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Wednesday, April 4, 2012                                                                                                                                                                       

Investigating the impact of new and different practices in public health and exploring innovations in interdisciplinary and intersectoral relationships in public health

Grand West and Centre Ballroom

10:00 a.m. - 10:30 a.m.
Morning Refreshment Break
Grand Ballroom Foyer

10:30 a.m. - 12:00 p.m.
Concurrent Sessions V, TOPHC Breakout Rooms

41. Clostridium Difficile: Not Your Everyday Enteric Outbreak
Presented by: Heather Hague, Jessica Hopkins
Workshop
Need to have a basic knowledge of the subject matter.
The focus of this workshop will be on commonly-encountered and emerging challenges when planning for and responding to Clostridium difficile outbreaks.
Abstract:
Clostridium difficile (C. difficile) outbreaks and their management are increasingly part of the repertoire of public health professionals. However, C. difficile is not just another enteric disease. As our detection of C. difficile outbreaks improves, public health departments will continue to encounter new challenges when providing assistance to institutions. This interactive workshop will use the real-life examples of C. difficile outbreaks in four hospitals and one long-term care facility in Niagara Region to promote problem-solving and discussion amongst participants.
Conference Room B

42. Social Media 101 and Edutainment Too! How to Create a Buzz in the Business of Public Health
Presented by: Tim Murphy, Janice Greco, Shawn Fendley
Workshop
Do not need any prior knowledge of the subject matter.
This interactive workshop explores two different health units’ non-traditional approaches to communications strategies in the areas of creative content development and innovative delivery of public health messaging, as well as in public health staffing and cross-sector development.
Abstract:
In this co-presentation by the Simcoe Muskoka District Health Unit (SMDHU) and Algoma Public Health, SMDHU will outline the learning outcomes, successes and challenges of their How Many Drinks? social media campaign which employed non-traditional media such as Quick Response code (QR code), blogs, Facebook and Twitter to raise awareness and create discussion regarding the link between alcohol and chronic disease. Use of these media required a varied skill base and provided unique challenges and opportunities. SMDHU facilitators will detail the interactivity requirements of a variety of media channels, offer demonstrations of the Twitter and TweetDeck features using mobile devices and share the strategies used to optimize the reach of the media involved. Small group discussions will examine issues related to the implementation of social media communication in public health including: maintaining professional standards; ensuring privacy of information; separating personal and professional social media identities; quality control; and audience engagement and monitoring/moderation considerations.

APH has likewise taken a novel approach to the development and delivery of dynamic community outreach strategies by embracing a non-traditional cross-sector developmental approach to staffing. A communications specialist with a professional background in theatre as an actor, writer and director with additional skills in ventriloquism, music and stand-up comedy was added to APH’s media team. By adopting the principles and accompanying theories of “edutainment” and recognizing it as a viable communications tool, APH has demonstrated its commitment to exploring alternative methods of educating and engaging our clients. APH’s communications specialist will examine the core communication theories and fundamental entertainment pedagogy which guide education entertainment and offer an interactive presentation featuring some of the inventive marketing initiatives undertaken since the inception of this unique role in the public health workforce.
Conference Room DE

43. Public Health Emergency Management in Complex Adaptive Systems
Presented by: Thomas Appleyard
Workshop
Do not need any prior knowledge of the subject matter.
Bringing together insights from complexity science, management theory and emergency management, this workshop will focus on how to ensure that the analysis tools, organizational metaphors and leadership approaches that we use match the complexity of the systems in which we promote change.
Abstract:
How often has your organization not been able to follow a response plan because something unexpected happened? An appreciation for the complexity of the system in which public health organizations work offers a way out of this planning and response frustration. Complex adaptive systems are characterized by non-linearity, self-organization and emergence: exactly the features that make executing plans so difficult. As these features are not present in simple, complicated or chaotic systems, an assessment of the system complexity is a necessary - but too often ignored - planning and response step. We will review how emergency management systems across the globe are changing the way they work to match system complexity. Most importantly, this workshop will provide fresh insights into how emergency management practitioners can work with the complexity of a system to find the difference that makes a difference.
Sheraton Hall A

44. What Do We Really Know about the Impact of Tobacco Use, Physical Inactivity, Unhealthy Eating and Alcohol Use on the Development of Chronic Disease?
Presented by:  Karin Hohenadel, Elisa Candido, Beth Theis, Ruth Sanderson
Workshop
Do not need any prior knowledge of the subject matter.
This workshop will provide participants with an opportunity to examine current scientific evidence on risk factor-disease associations compiled by Cancer Care Ontario and Public Health Ontario, with a focus on the relationship between tobacco use, physical inactivity, unhealthy eating and alcohol use, and cancer, cardiovascular disease, chronic respiratory disease and diabetes.
Abstract:
Reducing exposure to key chronic disease risk factors including tobacco use, physical inactivity, unhealthy eating and alcohol use is a cornerstone of public health practice. As part of the United Nations Declaration on Non-Communicable Diseases, Canada recently renewed its commitment to chronic disease prevention by pledging to recognize the critical importance of reducing exposure to modifiable risk factors. This declaration strengthens the goal put forward in the Ontario Public Health Standards to reduce the burden of preventable chronic diseases in Ontario. Despite its significance, we rarely revisit the state of the scientific evidence which underpins our work in chronic disease prevention. This workshop will engage participants to critically review their knowledge and assumptions, and develop a more in-depth understanding of the evidence through a participatory process of inquiry. Participants will leave the workshop with a thorough understanding of what is well-established in the literature and where evidence gaps continue to exist. This will enable them to better address chronic disease prevention at a population level.
Sheraton Hall E

45. Building Better Health Hazard Programs
Presented by: Ashley Raeside
Workshop
Should be familiar with the topic area.
The main goal of this workshop is for participants to leave with fresh insights and ideas that will enable them to plan more effective strategies and processes for health hazard program building.
Abstract:
This workshop is a must-attend for local public health staff who are in the process of developing or strengthening their health unit's health hazard program, in order to move towards compliance with the new Ontario Public Health Standards (OPHS). Several activities will be facilitated to help participants examine their organization's strengths, weaknesses, opportunities and challenges, which all come into play during public health program building and organizational change efforts. This session will give participants the opportunity to draw on and share their own experiences, examine case studies and borrow innovative ideas from colleagues who are approaching similar priorities in different ways. The main goal of this workshop is for participants to leave with fresh insights and ideas that that will enable them to plan more effective strategies and processes for health hazard program building.
Windsor Room

