is managed by the Family and Community Health (FCH) Division. Related interventions are assigned to the NFP and Early Years Group Programs and HBHC teams. Collaboration occurs between these teams as well as other teams delivering interventions of relevant ASP identified programs, including Safe Water.  \n\n• External Partners include but are not limited to: Southwest Breastfeeding Coalition, London Health Sciences Centre (LHSC), Middlesex Hospital Alliance (Strathroy Hospital), Oneida Health Centre, Munsee Delaware Nation Health Services, Chippewa Health Centre, Children's Aid Society of London-Middlesex, Thames Valley Children's Centre, Early ON Child and Family Centres, South London Community Resource Centre, Northwest London Community Resource Centre, YMCA, Youth Opportunities Unlimited, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing). \n"]
[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•  NFP Clinical Services\n•  HBHC Clinical Services\n•  Healthy Growth and Development Phone Support\n•  Smart Start for Babies\n•  Early Childhood Development Policy Development\n•  Early Childhood Development Mobilization"]
[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\nPriority Population(s): Parents/mothers/caregivers of children from birth to school entry that are: scored \"with risk\" using the HBHC screening tool; Newcomers (5 years or less in Canada); Indigenous; living with low income and other SES-related concerns; at risk for or experiencing food insecurity; younger first-time parents\n\nPriority populations were determined using SSFB, NFP and HBHC program eligibility criteria, data from the Healthy Babies Healthy Children Screening Tools (BORN, Integrated Services for Children Information System (ISCIS), and ISCIS Reporting Sub-System (IRSS)); and relevant program reviews (e.g., infant nutrition - breastfeeding review, healthy growth and development review).  "]
[null,null,null,"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,"The Early Childhood Development program aims to foster infant/child mental health, and the attainment of related developmental milestones. Additionally, the mental health and well-being of the parents is addressed. Interventions include activities aimed at 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. \n\nFor more details refer to the description of interventions in the Perinatal Mental Health Promotion Program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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 use available information, skills and supports to adopt health promoting behaviour in the early years (prior to school entry) (Program generated outcome)\n•  Individuals 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• 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,{"$f":"Structure!D671 & \" \" & Structure!E671","v":"i 1) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one services related to early child development to clients who meet the program criteria during the prenatal, postpartum, and early childhood periods. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered in the home or community (i.e., home visiting). \n"]
[null,null,null,{"$f":"Structure!D672 & \" \" & Structure!E672","v":"i 2) HBHC Clinical Services (Clinical Service Delivery)"}]
[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. \n\nGiven resource limitations, the MLHU has needed to revise the screening criteria for the HBHC intervention to focus on the highest-risk individuals and families. The objective of this is to ensure that limited resources are available to those of greatest need, but limits the availability of the intervention broadly.  "]
[null,null,null,{"$f":"Structure!D673 & \" \" & Structure!E673","v":"i 3) Smart Start for Babies (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills related to perinatal health and other topics, including infant care and parenting. Activities within this intervention are tailored to the target population (i.e., pregnant clients and their support persons with food insecurities). This intervention is delivered in person with opportunities to increase accessibility through virtual and in-home support. This intervention is supported by the NFP and Early Years Group Programs team. "]
[null,null,null,{"$f":"Structure!D674 & \" \" & Structure!E674","v":"i 4) Healthy Growth and Development Phone Support (Education and Skill Building)"}]
[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 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 supported by the HBHC team. \n"]
[null,null,null,{"$f":"Structure!D675 & \" \" & Structure!E675","v":"i 5) Early Childhood Development Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring issues of public health importance are on the agenda of policy makers both internal and external to the health sector. This intervention promotes health and healthy equity through improving social, environmental, and economic conditions. Activities include identifying gaps with current infrastructure, policies, and resources; developing policy briefings for public health issues relating to early childhood development; providing evidence-based feedback on the health impacts of policies; assessing and establishing a plan for resolution; evaluating policy decisions; and providing technical assistance to develop or change policy. This intervention is focused on the local level. Resources are produced for senior leadership and the Board of Health as well as key community partners. This intervention is supported by the Municipal and Community Health Promotion team. "]
[null,null,null,{"$f":"Structure!D676 & \" \" & Structure!E676","v":"i 6) Early Childhood Development Mobilization (Community and Partner Mobilization)"}]
[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 Child and Youth Network / Age Friendly London Network and the Middlesex Children's Services Network. "]
[null,null,null,{"$f":"Structure!D677 & \" \" & Structure!E677","v":"i 7) "}]
[]
[null,null,null,{"$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 promote healthy pregnancies with interventions intended to help achieve a healthy start in life for infants.\n\nInterventions of the Healthy Pregnancies Program include: \n•  NFP Clinical Services\n•  HBHC Clinical Services\n•  Online Health Education\n•  Smart Start for Babies"]
[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\nPriority Population(s): Priority populations of pregnant individuals that are: scored \"with risk\" using the HBHC screening tool; Newcomers (5 years or less in Canada); Indigenous; living with low income and other SES-related concerns; at risk for or experiencing food insecurity; younger first-time parents\n\nPriority populations were determined using SSFB, NFP and HBHC program eligibility criteria, data from the Healthy Babies Healthy Children Screening Tools (BORN, Integrated Services for Children Information System (ISCIS), and ISCIS Reporting Sub-System (IRSS)); and relevant program reviews (e.g., infant nutrition - breastfeeding review, healthy growth and development review). "]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[null,null,null,"This program provides services to support the mental health and well-being of pregnant individuals as part of a holistic approach to promoting healthy pregnancies.  \n\nFor more details refer to the description of interventions in the Perinatal Mental Health Promotion Program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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 use available information, skills and supports to adopt health promoting behaviour during pregnancy (Program generated outcome)\n• Individuals 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• 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) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one in-person services to clients who meet the program criteria beginning in pregnancy. 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 parental health for families and the community as a whole). These clinical services are delivered in the home or community (e.g., home visiting). This intervention is supported by the NFP and Early Years Group Programs team. \n"]
[null,null,null,{"$f":"Structure!D683 & \" \" & Structure!E683","v":"i 2) HBHC Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) offers one-on-one in-person services to pregnant clients (that do not qualify for NFP).  Although these services are delivered at an individual level, they are part of a population-wide (i.e., universal screening) and priority population focused approach to identify clients with risk factors related to compromised parenting and child development. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g. the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered predominantly in the home with some visits in the community and support provided over the phone. This intervention is supported by the HBHC team.    "]
[null,null,null,{"$f":"Structure!D684 & \" \" & Structure!E684","v":"i 3) Smart Start for Babies (Education and Skill Building)"}]
[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 related to prenatal health (including nutrition), and other topics, including, breastfeeding, parenting 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. This intervention is supported by the NFP and Early Years Group Programs team. "]
[null,null,null,{"$f":"Structure!D685 & \" \" & Structure!E685","v":"i 4) Online Health Education (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building for Injoy online prenatal e-Learning involves the development and implementation of online self-directed educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills on the following health topics: pregnancy, infant nutrition and breastfeeding, labour and birth, comfort measures, postpartum care, and newborn care. Activities within this universal intervention are tailored to pregnant clients and their support persons. This intervention is supported by the NFP and Early Years Group Programs team.  \n"]
[null,null,null,{"$f":"Structure!D686 & \" \" & Structure!E686","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D687 & \" \" & Structure!E687","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D688 & \" \" & Structure!E688","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D689 & \" \" & Structure!E689","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D690 & \" \" & Structure!E690","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D691 & \" \" & Structure!E691","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D692 & Structure!E692","v":"P 3) Healthy 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 is delivered through the following interventions: \n• Family Planning Clinical Services\n• Sexual Health Outreach Clinical Services \n• Contraception Inventory Management "]
[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. 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 sexually transmitted and blood-borne infections (STBBIs) and individuals who work in the sex trade. High risk pregnant client's may be referred to the Nurse Family Partnership (if they meet program eligibility criteria) or HBHC."]
[null,null,null,"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 explicitly addressed by this program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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,{"$f":"Structure!D693 & \" \" & Structure!E693","v":"i 1) Family Planning Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery offers one-on-one services to clients, women under 50, don't have a HCP and high risk individuals e.g. sex trade individuals. Although these services are delivered at an individual level, they are part of a population-wide approach. This intervention includes birth control counselling, birth control and emergency contraception, cervical cancer screening, free condoms, pregnancy tests based on assessment, IUD consultation and insertions, and sexual health education. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D694 & \" \" & Structure!E694","v":"i 2) Sexual Health Outreach Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"This intervention uses an outreach approach to reach priority populations in the community, specifically individuals involved in the sex trade and the underhoused. This intervention offers STBBD testing along with sexual health education, emergency contraception, free condoms, and pregnancy tests based on assessment. Although these services are delivered at an individual level, they are part of a population-wide and priority population focused approach. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D695 & \" \" & Structure!E695","v":"i 3) Contraception Inventory Management (Health Resource Inventory Management)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. Specifically, this intervention includes the distribution of at-cost contraception to clients. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D696 & \" \" & Structure!E696","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D697 & \" \" & Structure!E697","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D698 & \" \" & Structure!E698","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D699 & \" \" & Structure!E699","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D700 & \" \" & Structure!E700","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D701 & \" \" & Structure!E701","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D702 & \" \" & Structure!E702","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D703 & Structure!E703","v":"P 4) 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'  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• NFP Clinical Services\n• HBHC Clinical Services\n• Smart Start for Babies\n• Healthy Growth and Development Phone Support\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 infants.\n\n• Priority Population(s): Families of breastfeeding newborns less than 6 weeks of age; Pregnant individuals and parents/caregivers of infants that are: scored \"with risk\" using the HBHC screening tool; Newcomers (5 years or less in Canada); Indigenous; living with low income and other SES-related concerns; at risk for or experiencing food insecurity; younger first-time parents\n\n• Priority populations were determined using SSFB, NFP and HBHC program eligibility criteria, data from the Healthy Babies Healthy Children Screening Tools (BORN, Integrated Services for Children Information System (ISCIS), and ISCIS Reporting Sub-System (IRSS)); and relevant program reviews (e.g., infant nutrition - breastfeeding review, healthy growth and development review). "]
[null,null,null,"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 addresses parental and infant mental health through the promotion of responsive parenting strategies (cue-based feeding) and Parent-Child attachment. \n\nFor more details refer to the description of interventions in the Perinatal Mental Health Promotion Program. "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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 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• 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) HBHC Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) Home Visiting offers one-on-one services to all clients with breastfeeding challenges during the early postpartum period (first six weeks).  One-on-one services are also provided 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 and breastfeeding support is provided as needed.  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 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. This intervention is supported by the HBHC team.\n"]
[null,null,null,{"$f":"Structure!D705 & \" \" & Structure!E705","v":"i 2) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one services related to infant nutrition to clients who meet the program criteria from early in pregnancy (prior to 29 weeks) and until the child’s second birthday. Families are supported to make informed infant feeding decisions. Breastfeeding support is offered to clients as needed. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered in the home or community (i.e., home visiting). This intervention is supported by the NFP and Early Years Group Programs team. \n"]
[null,null,null,{"$f":"Structure!D706 & \" \" & Structure!E706","v":"i 3) Smart Start for Babies (Education and Skill Building)"}]
[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 related to prenatal health, and other topics, including breastfeeding. 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. This intervention is supported by the NFP and Early Years Group Programs team. "]
[null,null,null,{"$f":"Structure!D707 & \" \" & Structure!E707","v":"i 4) Healthy Growth and Development Phone Support (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building through the Healthy Growth and Development Phone Support involves the development and implementation of client/family-centered one-on-one discussion. Activities include education regarding infant nutrition including breastfeeding, introduction of solids, and general infant nutrition that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population (i.e., clients and families) with a focus on breastfeeding information. Screening of clients is conducted to assess if breastfeeding support is needed. This intervention also provides specific tools and/or strategies to build capacity and support behavior change including referrals to other MLHU programs and community services as appropriate. This intervention is delivered over the phone. This intervention is supported by the HBHC team. "]
[null,null,null,{"$f":"Structure!D708 & \" \" & Structure!E708","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D709 & \" \" & Structure!E709","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D710 & \" \" & Structure!E710","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D711 & \" \" & Structure!E711","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D712 & \" \" & Structure!E712","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D713 & \" \" & Structure!E713","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D714 & Structure!E714","v":"P 5) "}]
[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,{"$f":"Structure!D715 & \" \" & Structure!E715","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D716 & \" \" & Structure!E716","v":"i 2) "}]
[]
[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) "}]
[]
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[]
[null,null,null,{"$f":"Structure!D794 & \" \" & Structure!E794","v":"i 3) "}]
[]
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[]
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[]
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[]
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[]
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[]
[null,null,null,{"$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) "}]
[]
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[]
[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,{"$f":"Structure!D826 & \" \" & Structure!E826","v":"i 2) "}]
[]
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[]
[null,null,null,{"$f":"Structure!D828 & \" \" & Structure!E828","v":"i 4) "}]
[]
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[]
[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) "}]
[]
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[]
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[]
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[]
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[]
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[]
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[]
[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,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Immunization"]
[null,null,null,"A. Community Needs and Priorities\nPlease provide a short summary of the following:\na) The key data and information which demonstrates your communities’ needs for public health interventions to address immunization."]
[null,null,null,{"$cut":{"chars":19769,"head":"Immunization refers to the process of becoming protected from a disease through vaccination. Vaccination is a powerful public health intervention that has led to the eradication of certain diseases (e.g., smallpox), as well as reduced morbidity and mortality for other diseases (e.g., measles, COVID-19) (Greenwood, 2014; Ssentongo et al., 2022). Significant challenges associated with vaccination interventions can be classified into four main themes: 1) safe and standard manufacturing, 2) evaluation and monitoring of safety and efficacy, 3) mass production and fair distribution, and 4) public acceptance (Jalilian et al., 2023). Local health units are generally responsible for fair distribution of vaccinations and providing information about all four areas. For example, in terms of public acceptance, a significant proportion of the global population experiences vaccine hesitancy (Fajar et al., 2022; Nuwarda et al., 2022). Vaccine hesitancy is linked to several factors. For example, COVID-19 vaccine hesitancy is linked to “being a woman, being a 50-year-old or younger, being single, being unemployed, living in a household with five or more individuals, having an educational attainment lower than an undergraduate degree, [and] having a non-healthcare-related job” (Fajar et al., 2022). Significant work has been done to better understand vaccine hesitancy and support providers who are responding to it (Fasce et al., 2023).\n\nMiddlesex-London Health Unit prioritizes immunization through the following programs. Where possible, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nCommunity Based Immunization Outreach Program\n• 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. In Middlesex-London, schoolboards and schools are key community partners and Indigenous partners represent an important priority population. \n• Childhood vaccinations represent one of the most effective ways to protect children’s health. The global prevalence of parental vaccine hesitancy for children was found to be 21-25% (Abenova et al., 2024; Maamor et al., 2024). Factors associated with parental vaccine hesitance include religious sentiments, personal beliefs, perceived safety concerns, a desire for more information from healthcare providers, and factors related to availability, accessibility, affordability, and acceptability of vaccinations (Maamor et al., 2024). \n• Data from the childhood National Immunization Coverage Survey (cNICS) suggests that in Canada the national vaccine coverage estimates for 2-year-olds were similar in 2021 compared to 2019, although Black children reported significantly lower vaccine coverage for diphtheria, pertussis and tetanus, Hib, pneumococcal, and rotavirus compared to White children. Overall, 2% of Canadian 2-year-old children had not received a vaccine in their lifetime with the majority (55%) of the caregivers of these children reporting risk of side effects as their main concern. The majority of caregivers of 2-year-old children reported that vaccines were safe, effective, and protect children’s health, but “a larger proportion of parents/guardians believed that alternative practices (15%) and healthy nutrition and hygiene (16%) can replace the need for vaccination, up from 11% for both in 2019” (Government of Canada, 2023). \n• cNICS data for 2021 show that Ontario rates for vaccine coverage for 2-year-olds vary: 76.7% for diphtheria, pertussis, and tetanus; 94.4% for polio; 73.8% for haemophilus type B; 92% for measles; 91.7% for mumps; 91.7% for rubella; 85.9% for varicella; 90.1% for meningococcal type C; 86.1% for pneumococcal; and 84.7% for rotovirus. However, it is important to note that even higher rates of vaccination (e.g., 92% for measles) are not necessarily high enough to protect the community from outbreaks (Trevithick, 2024). A recent report from Public Health Ontario"}}]
[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\nModification are made based on competing principles when necessary e.g. COVID-19 or RSV vaccine or outbreaks."]
[null,null,null,"B. Key Partners/Stakeholders\nPlease provide a high level summary of the specific key internal and external partners you will collaborate with to deliver on this Standard. Include a description of the contribution/role of these partners in program and service delivery, the mechanism for engagement (e.g., data sharing agreements, committee tables, working groups, etc.), and frequency of engagement. Please also describe any situations where the programming provided by external partners is sufficient so that you have not had to deliver similar programming under this Standard."]
[null,null,null,"Community Based Immunization Outreach\nThe Community Based Immunization Outreach Program is managed by the Social Marketing and Health System Partnership (SMHSP) Team and the Vaccine Preventable Disease Team.  The Social Marketing and Health System Partnership is responsible for social marketing initiatives along with communication to health care partners through the Health Care Provider Outreach initiative.  \nThe Vaccine Preventable Disease 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• 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• London Intercommunity Health Centre (LIHC) \n• Cross Cultural Learning Centre\n\nCOVID-19 Vaccine Program\nMLHU works to enhance COVID-19 vaccine education, uptake, and distribution, through internal and external education, collaboration and support to promote vaccine availability and uptake, with a specific focus on individuals and populations considered highest risk due to where they reside, or risk of potential adverse outcomes after COVID-19 infection.\nInternal Partners: \n• Infectious Disease Control (IDC) Team – collaborate with VPD for information sharing and promotion of vaccine administration with high risk congregate settings. i.e. LTCH/RHs. Fall respiratory workshop provided information for HCPs in these settings (included vaccine stats and information, combating vaccine hesitancy and overview of collaborative services)\n• Health Equity and Indigenous Reconciliation Team (HEART) – collaborate with VPD to identify and communicate with priority populations in the community, including interest groups and those that provide healthcare services. Discussions with these groups included collaborative information dissemination and the provision of mobile clinics to serve the populations where they are comfortable.\n• Population Health Assessment and Surveillance (PHAS) Team – collaborate with VPD to generate and assess population and vaccine statistics to assist with identification of vaccine coverage and gaps in healthcare provision.\n• Social Marketing and Health Systems Partnership – collaborate with VPD to provide HCP and pharmacy respiratory vaccine information, including COVID-19.\n• Communications – collaborate with VPD for communication materials and messaging for HCP, external partners, populations, families and individuals. This included a respiratory vaccine chart that enabled individuals to read who was eligible for all fall vaccines, and where and when they could access vaccine.\n\nExternal Partners of the COVID-19 Vaccine Program: \n• Community Paramedicine Program Team – discussions about community needs, will look at planning to provide vaccine to homebound individuals next year\n• Long-Term Care and Retirement Homes – fall respiratory workshop to increase knowledge and information, promotion of vaccination for pharmacy partnerships and internal vaccination of staff and residents.\n• Hospitals: London Health Sciences Centre (LHSC) and St. Joseph's Health Care London (SJHC) – ongoing support and sharing of information, promotion of vaccination for staff and patients\n• Pharmacies: promotion of LTCH/RH partnerships and homebound visits, provide information when required. Pharmacies in the MLHU area were able to provide the majority of COVID-19 vaccine doses for individuals 12yrs and older. Some pharmacies were able to administer to children 2-11yrs, although these opportunities were harder for families to find and access. MLHU needed to provide vaccine to children under the age of 2yrs.\n• Community groups representing priority populations (African Caribbean and Black (ACB) Community, We Bridge, London Intercommunity Health Center (LIHC), Cross Cultural Learner Centre (CCLC) and other cultural groups): series of meetings to promote collaborative partnerships and a clinic to increase awareness, availability and uptake of fall respiratory vaccines, including COVID-19.\n• First Nations Communities and Health Centres and Southwest Ontario Aboriginal Health Access Centre (SOAHAC): series of meetings to promote collaborative partnerships and a clinic to increase awareness, availability and uptake of fall respiratory vaccines, including COVID-19. \n• Health Care Providers: continual information flow through website, webinars, e-newsletters, flyers added to vaccine orders, resource sharing. Promotion of COVID-19 vaccine, background assistance with onboarding to COVAXon and inventory support.\nCity of London\n\n"]
[null,null,null,"Immunization 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\nInternal partners of the Immunization Monitoring and Surveillance Program include: \n• Population Health Assessment and Surveillance  Team \n\nExternal partners of the Immunization Monitoring and Surveillance Program include:\n• Health care providers who administer vaccines\n• Public Health Ontario\n\nVaccine 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• Long-term care/ retirement homes\n• Other community partners with locations where clinics can be held    \n• Hospitals\n• First Nation Communities \n• London Intercommunity Health Centre\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 and Retirement Homes\n• Health Care Providers (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\n• London Intercommunity Health Center (LIHC)\n• First Nation Health Centres (i.e., Oneida, Muncey and Chippewa)\n\n"]
[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 Social Marketing and Health System Partnership (SMHSP) Team provides information to community partners in particular health care providers on immunization and immunization practices including administration and reporting requirements. The Vaccine Preventable Disease (VPD) Team collaborates with agencies that also administer vaccines and supports them with vaccine distribution and management. \n\nInterventions of the Community Based Immunization Outreach Program include:\n• Community Immunization Social Marketing \n\nTarget Populations include:\n• Health Care Providers\n• Community Partners\n• General Public"]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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). "]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D892 & \" \" & Structure!E892","v":"i 1) Community Immunization Social Marketing (Social Marketing)"}]
[null,null,null,"Social marketing 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 confidence and address vaccine hesitancy; provincial leadership and coordination in this area is critical. This intervention is supported by the Social Marketing and Health Systems Partnerships team and the Vaccine Preventable Disease Team. \n"]
[null,null,null,{"$f":"Structure!D893 & \" \" & Structure!E893","v":"i 2) "}]
[]
[null,null,null,{"$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 and in-office clinics. Other organizations involved in the administration of COVID-19 vaccine include LTCHs, RHs, and hospitals (to their residents and staff), specific pharmacies and some health care providers in the area. Of note, the uptake of health care providers in COVID-19 vaccine administration remains very low.\n\nCommunity Based Immunization Outreach Program include:\n\nCOVID-19 Vaccine Clinical Services\n•\tThe target populations for the COVID-19 Vaccine Program are priority populations including: children 2 yrs of age and younger; high risk congregate settings; and, identified vulnerable, prioritized or marginalized populations.\n•\tMLHU ensures that promotion and support is provided to each of these settings through education, information, outreach, meetings, collaborative efforts and ongoing support. \n•\tWhen these settings are administering vaccine, priority is provided for vaccine ordering, and ongoing support is available for onboarding staff to COVAXon and inventory reconciliation.\n•\tVaccine is ordered and maintained at the main office site for pick-up. All settings that receive vaccine from MLHU report doses in COVAXon and inventory is followed up on a weekly basis. \n•\tIdentifying health disparities among area populations and working to decrease these involves communication with various groups in the area, including healthcare providers and non healthcare providers. Accessibility, cultural sensitivity and barriers to accessing vaccine or receiving care are looked at through the lens of the community and the providers who work with these populations. Through ongoing discussions and outreach, capacity-building initiatives are built through trust, so that vaccine can be mobilized through clinics that are not always health unit driven.\n•\tBarriers for specific populations who prefer to receive healthcare in their own clinic (e.g. First Nations clinics, hospital settings, retirement homes) are discussed and addressed through supportive and promotional outreach throughout collaborative discussions to provide the health care providers in these settings with vaccine and support. \n•\tWorking directly with these populations and the health care providers within them provides the best insight for decisions to be made. Information is also assessed that is provided from the Ministry on a regular basis (“Confidential LTCH RH Fall COVID-19 Vaccine Home Level Data”, “COVID-19 Vaccination Program Weekly Review by the Numbers”, and the “Progress on Fall 2024-25 Dose – High Risk Populations”). Local population data is obtained through City of London sources and reported through community contacts from specific cultural or health care groups.\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 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,{"$f":"Structure!D903 & \" \" & Structure!E903","v":"i 1) COVID-19 Vaccine Clinical Services (Clinical Services Delivery)"}]
[null,null,null,"Clinical service delivery for the COVID-19 Program provides targeted mobile clinics to deliver COVID-19 vaccine to priority populations. The Vaccine Preventable Disease (VPD) team delivers this intervention. With decreased capacity and resources, the shift occurred to promoting and supporting community-based immunization initiatives as described in the above section. Very few mobile opportunities were possible over the last year."]
[null,null,null,{"$f":"Structure!D904 & \" \" & Structure!E904","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D905 & \" \" & Structure!E905","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D906 & \" \" & Structure!E906","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D907 & \" \" & Structure!E907","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D908 & \" \" & Structure!E908","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D909 & \" \" & Structure!E909","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D910 & \" \" & Structure!E910","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D911 & \" \" & Structure!E911","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D912 & \" \" & Structure!E912","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D913 & Structure!E913","v":"P 3) Immunization Monitoring and Surveillance"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served with specifics on priority populations, as well as Panorama reporting and support (if applicable). 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 monitors immunization trends and responds to emergent issues including vaccine preventable disease outbreaks. Ongoing immunization surveillance identifies priority populations facing barriers to immunizations, their associated risk factors, and emerging trends. Through the 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. When planning for a post-exposure clinic, the population or community involved will be considered to ensure barriers are not in place for them to receive this timely intervention. The health unit will work with HCP and clients to provide vaccine when and where necessary.\n\nInterventions of the Immunization Monitoring and Surveillance Program include:\n• VPD Case, Contact and Outbreak Management\n• AEFI Investigations\n\nTarget Population\n• Health care providers to maximize vaccine administration \n• Community partners "]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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) VPD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention includes Case, Contact and Outbreak Management for the following DOPHS; Acute Flaccid Paralysis, Varicella, Diphtheria, Haemophilus influenzae, Measles, Invasive meningococcal disease, Mumps, Pertussis, Pneumococcal disease, invasive, Poliomyelitis, Rubella (including congenital), and Tetanus. 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,{"$f":"Structure!D915 & \" \" & Structure!E915","v":"i 2) AEFI Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Reports of Adverse Events Following Immunization (AEFIs) are investigated and reviewed. AEFIs meeting provincial reporting criteria are forwarded to the Ministry using the Integrated Public Health Information System (iPHIS). The Vaccine Preventable Disease (VPD) team delivers this intervention."]
[null,null,null,{"$f":"Structure!D916 & \" \" & Structure!E916","v":"i 3) "}]
[]
[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 with specifics on vulnerable and priority populations (if applicable). 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 by providing and promoting immunization. The intervention provides: \n• Immunization services to eligible priority populations (0-18yrs) who may not have access to provincially funded immunization programs and services;\n• Immunization services for students (4-18yrs) at imminent risk of suspension from school due to ISPA screening processes\n• Immunization services to provide vaccine to individuals under 18 yrs that is not available through other providers (e.g. grade 7-based vaccines, COVID, influenza and RSV vaccines for children 2yrs and younger)\n• Administration of vaccine for post-exposure prophylaxis (e.g. rabies, measles, etc.); \n• School-based clinics for Grade 7 students (and Grade 8 as catch-up); and\n• Mobile clinics in the event of outbreaks and for specific vaccines for priority populations (e.g. COVID-19 mobile clinic), or as requested by the Ministry (e.g. fall retirement home RSV clinics)\n\nInterventions of the Vaccine Administration Program include:\n• Priority Population and Outbreak Vaccine Administration\n• School-aged Children Vaccine Administration\n\nTarget populations\n• Grade 7/8 students\n• In 2024-2025 targeting students aged 4-18 for ISPA legislated 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 years of age living in the Middlesex-London area who do not have a health care provider and arrived in Canada within the past year\n• Individuals under 18 years of age living in the Middlesex-London area who do not have a valid Ontario health card\n• Newcomers in collaboration with London Intercommunity Health Centre\n\nPriority populations\n• Vulnerable and underserved individuals – identified in collaboration with HEART and PHAS Teams, and through conversation with community groups and healthcare providers.\n• Newcomers receiving services from CCLC and LIHC are booked into a clinic when they arrive in Canada to begin the process of record review and immunization series\n• Students at risk of suspension may be identified through school contacts.\nDuring ISPA screening and enforcement activities, many families will identify with barriers or hardships in retrieving or handing in records, understanding the suspension process, and/or finding somewhere to be vaccinated on time. Extra clinics are team supports are set up at these times of the year, whereby MLHU will see them in clinics, more PHNs will be available on phones and able to speak with families in reception if they come to the health unit with questions. A mobile VOYCE interpretation system is now used, so families who speak other languages are able to discuss immunizations with VPD staff without the need to book or bring an interpreter. Walk-in opportunities are set up for immunizing students who are already suspended and get referred to the health unit for one-stop to receive vaccines and have it communicated to the school so they can return. Follow-up visits are booked for those on catch-up series."]
