Monday, April 2, 2012
Projecting the potential future directions of public health in the next five years
*Please note, the TOPHC PDF is current as of March 16, 2012. The website content reflects the most up to date information.
All proposals for sessions at TOPHC were reviewed by the TOPHC Program Committee in order to achieve the maximum benefit for participants and speakers. In accordance with the principles of continuing professional development, a minimum of twenty per cent of the time has been allocated to interactive methods of learning. Below is a brief description of the type of sessions and interactivity that is expected.
Workshops (90 minutes and 3 hours) Workshops are intended to develop knowledge and skills in a particular topic. The most common form of interactive learning is the use of group work on case studies or other “table top” exercises. On average, at least one third of the time is devoted to interactive methods of learning. In many cases, it is over half the time.
Panel discussions (90 minutes) The panel discussions are intended to provide knowledge and information to the participants. The most common form of interactive learning will be the use of discussion groups, interactive question and answer period, and use of case studies. On average, at least one quarter of the time is devoted to interactive methods of learning. In many cases, it is over one third of the time.
Presentations (15 minutes) The 15 minute presentations are intended to provide knowledge to the participants. The most common form of interactive learning will be the interactive question and answer period following the session. As four presentations are scheduled per hour and a half, there will be at least five minutes for interactive questions and answers for each 15 minute session.
Posters (30 minutes) The guided poster presentations are very fast, with each poster having approximately three minutes to present. This will be followed by two minutes for discussion. While this is very short, the purpose of the guided poster session is to inform participants about the highlights of the poster presentation. Participants are expected to return to the poster for more in depth reading and discussion of the poster with the presenter.
7:30 a.m. - 5:00 p.m.
Registration
Vide (lower concourse level)
7:30 a.m. - 8:30 a.m.
Continental Breakfast
7:30 a.m.
Exhibitors’ Floor Opens
Grand East Ballroom and Grand Ballroom Foyer
8:30 a.m. - 8:45 a.m.
TOPHC Opening Remarks
Grand West and Centre Ballroom
8:45 a.m. - 10:15 a.m.
Sheela Basrur Annual Public Health Symposium
Guest Speaker - Seth Mnookin, Author, The Panic Virus: A True Story of Medicine, Science, and Fear
Changing practice in a changing landscape: vaccine wars, science and new media How can public health messages be communicated effectively? How can public health professionals confidently speak about risks and unknowns? How are new media both supporting and countering good public health practices? The fourth annual Sheela Basrur Public Health Symposium brings together a renowned journalist, a leader in paediatric infectious disease, and an expert in the use of social media for knowledge exchange and behavioural change to address these challenging questions. With a particular focus on immunization, each speaker offers unique insights into how to convey important public health messages to the public—not only for the purpose of engagement but also as a means to influence behaviour and bring about positive health outcomes.
Objectives:
• Share key lessons learned from Seth Mnookin’s research and writing related to his book, The Panic Virus.
• Learn how to reframe public health messages so that they are more engaging and persuasive
• Discuss strategies on how to combat misinformation.
• Provide tips on how public health professionals can confidently, openly, and honestly speak to the public about risks and unknowns.
• Identify ways to develop and maintain an easily accessible and trustworthy online public health presence.
• Discuss the challenges in engaging with some new media platforms to build public trust both during periods of relative security and during crises.
Please click here for his biography.
Grand West and Centre Ballroom
10:15 a.m. - 10:45 a.m.
Morning Refreshment Break
Grand Ballroom Foyer
10:45 a.m. - 12:15 p.m.
Concurrent Sessions I, TOPHC Breakout Rooms
1. Exploration of the Role of Public Health Associations in Advancing Provincial Public Health: Presentations from British Columbia, Ontario and Quebec
Presented by: Siu Mee Cheng, Lucie Granger, Michael Barnes Panel Discussion
Do not need any prior knowledge of the subject matter.
This highly unique panel discussion will explore the differences and similarities in the business models adopted by each of the public health associations in British Columbia, Ontario and Quebec: Public Health Association of BC, the Ontario Public Health Association and the Public Health Association of Quebec, respectively.
Abstract:
Provincial public health associations play a critical role in helping to advance provincial public health systems. The models adopted by the three associations are a hybrid of the following: 1) direct government core funding; 2) direct service delivery of government programs; and 3) provision of membership services. Each of the associations will describe their respective business model and detail the drivers behind the current model. They will explore how each business model has impacted advocacy efforts, membership management and capacity building amongst public health professionals within their respective provinces. Moreover, the associations will examine the strengths and limitations of these models and approaches against a number of key categories including financial sustainability, governance, impact and influence within the respective provincial public health systems. This examination will include exploring how existing provincial public health systems have impacted the associations’ ability to advance mission and goals. The speakers will discuss the stage in evolution of their association and the drivers behind that (i.e., the impact of national and provincial fiscal climate, emerging public health issues and pressures, and the changing health system landscape).
Windsor Room
2. Public Health in a Global City: Integrating and Disseminating Evidence on the Health of Newcomers in Toronto
Presented by: Liz Corson, Andrew Koch, Anna Pancham, Peter Dorfman, Erika Khandor Workshop
Do not need any prior knowledge of the subject matter.
This workshop will focus on the key themes and implications and resulting knowledge translation strategy emerging from The Global City: Newcomer Health in Toronto, a report outlining the health status, determinants and needs of newcomers.