46. Child and Youth Health Indicators in Ontario: What are the Gaps and What Should We Do about Them?
Presented by: Sarah Collier, Carly Heung, Anne-Marie Holt, Steve Manske, Ken Allison, Heather Manson
Workshop
Need to have a basic knowledge of the subject matter.
This workshop has been designed to increase knowledge and understanding of the current indicators for child and youth health in Ontario, increase awareness of the current gaps and explore solutions to fill these gaps.
Abstract:
In relation to the Ontario Public Health Standards (OPHS), significant barriers exist to accessing current data and determining child and youth health status in Ontario. As an initial step towards addressing this challenge, Public Health Ontario (PHO) is developing a comprehensive report that identifies and assesses existing and new indicators of child and youth health of public health importance. In addition to the identification of indicators, the report will also highlight gaps that exist in relation to fulfilling the OPHS requirements. Specifically, gaps in data access, data collection and indicator development will be explored. Following a brief presentation on the current health indicators, the workshop participants will explore approaches and strategies that public health professionals and related stakeholders can utilize to address these gaps in the future, particularly in relation to meeting the requirements of the OPHS. Participation in this workshop will increase understanding of current child and youth health indicators and increase awareness of key gaps in child and youth health indicators in Ontario. Participants will be able to identify potential solutions to fill these gaps. These potential solutions will be incorporated into the recommendations made in PHO’s child and youth health indicators report.
Conference Room F

47. Middle Management: The Untapped Resource for Managing Complex Change
Presented by: Beverley Bryant
Workshop
Do not need any prior knowledge of the subject matter. This interactive workshop will highlight the key role of middle management in the leadership of organizational change.
Abstract:
This workshop will provide attendees with knowledge of effective practices to leverage the influence and effectiveness of middle management. The experience of Peel Public Health (PPH) in implementing its strategic initiative of Evidence-Informed Decision-Making (EIDM) forms the backdrop for this learning session. EIDM at Peel is transforming the workplace. The management of the multiple changes arising from EIDM and related strategic initiatives is the focus of this session. This workshop will present the findings of a recent review of the literature on this question. In addition, lessons learned from leadership dialogue sessions with PPH managers and supervisors will be highlighted. Participants will have opportunity to discuss and apply these strategies to their own organizational context.
Conference Room C

48. Food - Grouped 15 Minute Presentations
a. Multi-Sectoral Perspectives on Public Health's Role in Facilitating Regional Food Planning Policy and Access to Food: A Case Study of Waterloo Region
Presented by: Jessica Wegener, Rhona M. Hanning
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
The Region of Waterloo was examined as a case study in order to determine ways to achieve public health goals through food systems planning policy. Learn about the purpose of this study, its processes and findings.
Abstract:
There is growing interest in linking food system policies to land use planning practices to support healthy diets and healthy communities. In 2009, the Waterloo Region included a series of progressive planning policies within their regional official plan to promote and facilitate access to healthy, local food. The purpose of this study was to examine Waterloo Region as a case study for “what works” with respect to potential points of intersection to achieve both public health goals and other community priorities. Forty-seven in-depth interviews with multi-sectoral stakeholders were conducted to examine the process of food system policy-making and to explore the role of public health as a catalyst to policy and environmental change in Waterloo Region. Participants included regional decision-makers (n=15), regional and municipal staff experts in public health and planning (n=16) and food system stakeholders (n=16). Public health and planning experts ranged from senior-level management to project-level staff. All interviews were recorded and transcribed verbatim and grounded theory methods were used to code and identify emerging themes from the data. Rich perspectives were obtained on various levels and forms of strategic positioning, including examples of issue framing, visioning and aligning departmental agendas to achieve environmental and policy change. The importance of internal and external partnerships was also identified as a critical underlying theme. To translate the findings from Waterloo Region to other jurisdictions and to other policy areas, the G.E.N.E.R.A.T.E Change model was developed as an eight-step guide for multi-sectoral collaboration and policy and environmental change.

1:15 p.m. - 2:45 p.m.
Concurrent Session VI, TOPHC Breakout Rooms

51. An Update and Dialogue on the Ontario Food and Nutrition Strategy
Presented by: Catherine L. Mah, Lynn Roblin, Rebecca Truscott, Ravenna Nuaimy-Barker on behalf of the Ontario Food and Nutrition Strategy Design Team
Workshop
Do not need any prior knowledge of the subject matter.
The objective of this interactive workshop is to share knowledge and promote public health stakeholder engagement in the Ontario Food and Nutrition Strategy (OFNS) process.
Abstract:
In 2009, the Ontario Collaborative Group on Healthy Eating and Physical Activity, with funding from Cancer Care Ontario (CCO), initiated a process to assess Ontario's capacity to take action on a comprehensive food and nutrition strategy as well as to identify opportunities, priorities and recommendations for action. This collaborative effort has been led by representatives from CCO and Dietitians of Canada, with the Heart and Stroke Foundation, Canadian Cancer Society, Canadian Diabetes Association and the University of Waterloo. Participants in this workshop will have the opportunity to learn about the OFNS; reflect on what the OFNS means for public health; and contribute to a dialogue on moving the OFNS forward. First, Catherine Mah will make introductory remarks. Second, Lynn Roblin and Rebecca Truscott will describe the OFNS, including goals, progress and achievements to date. Third, workshop participants will take part in a conversation cafe (facilitated interactive small-group discussion). We will ask participants to consider: 1) What does the formation of the OFNS mean for public health? 2) How can processes such as the OFNS support policy development around specific food and health issues? 3) Which stakeholders are currently underrepresented in the OFNS process? 4) How do we see the OFNS moving forward? Finally, we will review key discussion points, offer a workshop evaluation and provide resources for further consideration.
VIP Room

52. Antimicrobial Resistance: Whose Responsibility Is It?
Presented by: Kelly Bunzeluk                                                                                                           
Speakers: Donald Low, Ed Topp, Deborah Whale, Margaret Fast
Panel Discussion
Need to have a basic knowledge of the subject matter.
This panel discussion will highlight human health, agricultural, environmental approaches and challenges to addressing antimicrobial resistance. By exploring partnerships between disciplines and the roles of the public, private and academic sectors, we will ask:  Whose responsibility is it?
Abstract:
Antimicrobial resistance (AMR) is a complex, multisectoral issue. Not only is it a human health issue, but it is also an issue influenced by decisions made by veterinarians, agricultural scientists and food producers, public health inspectors and environmental experts, pharmacists and pharmaceutical companies and policy-makers at all levels. Despite ongoing efforts in Canada to prevent the emergence of antimicrobial resistant bacteria, resistance appears to be spreading. Not only are antibiotic-resistant organisms being isolated in hospitals and long-term care facilities, they are also being found in communities and on farms, in the water we drink and the food we eat. Media information about New Delhi metallo-beta-lactamase 1 (NDM-1), Clostridium difficile and antibiotic-free meat has made the public more aware of and open to learning about resistance. Now is the time to develop programs and policies that can effectively limit the development and spread of these organisms. But, whose responsibility is it? And how can we strengthen collaboration among the sectors?
Conference Hall F