[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,{"$f":"Structure!D925 & \" \" & Structure!E925","v":"i 1) Priority Population and Outbreak Vaccine Administration (Clinical Services Delivery)"}]
[null,null,null,"Clinical service delivery for the Vaccine Administration Program provides vaccine clinics for priority populations, and outbreaks.  This intervention includes rabies  post exposure prophylaxis. The Vaccine Preventable Disease (VPD) team delivers this intervention. "]
[null,null,null,{"$f":"Structure!D926 & \" \" & Structure!E926","v":"i 2) School-aged Children Vaccine Administration (Clinical Services Delivery)"}]
[null,null,null,"Clinical service delivery for the Vaccine Administration Program includes the Grade 7 and high school vaccination program and catch-up clinics. The Vaccine Preventable Disease (VPD) team delivers this intervention. \n"]
[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• The VPD team is available for ongoing support related to any questions HCPs have regarding their vaccine supply, or storage and handling.\n\nInterventions of the Vaccine Management Program include:\n• Vaccine Inventory Management\n• Vaccine Management Inspections\n• Vaccine Management 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• Long-Term Care and Retirement Homes"]
[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) Vaccine Inventory Management (Health Resource Inventory Management)"}]
[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,{"$f":"Structure!D937 & \" \" & Structure!E937","v":"i 2) Vaccine Management Inspections (Inspections)"}]
[null,null,null,"Inspections for Vaccine Management involve cold chain inspections in all settings where publicly funded vaccines are stored. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D938 & \" \" & Structure!E938","v":"i 3) Vaccine Management Investigations (Investigations)"}]
[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) "}]
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[null,null,null,{"$f":"Structure!D1105 & \" \" & Structure!E1105","v":"i 5) "}]
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[null,null,null,{"$f":"Structure!D1106 & \" \" & Structure!E1106","v":"i 6) "}]
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[null,null,null,{"$f":"Structure!D1107 & \" \" & Structure!E1107","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D1108 & \" \" & Structure!E1108","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D1109 & \" \" & Structure!E1109","v":"i 9) "}]
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[null,null,null,{"$f":"Structure!D1110 & \" \" & Structure!E1110","v":"i10) "}]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 and IPAC requirements in the Standard. In your summary, please address infectious/communicable diseases and IPAC separately. "]
[null,null,null,"We are entering a new era of infectious diseases defined by outbreaks and emerging, quick-spreading pathogens that have an increasing geographical range of effect (Baker et al., 2022). Changes to infectious diseases rates and types are affected by changes to the climate (e.g., rising temperatures), demographic changes (e.g., urbanization, population growth, land use changes, migration, aging population), and technological changes (e.g., cheaper, faster global travel and improved health care) (Baker et al., 2022). For example, climate change causes species that are reservoirs for infectious diseases to change or increase their geographical range. Similarly, some respiratory pathogens, such as influenza, are more seasonal and persistent in temperate climates, and are therefore expected to expand their range and effect with rising climate temperatures. In terms of demographic changes, increased population sizes and rising urban density result in humans having increased contact with wildlife, creating increased opportunities for contact with reservoir species. Aging populations may increase transmission of certain pathogens as longer periods of viral shedding are associated with age. In terms of technological changes, affordable flights and high-speed rail affect the pace and range of infectious disease spread. \nGiven these factors affecting the spread of infectious diseases globally, it is perhaps unsurprising that the burden of infectious diseases continues to increase in the Middlesex-London region. The resources required by the agency to respond to reportable diseases and support infection prevention and control (IPAC) in all settings are increasing annually, despite ongoing efforts to optimize processes.\n\nMiddlesex-London Health Unit prioritizes infectious and communicable disease prevention and control through the following programs. When available, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nInfectious Disease Control Program\n• Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi. These diseases can spread from the environment or from one person to another resulting in illness. Important areas of infectious disease focus in Ontario and Middlesex-London include: \no Blood-borne infections (discussed in the STBBD program below)\no Sexually transmitted infections (discussed in the STBBD program below)\no Food-borne diseases (discussed in the Food Safety program)\no Vaccine preventable diseases (discussed in the Immunization programs)\no Vector-borne diseases (discussed in the Vector-borne diseases program below)\no Water-borne diseases (discussed in the Safe Water program)\no Zoonotic diseases (discussed in the Rabies and Zoonotic diseases program below)\no Respiratory infectious diseases (discussed below)\n• Important respiratory infectious diseases in Canada include influenza, COVID-19, and RSV. In Canada, typically respiratory infectious diseases increase in the fall and winter. Infectious disease surveillance is fundamental for a successful public health response to infectious diseases. Currently respiratory infectious disease surveillance in Canada primarily relies on clinical case counts or screening as opposed to other surveillance opportunities (e.g., waste-water testing, representative population-based testing and genomics) (Berry et al., 2022). Reliance on case counts and screening leads to bias “as a result of undercounting of cases, selection biases from health care-seeking behaviours, lagging epidemiological indicators and unmanageable case volumes” (Berry et al., 2022). For example, lower access to healthcare services in equity-deserving groups leads to underestimates of disease burden in these populations. More comprehensive surveillance methods are an important community need in Canada, Ontario, and Middlesex-London.\n• Public Health Ontario has an Ontario Respiratory Virus Tool that provides comprehensive epidemiological information about influential respiratory infectious diseases (e.g., influenza, COVID-19, and RSV), along with other respiratory infectious diseases (e.g., adenovirus, entero/rhinovirus, human metapneumovirus, parainfluenza, seasonal human coronavirus). In 2020, Middlesex-London launched a COVID-19 dashboard and in 2024 expanded this to a Respiratory Surveillance Tool that maps key indicators of respiratory illness during the respiratory season (September to April) (e.g., new outbreaks in healthcare facilities, emergency department visits due to influenza-like illness, new hospitalizations, percent test positivity for COVID-19 and influenza). During the 2023-2024 season in Middlesex London, COVID-19 continued to dominate the number of laboratory-confirmed respiratory illness cases and outbreaks reported locally and across the province. However, there was also concurrent circulation of respiratory pathogens that typically circulated pre-pandemic, such as influenza. For most respiratory pathogens, the 2023-2024 season was characterized by a more ‘typical’ season of decreased activity throughout the late spring and early summer. However, COVID-19 outbreaks continued to be identified throughout and up to the end of the respiratory season in August 2024. \n\nInfection Prevention and Control (IPAC)\nThe IDC team provides a variety of IPAC services, including IPAC investigations (investigating for potential IPAC lapses in both inspected and uninspected premises) and routine IPAC inspections at child care centres and personal service settings. The MLHU IPAC hub delivers targeted IPAC education to ministry funded institutional settings (e.g. Long term care homes). \n\nIPAC investigations: \nIn 2024, there were 14 IPAC complaints received by MLHU, all of which were investigated and closed, save for one that remains ongoing. \n3 investigations found major IPAC deficiencies\n1 investigation found an IPAC Lapse\n\nIPAC Inspections:\n346 IPAC inspections were conducted at Personal Service Settings and Childcare settings in 2024. \n\nInstitutional IPAC Education: \nThe MLHU IPAC Hub delivered 241 infection prevention and control services to insitutional settings in 2024. \n\nVector-Borne Diseases Program\n• Vector-borne diseases are infections transmitted to humans and other animals by arthropods including mosquitoes, ticks, triatomine bugs, sandflies, blackflies and mites. Globally, vector-borne diseases account for more than 17% of infectious diseases (World Health Organization, 2024). While the current Canadian climate does not support the vectors associated with many impactful vector-borne diseases (e.g., chikungunya virus, Zika virus), this is expected to evolve because of climate change (Otten et al., 2020). Two established vector-borne diseases that have emerged in Canada in the last 25 years are Lyme disease and West-Nile virus (Otten et al., 2020). For example, vector surveillance in Canada has documented the geographic expansion of the black-legged tick, the main vector of Borrelia burgdorferi, which is responsible for Lyme disease (Semenza et al., 2022). In 2009 Lyme Disease became a priority across Ontario because Blacklegged Ticks were found to be carrying the disease. Similarly, since 2002, West Nile Virus has been a focus across Ontario because the virus was found in birds and mosquitoes across the province. 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• On July 1, 2023, the Ontario Ministry of Health designated anaplasmosis, babesiosis and Powassan virus as three new tick-borne diseases of public health significance (Public Health Ontario, 2024a). In 2023 in Ontario, 40 cases of anaplasmosis (17 confirmed and 23 probable) and 15 cases of babesiosis (8 confirmed and 7 probable) were reported (Public Health Ontario, 2024a). Zero cases of Powassan virus were reported in Ontario in 2023. Zero cases of anaplasmosis and babesiosis were reported in Middlesex London in this time period (Public Health Ontario, 2024a). \n• In 2022, 1490 cases of Lyme disease were reported in Ontario, 20 of these cases were from Middlesex London (the Middlesex London rate was lower than the Ontario rate). Middlesex London is an established risk area for the Blacklegged ticks that are associated with Lyme disease (Public Health Ontario, 2024b). \n• In 2022, 29 cases of West Nile Virus were reported in Ontario and 0 were reported in Middlesex London (the Middlesex London rate was lower than the Ontario rate). More recent data is available for West Nile virus that shows, as of October 2024, there have been four human West Nile Virus cases and nine positive mosquito pools in Middlesex London. \n\nRabies and Zoonotic Diseases Program\n• Zoonotic diseases are infectious diseases that can be transmitted from animals to humans. They can range from mild gastrointestinal illnesses to deadly diseases like rabies. \n• In Middlesex London, rabies is an important zoonotic disease monitored by the Safe Water, Tobacco Enforcement and Vector Borne Disease (SWTEVBD) team. Surveillance of rabies by this team shows that there has been an animal/person contact in Middlesex-London which have been increasing steadily each year:\no 2017: Total number of investigations:1060\no 2018: Total number of investigations:1094\no 2019: Total number of investigations:1110\no 2020: Total number of investigations:1030\no 2021: Total number of investigations:1155   \no 2022: Total number of investigations: 1229\no 2023: Total number of investigations:1240\no 2024: Total number of investigations:1568\n• As increasing animal bites are reported, MLHU requires increased capacity to respond and investigate.\n\nSexually Transmitted and Blood Borne Diseases Program\n• Sexually transmitted and blood-borne diseases (STBBDs) are diseases that can be transmitted through sexual contact or blood. Examples include hepatitis B and C, Human immunodeficiency virus (HIV), chlamydia, gonorrhea, syphilis, human papilloma virus (HPV), and genital herpes. In Canada there has been a lack of progress with reducing or eliminating STBBDs: bacterial sexually transmitted diseases, such as chlamydia, gonorrhea, and syphilis are rising and rates of hepatitis B and C and HIV have not decreased to match global targets (Public Health Agency of Canada, 2024). \no In 2017, 1525 new cases of cervical cancer (a preventable cancer associated with HPV) were reported in Canada. \no In 2020, an estimated 62,790 people were living with HIV (undiagnosed and diagnosed) and 6736 cases of hepatitis C (acute, chronic and unspecified), 3004 cases of hepatitis B were reported in Canada.\no In 2021, 104,426 cases of chlamydia, 32,192 cases of gonorrhea, 13,952 cases of infectious syphilis, and 117 cases of early congenital syphilis were reported in Canada.\n• These concerning Canadian trends are also apparent in Ontario and Middlesex London. Data from Ontario’s integrated Public Health Information System (iPHIS) shows that rates and counts of STIs in Ontario were increasing across time until the pandemic when counts and rates went down, likely due to lack of available healthcare services. Since 2020 rates and counts of STIs are again rising in Ontario. \no Data from iPHIS shows that in 2023, the following STTBDs were reported in Ontario: 42,449 cases of chlamydia, 14,146 cases of gonorrhea, 5489 cases of syphilis (infectious, other) and 13 cases of early congenital syphilis, 3383 cases of hepatitis C, 1351 cases of HIV, and 1646 cases of hepatitis B (acute and chronic). \no In Middlesex-London in 2023, there were 1,852 cases of chlamydia, 259 cases of gonorrhea, and 171 cases of syphilis, 143 cases of hepatitis C, 79 cases of hepatitis B (chronic), 2 cases of hepatitis A, and 21 cases of HIV (only the rate of chlamydia was higher than the Ontario rate). Middlesex-London has noticed an increase in late latent syphilis from 2022 and ongoing in 2024, as well as 1 early congenital syphilis case. In more recent years, the proportion of latent and other syphilis has increased in Middlesex London. This suggests that people are not seeking care at earlier stages of the infection, which could reflect lack of access or it could reflect lack of awareness of when to seek care. In addition, Middlesex-London has not seen a case of congenital syphilis in many years. As this condition is passed from mother to child during birth, it may indicate gaps in the broader healthcare system as congenital syphilis means that the birth parent had syphilis that went untreated. It may also mean that the birth parent did not have prenatal care, as there is often syphilis screening performed as part of prenatal care.\n\nReferences\nBaker, R. E., Mahmud, A. S., Miller, I. F., Rajeev, M., Rasambainarivo, F., Rice, B. L., Takahashi, S., Tatem, A. J., Wagner, C. E., Wang, L.-F., Wesolowski, A., & Metcalf, C. J. E. (2022). Infectious disease in an era of global change. Nature Reviews Microbiology, 20(4), 193–205. https://doi.org/10.1038/s41579-021-00639-z\nBerry, I., Brown, K. A., Buchan, S. A., Hohenadel, K., Kwong, J. C., Patel, S., Rosella, L. C., Mishra, S., & Sander, B. (2022). A better normal in Canada will need a better detection system for emerging and re-emerging respiratory pathogens. CMAJ, 194(36), E1250–E1254. https://doi.org/10.1503/cmaj.220577\nOtten, A., Fazil, A., Chemeris, A., Breadner, P., & Ng, V. (2020). Prioritization of vector-borne diseases in Canada under current climate and projected climate change. Microbial Risk Analysis, 14, 100089. https://doi.org/10.1016/j.mran.2019.100089\nPublic Health Agency of Canada. (2024, February 27). Canada’s sexually transmitted and blood-borne infections (STBBI) action plan 2024-2030. https://www.canada.ca/en/public-health/services/publications/diseases-conditions/sexually-transmitted-blood-borne-infections-action-plan-2024-2030.html\nPublic Health Ontario. (2024a). Anaplasmosis and Babesiosis in Ontario: 2023. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/A/24/anaplasmosis-babesiosis-ontario.pdf?rev=37b9c7c2c05044c797e8c044a0ed3256&sc_lang=en&hash=959201DF17CC100AEE2C951176CF7B6F\nPublic Health Ontario. (2024b). Ontario Blacklegged Tick Established Risk Areas 2024. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/O/24/ontario-blacklegged-tick-established-risk-areas-2024.pdf?rev=d7dafd390245466483d51e910f02c882&sc_lang=en\nSemenza, J. C., Rocklöv, J., & Ebi, K. L. (2022). Climate Change and Cascading Risks from Infectious Disease. Infectious Diseases and Therapy, 11(4), 1371–1390. https://doi.org/10.1007/s40121-022-00647-3\nWorld Health Organization. (2024, September 26). Vector-borne diseases. https://www.who.int/news-room/fact-sheets/detail/vector-borne-diseases"]
[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 and IPAC programming. In your summary, please address infectious/communicable diseases and IPAC separately. "]
[null,null,null,"VBD program has resumed as per the OPHS requirements.\nSyphilis rates and resurgence of congenital syphilis, increase in measles and other vaccine preventable diseases, increase in TB as well as extension of LTC home respiratory outbreaks related to COVID-19 throughout the year including the summer months.  "]
[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 with infectious/communicable disease and IPAC partners summarized separately. Include a description of the contribution/role of these infectious/communicable disease and IPAC 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 Disease Program\nInternal partners:\n• The Vector-Borne Diseases program is managed by the Safe Water, Tobacco Enforcement and Vector-Borne Disease (SWTEVBD) Team. \n• The Infectious Disease Control (IDC) Team monitors and investigates all positive human 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 IDC 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\nExternal partners:\n• The external partners listed below play a key role in distributing and promoting educational materials to the general or targeted populations, aiming to reduce the burden of illness related to vector-borne diseases. Their involvement is typically ad-hoc or seasonal, depending on emerging trends and the time of year. This collaborative effort helps ease the strain on the health unit, as they do not have to manage these services within the community alone.\n- City of London, Middlesex County, City of London Library, 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, Children's Museum, Chippewas of the Thames Nation, Oneida Nation of the Thames. Health Care Providers in London and Middlesex County; London Health Science Centre, Pathology and Laboratory Medicine\n\nTo ensure effective vector control for vector-borne diseases, the following external partners are engaged annually, as necessary, to obtain ministry permits and access public lands. The MLHU serves as the sole coordinator and monitor of vector control operations in both Middlesex County and the City of London.\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, 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, Hydro One, Union Gas, London Hydro.\n\nInfectious Disease Control\nInternal Partners:\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. Sexual Health collaborates with IDC for STBBD related exposures.  Vaccine Preventable Disease team provides vaccine pre-exposure and post-exposure prophylaxis.   The Population Health Assessment and Surveillance team provides data on surveillance and population health assessment of infectious diseases. Social Marketing and Health Systems Partnership team and Communication team collaborate with IDC to deliver targeted messaging.  \n\nExternal Partners:\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, Community Wide Infection Control Committee, Health Care Providers, Post secondary institutions i.e. Western and Fanshawe, Middlesex Health Alliance, Middlesex County staff, Community based labs i.e. Dynacare, St. Joe's Healthcare Centre\n\nIPAC Partners\nInternal: The IDC team is responsible for IPAC inspections and investigations. The MLHU IPAC HUB is responsible for the delivering of IPAC education to institutions and other ministry funded congregate settings. In addition, the Communications team delivers messaging to the broader community as required. \n\nExternal: Ministry of Health and Long Term Care, Long-term Care homes, Retirement homes, Retirement Home Association, Ontario Health West, London Middlesex Triad, Community Health Care providers, Colleges of various regulated health care professionals, Southwest Infection Prevention and Control HUB, child care centres, Ministry of Education\n"]
[null,null,null,"Rabies and Zoonotic Disease\nInternal Partners:\nThe Safe Water, Tobacco Enforcement, Vector Borne Disease (SWTEVBD) team leads this program and works closely with the Vaccine Preventable Disease (VPD) team for rabies post exposure prophylaxis storage, delivery and administration when necessary. The Infectious Disease Control (IDC) team coordinates the management of contacts of Avian Chlamydiosis in birds, management of human cases and contacts of Avian Influenza or Novel Influenza in Birds or Animals and management of human cases and contacts of Echinococcus Multilocularis infections in animals. The SWTEVBD team provides support to IDC team locating the site /farm where the infected animals reside. The VPD Team may also collaborate on the delivery of this program through delivery of post exposure prophylaxis.\n\nExternal Partners include:\nExternal partners assist in distributing educational materials on preventing animal exposures and providing information on how to report potential exposures. This collaboration primarily occurs through electronic communication, either annually or as needed. Enforcement activities are supported through the cooperation of municipal and provincial partners, based on formal data-sharing agreements, legislative requirements, or partnership arrangements. Additionally, laboratory testing services and animal collection agreements are essential to the risk assessment process for rabies exposures, utilizing established partnerships with local and provincial service providers.\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\nInternal partners:\nThe Sexually Transmitted and Blood-Borne Disease (STBBD) Program is managed by the Sexual Health (SH) Team. They work closely with Infectious Disease Control (IDC) Team, Municipal and Community Health Promotion Team, Social Marketing and Health Systems Partnership and Communications.\n\nExternal partners include:\nSome 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 at Fanshawe and Western, London Intercommunity Health Centre, Regional HIV/AIDS Connection, Southwest Ontario Health Access Centre, Shelters, Ministry of Health, Southwest Public Health, London Cares Homeless Response, Youth Opportunities Unlimited, Thames Valley Addiction and Mental Health Services."]
[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• VBD Case, Contact and Outbreak Management\n• VBD Education\n• VBD Investigations\n• VBD Surveillance\n• VBD 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 target populations 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 priority populations include immigrants to the region, migrant workers or those with language barriers because it’s possible they come from an area where mosquitoes and ticks are not a health concern.\n\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"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1113 & \" \" & Structure!E1113","v":"i 1) VBD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention includes Case, Contact and Outbreak Management for Anaplasmosis, Babesiosis, Lyme Disease, Powassan virus, and West Nile Virus. The management of the case is variable depending on the type of pathogen that is reported. Community based investigations typically begin with a series of questions and data collecting methods so that information can be documented in a case and contact management tool. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention in order to limit the spread of diseases, for example, when case exposures. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1114 & \" \" & Structure!E1114","v":"i 2) VBD Education (Education and Skill Building)"}]
[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,{"$f":"Structure!D1115 & \" \" & Structure!E1115","v":"i 3) VBD Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include receiving and responding to reports and complaints of vector-borne diseases and investigating in accordance with the Health Hazard Response Protocol and the Health Protection and Promotion Act. Upon receipt of a complaint or identification of a potential vector-borne disease, a response is initiated to determine the potential public health risk and take appropriate action as required based on the Ministry protocol. The Investigations intervention often works closely with the Case, Contact and Outbreak Management intervention. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1116 & \" \" & Structure!E1116","v":"i 4) VBD Surveillance (Surveillance)"}]
[null,null,null,"VBD surveillance involves the monitoring of disease vectors through active and passive sampling of 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,{"$f":"Structure!D1117 & \" \" & Structure!E1117","v":"i 5) VBD Vector Control (Vector Control) "}]
[null,null,null,"Vector Control is part of a vector-borne management strategy that is based on surveillance data and emerging trends in accordance with the Infectious Diseases Protocol, 2018. It includes using an integrated pest management control strategy to manage vector mosquito populations while remaining economically and environmentally conscious. Controlling vector mosquito larvae is key to reducing the spread of West Nile Virus infection to the public. Utilizing an integrated pest management control strategy aims to manage vector mosquito populations while remaining economically and environmentally conscious.  Approximately 38,000 catch basins located in the city of London and Middlesex County are treated 3 times per year by a hired service provider. 260 surface water sites are monitored and treated (when necessary) on a weekly basis by MLHU staff. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1118 & \" \" & Structure!E1118","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1119 & \" \" & Structure!E1119","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1120 & \" \" & Structure!E1120","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1121 & \" \" & Structure!E1121","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1122 & \" \" & Structure!E1122","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1123 & Structure!E1123","v":"P 2) 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• Community Case, Contact and Outbreak Management\n• Institutional Case, Contact and Outbreak Management\n• Community IPAC Education\n• Institutional IPAC Education\n• IAW Inspections\n• IPAC Inspections\n• IPAC Investigations\n• TB Clinical Services\n• TB Medication Inventory\n\nPriority populations for this program are the most vulnerable in our community. This includes people who are under-housed or homeless and people who inject drugs. Surveillance monitoring demonstrated an increase number of diseases of public health significance in these populations, including iGAS, Hepatitis A, and TB. \n\nThis 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) Community Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention responds to the all DOPHS in community settings, with the exception of STBBIs. Case investigation is the identification of any person with suspect, confirmed, and probable diagnoses. The management of the case is variable depending on the type of pathogen that is reported. The team prioritizes the education of health care providers to identify, diagnose, treat, and report diseases of public health significance. Staff 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. The Infectious Disease Control (IDC) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D1125 & \" \" & Structure!E1125","v":"i 2) Institutional Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention responds to the all DOPHS in Institutional settings, with the exception of STBBIs. The management of the case is variable depending on the type of pathogen that is reported.  An outbreak is an increase from the usual number of cases of disease or infection. Outbreaks may be identified when the health unit has investigated cases that have exposures linked to a particular location, product, or setting.  Outbreaks are reported by facilities as soon as they're identified.  Outbreak Investigation and Management identifies the cause of outbreaks within the congregate settings and implements infection control measures to reduce the risk of ongoing transmission. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1126 & \" \" & Structure!E1126","v":"i 3) Community IPAC Education (Education and Skill Building)"}]
[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. This intervention supports community settings adult and developmental seniors programs, childrens residences, supportive housing, and emergency shelters 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.  This intervention is funded through IPAC Hub Ministry funding. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1127 & \" \" & Structure!E1127","v":"i 4) Institutional IPAC Education (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building involves the development and implementation of educational activities that are designed to increase participants’ knowledge and improve behaviour, attitudes, and skills. This intervention supports high-risk congregate settings, long-term care and retirement homes, shelters and other congregate settings  to prevent and limit the spread of infectious diseases. Some of the activities associated with this intervention include; providing education and training, supporting communities of practice, learning and networking among IPAC leaders, supporting the development of IPAC programs, reviewing IPAC policy and procedures within sites, conducting assessments and audits of IPAC programs and practices, mentoring of IPAC service delivery to strengthen IPAC programs and practices. This intervention is funded through the IPAC Hub Ministry funding. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1128 & \" \" & Structure!E1128","v":"i 5) IAW Inspections (Inspections)"}]
[null,null,null,"This intervention relies heavily on providing education to operators of agricultural businesses who use international agricultural workers in order for those businesses to gain legislative compliance. These inspections are conducted when requested by the operator. 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,{"$f":"Structure!D1129 & \" \" & Structure!E1129","v":"i 6) IPAC Inspections (Inspections)"}]
[null,null,null,"IPAC inspections involve maintaining inventories, conducting risk assessments, performing inspections and re-inspections, and enforcing legal requirements of Public Health Acts and regulations in personal service settings and licensed child care settings. These compliance inspections are completed by Public Health Inspectors using a risk based approach. Each premise is inspected from 1 to 3 times annually.  Inspectors work with the owner/operator to ensure that regulations and infection control practices are met. Re-inspection may be required when non-compliance or violations are found. The IDC team ensures that an updated list of premises are entered into Hedgehog, the data system for all public health inspections. All inspection results are posted on the MLHU website. This intervention relies heavily on providing education to owners/operators to gain legislative compliance, but enforcement activities may also be required. The Infectious Disease Control (IDC) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D1130 & \" \" & Structure!E1130","v":"i 7) IPAC Investigations (Investigations)"}]
[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. 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 inspected settings. 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 may be required. 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.\n"]
[null,null,null,{"$f":"Structure!D1131 & \" \" & Structure!E1131","v":"i 8) TB Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"TB clinic services routinely sees TB Immigration Medical Surveillance clients and referrals from the Case and Contact Management intervention due to the lack of community physicians’ available to treat latent tuberculosis (e.g. contacts of cases with no family physician that are interested in LTBI treatment, Government Assisted refugees (GARs) with positive TB skin tests, GARs with negative TB skin tests and abnormal chest x-rays, referrals, and latent tuberculosis infection (LTBI) clients with no family physician that are interested in treatment). Although these services are delivered at an individual level, they are part of a population-wide or priority population focused approach to limit the spread of tuberculosis in our community. The Infectious Disease Control (IDC) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D1132 & \" \" & Structure!E1132","v":"i 9) TB Medication Inventory (Health Resource Inventory Management)"}]
[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• Rabies and Zoonotic Disease Case, Contact and Outbreak Management\n• Rabies and Zoonotic Disease Investigations\n• Rabies Inventory Management\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,{"$f":"Structure!D1135 & \" \" & Structure!E1135","v":"i 1) Rabies and Zoonotic Disease Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention includes case, contact and outbreak management for the following DOPHS; Avian Influenza, Brucellosis, Echinococcus, Hantavirus, Psittacosis/Ornithosis, Q fever, Rabies and Tularemia. The management of the human cases is variable depending on the type of pathogen that is reported. Zoonotic disease may be reported to MLHU by the provincial Veterinarian or be identified as a result of a human exposure. Investigations typically begin with a series of questions and data collecting methods so that information can be documented in a case and contact management tool. Contact investigation or contact tracing is the identification, monitoring and support of the individuals or contacts who have been exposed to the case and possibly infected themselves. This process prevents further transmission of disease by separating people who have or may have an infectious disease from people who do not. If a zoonotic disease outbreak is suspected, the Case, Contact and Outbreak management Lead will notify the Investigations Lead to begin an Investigation. The Infectious Disease Control (IDC) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1136 & \" \" & Structure!E1136","v":"i 2) Rabies and Zoonotic Disease Investigations (Investigations)"}]
[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 control measures 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,{"$f":"Structure!D1137 & \" \" & Structure!E1137","v":"i 3) Rabies Inventory Management (Health Resource Inventory Management)   "}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. This intervention includes Rabies Post Exposure Prophylaxis and Rabies Immunoglobulin. To mitigate and prevent potential rabies infections, MLHU will assess and respond to health care providers’ orders for Rabies Post Exposure Prophylaxis and Rabies Immunoglobulin so that vaccine quantities meet the demand based on the potential rabies exposures and attempt to minimize wastage at the storage locations. The Vaccine Preventable Disease (VPD) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D1138 & \" \" & Structure!E1138","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1139 & \" \" & Structure!E1139","v":"i 5) "}]
[]
[null,null,null,{"$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 Diseases"}]
[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 STBBD Program is delivered through the following interventions: \n• STBBD Case, Contact and Outbreak Management\n• STBBD Medication Inventory Management\n• PHN Lead STI Clinic\n• Physician Lead STI Clinic\n• Sexual Health Outreach Clinical Services\n• STBBD Social Marketing\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 (STIs), 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. \n\nSteps have been taken to remove barriers for these priority populations by tailoring our sexual health clinic to serve priority populations and offering sexual health outreach i.e. Get a Kit and On line Booking."]
[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• 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) STBBD Case, Contact and Outbreak Management (Case, Contact and Outbreak Management)"}]
[null,null,null,"This intervention includes case, contact and outbreak management for the following DOPHS; HIV, Chancroid, Chlamydia, Gonorrhea, Hepatitis B, Hepatitis C, Ophthalmia neonatorum, Syphilis, and Trichinosis. 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,{"$f":"Structure!D1147 & \" \" & Structure!E1147","v":"i 2) STBBD Medication Inventory Management (Health Resource Inventory Management)"}]
[null,null,null,"Health Resource Inventory Management involves the procurement, storage, distribution, tracking, and wastage management of public health resources. It also involves the management and oversight of inventory systems to support public health programs and the delivery of clinical services. For the purposes of this intervention, health resources are considered those that are distributed to MLHU clients and community partners, and do not include centralized supplies for internal MLHU clinics and services. Wihtin the STBBD program, this intervention includes distributing condoms and lubricant directly to MLHU clients and community partners. This intervention also includes the distribution of publicly-funded STBBI medications to healthcare providers to treat their client’s and contacts identified via contact investigations. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1148 & \" \" & Structure!E1148","v":"i 3) PHN Led STI Clinic (Clinical Services Delivery)"}]
[null,null,null,"The public health nurse STI Clinic is a clinical service delivery intervention that offers one-on-one services to clients. This includes follow up with STBBI test results. The PHN Lead Clinic focuses on non-symptomatic clients and operates 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,{"$f":"Structure!D1149 & \" \" & Structure!E1149","v":"i 4) Physician Led STI Clinic (Clinical Services Delivery)"}]
[null,null,null,"The physician led STI Clinic is a clinical service delivery intervention that offers one-on-one services to clients. This includes follow up with STBBI test results. The Physician Led Clinic operates with appointments (some drop-ins accepted), no health card, free counselling, testing, treatment for clients of any age. The clinics provide access for sexual health services to target populations including university/college students, non-student young adults, identified priority populations, and the MSM community, to ensure testing and treatment is available to reduce the burden and transmission of STI’s and BBI’s. Although these services are delivered at an individual level, they are part of a population-wide and priority population focused approached and are scalable to have a population-level impact beyond the individual receiving the intervention. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1150 & \" \" & Structure!E1150","v":"i 5) Sexual Health Outreach Clinical Services (Clinical Services Delivery)"}]
[null,null,null,"This intervention uses an outreach approach to reach priority populations in the community, specifically individuals involved in the sex trade, people who use drugs, and the underhoused. This intervention offers STBBD testing along with sexual health education, emergency contraception, free condoms, and pregnancy tests based on assessment. Although these services are delivered at an individual level, they are part of a population-wide and priority population focused approach. The Sexual Health team supports this intervention."]
