1. First Nations and Inuit Health Ontario Region First Nations Water Symposium March 9, 2010 Lori Doran, MSc., RD Director, Population Health

2. FNIH Ontario Structure FNIH ON ZonesPolicy Non-Insured Health Benefits Strategic Planning and Audit Community Programs and Governance Community Medicine, Communicable Disease & Health Emergency Environmental Health Nursing Chronic disease & Health Promotion Corporate Services under Regions and Programs Branch, ON: Finance Human Resources IM/IT Capital Assets and Security

3. Ontario Environmental Public Health Program Core Programming 1.Drinking water (Surveillance, sampling, advice, guidance, training) 2.Food safety (inspections, advice, guidance) 3.Housing (inspections, advice, guidance) 4.Wastewater and solid waste disposal (inspections, advice, guidance) 5.Facilities inspections 6.Communicable disease control (surveillance, support in response of confirmed / suspected cases, investigation, sampling, source identification) 7.Emergency Preparedness and Response (planning, inspections) 8.Environmental Contaminants, Research and Risk Assessment

4. Ontario Environmental Public Health Program Budget $6M for environmental public health $4M for water / wastewater initiatives Organization Regional Environmental Health Manager (Shaun Mackie) 4 Senior Environmental Health Officers (EHOs) 14 EHOs 1 transferred EHO (Akwesasne)

5. Regional Successes Environmental Public Health Detection of Eastern Equine Encephalitis positive mosquitoes Training / certification of 250 First Nations food handlers Training of Water Quality Analysts

6. Regional Successes General Ongoing support of Tripartite projects in public health and health promotion Addictions programming needs assessment and action plan Support Ontario specific Prescription Drug Abuse Strategy Expansion of the Indian Residential Schools Support Program Launch Communities in Crisis pilots Launch Nursing Innovation pilots Investments in nursing recruitment Investments in E health Capital Stimulus Projects H1N1 pandemic planning and response

7. H1N1 : Overview of Cases On-Reserve Number of deaths on reserve = 4 Number of confirmed H1N1 cases in Ontario = 8,746 Number of H1N1 deaths in Ontario = 121

8. H1N1 : Vaccine Coverage

9. H1N1 : Next Steps Ongoing prevention and immunization efforts Ongoing surveillance/monitoring Collaboration in H1N1 evaluations at provincial, FNIH and COO levels with support from the ON First Nations Pandemic Technical WG Incorporate lessons learned from H1N1 into updated Chapter 20 of the ON Pandemic Plan specific to First Nations on-Reserve via the WG Ongoing support to FN communities for updating and testing their pandemic plans Further clarify linkages between community-level pandemic plans and emergency plans with FNIH and INAC

10. Priorities - Environmental Public Health INAC/OCCOH/FNIH meeting to advance environmental health (March 30, 2010) Ongoing implementation of First Nations Water and Wastewater Program Radon sampling

11. Priorities for 2010-11 Ongoing implementation of programs with renewal confirmed ON FN Prescription Drug Abuse Strategy implementation Develop ON FN Mental Wellness Strategy based on Dec. 09 Chiefs Resolution Ongoing expansion Indian Residential Schools Support Program Continue with Capital Stimulus Projects Public health surveillance pilots in cancer, injury and others North/South Nursing Recruitment/Retention Strategies Nursing Innovation pilot implementation Dental Hygiene and tele-dental pilots to improve access to services Oral health survey based on approved strategy