Abstract:
In response to the significant demographic changes facing Toronto and other jurisdictions in Ontario, Toronto Public Health, in partnership with Access Alliance, produced The Global City: Newcomer Health in Toronto, a large-scale research project to improve our understanding of the physical and emotional health status, health determinants and health needs of recent immigrants and refugees. This session will focus on: 1) some key results of the research and the implications for public health in Ontario; 2) the engagement strategy for this initiative, which includes targeting a broad audience of community leaders and groups as well as staff and decision-makers in multiple sectors; and 3) the benefits and challenges of working in a government and community agency partnership.
Civic Ballroom North
3. Knowledge Translation Methods and Tools: What Are They? Why Use Them? How Do I Find Them?
Presented by: Sunita Chera, Kirsten Sears, Pamela Forsyth
Workshop
Do not need any prior knowledge of the subject matter.
This workshop will demonstrate how to find and use knowledge translation resources relevant to public health practice.
Abstract:
The National Collaborating Centre for Methods and Tools (NCCMT) strives to support public health practitioners in using evidence in decision-making through knowledge translation. Knowledge translation builds on existing public health practice (such as program planning, evaluation and collaboration) by providing a systematic approach to incorporating different forms of evidence to inform program and policy decisions. Evidence can include research, local community data and lay knowledge, among others. A key resource offered by the NCCMT is the Registry of Methods and Tools. The Registry is a searchable, online database of knowledge translation resources that facilitate the systematic use of evidence in public health practice. This workshop will provide an overview of the Registry and how it can be used by public health practitioners. Through small group discussion and case-based scenarios, participants will be able to share and learn how knowledge translation is currently being used in public health settings and identify the types of knowledge translation resources that could be used in their work. Lastly, participants will be able to explore the Registry online and conduct searches to locate resources that are relevant to practical examples. We will have some laptop computers available so that participants can search the Registry in small groups during the session. If participants have access to a laptop computer, they may wish to bring it along.
Sheraton Hall C
4. Speaking a Common Language: Public Health and the Built Environment
Presented by: Rena Chung, Alison Samuel Workshop
Do not need any prior knowledge of the subject matter.
This workshop has been designed as the first step in defining and translating the multi-disciplinary language of the built environment.
Abstract:
The built environment has garnered much attention in the past few years. Grown out of the disciplines of architecture and urban planning and design, it is a well-established concept. Other disciplines such as environmental health and public health have evolved or repurposed the built environment concept as their niche means to address and improve public health. At its core, the built environment movement promotes public health through better city and community planning, land use planning, eco and urban design, sustainable and active design, green infrastructure and sustainable transport. However, as the built environment movement has gained momentum, as a component of the population health promotion model and a concept in architecture, planning and design disciplines have diverged into separate but similar movements known as healthy cities, healthy communities and ecocity. With similar, parallel movements in other disciplines, it may be necessary to broaden or align public health's definition of the built environment to achieve success in health objectives. Public health programs and interventions could be strengthened through a shared understanding and goal setting between all invested disciplines. By giving consideration to the language and terminology found within the various movements and moving towards establishing a common language, we can start to create connections between the built environment and the public to improve public health.
Sheraton Hall E
5. HOT TOPHC: Effect of the Recession on Public Health
Speakers: Brian Lewis, Director, Office of Economic Policy, Ontario Ministry of Finance
Dr. Chandrakant Shah, staff physician, Anishnawbe Health Toronto
Dr. David Mowat, Medical Officer of Health, Peel Public Health
This session focuses on the effect of the recession on public health. Economist Brian Lewis will describe commonly used terms such as debt, deficit and recession. Then he will discuss the current economic outlook for Ontario including demographic projections and economic implications. Dr. Chandrakant Shah, author of the book Public Health and Preventive Medicine, will examine the implications of the recession on the health of the population, particularly as it relates to the effects of unemployment on health. Based on his experiences at the local, provincial and federal levels of government, Dr. David Mowat will outline the lessons learned by public health from the recession of the 1990s. There will be time for discussion with the speakers during the session.
The session will be moderated by Dr. George Pasut, Vice-President, Science and Public Health Programs, Public Health Ontario.
Civic South Ballroom
6. Staying Ahead of the Curve? A Unified Public Oral Health Program for Ontario?
Presented by: Garry Aslanyan
Speakers: Andrea Feller, Stephen Abrams, Adrianna Tetley, Carlos Quiñonez, Paul Sharma
Panel Discussion
Do not need any prior knowledge of the subject matter.
The focus of this panel discussion is on inequalities in access to oral health care in Ontario.
Abstract:
This panel debate will consider the question of why, even with additional new funding available for oral health care in Ontario, inequalities in access to care still exist and access-limited populations continue to carry a higher burden of oral diseases (e.g., adults living in poverty and those with dental insurance who still face financial barriers to care).
VIP Room
7. Addressing the Issue of Excess Gestational Weight Gain in Simcoe Muskoka
Presented by: Becky Blair, Jennifer Hutcheson Workshop
Do not need any prior knowledge of the subject matter.
This workshop will reveal that there are significantly more babies who are large-for-gestational-age (LGA) now compared to small-for-gestational-age (SGA) babies.