[null,null,null,{"$f":"Structure!D1151 & \" \" & Structure!E1151","v":"i 6) STBBD Social Marketing (Social Marketing)"}]
[null,null,null,"STBBD social marketing activities, which center on reducing the burden of illness, injuries, and harm reduction related to STBBDs, involve creating and disseminating health information to the public and community partners using multi-media approaches. STBBD-related activities within this intervention aim to gather and use target population insights to develop targeted communication materials that increase knowledge and change attitudes, beliefs, and practices in order to increase testing and reduce the spread of STBBD-related diseases. The Social Marketing and Health System Partnerships (SMHSP) team and Communication Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1152 & \" \" & Structure!E1152","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1153 & \" \" & Structure!E1153","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1154 & \" \" & Structure!E1154","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1155 & \" \" & Structure!E1155","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1156 & Structure!E1156","v":"P 5) "}]
[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,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Clean drinking water is one of the United Nations Sustainable Development Goals. The quality of drinking water can be described in terms of physical (e.g., suspended solids), chemical (e.g., levels of lead or chlorine) and biological (e.g., bacteria, viruses, protozoa) contaminants (Shah et al., 2023). Data from the Households and Environment survey suggests that in 2021 in Ontario, 10% of all households relied on a private well as their main source of water. This can be a problem as there are no provincial regulations for the quality of water of private wells and well owners may perceive the risk of their water quality to be low (Lavallee et al., 2024). Infections due to private drinking water systems are rarely reported and so their health effects are not clear (Latchmore et al., 2023). However, in Ontario in 2022-2023, data shows promising results for small drinking water systems, as 98.24% of drinking water test results submitted from small drinking water systems met Ontario drinking water quality standards (Government of Ontario, 2023).\nWhile small drinking water test results in Ontario show promising results, the health impacts of waterborne diseases are important to monitor. In Ontario, the estimated mean annual attributable rates for waterborne diseases were (per 100 000 population): 69 emergency department visits, 12 hospitalizations and 0.52 deaths (Greco et al., 2020). However, drinking water safety is a “persistent concern in small, rural, remote, and Indigenous communities in Canada” (Moghaddam-Ghadimi et al., 2023). For example, an Oneida community in Middlesex London has been on a boil water advisory since 2019 (Lupton, 2023). Climate change is also expected to worsen the quality of drinking water due to increased precipitation, flooding, permafrost degradation, and forest fires (Moghaddam-Ghadimi et al., 2023).\nClimate change is also expected to affect recreational water. For example, harmful algal blooms (commonly caused by cyanobacteria) are becoming increasingly common in recreational swimming spots (Favot et al., 2023). Swimming and other recreational water activities are a popular activity for Canadians in the summer. Data from Households and the Environment survey suggests that in 2021 more than one in five households (21%) reported swimming, going to the beach, surfing, scuba diving or snorkeling and more than 1 in 10 households (12%) reported boating, sailing, canoeing, kayaking, rafting, rowing, dragon boating or seadooing (Statistics Canada, 2024). Data from the Vital Statistics-Death Database suggests that in Canada in 2022, there were 308 deaths due to accidental drowning and submersion (Statistics Canada, 2024). \n\nMiddlesex London Health Unit prioritizes safe water through the following programs. When available, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nDrinking Water Program\n• The Drinking Water Program at MLHU assists in the prevention and reduction of water-borne illness related to drinking water in Middlesex London. In 2023, 40 adverse water quality incidents were reported and investigated within 24 hours. This is down from 2022 where 83 adverse water quality incidents were reported and investigated. \n• Enteric infections, also known as gastrointestinal infections, are caused by foodborne or waterborne illnesses. In many cases it is difficult to discern the origin of enteric infections and therefore coordination between the Food Safety and Drinking Water programs is essential. In 2023 in Middlesex London there were more than 40 confirmed enteric outbreaks in institutions. In addition, in 2023 in Middlesex-London, confirmed counts of enteric illness were as follows: \no botulism (0 case, ML rate 0, Ontario rate 0.0),  \no campylobacter enteritis (91 cases, ML rate 16.9, Ontario rate 16.4), \no cyclosporiasis (3 cases, ML rate 0.6, Ontario rate 4.3), \no verotoxin-producing E. coli (2 cases, ML rate 0.4, Ontario rate 0.8), \no listeriosis (1 case, ML rate 0.2, Ontario rate 0.5), \no salmonellosis (56 cases, ML rate 10.4, Ontario rate 15.5), \no shigellosis (4 cases, ML rate 0.7, Ontario rate 1.7).\n\nRecreational Water Program\n• The Recreational Water Program assists in the prevention and reduction of water-borne illness and injury related to recreational water use in Middlesex London. Although 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 (discussed above) and life-threatening injuries.\n• Middlesex-London has had no differences in rates of emergency department visits or hospitalizations for injuries due to near drowning or submersion compared to Ontario (2013-2022) with the exception of 2015 (where Middlesex London’s rates were higher than Ontario average of hospitalizations) and 2018 (where Middlesex London’s rates were lower than Ontario average in emergency department visits). Rates of mortalities from injuries due to drownings or submersion were lower or similar to Ontario rates across all years (2012-2021).  \n\nReferences\nFavot, E. J., Holeton, C., DeSellas, A. M., & Paterson, A. M. (2023). Cyanobacterial blooms in Ontario, Canada: Continued increase in reports through the 21st century. Lake and Reservoir Management, 39(1), 1–20. https://doi.org/10.1080/10402381.2022.2157781\nGovernment of Ontario. (2023, December 21). 2022-2023 Chief Drinking Water Inspector annual report. http://www.ontario.ca/page/2022-2023-chief-drinking-water-inspector-annual-report\nGreco, S. L., Drudge, C., Fernandes, R., Kim, J., & Copes, R. (2020). Estimates of healthcare utilisation and deaths from waterborne pathogen exposure in Ontario, Canada. Epidemiology & Infection, 148, e70. https://doi.org/10.1017/S0950268820000631\nLatchmore, T., Hynds, P. D., Brown, R. S., McDermott, K., & Majury, A. (2023). Assessing the risk of acute gastrointestinal illness attributable to three enteric pathogens from contaminated private water wells in Ontario. International Journal of Hygiene and Environmental Health, 248, 114077. https://doi.org/10.1016/j.ijheh.2022.114077\nLavallee, S., Latchmore, T., Egan, R., Hynds, P. D., Brown, R. S., & Majury, A. (2024). ‘If it works, don’t fix it’: A qualitative study of knowledge, perception, and behaviour among private well owners in southeastern Ontario. Groundwater for Sustainable Development, 24, 101057. https://doi.org/10.1016/j.gsd.2023.101057\nLupton, A. (2023, December 29). “Life-changing”: Oneida laying groundwork for new water supply pipe. CBC News. https://www.cbc.ca/news/canada/london/life-changing-oneida-laying-groundwork-for-new-water-supply-pipe-1.7064114\nMoghaddam-Ghadimi, S., Tam, A., Khan, U. T., & Gora, S. L. (2023). How might climate change impact water safety and boil water advisories in Canada? FACETS, 8, 1–21. https://doi.org/10.1139/facets-2022-0223\nShah, A., Arjunan, A., Baroutaji, A., & Zakharova, J. (2023). A review of physicochemical and biological contaminants in drinking water and their impacts on human health. Water Science and Engineering, 16(4), 333–344. https://doi.org/10.1016/j.wse.2023.04.003\nStatistics Canada. (2024, July 10). Water safety, by the numbers. https://www.statcan.gc.ca/o1/en/plus/6624-water-safety-numbers"]
[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."]
[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\nInternal Partners:\n• The 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. \n\nExternal Partners:\n• 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.\n"]
[null,null,null,"Recreational Water Program\nInternal Partners:\n• The Recreational Water Program is managed by the Safe Water, Tobacco Enforcement and Vector-Borne Disease (SWTEVBD) Team. \n\nExternal Partners:\n• External 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• Drinking Water Investigations\n• Drinking Water Inspections\n• Fluoride Surveillance \n• Well Testing Surveillance\n\nThe target population for the Drinking Water Program is owners and users of private wells, Owner/Operators of Small Drinking Water Systems, 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."]
[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• 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,{"$f":"Structure!D1334 & \" \" & Structure!E1334","v":"i 1) Drinking Water Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. MLHU receives reports, including reports of adverse drinking water systems, governed under the Health Protection and Promotion Act, the Safe Drinking Water Act, 2002 or Regulation 319. Investigations commence within 24 hours of service requests, complaints received, and reports of illness or outbreaks. The intervention may also include enforcement activities, where necessary. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1335 & \" \" & Structure!E1335","v":"i 2) Drinking Water Inspections (Inspections)"}]
[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,{"$f":"Structure!D1336 & \" \" & Structure!E1336","v":"i 3) Well Testing Surveillance (Surveillance)"}]
[null,null,null,"This intervention involves monitoring the testing frequency of Small Drinking Water Systems (SDWS) to ensure they are following testing guidelines. If testing has been missed, a public health inspector will follow-up with the owner/operator.  The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1337 & \" \" & Structure!E1337","v":"i 4) Fluoride Surveillance (Surveillance)"}]
[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 Corporate Communications and Client Relations 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,{"$f":"Structure!D1338 & \" \" & Structure!E1338","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1339 & \" \" & Structure!E1339","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1340 & \" \" & Structure!E1340","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1341 & \" \" & Structure!E1341","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1342 & \" \" & Structure!E1342","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1343 & \" \" & Structure!E1343","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1344 & Structure!E1344","v":"P 2) Recreational Water Program"}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[null,null,null,"The Recreational Water Program 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• Recreational Water Inspections\n• Recreational Water Investigations\n\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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1345 & \" \" & Structure!E1345","v":"i 1) Recreational Water Inspections (Inspections)"}]
[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). The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1346 & \" \" & Structure!E1346","v":"i 2) Recreational Water Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations commence within 24 hours of service requests, complaints received, and reports of illness or outbreaks. The Investigations intervention may also include enforcement activities, where necessary. The Safe Water, Tobacco Enforcement, and Vector-Borne Disease (SWTEVBD) Team supports this intervention."]
[null,null,null,{"$f":"Structure!D1347 & \" \" & Structure!E1347","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1348 & \" \" & Structure!E1348","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1349 & \" \" & Structure!E1349","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1350 & \" \" & Structure!E1350","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1351 & \" \" & Structure!E1351","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1352 & \" \" & Structure!E1352","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1353 & \" \" & Structure!E1353","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1354 & \" \" & Structure!E1354","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1355 & Structure!E1355","v":"P 3) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1356 & \" \" & Structure!E1356","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1357 & \" \" & Structure!E1357","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1358 & \" \" & Structure!E1358","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1359 & \" \" & Structure!E1359","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1360 & \" \" & Structure!E1360","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1361 & \" \" & Structure!E1361","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1362 & \" \" & Structure!E1362","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1363 & \" \" & Structure!E1363","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1364 & \" \" & Structure!E1364","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1365 & \" \" & Structure!E1365","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1366 & Structure!E1366","v":"P 4) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1367 & \" \" & Structure!E1367","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1368 & \" \" & Structure!E1368","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1369 & \" \" & Structure!E1369","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1370 & \" \" & Structure!E1370","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1371 & \" \" & Structure!E1371","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1372 & \" \" & Structure!E1372","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1373 & \" \" & Structure!E1373","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1374 & \" \" & Structure!E1374","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1375 & \" \" & Structure!E1375","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1376 & \" \" & Structure!E1376","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1377 & Structure!E1377","v":"P 5) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1378 & \" \" & Structure!E1378","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1379 & \" \" & Structure!E1379","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1380 & \" \" & Structure!E1380","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1381 & \" \" & Structure!E1381","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1382 & \" \" & Structure!E1382","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1383 & \" \" & Structure!E1383","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1384 & \" \" & Structure!E1384","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1385 & \" \" & Structure!E1385","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1386 & \" \" & Structure!E1386","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1387 & \" \" & Structure!E1387","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1388 & Structure!E1388","v":"P 6) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1389 & \" \" & Structure!E1389","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1390 & \" \" & Structure!E1390","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1391 & \" \" & Structure!E1391","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1392 & \" \" & Structure!E1392","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1393 & \" \" & Structure!E1393","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1394 & \" \" & Structure!E1394","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1395 & \" \" & Structure!E1395","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1396 & \" \" & Structure!E1396","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1397 & \" \" & Structure!E1397","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1398 & \" \" & Structure!E1398","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1399 & Structure!E1399","v":"P 7) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1400 & \" \" & Structure!E1400","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1401 & \" \" & Structure!E1401","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1402 & \" \" & Structure!E1402","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1403 & \" \" & Structure!E1403","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1404 & \" \" & Structure!E1404","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1405 & \" \" & Structure!E1405","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1406 & \" \" & Structure!E1406","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1407 & \" \" & Structure!E1407","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1408 & \" \" & Structure!E1408","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1409 & \" \" & Structure!E1409","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1410 & Structure!E1410","v":"P 8) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1411 & \" \" & Structure!E1411","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1412 & \" \" & Structure!E1412","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1413 & \" \" & Structure!E1413","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1414 & \" \" & Structure!E1414","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1415 & \" \" & Structure!E1415","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1416 & \" \" & Structure!E1416","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1417 & \" \" & Structure!E1417","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1418 & \" \" & Structure!E1418","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1419 & \" \" & Structure!E1419","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1420 & \" \" & Structure!E1420","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1421 & Structure!E1421","v":"P 9) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1422 & \" \" & Structure!E1422","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1423 & \" \" & Structure!E1423","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1424 & \" \" & Structure!E1424","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1425 & \" \" & Structure!E1425","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1426 & \" \" & Structure!E1426","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1427 & \" \" & Structure!E1427","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1428 & \" \" & Structure!E1428","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1429 & \" \" & Structure!E1429","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1430 & \" \" & Structure!E1430","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1431 & \" \" & Structure!E1431","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1432 & Structure!E1432","v":"P10) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1433 & \" \" & Structure!E1433","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1434 & \" \" & Structure!E1434","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1435 & \" \" & Structure!E1435","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1436 & \" \" & Structure!E1436","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1437 & \" \" & Structure!E1437","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1438 & \" \" & Structure!E1438","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1439 & \" \" & Structure!E1439","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1440 & \" \" & Structure!E1440","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1441 & \" \" & Structure!E1441","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1442 & \" \" & Structure!E1442","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1443 & Structure!E1443","v":"P11) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1444 & \" \" & Structure!E1444","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1445 & \" \" & Structure!E1445","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1446 & \" \" & Structure!E1446","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1447 & \" \" & Structure!E1447","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1448 & \" \" & Structure!E1448","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1449 & \" \" & Structure!E1449","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1450 & \" \" & Structure!E1450","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1451 & \" \" & Structure!E1451","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1452 & \" \" & Structure!E1452","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1453 & \" \" & Structure!E1453","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1454 & Structure!E1454","v":"P12) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1455 & \" \" & Structure!E1455","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1456 & \" \" & Structure!E1456","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1457 & \" \" & Structure!E1457","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1458 & \" \" & Structure!E1458","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1459 & \" \" & Structure!E1459","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1460 & \" \" & Structure!E1460","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1461 & \" \" & Structure!E1461","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1462 & \" \" & Structure!E1462","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1463 & \" \" & Structure!E1463","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1464 & \" \" & Structure!E1464","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1465 & Structure!E1465","v":"P13) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1466 & \" \" & Structure!E1466","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1467 & \" \" & Structure!E1467","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1468 & \" \" & Structure!E1468","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1469 & \" \" & Structure!E1469","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1470 & \" \" & Structure!E1470","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1471 & \" \" & Structure!E1471","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1472 & \" \" & Structure!E1472","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1473 & \" \" & Structure!E1473","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1474 & \" \" & Structure!E1474","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1475 & \" \" & Structure!E1475","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1476 & Structure!E1476","v":"P14) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1477 & \" \" & Structure!E1477","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1478 & \" \" & Structure!E1478","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1479 & \" \" & Structure!E1479","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1480 & \" \" & Structure!E1480","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1481 & \" \" & Structure!E1481","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1482 & \" \" & Structure!E1482","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1483 & \" \" & Structure!E1483","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1484 & \" \" & Structure!E1484","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1485 & \" \" & Structure!E1485","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1486 & \" \" & Structure!E1486","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1487 & Structure!E1487","v":"P15) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1488 & \" \" & Structure!E1488","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1489 & \" \" & Structure!E1489","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1490 & \" \" & Structure!E1490","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1491 & \" \" & Structure!E1491","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1492 & \" \" & Structure!E1492","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1493 & \" \" & Structure!E1493","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1494 & \" \" & Structure!E1494","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1495 & \" \" & Structure!E1495","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1496 & \" \" & Structure!E1496","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1497 & \" \" & Structure!E1497","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1498 & Structure!E1498","v":"P16) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1499 & \" \" & Structure!E1499","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1500 & \" \" & Structure!E1500","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1501 & \" \" & Structure!E1501","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1502 & \" \" & Structure!E1502","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1503 & \" \" & Structure!E1503","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1504 & \" \" & Structure!E1504","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1505 & \" \" & Structure!E1505","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1506 & \" \" & Structure!E1506","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1507 & \" \" & Structure!E1507","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1508 & \" \" & Structure!E1508","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1509 & Structure!E1509","v":"P17) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1510 & \" \" & Structure!E1510","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1511 & \" \" & Structure!E1511","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1512 & \" \" & Structure!E1512","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1513 & \" \" & Structure!E1513","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1514 & \" \" & Structure!E1514","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1515 & \" \" & Structure!E1515","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1516 & \" \" & Structure!E1516","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1517 & \" \" & Structure!E1517","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1518 & \" \" & Structure!E1518","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1519 & \" \" & Structure!E1519","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1520 & Structure!E1520","v":"P18) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1521 & \" \" & Structure!E1521","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1522 & \" \" & Structure!E1522","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1523 & \" \" & Structure!E1523","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1524 & \" \" & Structure!E1524","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1525 & \" \" & Structure!E1525","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1526 & \" \" & Structure!E1526","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1527 & \" \" & Structure!E1527","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1528 & \" \" & Structure!E1528","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1529 & \" \" & Structure!E1529","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1530 & \" \" & Structure!E1530","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1531 & Structure!E1531","v":"P19) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1532 & \" \" & Structure!E1532","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1533 & \" \" & Structure!E1533","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1534 & \" \" & Structure!E1534","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1535 & \" \" & Structure!E1535","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1536 & \" \" & Structure!E1536","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1537 & \" \" & Structure!E1537","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1538 & \" \" & Structure!E1538","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1539 & \" \" & Structure!E1539","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1540 & \" \" & Structure!E1540","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1541 & \" \" & Structure!E1541","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1542 & Structure!E1542","v":"P20) "}]
[null,null,null,"Program Description:\nDescribe the program including the population(s) to be served. If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Please identify the specific requirements under the Standards that the program will address, describe how a health equity lens has been incorporated, how barriers will be removed or addressed for priority populations, and include a linkage to identified community needs and priorities"]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1543 & \" \" & Structure!E1543","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D1544 & \" \" & Structure!E1544","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1545 & \" \" & Structure!E1545","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1546 & \" \" & Structure!E1546","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1547 & \" \" & Structure!E1547","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1548 & \" \" & Structure!E1548","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1549 & \" \" & Structure!E1549","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1550 & \" \" & Structure!E1550","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1551 & \" \" & Structure!E1551","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1552 & \" \" & Structure!E1552","v":"i10) "}]

{"sheet":"School Health","index":14,"n_rows":2682,"n_cols":4,"rows_kept":2682,"cut":false,"hidden":false,"merged":[]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,"Oral health is important for overall health and well being, including prevention of dental concerns (e.g., cavities, gum disease) and reduced risk of systemic health concerns (e.g., heart disease). Children’s oral health can affect their functional capacities (e.g., eating, speaking), psychological well-being (e.g., anxiety, quality of life), and social integration (Statistics Canada, 2024a). Globally, 46.2% of children experience dental caries in primary teeth and 53.8% of children experience dental caries in adult teeth (Kazeminia et al., 2020). Dental caries have a negative impact on oral health related quality of life (Zaror et al., 2022). Findings from the Canadian Oral Health Survey (COHS), the first-ever national survey dedicated to oral health in Canada, suggests that for children and youth aged 0 to 17, 14% reported mouth problems, either in the form of having oral pain or avoiding certain foods, 11% reported mouth pain, and 6% reported avoiding certain foods because of problems in their mouth (Statistics Canada, 2024b). The results of this survey show that across all ages, certain populations were more likely to experience mouth pain and avoid certain foods: 27% of Canadians with lower family income; 37% of people with disabilities; and 31% of Filipino and 42% of Arab Canadians reported persistent pain (Statistics Canada, 2024b). In addition, 22% of Canadians with lower family income, 31% of people with disabilities, 22% of Black, 29% of Filipino, and 30% of Arab Canadians reported food avoidance attributable to mouth problems (Statistics Canada, 2024b).\n\nThese findings confirm that oral diseases disproportionately affect disadvantaged populations (American Academy of Pediatric Dentistry, 2024; World Health Organization, 2024). Access to dental care services is an important tool in preventing and identifying oral diseases. Inequality in access to oral healthcare is persistent but slowly declining in Canada (Ravaghi et al., 2020). Data from the 2019 Canadian Community Health Survey shows that 45.9% of children ages 1 to 4 have never been to a dentist (79.8% of children under 1, 56.0% of children age 2, 32% of children age 3, and 16.4% of children age 4) (Statistics Canada, 2024a). In addition, 6.9% of children ages 1 to 17 had not visited a dentist in the past 12 months for prevention (5.4% in children ages 1 to 4, 6.3% in children ages 5 to 11 and 8.7% in children ages 12 to 17) (Statistics Canada, 2024a). Canadian children and youth with dental insurance were nearly three times more likely to have visited a dental professional in the past 12 months than uninsured children and youth, even after adjustment for income and other sociodemographic factors (Statistics Canada, 2024a). This suggests that insurance is an important equity factor. A lower proportion of racialized (83.7%) and immigrant (76.9%) children and youth had visited a dentist in the past year compared with non-racialized (92.4%) and non-immigrant (91.4%) children and youth, suggesting these are important priority populations (Statistics Canada, 2024a). \n\nMiddlesex London Health Unit prioritizes the oral health of school-aged children through the following programs. Where possible, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nHealth Smiles Ontario Program\n• Healthy Smiles Ontario (HSO) provides free preventive, routine, and emergency dental services for children and youth 17 years old and under from low-income households. Data shows that in Middlesex London, rates of emergency department visits for oral health conditions were higher for children ages 0-5 and 6-17 from 2017-2022. In addition, in Middlesex London during the 2023 -2024 school year:\no 2356 (11.8%) students were found to have urgent dental needs and 6322 (31.7%) students would benefit from preventative services (dental cleaning, dental sealants, fluoride application),\no 401 (2%) of students were screened and found to be clinically and financially eligible for Health Smiles Ontario preventative services.\n\nOral Health Assessment and Surveillance Program\n• The Oral Health Assessment and Surveillance Program collects, analyzes and interprets 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. Data from the Oral Health Information Support System suggests that during the 2022/2023 school year, among children in junior kindergarten, senior kindergarten, grades 2 and 7 in Middlesex-London schools:\no 36% of children that were screened had at least one tooth that was decayed/missing/filled, 12.57% of the total children screened were identified with urgent dental needs.\n\t\t\t\t\t\t\t\t\t\t\t\nReferences\nAmerican Academy of Pediatric Dentistry. (2024). Policy on Social Determinants of Children’s Oral Health and Health Disparities. American Academy of Pediatric Dentistry. https://www.aapd.org/research/oral-health-policies--recommendations/social_determinents/\nKazeminia, M., Abdi, A., Shohaimi, S., Jalali, R., Vaisi-Raygani, A., Salari, N., & Mohammadi, M. (2020). Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: A systematic review and meta-analysis. Head & Face Medicine, 16(1), 22. https://doi.org/10.1186/s13005-020-00237-z\nRavaghi, V., Farmer, J., & Quiñonez, C. (2020). Persistent but narrowing oral health care inequalities in Canada from 2001 through 2016. The Journal of the American Dental Association, 151(5), 349-357.e1. https://doi.org/10.1016/j.adaj.2020.02.002\nStatistics Canada. (2024a, April 17). Factors associated with the use of oral health care services among Canadian children and youth. https://www150.statcan.gc.ca/n1/pub/82-003-x/2024004/article/00002-eng.htm\nStatistics Canada. (2024b, October 23). The Daily—Self-reported oral health problems in the Canadian population living in the provinces, November 2023 to March 2024. https://www150.statcan.gc.ca/n1/daily-quotidien/241023/dq241023b-eng.htm\nWorld Health Organization. (2024). Oral health. https://www.who.int/health-topics/oral-health\nZaror, C., Matamala-Santander, A., Ferrer, M., Rivera-Mendoza, F., Espinoza-Espinoza, G., & Martínez-Zapata, M. J. (2022). Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. International Journal of Dental Hygiene, 20(1), 120–135. https://doi.org/10.1111/idh.12494"]
[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."]
[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\n• The program is managed by the Oral Health & Clinical Support Services Team.\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."]
[null,null,null,"Oral Health Assessment and Surveillance\n• The program is managed by the Oral Health & Clinical Support Services Team which conducts work in elementary schools. \n\nOral Health Assessment and Surveillance internal partners include:\n• Population Health Assessment and Surveillance (PHAS) Team: The PHAS Team supports this program by analysing dental screening data of students.\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, including 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."]
[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,"Preventive oral health services are provided at the MLHU Dental Clinic. \n\nInterventions of the Healthy Smiles Ontario (HSO) Program include:  \n• Healthy Smiles Ontario Clinical Services"]
[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,"After expanding the number of operatories from 2 to 8, MLHU has expanded capacity to see vulnerable children under the HSO-PSO of the Oral Health Protocol sections 5 to 10. Children are identified as requiring preventative services during school screening and children who do not proactively book an appointment are followed up by the Oral Health staff. In the 2023/24 school year, 6566 number of children were identified as needing preventative services.  "]
[null,null,null,"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\nReferences\nKisely, S. (2016). No Mental Health without Oral Health. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 61(5), 277–282. \nSkallevold, H. E., Rokaya, N., Wongsirichat, N., & Rokaya, D. (2023). Importance of oral health in mental health disorders: An updated review. Journal of Oral Biology and Craniofacial Research, 13(5), 544–552."]
[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)\n"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D1555 & \" \" & Structure!E1555","v":"i 1) Healthy Smiles Ontario Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery offers one-on-one preventive and essential dental services to children enrolled in HSO-PSO. Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., children receiving HSO services). Activities include client registration and instrument re-processing for clinical operations. These clinical services are delivered in MLHU dental clinics. The Oral Health and Clinical Support Services (OHCSS) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1556 & \" \" & Structure!E1556","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D1557 & \" \" & Structure!E1557","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D1558 & \" \" & Structure!E1558","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D1559 & \" \" & Structure!E1559","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D1560 & \" \" & Structure!E1560","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D1561 & \" \" & Structure!E1561","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D1562 & \" \" & Structure!E1562","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D1563 & \" \" & Structure!E1563","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D1564 & \" \" & Structure!E1564","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D1565 & Structure!E1565","v":"P 2) Oral Health Assessment and Surveillance"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"Publicly funded elementary schools, some private schools and schools located in neighbouring Indigenous Nations participate in the school-based dental screening program. Students in JK, SK, Grade 2 and 4 may be screened for urgent dental needs in accordance with the Oral Health Protocol (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• Oral Health Assessment 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\n• Ages 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\nReferences\nKisely, S. (2016). No Mental Health without Oral Health. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 61(5), 277–282. \nSkallevold, H. E., Rokaya, N., Wongsirichat, N., & Rokaya, D. (2023). Importance of oral health in mental health disorders: An updated review. Journal of Oral Biology and Craniofacial Research, 13(5), 544–552."]
[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) Oral Health Assessment Surveillance (Surveillance)"}]
[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. Dental screening occurs in publicly funded elementary schools, some private schools, and schools located in neighbouring Indigenous communities. 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,{"$f":"Structure!D1567 & \" \" & Structure!E1567","v":"i 2) "}]
[]
[null,null,null,{"$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 98 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 (3), Strathroy (4), Parkhill (1) and Glencoe (5). "]
[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,"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,"In Canada, the Immunization of School Pupils Act (ISPA) requires that all elementary  and secondary school students have proof of immunization against the following diseases (or provide a valid exemption): diphtheria, tetanus, polio, measles, mumps, rubella, meningococcal disease, pertussis (whooping cough), and varicella (chickenpox). Students who are not compliant with the ISPA requirements may be suspended from school. The COVID-19 pandemic and associated disruption to the health system resulted in lower immunization coverage amongst students in Middlesex-London schools. Amidst a global decrease in immunization coverage, there has been a resurgence in multiple vaccine-preventable diseases, including chickenpox, pertussis and measles. Activities related to the enforcement of the ISPA are integral to improving immunization coverage and protecting the community.\n\nMiddlesex-London Health Unit prioritizes ISPA through the following program. Where possible, key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\t\t\t\n\nImmunizations for Children in Schools and Licensed Child Care Settings\nThere are over 80,000 school age children enrolled from JK to Grade 12 in the Middlesex-London who are screened on a yearly basis to ensure ISPA requirements are met. Middlesex London also prioritizes the administration of Grade 7 publicly funded vaccines to all school boards (see details in the Vaccine Administration Program). There are also 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 was put on hold due to ISPA catch up program.\nIn Middlesex-London, in the summer of 2022, there were 41,000 students identified as overdue for at least one vaccination. Since 2022, the Vaccine Preventable Disease (VPD) at the Health Unit has been able to re-screen all students across all school boards. In the 2023-24 school year, the numbers have dropped to 17,500 overdue students demonstrating the impact of the strategies employed by the VPD Team.\nIn total, for the 2023-24 school year, 18,782 notification letters were mailed. Following notification letters, 11,996 suspension notices were mailed to students who remained overdue, resulting in 3,516 being suspended from school. With a student population total of 83,612, this equates to 4.2% of students. Once suspended, many students either submit appropriate records, or receive up-to-date vaccination. Suspensions last only 2-3 days on average.\n\nPreliminary estimates of vaccine coverage demonstrate that the ongoing efforts by the Vaccine Preventable Disease (VPD) team continues to positively impact vaccine coverage among students in Middlesex-London. From 2022-23 to the 2023-23 school year, compliance and coverage estimates increased for all but one disease in the 7- to 17-year-old cohort. The exception was poliomyelitis, which slightly decreased. This is likely due to the Ministry of Health update which deemed invalid all doses of oral polio vaccine (OPV) administered on or after April 1, 2016. OPV is not included in the Ontario immunization schedule but is used in other countries. For all other vaccine-preventable diseases, coverage and compliance estimates are now comparable to or exceed pre-pandemic levels.\nThe resource requirements to implement the ISPA program continues to increase due to population growth and decreased access to primary care. Please see the Immunization Standard for more details. \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 school health immunization with consideration of the required list of topics identified in the Standards."]
[null,null,null,"MLHU continues to prioritize the screening of all students in all grades so that school age children vaccination are up to date.   "]
[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 2025."]
[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.\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.                                                                                                                                                           "]
[null,null,null,"Child 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 boards\n• Elementary and high school administrative staff and educators\n• Licensed childcare operators"]
[null,null,null,{"$f":"Structure!D1996 & Structure!E1996","v":"P 1) Immunizations for Children in Schools and Licensed Child Care Settings"}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[null,null,null,"The Immunizations for Children in Schools and Licensed Child Care Settings 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• 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• ISPA Investigations\n• Immunization Record 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"]
[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 update 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,{"$f":"Structure!D1997 & \" \" & Structure!E1997","v":"i 1) ISPA Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential threats to the health of the population. This intervention conducts ISPA suspensions and assessment of exemptions. The Vaccine Preventable Disease (VPD) team supports this intervention."]