53. Fighting in the Trenches: Countering Anti-Vaccine Sentiment with Social Media
Presented by: Scott Gavura, Kim Hebert
Panel Discussion
Need to have a basic knowledge of the subject matter.
The panel discussion will review the anti-vaccination movement; the social media (SM) landscape; how SM is used to spread misinformation and shape risk perceptions; and how the same SM tools can be used to communicate to the public in a way that is accurate, accessible, and directly responsive to anti-vaccine tactics.
Abstract:
Anti-vaccine sentiment has increased among the general public, especially within the last 10 years, despite an established record of vaccine safety and effectiveness. With the explosion in popularity of the Internet and social networking (Web 2.0), misinformation is as accessible as valid science-based information, if not more so. The H1N1 pandemic illustrated the potential for social media (blogs, Facebook, Twitter, etc.) to rapidly disseminate unsubstantiated and dangerous claims about vaccines, potentially having a negative impact on public health measures. Policy analyses regarding the anti-vaccine movement have traditionally addressed public fears by using conventional media-based on static "key messages" to provide reliable, accurate and understandable information. However, these methods are distant and insufficient to address the wide and rapid spread of misinformation in an era of SM. Fortunately, SM tools can also be used effectively by front line health professionals to provide quick public access to science-based information. The authors are health professionals and bloggers who promote scientific skepticism and advocate for critical thinking. Using a worldwide network of scientific and skeptical SM users, including the science advocacy blog (skepticnorth.com), the authors were able to quickly respond to H1N1 anti-vaccine sentiment in real time.
Sheraton Hall B

54. Promoting Ethical Reflection in Public Health Initiatives: Application of a Framework
Presented by: Don Willison, Nancy Ondrusek, Vinita Haroun
Workshop
Do not need any prior knowledge of the subject matter.
The goals of the workshop are to enhance awareness of the ethical issues that may be associated with public health initiatives and to build capacity in the use of a framework to guide ethics review.
Abstract:
The evidence that supports public health policy and practice is generated through a variety of initiatives, including surveillance, quality improvement, program evaluation and research. While these achieve different functions, they can all involve the collection of data about individuals and populations. Traditional ethics review mechanisms, however, focus only on those activities labelled "research". In addition, the ethical principles commonly applied to clinical research do not always transfer readily to public health projects, which often target populations rather than individuals and focus on disease prevention and health promotion rather than treatment. We have developed a framework to guide ethical reflection in public health initiatives that interprets the Canadian Tri-Council Policy Statement 2, Ethical Conduct for Research Involving Humans (TCPS 2) through a public health lens. The framework can be applied to a variety of public health initiatives. It can be used by those developing an initiative to guide ethical reflection during the planning stage, or by reviewers asked to consider whether to approve a new initiative. In this workshop, participants will use the new framework to guide their analysis of several different public health initiatives.
Conference Room DE

55. An Ecological Framework for Public Health and Primary Care Collaboration: Reflections from Provincial, Health Unit and Front Line Perspectives
Presented by: Ruta Valaitis, Marjorie MacDonald, Linda O'Mara, Ruth Martin-Misener, Donna Meagher-Stewart, Sabrina Wong, Patricia Austin, Nancy Murray, Penny Nelligan, Andrea Baumann
Speakers: Dr. Robin Williams, Dr Megan Ward and Janice Johnson
Panel Discussion
Do not need any prior knowledge of the subject matter.
The purpose of the panel will be to reflect on and discuss the results of a four-year program of research and their implications for public health and primary care collaboration in Ontario.
Abstract:
There is evidence that collaborations are occurring between primary care and public health across Canada. Many of them focus on strengthening health service delivery systems by increasing promotion and prevention efforts and access to care, enhancing referrals and data sharing, as well as building capacity of health service providers working in these sectors. A four-year program of research has explored such collaborations. This panel discussion will present an evolving ecological framework depicting primary care and public health collaboration. The framework was constructed from existing theories and models, a scoping literature review, three provincial environmental scans and interview results conducted with key informants across Canada. It is further being tested through case studies being conducted in Ontario, British Columbia and Nova Scotia. The framework builds upon San-Martin Rodrigues and colleagues’ work on determinants of successful collaboration, D’Amour and colleagues’ model and typology of collaboration between professionals in health care organizations and Himmelman’s model of collaboration. Three determinants influence collaboration. They include: intrapersonal and interpersonal; organizational; and systemic level influences. This ecological framework can serve as a tool upon which to build capacity in development, implementation and evaluation of collaborations between primary care and public health. The framework from the perspectives of the presenters representing system, organizational and interpersonal level stakeholders will be presented. There will also be an opportunity for the audience to participate in the discussion at the end of the session.
Sheraton Hall C

56. Learning from Successful Policy Interventions in Other Areas for Tobacco Control
Presented by: Robert Schwartz, Norman Giesbrecht, Catherine Mah, Michael Chaiton, Maritt Kirst, Roberta Ferrence
Speakers: Robin Williams, Jan Johnston, Megan Ward
Workshop
Do not need any prior knowledge of the subject matter.
This session highlights lessons learned from successful policy interventions in the areas of alcohol, food and addictions.
Abstract:
Much has been made of the lessons learned from tobacco control for application in other areas of public health, particularly in addressing unhealthy behaviours. This session turns this notion on its head. We hope to inspire thinking that will push for innovation in tobacco control policy, planning and design. Panellists are recognized experts in their fields who have focused their work on studying policy interventions. Roberta Ferrence will introduce the state of the art in tobacco control, noting ongoing challenges. Norman Giesbrecht will draw on several lessons from alcohol control policies, including the importance of having government control of retailing; restrictions on density, places and hours and days of sale; pricing and taxation; having public health representation as a central player at policy-making tables; and, a balance between population-level strategies and those focusing on the high risk drinker, such as screening, brief intervention and referral. Exploring the somewhat less developed field of food policy, Catherine Mah will focus on the importance of intersectoral action - drawing on support for initiatives across political stripes and drawing on grassroots support from related initiatives (e.g., action on environmental health and justice has translated for many into food policy action). Using illustrations from addictions policy interventions, Michael Chaiton and Maritt Kirst will highlight the benefits of harm reduction policies and supply side interventions. Robert Schwartz will synthesize learnings and engage participants in applying lessons to tobacco control.
Sheraton Hall A