Abstract:
Decreasing the incidence of low birth weight babies has been a public health focus during the past 20 years. Research consistently shows an association between excess gestational weight gain (GWG) and high birth weights. Other adverse maternal and child health outcomes are also related to excess GWG. The new Health Canada Gestational Weight Gain Recommendations (2009) will be compared and contrasted to the previous recommendations. The rationale for focusing on gestational weight gain and the related public health issue of postpartum weight retention will be provided and systems-level factors (determinants of health) that are associated with gestational weight gain will also be described. The physical activity guidelines that currently exist in Canada and the tools that are available to support healthy weight gain in pregnancy will be reviewed. Available data related to healthy eating behaviours and key messages for pregnancy will also be presented. Finally, a description of the methodology and results of the Simcoe Muskoka District Health Unit's Food and Exercise in Pregnancy Survey will be presented. This information will be used to tailor a health promotion plan to promote healthy weight gains during pregnancy.
Sheraton Hall B
8. Sparking Life Niagara Partnership: Using Physical Activity to Promote Academic Achievement and Health
Presented by: Tami McCallum, Jennifer Robertson
Speakers: Jessica Hopkins, Danny DiLorenzo, Tracy Garrett, Scott McRoberts, Carole Crowther Panel Discussion
Do not need any prior knowledge of the subject matter.
This panel discussion will provide an overview of Sparking Life Niagara which uses physical activity to promote academic achievement and health in high school students through the lens of partnerships. Participants will also be provided with findings from the pilot evaluation.
Abstract:
Did you know you can beat stress, lift your mood, fight memory loss, sharpen your intellect and physically function better, simply by elevating your heart rate and breaking a sweat? The evidence is undeniable; aerobic exercise physically remodels our brains for peak performance. It’s an exciting idea that is being tested in the U.S. and Canada. Niagara Region Public Health in collaboration with Niagara Catholic District School Board, the District School Board of Niagara, Niagara Sport Commission, and Public Health Ontario piloted “Sparking Life Niagara” in two area schools. This program gets high school students up and active on treadmills, spin bikes and ellipticals before the classroom teaching starts to prime the brain for learning. Sparking Life Niagara is innovative as it looks at the benefits of physical activity in a new way beyond physical health outcomes. This program uses physical activity to promote mental health (e.g., academic performance), social health (e.g., behavioural issues) as well as physical health. It is this innovation that brings together diverse partners. The success of the program relies on the expertise and varied disciplines of our partners. Most importantly, it demonstrates how it takes a community to raise a child through interdisciplinary and intersectoral partnerships.
Simcoe/Dufferin Room
9. Opening Eyes, Opening Minds: The Burden of Mental Health and Addictions in Ontario
Presented by: Paul Kurdyak, John Cairney, Sujitha Ratnasingham, Heather Manson
Speakers: Arlene King, Rosana Pellizzari, Jurgen Rehm, Elizabeth Lin
Panel Discussion
Need to have a basic knowledge of the subject matter.
This panel discussion will focus on the Burden of Mental Health and Addictions in Ontario report, provide a preview of results, and lead into a discussion of the role of public health in mental health promotion.
Abstract:
Public Health Ontario (PHO) and the Institute for Clinical Evaluative Sciences (ICES) have collaborated to produce three reports assessing the burden of various diseases in Ontario. The first report, the Ontario Burden of Infectious Disease Study (ONBOIDS), was released in December 2012, followed by a report on the burden of mental health and addictions and another on the impact of behavioural risks on health and life expectancy. This panel discussion will focus on the report describing the Burden of Mental Health and Addictions in Ontario. A brief overview of the report will be provided, including project conceptualization, stakeholder input, methods, results and interpretation, and limitations. A major focus will be placed on previewing the key findings and their implications for Ontario, including the role of public health in mental health promotion. In addition to the principal investigators, experts and stakeholders in mental health and addictions will provide commentary on these findings. Topics include: agoraphobia, bipolar disorder, major depression, panic disorder, schizophrenia, social phobia, alcohol use disorders, cocaine use disorders and prescription opioid misuse.
Essex Room
10. Youth Health - Grouped 15 Minute Presentations
a. Using Social Media to Address Youth Sexually Transmitted Infections. Get Tested. Why Not? A Novel Approach
Presented by: Zhaida Uddin, Genevieve Harte
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
The presenters will discuss the findings of a pilot project developed to use a multifaceted marketing and communication strategy to address sexually transmitted infections in youth under 30 years of age.
Abstract:
Sexually Transmitted Infections (STIs) continue to be a significant and increasing public health concern in Canada. Reported rates of chlamydia, gonorrhea and syphilis have been rising since 1997 and this upward trend is continuing unabated. In 2008, the majority of reported chlamydia (82.6 per cent) and gonorrhea (71.5 per cent) infections were among the young population under 30 years of age. Ottawa Public Health is the first health unit in Canada to develop a website that offers an online access point for lab requisitions to test for chlamydia and gonorrhea. This project is novel because it uses a multifaceted marketing and communication strategy including SMS text messaging, social media websites (such as Facebook), QR codes and a dedicated bilingual website (www.gettestedwhynot.ca). The campaign goal is to increase access to services and information on STI/HIV/birth control for youth aged 15 to 29 using new technologies: online screening and promotion, a downloadable requisition form, SMS texting and overall promotion of STI testing campaign for sexually active people. We will share findings of a one-year evaluation of this pilot project and information on planning, marketing with social media, evaluation, implementation and execution of this project. Promotional items from the campaign will be provided to the audience.
b. Equipping Public Health Professionals for Youth Engagement: Lessons Learned from a Two Year Pilot Study
Presented by: Tina B. Sahay
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Key lessons learned about making youth engagement possible and effective for public health professionals will be presented.