[null,null,null,{"$f":"Structure!D1998 & \" \" & Structure!E1998","v":"i 2) Immunization Record Surveillance (Surveillance)"}]
[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,{"$f":"Structure!D1999 & \" \" & Structure!E1999","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2000 & \" \" & Structure!E2000","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2001 & \" \" & Structure!E2001","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2002 & \" \" & Structure!E2002","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2003 & \" \" & Structure!E2003","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2004 & \" \" & Structure!E2004","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2005 & \" \" & Structure!E2005","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2006 & \" \" & Structure!E2006","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2007 & Structure!E2007","v":"P 2) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2008 & \" \" & Structure!E2008","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2009 & \" \" & Structure!E2009","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2010 & \" \" & Structure!E2010","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2011 & \" \" & Structure!E2011","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2012 & \" \" & Structure!E2012","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2013 & \" \" & Structure!E2013","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2014 & \" \" & Structure!E2014","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2015 & \" \" & Structure!E2015","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2016 & \" \" & Structure!E2016","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2017 & \" \" & Structure!E2017","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2018 & Structure!E2018","v":"P 3) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2019 & \" \" & Structure!E2019","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2020 & \" \" & Structure!E2020","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2021 & \" \" & Structure!E2021","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2022 & \" \" & Structure!E2022","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2023 & \" \" & Structure!E2023","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2024 & \" \" & Structure!E2024","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2025 & \" \" & Structure!E2025","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2026 & \" \" & Structure!E2026","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2027 & \" \" & Structure!E2027","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2028 & \" \" & Structure!E2028","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2029 & Structure!E2029","v":"P 4) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2030 & \" \" & Structure!E2030","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2031 & \" \" & Structure!E2031","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2032 & \" \" & Structure!E2032","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2033 & \" \" & Structure!E2033","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2034 & \" \" & Structure!E2034","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2035 & \" \" & Structure!E2035","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2036 & \" \" & Structure!E2036","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2037 & \" \" & Structure!E2037","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2038 & \" \" & Structure!E2038","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2039 & \" \" & Structure!E2039","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2040 & Structure!E2040","v":"P 5) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2041 & \" \" & Structure!E2041","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2042 & \" \" & Structure!E2042","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2043 & \" \" & Structure!E2043","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2044 & \" \" & Structure!E2044","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2045 & \" \" & Structure!E2045","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2046 & \" \" & Structure!E2046","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2047 & \" \" & Structure!E2047","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2048 & \" \" & Structure!E2048","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2049 & \" \" & Structure!E2049","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2050 & \" \" & Structure!E2050","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2051 & Structure!E2051","v":"P 6) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2052 & \" \" & Structure!E2052","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2053 & \" \" & Structure!E2053","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2054 & \" \" & Structure!E2054","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2055 & \" \" & Structure!E2055","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2056 & \" \" & Structure!E2056","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2057 & \" \" & Structure!E2057","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2058 & \" \" & Structure!E2058","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2059 & \" \" & Structure!E2059","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2060 & \" \" & Structure!E2060","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2061 & \" \" & Structure!E2061","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2062 & Structure!E2062","v":"P 7) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2063 & \" \" & Structure!E2063","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2064 & \" \" & Structure!E2064","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2065 & \" \" & Structure!E2065","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2066 & \" \" & Structure!E2066","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2067 & \" \" & Structure!E2067","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2068 & \" \" & Structure!E2068","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2069 & \" \" & Structure!E2069","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2070 & \" \" & Structure!E2070","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2071 & \" \" & Structure!E2071","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2072 & \" \" & Structure!E2072","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2073 & Structure!E2073","v":"P 8) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2074 & \" \" & Structure!E2074","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2075 & \" \" & Structure!E2075","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2076 & \" \" & Structure!E2076","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2077 & \" \" & Structure!E2077","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2078 & \" \" & Structure!E2078","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2079 & \" \" & Structure!E2079","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2080 & \" \" & Structure!E2080","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2081 & \" \" & Structure!E2081","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2082 & \" \" & Structure!E2082","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2083 & \" \" & Structure!E2083","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2084 & Structure!E2084","v":"P 9) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2085 & \" \" & Structure!E2085","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2086 & \" \" & Structure!E2086","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2087 & \" \" & Structure!E2087","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2088 & \" \" & Structure!E2088","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2089 & \" \" & Structure!E2089","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2090 & \" \" & Structure!E2090","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2091 & \" \" & Structure!E2091","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2092 & \" \" & Structure!E2092","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2093 & \" \" & Structure!E2093","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2094 & \" \" & Structure!E2094","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2095 & Structure!E2095","v":"P10) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2096 & \" \" & Structure!E2096","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2097 & \" \" & Structure!E2097","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2098 & \" \" & Structure!E2098","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2099 & \" \" & Structure!E2099","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2100 & \" \" & Structure!E2100","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2101 & \" \" & Structure!E2101","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2102 & \" \" & Structure!E2102","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2103 & \" \" & Structure!E2103","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2104 & \" \" & Structure!E2104","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2105 & \" \" & Structure!E2105","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2106 & Structure!E2106","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2107 & \" \" & Structure!E2107","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2108 & \" \" & Structure!E2108","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2109 & \" \" & Structure!E2109","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2110 & \" \" & Structure!E2110","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2111 & \" \" & Structure!E2111","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2112 & \" \" & Structure!E2112","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2113 & \" \" & Structure!E2113","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2114 & \" \" & Structure!E2114","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2115 & \" \" & Structure!E2115","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2116 & \" \" & Structure!E2116","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2117 & Structure!E2117","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2118 & \" \" & Structure!E2118","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2119 & \" \" & Structure!E2119","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2120 & \" \" & Structure!E2120","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2121 & \" \" & Structure!E2121","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2122 & \" \" & Structure!E2122","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2123 & \" \" & Structure!E2123","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2124 & \" \" & Structure!E2124","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2125 & \" \" & Structure!E2125","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2126 & \" \" & Structure!E2126","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2127 & \" \" & Structure!E2127","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2128 & Structure!E2128","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2129 & \" \" & Structure!E2129","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2130 & \" \" & Structure!E2130","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2131 & \" \" & Structure!E2131","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2132 & \" \" & Structure!E2132","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2133 & \" \" & Structure!E2133","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2134 & \" \" & Structure!E2134","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2135 & \" \" & Structure!E2135","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2136 & \" \" & Structure!E2136","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2137 & \" \" & Structure!E2137","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2138 & \" \" & Structure!E2138","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2139 & Structure!E2139","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2140 & \" \" & Structure!E2140","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2141 & \" \" & Structure!E2141","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2142 & \" \" & Structure!E2142","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2143 & \" \" & Structure!E2143","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2144 & \" \" & Structure!E2144","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2145 & \" \" & Structure!E2145","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2146 & \" \" & Structure!E2146","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2147 & \" \" & Structure!E2147","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2148 & \" \" & Structure!E2148","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2149 & \" \" & Structure!E2149","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2150 & Structure!E2150","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2151 & \" \" & Structure!E2151","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2152 & \" \" & Structure!E2152","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2153 & \" \" & Structure!E2153","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2154 & \" \" & Structure!E2154","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2155 & \" \" & Structure!E2155","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2156 & \" \" & Structure!E2156","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2157 & \" \" & Structure!E2157","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2158 & \" \" & Structure!E2158","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2159 & \" \" & Structure!E2159","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2160 & \" \" & Structure!E2160","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2161 & Structure!E2161","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2162 & \" \" & Structure!E2162","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2163 & \" \" & Structure!E2163","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2164 & \" \" & Structure!E2164","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2165 & \" \" & Structure!E2165","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2166 & \" \" & Structure!E2166","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2167 & \" \" & Structure!E2167","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2168 & \" \" & Structure!E2168","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2169 & \" \" & Structure!E2169","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2170 & \" \" & Structure!E2170","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2171 & \" \" & Structure!E2171","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2172 & Structure!E2172","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2173 & \" \" & Structure!E2173","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2174 & \" \" & Structure!E2174","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2175 & \" \" & Structure!E2175","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2176 & \" \" & Structure!E2176","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2177 & \" \" & Structure!E2177","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2178 & \" \" & Structure!E2178","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2179 & \" \" & Structure!E2179","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2180 & \" \" & Structure!E2180","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2181 & \" \" & Structure!E2181","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2182 & \" \" & Structure!E2182","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2183 & Structure!E2183","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2184 & \" \" & Structure!E2184","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2185 & \" \" & Structure!E2185","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2186 & \" \" & Structure!E2186","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2187 & \" \" & Structure!E2187","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2188 & \" \" & Structure!E2188","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2189 & \" \" & Structure!E2189","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2190 & \" \" & Structure!E2190","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2191 & \" \" & Structure!E2191","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2192 & \" \" & Structure!E2192","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2193 & \" \" & Structure!E2193","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2194 & Structure!E2194","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2195 & \" \" & Structure!E2195","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2196 & \" \" & Structure!E2196","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2197 & \" \" & Structure!E2197","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2198 & \" \" & Structure!E2198","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2199 & \" \" & Structure!E2199","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2200 & \" \" & Structure!E2200","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2201 & \" \" & Structure!E2201","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2202 & \" \" & Structure!E2202","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2203 & \" \" & Structure!E2203","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2204 & \" \" & Structure!E2204","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2205 & Structure!E2205","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including the population(s) to be served. Please identify the specific requirements under the Standards that the program will address. Include a linkage to identified community needs and priorities."]
[]
[null,null,null,"b) If a priority population has been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), target population, and delivery setting (e.g. schools, community centers, public health units, etc.)."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2206 & \" \" & Structure!E2206","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2207 & \" \" & Structure!E2207","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2208 & \" \" & Structure!E2208","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2209 & \" \" & Structure!E2209","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2210 & \" \" & Structure!E2210","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2211 & \" \" & Structure!E2211","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2212 & \" \" & Structure!E2212","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2213 & \" \" & Structure!E2213","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2214 & \" \" & Structure!E2214","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2215 & \" \" & Structure!E2215","v":"i10) "}]
[]
[null,null,null,"School Health - Other"]
[null,null,null,"A. Community Needs and Priorities\na) Please identify which topics of consideration listed in requirement 4 of the School Health Standard are being prioritized by your board of health over the reporting period. Please briefly describe your rationale (i.e., key data and information including but not limited to, local conditions, comparison with provincial rates, acute elevations) to demonstrate why these topics are being prioritized."]
[null,null,null,"Children’s health and well-being encompasses considerations of physical, cognitive, emotional, social, and economic health and well-being. For optimal health and well-being, children require nurturing, respectful, safe and inclusive environments, as well as opportunities for physical activity, play, achievement, and developmentally appropriate responsibility. The Canadian Health Survey on Children and Youth (CHSCY) explores many issues that have an impact on the physical and mental health of children and youth. Public Health Ontario has done analysis on the 2019 CHSCY, which showed the following trends for Ontario children and youth:\n• 12.5% of children ages 3 to 4 years, 14.6% of children ages 5 to 11 years, and 38.0% of youth ages 12 to 17 years did not adhere to sleep  guidelines (Public Health Ontario, 2024f). Adherence to sleep guidelines generally increased as household income and parental education increased. In addition, children who identified as White, Latin American, or non-immigrants reported greater adherence to sleep guidelines than other groups. In addition, children in rural environments reported greater sleep duration than children in urban environments. \n• 34.7% of children ages 5 to 11 and 10.0% of children ages 12 to 17 adhered to national physical activity  guidelines (Public Health Ontario, 2024d). Decreased physical activity in children and youth was found in children of families with lower parental educational attainment and lower income, racialized and immigrant children and youth, and urban youth. \n• 15.3% of Ontarian children 1 to 17 years old lived in food-insecure  households (Public Health Ontario, 2024a). A higher prevalence of food insecurity was reported for several groups, including children living in households with lower income or lower parent educational attainment, children who identified as one of several racialized groups or as Indigenous, and who were born outside of Canada.\n• 54.1% of children ages 3 to 4 years, 65.9% of children ages 5 to 11 years, and 51.5% of youth ages 12 to 17 years adhered to screen time guidelines  (Public Health Ontario, 2024e). Total screen time was higher in boys, White, Southeast Asian and Indigenous children, and rural children. Total screen time also tended to increase with income (although decreased in the fourth to fifth quartiles). \n• 2.7% of children aged 1 to 11 and 13.1% of youth aged 12 to 17 rated their perceived mental health  as “fair” or “poor” (Public Health Ontario, 2024c). Females were more likely to have self-rated mental health as “fair” or “poor”, Indigenous children and youth had a lower prevalence of “excellent/very good” mental health and a higher prevalence of any mental health condition, ADHD, and anxiety.\n• 2.4% of children aged 1 to 17 had a cut or puncture, 3.0% had a broken or fractured bone, and 4.4% for children had a head injury  or concussion (Public Health Ontario, 2024b). Males had a higher prevalence of injuries across all injury types, children in high-income households had a higher prevalence of head injuries or concussions.\n\nThese trends were all for 2019, which was pre-pandemic. Globally, COVID-19 school closures and lockdowns were associated with a range of child health outcomes, including a decrease in emergency department visits and hospitalizations; reduction in daily physical activity and increase in screen time; reduced access to school related health services (e.g., nutrition programs, disability programs); increased anxiety, distress, depression/sadness, irritability and loneliness; decreased psychological well-being (e.g., emotion regulation); and reduced quality and timing of sleep (Chaabane et al., 2021; Panchal et al., 2023; Viner et al., 2022). This means we can expect many of the 2019 trends to have worsened post-pandemic. \n\nAspects of the 2023 CHSCY were just released in September of 2024 and reflected concerning changes in Canadian children’s mental health across the pandemic. For example, in 2019, 12% of Canadian youth aged 12 to 17 rated their mental health as “fair” or “poor”—this number more than doubled for these same youth in 2023 to 26% (Statistics Canada, 2024). In addition, among the 88% of youth who rated their mental health as \"good\", \"very good\", or \"excellent\" in 2019, about one in five (21%) reported a decline to \"fair\" or \"poor\" by 2023  (Statistics Canada, 2024). Declines in mental health were more noticeable for girls and youth (vs younger children) (Statistics Canada, 2024). In addition, data from the Ontario Student Drug Use and Health Survey (OSDUHS) shows concerning trends for youth vaping in 2021, with 19% of Ontario students in grades 7 to 12 reporting using a vaping device and 9% reporting using a tobacco cigarette in the past year (Public Health Ontario, 2023). In addition, data from the COMPASS study suggests that as of 2020/2021, one in four high school students have reported using cannabis since it’s legalization and most students who reported using cannabis frequently met the criteria for anxiety or depression (Public Health Ontario, 2022). When additional CHSCY results are analyzed for Ontario, this will provide a useful comparison to additional pre-pandemic health experiences. \n\nMiddlesex London Health Unit prioritizes school health through the following program. Key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nComprehensive School Health\nSome data for Middlesex London is available for children and youth: \n• In 2020, 88.8% of youth aged 12 to 17 reported physical activity below  the level from the Canadian Physical Activity Guidelines.\n• Rates of injury-related emergency department  visits  were higher for the following reasons: all injuries (2013-2022); unintentional injuries (2013-2022); intentional injuries (2013-2022); neurotrauma injuries (2013-2022), an indicator of concussion; and intentional self-harm in youth aged 10 to 19 (2013), an indicator of poor mental health. \n• Rates of injury-related hospitalizations in children ages 0 to 19 were higher than Ontario for most of the past 10 years for the following reasons: all injuries (2013-2022), unintentional injuries (2013-2022), and intentional injuries (2013-2022). There were no differences in hospitalizations for neurotrauma injuries in the same time period, except in 2017 and 2021 where Middlesex London rates were higher. Hospitalizations  were higher for intentional self-harm in youth in 2013, 2015-2018, and 2020-2022.  \n\nReferences\nChaabane, S., Doraiswamy, S., Chaabna, K., Mamtani, R., & Cheema, S. (2021). The Impact of COVID-19 School Closure on Child and Adolescent Health: A Rapid Systematic Review. Children, 8(5), Article 5. https://doi.org/10.3390/children8050415\nPanchal, U., Salazar de Pablo, G., Franco, M., Moreno, C., Parellada, M., Arango, C., & Fusar-Poli, P. (2023). The impact of COVID-19 lockdown on child and adolescent mental health: Systematic review. European Child & Adolescent Psychiatry, 32(7), 1151–1177. https://doi.org/10.1007/s00787-021-01856-w\nPublic Health Ontario. (2022). Youth health trends in Ontario: Cannabis since legalization. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/2022/cannabis-youth-health-trends-ontario-since-legalization.pdf?rev=dce32f4ea84f45468948e688c62e6a13&sc_lang=en&hash=5C462F89738950B7513D5F43E3ABE424\nPublic Health Ontario. (2023). Impact of the COVID-19 Pandemic on Youth Smoking, Vaping, and Mental Health. Public Health Ontario.\nPublic Health Ontario. (2024a). Food Insecurity among Children using Data from the Canadian Health Survey of Children and Youth. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/2023/food-insecurity-children-youth-canada-survey.pdf?rev=fd4fcc3414a4480781880bf72828b429&sc_lang=en\nPublic Health Ontario. (2024b). Injuries among children using the Canadian Health Survey on Children and Youth. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/I/2023/injuries-among-children-using-chscy.pdf?rev=c3d8c49ce99d4e79b3367e3e32da1535&sc_lang=en\nPublic Health Ontario. (2024c). Mental Health Indicators using Data from the Canadian Health Survey of Children and Youth 2019. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/24/chscy-mental-health-indicators-data.pdf?rev=6db01be5d4d349e7900baae897f80d0c&sc_lang=en\nPublic Health Ontario. (2024d). Physical Activity Indicators using Data from the Canadian Health Survey on Children and Youth. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/24/chscy-physical-activity-data.pdf?&sc_lang=en\nPublic Health Ontario. (2024e). Sedentary behaviour indicators using data from the Canadian Health Survey on Children and Youth. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/24/chscy-sedentary-behaviour-data.pdf?&sc_lang=en\nPublic Health Ontario. (2024f). Sleep Indicators using Data from the Canadian Health Survey on Children and Youth. Public Health Ontario. https://www.publichealthontario.ca/-/media/Documents/C/24/chscy-sleep-indicators-data.pdf?&sc_lang=en#:~:text=Most%20children%2C%2087.5%25%20(95,10.7%2D10.8)%20hours%20daily.&text=In%20children%20ages%203%2D4%20years%2C%20adherence%20to%20sleep%20guidelines,adjusted%20low%20income%20cut%2Doff.\nStatistics Canada. (2024, September 10). The Daily—2023 Canadian Health Survey on Children and Youth—Changes in the mental health of respondents from the 2019 survey. https://www150.statcan.gc.ca/n1/daily-quotidien/240910/dq240910a-eng.htm\nViner, R., Russell, S., Saulle, R., Croker, H., Stansfield, C., Packer, J., Nicholls, D., Goddings, A.-L., Bonell, C., Hudson, L., Hope, S., Ward, J., Schwalbe, N., Morgan, A., & Minozzi, S. (2022). School Closures During Social Lockdown and Mental Health, Health Behaviors, and Well-being Among Children and Adolescents During the First COVID-19 Wave: A Systematic Review. JAMA Pediatrics, 176(4), 400–409. https://doi.org/10.1001/jamapediatrics.2021.5840\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 and Visual Health are not addressed due to program prioritization.  Concussions and Injury Prevention, and Physical Activity and Sedentary Behaviour are addressed indirectly as they relate to the promotion of active transportation.   "]
[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,"A proportionate universalism approach to delivering service is taken by providing certain universal services to school boards and schools (e.g., support with policy development, communication of health related information) and a more intensive level of service to school communities that need it most, including Indigenous schools (e.g., support for delivery of Healthy Relationships Plus program). This ensures disproportionate pockets of need are met with proportionate care and attention. Prioritizing of schools is based on the Ontario Education Opportunity Index data and consultation with school board partners.  \n"]
[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 include our local school boards (Thames Valley District School Board (TVDSB), London District Catholic School Board (LDCSB), Conseil Scolaire Viamonde, and Conseil Scolaire Catholique Providence) and Indigenous school communities (Oneida Nation of the Thames and Chippewa of the Thames First Nation).  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,"The Education and Skills team and the Municipal and Community Health Promotion team are assigned interventions within the Comprehensive School Health Program.\n\nKey internal partners include Vaccine Preventable Disease team (implementation of the Immunization of School Pupils Act), Nurse-Family Partnership and Early Years Group Programs team (support of pregnant and parenting youth), Social Marketing and Health System Partnerships and the Safe Water, Tobacco Enforcement and Vector Borne Disease team (implementation of health promotion, prevention and protection initiatives around vaping, tobacco and substance use), Oral Health and Clinical Support Services team (coordination of school screening and oral health promotion messages), Infectious Disease Control team (communication and prevention of reportable diseases in schools), and Communications and Social Marketing and Health System Partnerships teams (through School Outreach and creation and implementation of mass health communication messaging). "]
[null,null,null,"The Comprehensive School Health Program is coordinated across teams and divisions through an internal School Health Coordination Committee. This committee coordinates all services to school boards and schools (e.g., coordination of school health messaging, scheduling, and reporting for in-school services and clinics and sharing this information in a streamlined fashion both internally and with schools and school boards).  Shared workplans will be developed in 2025 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), COMPASS (school climate data sharing), Human Environments Analysis Lab, Western University (applied research on youth vaping), School Mental Health Ontario (system level knowledge dissemination of resources locally). "]
[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 populations for the Comprehensive School Health Program includes school boards and select school communities. Dedicated staff are assigned to partnership work at the school board level, and to communication with school boards and schools regarding health unit services and public health data as outlined in related agreements. MLHU uses the Education Opportunities Index and consultation with school board partners to help identify high risk school communities in our region for additional services. All schools have access to health unit staff through a centralized email process.  Schools and families also have access to health unit resources through the health unit website. However, only select prioritized schools receive additional health unit services and have access to a more intensive level of programs and services from the Education and Skills team (e.g., delivery of education and skill building interventions). \n\nThe priority populations include: \n• children and youth at select high risk schools \n• school administrators and staff at select high risk schools \n• First Nations school communities "]
[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,"MLHU is in ongoing dialogue with local school boards regarding shared public health priorities. These conversations will inform which program are addressed through the School Health program. Potential topics include substance use (specifically vaping), healthy eating, general mental health promotion, and healthy sexuality. Immunization, oral health, and tobacco enforcement are prioritized through the work articulated in other sections of this Standard."]
[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 (Sawyer et al., 2021). The overall goal of the Comprehensive School Health program is to achieve optimal health of school-aged children and youth using universal and targeted approaches according to the needs of school boards and school communities.  Due to budgetary constraints, programming in schools has been modified for 2025 and MLHU will no longer have designated nurses assigned to schools. This means the discontinuation of one-on-one situational supports for students. Additionally, MLHU staff will no longer participate in health-related school committees or directly support teachers with curriculum.  These changes impact MLHU's ability to support all components of the comprehensive school health program as outlined in the MOHLTC School Health Guideline, 2018.  Prioritized interventions will focus on board level community and partner mobilization and policy development work, with additional Education and Skill Building interventions offered to prioritized schools.\n\nInterventions of the Comprehensive School Health program include:\n• School Health Mobilization\n• School Health Education and Skill Building\n• School Health Policy Development"]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"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"]
[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 priority populations include: \n• children and youth at select high risk schools \n• school administrators and staff at select high risk schools \n• First Nations school communities "]
[null,null,null,"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 through support of school board level policies, programs and initiatives (e.g., student nutrition programs, active and safe routes to school) and implementation of targeted education and skill building programs in select schools (e.g., education and skill building interventions).\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, Healthy Environments, Substance Use & Injury Prevention, Healthy Growth and Development, Infectious and Communicable Diseases Prevention and Control 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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support interventions within the Comprehensive School Health program. The following three KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• % of regional School Board/PHU partnership meetings attended related to comprehensive school health.\n• % of school board topic-based task force/workgroup meetings attended\n• # of Child and Youth Network / Age Friendly London partnership meetings attended \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Comprehensive School Health program.\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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2218 & \" \" & Structure!E2218","v":"i 1) School Health Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"School health related community and partner mobilization involves bringing people and organizations together in a structured way, regarding the optimal health of school-aged children and youth, to achieve individual, population, and/or systemic changes. For example, MLHU provides staff support for the Age Friendly London and Child and Youth Network and Middlesex Children's Services Network. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include maintaining partnerships and cross-sector collaboration, with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Municipal and Community Health Promotion (MCHP) team supports this intervention. "]
[null,null,null,{"$f":"Structure!D2219 & \" \" & Structure!E2219","v":"i 2) School Health Education and Skill Building (Education and Skill Building)"}]
[null,null,null,"School health related education and skill building involves the development and implementation of 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 Education and Skills team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D2220 & \" \" & Structure!E2220","v":"i 3) School Health Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"School health related healthy public policy development involves ensuring issues related to optimal student health are on the agenda of policy makers both internal and external to the health sector. This intervention ensures issues of health equity in school settings are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to optimal school health; identifying and developing policy options for optimal school health; providing evidence-based feedback on the health impacts of school health-related policies; and providing technical assistance to develop or change school health-related policies. The Municipal and Community Health Promotion (MCHP) team supports this intervention. "]
[null,null,null,{"$f":"Structure!D2221 & \" \" & Structure!E2221","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2222 & \" \" & Structure!E2222","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2223 & \" \" & Structure!E2223","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2224 & \" \" & Structure!E2224","v":"i 7) "}]
[]
[null,null,null,{"$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) "}]
[]
[null,null,null,{"$f":"Structure!D2400 & \" \" & Structure!E2400","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2401 & \" \" & Structure!E2401","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2402 & \" \" & Structure!E2402","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2403 & \" \" & Structure!E2403","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2404 & Structure!E2404","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the School Health Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 4 of the School Health Standard the program intends to address.\n1) Concussions and injury prevention, 2) Healthy eating behaviours and food safety, 3) Healthy sexuality, 4) Immunization, 5) Infectious disease prevention (e.g., tick awareness, rabies prevention, and hand hygiene), 6) Life promotion, suicide risk and prevention, 7) Mental health promotion, 8) Oral health, 9) Physical activity and sedentary behaviour, 10) Road and off-road safety, 11) Substance use and harm reduction, 12) UV exposure, 13) Violence and bullying, 14) Visual Health, 15) Not applicable, 16) Other (Please explain)"]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g., resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, Substance Use and Injury Prevention, Healthy Growth and Development), please identify those Program Standards or indicate N/A."]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the school health program over the reporting period. Consider the inclusion of indicators that assess both the health of school-aged children and youth and the strength of the board of health’s working relationship with school boards and schools, as applicable."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2405 & \" \" & Structure!E2405","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2406 & \" \" & Structure!E2406","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2407 & \" \" & Structure!E2407","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2408 & \" \" & Structure!E2408","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2409 & \" \" & Structure!E2409","v":"i 5) "}]
[]
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[null,null,null,{"$f":"Structure!D2412 & \" \" & Structure!E2412","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D2414 & \" \" & Structure!E2414","v":"i10) "}]
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[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!D2422 & \" \" & Structure!E2422","v":"i 7) "}]
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[null,null,null,{"$f":"Structure!D2423 & \" \" & Structure!E2423","v":"i 8) "}]
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[null,null,null,{"$f":"Structure!D2424 & \" \" & Structure!E2424","v":"i 9) "}]
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[null,null,null,{"$f":"Structure!D2425 & \" \" & Structure!E2425","v":"i10) "}]
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[null,null,null,{"$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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[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,{"$f":"Structure!D2435 & \" \" & Structure!E2435","v":"i 9) "}]
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[null,null,null,{"$f":"Structure!D2436 & \" \" & Structure!E2436","v":"i10) "}]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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":18649,"head":"Substance related deaths and other harms are on the rise in Canada and globally, making them a significant public health concern. Data from the Canadian Vital Statistics Death (CVS-D) shows that “deaths due to accidental alcohol and drug toxicities increased 37% from 2020 to 2021 in Canada, with a disproportionate number occurring among younger populations” (Ontario Drug Policy Research Network & Public Health Ontario, 2023). It is important to note that these deaths were mostly attributable to opioid poisoning; however, there is increasing attention to negative impacts of other drugs in Canada as well, as well as the impact of polysubstance use (Ontario Drug Policy Research Network & Public Health Ontario, 2023). \n\nPreventable injury is another significant public health concern in Ontario as “every day over 4,000 people in Ontario present to the emergency department, 280 are hospitalized, and 23 die as the result of an injury” (Ontario Agency for Health Protection and Promotion (Public Health Ontario), 2024, p. 1).\n\nMiddlesex-London Health Unit prioritizes the prevention of substance related deaths, harms, and preventable injuries through the following programs. Key statistics reflecting health concerns for the Middlesex-London community (and in comparison to Ontario) are discussed below.\n\nAlcohol Program\n• Data from the Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) shows that in 2019, three-quarters (76%) of Canadians aged 15 and older reported consuming an alcoholic beverage in the past year with males (78%), young adults aged 20-24 (84%) and adults aged 25 and older (78%) reporting the highest use of alcohol in the past year (as compared to youth aged 15-19, 46%). In Canada, data from the CVS-D database shows an 18% increase in alcohol related deaths from 2019 (3,200 deaths) to 2020 (3,790 deaths), which was the largest change in alcohol-induced deaths reported in the last 20 years. Alcohol related deaths in 2021 (3,875 deaths) continue the concerning upward trend. \n• The Ontario Student Drug Use and Health Survey (OSDUHS) shows that in 2023 in Ontario, alcohol was the most prevalent substance used by teens with 35.6% of students in grades 7 to 12 reporting that they used alcohol in the past year. Significantly more girls (38.6%) than boys (32.7%) reported using alcohol in the past year. Local data about the rate of  alcohol consumption is available from the Canadian Community Health Survey. Data from this resource shows that in 2019/2020, the percent of youth (12-18 years) and adults (19+) who self-reported alcohol consumption in the last 12 months is not significantly different from the Ontario rate or the peer group.\n• Additional local data about alcohol is collected by the National Ambulatory Care Reporting System (NACRS) (emergency department (ED) visits), the Discharge Abstract Database (DAD) (hospitalizations) and the Office of the Chief Coroner/Ontario Forensic Pathology Service (OCC/OFPS) (deaths). These resources indicate that in comparison to Ontario, Middlesex London had lower rates of emergency department visits for conditions entirely attributable to alcohol across  2014-2023, higher hospitalizations for conditions entirely attributable to alcohol from 2015-2022 (but not different in 2014 and 2023), and no significant differences or lower rates of mortality for alcohol (no drug involvement) across 2018-2023.\n\nCannabis Program\n• Data from the Canadian Cannabis Survey shows that in 2023 more than a quarter (26%) of Canadians reported cannabis use in the past 12 months. In 2023, past 30-day use remained higher among males (19%) as compared to females (15%) and among youth aged 16-19 (29%) and young adults aged 20-24 (31%) as compared to adults over 25 (15%). \n• Data from the Centre for Addiction and Mental  Health (CAMH) Monitor surveys shows that in Ontario, 9.6% of adults who had not used cannabis in the past month reported exposure to cannabis smoke in the home, which is more than double the rate in 2019 (4.4%). For youth in Ontario, the OSDUHS  shows that in 2023 in Ontario 17.6% of students"}}]
[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,"The 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 a review in 2024, some health topics may have less intensive programming moving forward. "]
[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 Alcohol Program is managed by the Family and Community Health Division with coordination of related interventions across relevant teams (Municipal and Community Health Promotion and Social Marketing and Health System Partnerships teams) supported by the Substance Use Coordination Committee.\n\n• Alcohol Program external partners include but are not limited to: the Middlesex-London Community Drug and Alcohol Committee (includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services, Oneida Nation of the Thames, N'Amerind, South Aboriginal Health Access Centre, Atlohsa, St. Joseph's Hospital, and MLHU); the Southwest Poly Substance Public Health Working Group (comprised of public health unit staff from the seven public health units in southwestern Ontario); the Canadian Centre on Substance Use and Addiction (CCSA); and the Ontario Public Health Association (OPHA) Alcohol Working Group \n\nCannabis Program\n• The Cannabis Program is managed by the Family and Community Health Division with coordination of related interventions across relevant teams and divisions (Municipal and Community Health Promotion and Safe Water, Tobacco Enforcement, and Vector-Borne Disease teams) supported by the Substance Use Coordination Community.  \n\n• Cannabis Program external partners include but are not limited to: the Middlesex-London Community Drug and Alcohol Committee (includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services, Oneida Nation of the Thames, N'Amerind, South Aboriginal Health Access Centre, Atlohsa, St. Joseph's Hospital, and MLHU), and 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).  \n\nOther Drugs Program\n• The Other Drugs Program is managed by the Family and Community Health Division with coordination of related interventions across relevant teams and divisions supported by the Substance Use Coordination Community.\n\n• Other Drugs Program external partners include but are not limited to: Middlesex-London Community Drug and Alcohol Committee (includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services, Oneida Nation of the Thames, N'Amerind, South Aboriginal Health Access Centre, Atlohsa, St. Joseph's Hospital, and MLHU)\n\nHarm Reduction Program Enhancement (Opioids)\n• The Harm Reduction Program Enhancement Program is managed by the Family and Community Health Division, with coordination of related interventions across relevant teams and divisions (Municipal and Community Health Promotion, Social Marketing and Health System Partnerships, Sexual Health, Healthy Babies Healthy Children (HBHC) and Nurse-Family Partnership and Early Years Group Programs teams) supported by the Substance Use Coordination Committee.\n\n• Harm Reduction Program Enhancement (Opioids) external partners include but are not limited to: the Middlesex-London Community Drug and Alcohol Committee (includes leadership representatives of London InterCommunity Health Centre, Regional HIV/AIDS Connection, the City of London, London Police Services, Canadian Mental Health Association (CMHA) Thames Valley Addiction and Mental Health Services, Oneida Nation of the Thames, N'Amerind, South Aboriginal Health Access Centre, Atlohsa, St. Joseph's Hospital, and MLHU); the Southwest Poly Substance Public Health Working Group (comprised of public health unit staff from the seven public health units in southwestern Ontario); MLHU also works with and supports multiple community organizations regarding naloxone distribution.\n\nNeedle Syringe Program\nInternal Partners\n• The Needle Syringe Program is managed by the Sexual Health Team.  \n\nExternal Partners\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\nThe Smoke Free Ontario Program is managed by the Family and Community Health Division with coordination of related interventions across relevant teams and divisions (Social Marketing and Health System Partnerships, Education and Skills, Safe Water, Tobacco Enforcement and Vector Borne Disease teams) supported by the Substance Use Coordination Community.  \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 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 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. Related interventions are assigned to the Municipal and Community Health Promotion team. \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 is 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; Municipal and Community Health Promotion focuses on school-age children and their families). \n\n• Childhood Injury Prevention 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 Family and Community Health Division manages the Violence Prevention program with a focus on family violence - specifically, child abuse and neglect. Intimate Partner Violence is addressed in a separate program. The following teams support the Violence Prevention program: NFP and Early Years Group Programs and Healthy Babies Healthy Children (HBHC). \n\n• Violence Prevention external partners include: Child and Youth Network/Age Friendly London Network, Family-Centered Service System (City of London), Middlesex Children's Services Network, London Health Sciences Centre (LHSC), Middlesex Hospital Alliance (Strathroy Hospital), Oneida Health Centre, Munsee Delaware Nation Health Services, Chippewa Health Centre, Children's Aid Society of London-Middlesex, Thames Valley Children's Centre, Vanier Children's Services, Child & Parent Resource Institute (CPRI), Child Reach, Early ON Child and Family Centres, South London Community Resource Centre, Northwest London Community Resource Centre, YMCA, Youth Opportunities Unlimited, Middlesex County Libraries, Merrymount Children's Centre, CMHA Thames Valley Addiction and Mental Health Services (Heart Space), London Intercommunity Health Centre, Muslim Resource Centre for Social Support and Integration, London and Middlesex Social Services (Ontario Works, therapeutic referrals for childcare, housing)\n\nIntimate Partner Violence Prevention Program\n• The Family and Community Health (FCH) Division manages the Intimate Partner Violence (IPV) Prevention Program. Related interventions are assigned to the Municipal and Community Health Promotion, Nurse-Family Partnership and Early Years Group Programs and HBHC teams.\n• The program will also coordinate an internal focus geared at building knowledge and capacity for staff to identify and support individuals experiencing intimate partner violence who access and participate in clinical services and programs within the Family and Community Health and Environmental Health, Infectious Diseases and Clinical Services divisions.\n\n• The Intimate Partner Violence Prevention Program external partners include but are not limited to: Western University (“An Evidence-Based Health Promotion Intervention (iHEAL) for Women Experiencing Intimate Partner Violence (IPV): Implementation in Diverse Contexts, Evaluation and Scale-Up”), 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 and family shelters, London Police Services, Middlesex-London Coordinating Network to End Gender-Base Violence & Violence Against Women\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,"Target populations include individuals who consume alcohol, municipal leaders and other policy makers, healthcare providers and social service agencies within the Middlesex-London region."]
