1. Colleen Nisbet - Director, Clinical Service Simcoe Muskoka District Health Unit Achieving Better Health in Muskoka Lakes

2. PRESENTATION OVERVIEW What is Public Health? The SMDHU Board of Health District of Muskoka Collaboration Municipal Engagement

3. PUBLIC HEALTH IS… A 160 year old movement Strategies focused on populations To prevent disease and injury, and protect and promote health The things that make us healthy:  Environment  Behaviour  Health care

4. IMPACT OF PUBLIC HEALTH MOVEMENT Beginnings of public sanitation movement in the 19th century  Municipal water sanitation and sewage systems  Improving incomes, housing, nutrition,  working conditions  Infection control practices: Water and food safety Health care  Vaccination (smallpox) Dr. John Snow, Cholera and the Broad St. Pump

5. PUBLIC HEALTH IMPACT: LIFE EXPECTANCY TRENDS

6. THERE IS STILL ROOM TO IMPROVE HEALTH Social determinants of health account for 60% of variation in health status Tobacco –16% of all deaths Diet/Inactivity – 14% of all deaths, 1/3 of all cancers avoidable with optimal diet Alcohol – 5% of all deaths Infections – 5% of all deaths Injuries – the leading cause of death for people aged 1 to 44 years; $14.7 billion annually in direct and indirect costs Others – Sexual behaviour, illicit drugs

7. Public health services:  Sexual and vaccination clinic  Tobacco cessation workshops  Dental screening  Private well water testing  Public and partner meetings  HBHC client drop-in  Special Occasion Permits  Harm reduction needle exchange  Community Kitchen Collaborative (Huntsville Office)  Simcoe Muskoka Infant Hearing Program – RVH  Prenatal classes registration  Register for and write Food Safety Certification course exams OUR MUSKOKA OFFICES GRAVENHURST AND HUNTSVILLE

8. Scott Warnock County of Simcoe Vice Chair  Margaretta Papp-Belayneh, Provincial Appointee  Terry Pilger, District of Muskoka  Ben Rattelade, Provincial Appointee  Brian Saunderson, County of Simcoe  Doug Skeaff, Provincial Appointee OUR BOARD OF HEALTH - 2015 Barry Ward, City of Barrie Chair Members:  Sandy Cairns, District of Muskoka  Ralph Cipolla, City of Orillia  Lynn Dollin, County of Simcoe  Anita Dubeau, County of Simcoe  Fred Hamelink, Provincial Appointee  Gail Mullen, Provincial Appointee  Sergio Morales, City of Barrie

9. SMDHU QUICK FACTS

10. COLLABORATION WITHIN THE DISTRICT OF MUSKOKA Tobacco Control Smoking cessation for Ontario Works clients Opportunity for smoke-free leases for community housing units Preventive Health Care Dental care for Healthy Smiles Ontario / Ontario Works clients Muskoka Health Care Hub Local Food Security, Access, and Sustainability Muskoka District Food and Agriculture Charter Active Transportation / Healthy Community Design AT Regional Symposium, Nov 2013 Place-making Planning Tool Development Breastfeeding supports Collaboration with The Nest

11. Health Issues and Actions for Municipal Governments

12. FOOD ACCESS  Implement land use planning policies that protect and conserve land and water used to produce food.  Ensure healthy food is available in every neighborhood through planning policies and support for local programs, such as community gardens and kitchens. POVERTY  Participate in local poverty reduction initiatives and support provincial and federal actions that address broader issues affecting poverty, such as employment, income and education.  Support economic development strategies that will attract full time jobs that pay an adequate wage.

13. FOOD SECURITY  Improve access for those with limited income to community-based food programs and services.  Support your local food charter by implementing at least one activity that will help to build a local sustainable food system. HOUSING  Build inclusive neighbourhoods, planned and designed to increase resident safety, connectedness and well-being.  Provide a range of affordable housing options, including rental accommodation, to meet your community’s needs.

14. ALCOHOL  Establish policies that minimize alcohol-related harm by limiting alcohol outlet density and the availability of alcohol at public events.  Advocate for the creation of a provincial alcohol strategy. WATER FLUORIDATION  Commence community water fluoridation to improve oral health for all, particularly those most vulnerable due to low income and/or social circumstances.  Maintain and support water fluoridation in communities that currently have a fluoridated water system.

15. AIR QUALITY  Manage vehicle emissions through the implementation of municipal fleet management policies and community anti-idling bylaws.  Implement initiatives to improve air quality such as a tree conservation bylaw or retrofitting of municipal buildings to be more energy efficient. ACTIVE TRANSPORTATION  Integrate local land use and transportation planning to support greater active transportation and public transit development and use.  Allocate funding for active transportation infrastructure and public transit in the municipal budget.

16. FINAL THOUGHTS People’s health has always been about their living conditions. There are challenges to population health in Simcoe Muskoka – and opportunities. Municipalities make a big difference with healthy public policy. SMDHU recommends that healthy communities be a priority for municipal councils.