Abstract:
There is strong evidence about the positive role that youth engagement programs and policies contribute to creating resiliency and producing positive outcomes among youth populations, such as delaying or avoiding the onset of risk-taking behaviours. Research also suggests that achieving positive outcomes ideally includes influence from the individual, the family, the school, the community and the field of public health (OPHA, 2009). The Ontario Public Health Association conducted a comprehensive evaluation of a two-year pilot project designed to increase the application of engagement and resiliency theory, knowledge and skills among public health professionals engaging grades 6, 7 and 8 students (11-14 year olds). Qualitative methods assessed public health satisfaction with training, resources and networking activities while quantitative methods assessed changes in capacity with respect to youth engagement knowledge, awareness, confidence and skills. The findings have helped to shed light on public health professional needs concerning capacity and confidence to undertake youth engagement work.
c. Partnering with a 'Trusted Niche in the Community' to Implement Health Initiatives for Vulnerable Children
Presented by: Salma Bham, Ellen Vogel, Wendy Stanyon, Lauranne Matheson
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This session will focus on successes, challenges and recommendations associated with implementing an after-school initiative to reduce obesity in vulnerable children using a community organization platform.
Abstract:
Alarming rates of child obesity have warranted the implementation of health programs in novel settings. In 2009 the Government of Ontario, in partnership with community organizations, launched an after-school initiative to reduce child obesity in vulnerable children. This initiative included nutrition education, physical activity and personal health and wellness components. Eastview Boys and Girls Club - Eastview Unit (EBGC-EU) in Oshawa, ON, a selected program site, provides after-school programming for approximately 100 children daily. The objective of this qualitative study (limited to the nutrition component) was to clarify organizational facilitators and barriers. Data was collected from May to September 2010 following one year of programming and included in-depth key informant interviews (n=7); a focus group interview with parents (n=8); three interactive children’s sessions (n=8); and a document review. Interviews were conducted by a trained interviewer using pilot-tested semi-structured interview guides. All audio-recordings were transcribed and thematic analysis utilized NVivo8 software. Findings suggest that EBGC-EU, described as a trusted niche in the community, provided a platform for health programming through informal community support (e.g., food boxes), its successful track record in child-care and a positive, safe environment with committed staff. Provincial funding allowed EBGC-EU to hire staff and provide nutrition programming. However, financial instability and insufficient program-specific nutrition training and resources hindered program success. Recommendations include embedding child health initiatives in existing programs and building capacity through local partnerships (i.e., with public health units). Future research should analyze long-term sustainability of community-based health initiatives.
d. Reducing High-Risk Drinking and Alcohol-Related Harm Among Young Adult Males Using Evidence-Based Prevention Strategies
Presented by: Norman Giesbrecht, Elizabeth Manafo, Ashley Wettlaufer
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
The presenters will discuss recommendations for effective evidence-based prevention strategies to reduce high-risk use of alcohol, and related harm, among young adult males, including population level responses and focused individual responses.
Abstract:
Alcohol is a widely used drug in our society, particularly at a young age, and causes numerous social, health and financial burdens to the individual, community and population. A comprehensive review of the literature was completed to identify effective evidence-based prevention strategies aimed at reducing the rates of high-risk drinking behaviour and alcohol-related injury in young adult males aged 15-24, excluding drinking and driving. Almost 500 research articles were reviewed of which 71 with superior design and scope were selected for inclusion and detailed analysis. Review of the evidence noted several high impact interventions and policies at the population level to reduce sales to minors and prevent intoxication: pricing and taxation on alcohol, reduced density of outlets and enforcement of responsible service practices. Education and awareness strategies were effective in impacting knowledge and building capacity through skill development to reduce high-risk use but impact on behaviour change was minimal. The effectiveness of product modification is not yet determined. It is recommended that prevention/policy response be organized into two tiers: 1) population level responses (i.e., pricing and taxation, physical availability, marketing and advertising); and 2) focused individual response (i.e., minimal legal age, altering drinking context, education and persuasion and screening and brief intervention).
Sheraton Hall A
12:15 p.m. - 1:30 p.m.
President's Luncheon
Join Vivek Goel, President and CEO, Public Health Ontario, Sue Makin, President, Ontario Public Health Association and Paul Roumeliotis, President, Association of Local Public Health Agencies as they host a special opening day luncheon for convention delegates as part of TOPHC 2012. The luncheon will give attendees an opportunity to socialize and engage with colleagues, friends, and esteemed guests and hosts in an informal and relaxed setting. The luncheon is one of the ways TOPHC recognizes and acknowledges members of the public health community for their valuable contributions and their continued leadership, hard work, and dedication.
Grand Ballroom Foyer
1:30 p.m. - 3:00 p.m.
TOPHC Plenary I - Tony Coulson, Group Vice President – Public Affairs, Environics Research Group
Impact of current trends on future directions in public health
Speakers: Tony Coulson, Vice-President, Environics and Dr. Arlene King, Chief Medical Officer of Health of Ontario
Public health has always had to address social, environmental and technological changes in society. Using the Environics survey and study databases, Coulson will discuss the current trends in Ontario and Canada with particular reference to workforce and population demographics, diet and nutrition, public perceptions of environmental issues and risk, and the evolving use of internet, social media and social networks by the public.
Building on the success of programs such as Operation Health Protection, King will discuss the implications of these trends for public health and public health programming in Ontario. She will outline some of the changes that may be needed to address these evolving issues and challenges over the next five years.