57. Helping Families Create Healthier Home Environments for Kids: The "Why" and the "How"                                                                                                                         
Presented by: Erica Phipps, Kathleen Cooper, Dianne Chopping
Workshop
Do not need any prior knowledge of the subject matter.
Learn “why” to reduce fetal and childhood exposures to toxic chemicals and pollutants and “how” to incorporate key environmental health messages into public health programs for parents and families.
Abstract:
BPA. Phthalates. Lead. Toxic flame retardants. Parents and families are increasingly aware and concerned about the potential effects of these and other toxic chemicals on the health of their children. During this session, participants will learn about the "why" of reducing fetal and childhood exposures to toxic chemicals and pollutants, drawing upon the findings of a recent scoping review of the scientific evidence linking early environmental exposures with increased risk of major chronic diseases and associated risk factors later in life. Participants will then explore the "how" of incorporating key environmental health messages into existing public health programs and outreach for parents and families. The emphasis will be on simple, low-cost actions that families can take in and around the home to reduce exposures to toxic substances known or suspected of having harmful effects on child health, including effects on learning, behaviour and endocrine function. Participants will learn about experiences gained through the recent pilot testing of a YouTube-style "top five tips" video designed for use in prenatal classes and other public health and community-based programs for prospective and new parents. Participants will be invited to explore and discuss potential benefits and challenges of incorporating environmental health protection messages into their existing health promotion work.
Windsor Room

58. Chronic Disease - Grouped 15 Minute Presentations
a. Taking a Bite Out of Skin Cancer
Presented by: Melissa Matton, Eva Lam
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This session will concentrate on the risks of artificial tanning and how to target youth to increase their awareness of this issue.
Abstract:
This presentation will describe the current state of artificial tanning as a public health issue as well as the importance of creating awareness of this issue among youth, who are heavy users of this type of technology. The presenters will also discuss how York Region's "Caught Dead" Campaign used novel youth-oriented theme and messaging, and social media to target this audience and increase their awareness of the risks of using tanning beds.

b. The Sweet Escape: Ontario's Experience Implementing a Type 2 Diabetes Prevention Program
Presented by: Tiffany Barker, Amy Prisniak
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Presentation of results and lessons learned from an innovative diabetes prevention program currently being piloted in select Family Health Teams in Ontario.
Abstract:
The incidence of type 2 diabetes in Ontario is on the rise and expected to increase to 1.9 million by 2020 (Canadian Diabetes Association). Faced with this growing burden of preventable disease, it is imperative that at risk Ontarians are offered prevention support across the health system. Prevention at the primary care level is especially critical because for many people, primary care is the first point of contact with the health system. In order to help reduce the growing incidence of type 2 diabetes the Ontario Ministry of Health is currently implementing a type 2 diabetes prevention program in a primary care setting. This Primary Care Diabetes Prevention Program (PCDPP) is a 12 month intensive lifestyle intervention rooted in evidence. Results of large scale clinical trials have proven that this type of program can reduce the risk of developing type 2 diabetes by almost 60 per cent. Focused on goal setting, motivation, healthy eating and physical activity, this program is led by nurses, dieticians or other adjunct health professionals and is located in six multidisciplinary primary care sites (Family Health Teams) in both urban and rural areas. This session will describe the methodology used to evaluate the program and interim outcomes will be presented. Lessons learned after a year of implementation will be highlighted along with analysis of and discussion of barriers and facilitators. Potential opportunities for adapting this program to community and public health will also be discussed.

c. Working Towards an Optimal Cervical Screening Program in Ontario
Presented by: Joan Murphy
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
Learn about the new developments regarding cervical cancer screening.
Abstract:
Exciting developments are currently underway to fully organize cervical cancer screening in Ontario as part of Cancer Care Ontario's Integrated Cancer Screening strategy, which will reduce the burden of cervical cancer on women and their families in Ontario.

d. Assessing the Impacts of Screening for Colorectal Cancer in Ontario Using the Cancer Risk Management Model
Presented by: Sharon Fung, Fei-Fei Liu, Gina Lockwood, Janey Shin
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will outline a study on colorectal cancer screening.
Abstract:
Colorectal cancer (CRC) is the second leading cause of cancer death in Canada. Screening with a fecal test (FT) is an effective approach to reduce mortality from the disease and Ontario launched a province-wide screening program using guaiac-based Fecal Occult Blood Test (gFOBT) in 2008. This study examines the short and long-term impacts of the existing screening program and the potential benefits and costs of using an alternate FT, Fecal Immunochemical Test (FIT). The Cancer Risk Management Model (CRMM) was used to simulate different CRC screening scenarios for Ontario. CRMM is a web-enabled microsimulation platform which simulates and projects realistic, representative provincial and national populations. It incorporates Canadian data on demographic characteristics, economics, risk factors, screening modalities, cancer incidence and mortality, treatment management pathways and costs to the health care system. CRMM estimates that, screening adults aged 50-74 biennially with gFOBT at 30 per cent uptake will avoid 1,300 new cases and 700 deaths from CRC in Ontario between 2011-15 and 15,000 new cases and 7,500 deaths by 2030. At the same uptake level using FIT, an additional 1,000 new cases and 300 deaths will be avoided between 2011-15, with cumulative additional screening and treatment costs of $67 million. Additional outcomes, such as person-years gained, economic impacts and incremental cost-effectiveness ratios, will be presented. CRMM quantifies the benefits of organized CRC screening in Ontario using multiple outcomes and demonstrates that using FIT avoids more cases and deaths than gFOBT but at a higher cost in the short term.
Conference Room C

59. Nursing Practices - Grouped 15 Minute Presentations
a. Integrating Evidence-Informed Decision-Making (EIDM) into Public Health Nursing Practice
Presented by: Monica Gola, Beverley Bryant
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
This presentation will showcase an initiative, conducted as part of a Registered Nurses’ Association of Ontario Advanced Clinical Practice Leadership Fellowship, to build capacity in front line public health nurses to practice in an evidenced-informed way.
Abstract:
Peel Public Health is engaged in a 10 year strategic initiative to incorporate Evidence-Informed Decision-Making (EIDM) into its practice. Public health nurses (PHNs) comprise a significant proportion of the public health workforce and are a key target audience for EIDM uptake. In this presentation, you will hear the results of focus groups designed to evaluate PHN perceptions and beliefs of EIDM. In addition, a situational assessment which considered the mandate of the College of Nurses of Ontario and the contractual requirements of a unionized workforce will be presented. Educational interventions will be used to build EIDM skills and the communication strategy used to foster a culture of inquiry will be described.