[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 substance use, 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 may be addressed through messages related to impaired driving; however, specific activities to explicitly address impaired driving are not planned for 2025. Falls and Concussions are not addressed within the Alcohol program. "]
[null,null,null,"a5) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Alcohol Program is to collaborate with local partners to reduce the burden of illness relating to alcohol use. 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.  This trend is anticipated to continue with the expansion of  alcohol retail outlets in 2024 which allows eligible convenience stores, grocery, and big box stores to sell beer, cider, wine, and ready-to-drink alcoholic beverages.  \n\nInterventions used by the Alcohol Program include alcohol-related: \n• Alcohol Social Marketing\n• Alcohol Municipal Mobilization\n• Alcohol Regional Mobilization\n• Alcohol Municipal Policy Development\n• Alcohol Regional/Provisional Policy Development"]
[null,null,null,"a6) 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 [10% of students grades 7-12 report binge drinking (five or more drinks on one occasion) at least once in the last month and 13% of high school students report drinking hazardously or harmfully, (OSDUHS, 2024)], people exceeding the low-risk alcohol drinking guidelines (LRADG) [40.2% of the ML population 19 years and older report exceeding LRADG (CCHS, 2019/20)], and young women (women ages 15-24 have higher ED rates for reasons entirely attributable to alcohol in 2020, 2021, and 2023). 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 addresses mental health through the promotion of healthy lifestyle behaviours and addressing risk and protective factors associated with problematic substance use."]
[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 Alcohol program to contributes to meeting the requirements under the Chronic Disease Prevention, Healthy Growth and Development and 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 substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following four KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of partnership meetings related to Community Drug and Alcohol Committee (CDAC) attended\n• # of Southwest Polysubstance Working Group partnership meetings attended\n• # of Ontario Public Health Association Alcohol Working Group meetings attended\n• # of Before the Floor Working Group partnership meetings attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Alcohol program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population \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) Alcohol Social Marketing (Social Marketing)"}]
[null,null,null,"Alcohol-related social marketing 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 websites, 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. This Social Marketing and Health Systems Partnerhip (SMHSP) team supports this intervention. \n"]
[null,null,null,{"$f":"Structure!D2440 & \" \" & Structure!E2440","v":"i 2) Alcohol Municipal Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Alcohol-related community mobilization involves bringing people and organizations together in a structured way to achieve alcohol-related individual, population, and/or systemic changes. For example, staff from the Municipal and Community Health Promotion team participate in the Community Drug and Alcohol Committee. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include maintaining alcohol-related partnerships and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. The Municipal and Community Health Promotion (MCHP) teams supports this intervention. "]
[null,null,null,{"$f":"Structure!D2441 & \" \" & Structure!E2441","v":"i 3) Alcohol Regional Mobilization (Community and Partner Mobilization)"}]
[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 Social Marketing and Health System Partnerships team participate in and organize change via the Southwest Poly-Substance Working Group, the OPHA Alcohol 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. This Social Marketing and Health Systems Partnerhip (SMHSP) team supports this intervention. \n"]
[null,null,null,{"$f":"Structure!D2442 & \" \" & Structure!E2442","v":"i 4) Alcohol Municipal Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Alcohol-related healthy public policy development involves identifying and ensuring public health issues related to alcohol are on the agenda of policy makers both internal and external to the health sector. This intervention ensures the health impacts of alcohol and health equity are considered by decision-makers. Activities include identifying and developing policy briefings for public health issues relating to alcohol; developing, reviewing, and providing evidence-based feedback regarding the burden of illness, injury, and harm reduction related to alcohol; establishing a plan for resolution; determining needed resources; and providing technical assistance to develop or change alcohol-related policies. Examples of avenues for policy development and change include the creation of policy briefings for senior leadership and the board, and the development of policy statements to inform alcohol policy at the municipal level. The Municipal and Community Health Promotion (MCHP) team supports this intervention.\n"]
[null,null,null,{"$f":"Structure!D2443 & \" \" & Structure!E2443","v":"i 5) Alcohol Regional / Provincial Policy Development (Healthy Public Policy Development)"}]
[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 development of policy statements to inform alcohol policy at the regional, provincial and federal levels. This Social Marketing and Health Systems Partnerhip (SMHSP) team supports this intervention. "]
[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,"Target populations include, individuals who consume cannabis, municipal leaders, health care providers, social service agencies, enforcement agency partners, and special event operators. "]
[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 substance use, injury prevention and mental health promotion through activities that address problematic substance use and the corresponding increased risk of injury and mental health challenges. Road and off-road safety may be addressed through messages related to impaired driving, however, specific activities to explicitly address impaired driving are not planned for 2025. 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."]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Cannabis program is to collaborate with local partners to reduce the burden of illness relating to cannabis use. 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 post-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 2024, there were 62 licensed cannabis retailers (and 7 pending locations) 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: \n• Cannabis Municipal Mobilization \n• Cannabis Investigations"]
[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 Middlesex-London, the 13-19 and 19-25 year old age groups have the highest rate of cannabis-related emergency department 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. "]
[null,null,null,"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 addresses mental health through the promotion of healthy lifestyle behaviours and addressing risk and protective factors associated with problematic substance use."]
[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 Cannabis Program contributes to meeting the requirements under the Chronic Disease Prevention, Healthy Growth and Development and 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 substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of partnership meetings related to Community Drug and Alcohol Committee (CDAC) attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring the Investigation intervention within the Cannabis program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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\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) Cannabis Municipal Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Cannabis-related community mobilization involves bringing people and organizations 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 Community Drug and Alcohol Committee. 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. This intervention is supported by the Municipal and Community Health Promotion team. "]
[null,null,null,{"$f":"Structure!D2456 & \" \" & Structure!E2456","v":"i 2) Cannabis Investigations (Investigations)"}]
[null,null,null,"Investigations collect data regarding known or potential cannabis-related threats to the health of the population. Key steps include determining the existence and risk of the threat, finding the source of the threat, and determining appropriate control measures. Investigations can commence based on service requests, complaints received, and reports of cannabis-related illness or poisoning. Cannabis-related investigations may also include progressive enforcement activities, where necessary, including the use of warnings and graduated charging options. For example, the Cannabis program determines if the cannabis proprietor, via their “information” activities, is in contravention with the Health Canada legislation (the Federal Cannabis Act) making referrals where appropriate. This intervention is supported by the SWTEVBD team.\n"]
[null,null,null,{"$f":"Structure!D2457 & \" \" & Structure!E2457","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2458 & \" \" & Structure!E2458","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2459 & \" \" & Structure!E2459","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2460 & \" \" & Structure!E2460","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2461 & \" \" & Structure!E2461","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2462 & \" \" & Structure!E2462","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2463 & \" \" & Structure!E2463","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2464 & \" \" & Structure!E2464","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2465 & \" \" & Structure!E2465","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2466 & \" \" & Structure!E2466","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2467 & \" \" & Structure!E2467","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2468 & \" \" & Structure!E2468","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2469 & \" \" & Structure!E2469","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2470 & Structure!E2470","v":"P 3) Other Drugs"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target populations include individuals who use substances, municipal leaders and other policy makers, healthcare providers and social service agencies within the Middlesex-London region."]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1 and 2 in the Substance Use and Injury Prevention Standard will be addressed in the Other Drugs program. Requirements 3 and 4 do not pertain to the Other Drugs Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10) Not applicable, 11) Other (Please explain) "]
[null,null,null,"The Other Drugs Program will address requirements pertaining to substance use, 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 may be addressed through messages related to impaired driving; however, specific activities to explicitly address impaired driving are not planned for 2025. Falls and Concussions are not addressed within the Other Drugs program. "]
[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\nInterventions under the Other Drugs (not including Opioids) program include:\n• Other Drugs Mobilization\n• Other Drugs Monitoring 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 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."]
[null,null,null,"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 Other Drugs program addresses mental health through the promotion of healthy lifestyle behaviours and addressing risk and protective factors associated with problematic substance use."]
[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 Other Drugs Program contributes to meeting the requirements under the Infectious and Communicable Diseases Prevention and Control, Chronic Disease Prevention, Healthy Growth and Development and 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 substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of partnership meetings related to Community Drug and Alcohol Committee (CDAC) attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Other Drugs program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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) Other Drugs Mobilization (Community and Partner Mobilization)"}]
[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, staff from the other drugs program participate in and organize change via the Community Drug and Alcohol Committee. 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. This intervention is supported by the Municipal and Community Health Promotion (MCHP) team."]
[null,null,null,{"$f":"Structure!D2472 & \" \" & Structure!E2472","v":"i 2) Opioids and Other Drugs Monitoring Surveillance (Surveillance)"}]
[null,null,null,"The Sexual Health team monitors drug-related concerns, overdoses or deaths from clients, community partners, and through ministry reports (e.g. Emergency Deptartment Opioid Report) for any new or emerging trends. This intervention also involves the communication of community concerns to the Population Health Assessment and Surveillance (PHAS) team for further investigation as required. The monitoring of the community drug situation may ultimately lead to Drug Alerts, which are communicated to people who use drugs and health and social service providers. "]
[null,null,null,{"$f":"Structure!D2473 & \" \" & Structure!E2473","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2474 & \" \" & Structure!E2474","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2475 & \" \" & Structure!E2475","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2476 & \" \" & Structure!E2476","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2477 & \" \" & Structure!E2477","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2478 & \" \" & Structure!E2478","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2479 & \" \" & Structure!E2479","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2480 & \" \" & Structure!E2480","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2481 & \" \" & Structure!E2481","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2482 & \" \" & Structure!E2482","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2483 & \" \" & Structure!E2483","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2484 & \" \" & Structure!E2484","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2485 & \" \" & Structure!E2485","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2486 & Structure!E2486","v":"P 4) Harm Reduction Program Enhancement"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target Population:  People who use Drugs \n•  London has a large population of people who inject drugs (PWID) and is believed to be one of the largest in the country relative to its population. While the exact size of the population of PWID remains largely unknown, it has been estimated that there are approximately 6,000 PWID in London (about 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; and 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,"Requirements 1 and 2 in the Substance Use and Injury Prevention Standard will be addressed in the  Harm Reduction Program Enhancement (Opioids) Program. Requirements 3 and 4 do not pertain to the HRPE 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 Harm Reduction Program Enhancement (Opioids) Program will address requirements pertaining to substance use, 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 may be addressed through messages related to impaired driving; however, specific activities to explicitly address impaired driving are not planned for 2025. Falls and Concussions are not addressed within the HRPE program. "]
[null,null,null,"a4) Describe in detail the status of community drug strategies, including key community partners and key initiatives underway or planned under the strategy"]
[null,null,null,"In March 2024, the Middlesex-London Community Drug and Alcohol Strategy Steering Committee reconvened and was re-constituted as the Middlesex-London Community Drug and Alcohol Committee (CDAC). This change reflects a shift from a strategy-steering committee to a strategic coordination committee. The work of the CDAC remains highly informed by the previous strategy and is grounded in its guiding principles. The goals of the CDAC are to:\n• identify priorities and facilitate action on issues related to drugs and alcohol,\n• facilitate cooperation and alignment amongst community partners and leaders, including liaising with and supporting other relevant strategies and tables,\n• support strategic and timely communication with community partners and the public, providing common messaging for decision makers and community champions, and\n• support the evaluation and assessment of strategies and interventions. \nCurrent membership includes representation from Indigenous communities, health care, public health, enforcement and social service agencies.  The CDAC has prioritized opioids and the toxic drug supply as priority areas of focus for collaborative work, with action planning underway to address these issues."]
[null,null,null,"a5) Describe key activities or approaches that the program will utilize. "]
[null,null,null,"The primary goal of the Harm Reduction Program Enhancement (Opioids) is to reduce the burden of illness relating to opioid use.\n  \nInterventions within the Harm Reduction Program Enhancement program include: \n• Naloxone Inventory Management,\n• Opioids Social Marketing, \n• Opioids Municipal Mobilization,\n• Opioids Regional Mobilization,\n• Opioids Policy Development,\n• Opioids and Other Drugs Monitoring Surveillance,\n• HBHC Clinical Services, and\n• NFP Clinical Services"]
[null,null,null,"a6) 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; and populations in correctional facilities.\n\nThe naloxone program aims to provide naloxone kits are to those most at risk, by working with eligible community organizations, including: \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. "]
[null,null,null,"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 Harm Reduction Program Enhancement (Opioids) Program addresses mental health through the promotion of healthy lifestyle behaviours and addressing risk and protective factors associated with problematic substance use. "]
[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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of partnership meetings related to Community Drug and Alcohol Committee (CDAC) attended\n• # of Southwest Polysubstance Working Group partnership meetings attended\n• # of Anti-Stigma and Harm Reduction Messaging Group partnership meetings attended \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Harm Reduction Program Enhancement program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2487 & \" \" & Structure!E2487","v":"i 1) Opioids Social Marketing (Social Marketing)"}]
[null,null,null,"Opioid-related social marketing 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 also 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. This Social Marketing and Health Systems Partnerhip (SMHSP) team supports this intervention. \n"]
[null,null,null,{"$f":"Structure!D2488 & \" \" & Structure!E2488","v":"i 2) Opioids Municipal Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Opioid-related community and partner mobilization involves bringing people and organizations together in a structured way to achieve opioid-related individual, population, and/or systemic changes. For example, staff from the Municipal and Community Health Promotion team participate in and organize change via the Community Drug and Alcohol Committee. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include developing and maintaining opioid-related partnerships and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. This intervention is supported by the Municipal and Community Health Promotion (MCHP) team. "]
[null,null,null,{"$f":"Structure!D2489 & \" \" & Structure!E2489","v":"i 3) Opioids Regional Mobilization (Community and Partner Mobilization)"}]
[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 Social Marketing and Health System Partnerships team participate in and organize change via the Southwest Poly-Substance Working Group. 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. This Social Marketing and Health Systems Partnerhip (SMHSP) team supports this intervention. "]
[null,null,null,{"$f":"Structure!D2490 & \" \" & Structure!E2490","v":"i 4) Naloxone Inventory Management (Health Resource Inventory Management)"}]
[null,null,null,"Naloxone kit inventory management involves the procurement, storage, distribution and tracking of naloxone kits. It also involves the management and oversight of inventory systems to support harm reduction programs and clinical services. MLHU is the distribution lead for naloxone in Middlesex-London and as such identifies and trains eligible community organizations. This intervention is supported by the Sexual Health team. "]
[null,null,null,{"$f":"Structure!D2491 & \" \" & Structure!E2491","v":"i 5) Opioids Policy Development (Healthy Public Policy Development)"}]
[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 Committee. This intervention is supported by the Municipal and Community Health Promotion (MCHP) team. "]
[null,null,null,{"$f":"Structure!D2492 & \" \" & Structure!E2492","v":"i 6) Opioids and Other Drugs Monitoring Surveillance (Surveillance)"}]
[null,null,null,"The Sexual Health team monitors drug-related concerns, overdoses or deaths from clients, community partners, and through ministry reports (e.g. Emergency Dept Opioid Report) for any new or emerging trends. This intervention also involves the communication of community concerns to the PHAS team for further investigation as required. The monitoring of the community drug situation may ultimately lead to Drug Alerts, which are communicated to people who use drugs and health and social service providers. "]
[null,null,null,{"$f":"Structure!D2493 & \" \" & Structure!E2493","v":"i 7) HBHC Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"This intervention provides opioid-related harm reduction as part of clinical services delivery for Healthy Babies Healthy Children (HBHC) Home Visiting through the distribution of naloxone kits. 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. "]
[null,null,null,{"$f":"Structure!D2494 & \" \" & Structure!E2494","v":"i 8) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"This intervention provides opioid-related harm reduction as part of clinical services delivery for the Nurse Family Partnership (NFP) program through the distribution of naloxone kits. The NFP program offers one-on-one services to first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday. "]
[null,null,null,{"$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; and 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.\n\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\nInterventions within the Needle Syringe Program include: \n•  Needle Syringe Inventory Management"]
[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."]
[null,null,null,"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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2503 & \" \" & Structure!E2503","v":"i 1) Needle Syringe Inventory Management (Health Resource Inventory Management)"}]
[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.\n"]
[null,null,null,{"$f":"Structure!D2504 & \" \" & Structure!E2504","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2505 & \" \" & Structure!E2505","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2506 & \" \" & Structure!E2506","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2507 & \" \" & Structure!E2507","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2508 & \" \" & Structure!E2508","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2509 & \" \" & Structure!E2509","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2510 & \" \" & Structure!E2510","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2511 & \" \" & Structure!E2511","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2512 & \" \" & Structure!E2512","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2513 & \" \" & Structure!E2513","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2514 & \" \" & Structure!E2514","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2515 & \" \" & Structure!E2515","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2516 & \" \" & Structure!E2516","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2517 & \" \" & Structure!E2517","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2518 & Structure!E2518","v":"P 6) Smoke-Free Ontario"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"The findings of the Situational Assessments and the public health unit needs assessment were congruent, and most notably highlighted the sharp increase in vaping among youth (12 - 18 years of age) and that the highest burden of harm for adults continues to be cigarettes. 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. "]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[null,null,null,"Requirements 1, 2 and 3 in the Substance Use and Injury Prevention Standard will be addressed in the Smoke-Free Ontario (SFO) program. Requirement 4 does not pertain to the SFO Program. "]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10) Not applicable, 11) Other (Please explain) "]
[null,null,null,"Activities under the 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• Tobacco and Vapour Product Policy Development,\n• Tobacco and Vapour Product Social Marketing,\n• Tobacco and Vapour Education and Skill Building,\n• Tobacco and Vapour Product Mobilization,\n• Nicotine and Tobacco Cessation Mobilization\n• Tobacco and Vapour Product Inspections,\n• Tobacco and Vapour Product Investigations,\n• NFP Clinical Services, and\n• HBHC Clinical Services.\n\n* Traditional tobacco use is a sacred and cultural practice for many Indigenous peoples in Canada. For the purposes of this program description, when tobacco is named, it references commercial tobacco products and related harms, unless sacred or traditional tobacco use is clearly specified."]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[null,null,null,"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 to identify/develop/modify/orient interventions to decrease health inequities for such priority populations. Program priorities for 2025 include: NotanExperiment.ca; DontQuitQuitting.ca; SmokefreeHousingOn.ca and housing policy; and the PHAC-funded Pharmacy Cessation Initiative in partnership with Southwestern Public Health."]
[null,null,null,"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. Vaping, with or without nicotine, has a significant effect 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 2025.  "]
[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,"Staff supporting interventions under the Smoke Free Ontario program work collaboratively with the Oral Health Team and other teams in the Family and Community Health Division (e.g., the HBHC team, the NFP and Early Years Group Programs Team) to contribute to meeting the requirements under the Chronic Disease Prevention and Wellbeing, 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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of Southwest Tobacco Control Area Network (SW TCAN) partnership meetings attended\n• # of Ontario Nicotine Dependence Structure partnership meetings attended\n• # of Joint TCAN partnership meetings attended\n• # of Middlesex-London Tobacco Cessation CoP partnership meetings attended\n• # of Southwest Pharmacy-Led Smoking Cessation Program partnership meetings attended\n• # of Alliance for a Tobacco Free Ontario partnership meetings attended\n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Smoke Free Ontario program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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\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) Tobacco and Vapour Product Social Marketing (Social Marketing)"}]
[null,null,null,"Tobacco and vapour product social marketing 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. "]
[null,null,null,{"$f":"Structure!D2520 & \" \" & Structure!E2520","v":"i 2) Tobacco and Vapour Product Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Tobacco and vapour product community and partner mobilization involves bringing people and organizations, such as other public health units and school boards, together in a structured way to achieve individual, population, and/or systemic changes related to the prevention of smoking and vaping-related diseases and injuries and the promotion and protection of individual and population health. For example, Middlesex-London Health Unit staff participate as active members of the SWTCAN, the Ontario TCAN, the provincial Nicotine Dependence Advisory Committees, as well as various regional and provincial working groups to collaborate, share resources, and join collective efforts to develop, implement and evaluate regional, multi-regional and sometimes provincial commercial tobacco and vapour product public health interventions, programs and resources. Collective impact is built on the premise that organizations can be more successful in achieving large-scale social change if they coordinate their efforts across sectors, rather than working in isolation on interventions with similar aims. Activities include developing and maintaining partnerships aimed at preventing tobacco and vapour product-related use, coalition building and participation, community organizing and engagement, and cross-sector collaboration, all with the purpose of sharing information, coordinating activities, and sharing/mobilizing resources to achieve a common goal. \n"]
[null,null,null,{"$f":"Structure!D2521 & \" \" & Structure!E2521","v":"i 3) Nicotine and Tobacco Cessation Mobilization (Community and Partner Mobilization)"}]
[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, the Education and Skills Team is involved in the Nicotine and Tobacco Cessation Community of Practice. 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. "]
[null,null,null,{"$f":"Structure!D2522 & \" \" & Structure!E2522","v":"i 4) Tobacco and Vapour Education and Skill Building (Education and Skill Building)"}]
[null,null,null,"Tobacco and vapour product education and skill building involves the development and implementation of one-on-one or one-to-small group educational activities that are designed to increase participants’ tobacco and vapour product use knowledge, as well as strategies to reduce risk and improve behaviour, attitudes, and skills. Activities within this intervention are tailored to the target population, and present information on tobacco and vapour product-related health risks. They also provide specific tools and/or strategies to build capacity to prevent the initiation and/or escalation of tobacco and vapour product-related use, to support cessation, and to create smoke-free/vapour-free spaces. "]
[null,null,null,{"$f":"Structure!D2523 & \" \" & Structure!E2523","v":"i 5) Tobacco and Vapour Product Policy Development (Healthy Public Policy Development)"}]
[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. "]
[null,null,null,{"$f":"Structure!D2524 & \" \" & Structure!E2524","v":"i 6) Tobacco and Vapour Product Inspections (Inspections)"}]
[null,null,null,"In compliance with the Tobacco, Vapour and Smoke Protocol, 2021 and Standard Operating Procedures, tobacco, vapour product and smoke-related inspections involve maintaining inventories of facilities in Middlesex-London that are regulated under the Smoke-Free Ontario Act, 2017; conducting risk assessments; performing inspections and re-inspections; and enforcing legal requirements of the Smoke-Free Ontario Act, 2017. Key activities include dissemination of retailer, workplace and public place proprietor educational material; the provision of mandated signage; conducting mandated inspections; engaging with school partners; and maintenance of a premise list. While this intervention relies on providing education to employers and proprietors to gain legislative compliance, progressive enforcement activities may also be required. Monitoring retail compliance regarding promotion and handing of tobacco, vapour, and smoke related products, especially related to youth, is an essential component of this program.  The long-term outcome of this intervention is to prevent and reduce the burden of tobacco, vapour product, and smoke-related diseases, illnesses, and injuries of public health significance (e.g., lung damage). \n"]
[null,null,null,{"$f":"Structure!D2525 & \" \" & Structure!E2525","v":"i 7) Tobacco and Vapour Product Investigations (Investigations)"}]
[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. This intervention is supported by the SWTEVBD team. "]
[null,null,null,{"$f":"Structure!D2526 & \" \" & Structure!E2526","v":"i 8) HBHC Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"This intervention provides smoking cessation and harm reduction support as part of clinical services delivery for Healthy Babies Healthy Children (HBHC) Home Visiting. HBHC Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. This intervention is supported by the HBHC team. "]
[null,null,null,{"$f":"Structure!D2527 & \" \" & Structure!E2527","v":"i 9) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"This intervention provides smoking cessation and harm reduction support as part of clinical services delivery for the Nurse Family Partnership (NFP) program through the distribution of naloxone kits. The NFP program offers one-on-one services to first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday. This intervention is supported by the NFP and Early Years Group Programs team. "]
[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."]
[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. "]
[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 Adult Injury Prevention program focuses on reducing the burden of injuries related to active transportation and the built environment. \n\nInterventions used by this program include:\n• Active Transportation and Built Environment Mobilization, and\n• Active Transportation and Built Environment Policy Development"]
[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.\n\nThis is not a prioritized program in 2025, but rather efforts within the implementation of the Active Transportation and Built Environment program also aim to achieve outcomes related to reducing the burden of preventable adult injuries."]
[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,"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.               "]
[null,null,null,"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,"The Adult Injury Prevention Program is linked to requirements under the Healthy Environments and the Chronic Disease Prevention and Wellbeing 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,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of London Middlesex Road Safety Committee meetings attended \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Adult Injury Prevention program."]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[null,null,null,"Long-Term / Population Health\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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2535 & \" \" & Structure!E2535","v":"i 1) Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"}]
[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."]
[null,null,null,{"$f":"Structure!D2536 & \" \" & Structure!E2536","v":"i 2) Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring active transportation and built environment are on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by:\n• working with municipalities and partners to identify gaps with current infrastructure, policy, and resources; \n• developing policy briefings and resources relevant to senior leadership, Board, and municipalities; \n• providing feedback on notice of applications, and review the master plan of the municipalities. \nWork for this intervention involves liaising closely with municipalities, neighbouring health units, and communities. The aim is bringing people and organizations together in a structured way to achieve community, population, and/or systemic changes."]
[null,null,null,{"$f":"Structure!D2537 & \" \" & Structure!E2537","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2538 & \" \" & Structure!E2538","v":"i 4) "}]
[]
[null,null,null,{"$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,"Parents of infant and preschool children (through delivery of early childhood home visiting services) and school age children (as part of programming promoting active school travel).\n\nMunicipal 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."]
[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. \n\nInterventions of this program include:\n• Active Transportation and Built Environment Mobilization, \n• Active Transportation and Built Environment Policy Development, \n• NFP Clinical Services,\n• HBHC Clinical Services, and\n• Smart Start for Babies."]