The presentations will be followed by an open discussion with members of the audience.
The session will be moderated by Dr. Vivek Goel, President and CEO, Public Health Ontario.
Please click here for his biography.
Grand West and Centre Ballroom3:00 p.m. - 3:30 p.m.Afternoon Refreshment BreakGrand Ballroom Foyer3:30 p.m. - 5:00 p.m.Concurrent Sessions II, TOPHC Breakout Rooms11. Public Health – Everyone’s Business: A panel Discussion moderated by Ontario’s Chief Medical Officer of Health Presented by: Arlene S. King
Speakers: John Stager, Carol Layton, Kevin Costante
Panel Discussion
Do not need any prior knowledge of the subject matter.
This session is intended to provide the audience with an opportunity to participate in a conversation about health in Ontario that isn’t just about health care.
Abstract:
A panel, consisting of leaders from a variety of sectors, will outline their views on the key drivers for change in public health in Ontario. Moderated by Dr. Arlene King, Ontario's Chief Medical Officer of Health, the panel will discuss the role of public health relative to the health care sector and other sectors. Notably this discussion will focus on the intersectoral nature of the health care, social services and public health systems. There will be an emphasis with respect to the continuum of care and the integration of these services. After the initial presentations, the audience will be engaged in a dialogue with panellists. Through such discussion, both the challengers and opportunities to making public health everyone's business will be highlighted. A comparative lens between the roles of health care, public health and social services providers will help make this discussion particularly salient to the intersectoral nature of public health.
Sheraton Hall E
12. Successful Models for Nutrition Screening of Older Adults: Facilitators and Challenges from the Field
Presented by: Heather Keller, Katherine Knight, Ernie Jodoin, Eric Adriaans
Panel Discussion
Do not need any prior knowledge of the subject matter.
The implementation of nutritional screening programs for older adults will be presented in this panel discussion.
Abstract:
Older adults are a nutritionally vulnerable group. To date, minimal secondary prevention efforts have been undertaken in Ontario. Nutrition screening can be a mechanism for starting behaviour change in older adults and can promote access to needed services that maintain health. Seniors in the Community Risk Evaluation for Eating and Nutrition (SCREEN) is a self-or interviewer administered tool that identifies risk and is used by communities to link seniors to needed services; an online version is also available for self-management. Two models of community screening programs will be presented: 1) The Sudbury & District Health Unit conducted a pilot project with interested local community agencies using SCREEN. This resulted in a unique learning opportunity to examine the implementation of a screening program within a community setting. Working with community partners expanded the capacity of public health and provided insight into the facilitators and barriers to effective ethical screening in northern and rural areas. 2) The Hamilton Niagara Haldimand Brant Local Health Integration Network is the first health region in Ontario to mandate the use of SCREEN for all LHIN-funded food and meal service programs. Faced with increased demand for services, screening has enabled agencies to employ a recognized assessment tool to target meals for persons with nutritional risk. A broader understanding of individual needs and supports required in the home will be gained, resulting in referrals to other community support services. In advance of the LHIN-wide implementation of the SCREEN tool in the HNHB area, the Canadian Red Cross Society conducted early tests of the SCREEN tool in its provincial Meals on Wheels programs, providing valuable insight into screening in this population.
Simcoe/Dufferin Room
13. Building Youth Resilience: A Strength-Based Approach for Success
Presented by: Janet Leadbeater
Workshop
Do not need any prior knowledge of the subject matter.
In this workshop, the presenter will review protective factors and the link to making healthier choices, examine assessment tools developed to assess youth developmental strengths and challenges and discuss approaches to working with youth.
Abstract:
Youth resiliency can be defined as the ability of young people to cope successfully and adapt to challenges they face in their lives and to become productive, responsible adults in society. Nurturing youth capacity to navigate through life's challenges and thrive can place public health practice "ahead of the curve" as we strive to meet objectives to decrease risk-taking behaviours and increase healthy choices made by youth. This workshop provides an opportunity to look closely at risk, protective factors and developmental strengths using a comprehensive Youth Resiliency Framework developed by Resiliency Canada in collaboration with Resiliency Initiatives (Donnon & Hammond, 2007). We'll examine assessment tools developed to assess youth developmental strengths and challenges. The resulting baseline of indicators can then provide the basis for meaningful "intervention action planning" that reflects the relevant needs and goals of the youth. The workshop will showcase the Haliburton, Kawartha, Pine Ridge District Health Unit's Youth Resiliency Project funded by Health Canada (2009-11). Results from this project show how ongoing assessment of youth resiliency factors and youth perception is key to evaluating change that is success-based and experientially meaningful to the youth involved. Finally, we'll look at working with youth, focusing on applying a strength-based approach which is leading the way as an effective "road map" to engage youth in a meaningful change process in which they hold the key to their own transformation to bring about change.
Sheraton Hall B
14. One Health Collaboration: Opportunities and Challenges for Inter- and Trans-Sectoral Approaches
Presented by: Eve Cheuk, Zee Leung, Karen Morrison, Dean Middleton
Workshop
Need to have a basic knowledge of the subject matter.
An interactive workshop exploring governance challenges and opportunities in implementing inter- and trans-sectoral approaches in public health practice.
Abstract:
Through short presentations by invited speakers, a participatory Q&A and group discussions, this workshop will work with participants to better understand the role of governance in collaborative public health work and identify strategies through which these approaches can be better operationalized to improve public health practice in the province.