b. Nursing-Sensitive Quality Indicators: A Systematic Review of the Literature
Presented by: Sara Clemens, Monique Lloyd, Debbie Sheehan, Carol Timmings, Karen Quigley-Hobbs, Jo Ann Tober, Katie Dilworth
15 Minute Presentation
Need to have a basic knowledge of the subject matter.
The purpose of this presentation is to describe a systematic review of the nursing literature from national and international sources of published and unpublished research on nursing-sensitive quality indicators in public health.
Abstract:
The Ontario Public Health Organizational Standards require each of Ontario's 36 health units to officially designate a chief nursing officer (CNO) by January 1, 2013. It is the expectation that the CNOs in public health will enhance practice, professional development and quality assurance for public health programs and services delivered by nurses. Public health CNOs will provide nurses with leadership and oversee practice development activities and strengthen the public health nursing workforce which in turn will contribute to positive health outcomes for individuals, groups and populations in communities across Ontario. The Registered Nurses’ Association of Ontario has partnered with the Association of Nursing Directors and Supervisors in Official Health Agencies, the Community Health Nurses' Initiatives Group and the CNO community to define best practices for this senior nursing role. This presentation will also propose a core set of quality indicators to assess and support the delivery of effective nursing programs and services in public health. The increased focus on quality and measurement in health care has rendered this evidence as valuable and timely to ensure managers and policy decision-makers have access to current, high-quality research for evidence-informed health human resources and program planning. This research will enhance our understanding of the contribution that nursing makes in this field and inspire quality improvement initiatives for nursing in public health.

c. The Public Health Chief Nursing Officer Initiative: Building Capacity in the Public Health Nursing Workforce in Ontario
Presented by: Nancy Peroff-Johnston, Irmajean Bajnok, Jo Ann Tober
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Lessons learned and potential implications of the Chief Nursing Officer Working Group will be highlighted in this presentation.
Abstract:
Discourse regarding the need for chief nursing officers (CNOs) within Ontario health units has occurred for more than a decade. The approach to implementing nursing leadership in public health has historically been inconsistent. In February 2011, the Ontario government released the Ontario Public Health Organizational Standards. Included in these Organizational Standards was the requirement of boards of health to designate a CNO by January 2013; "to be responsible for nursing quality assurance and nursing practice leadership." While the concept of a CNO is not novel in itself, what is new is the requirement to designate a leader in public health nursing to focus on practice quality assurance and improvement, and support capacity building in the public health nursing workforce within organizations. This initiative required careful consideration and stakeholder engagement to determine and recommend the role and responsibilities of a CNO, and best practices in operationalizing the CNO role within health units. This was accomplished through the activities of a CNO Working Group. This presentation will briefly discuss the history of this initiative, and provide a description of collaborative partnerships formation, engagement with public health sector stakeholders through the CNO Working Group and the field, outcomes of an environmental scan on Ontario public health CNOs and the development of the recommended role and requirements. Lessons learned from the process related to the overall impact of such a role, as well as potential implications to public health nursing practice and organizational supports for workforce development will also be highlighted.

d. Evaluation of School-Based Public Health Nurse Individual Services: New Role Supporting the Social Determinants of Health
Presented by: Carol MacDougall
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will examine what a school-based public health nurse program has to do with social determinants of health.
Abstract:
In recent decades, funding cutbacks and changing public health priorities have resulted in widespread removal of public health nurses from service provision to individuals in schools. Currently, however, public health is focusing on contributing to the social determinants of health and it is commonly understood that securing an education can significantly improve income and lifelong health. In addition, there is debate within public health regarding allocation of resources to general population-wide activities or to targeted activities to "level-up" the health status of priority populations. A unique School-Based Public Health Nurse [SBPHN] Program has been in place for 10 years in rural Perth County, Ontario. The SBPHN Program is cost-shared by the two local school boards and public health unit, and annually over 1000 students receive service from approximately six public health nurse full-time equivalents. School-based public health nurses address the physical, mental, emotional and social health concerns of students by providing strength-based, solution-focused counselling, coordination, consultation and referral. The aim is to enhance learning, promote healthy growth and development, and strengthen connections between students and their families, peers and teachers. Surveys were administered to clients from four school years and to school staff, and focus groups were conducted with principals and SBPHNs. The SBPHN program was found to provide students, parents and school staff with access to high quality services in their familiar environment that may not be available elsewhere in a rural, underserviced community.
Sheraton Hall E

60. Physical Activity - Grouped 15 Minute Presentations
a. Leveraging Legacies: Do Mega-Sporting Events Really Benefit Public Health?
Presented by: Marc Mitchell, Heather Manson, Jennifer Robertson, Ken Allison, Jack Goodman
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
How will the 2015 Pan American and Parapan American Games impact public health? This presentation will address the public health legacies of mega-sporting events.
Abstract:
This literature review was conducted collaboratively by Public Health Ontario and the Faculty of Physical Education and Health at the University of Toronto, and provides a timely critical appraisal of the public health legacies of mega-sporting events, as Toronto and the surrounding area prepare to host the 2015 Pan American and Parapan American Games. A clearer understanding of the documented public health impacts of recent mega-sporting events and the identified areas of uncertainty will help decision-makers maximize the benefits and minimize the negative effects of hosting a major sporting event. Data on the public health legacies of mega-sporting events were collected through a scan of relevant literature as well as through interviews with key informants - namely, six senior government officials who have been involved in the analysis, planning and/or delivery of mega-sporting events (in Vancouver and Toronto) and four experts in the academic community who specialize in the evaluation and analysis of mega-sporting event legacies (in Vancouver and Toronto, Brisbane, Australia and Glasgow, Scotland). In addition, this review summarizes and draws examples from systematic reviews, other peer-reviewed publications, and government and Games reports assessing the health and socio-economic impacts of mega-sporting events on host populations. Data on the public health legacies of mega-sporting events are divided into five categories and presented as the impact of mega-sporting events on: 1) health status and health utilization indicators; 2) health protection and promotion; 3) physical activity and sport participation; 4) healthy food consumption; and 5) infrastructure.

b. Implementation of an Innovative Female After-School Physical Activity Program through Successful Cross-Sector Collaboration
Presented by: Sarah Leyenaar, Carma Lynn Koole
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will highlight the innovative after school physical activity program, Females Using Energy for Life.
Abstract:
The Females Using Energy for Life (F.U.E.L.) program employed a peer-led model and was accomplished using a cross-sector collaborative approach between the public health department, the YMCA, two school boards and local certified fitness instructors. Information gathered through focus groups and surveys will be used to show how this program changed the way girls felt about physical activity and to provide suggestions for improvement or expansion of the program.

