Community Report - Wellington-Dufferin
Transcription
Community Report - Wellington-Dufferin
Community Report 1-800-265-7293 [email protected] www.wdgpublichealth.ca This Community Report is an account of some of the activities and the funding of Wellington-Dufferin-Guelph Public Health in 2013. For more information, including Board of Health reports and a full financial statement visit www.wdgpublichealth.ca. Message from the Medical Officer of Health and CEO Message from the Chair of the Board of Health The construction of any new building starts with a strong foundation. In 2013, Wellington-Dufferin-Guelph Public Health watched while new facilities were being built for us in Guelph and Orangeville. The buildings are more than just physical structures as they will house public health staff who deliver our healthcare programs. These Public Health facilities are going to be the foundation of healthier communities for a very long time to come. On many days that I go to work, I wear a hard hat and work boots on the job site. Last year, in my capacity as the Chair of the Board of Health, there were a few occasions when I wore my hard hat and work boots on the construction sites for the new Public Health facilities. Building a foundation to stay well Public Health is here to help you build a better foundation for your own health and the health of your family. That’s in Guelph, Orangeville, Fergus, Mount Forest, and Shelburne and throughout Wellington and Dufferin counties. You can call us, drop in, book an appointment at a clinic, register for a program, or attend a class. You can see a list of some of the programs and services available to you on pages 14-15. Or, you can learn more about our services by visiting www.wdgpublichealth.ca, or by calling 1-800-265-7293. We have programs and services for medical professionals, businesses, teachers, adults, teens, parents or parents-to-be. Public Health’s role differs from other healthcare approaches because we focus on helping you stay well; providing information, supporting healthy lifestyles and parenting choices, giving immunizations, treatment when needed, and preventing the spread of disease by inspection and occasionally enforcement. The professional staff who work at Public Health are dedicated to helping every member of our community achieve their highest level of health. Also, last year, I took a very personal step further into the world of Public Health as an expectant parent and new mom. There are many programs at Wellington-DufferinGuelph Public Health for pregnant moms including prenatal classes, breastfeeding clinics, immunization, parenting classes, and a KIDS LINE phone number if you have questions about any topic for babies and children. I’ve been involved with the Board of Health for 10 years and am aware of the wide range of programs and services available to the community. If you’re unaware of the work of Public Health, it does impact all our lives in many ways. As you read this year’s Community Report I am confident that you will learn of many more ways that Public Health provides services in Wellington and Dufferin counties, and the City of Guelph. I would also like to thank all members of the Board of Health for their dedication and service in 2013. Amanda Rayburn Fines I look forward to you visiting one of our facilities, website, classes, or meeting with one of our professional staff at a clinic, school, workplace, or a local community setting. Let Public Health assist you and your family in building a strong foundation of good health. Dr. Nicola Mercer www.wdgpublichealth.ca Community Report | 1 Board of Health Members Margaret Abbink Dianne Lindsey Doug Auld (Vice Chair) Dr. Nicola Mercer (Ex-Officio Member) Provincial Appointee, City of Guelph Provincial Appointee, County of Wellington George Bridge Councillor, County of Wellington Karen Farbridge Mayor, City of Guelph John Green Councillor, County of Wellington Bill Hill Councillor, County of Dufferin June Hofland Councillor, City of Guelph Maggie Laidlaw Councillor, City of Guelph 2 | Community Report Provincial Appointee, County of Wellington Medical Officer of Health & CEO, WDG Public Health Keith Perron (Secretary-Treasurer) Provincial Appointee, City of Guelph Amanda Rayburn Fines (Chair) Provincial Appointee, County of Dufferin Nancy Sullivan Provincial Appointee, City of Guelph Rose Silvestro Provincial Appointee, County of Wellington Allen Taylor Councillor, County of Dufferin Chris White Warden, County of Wellington www.wdgpublichealth.ca Achieving the Baby-Friendly Initiative Designation A recent news report about an employee of a popular women’s lingerie store not allowing a mother to breastfeed her hungry and fussy baby in an empty change room troubled many advocates of breastfeeding. Not surprising, they objected to the denial of a mother’s right to feed her baby, including the fact that a women’s undergarment store displayed a blatant lack of recognition for an important function of women’s breasts. Situations like the ones described above are contrary to the Baby-Friendly Initiative (BFI) launched in 1991 by the World Health Organization and UNICEF to implement practices that protect, promote, and support breastfeeding. WDG Public Health has been working towards this Baby-Friendly Initiative designation for several years, and in 2013 we’re proud of successfully achieving the BFI status. The World Health Organization and Health Canada recommend babies breastfeed exclusively for the first six months of life, and continue for two years and beyond. Exclusive breastfeeding means the baby receives mother’s milk only. Breastfeeding has many benefits for baby and protects against infections, sudden infant death syndrome (SIDS), and chronic health conditions like diabetes, allergies, asthma, and obesity. For mothers, breastfeeding has been shown to provide some protection against breast and ovarian cancers, and osteoporosis. • We support mothers to establish and maintain exclusive breastfeeding for six months. • We encourage sustained breastfeeding beyond six months with appropriate introduction of complementary foods. • • We provide a welcoming atmosphere for breastfeeding families. We promote collaboration among healthcare providers, breastfeeding support groups, and the local