[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.\n\nThis is not a prioritized program in 2025, but rather efforts within the implementation of the Active Transportation and Built Environment and Early Childhood Development programs also aim to achieve outcomes related to reducing the burden of preventable childhood injuries."]
[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 as defined within the Active Transportation and Built Environments, and Early Childhood Development programs.  "]
[null,null,null,"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,"The Childhood Injury Prevention Program is linked to requirements under the Healthy Environments, Chronic Disease Prevention and Wellbeing and 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 substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Key Performance Indicator (KPI) development in 2024 established quantity indicators to monitor the number of partnership meetings attended that support the Community and Partner Mobilization intervention. The following KPIs were established in Q3 of 2024 that will be reported on each quarter:\n• # of London Middlesex Road Safety Committee meetings attended\n• # of Active and Safe Routes to School partnership meetings attended \n\nFurther work will continue in 2025 to identify additional quantity indicators as well as quality and effectiveness indicators for monitoring interventions related to the Childhood Injury Prevention program.\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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2551 & \" \" & Structure!E2551","v":"i 1) Active Transportation and Built Environment Policy Development (Healthy Public Policy Development)"}]
[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. \nWork for this intervention involves liaising 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,{"$f":"Structure!D2552 & \" \" & Structure!E2552","v":"i 2) Active Transportation and Built Environment Mobilization (Community and Partner Mobilization)"}]
[null,null,null,"Community and Partner Mobilization involves bringing people and organizations together in a structured way to achieve individual, population, and/or systemic changes. The Municipal and Community Health Promotion (MCHP) team supports this intervention by participating on London Middlesex Road Safety Committee and the Active and Safe Routes to School Committee."]
[null,null,null,{"$f":"Structure!D2553 & \" \" & Structure!E2553","v":"i 3) HBHC Clinical Services (Clinical Service Delivery)"}]
[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. This intervention is supported by the HBHC team.\n"]
[null,null,null,{"$f":"Structure!D2554 & \" \" & Structure!E2554","v":"i 4) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Nurse Family Partnership (NFP) offers one-on-one services related to early childhood development to first time pregnant clients early in pregnancy (prior to 29 weeks) and until the child’s second birthday.  Although these services are delivered at an individual level, they are part of a priority population focused approach (i.e., delivered to clients experiencing financial hardship or limited resources and support). To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g., the home visits contribute to newborn, child and maternal health for families and the community as a whole). These clinical services are delivered in the home or community (i.e., home visiting). Participation in NFP communities of practice provincially and nationally contributes to best practice and fidelity in implementation. This intervention is supported by the NFP and Early Years Group Programs team. \n"]
[null,null,null,{"$f":"Structure!D2555 & \" \" & Structure!E2555","v":"i 5) Smart Start for Babies (Education and Skill Building)"}]
[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 health, and other topics including, infant safety. 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. This intervention is supported by the NFP and Early Years Group Programs team."]
[null,null,null,{"$f":"Structure!D2556 & \" \" & Structure!E2556","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2557 & \" \" & Structure!E2557","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2558 & \" \" & Structure!E2558","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2559 & \" \" & Structure!E2559","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2560 & \" \" & Structure!E2560","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2561 & \" \" & Structure!E2561","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2562 & \" \" & Structure!E2562","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2563 & \" \" & Structure!E2563","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2564 & \" \" & Structure!E2564","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2565 & \" \" & Structure!E2565","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2566 & Structure!E2566","v":"P 9) Violence Prevention"}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[null,null,null,"Target populations include pregnant individuals and families with young children.  \n\nViolence prevention is also addressed indirectly through delivery of the Substance Use Program (by addressing problematic substance use and the corresponding increased risk of violence) and School Health Program (e.g., through delivery of Healthy Relationships Plus program). Relevant target and priority populations can be found under the respective programs.  "]
[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,"The Violence Prevention program is delivered through client facing teams who address violence and prevention of violence through clinical services and education and skill building. \n\nInterventions of the Violence Prevention Program include:\n• NFP Clinical Services\n• HBHC Clinical Services\n• Smart Start for Babies"]
[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. \n\nThis is not a prioritized program in 2025, but rather efforts within the implementation of the Early Childhood Development program also aim to achieve outcomes related to reducing the burden of preventable violence, specifically, child abuse and neglect."]
[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 are defined within the Early Childhood Development Program.  "]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[null,null,null,"The overall goal of primary prevention is to use a strength-based approach and reduce risk factors and enhance protective factors. Evidence has shown that when prevention starts early and continues across the life span, there are positive long-term impacts and it reaches both those at highest risk of being a victim and a perpetrator. Therefore, from a violence prevention lens, it is important to focus on: enhancing protective factors and reducing risk factors common among multiple types of violence and emphasizing early interventions targeted towards children and youth."]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[null,null,null," The Violence Prevention Program is linked to requirements under the School Health and Healthy Growth and Development Standards."]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[null,null,null,"Locally developed indicators are not currently available for this program. In 2025, work will continue to identify locally developed indicators for interventions related to the Violence Prevention program.\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 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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2567 & \" \" & Structure!E2567","v":"i 1) NFP Clinical Services (Clinical Service Delivery)"}]
[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. This intervention is supported by the NFP and Early Years Group Programs team. \n"]
[null,null,null,{"$f":"Structure!D2568 & \" \" & Structure!E2568","v":"i 2) HBHC Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"Clinical service delivery for Healthy Babies Healthy Children (HBHC) Home Visiting offers one-on-one services to clients and families identified with risk in the prenatal period, and anytime from birth until the transition to school. Public Health Nurses work with families to promote optimal physical, cognitive, communicative, and psychological development in children through a system of effective prevention and early intervention services for families. Although these services are delivered at an individual level, they are part of a population-wide (i.e., universal screening) and priority population focused approach to identify clients with risk factors related to compromised parenting and child development. To deliver clinical services as part of public health work, these services are scalable to have a population-level impact and have an impact beyond the individual receiving the intervention (e.g. the home visits contribute to newborn, child and parental health for families and the community as a whole). These clinical services are delivered predominantly in the home with some visits in the community and support provided over the phone. This intervention is supported by the HBHC team.\n"]
[null,null,null,{"$f":"Structure!D2569 & \" \" & Structure!E2569","v":"i 3) Smart Start for Babies (Education and Skill Building)"}]
[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 health, and other topics including, parenting. 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. This intervention is supported by the NFP and Early Years Group Programs team. "]
[null,null,null,{"$f":"Structure!D2570 & \" \" & Structure!E2570","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2571 & \" \" & Structure!E2571","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2572 & \" \" & Structure!E2572","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2573 & \" \" & Structure!E2573","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2574 & \" \" & Structure!E2574","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2575 & \" \" & Structure!E2575","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2576 & \" \" & Structure!E2576","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2577 & \" \" & Structure!E2577","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2578 & \" \" & Structure!E2578","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2579 & \" \" & Structure!E2579","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2580 & \" \" & Structure!E2580","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2581 & \" \" & Structure!E2581","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2582 & Structure!E2582","v":"P10) 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 (IPV) Prevention Program is implemented within the Family and Community Health Division in order to support diverse target populations across the lifespan, with a focus on women of all ages. There is no one risk factor for IPV, it occurs as a result of multiple factors across the social-ecological model.  IPV impacts people of all genders, ages, socioeconomic, racial, educational, ethnic, religious and cultural backgrounds. However, women account for the vast majority of people who experience this form of gender-based violence."]
[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,"Client facing teams in the Family and Community Health Division address violence and prevention of violence as part of clinical service delivery and interventions focused on education and skill building.  Women at risk for or experiencing IPV self-refer to programs and services or are identified through selective screening and case finding as part of prenatal and early childhood program delivery.  Interventions assigned to the Municipal and Community health promotion team are focused on community and partner mobilization and healthy public policy development.  Cross organizational capacity building is a key area of focus within MLHU’s focus on violence prevention, with the existence of an agency policy to support appropriate screening and response to IPV within client-facing services. \n\nInterventions of the Intimate Partner Violence Prevention Program include:\n• NFP Clinical Services\n• iHEAL Clinical Services\n• HBHC Clinical Services\n• IPV Prevention Mobilization\n• Smart Start for Babies \n• IPV Prevention Policy Development\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 include: young women (ages 12-24), 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 intimate partner violence and emphasizing early interventions targeted towards children and youth, including reducing children's exposure to intimate partner violence.  "]
[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)"]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2583 & \" \" & Structure!E2583","v":"i 1) NFP Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"The NFP and Early Years Group Programs (NFP-EYGP) team provides intimate partner violence prevention (IPV) through the Nurse Family Partnership (NFP) program. 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. This intervention also involves the development and maintenance of IPV internal community of practice.  "]
[null,null,null,{"$f":"Structure!D2584 & \" \" & Structure!E2584","v":"i 2) iHEAL Clinical Services (Clinical Service Delivery)"}]
[null,null,null,"The NFP and Early Years Group Programs (NFP-EYGP) team provides intimate partner violence prevention (IPV) through the iHEAL program. The iHEAL Program offers one-on-one services to clients who are experiencing or have experienced intimate partner violence.  "]
[null,null,null,{"$f":"Structure!D2585 & \" \" & Structure!E2585","v":"i 3) HBHC Clinical Services (Clinical Service Delivery)"}]
[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 HBHC team supports this intervention."]
[null,null,null,{"$f":"Structure!D2586 & \" \" & Structure!E2586","v":"i 4) Smart Start for Babies (Education and Skill Building)"}]
[null,null,null,"Education and Skill Building for Smart Start for Babies involves the development and implementation of small group educational activities that integrate intimate partner violence prevention as part of the curriculum (i.e., healthy relationship discussions). This intervention is supported by the NFP and Early Years Group Programs team. "]
[null,null,null,{"$f":"Structure!D2587 & \" \" & Structure!E2587","v":"i 5) IPV Prevention Mobilization (Community and Partner Mobilization)"}]
[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: Middlesex-London Coordinating Network to End Gender-Base Violence & Violence Against Women."]
[null,null,null,{"$f":"Structure!D2588 & \" \" & Structure!E2588","v":"i 6) IPV Prevention Policy Development (Healthy Public Policy Development)"}]
[null,null,null,"Healthy Public Policy Development involves ensuring that intimate partner violence prevention is on the agenda of policy makers both internal and external to the health sector. The Municipal and Community Health Promotion (MCHP) team supports this intervention by developing policy briefings and resources for senior leadership and the Board of Health."]
[null,null,null,{"$f":"Structure!D2589 & \" \" & Structure!E2589","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2590 & \" \" & Structure!E2590","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2591 & \" \" & Structure!E2591","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2592 & \" \" & Structure!E2592","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2593 & \" \" & Structure!E2593","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2594 & \" \" & Structure!E2594","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2595 & \" \" & Structure!E2595","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2596 & \" \" & Structure!E2596","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2597 & \" \" & Structure!E2597","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2598 & Structure!E2598","v":"P11) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2599 & \" \" & Structure!E2599","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2600 & \" \" & Structure!E2600","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2601 & \" \" & Structure!E2601","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2602 & \" \" & Structure!E2602","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2603 & \" \" & Structure!E2603","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2604 & \" \" & Structure!E2604","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2605 & \" \" & Structure!E2605","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2606 & \" \" & Structure!E2606","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2607 & \" \" & Structure!E2607","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2608 & \" \" & Structure!E2608","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2609 & \" \" & Structure!E2609","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2610 & \" \" & Structure!E2610","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2611 & \" \" & Structure!E2611","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2612 & \" \" & Structure!E2612","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2613 & \" \" & Structure!E2613","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2614 & Structure!E2614","v":"P12) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2615 & \" \" & Structure!E2615","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2616 & \" \" & Structure!E2616","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2617 & \" \" & Structure!E2617","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2618 & \" \" & Structure!E2618","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2619 & \" \" & Structure!E2619","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2620 & \" \" & Structure!E2620","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2621 & \" \" & Structure!E2621","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2622 & \" \" & Structure!E2622","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2623 & \" \" & Structure!E2623","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2624 & \" \" & Structure!E2624","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2625 & \" \" & Structure!E2625","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2626 & \" \" & Structure!E2626","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2627 & \" \" & Structure!E2627","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2628 & \" \" & Structure!E2628","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2629 & \" \" & Structure!E2629","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2630 & Structure!E2630","v":"P13) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2631 & \" \" & Structure!E2631","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2632 & \" \" & Structure!E2632","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2633 & \" \" & Structure!E2633","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2634 & \" \" & Structure!E2634","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2635 & \" \" & Structure!E2635","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2636 & \" \" & Structure!E2636","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2637 & \" \" & Structure!E2637","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2638 & \" \" & Structure!E2638","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2639 & \" \" & Structure!E2639","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2640 & \" \" & Structure!E2640","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2641 & \" \" & Structure!E2641","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2642 & \" \" & Structure!E2642","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2643 & \" \" & Structure!E2643","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2644 & \" \" & Structure!E2644","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2645 & \" \" & Structure!E2645","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2646 & Structure!E2646","v":"P14) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2647 & \" \" & Structure!E2647","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2648 & \" \" & Structure!E2648","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2649 & \" \" & Structure!E2649","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2650 & \" \" & Structure!E2650","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2651 & \" \" & Structure!E2651","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2652 & \" \" & Structure!E2652","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2653 & \" \" & Structure!E2653","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2654 & \" \" & Structure!E2654","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2655 & \" \" & Structure!E2655","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2656 & \" \" & Structure!E2656","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2657 & \" \" & Structure!E2657","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2658 & \" \" & Structure!E2658","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2659 & \" \" & Structure!E2659","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2660 & \" \" & Structure!E2660","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2661 & \" \" & Structure!E2661","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2662 & Structure!E2662","v":"P15) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2663 & \" \" & Structure!E2663","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2664 & \" \" & Structure!E2664","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2665 & \" \" & Structure!E2665","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2666 & \" \" & Structure!E2666","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2667 & \" \" & Structure!E2667","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2668 & \" \" & Structure!E2668","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2669 & \" \" & Structure!E2669","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2670 & \" \" & Structure!E2670","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2671 & \" \" & Structure!E2671","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2672 & \" \" & Structure!E2672","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2673 & \" \" & Structure!E2673","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2674 & \" \" & Structure!E2674","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2675 & \" \" & Structure!E2675","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2676 & \" \" & Structure!E2676","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2677 & \" \" & Structure!E2677","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2678 & Structure!E2678","v":"P16) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2679 & \" \" & Structure!E2679","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2680 & \" \" & Structure!E2680","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2681 & \" \" & Structure!E2681","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2682 & \" \" & Structure!E2682","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2683 & \" \" & Structure!E2683","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2684 & \" \" & Structure!E2684","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2685 & \" \" & Structure!E2685","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2686 & \" \" & Structure!E2686","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2687 & \" \" & Structure!E2687","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2688 & \" \" & Structure!E2688","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2689 & \" \" & Structure!E2689","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2690 & \" \" & Structure!E2690","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2691 & \" \" & Structure!E2691","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2692 & \" \" & Structure!E2692","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2693 & \" \" & Structure!E2693","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2694 & Structure!E2694","v":"P17) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2695 & \" \" & Structure!E2695","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2696 & \" \" & Structure!E2696","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2697 & \" \" & Structure!E2697","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2698 & \" \" & Structure!E2698","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2699 & \" \" & Structure!E2699","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2700 & \" \" & Structure!E2700","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2701 & \" \" & Structure!E2701","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2702 & \" \" & Structure!E2702","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2703 & \" \" & Structure!E2703","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2704 & \" \" & Structure!E2704","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2705 & \" \" & Structure!E2705","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2706 & \" \" & Structure!E2706","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2707 & \" \" & Structure!E2707","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2708 & \" \" & Structure!E2708","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2709 & \" \" & Structure!E2709","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2710 & Structure!E2710","v":"P18) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2711 & \" \" & Structure!E2711","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2712 & \" \" & Structure!E2712","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2713 & \" \" & Structure!E2713","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2714 & \" \" & Structure!E2714","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2715 & \" \" & Structure!E2715","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2716 & \" \" & Structure!E2716","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2717 & \" \" & Structure!E2717","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2718 & \" \" & Structure!E2718","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2719 & \" \" & Structure!E2719","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2720 & \" \" & Structure!E2720","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2721 & \" \" & Structure!E2721","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2722 & \" \" & Structure!E2722","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2723 & \" \" & Structure!E2723","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2724 & \" \" & Structure!E2724","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2725 & \" \" & Structure!E2725","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2726 & Structure!E2726","v":"P19) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2727 & \" \" & Structure!E2727","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2728 & \" \" & Structure!E2728","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2729 & \" \" & Structure!E2729","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2730 & \" \" & Structure!E2730","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2731 & \" \" & Structure!E2731","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2732 & \" \" & Structure!E2732","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2733 & \" \" & Structure!E2733","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2734 & \" \" & Structure!E2734","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2735 & \" \" & Structure!E2735","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2736 & \" \" & Structure!E2736","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2737 & \" \" & Structure!E2737","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2738 & \" \" & Structure!E2738","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2739 & \" \" & Structure!E2739","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2740 & \" \" & Structure!E2740","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2741 & \" \" & Structure!E2741","v":"i15) "}]
[]
[null,null,null,{"$f":"Structure!D2742 & Structure!E2742","v":"P20) "}]
[null,null,null,"Program Description:\na) Describe the program including:\n a1) The target population(s) to be served by the program. "]
[]
[null,null,null,"a2) Identify the specific requirements under the Substance Use and Injury Prevention Standard that the program will address. "]
[]
[null,null,null,"a3) If applicable, identify which topics of consideration listed in requirement 2 of the Substance Use and Injury Prevention Standard the program intends to address.\n1) Comprehensive tobacco control, 2) Concussions, 3) Falls, 4) Life promotion, suicide risk and prevention, 5) Mental health promotion, 6) Off-road safety, 7) Road safety, 8) Substance use, 9) Violence, 10 Not applicable, 11) Other (Please explain) "]
[]
[null,null,null,"a4) Describe key activities or approaches that the program will utilize. "]
[]
[null,null,null,"a5) Provide any further contextual information as needed (i.e., links to relevant community needs and priorities)."]
[]
[null,null,null,"b) If a priority population or multiple priority populations have been identified for this program, please provide data and informational details that informed your decision, unless previously reported. Describe how interventions were modified and oriented to decrease health inequities for these priority populations."]
[]
[null,null,null,"c) Describe how mental health promotion will be addressed, including specific approaches, topic of focus (e.g. resiliency building, healthy relationships, social connectedness, etc.), priority population, and delivery setting (e.g., schools, community centers, public health units, etc.)."]
[]
[null,null,null,"d) As a program may address more than one Program Standard, if this program is intended to meet requirements under additional Program Standards (e.g., Chronic Disease Prevention and Well-Being, School Health), please identify those Program Standards or indicate N/A. "]
[]
[null,null,null,"Program Indicators:\nList and describe locally developed indicators (existing and/or new) that the board of health will use to monitor and measure the success of the substance use and/or injury prevention program over the reporting period."]
[]
[null,null,null,"Program Objective:\nDescribe the expected objectives of the program and what you expect to achieve, within specific timelines."]
[]
[null,null,null,"Intervention Descriptions:\nBriefly describe the following public health intervention(s)."]
[null,null,null,{"$f":"Structure!D2743 & \" \" & Structure!E2743","v":"i 1) "}]
[]
[null,null,null,{"$f":"Structure!D2744 & \" \" & Structure!E2744","v":"i 2) "}]
[]
[null,null,null,{"$f":"Structure!D2745 & \" \" & Structure!E2745","v":"i 3) "}]
[]
[null,null,null,{"$f":"Structure!D2746 & \" \" & Structure!E2746","v":"i 4) "}]
[]