c. New Data to Understand Physical Activity Promoting Environments in Canada
Presented by: Ahalya Mahendra, Greg Butler, Heather Orpana
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Using the Physical Activity Neighbourhood Environmental Scale to look at physical activity promoting environments within the Canadian context will be the focus of this presentation.
Abstract:
The benefits of physical activity on health are well established and have prompted national and regional social marketing campaigns to promote physical activity. A complementary strategy is to create built environments that encourage and promote physical activity, especially active transportation. Evidence suggests that people who live in communities characterized by mixed land use are more active. However, research in this area is limited and there are few sources of data on environmental characteristics that promote physical activity, particularly in the Canadian context. In order to fill this gap, the Public Health Agency of Canada partnered with Statistics Canada in the development of a Rapid Response Module. This is two to three minutes of content that is added to the normal collection cycle of the Canadian Community Health Survey (CCHS) and yields data from approximately 10,000 respondents. This enables the calculation of estimates at the provincial level. The Physical Activity Neighbourhood Environment Scale (PANES: Sallis et al. 2010) was adapted for this module. It assesses environmental factors which support walking and bicycling in neighbourhoods. The questionnaire consists of a set of seven core questions, four recommended questions and six optional questions. These data, combined with information on leisure and active transport physical activities also collected on the CCHS, will help public health researchers to evaluate physical activity promoting environments within the Canadian context.
Conference Room B

2:45 p.m. - 3:15 p.m.
Afternoon Refreshment Break
Grand Ballroom Foyer

3:15 p.m. - 4:45 p.m.
Concurrent Sessions VII, TOPHC Breakout Rooms

61. Public Health as a Partner in Promoting Best Practices in Environmental Cleaning
Presented by: Grace Volkening, Brenda Smith, Nora Boyd
Workshop
Do not need any prior knowledge of the subject matter.
Public Health Ontario’s Regional Infection Control Network will offer a 90 minute workshop to assist participants in better understanding how they can use an education toolkit on best practices in environmental cleaning.
Abstract:
Over the last several years, the Provincial Infectious Diseases Advisory Committee (PIDAC) has developed and distributed a number of best practice documents addressing various aspects of infection prevention and control practice across the health care spectrum. In December 2009, PIDAC released a Best Practice for Environmental Cleaning for Prevention and Control of Infections document. This document targets an audience in health care outside of Infection Prevention and Control as it impacts the practice of environmental services. To help translate this document into practical tools for the environmental services manager and front-line staff, Public Health Ontario’s Regional Infection Control Networks collaborated with the Ontario Health Care Housekeepers’ Association, the Canadian Association of Environmental Management, the Ontario Agency for Health Protection and Promotion (now Public Health Ontario) and the Ministry of Health and Long-Term Care to develop an education toolkit on best practices in environmental cleaning. During this interactive session, information about the process used to develop the toolkit and the key content will be discussed. Participants will have an opportunity to apply their learning in a variety of interactive activities including problem-based scenarios.
Windsor Room

62. Developing a Collaborative Community Food Skills and Employability Project through the Toronto Food Strategy: A Workshop on the Power of Partnerships
Presented by: Marian Yusuf, Barbara Emanuel, Andy Psiachos, Sara Farrell, Catherine Mah
Workshop
Do not need any prior knowledge of the subject matter.
This interactive 90 minute workshop will explore the power of partnerships and innovative ways in which public health can work closely with sectors with different but overlapping mandates.
Abstract:
No one agency has the resources, access and trusting relationships to address complex community health needs alone. Participants will have the chance to share experiences in building effective cross-sectoral partnerships. The Community Food Skills and Employability Project is an initiative spearheaded by Toronto Public Health (TPH) in partnership with the City of Toronto Employment & Social Services; Social Development, Finance & Administration; and Economic Development & Culture Division, various community agencies and private sector partners. Led by the Toronto Food Strategy, the project created an innovative model of public health service delivery that combined formal TPH Food Handler Training and Certification with an educational program in food literacy and employment skills. Preliminary evaluation of the pilot has been very positive and collaborating city divisions are currently exploring ways to continue to deliver this program. After an overview of the Toronto Food Strategy, the pilot project will be discussed, followed by a discussion on collaboration between dietitians and public health inspectors. We will facilitate interactive small-group discussions on partnerships and health promotion programming, asking participants to consider: what are the benefits and challenges of establishing and maintaining partnerships to achieve change in the upstream determinants of health? Finally, we will synthesize and reflect on the lessons learned.
Sheraton Hall B

63. A Case for Centralized Interviewing of Limited Numbers of Enteric Illnesses in Ontario
Presented by: Dean Middleton, Rachel Savage, Vanessa Allen, Yvonne Whitfield, Lisa Fortuna
Workshop
Need to have a basic knowledge of the subject matter.
This workshop will provide participants with evidence and examples which highlight the need for the implementation of a centralized interviewing process for various enteric pathogens in Ontario.
Abstract:
Currently, the process used to identify the source of enteric outbreaks in Ontario is constrained by a decentralized system of case interviewing. The presentation will also provide participants with a detailed overview of the proposed process and provide examples of how it will be implemented. The presentations will be followed by a collaborative brainstorming session which is aimed at examining the pros and cons of the proposed system and its effect on process at public health units and at Public Health Ontario in order to implement a process that is effective and manageable for both.
Conference Room C

64. Hoarding: A Community Health and Safety Issue
Presented by: Susan Phypers, Lise Barrette
Workshop
Do not need any prior knowledge of the subject matter.
Hoarding and how it can become a health and safety risk will be discussed at this workshop.
Abstract:
Compulsive hoarding is a chronic, progressive behaviour which can deteriorate causing significant health and safety risks to the individual and local community. Public health officials along with municipal authorities may be called upon by the community to help resolve the situation. This workshop will: 1) define hoarding and discuss Ottawa Public Health's experience responding to hoarding situations; 2) review the latest research and use real case studies to generate discussion on roles and responsibilities of public health in hoarding situations; 3) review medical research and treatment options to open discussion on challenges and possible directions health units could pursue to help reduce the risks in their communities including prevention opportunities; and 4) provide opportunity for participants to discuss their public health unit's experience in smaller groups and generate ideas for responding to hoarding.
Conference Room B

65. Integrating Physical Activity, Food Consumption and Health Outcomes into a Travel Survey: The NEWPATH Case Study
Presented by: Pat Fisher, Lawrence Frank, Kim Raine
Speakers: Leia Minaker, Josh van Loon
Panel Discussion
Need to have a basic knowledge of the subject matter.
This panel discussion will feature an overview of the Neighbourhood Environment in Waterloo Region: Patterns of Transportation and Health (NEWPATH) study.
Abstract:
NEWPATH is a landmark research study that looks at how the built environment impacts transportation choices, physical activity, food purchasing preferences, food consumption and health outcomes. The panel will provide an overview of the three main elements of the research project: 1) measurement of the built environment including the assessment of walkability and the quality of the food environment; 2) assessment of individual and household travel, and physical activity patterns and how they are influenced by both perceptions of their neighbourhood, neighbourhood preferences and objectively measured indicators of the build environment where they live; and 3) exploration of how the quality of nutrition environment impacts food purchasing choices, food consumption patterns and health outcomes at an individual and household level. Participants will learn how combining health outcomes with a transportation survey can lead to important insights into which elements of the built environment have the most significant impacts on physical activity choices and health outcomes. Participants will also be introduced to different methodologies for measuring the quality of the food environment and learn how effective the different approaches are at determining food purchasing choices in a real world context.
Conference Room DE