VIP Room
15. The Impact of Smoking, Alcohol, Diet, Physical Activity and Stress on Health and Life Expectancy in Ontario. A PHO/ICES Report
Presented by: Heather Manson, Doug Manuel
Speakers: Robin Williams, David Mowat, Mary Lewis, Bernard Choi
Panel Discussion
Do not need any prior knowledge of the subject matter.
This panel discussion coincides with the launch of The Impact of Smoking, Alcohol, Diet, Physical Activity and Stress on Health and Life Expectancy in Ontario. A PHO/ICES Report at TOPHC 2012. A major focus will be placed on presenting the key findings and discussing their implications for Ontario.
Abstract:
Public Health Ontario and the Institute for Clinical Evaluative Sciences (ICES) have collaborated to produce three reports assessing the burden of illness in Ontario. The first report, the Ontario Burden of Infectious Disease Study (ONBOIDS), was released in December 2012, followed by a report on the burden of mental health and addictions and another on the impact of behavioural risks on health and life expectancy. A brief overview of the Impact of Smoking, Alcohol, Diet, Physical Activity and Stress on Health and Life Expectancy in Ontario Report will be provided, including project conceptualization, stakeholder engagement process, overall approach and methods. In addition to the principal investigators, key experts and stakeholders will provide commentary on these findings. Topics include the examination of five behavioural risk factors (unhealthy eating, physical inactivity, harmful alcohol use, smoking and stress) on life expectancy and health adjusted life expectancy in Ontario.
Essex Room
16. An Introduction to the Impact and Classification of Injuries and an Overview of the Ontario Injury Data Report as an Important New Surveillance Tool
Presented by: Linda Yenssen, Pam Farmer
Workshop
Do not need any prior knowledge of the subject matter.
This workshop will feature an introduction to the impact and classification of injuries and an overview of the Ontario Injury Data Report.
Abstract:
This 90 minute workshop will begin with an introduction to the impact of injury, its classifications and its burden as set out in Lesson Two of the Canadian Injury Prevention Curriculum. The workshop will then highlight an important new tool for Ontario injury prevention practitioners: the Ontario Injury Data Report. The workshop will outline how the data report was prepared, its uses will be explored and highlights of data variations and trends across Ontario from the report will be provided.
Windsor Room
17. Providing Great Student Placements: Professor Dumbledore Versus Professor Snape
Presented by: Karen Jenkins, Tiffany Bartlett, Ian Johnson
Workshop
Do not need any prior knowledge of the subject matter.
The purpose of this workshop is to provide public health practitioners with the skills and tools needed to address concerns and balance competing priorities to provide the best placements possible.
Abstract:
Providing student placements in public health agencies is not easy. To offer a successful placement one has to overcome three main challenges: balancing the roles of a public health practitioner, role model and teacher; the frequent lack of clarity on how student placements fit within the health agency's mandate; and the generational effect of web savvy, information rich students who expect fast paced experiences and immediate feedback. The workshop will begin with an overview of key principles of adult learning which foster a reciprocal learning and collaborative relationship between students and preceptors. The emphasis has shifted from being a "know-it-all" expert to a guide who can help students navigate the application of concepts and theories into practice. Through the analysis and discussion of realistic scenarios, participants will explore examples of really great (and not so great) student learning experiences to understand the educational strategies and coping mechanisms needed to overcome these common challenges. Participants will then reflect on their own experiences and discuss key issues such as inter-professional collaborative practice, balancing workload and overcoming student challenges. In the end, participants will have gained an understanding of how to construct a placement that is learner-centred, balancing the objectives of the student, health agency and practitioner, while meeting the goals and requirements of the educational institution.
Sheraton Hall A
18. Infectious Diseases - Grouped 15 Minute Presentations
a. The Epidemiology of Travel-Associated Salmonella Enteritidis (SE) in Ontario
Presented by: Linda Vrbova, Rachel Savage, Dean Middleton
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
This presentation will concentrate on the epidemiology of travel-associated Salmonella Enteritidis in Ontario.
Abstract:
In Ontario, the rate of SE has been increasing steadily since 2002. An investigation was undertaken in 2010-2011 to understand the reasons for the increase. The presentation will describe the epidemiology of travel-associated SE illness in Ontario from August 2010 to July 2011. More specifically, information will be provided on the greater than expected amount of travel-associated illness that was experienced during the investigation period, on travel-case demographics, travel destinations, rates and associations of destinations with specific SE phage types.
b. Pet Husbandry and Disease Prevention Practices in Canadian Pet-Owning Households: Implications for Public Health
Presented by: Jason Stull
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Findings of a recent survey regarding pet husbandry and disease prevention practices in pet-owning households in Ontario will be reviewed by the presenter.
Abstract:
Over 50 per cent of all human diseases are zoonotic, naturally transmitted from animals to people, many of which can be transmitted through direct and indirect contact with household pets. Despite the importance of household pets as a potential source of human infections and an observed trend for increasing pet ownership and closer physical contact with pets, little is known of the Canadian population's pet ownership and disease prevention practices. This session will review the findings of a recently completed survey which sought to describe pet husbandry and disease prevention practices in pet-owning households in Ontario. Emphasis will be placed on topics that are important for human health care and public health professionals, namely specific types and frequency of pets owned, household demographics related to increased human disease risk and existing household infection control practices. Disease and pet ownership trends suggest public health should devote more attention to this important area in the future. Audience members will gain insight into this often overlooked topic and take away information that will assist them in meeting the health and educational needs of their clientele.
c. Optimal Number of Specimens to Test During Institutional Respiratory Infection Outbreaks, Ontario
Presented by: Alexandre Marchand-Austin, Adriana Peci, Anne-Luise Winter, Jay Gheewala, Nino Lombardi, Jonathan Gubbay
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
The presenters will discuss the background, methods, results and conclusions of a study to determine the optimal number of specimens to be tested during an outbreak.
