1. Pan Am Games Emergency Preparedness and Surveillance Carol Chan, Emergency Preparedness Coordinator Vidya Sunil, Epidemiologist September, 2015

2. Objectives Stakeholder Collaboration HKPR Resources Outcome How did HKPR benefit from this experience?

3. Stakeholder Collaboration Pan Am Event July 18 - 19, 2015 Minden Wild Water Preserve White-water Canoe/Kayak Events MOHLTC Health Unit LHIN TO2015 Venue Sites Operators Local CEMCs Public Health Ontario PHAC CCAA HKPR Surveillance HKPR Preparedness PHOL

5. HKPR Pan Am Preparedness Activities Pan Am Preparedness Food Safety Daily Call with MOHLTC Local CEMC Contacts Pre-Games Bi-weekly Meeting with LHIN Drinking Water Safety Training Pre- games Meeting with HU staff Daily Call with LHIN Surveillance Venue Site Tours

6. Stakeholders Framework and Process: Surveillance P/PAG reports from surveillance partners STG collates reports in to TO2015 Provincial Report Reports distributed to stakeholders PHACTPH PEE SMD PHO HKPR NIA HAM HA L DURWDG YRK Surveillance Task Group Scientific Report (public health surveillance partners) Non-Scientific Report (stakeholders involved in broader P/PAG response)

7. Reporting Schedule Pre-Games period (Jun 15 to Jul 6) Pre-Games period (Jun 15 to Jul 6) Pan Am Games period (Jul 7 to Jul 23) Minden event July 18, 19 Post- Games period (July 23 to Aug 04) Post- Games period (July 23 to Aug 04) JuneJulyAug Submit P/PAG surveillance report every Tuesday and Thursday Submit P/PAG surveillance report every Tuesday and Thursday; the reporting was done 2 days prior and 2 days after the event on a daily basis Attend and participate in 1 pm surveillance calls daily Submit P/PAG surveillance report every Tuesday and Thursday Attend and participate in 1 pm surveillance calls daily

8. HKPR Surveillance Data Flow (pre-games, during games & post-games) E & E Team EH Data Data were extracted for the report at 9:00 am CDC Data ACES Management review and approval 11:30 a.m. Epidemiologist sends the report to PHO 3:00 p.m.

9. HKPR Resources PositionQuantityHours Public Health Inspector4250 Public Health Nurse23 Epidemiologist2247 Coordinator196 Management8141 Total17737

10. The Outcome Caterer supplier food safety concerns Lab food samples collected – all acceptable Food safety compliance maintained throughout event No weather alert No infectious diseases concerns No vector-borne diseases concerns Successful Pan Am Event

11. How did HKPR benefit from this experience? Relationships with external stakeholders. Mass gathering surveillance experience. Implementation experience ACES. Emergency Management Communication Tool (EMCT) for future emergency application. Emergency resources for future needs. Internal collaboration success.

12. Acronyms ACES - Acute Care Enhanced Surveillance CCAA – Community Care Access Centre CDC - Communicable Disease Control CEMCs – Community Emergency Management Coordinators DUR - Durham Region E&E - Epidemiology and Evaluation EH - Environmental Health EMCT - Emergency Management Communication Tool HAL - Haldimand Norfolk HAM – Hamilton Public Health LHIN – Local Health Integration Network MOHLTC - Ministry of Health and Long-Term Care NIA - Niagara Region P/PAG – Pan Am/ Parapan Am Games PEE – Region of Peel PHAC – Public Health Agency of Canada PHI - Public Health Inspector PHN - Public Health Nurse PHO - Public Health Ontario PHOL - Public Health Ontario Lab SMD – Simcoe Muskoka District Health Unit STG – Surveillance Task Group TO2015 – Toronto 2015 Pan Am/Parapan Am Games TPH – Toronto Public Health WDG - Wellington Dufferin Guelph YRK - York Region