66. Learning in Community: How to Build a Health Promotion Community of Practice 
Presented by: Erika Steibelt, Cynthia Neilson, Janice Johnston
Workshop
Do not need any prior knowledge of the subject matter.
In this workshop, guiding principles for establishing and supporting a community of practice will be presented and discussed based on the writings of Etienne Wenger and the facilitators’ practical experiences.
Abstract:
Innovations in public health can be inspired through learning from and building on others’ ideas and experiences, and diffused through social networks (Greenhalgh et al., 2004). Organizations and their employees can benefit when practitioners take opportunities to interact with people they don’t work with every day but who have similar interests or areas of work. Communities of Practice (CoPs) are mechanisms for learning, sharing and co-creating knowledge through fostering interdisciplinary and intersectoral relationships (Wenger et al., 2002). Through regular interactions members can advance an area of practice. As members begin to recognize each other as learning partners, shared learning needs can be easily identified and steps taken to address them. CoPs also facilitate the identification and diffusion of innovations. Whether CoPs emerge organically or are established by an organization, all CoPs benefit from support and coordination. Through a combination of lecture, small group examination of case studies and large group discussion, participants will learn about the core elements of CoPs, explore rationales and expected benefits of setting up a CoP, and consider the resources and support required. Different models of CoP interaction, activity, sponsorship and support will also be explored, and time will be allotted for questions and answers with current CoP facilitators. 
Sheraton Hall E

67. Making Sense of Ontario's New Immunization Program
Presented by: Shelley L. Deeks, Natasha S. Crowcroft, Bryna Warshawsky
Panel Discussion
Need to have a basic knowledge of the subject matter.
In this panel discussion, questions regarding Ontario’s new immunization program will be addressed.
Abstract:
In August 2010, three new vaccines were added to Ontario's publicly funded immunization program: adult pertussis vaccine, rotavirus vaccine and a second dose of varicella vaccine, given as a combined measles, mumps, rubella and varicella (MMRV) vaccine. Immunization providers have many questions about the new program, including the rationale for the change. There is also confusion regarding our complex schedule. Vaccine providers are a key source of information for their patients/clients and therefore it is essential that there is a clear understanding about both the benefits and any potential risk associated with new vaccines. In this panel discussion, we will address these issues from a scientific perspective. We will discuss the diseases that the vaccines prevent, as well as review unique issues associated with each of the vaccines, including vaccine effectiveness, duration of protection and vaccine safety. Important areas of further research will also be discussed. A question and answer period will allow audience participation.
Sheraton Hall A

68. Increasing Cancer Screening for Ontario Women
Presented by: Nadia Minian, Dima Amad, Sheila Dunn, Janis McDonald, Tazim Virani, Norah Love, Joanna Ochocka, Shelley Cleverly
Speakers: Nadia Minian, Sheila Dunn, Janice McDonald, Fauzia Hemani, Tazim Virani
Panel Discussion
Do not need any prior knowledge of the subject matter.
This panel discussion will concentrate on the efforts of Echo: Improving Women’s Health in Ontario to increase cancer screening rates for women.
Abstract:
Echo: Improving Women’s Health in Ontario was concerned that despite advances during the past several decades, breast and cervical cancer screening remain below the provincial targets, as many women have never been screened, or are not tested regularly. Low socioeconomic status, poverty, low levels of education, lack of knowledge and barriers to acculturation have been established as reasons for the low screening rates for Ontarian women. In 2009-2010, Echo: Improving Women’s Health in Ontario (Echo), the Centre for Community Based Research (CCBR), the Bay Centre for Birth Control (BCBC), Brampton Multicultural Community Centre (BMC), The Anne Johnston Health Station (AJHS) and Tazim Virani & Associates came together to facilitate spread of innovation toward increasing cancer screening rates among four groups of Ontario women. BMC is working to increase cancer screening among South Asian women. The AJHS provides Pap tests for women with physical disabilities and the BCBC offers colposcopy to disadvantaged women. Through several events, Echo supports increasing access to Pap screening for the Lesbian Gay Bisexual Transgender Transsexual Queer. Tazim Virani & Associates is providing an evaluation of the initiatives. Echo and CCBR are working together in order to spread the innovative work related to these demonstration sites across Ontario.
VIP Room

69. Tobacco - Grouped 15 Minute Presentations
a. Thirty Year Trends in Tobacco and Cannabis Use Among Ontario Youth
Presented by: Michael Chaiton, Lauren Webster
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation presents data on the use and co-use of tobacco and cannabis among students over the past three decades using the Centre for Addiction and Mental Health’s Ontario Student Drug Use and Health Survey.
Abstract:
After alcohol, tobacco and cannabis are the most commonly used drugs by youth in Canada. Numerous studies have found that adolescents who smoke cigarettes are significantly more likely to use cannabis than those who do not smoke. Additionally, cannabis use has been linked with significant increases in the risk of tobacco use onset and nicotine dependence in adolescents and young adults. Currently, most prevention efforts focus on single rather than multi-substance prevention despite the clustering of risk behaviours. The Centre for Addiction and Mental Health’s Ontario Student Drug Use and Health Survey is the longest ongoing school survey in Canada and the second longest in North America. For this study, a co-user was defined as one who reported both tobacco use and cannabis use in the past year. Tobacco only and cannabis only users were defined as reporting past year use of one of these substances with no past year use of the other substance. Trends of co-use were analyzed over the period 1981-2009. The prevalence of tobacco only use, cannabis only use and co-use among students in Ontario has fluctuated considerably over the past three decades. Since 2007, however, cannabis only use has been significantly greater than co-use for the first time in the past three decades. This presentation will explain these trends and argue for the importance of prevention programs that contextualize substance use.

b. W.E. Can Quit: Partnering to Promote Smoking Cessation in the Workplace
Presented by: Gillian Stager, Shawna Scale
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Learn about an innovative workplace smoking cessation model, W.E. Can Quit. This presentation will outline the model, its strengths, limitations and lessons learned.
Abstract:
Workplaces have been identified as ideal settings to encourage smoking cessation, where therapies offered have shown a significant return on investment to employers. Such approaches are suggested not only to reduce costs associated with smoking at work, but have a direct impact on public health. As outlined in the Ontario Public Health Standards, public health units are required to partner with workplaces to address smoking cessation through policy and program development.