Abstract:
Laboratory testing is crucial in the identification of institutional respiratory outbreaks. Determining the number of specimens to be tested during an outbreak is challenging as outbreak needs and testing costs must be balanced. The objective of this study was to determine the optimal number of specimens to be tested during an outbreak. We reviewed respiratory specimens from outbreaks submitted to Public Health Ontario Laboratories (PHOLs) from September 1, 2009 to August 31, 2011. Specimens were tested by Multiplex Respiratory Virus PCR (MRVP). Outbreaks were compared based on the chronological specimen that yielded the first detected organism. A total of 5,760 specimens from 1,707 respiratory outbreaks were tested for viruses. Of all outbreaks, 1,454 (85.2%) had at least one virus detected. Of those, 1,142 (78.6%) had a virus detected on the 1st specimen, 229 (15.7%) on the 2nd specimen, 48 (3.3%) on the 3rd specimen and 23 (1.6%) on the 4th specimen. Only 12 (0.8%) of the remaining outbreaks had the 1st virus detected on the 5th or subsequent specimen. Eighty (5.5%) of the positive outbreaks had a new 2nd, 3rd or 4th virus identified on the 5th or subsequent specimen and in eight (10%) of these the new virus was influenza. This study suggests that initial testing of four specimens is sufficient to detect viral causes of respiratory outbreaks. Further viral testing should be reserved for a minority of outbreaks where a pathogen is not found and the outbreak is continuing to evolve.
d. The Use of Multi-Locus Variable Number of Tandem Repeat Analysis (MLVA) as a Laboratory Sub-Typing Technique for Salmonella Enteritidis (SE)
Presented by: Virginie Braun, Vanessa Allen, Linda Vrbova, Dean Middleton
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
This presentation will provide information about what MLVA is, the use of MLVA as applied to SE and will compare the discriminatory power of MLVA and phage typing.
Abstract:
In Ontario, the rate of SE has been increasing steadily since 2002. An investigation was undertaken in 2010-2011 to understand the reasons for the increase. For more than eight years, phage typing has been the laboratory sub-typing technique used for SE in Ontario. The discriminatory power of phage typing of SE is limited. Therefore, laboratory sub-typing techniques with better discriminatory power are being explored.
Sheraton Hall C
19. Knowledge Creation and Management - Grouped 15 Minute Presentations
a. eSEARCH: A Tool to Promote eHealth Literacy Skills in Canadian Older Adults
Presented by: Elizabeth Manafo, Sharon Wong
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
The presenters will highlight the development of eSEARCH as a tool to promote eHealth literacy in older adults.
Abstract:
The purpose of this session is to describe the development of the eSEARCH eHealth Literacy Tool that targets older adults (55-69 years of age). Participants will have the opportunity to explore the potential role of eHealth literacy to help public health practitioners adapt to the changing aging demographic.
b. Crafting Good Research Projects Using Online Research Review Process
Presented by: Pat Fisher
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
Participants will learn how SharePoint can help streamline research approval processes and allow for easier reporting on compliance with the Ontario Public Health Standards (OPHS) Foundational Standard.
Abstract:
The OPHS Foundational Standard requires that health units complete high quality research and evaluation projects. Using SharePoint, the Region of Waterloo Public Health has developed an online research approval application to help improve knowledge exchange between researchers and guide project leads through the steps needed to do so. It is also particularly useful since it enables multiple staff and/or managers to review the projects from their own workstation or worksite simultaneously. SharePoint allows for easy knowledge exchange between researchers since individuals can sort previous research according to each OPHS program standard, as well as methodology and data collection tools used. Links to research support guides and resources are found throughout the form itself. This form guides project leads through the steps of the research by asking them to respond to guiding questions about their research and sends automated email messages to them as the form itself passes through the approval stages. Finally, the application is designed to also track how the research was used to influence programming six months after research project completion and enables quick and easy reporting on the numbers and status of projects initiated each year.
c. Researching Health in Ontario Communities: Enhancing Knowledge Transfer through Researcher-Service Provider Partnerships
Presented by: Andrea Flynn, Kathryn Graham, Juergen Rehm, Samantha Wells
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
In this presentation, the community-based approach of Researching Health in Ontario Communities is described; the challenges, successes and "lessons learned" in the project's first research communities (Port Colborne and Welland) are discussed; and potential implications of the project for public health across Ontario are explored.
