2. Purpose Legislated report that has to be produced at least once every five years for the Minister of Health To increase awareness of the impact of the social determinants of health on the health status of Manitobans

3. Life stage framework

5. What Determines Health

6. Every $1 spent on MMR vaccine saves $16 Every $1 spent on car/booster seats saves $40 Every $1 spent adding fluoride to water saves $38 Every $1 spent on mental health/addictions saves $7 in health care and $530 in loss productivity and social costs Every $1 spent on early childhood saves up to $9 in health, social and justice services

7. THEMES

9. Build Trust Towards Healing Mutual Respect EQUITY Tradition and Culture Future Generations FAMILY Language

11. Nurturing Environment

12. Cyber Bullying Alcohol Use & Binge Drinking Illicit Drug Use BULLYING Sexual Health Mental Health STIs Physical Activity School Achievement FOOD & NUTRITION Support

15. Not just about diagnosed mental illnesses (absence of illness does not equal health) Environments support (or dont) flourishing Importance of upstream risk factors