The Windsor Essex County Health Unit is piloting an innovative workplace smoking cessation model, Windsor Essex (W.E.) Can Quit. W.E. Can Quit aims to identify which smoking cessation supports work best for different workplace sectors. In partnership with five workplaces, the program offers free nicotine replacement therapy and quit smoking medications along with other cessation supports, to employees and their dependents. W.E. Can Quit is based on evidence-based research and information gathered through needs assessments with employees and workplaces. Highlights will include public health’s role as facilitator in program and policy development, and organizational change. Discussion of opportunities for adaption of this model will also be presented.

c. Application of the Electronic Health Record System in Brief Intervention Counselling for Tobacco Cessation
Presented by: Janet Allen
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This session will share innovative use of the electronic health record to both incorporate tobacco use assessment integration into practice by public health staff and to monitor tobacco use behaviour changes in their clients.
Abstract:
Strategies for introducing this practice into the public health setting, tools for staff documentation of brief contact intervention counselling on the electronic health record and finally the capacity for report building will be reviewed. Examples of implementation monitoring and opportunities for the most effective client interventions using the electronic health record will be visually shared with participants.

d. CAN-ADAPTT: A Smoking Cessation Guideline and Knowledge Exchange Network
Presented by: Katie Hunter, Sophie Soklaridis, Denise Koubanioudakis, Rosa Dragonetti, Peter Selby
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
An overview of the Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment’s (CAN-ADAPTT) guideline will be provided and key success factors and challenges experienced throughout this initiative will be discussed.
Abstract:
Prevalence of tobacco use in Canada is 17 per cent yet only half of Canadian smokers who visit their health care provider report receiving advice about quitting or reducing smoking. Public health professionals play an important role in the prevention, education and development of effective public health programming to address smoking cessation. The CAN-ADAPTT initiative aims to bridge research and practice through the development of a national evidence-based guideline for smoking cessation by providing public health professionals and practitioners with the opportunity to contribute to a practice-based research network. CAN-ADAPTT's guideline is based on a compilation of existing, high quality guidelines, adapted to the Canadian context through feedback from a practice-based research network. Strategies used to engage health care providers, public health practitioners, researchers and policy-makers in this process involved collaboration through workshops, stakeholder meetings, an online discussion board and an interactive wiki platform. The resulting evidence-based, practice-informed guideline includes both clinical and population level approaches to smoking cessation.
Conference Room F

70. Innovative Services – Grouped 15 Minute Presentations
a. Development of a Rural Health Framework and Application for Program Service Planning and Delivery
Presented by: Deanna White
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
Health program planning and delivery in a rural setting is the focus of this presentation.
Abstract:
Rural populations are understood to have different levels of health status compared to their urban counterparts. The variations in economics, environmental characteristics, demography and culture in rural areas tend to negatively affect health status, compared to their urban counterparts. Moreover, chronic disease prevention programs that are developed by urban planners are often more applicable to urban rather than rural settings. Defining best practices in rural health for service planning and delivery is a major challenge for researchers and community planners alike. Program planning and delivery in a rural health setting requires an understanding of the social determinants of health. To identify best practices, an environmental scan was conducted to explore effective rural health programs and policies in relation to the social determinants of health. A novel framework was developed based on six key elements for rural health program planning and delivery and the linkages among the social determinants of health. Unlike other health promotion models, this model emphasizes a need to understand rural communities. Key aspects of the model include rural health asset mapping, challenge identification, and good practices in minimizing rural health challenges and maximizing assets. The adoption of this model warrants promising rural health programs.

b. Cross Border Collaborations
Presented by: Justine Hartley
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will explore interdisciplinary and intersectoral relationships in public health, review the key activities and achievements of the cross border health initiatives, such as the Great Lakes Border Health Initiative, and conclude with illustrations of the impact of these initiatives on the local and provincial management of cross-border events.
Abstract:
Newly emerging diseases, including SARS and H1N1 2009 pandemic, have underscored the need to ensure that geopolitical and jurisdictional boundaries do not impede infectious disease control and surveillance. Diseases do not respect borders, making effective global collaboration critical in an age of escalating world travel and trade. Differences in health care systems, government structures, cultural nuances and public health priorities all impact the coordination of streamlined international crisis response. While many informal communication pathways exist at the local level, official mechanisms are needed for effective state-to-province partnership in both routine and emergency situations. Collaboration prior to an outbreak or event ensures that neighbouring jurisdictions will be able to respond to an infectious disease outbreak in the most efficient and effective manner. Over the last few years, there has been considerable growth in cross-jurisdiction and cross-border collaborations in both pre-event collaboration and post-event mutual assistance.

c. Using Volunteers in Public Health: A Novel Way to Increase Capacity and Community Reach
Presented by: Janice Gardner-Spiece
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
In this session, you will learn first-hand about the innovative ways volunteers are being utilized to support the work of Niagara Region Public health staff and take away some ideas about how volunteers can support the work you do!
Abstract:
Much of the work we do revolves around empowering people to make healthy lifestyle choices. Health promotion strategies often focus on education, counselling and support tools. But with tight budgets, inflated portfolios and greater need in our communities, how can we expand our outreach to benefit MORE of the people we serve? In a word, VOLUNTEERS! As peer educators, volunteers help to build capacity and motivate positive change.

d. Global Policy Drivers for Public Health Management in Ontario: A Strategic Discussion*
Presented by: Anjala Puvananathan, Dawn McDonald, Lynda Bottoms
15 Minute Presentation
Do not need any prior knowledge of the subject matter.
This presentation will provide participants with information on some key policy drivers that a variety of sectors and stakeholders can use when making medium to long-term public health priority decisions.
Abstract:
Decision-makers are constantly challenged with both the need to: 1) position public health priorities within the context of broader priorities, be it within government or elsewhere; and 2) develop systems that would better enable senior management to discern emerging priority issues. An Ontario-wide discussion of current and emerging global policy drivers will enable public health decision-makers to: 1) link public health priorities to other priorities; 2) better position public health priorities within a framework understood by a broader stakeholder base; and 3) better analyze both current and emerging public health priorities. Ensuring an inclusive understanding of the policy environment will facilitate a more robust policy dialogue and enable a more aligned and integrated priority setting process, even when discussions are not held in multi-stakeholder forums.
*DISCLAIMER INFORMATION – The opinions expressed in this presentation are solely the views of the author(s) and do not reflect the views of the Public Health Agency of Canada.
Sheraton Hall C