Abstract:
This presentation describes Researching Health in Ontario Communities, a newly developed multidisciplinary team research initiative that coordinates and implements studies on mental health, substance use and violence problems across Ontario. Funded by the Canadian Institutes of Health Research, this community-based research project (based out of the Centre for Addiction and Mental Health) uses a custom-built mobile research laboratory to collect biological, behavioral and social data relating to mental health, substance use and violence in diverse communities across the province, including underserved and remote communities. The project involves ongoing collaboration with local community partners throughout all stages of the project to ensure that the research addresses community needs, and to facilitate meaningful application of research results.
d. Findings from a Formative Evaluation of a Provincial Youth Engagement Initiative to Promote Healthy Choices
Presented by: Maritt Kirst, Robert Schwartz, Tracey Borland
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation summarizes findings from a mix of qualitative and quantitative data collection methods including: key informant interviews with provincial and regional stakeholders, a survey with youth engagement initiative staff and focus groups with youth as part of a series of case studies with six public health units across Ontario.
Abstract:
A youth engagement approach, whereby youth are involved in program planning and implementation, is a promising strategy with which to promote healthy choices among youth. While the number of youth engagement programs in the area of public health is growing, there is a need for more evaluative evidence on these programs to identify who is being engaged and the impacts of this approach on outcomes at individual and community levels. In partnership with numerous stakeholders, the Ontario Tobacco Research Unit is conducting a formative evaluation of a youth engagement initiative being implemented in public health units across Ontario to prevent tobacco use and other unhealthy behaviours. The evaluation employs a cluster evaluation approach whereby each public health unit is considered as a site that is implementing a cluster of various youth engagement activities. The formative evaluation describes how the provincial Youth Engagement Initiative is unfolding in public health units across Ontario and who it is engaging, mechanisms for successful youth engagement and preliminary impacts of the Initiative. Results of the formative evaluation will provide learning to improve the implementation of the provincial Youth Engagement Initiative and continue to build evaluative evidence on this approach to health promotion.
Civic Ballroom North
20. Built Environment - Grouped 15 Minute Presentations
a. Assessing Demand and Enhancing Supply of More Walkable Neighbourhoods
Presented by: Monica Campbell, Gayle Bursey
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
New findings on how living in a more walkable community versus an auto-centered one influences physical activity, body weight and travel choices will be presented.
Abstract:
There is growing evidence that more compact, mixed use, walkable neighbourhoods with increased access to public transit and cycling infrastructure confer greater health benefits than low-density auto-oriented environments. Residents in more walkable communities tend to be fitter, more active and have lower rates of heart disease, obesity and diabetes. As part of the Healthy Canada by Design collaborative that involved urban and transportation planners as well as the public health sector, Toronto Public Health, in consultation with the Peel Regional Health Department, led implementation of a residential preferences survey in the Greater Toronto Area (GTA). Survey respondents were stratified by neighbourhood walkability and household income and were drawn from the Peel, Durham, Halton, York and Toronto health units. The findings demonstrate the range in transportation and land use preferences and how they vary across the region. Other health assessment tools and policy changes will be reviewed briefly to indicate how they relate to the use of these survey results. Based on similar studies in other regions, the demand for more walkable communities exceeds their supply. The GTA study will provide new insights into public acceptance and demand for healthier, more walkable neighbourhoods, alternate housing configurations and active transportation infrastructure. This will enable greater collaboration among policy advisors, decision-makers and private sector partners in providing new neighbourhoods, or retrofitting existing ones, so that they incorporate design features that best protect the health of current and future residents.
b. An Interdisciplinary Approach to the Determinants of Health
Presented by: Julie Sommerfreund, Olanna White
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will explore how developing and influencing public policy on the broad determinants of health has influenced the diverse backgrounds emerging in the public health workforce.
Abstract:
The City of Toronto's Chemicals in Toronto: Reduction and Awareness in our Community (ChemTRAC) program exemplifies an interdisciplinary approach to public health. The ChemTRAC team includes members with backgrounds in engineering, chemistry, toxicology and environmental science, in addition to the traditional public health backgrounds of nursing and public health inspectors. The team also works with other departments and agencies such as Economic Development and Environment Canada to achieve their program goal to improve public health through the reduction of toxic chemicals in the City of Toronto. Why is this interdisciplinary team necessary? As we learn more about what influences public health, the demand for other expertise will only continue to grow. In addition to the ChemTRAC program, other examples of interdisciplinary teams working on issues like community aspects of local air pollution and lead in drinking water will be explored.
c. Equity as a Dimension of Performance in Population Health: Using an Evidence Synthesis Framework to Explore Interventions in the Built Environment
Presented by: Karen Weir, Catherine Fraser
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
The presentation will profile potential ways to address challenges related to urban physical environments and health inequalities. It will showcase a framework that integrates an equity lens into the review of interventions, discussing the relevance of this work for assessing and promoting performance in public health.
Abstract:
The Canadian Institute for Health Information (CIHI) released Urban Physical Environments and Health Inequalities, a report exploring outdoor air pollution, heat extremes and their relationship to inequalities in socio-economic status and health. To build on report findings, CIHI undertook a scoping review involving these themes with the objective of identifying and reviewing a range of interventions addressing urban physical environments, which have potential to mitigate inequalities in health. In total, 58 interventions were retained following a screening process. Using an equity-oriented synthesis framework, CIHI organized results according to various intervention elements including characteristics related to five equity dimensions. Overall, identifying and working with at-risk groups were the most common strategies for incorporating equity into interventions. This primarily involved communicating health hazards to targeted at-risk groups. The findings indicate gaps in action related to structural determinants of health, as well as gaps in evidence involving equity outcomes and unintended consequences of implementing interventions in urban environments. The synthesis framework used in this project was developed based on a review of peer-reviewed materials and grey literature and through a novel expert consultation process, including government, public health and urban planning representatives.
Civic Ballroom South