[null,null,null,{"$f":"Structure!D2747 & \" \" & Structure!E2747","v":"i 5) "}]
[]
[null,null,null,{"$f":"Structure!D2748 & \" \" & Structure!E2748","v":"i 6) "}]
[]
[null,null,null,{"$f":"Structure!D2749 & \" \" & Structure!E2749","v":"i 7) "}]
[]
[null,null,null,{"$f":"Structure!D2750 & \" \" & Structure!E2750","v":"i 8) "}]
[]
[null,null,null,{"$f":"Structure!D2751 & \" \" & Structure!E2751","v":"i 9) "}]
[]
[null,null,null,{"$f":"Structure!D2752 & \" \" & Structure!E2752","v":"i10) "}]
[]
[null,null,null,{"$f":"Structure!D2753 & \" \" & Structure!E2753","v":"i11) "}]
[]
[null,null,null,{"$f":"Structure!D2754 & \" \" & Structure!E2754","v":"i12) "}]
[]
[null,null,null,{"$f":"Structure!D2755 & \" \" & Structure!E2755","v":"i13) "}]
[]
[null,null,null,{"$f":"Structure!D2756 & \" \" & Structure!E2756","v":"i14) "}]
[]
[null,null,null,{"$f":"Structure!D2757 & \" \" & Structure!E2757","v":"i15) "}]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[null,"                                "]
[null,null,null,"Staff Allocation to Programs"]
[null,null,null,"Program",null,"Associate Medical Officer of Health","Chief Nursing Officer","Program Director","Program Manager/\nSupervisor","Project Officer","Public Health Nurse","Registered Nurse","Registered Practical Nurse","Nurse Practitioner","Social Determinants of Health Nurse","Infection Prevention and Control Nurse","Public Health Inspector","Dentist","Dental Hygienist","Dental Assistant","Health Promoter","Nutritionist","Dietitian","Epidemiologist","Program Coordinator ","Program Support Staff","SFOA Inspector","Tobacco Control Coordinator/\nManager","TCAN Coordinator","Youth Development Specialist","Youth Engagement Coordinator","Other SFO staff","Student","Communications Staff","Program Evaluator","Data Analyst","Other Program Staff","Total","% of Bilingual FTEs"]
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[]
[null,null,null,"Total Health Equity","F.T.E.#",0.05,null,0.28000000000000003,1.2,null,null,null,null,null,1,null,null,null,null,null,2,null,null,0.3,null,0.15,null,null,null,null,null,null,null,null,0.3,0.2,0.73,{"$f":"ROUND(SUM(F9:AK9),2)","v":6.21}]
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[]
[null,null,null,"Total Effective Public Health Practice","F.T.E.#",0.05,0.1,0.3,2.67,null,1,null,null,null,null,null,null,null,null,null,null,null,null,0.05,null,6.85,null,null,null,null,null,null,null,3,2.7,0.03,4.43,{"$f":"ROUND(SUM(F12:AK12),2)","v":21.18}]
[null,null,null,null,"$",12126,13304,46098,297189,null,96900,null,null,null,null,null,null,null,null,null,null,null,null,5258,null,434496,null,null,null,null,null,null,null,200273,287160,2205,340723,{"$f":"ROUND(SUM(F13:AK13),0)","v":1735732}]
[]
[null,null,null,"Total Emergency Management","F.T.E.#",0.08,null,0.1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0.57999999999999996,null,null,null,null,null,null,null,null,null,null,0.68,{"$f":"ROUND(SUM(F15:AK15),2)","v":1.44}]
[null,null,null,null,"$",19401,null,15366,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,33879,null,null,null,null,null,null,null,null,null,null,104847,{"$f":"ROUND(SUM(F16:AK16),0)","v":173493}]
[]
[null,null,null,"Total Chronic Disease Prevention and Well-Being","F.T.E.#",0,null,0.15,2.13,null,3.17,null,null,null,null,null,0.66,2.5,7,9,1.21,null,0.56000000000000005,null,0.05,3.67,0.17,0.05,null,null,null,0.05,0.08,null,null,null,0.18,{"$f":"ROUND(SUM(F18:AK18),2)","v":30.63}]
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[null,null,null,"Validation","Unalloc. F.T.E. ",{"$f":"F18-SUM(F22,F24,F26,F28,F30,F32,F34,F36,F38,F40,F42,F44,F46,F48,F50,F52,F54,F56,F58,F60)","v":0},{"$f":"G18-SUM(G22,G24,G26,G28,G30,G32,G34,G36,G38,G40,G42,G44,G46,G48,G50,G52,G54,G56,G58,G60)","v":0},{"$f":"H18-SUM(H22,H24,H26,H28,H30,H32,H34,H36,H38,H40,H42,H44,H46,H48,H50,H52,H54,H56,H58,H60)","v":0},{"$f":"I18-SUM(I22,I24,I26,I28,I30,I32,I34,I36,I38,I40,I42,I44,I46,I48,I50,I52,I54,I56,I58,I60)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"AK18-SUM(AK22,AK24,AK26,AK28,AK30,AK32,AK34,AK36,AK38,AK40,AK42,AK44,AK46,AK48,AK50,AK52,AK54,AK56,AK58,AK60)","v":0},{"$f":"SUM(F20:AK20)","v":0}]
[null,null,null,null,"Unalloc.\n$",{"$f":"F19-SUM(F23,F25,F27,F29,F31,F33,F35,F37,F39,F41,F43,F45,F47,F49,F51,F53,F55,F57,F59,F61)","v":0},0,{"$f":"H19-SUM(H23,H25,H27,H29,H31,H33,H35,H37,H39,H41,H43,H45,H47,H49,H51,H53,H55,H57,H59,H61)","v":0},{"$f":"I19-SUM(I23,I25,I27,I29,I31,I33,I35,I37,I39,I41,I43,I45,I47,I49,I51,I53,I55,I57,I59,I61)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"AK19-SUM(AK23,AK25,AK27,AK29,AK31,AK33,AK35,AK37,AK39,AK41,AK43,AK45,AK47,AK49,AK51,AK53,AK55,AK57,AK59,AK61)","v":0},{"$f":"SUM(F21:AK21)","v":0}]
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[null,null,null,{"$f":"\"Total \" &Structure!D448","v":"Total Healthy Environments"},"F.T.E.#",0.09,null,0.12,0.41,null,0.97,null,null,null,null,null,2.92,null,null,null,0.68,null,0.34,null,null,0.41,null,null,null,null,null,null,null,null,null,null,0.13,{"$f":"ROUND(SUM(F108:AK108),2)","v":6.07}]
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[]
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[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F239:AK239),0)","v":0}]
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[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F241:AK241),0)","v":0}]
[]
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[null,null,null,null,"$",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ROUND(SUM(F284:AK284),0)","v":0}]
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[null,null,null,{"$f":"Structure!E1333","v":"Drinking Water Program"},"F.T.E.#",0.01,null,0.05,0.18,null,null,null,null,null,null,null,1.64,null,0,0,null,null,null,null,0.18,0.36,0.63,0.18,null,null,null,0.18,0.28999999999999998,null,null,null,0.05,{"$f":"ROUND(SUM(F292:AK292),2)","v":3.75}]
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[null,null,null,{"$f":"Structure!E1045","v":0},{"$f":"'Staff Alloc to Programs'!AL231","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1056","v":0},{"$f":"'Staff Alloc to Programs'!AL233","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1067","v":0},{"$f":"'Staff Alloc to Programs'!AL235","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,"_"]
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[null,null,null,{"$f":"Structure!E1123","v":"Infectious Disease Control"},{"$f":"'Staff Alloc to Programs'!AL250","v":1692052},403057,9556,null,null,8829,null,19880,2133374,2133374,null,null,null,null,{"$f":"SUM(N145:R145)","v":2133374},{"$f":"M145-S145","v":0}]
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[null,null,null,{"$f":"Structure!E1233","v":0},{"$f":"'Staff Alloc to Programs'!AL270","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1244","v":0},{"$f":"'Staff Alloc to Programs'!AL272","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1255","v":0},{"$f":"'Staff Alloc to Programs'!AL274","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1266","v":0},{"$f":"'Staff Alloc to Programs'!AL276","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1277","v":0},{"$f":"'Staff Alloc to Programs'!AL278","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1288","v":0},{"$f":"'Staff Alloc to Programs'!AL280","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1299","v":0},{"$f":"'Staff Alloc to Programs'!AL282","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1310","v":0},{"$f":"'Staff Alloc to Programs'!AL284","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"\"Total \" &D142","v":"Total Infectious and Communicable Diseases Prevention and Control"},{"$f":"SUM(E144:E163)","v":3537762},868880,31606,0,{"$f":"SUM(I144:I163)","v":0},{"$f":"SUM(J144:J163)","v":547013},-139297,164115,5010079,{"$f":"SUM(N144:N163)","v":5010079},{"$f":"SUM(O144:O163)","v":0},{"$f":"SUM(P144:P163)","v":0},{"$f":"SUM(Q144:Q163)","v":0},{"$f":"SUM(R144:R163)","v":0},{"$f":"SUM(N164:R164)","v":5010079},{"$f":"M164-S164","v":0}]
[null,null,null,"_"]
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[null,null,null,{"$f":"Structure!E1344","v":"Recreational Water Program"},{"$f":"'Staff Alloc to Programs'!AL295","v":258775},66641,6225,null,null,26919,null,5289,363849,363849,null,null,null,null,{"$f":"SUM(N169:R169)","v":363849},{"$f":"M169-S169","v":0}]
[null,null,null,{"$f":"Structure!E1355","v":0},{"$f":"'Staff Alloc to Programs'!AL297","v":0},{"$f":"ROUND(E170*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E1399","v":0},{"$f":"'Staff Alloc to Programs'!AL305","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E1421","v":0},{"$f":"'Staff Alloc to Programs'!AL309","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E1454","v":0},{"$f":"'Staff Alloc to Programs'!AL315","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1465","v":0},{"$f":"'Staff Alloc to Programs'!AL317","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1476","v":0},{"$f":"'Staff Alloc to Programs'!AL319","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1487","v":0},{"$f":"'Staff Alloc to Programs'!AL321","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1498","v":0},{"$f":"'Staff Alloc to Programs'!AL323","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1509","v":0},{"$f":"'Staff Alloc to Programs'!AL325","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1520","v":0},{"$f":"'Staff Alloc to Programs'!AL327","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1531","v":0},{"$f":"'Staff Alloc to Programs'!AL329","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1542","v":0},{"$f":"'Staff Alloc to Programs'!AL331","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"\"Total \" &D166","v":"Total Safe Water"},{"$f":"SUM(E168:E187)","v":552766},142388,13336,0,{"$f":"SUM(I168:I187)","v":0},{"$f":"SUM(J168:J187)","v":57627},-1,11280,777396,{"$f":"SUM(N168:N187)","v":777396},{"$f":"SUM(O168:O187)","v":0},{"$f":"SUM(P168:P187)","v":0},{"$f":"SUM(Q168:Q187)","v":0},{"$f":"SUM(R168:R187)","v":0},{"$f":"SUM(N188:R188)","v":777396},{"$f":"M188-S188","v":0}]
[null,null,null,"_"]
[null,null,null,{"$f":"Structure!D1553","v":"School Health - Oral Health"},"Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
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[null,null,null,{"$f":"Structure!E1587","v":0},{"$f":"'Staff Alloc to Programs'!AL344","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E1631","v":0},{"$f":"'Staff Alloc to Programs'!AL352","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1642","v":0},{"$f":"'Staff Alloc to Programs'!AL354","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E1708","v":0},{"$f":"'Staff Alloc to Programs'!AL366","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E1719","v":0},{"$f":"'Staff Alloc to Programs'!AL368","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"\"Total \" &D190","v":"Total School Health - Oral Health"},{"$f":"SUM(E192:E211)","v":911310},239534,20779,0,{"$f":"SUM(I192:I211)","v":0},{"$f":"SUM(J192:J211)","v":998},-1210,171407,1342818,{"$f":"SUM(N192:N211)","v":1342818},{"$f":"SUM(O192:O211)","v":0},{"$f":"SUM(P192:P211)","v":0},{"$f":"SUM(Q192:Q211)","v":0},{"$f":"SUM(R192:R211)","v":0},{"$f":"SUM(N212:R212)","v":1342818},{"$f":"M212-S212","v":0}]
[null,null,null,"_"]
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[null,null,null,"Program","Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures",null,null,null,null,null,"Total Funding Sources"]
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[null,null,null,"_"]
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[null,null,null,{"$f":"Structure!E2007","v":0},{"$f":"'Staff Alloc to Programs'!AL430","v":0},{"$f":"ROUND(E241*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"SUM(N241:R241)","v":0},{"$f":"M241-S241","v":0}]
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[null,null,null,{"$f":"Structure!E2073","v":0},{"$f":"'Staff Alloc to Programs'!AL442","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E2095","v":0},{"$f":"'Staff Alloc to Programs'!AL446","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E2150","v":0},{"$f":"'Staff Alloc to Programs'!AL456","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E2404","v":0},{"$f":"'Staff Alloc to Programs'!AL507","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E$2454","v":"Cannabis"},{"$f":"'Staff Alloc to Programs'!AL520","v":89999},22936,1445,null,null,6604,-2899,1614,119699,119699,null,null,null,null,{"$f":"SUM(N289:R289)","v":119699},{"$f":"M289-S289","v":0}]
[null,null,null,{"$f":"Structure!E$2470","v":"Other Drugs"},{"$f":"'Staff Alloc to Programs'!AL522","v":36411},9087,97,null,null,720,-2899,760,44176,44176,null,null,null,null,44176,0]
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[null,null,null,{"$f":"Structure!E$2502","v":"Needle Syringe Program"},{"$f":"'Staff Alloc to Programs'!AL526","v":100427},25086,702,null,null,43581,-12662,10053,167187,167187,null,null,null,null,167187,0]
[null,null,null,{"$f":"Structure!E$2518","v":"Smoke-Free Ontario"},{"$f":"'Staff Alloc to Programs'!AL528","v":734573},188127,11050,null,null,36746,-5951,40609,1005154,1005154,null,null,null,null,1005154,0]
[null,null,null,{"$f":"Structure!E$2534","v":"Adult Injury Prevention"},{"$f":"'Staff Alloc to Programs'!AL530","v":36411},9087,97,null,null,720,-2899,760,44176,44176,null,null,null,null,44176,0]
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[null,null,null,{"$f":"Structure!E$2566","v":"Violence Prevention"},{"$f":"'Staff Alloc to Programs'!AL534","v":142500},36334,1479,null,null,3643,-4539,3298,182715,182715,null,null,null,null,182715,0]
[null,null,null,{"$f":"Structure!E$2582","v":"Intimate Partner Violence Prevention"},{"$f":"'Staff Alloc to Programs'!AL536","v":242370},61438,1732,null,null,3770,-4539,3780,308551,308551,null,null,null,null,308551,0]
[null,null,null,{"$f":"Structure!E$2598","v":0},{"$f":"'Staff Alloc to Programs'!AL538","v":0},{"$f":"ROUND(E298*$E$5,0)","v":0},null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2614","v":0},{"$f":"'Staff Alloc to Programs'!AL540","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2630","v":0},{"$f":"'Staff Alloc to Programs'!AL542","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E300:L300)","v":0},null,null,null,null,null,0,0]
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[null,null,null,{"$f":"Structure!E$2662","v":0},{"$f":"'Staff Alloc to Programs'!AL546","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E302:L302)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2678","v":0},{"$f":"'Staff Alloc to Programs'!AL548","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E303:L303)","v":0},null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2694","v":0},{"$f":"'Staff Alloc to Programs'!AL550","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2710","v":0},{"$f":"'Staff Alloc to Programs'!AL552","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2726","v":0},{"$f":"'Staff Alloc to Programs'!AL554","v":0},0,null,null,null,null,null,null,0,null,null,null,null,null,0,0]
[null,null,null,{"$f":"Structure!E$2742","v":0},{"$f":"'Staff Alloc to Programs'!AL556","v":0},0,null,null,null,null,null,null,{"$f":"SUM(E307:L307)","v":0},null,null,null,null,null,0,0]
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[null,null,null,"_"]
[null,null,null,"Indirect Costs","Expenditures",null,null,null,null,null,null,null,null,"Sources of Funding"]
[null,null,null,null,"Salaries and Wages","Benefits","Travel","Building Occupancy","Municipal Charges","Professional Services","Expenditure Recoveries & Offset Revenues","Other Program Expenditures","Total Expenditures","Mandatory Programs (Cost-Shared)",null,null,null,null,"Total Funding Sources"]
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[null,null,null,"_"]
[null,null,null,"Grand Total",{"$f":"SUM(E8,E12,E16,E20,E44,E68,E92,E116,E140,E164,E188,E212,E236,E260,E284,E308,E312)","v":22171149},5752644,192991,2751144,0,2816568,-468293,2060769,35276972,null,null,null,null,null,{"$f":"SUM(S8,S12,S16,S20,S44,S68,S92,S116,S140,S164,S188,S212,S236,S260,S284,S308,S312)","v":35276972},{"$f":"M314-S314","v":0}]

{"sheet":"Overall Budget Summary","index":19,"n_rows":91,"n_cols":32,"rows_kept":91,"cut":false,"hidden":false,"merged":[[36,18,36,19],[36,20,36,21],[31,16,31,17],[31,18,31,19],[31,20,31,21],[32,18,32,19],[32,20,32,21],[27,20,27,21],[28,18,28,19],[28,20,28,21],[27,18,27,19],[40,30,41,31],[40,18,41,19],[40,20,41,21],[40,22,41,23],[40,24,41,25],[40,26,41,27],[40,28,41,29],[37,18,37,19],[37,20,37,21],[40,3,41,3],[40,4,41,5],[40,6,41,7],[40,8,41,9],[40,10,41,11],[40,12,41,13],[40,14,41,15],[40,16,41,17],[36,16,36,17],[37,4,37,5],[37,6,37,7],[37,8,37,9],[37,10,37,11],[37,12,37,13],[37,14,37,15],[37,16,37,17],[36,4,36,5],[36,6,36,7],[36,8,36,9],[36,10,36,11],[36,12,36,13],[36,14,36,15],[34,4,34,5],[34,6,34,7],[34,8,34,9],[34,10,34,11],[34,12,34,13],[34,14,34,15],[34,16,34,17],[34,18,34,19],[34,20,34,21],[33,4,33,5],[33,6,33,7],[33,8,33,9],[33,10,33,11],[33,12,33,13],[33,14,33,15],[33,16,33,17],[33,18,33,19],[33,20,33,21],[32,4,32,5],[32,6,32,7],[32,8,32,9],[32,10,32,11],[32,12,32,13],[32,14,32,15],[32,16,32,17],[31,4,31,5],[31,6,31,7],[31,8,31,9],[31,10,31,11],[31,12,31,13],[31,14,31,15],[30,4,30,5],[30,6,30,7],[30,8,30,9],[30,10,30,11],[30,12,30,13],[30,14,30,15],[30,16,30,17],[30,18,30,19],[30,20,30,21],[29,4,29,5],[29,6,29,7],[29,8,29,9],[29,10,29,11],[29,12,29,13],[29,14,29,15],[29,16,29,17],[29,18,29,19],[29,20,29,21],[28,4,28,5],[28,6,28,7],[28,8,28,9],[28,10,28,11],[28,12,28,13],[28,14,28,15],[28,16,28,17],[27,4,27,5],[27,6,27,7],[27,8,27,9],[27,10,27,11],[27,12,27,13],[27,14,27,15],[27,16,27,17],[26,4,26,5],[26,6,26,7],[26,8,26,9],[26,10,26,11],[26,12,26,13],[26,14,26,15],[26,16,26,17],[26,18,26,19],[26,20,26,21],[25,4,25,5],[25,6,25,7],[25,8,25,9],[25,10,25,11],[25,12,25,13],[25,14,25,15],[25,16,25,17],[25,18,25,19],[25,20,25,21],[23,16,23,17],[23,18,23,19],[23,20,23,21],[24,4,24,5],[24,6,24,7],[24,8,24,9],[24,10,24,11],[24,12,24,13],[24,14,24,15],[24,16,24,17],[23,4,23,5],[23,6,23,7],[23,8,23,9],[23,10,23,11],[23,12,23,13],[23,14,23,15],[24,18,24,19],[24,20,24,21],[22,4,22,5],[22,6,22,7],[22,8,22,9],[22,10,22,11],[22,12,22,13],[22,14,22,15],[22,16,22,17],[22,18,22,19],[22,20,22,21],[19,18,19,19],[19,20,19,21],[21,4,21,5],[21,6,21,7],[21,8,21,9],[21,10,21,11],[21,12,21,13],[21,14,21,15],[21,16,21,17],[21,18,21,19],[21,20,21,21],[8,12,8,13],[19,4,19,5],[19,6,19,7],[19,8,19,9],[19,10,19,11],[19,12,19,13],[19,14,19,15],[19,16,19,17],[8,3,8,5],[8,6,8,7],[8,8,8,9],[8,10,8,11],[12,3,12,17],[14,3,14,17],[16,3,16,17],[10,4,10,17],[7,10,7,11],[7,12,7,13],[7,6,7,7],[7,8,7,9],[5,3,5,5],[5,6,5,7],[5,8,5,9],[6,6,6,7],[6,8,6,9],[5,10,5,11],[5,12,5,13],[6,10,6,11],[6,12,6,13]]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Budget Summary"]
[null,null,null,"Base Funding",null,null,null,null,null,null,"Column (E) must be equal to (H)"]
[null,null,null,"Source of Funding",null,null,"Board of Health\nApproved\nBudget\n(at 100%)\n($)\n\nA",null,"Board of Health Approved Budget \n(at Provincial Share) \n($)\n\n\nB = A * Prov. Share",null,"Planned Ministry \nAllocation\n($)\n\n\n\nC",null,"Variance\nUnder/(Over)\n($)\n\n\n\nD = C - B"]
[null,null,null,"Mandatory Programs (Cost-Shared)",null,null,{"$f":"SUM(SUMIF('Alloc Expenditures'!$N$7:$R$7,D7,'Alloc Expenditures'!$N$8:$R$8),SUMIF('Alloc Expenditures'!$N$11:$R$11,D7,'Alloc Expenditures'!$N$12:$R$12),SUMIF('Alloc Expenditures'!$N$15:$R$15,D7,'Alloc Expenditures'!$N$16:$R$16),SUMIF('Alloc Expenditures'!$N$19:$R$19,D7,'Alloc Expenditures'!$N$20:$R$20),SUMIF('Alloc Expenditures'!$N$23:$R$23,D7,'Alloc Expenditures'!$N$44:$R$44),SUMIF('Alloc Expenditures'!$N$47:$R$47,D7,'Alloc Expenditures'!$N$68:$R$68),SUMIF('Alloc Expenditures'!$N$71:$R$71,D7,'Alloc Expenditures'!$N$92:$R$92),SUMIF('Alloc Expenditures'!$N$95:$R$95,D7,'Alloc Expenditures'!$N$116:$R$116),SUMIF('Alloc Expenditures'!$N$119:$R$119,D7,'Alloc Expenditures'!$N$140:$R$140),SUMIF('Alloc Expenditures'!$N$143:$R$143,D7,'Alloc Expenditures'!$N$164:$R$164),SUMIF('Alloc Expenditures'!$N$167:$R$167,D7,'Alloc Expenditures'!$N$188:$R$188),SUMIF('Alloc Expenditures'!$N$191:$R$191,D7,'Alloc Expenditures'!$N$212:$R$212),SUMIF('Alloc Expenditures'!$N$215:$R$215,D7,'Alloc Expenditures'!$N$236:$R$236),SUMIF('Alloc Expenditures'!$N$239:$R$239,D7,'Alloc Expenditures'!$N$260:$R$260),SUMIF('Alloc Expenditures'!$N$263:$R$263,D7,'Alloc Expenditures'!$N$284:$R$284),SUMIF('Alloc Expenditures'!$N$287:$R$287,D7,'Alloc Expenditures'!$N$308:$R$308),SUMIF('Alloc Expenditures'!$N$311:$R$311,D7,'Alloc Expenditures'!$N$312:$R$312))","v":31785472},null,{"$f":"G7*MAX(IFERROR(K7/G7,0),75%)","v":23839104},null,21999600,null,{"$f":"K7-I7","v":-1839504}]
[null,null,null,"Ontario Seniors Dental Care Program (100%)",null,null,{"$f":"SUM(SUMIF('Alloc Expenditures'!$N$7:$R$7,D8,'Alloc Expenditures'!$N$8:$R$8),SUMIF('Alloc Expenditures'!$N$11:$R$11,D8,'Alloc Expenditures'!$N$12:$R$12),SUMIF('Alloc Expenditures'!$N$15:$R$15,D8,'Alloc Expenditures'!$N$16:$R$16),SUMIF('Alloc Expenditures'!$N$19:$R$19,D8,'Alloc Expenditures'!$N$20:$R$20),SUMIF('Alloc Expenditures'!$N$23:$R$23,D8,'Alloc Expenditures'!$N$44:$R$44),SUMIF('Alloc Expenditures'!$N$47:$R$47,D8,'Alloc Expenditures'!$N$68:$R$68),SUMIF('Alloc Expenditures'!$N$71:$R$71,D8,'Alloc Expenditures'!$N$92:$R$92),SUMIF('Alloc Expenditures'!$N$95:$R$95,D8,'Alloc Expenditures'!$N$116:$R$116),SUMIF('Alloc Expenditures'!$N$119:$R$119,D8,'Alloc Expenditures'!$N$140:$R$140),SUMIF('Alloc Expenditures'!$N$143:$R$143,D8,'Alloc Expenditures'!$N$164:$R$164),SUMIF('Alloc Expenditures'!$N$167:$R$167,D8,'Alloc Expenditures'!$N$188:$R$188),SUMIF('Alloc Expenditures'!$N$191:$R$191,D8,'Alloc Expenditures'!$N$212:$R$212),SUMIF('Alloc Expenditures'!$N$215:$R$215,D8,'Alloc Expenditures'!$N$236:$R$236),SUMIF('Alloc Expenditures'!$N$239:$R$239,D8,'Alloc Expenditures'!$N$260:$R$260),SUMIF('Alloc Expenditures'!$N$263:$R$263,D8,'Alloc Expenditures'!$N$284:$R$284),SUMIF('Alloc Expenditures'!$N$287:$R$287,D8,'Alloc Expenditures'!$N$308:$R$308),SUMIF('Alloc Expenditures'!$N$311:$R$311,D8,'Alloc Expenditures'!$N$312:$R$312))","v":3491500},null,{"$f":"G8*100%","v":3491500},null,3491500,null,{"$f":"K8-I8","v":0}]
[null,null,null,"Total",null,null,{"$f":"SUM(G7:H8)","v":35276972},null,{"$f":"SUM(I7:J8)","v":27330604},null,{"$f":"SUM(K7:L8)","v":25491100},null,{"$f":"SUM(M7:N8)","v":-1839504}]
[]
[null,null,null,"Description of Variance ","(Provide specific details on what the variance is related to (i.e., increased staffing costs, increased program costs) and how the board of health will mitigate for these costs (e.g., levy obligated municipalities, reduced services) "]
[null,null,null,"Mandatory Programs (Cost-Shared)"]
[null,null,null,"The variance is related to increased staffing costs, related to assumptions for wage increases pending collective bargaining happening in April (ONA) and May (CUPE). Increased demands for programming, compounded by increased professional services (specifically translation) are also driving costs. The Board of Health has already asked for increased funding from the municipalities and will also employ a 'gapping budget' target to account for typical turnover patterns, including extended time to fill vacancies and salary differentials between outgoing and incoming staff. "]
[null,null,null,"Ontario Seniors Dental Care Program (100%)"]
[]
[null,null,null,"Unorganized Territories / Indigenous Public Health Programs (100%)"]
[]
[]
[null,null,null,"Summary  of Expenditures by Standard"]
[null,null,null,"Standards","Total \nBoard of Health",null,"Salaries and Wages",null,"Benefits",null,"Travel",null,"Building Occupancy",null,"Municipal Charges",null,"Professional Services",null,"Expenditure Recoveries & Offset Revenues",null,"Other Program Expenditures"]
[null,null,null,"Direct Costs"]
[null,null,null,"Population Health Assessment",{"$f":"SUM(G22:V22)","v":735037},null,{"$f":"'Alloc Expenditures'!E8","v":582844},null,{"$f":"'Alloc Expenditures'!F8","v":143632},null,{"$f":"'Alloc Expenditures'!G8","v":1258},null,{"$f":"'Alloc Expenditures'!H8","v":210},null,{"$f":"'Alloc Expenditures'!I8","v":0},null,{"$f":"'Alloc Expenditures'!J8","v":1443},null,{"$f":"'Alloc Expenditures'!K8","v":0},null,{"$f":"'Alloc Expenditures'!L8","v":5650}]
[null,null,null,"Health Equity",{"$f":"SUM(G23:V23)","v":728906},null,{"$f":"'Alloc Expenditures'!E12","v":557722},null,{"$f":"'Alloc Expenditures'!F12","v":144126},null,{"$f":"'Alloc Expenditures'!G12","v":1563},null,{"$f":"'Alloc Expenditures'!H12","v":0},null,{"$f":"'Alloc Expenditures'!I12","v":0},null,{"$f":"'Alloc Expenditures'!J12","v":10000},null,{"$f":"'Alloc Expenditures'!K12","v":0},null,{"$f":"'Alloc Expenditures'!L12","v":15495}]
[null,null,null,"Effective Public Health Practice",2266643,null,{"$f":"'Alloc Expenditures'!E16","v":1735732},null,{"$f":"'Alloc Expenditures'!F16","v":453124},null,{"$f":"'Alloc Expenditures'!G16","v":4304},null,{"$f":"'Alloc Expenditures'!H16","v":0},null,{"$f":"'Alloc Expenditures'!I16","v":0},null,{"$f":"'Alloc Expenditures'!J16","v":11240},null,{"$f":"'Alloc Expenditures'!K16","v":0},null,{"$f":"'Alloc Expenditures'!L16","v":62243}]
[null,null,null,"Emergency Management",206466,null,{"$f":"'Alloc Expenditures'!E20","v":173493},null,{"$f":"'Alloc Expenditures'!F20","v":30538},null,{"$f":"'Alloc Expenditures'!G20","v":563},null,{"$f":"'Alloc Expenditures'!H20","v":0},null,{"$f":"'Alloc Expenditures'!I20","v":0},null,{"$f":"'Alloc Expenditures'!J20","v":0},null,{"$f":"'Alloc Expenditures'!K20","v":0},null,{"$f":"'Alloc Expenditures'!L20","v":1872}]
[null,null,null,"Chronic Disease Prevention and Well-Being",4381856,null,{"$f":"'Alloc Expenditures'!E44","v":2440355},null,{"$f":"'Alloc Expenditures'!F44","v":618059},null,{"$f":"'Alloc Expenditures'!G44","v":20399},null,{"$f":"'Alloc Expenditures'!H44","v":108385},null,{"$f":"'Alloc Expenditures'!I44","v":0},null,{"$f":"'Alloc Expenditures'!J44","v":1021416},null,{"$f":"'Alloc Expenditures'!K44","v":-11798},null,{"$f":"'Alloc Expenditures'!L44","v":185040}]
[null,null,null,"Food Safety",1371195,null,{"$f":"'Alloc Expenditures'!E68","v":1049107},null,{"$f":"'Alloc Expenditures'!F68","v":262168},null,{"$f":"'Alloc Expenditures'!G68","v":14115},null,{"$f":"'Alloc Expenditures'!H68","v":2520},null,{"$f":"'Alloc Expenditures'!I68","v":0},null,{"$f":"'Alloc Expenditures'!J68","v":17692},null,{"$f":"'Alloc Expenditures'!K68","v":0},null,{"$f":"'Alloc Expenditures'!L68","v":25593}]
[null,null,null,"Healthy Environments",690110,null,{"$f":"'Alloc Expenditures'!E92","v":549673},null,{"$f":"'Alloc Expenditures'!F92","v":137552},null,{"$f":"'Alloc Expenditures'!G92","v":5258},null,{"$f":"'Alloc Expenditures'!H92","v":0},null,{"$f":"'Alloc Expenditures'!I92","v":0},null,{"$f":"'Alloc Expenditures'!J92","v":2309},null,{"$f":"'Alloc Expenditures'!K92","v":-8696},null,{"$f":"'Alloc Expenditures'!L92","v":4014}]
[null,null,null,"Healthy Growth and Development",2822178,null,{"$f":"'Alloc Expenditures'!E116","v":2114558},null,{"$f":"'Alloc Expenditures'!F116","v":536070},null,{"$f":"'Alloc Expenditures'!G116","v":19907},null,{"$f":"'Alloc Expenditures'!H116","v":0},null,{"$f":"'Alloc Expenditures'!I116","v":0},null,{"$f":"'Alloc Expenditures'!J116","v":187762},null,{"$f":"'Alloc Expenditures'!K116","v":-110592},null,{"$f":"'Alloc Expenditures'!L116","v":74473}]
[null,null,null,"Immunization",2013401,null,{"$f":"'Alloc Expenditures'!E140","v":1543336},null,{"$f":"'Alloc Expenditures'!F140","v":408958},null,{"$f":"'Alloc Expenditures'!G140","v":7275},null,{"$f":"'Alloc Expenditures'!H140","v":0},null,{"$f":"'Alloc Expenditures'!I140","v":0},null,{"$f":"'Alloc Expenditures'!J140","v":16175},null,{"$f":"'Alloc Expenditures'!K140","v":0},null,{"$f":"'Alloc Expenditures'!L140","v":37657}]
[null,null,null,"Infectious and Communicable Diseases Prevention and Control",5010079,null,{"$f":"'Alloc Expenditures'!E164","v":3537762},null,{"$f":"'Alloc Expenditures'!F164","v":868880},null,{"$f":"'Alloc Expenditures'!G164","v":31606},null,{"$f":"'Alloc Expenditures'!H164","v":0},null,{"$f":"'Alloc Expenditures'!I164","v":0},null,{"$f":"'Alloc Expenditures'!J164","v":547013},null,{"$f":"'Alloc Expenditures'!K164","v":-139297},null,{"$f":"'Alloc Expenditures'!L164","v":164115}]
[null,null,null,"Safe Water",777396,null,{"$f":"'Alloc Expenditures'!E188","v":552766},null,{"$f":"'Alloc Expenditures'!F188","v":142388},null,{"$f":"'Alloc Expenditures'!G188","v":13336},null,{"$f":"'Alloc Expenditures'!H188","v":0},null,{"$f":"'Alloc Expenditures'!I188","v":0},null,{"$f":"'Alloc Expenditures'!J188","v":57627},null,{"$f":"'Alloc Expenditures'!K188","v":-1},null,{"$f":"'Alloc Expenditures'!L188","v":11280}]
[null,null,null,"School Health",3386708,null,{"$f":"'Alloc Expenditures'!E212+'Alloc Expenditures'!E236+'Alloc Expenditures'!E260+'Alloc Expenditures'!E284","v":2498532},null,{"$f":"'Alloc Expenditures'!F212+'Alloc Expenditures'!F236+'Alloc Expenditures'!F260+'Alloc Expenditures'!F284","v":651778},null,{"$f":"'Alloc Expenditures'!G212+'Alloc Expenditures'!G236+'Alloc Expenditures'!G260+'Alloc Expenditures'!G284","v":32769},null,{"$f":"'Alloc Expenditures'!H212+'Alloc Expenditures'!H236+'Alloc Expenditures'!H260+'Alloc Expenditures'!H284","v":0},null,{"$f":"'Alloc Expenditures'!I212+'Alloc Expenditures'!I236+'Alloc Expenditures'!I260+'Alloc Expenditures'!I284","v":0},null,{"$f":"'Alloc Expenditures'!J212+'Alloc Expenditures'!J236+'Alloc Expenditures'!J260+'Alloc Expenditures'!J284","v":12231},null,{"$f":"'Alloc Expenditures'!K212+'Alloc Expenditures'!K236+'Alloc Expenditures'!K260+'Alloc Expenditures'!K284","v":-7007},null,{"$f":"'Alloc Expenditures'!L212+'Alloc Expenditures'!L236+'Alloc Expenditures'!L260+'Alloc Expenditures'!L284","v":198405}]
[null,null,null,"Substance Use and Injury Prevention",{"$f":"SUM(G34:V34)","v":2958819},null,{"$f":"'Alloc Expenditures'!E308","v":2194940},null,{"$f":"'Alloc Expenditures'!F308","v":558258},null,{"$f":"'Alloc Expenditures'!G308","v":20163},null,{"$f":"'Alloc Expenditures'!H308","v":0},null,{"$f":"'Alloc Expenditures'!I308","v":0},null,{"$f":"'Alloc Expenditures'!J308","v":112061},null,{"$f":"'Alloc Expenditures'!K308","v":-50202},null,{"$f":"'Alloc Expenditures'!L308","v":123599}]
[null,null,null,"Total Direct Costs",{"$f":"SUM(E22:E34)","v":27348794},null,{"$f":"SUM(G22:G34)","v":19530820},null,{"$f":"SUM(I22:I34)","v":4955531},null,{"$f":"SUM(K22:K34)","v":172516},null,{"$f":"SUM(M22:M34)","v":111115},null,{"$f":"SUM(O22:O34)","v":0},null,{"$f":"SUM(Q22:Q34)","v":1996969},null,{"$f":"SUM(S22:S34)","v":-327593},null,{"$f":"SUM(U22:U34)","v":909436}]
[null,null,null,"Indirect Costs"]
[null,null,null,"Indirect Costs",{"$f":"SUM(G37:V37)","v":7928178},null,{"$f":"'Alloc Expenditures'!E312","v":2640329},null,{"$f":"'Alloc Expenditures'!F312","v":797113},null,{"$f":"'Alloc Expenditures'!G312","v":20475},null,{"$f":"'Alloc Expenditures'!H312","v":2640029},null,{"$f":"'Alloc Expenditures'!I312","v":0},null,{"$f":"'Alloc Expenditures'!J312","v":819599},null,{"$f":"'Alloc Expenditures'!K312","v":-140700},null,{"$f":"'Alloc Expenditures'!L312","v":1151333}]
[null,null,null,"Total Expenditures",{"$f":"SUM(E35,E37)","v":35276972},null,{"$f":"SUM(G35,G37)","v":22171149},null,{"$f":"SUM(I35,I37)","v":5752644},null,{"$f":"SUM(K35,K37)","v":192991},null,{"$f":"SUM(M35,M37)","v":2751144},null,{"$f":"SUM(O35,O37)","v":0},null,{"$f":"SUM(Q35,Q37)","v":2816568},null,{"$f":"SUM(S35,S37)","v":-468293},null,{"$f":"SUM(U35,U37)","v":2060769}]
[]
[null,null,null,"Staff Allocation by Standard"]
[null,null,null,"Position Title","Total \nBoard of Health",null,"Population Health Assessment",null,"Health Equity",null,"Effective Public Health Practice",null,"Emergency Management",null,"Chronic Disease Prevention and Well-Being",null," Food Safety",null," Healthy Environments",null," Healthy Growth and Development",null," Immunization",null," Infectious and Communicable Diseases Prevention and Control",null," Safe Water",null," School Health",null,"Substance Use and Injury Prevention"]
[]
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[null,null,null,"Youth Development Specialist",0,0,{"$f":"'Staff Alloc to Programs'!$AD6","v":0},{"$f":"'Staff Alloc to Programs'!$AD7","v":0},{"$f":"'Staff Alloc to Programs'!$AD9","v":0},{"$f":"'Staff Alloc to Programs'!AD$10","v":0},{"$f":"'Staff Alloc to Programs'!$AD12","v":0},{"$f":"'Staff Alloc to Programs'!AD$13","v":0},{"$f":"'Staff Alloc to Programs'!$AD15","v":0},{"$f":"'Staff Alloc to Programs'!AD$16","v":0},{"$f":"'Staff Alloc to Programs'!$AD18","v":0},{"$f":"'Staff Alloc to Programs'!AD$19","v":0},{"$f":"'Staff Alloc to Programs'!$AD63","v":0},{"$f":"'Staff Alloc to Programs'!AD$64","v":0},{"$f":"'Staff Alloc to Programs'!$AD108","v":0},{"$f":"'Staff Alloc to Programs'!AD$109","v":0},{"$f":"'Staff Alloc to Programs'!$AD153","v":0},{"$f":"'Staff Alloc to Programs'!AD$154","v":0},{"$f":"'Staff Alloc to Programs'!$AD198","v":0},{"$f":"'Staff Alloc to Programs'!AD$199","v":0},{"$f":"'Staff Alloc to Programs'!$AD243","v":0},{"$f":"'Staff Alloc to Programs'!AD$244","v":0},{"$f":"'Staff Alloc to Programs'!$AD288","v":0},{"$f":"'Staff Alloc to Programs'!AD$289","v":0},{"$f":"'Staff Alloc to Programs'!$AD333+'Staff Alloc to Programs'!$AD378+'Staff Alloc to Programs'!$AD423+'Staff Alloc to Programs'!$AD468","v":0},{"$f":"'Staff Alloc to Programs'!AD$334+'Staff Alloc to Programs'!AD$379+'Staff Alloc to Programs'!$AD424+'Staff Alloc to Programs'!AD$469","v":0},{"$f":"'Staff Alloc to Programs'!$AD513","v":0},{"$f":"'Staff Alloc to Programs'!AD$514","v":0}]
[null,null,null,"Youth Engagement Coordinator",0,0,{"$f":"'Staff Alloc to Programs'!$AE6","v":0},{"$f":"'Staff Alloc to Programs'!$AE7","v":0},{"$f":"'Staff Alloc to Programs'!$AE9","v":0},{"$f":"'Staff Alloc to Programs'!AE$10","v":0},{"$f":"'Staff Alloc to Programs'!$AE12","v":0},{"$f":"'Staff Alloc to Programs'!AE$13","v":0},{"$f":"'Staff Alloc to Programs'!$AE15","v":0},{"$f":"'Staff Alloc to Programs'!AE$16","v":0},{"$f":"'Staff Alloc to Programs'!$AE18","v":0},{"$f":"'Staff Alloc to Programs'!AE$19","v":0},{"$f":"'Staff Alloc to Programs'!$AE63","v":0},{"$f":"'Staff Alloc to Programs'!AE$64","v":0},{"$f":"'Staff Alloc to Programs'!$AE108","v":0},{"$f":"'Staff Alloc to Programs'!AE$109","v":0},{"$f":"'Staff Alloc to Programs'!$AE153","v":0},{"$f":"'Staff Alloc to Programs'!AE$154","v":0},{"$f":"'Staff Alloc to Programs'!$AE198","v":0},{"$f":"'Staff Alloc to Programs'!AE$199","v":0},{"$f":"'Staff Alloc to Programs'!$AE243","v":0},{"$f":"'Staff Alloc to Programs'!AE$244","v":0},{"$f":"'Staff Alloc to Programs'!$AE288","v":0},{"$f":"'Staff Alloc to Programs'!AE$289","v":0},{"$f":"'Staff Alloc to Programs'!$AE333+'Staff Alloc to Programs'!$AE378+'Staff Alloc to Programs'!$AE423+'Staff Alloc to Programs'!$AE468","v":0},{"$f":"'Staff Alloc to Programs'!AE$334+'Staff Alloc to Programs'!AE$379+'Staff Alloc to Programs'!$AE424+'Staff Alloc to Programs'!AE$469","v":0},{"$f":"'Staff Alloc to Programs'!$AE513","v":0},{"$f":"'Staff Alloc to Programs'!AE$514","v":0}]
[null,null,null,"Other SFO staff",1,55848,{"$f":"'Staff Alloc to Programs'!$AF6","v":0},{"$f":"'Staff Alloc to Programs'!$AF7","v":0},{"$f":"'Staff Alloc to Programs'!$AF9","v":0},{"$f":"'Staff Alloc to Programs'!AF$10","v":0},{"$f":"'Staff Alloc to Programs'!$AF12","v":0},{"$f":"'Staff Alloc to Programs'!AF$13","v":0},{"$f":"'Staff Alloc to Programs'!$AF15","v":0},{"$f":"'Staff Alloc to Programs'!AF$16","v":0},{"$f":"'Staff Alloc to Programs'!$AF18","v":0.05},{"$f":"'Staff Alloc to Programs'!AF$19","v":2781},{"$f":"'Staff Alloc to Programs'!$AF63","v":0},{"$f":"'Staff Alloc to Programs'!AF$64","v":0},{"$f":"'Staff Alloc to Programs'!$AF108","v":0},{"$f":"'Staff Alloc to Programs'!AF$109","v":0},{"$f":"'Staff Alloc to Programs'!$AF153","v":0},{"$f":"'Staff Alloc to Programs'!AF$154","v":0},{"$f":"'Staff Alloc to Programs'!$AF198","v":0},{"$f":"'Staff Alloc to Programs'!AF$199","v":0},{"$f":"'Staff Alloc to Programs'!$AF243","v":0.37},{"$f":"'Staff Alloc to Programs'!AF$244","v":20703},{"$f":"'Staff Alloc to Programs'!$AF288","v":0.34},{"$f":"'Staff Alloc to Programs'!AF$289","v":19033},{"$f":"'Staff Alloc to Programs'!$AF333+'Staff Alloc to Programs'!$AF378+'Staff Alloc to Programs'!$AF423+'Staff Alloc to Programs'!$AF468","v":0},{"$f":"'Staff Alloc to Programs'!AF$334+'Staff Alloc to Programs'!AF$379+'Staff Alloc to Programs'!$AF424+'Staff Alloc to Programs'!AF$469","v":0},{"$f":"'Staff Alloc to Programs'!$AF513","v":0.24},{"$f":"'Staff Alloc to Programs'!AF$514","v":13331}]
[null,null,null,"Student",1.6,56782,{"$f":"'Staff Alloc to Programs'!$AG6","v":0},{"$f":"'Staff Alloc to Programs'!$AG7","v":0},{"$f":"'Staff Alloc to Programs'!$AG9","v":0},{"$f":"'Staff Alloc to Programs'!$AG10","v":0},{"$f":"'Staff Alloc to Programs'!$AG12","v":0},{"$f":"'Staff Alloc to Programs'!$AG13","v":0},{"$f":"'Staff Alloc to Programs'!$AG15","v":0},{"$f":"'Staff Alloc to Programs'!$AG16","v":0},{"$f":"'Staff Alloc to Programs'!$AG18","v":0.08},{"$f":"'Staff Alloc to Programs'!$AG19","v":2828},{"$f":"'Staff Alloc to Programs'!$AG63","v":0},{"$f":"'Staff Alloc to Programs'!$AG64","v":0},{"$f":"'Staff Alloc to Programs'!$AG108","v":0},{"$f":"'Staff Alloc to Programs'!$AG109","v":0},{"$f":"'Staff Alloc to Programs'!$AG153","v":0},{"$f":"'Staff Alloc to Programs'!$AG154","v":0},{"$f":"'Staff Alloc to Programs'!$AG198","v":0},{"$f":"'Staff Alloc to Programs'!$AG199","v":0},{"$f":"'Staff Alloc to Programs'!$AG243","v":0.59},{"$f":"'Staff Alloc to Programs'!$AG244","v":21049},{"$f":"'Staff Alloc to Programs'!$AG288","v":0.55000000000000004},{"$f":"'Staff Alloc to Programs'!$AG289","v":19351},{"$f":"'Staff Alloc to Programs'!$AG333+'Staff Alloc to Programs'!$AG378+'Staff Alloc to Programs'!$AG423+'Staff Alloc to Programs'!$AG468","v":0},{"$f":"'Staff Alloc to Programs'!AG$334+'Staff Alloc to Programs'!AG$379+'Staff Alloc to Programs'!$AG424+'Staff Alloc to Programs'!AG$469","v":0},{"$f":"'Staff Alloc to Programs'!$AG513","v":0.38},{"$f":"'Staff Alloc to Programs'!$AG514","v":13554}]
[null,null,null,"Communications Staff",3,200273,{"$f":"'Staff Alloc to Programs'!$AH6","v":0},{"$f":"'Staff Alloc to Programs'!$AH7","v":0},{"$f":"'Staff Alloc to Programs'!$AH9","v":0},{"$f":"'Staff Alloc to Programs'!$AH10","v":0},{"$f":"'Staff Alloc to Programs'!$AH12","v":3},{"$f":"'Staff Alloc to Programs'!$AH13","v":200273},{"$f":"'Staff Alloc to Programs'!$AH15","v":0},{"$f":"'Staff Alloc to Programs'!$AH16","v":0},{"$f":"'Staff Alloc to Programs'!$AH18","v":0},{"$f":"'Staff Alloc to Programs'!$AH19","v":0},{"$f":"'Staff Alloc to Programs'!$AH63","v":0},{"$f":"'Staff Alloc to Programs'!$AH64","v":0},{"$f":"'Staff Alloc to Programs'!$AH108","v":0},{"$f":"'Staff Alloc to Programs'!$AH109","v":0},{"$f":"'Staff Alloc to Programs'!$AH153","v":0},{"$f":"'Staff Alloc to Programs'!$AH154","v":0},{"$f":"'Staff Alloc to Programs'!$AH198","v":0},{"$f":"'Staff Alloc to Programs'!$AH199","v":0},{"$f":"'Staff Alloc to Programs'!$AH243","v":0},{"$f":"'Staff Alloc to Programs'!$AH244","v":0},{"$f":"'Staff Alloc to Programs'!$AH288","v":0},{"$f":"'Staff Alloc to Programs'!$AH289","v":0},{"$f":"'Staff Alloc to Programs'!$AH333+'Staff Alloc to Programs'!$AH378+'Staff Alloc to Programs'!$AH423+'Staff Alloc to Programs'!$AH468","v":0},{"$f":"'Staff Alloc to Programs'!AH$334+'Staff Alloc to Programs'!AH$379+'Staff Alloc to Programs'!$AH424+'Staff Alloc to Programs'!AH$469","v":0},{"$f":"'Staff Alloc to Programs'!$AH513","v":0},{"$f":"'Staff Alloc to Programs'!$AH514","v":0}]
[null,null,null,"Program Evaluator",3,319067,{"$f":"'Staff Alloc to Programs'!$AI6","v":0},{"$f":"'Staff Alloc to Programs'!$AI7","v":0},{"$f":"'Staff Alloc to Programs'!$AI9","v":0.3},{"$f":"'Staff Alloc to Programs'!$AI10","v":31907},{"$f":"'Staff Alloc to Programs'!$AI12","v":2.7},{"$f":"'Staff Alloc to Programs'!$AI13","v":287160},{"$f":"'Staff Alloc to Programs'!$AI15","v":0},{"$f":"'Staff Alloc to Programs'!$AI16","v":0},{"$f":"'Staff Alloc to Programs'!$AI18","v":0},{"$f":"'Staff Alloc to Programs'!$AI19","v":0},{"$f":"'Staff Alloc to Programs'!$AI63","v":0},{"$f":"'Staff Alloc to Programs'!$AI64","v":0},{"$f":"'Staff Alloc to Programs'!$AI108","v":0},{"$f":"'Staff Alloc to Programs'!$AI109","v":0},{"$f":"'Staff Alloc to Programs'!$AI153","v":0},{"$f":"'Staff Alloc to Programs'!$AI154","v":0},{"$f":"'Staff Alloc to Programs'!$AI198","v":0},{"$f":"'Staff Alloc to Programs'!$AI199","v":0},{"$f":"'Staff Alloc to Programs'!$AI243","v":0},{"$f":"'Staff Alloc to Programs'!$AI244","v":0},{"$f":"'Staff Alloc to Programs'!$AI288","v":0},{"$f":"'Staff Alloc to Programs'!$AI289","v":0},{"$f":"'Staff Alloc to Programs'!$AI333+'Staff Alloc to Programs'!$AI378+'Staff Alloc to Programs'!$AI423+'Staff Alloc to Programs'!$AI468","v":0},{"$f":"'Staff Alloc to Programs'!AI$334+'Staff Alloc to Programs'!AI$379+'Staff Alloc to Programs'!$AI424+'Staff Alloc to Programs'!AI$469","v":0},{"$f":"'Staff Alloc to Programs'!$AI513","v":0},{"$f":"'Staff Alloc to Programs'!$AI514","v":0}]
[null,null,null,"Data Analyst",2,129709,{"$f":"'Staff Alloc to Programs'!$AJ6","v":1.77},{"$f":"'Staff Alloc to Programs'!$AJ7","v":114533},{"$f":"'Staff Alloc to Programs'!$AJ9","v":0.2},{"$f":"'Staff Alloc to Programs'!$AJ10","v":12971},{"$f":"'Staff Alloc to Programs'!$AJ12","v":0.03},{"$f":"'Staff Alloc to Programs'!$AJ13","v":2205},{"$f":"'Staff Alloc to Programs'!$AJ15","v":0},{"$f":"'Staff Alloc to Programs'!$AJ16","v":0},{"$f":"'Staff Alloc to Programs'!$AJ18","v":0},{"$f":"'Staff Alloc to Programs'!$AJ19","v":0},{"$f":"'Staff Alloc to Programs'!$AJ63","v":0},{"$f":"'Staff Alloc to Programs'!$AJ64","v":0},{"$f":"'Staff Alloc to Programs'!$AJ108","v":0},{"$f":"'Staff Alloc to Programs'!$AJ109","v":0},{"$f":"'Staff Alloc to Programs'!$AJ153","v":0},{"$f":"'Staff Alloc to Programs'!$AJ154","v":0},{"$f":"'Staff Alloc to Programs'!$AJ198","v":0},{"$f":"'Staff Alloc to Programs'!$AJ199","v":0},{"$f":"'Staff Alloc to Programs'!$AJ243","v":0},{"$f":"'Staff Alloc to Programs'!$AJ244","v":0},{"$f":"'Staff Alloc to Programs'!$AJ288","v":0},{"$f":"'Staff Alloc to Programs'!$AJ289","v":0},{"$f":"'Staff Alloc to Programs'!$AJ333+'Staff Alloc to Programs'!$AJ378+'Staff Alloc to Programs'!$AJ423+'Staff Alloc to Programs'!$AJ468","v":0},{"$f":"'Staff Alloc to Programs'!AJ$334+'Staff Alloc to Programs'!AJ$379+'Staff Alloc to Programs'!$AJ424+'Staff Alloc to Programs'!AJ$469","v":0},{"$f":"'Staff Alloc to Programs'!$AJ513","v":0},{"$f":"'Staff Alloc to Programs'!$AJ514","v":0}]
[null,null,null,"Other Program Staff",11.889999999999999,895541,{"$f":"'Staff Alloc to Programs'!$AK6","v":0.46},{"$f":"'Staff Alloc to Programs'!$AK7","v":19784},{"$f":"'Staff Alloc to Programs'!$AK9","v":0.73},{"$f":"'Staff Alloc to Programs'!$AK10","v":43618},{"$f":"'Staff Alloc to Programs'!$AK12","v":4.43},{"$f":"'Staff Alloc to Programs'!$AK13","v":340723},{"$f":"'Staff Alloc to Programs'!$AK15","v":0.68},{"$f":"'Staff Alloc to Programs'!$AK16","v":104847},{"$f":"'Staff Alloc to Programs'!$AK18","v":0.18},{"$f":"'Staff Alloc to Programs'!$AK19","v":9793},{"$f":"'Staff Alloc to Programs'!$AK63","v":0.19},{"$f":"'Staff Alloc to Programs'!$AK64","v":11783},{"$f":"'Staff Alloc to Programs'!$AK108","v":0.13},{"$f":"'Staff Alloc to Programs'!$AK109","v":8649},{"$f":"'Staff Alloc to Programs'!$AK153","v":1.1100000000000001},{"$f":"'Staff Alloc to Programs'!$AK154","v":76931},{"$f":"'Staff Alloc to Programs'!$AK198","v":0.09},{"$f":"'Staff Alloc to Programs'!$AK199","v":5787},{"$f":"'Staff Alloc to Programs'!$AK243","v":2.3199999999999998},{"$f":"'Staff Alloc to Programs'!$AK244","v":168852},{"$f":"'Staff Alloc to Programs'!$AK288","v":0.1},{"$f":"'Staff Alloc to Programs'!$AK289","v":6445},{"$f":"'Staff Alloc to Programs'!$AK333+'Staff Alloc to Programs'!$AK378+'Staff Alloc to Programs'!$AK423+'Staff Alloc to Programs'!$AK468","v":0.96},{"$f":"'Staff Alloc to Programs'!AK$334+'Staff Alloc to Programs'!AK$379+'Staff Alloc to Programs'!$AK424+'Staff Alloc to Programs'!AK$469","v":62924},{"$f":"'Staff Alloc to Programs'!$AK513","v":0.51},{"$f":"'Staff Alloc to Programs'!$AK514","v":35405}]
[null,null,null,"Total Program Staff",{"$f":"SUM(E44:E75)","v":231.17999999999998},19530820,6.2700000000000005,582844,6.2100000000000009,557722,21.18,1735732,1.44,173493,30.630000000000003,2440355,12.129999999999999,1049107,6.0699999999999994,549673,23.75,2114558,18.349999999999998,1543336,41.72,3537762,7.0699999999999994,552766,31.420000000000005,2498532,24.939999999999994,2194940]
[null,null,null,"MOH & Administrative Staff","F.T.E. #","$"]
[null,null,null,"Medical Officer of Health",{"$f":"'MOH & Administrative Staff'!E6","v":1},{"$f":"'MOH & Administrative Staff'!F6","v":285408}]
[null,null,null,"Chief Executive Officer",{"$f":"'MOH & Administrative Staff'!E7","v":0.85},{"$f":"'MOH & Administrative Staff'!F7","v":198038}]
[null,null,null,"Director/ Business Administrator",{"$f":"'MOH & Administrative Staff'!E8","v":2},{"$f":"'MOH & Administrative Staff'!F8","v":263610}]
[null,null,null,"Manager/Supervisor",{"$f":"'MOH & Administrative Staff'!E9","v":1.71},{"$f":"'MOH & Administrative Staff'!F9","v":190236}]
[null,null,null,"Secretarial/Admin Staff",{"$f":"'MOH & Administrative Staff'!E10","v":2.95},{"$f":"'MOH & Administrative Staff'!F10","v":238869}]
[null,null,null,"Financial Staff",{"$f":"'MOH & Administrative Staff'!E11","v":5},{"$f":"'MOH & Administrative Staff'!F11","v":386424}]
[null,null,null,"I & IT Staff",{"$f":"'MOH & Administrative Staff'!E12","v":2.89},{"$f":"'MOH & Administrative Staff'!F12","v":171281}]
[null,null,null,"Communications Manager/Media Coordinator",{"$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":8.5},{"$f":"'MOH & Administrative Staff'!F15","v":722501}]
[null,null,null,"Maintenance/Caretaker/Custodian/Security",{"$f":"'MOH & Administrative Staff'!E16","v":2.25},{"$f":"'MOH & Administrative Staff'!F16","v":149340}]
[null,null,null,"Other Administrative Staff",{"$f":"'MOH & Administrative Staff'!E17","v":0.38},{"$f":"'MOH & Administrative Staff'!F17","v":34622}]
[null,null,null," Total MOH & Administrative Staff",{"$f":"SUM(E78:E89)","v":27.53},{"$f":"SUM(F78:F89)","v":2640329}]
[null,null,null,"Total Staffing",{"$f":"E76+E90","v":258.70999999999998},{"$f":"F76+F90","v":22171149}]

{"sheet":"One-Time Funding Requests","index":20,"n_rows":142,"n_cols":7,"rows_kept":142,"cut":false,"hidden":false,"merged":[[133,3,133,6],[125,3,125,5],[126,3,126,5],[127,3,127,5],[128,3,128,5],[129,3,129,5],[130,3,130,5],[131,3,131,5],[132,3,132,5],[87,4,87,6],[89,4,89,6],[94,4,94,6],[95,3,95,5],[96,3,96,5],[97,3,97,5],[98,3,98,5],[99,3,99,5],[100,3,100,5],[121,3,121,5],[122,3,122,5],[123,3,123,5],[124,3,124,5],[101,3,101,5],[102,3,102,5],[103,3,103,5],[104,3,104,5],[105,3,105,5],[106,3,106,5],[108,4,108,6],[109,4,109,6],[110,4,110,6],[107,3,107,6],[111,4,111,6],[112,4,112,6],[113,4,113,6],[115,4,115,6],[120,4,120,6],[61,4,61,6],[63,4,63,6],[84,4,84,6],[85,4,85,6],[86,4,86,6],[68,4,68,6],[69,3,69,5],[70,3,70,5],[71,3,71,5],[72,3,72,5],[73,3,73,5],[74,3,74,5],[75,3,75,5],[76,3,76,5],[81,3,81,6],[77,3,77,5],[78,3,78,5],[79,3,79,5],[80,3,80,5],[82,4,82,6],[83,4,83,6],[51,3,51,5],[52,3,52,5],[53,3,53,5],[54,3,54,5],[56,4,56,6],[57,4,57,6],[58,4,58,6],[59,4,59,6],[60,4,60,6],[55,3,55,6],[42,4,42,6],[43,3,43,5],[44,3,44,5],[45,3,45,5],[46,3,46,5],[47,3,47,5],[48,3,48,5],[49,3,49,5],[50,3,50,5],[22,3,22,5],[16,4,16,6],[30,4,30,6],[31,4,31,6],[32,4,32,6],[33,4,33,6],[34,4,34,6],[35,4,35,6],[37,4,37,6],[29,3,29,6],[141,3,141,5],[136,3,136,5],[137,3,137,5],[138,3,138,5],[139,3,139,5],[140,3,140,5],[4,4,4,6],[5,4,5,6],[6,4,6,6],[8,4,8,6],[9,4,9,6],[17,3,17,5],[18,3,18,5],[19,3,19,5],[7,4,7,6],[23,3,23,5],[24,3,24,5],[25,3,25,5],[11,4,11,6],[26,3,26,5],[27,3,27,5],[28,3,28,5],[20,3,20,5],[21,3,21,5]]}
[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,"Board of Health for "]
[]
[null,null,null,"One-Time Funding Requests"]
[null,null,null,"1) Request Title: ",{"$f":"Structure!E2760","v":"Vaccine Fridge"}]
[null,null,null,"Category",{"$f":"Structure!E2759","v":"Capital"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request (e.g. health and safety risks, increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities.","Our current fridge capacity is 100% full. This is causing over-crowding and challenges with monitoring fridge temperatures as well as maintaining stock at proper temperatures. "]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.","The risk to improperly storing vaccine is wastage or inadequate stock to support community distribution requirements."]
[null,null,null,"Forecasts/Budgets\nProvide a description of assumptions used to forecast these costs. Are the costs part of the board of health's budget reflected in the 2025 Annual Service Plan, or over and above the budget (extraordinary cost/pressure)?  How will the project be funded in the absence of ministry funding?","Costs are over and above the board approved budget. The quote is for a double-door, medical-grade, 47CuFt vaccine fridges. It includes price, taxes, duties (potentially 25% if US purchased), delivery and installation. "]
[null,null,null,"Can the project be completed by March 31, 2026?","Yes"]
[null,null,null,"a) If no, please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2026?"]
[null,null,null,"Number of new purpose-built immunization product refrigerators being requested. (#) \n(If applicable)",1]
[null,null,null,"Size of new purpose-built immunization product refrigerators being requested. (cubic feet)\n(If applicable)",47]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?","Leased facility - we will need to wire in a new plug as all spare outlets are in use."]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"Vaccine Fridge",null,null,9000]
[null,null,null,"Duty (includes 25% Tariff)",null,null,2250]
[null,null,null,"Delivery",null,null,1000]
[null,null,null,"Taxes",null,null,1593]
[null,null,null,"Install",null,null,1000]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G19:G28)","v":14843}]
[]
[null,null,null,"2) Request Title: ",{"$f":"Structure!E2762","v":"Public Health Inspector Practicum Program"}]
[null,null,null,"Category",{"$f":"Structure!E2761","v":"Public Health Inspector Practicum Program"}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request (e.g. health and safety risks, increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities."]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs.","The PHI practicum is a critical component of the training required for PHIs, necessary for obtaining their certification. It allows students to apply theoretical concepts from their coursework to real-world public health inspection scenarios, which is essential for developing the skills needed for effective practice. The students work under the supervision of experienced PHIs, receiving mentorship that fosters professional develpment and helps them understand the practical and ethical implications of their work. It also serves as a QA measure, ensuring that future PHIs meet the professionals standards set by CIPHI - the students demonstrate their readiness to enter the workforce, equipping them with the competencies necessary to protect public health effectively. "]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested.","Supporting PHI students addresses the ongoing demand for skilled PHIs - currently a pressing need across Canada. Without these practicums, the pathways for certification would be severely limited."]
[null,null,null,"Forecasts/Budgets\nProvide a description of assumptions used to forecast these costs. Are the costs part of the board of health's budget reflected in the 2025 Annual Service Plan, or over and above the budget (extraordinary cost/pressure)?  How will the project be funded in the absence of ministry funding?","Assumptions include the ability to recruit a student and an increased wage rate that has yet to be finalized based on upcoming negotiations. It is a 16-week practicum that runs from May-August full-time. "]
[null,null,null,"Can the project be completed by March 31, 2026?","Yes"]
[null,null,null,"a) If no, please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2026?"]
[null,null,null,"Number of new purpose-built immunization product refrigerators being requested. (#) \n(If applicable)"]
[null,null,null,"Size of new purpose-built immunization product refrigerators being requested. (cubic feet)\n(If applicable)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)",1]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[null,null,null,"PHI Student",null,null,20000]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G45:G54)","v":20000}]
[]
[null,null,null,"3) Request Title: ",{"$f":"Structure!E2764","v":0}]
[null,null,null,"Category",{"$f":"Structure!E2763","v":0}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request (e.g. health and safety risks, increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities."]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested."]
[null,null,null,"Forecasts/Budgets\nProvide a description of assumptions used to forecast these costs. Are the costs part of the board of health's budget reflected in the 2025 Annual Service Plan, or over and above the budget (extraordinary cost/pressure)?  How will the project be funded in the absence of ministry funding?"]
[null,null,null,"Can the project be completed by March 31, 2026?"]
[null,null,null,"a) If no, please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2026?"]
[null,null,null,"Number of new purpose-built immunization product refrigerators being requested. (#) \n(If applicable)"]
[null,null,null,"Size of new purpose-built immunization product refrigerators being requested. (cubic feet)\n(If applicable)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G71:G80)","v":0}]
[]
[null,null,null,"4) Request Title: ",{"$f":"Structure!E2766","v":0}]
[null,null,null,"Category",{"$f":"Structure!E2765","v":0}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request (e.g. health and safety risks, increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities."]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested."]
[null,null,null,"Forecasts/Budgets\nProvide a description of assumptions used to forecast these costs. Are the costs part of the board of health's budget reflected in the 2025 Annual Service Plan, or over and above the budget (extraordinary cost/pressure)?  How will the project be funded in the absence of ministry funding?"]
[null,null,null,"Can the project be completed by March 31, 2026?"]
[null,null,null,"a) If no, please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2026?"]
[null,null,null,"Number of new purpose-built immunization product refrigerators being requested. (#) \n(If applicable)"]
[null,null,null,"Size of new purpose-built immunization product refrigerators being requested. (cubic feet)\n(If applicable)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G97:G106)","v":0}]
[]
[null,null,null,"5) Request Title: ",{"$f":"Structure!E2768","v":0}]
[null,null,null,"Category",{"$f":"Structure!E2767","v":0}]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request (e.g. health and safety risks, increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities."]
[null,null,null,"Description\nProvide a detailed description and identify issue(s) and/or opportunities that have led to this request  (e.g. increased demand for services, legislative changes). Your description should include details on the populations served and any other relevant data/demographics, and how the request relates to government and ministry priorities. Please also provide a description of assumptions used to forecast these costs."]
[null,null,null,"Risks / Impacts\nDescribe the risks and/or direct impacts to programs and services with not receiving any or all funding requested."]
[null,null,null,"Forecasts/Budgets\nProvide a description of assumptions used to forecast these costs. Are the costs part of the board of health's budget reflected in the 2025 Annual Service Plan, or over and above the budget (extraordinary cost/pressure)?  How will the project be funded in the absence of ministry funding?"]
[null,null,null,"Can the project be completed by March 31, 2026?"]
[null,null,null,"a) If no, please explain."]
[null,null,null,"b) How much of the total project cost will be incurred by March 31, 2026?"]
[null,null,null,"Number of new purpose-built immunization product refrigerators being requested. (#) \n(If applicable)"]
[null,null,null,"Size of new purpose-built immunization product refrigerators being requested. (cubic feet)\n(If applicable)"]
[null,null,null,"Number of Public Health Inspector Practicum positions being requested. (#)"]
[null,null,null,"What is the square footage of the facility? Is this an owned or leased facility? If leased, do terms require agency to repair / replace the areas / items proposed for the project?"]
[null,null,null,"Project Cost Item / Description\nIdentify the cost items in the cells provided below and provide a description for each item, including how the cost was determined (excluding HST).",null,null,"Cost/Item\nIdentify the cost per each item."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Total",null,null,{"$f":"SUM(G123:G132)","v":0}]
[]
[]
[null,null,null,"One-Time Funding Requests Summary",null,null,"Amount"]
[null,null,null,{"$f":"E5","v":"Vaccine Fridge"},null,null,{"$f":"G29","v":14843}]
[null,null,null,{"$f":"E31","v":"Public Health Inspector Practicum Program"},null,null,{"$f":"G55","v":20000}]
[null,null,null,{"$f":"E57","v":0},"",null,{"$f":"G81","v":0}]
[null,null,null,{"$f":"E83","v":0},"",null,{"$f":"G107","v":0}]
[null,null,null,{"$f":"E109","v":0},"",null,{"$f":"G133","v":0}]
[null,null,null,"Total One-Time Funding Requested",null,null,{"$f":"SUM(G137:G141)","v":34843}]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$f":"\"Board of Health for \" & Cover!$E$6","v":"Board of Health for the Middlesex-London Health Unit"}]
[]
[null,null,null,"Board of Health Membership"]
[null,null,null,"(Please 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"]
[null,null,null,10]
[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
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[null,null,null,28]
[null,null,null,29]
[null,null,null,30]
[null,null,null,31]
[null,null,null,32]
[null,null,null,33]
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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]
[null,null,null,56]
[null,null,null,57]
[null,null,null,58]
[null,null,null,59]
[null,null,null,60]
[null,null,null,61]
[null,null,null,62]
[null,null,null,63]
[null,null,null,64]
[null,null,null,65]
[null,null,null,66]
[null,null,null,67]
[null,null,null,68]
[null,null,null,69]
[null,null,null,70]
[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
[null,null,null,74]
[null,null,null,75]
[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
[null,null,null,79]
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[null,null,null,81]
[null,null,null,82]
[null,null,null,83]
[null,null,null,84]
[null,null,null,85]
[null,null,null,86]
[null,null,null,87]
[null,null,null,88]
[null,null,null,89]
[null,null,null,90]
[null,null,null,91]
[null,null,null,92]
[null,null,null,93]
[null,null,null,94]
[null,null,null,95]
[null,null,null,96]
[null,null,null,97]
[null,null,null,98]
[null,null,null,99]
[null,null,null,100]

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[null,null,null,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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 Size"]
[null,null,null,null,"if Other please explain"]
[]
[null,null,null,"#","Municipality Name","% Share"]
[null,null,null,1,"City of London",0.84]
[null,null,null,2,"County of Middlesex",0.16]
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[null,null,null,7]
[null,null,null,8]
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[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
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[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,null,21]
[null,null,null,22]
[null,null,null,23]
[null,null,null,24]
[null,null,null,25]
[null,null,null,26]
[null,null,null,27]
[null,null,null,28]
[null,null,null,29]
[null,null,null,30]
[null,null,null,31]
[null,null,null,32]
[null,null,null,33]
[null,null,null,34]
[null,null,null,35]
[null,null,null,36]
[null,null,null,37]
[null,null,null,38]
[null,null,null,39]
[null,null,null,40]
[null,null,null,41]
[null,null,null,42]
[null,null,null,43]
[null,null,null,44]
[null,null,null,45]
[null,null,null,46]
[null,null,null,47]
[null,null,null,48]
[null,null,null,49]
[null,null,null,50]
[null,null,null,51]
[null,null,null,52]
[null,null,null,53]
[null,null,null,54]
[null,null,null,55]
[null,null,null,56]
[null,null,null,57]
[null,null,null,58]
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[null,null,null,65]
[null,null,null,66]
[null,null,null,67]
[null,null,null,68]
[null,null,null,69]
[null,null,null,70]
[null,null,null,71]
[null,null,null,72]
[null,null,null,73]
[null,null,null,74]
[null,null,null,75]
[null,null,null,76]
[null,null,null,77]
[null,null,null,78]
[null,null,null,79]
[null,null,null,80]
[null,null,null,81]
[null,null,null,82]
[null,null,null,83]
[null,null,null,84]
[null,null,null,85]
[null,null,null,86]
[null,null,null,87]
[null,null,null,88]
[null,null,null,89]
[null,null,null,90]
[null,null,null,91]
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[null,null,null,95]
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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":23,"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,{"$f":"Cover!E4","v":"2025 Annual Service Plan and Budget Submission"}]
[null,null,null,{"$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,null,null,"April 24th, 2025"]
[null,null,null,"Medical Officer of Health / Chief Executive Officer",null,null,null,"Dr. Alexander Summers",null,"2025-03-31"]
[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,"Emily Williams",null,"2025-03-31"]
[]
[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."]