community. Public Health makes sure women receive accurate information to make an informed decision about how they will feed their babies. Regardless of the method chosen, all mothers are supported in the care of their infants. Locally, a survey showed 50 percent of new moms were still breastfeeding exclusively at four months, which is double the number from 2007. Public Health does ongoing work to maintain our BFI designation including participation in local breastfeeding networks, supporting local hospitals, developing breastfeeding resources, and ongoing surveillance of local breastfeeding rates. To find out what support is available, including drop-in breastfeeding clinics, call 1-800-265-7293 or visit www.wdgpublichealth.ca. The Baby-Friendly Initiative designation means that we met the following criteria: • • • We have a written breastfeeding policy that is routinely communicated to all staff and volunteers. We train all healthcare providers in the knowledge and skills necessary to implement the breastfeeding policy. We inform pregnant women and their families about the benefits and management of breastfeeding. www.wdgpublichealth.ca Community Report | 3 Awareness of Radon and the Risk of Lung Cancer The last time you probably heard of radon was when you were sitting in high school chemistry class studying the periodic table of elements. It’s a radioactive gas that is formed from the decay of uranium found in the earth’s crust. It is colourless, odourless, and tasteless so you don’t notice it. However, since it is a gas it is easily inhaled and the radioactive particles that enter your body can cause lung cancer. Public Health is encouraging every homeowner to test the radon level in their home to reduce the risk of exposure to this deadly human carcinogen. There is more information at www.wdgpublichealth.ca about radon testing and remedial measures that should be taken if the radon levels in your home exceed Health Canada’s guidelines (200 Bq/m3). Public Health also participates in an Ontario Radon Working Group to develop, implement, and support best-practice and evidence-based radon promotion and prevention strategies in Ontario. In fact, it is estimated that 16 percent of all lung cancer deaths in Canada can be attributed to radon exposure. A survey completed by Health Canada demonstrated that about seven percent of Canadians are living in homes with elevated radon levels. In Wellington, Dufferin, and Guelph that number is higher: approximately 11 percent of homes tested above acceptable levels. Radon is the leading cause of lung cancer among non-smokers. Those who smoke and are exposed to radon are at a significantly increased risk of developing lung cancer. Radon is not a concern outdoors where the concentration in the atmosphere is low. It’s an issue indoors where the gas enters through cracks in your home’s foundation and other openings in the basement including spaces around pipes and floor drains. The concentration of radon tends to be higher in the lower levels of your home. Radon levels also fluctuate seasonally and are typically higher in the winter when windows are closed and there is less ventilation throughout the home. The only way to know if your home has an elevated level of radon is to test for it. There are two ways to test your home for radon: hire a professional or use a do-it-yourself kit purchased from a local hardware store. In both cases, these tests are sent to a lab for results. If the level of radon in your home exceeds the guidelines, you should hire a professional to fix the problem. 4 | Community Report www.wdgpublichealth.ca Preventing Illness from Contaminated Water Water is two parts hydrogen and one part oxygen, and it’s critical to your survival. Without it you would die in days. Your body is mostly made up of water and to avoid dehydration you should drink about two litres of it every day. Many of us get our drinking water from municipal drinking water systems that are maintained by the municipality we live in. Alternatively, there are 211 businesses in Wellington and Dufferin counties with small drinking water systems that make drinking water available to the public. All of these 211 small drinking water systems are inspected by Public Health. Water can become contaminated by bacteria, viruses, or parasites that you cannot see, taste, or smell. Water that is contaminated is unsafe for drinking and can have devastating short-term and long-term health effects. If you drink water that is contaminated with E. coli bacteria from human or animal fecal matter for example, you may develop diarrhea, vomiting, cramps, and a fever. For both small drinking water systems and large municipal systems, Public Health responds to all laboratory reports that indicate a drinking water system may need further investigation to ensure the water is safe to drink. Almost half the population of Wellington and Dufferin counties get their drinking water from private wells. People who rely on private well water are responsible for maintaining the quality of their own water. Public Health recommends testing well water for bacteria three times a year, including in the spring. Water samples from private wells can be dropped off at Public Health to be sent for testing at a provincial laboratory. For more information about safe water and well water testing, visit www.wdgpublichealth.ca or call 1-800265-7293 (extension 4753) to speak with a public health inspector. Some people who are infected with water-borne illnesses will not have any symptoms and will recover without any treatment. However, the very young, the elderly, and those with weakened immune systems are most at risk of getting sick from contaminated water. Public Health has successfully implemented a new Ontario Ministry of Health and Long-Term Care program for owners and operators of small drinking water systems in our jurisdiction. We play an important role in preventing or reducing the burden of water-borne illnesses related to these small drinking water systems. We make sure that owners are testing water regularly, and treating or maintaining their systems based on a risk assessment by a public health inspector. www.wdgpublichealth.ca Community Report | 5 Reducing the Risk of Harm from Piercings and Tattoos So, you’ve decided to get “persevere” tattooed on your forearm because it’s been an inspirational word for you through hard times. Public Health wants you to know that you shouldn’t make the decision to get a cheap tattoo from someone who’s set up shop in their basement, or from an uninspected tattoo shop. You could end up with more than a spelling mistake. In addition to sporting the word “preserve” for the rest of your life, you could put yourself at risk of serious health complications if the work isn’t done safely with sterile equipment. to ask tattoo artists relevant and important questions before the procedure, and instructed on how to care for their tattoo afterwards. Public Health does not encourage tattooing and piercing; rather, we strive to provide information on how to do this safely, if the decision to do so has already been made. Teens were also encouraged to discuss the procedure with their parents. For more information about tattoos and body piercings, visit www.wdgpublichealth.ca or call 1-800-265-7293 to speak to a public health inspector. There are several television programs and more than a few websites devoted to bad tattoos. From a Public Health perspective, a bad tattoo is one that increases your risk of hepatitis B and C, HIV, and other serious complications. It’s our job to inspect personal service settings like tattoo shops, manage infection control complaints from members of the public, and increase awareness of infection prevention and control practices in the community. It’s often a high school student who makes the choice to get a tattoo from an uninspected location. In Ontario, there is no education or licence required for someone to set up shop as a tattoo artist. Someone who’s offering cheap tattoos out of a sketchy location is not likely following safe practices and is probably not being inspected by Public Health on an annual basis. It’s important to choose a well-trained professional who does safe, quality work. We would recommend asking to see the tattoo shop’s most recent inspection report from Public Health as the first step in the process. Public Health is working to educate the public, specifically local youth, about tattoo and piercing harm reduction. In partnership with local tattoo artists, public health inspectors provide important information about infection control and safe practices to our target audiences in schools and group homes. In 2013, approximately 1,500 teens were empowered 6 | Community Report www.wdgpublichealth.ca Immunization to Reduce the Burden of Shingles If you had chickenpox as a child, the red rash and itch went away, but the virus did not. The varicella zoster virus remains inactive in nerve cells in your body. It can become active again, and if it does, it will reoccur as shingles when you are an older adult. There is a vaccine called Zostavax that can significantly reduce your chance of getting shingles. Public Health works to reduce the burden of vaccine-preventable diseases including shingles by immunizing older adults, just as children are immunized against chickenpox. inflammation, and bacterial skin infections. Advanced age is associated with increasing severity and the persistence of symptoms. Public Health offers the Zostavax vaccine to adults who are 50 or older to reduce the risk of shingles, and the healthcare costs associated with this vaccine-preventable disease. If you want to get the Zostavax vaccine, call 1-800-265-7293 to book an appointment. The vaccine is not publicly funded and costs $195. Chickenpox is highly contagious and is especially serious for young babies and adults. It can cause skin infections, pneumonia, and brain damage. That’s why children receive one dose of the publicly funded varicella (chickenpox) vaccine at 15 months of age from their healthcare provider. A second dose is given in a measles, mumps, rubella, and varicella vaccine combination (MMRV) at 4 to 6 years of age. If you are an adult, the vaccine wasn’t available during your childhood and you may have had chickenpox. If you did, you are at risk for shingles which is most common in adults aged 50 and older. The varicella zoster virus can be reactivated when the immune system is suppressed by physical or emotional trauma, or serious illness. The symptoms typically start with a headache, tiredness, and pain in the skin that can range from mild itching to extreme discomfort. In Canada, there are about 130,000 new cases of shingles each year resulting in 2,000 hospitalizations due to complications. Although shingles usually occurs only once, it can reoccur in some people. Fortunately, the Zostavax vaccine prevents up to 70 percent of shingles cases. If you get shingles after being immunized, you are less likely to have the long-term pain that can be associated with the illness. About 12 percent of those who get shingles develop severe complications including intense nerve pain, eye and ear www.wdgpublichealth.ca Community Report | 7 Reducing Exposure to Infectious Diseases Police officers, firefighters, and paramedics put their lives on the line every day to make sure others are safe. They are called upon to respond to car crashes, violence, natural disasters, and other situations that are urgent and uncontrolled. In the course of their duties, emergency service workers may be exposed to blood, body fluids, and infectious diseases. If there is a possibility that a worker has been exposed to an infectious disease in the course of their work, the Ontario Ministry of Health and Long-Term Care requires communication to occur between the emergency service organization and Public Health. Mandatory Blood Testing Act, and the Exposure of Emergency Service Workers to Infectious Diseases Protocol. Everyone, including emergency service workers, can prevent the health risks associated with many infectious diseases by protecting themselves. Keeping immunizations up-to-date and hand hygiene are important best practices. Vaccines can prevent diseases like hepatitis A and B, measles, mumps, rubella, influenza, tetanus, varicella, and diphtheria. Anyone can call 1-800-265-7293 to make an appointment to get one of these free vaccines from Public Health. Public Health ensures emergency service workers get advice regarding appropriate actions to take following a possible exposure to blood, body fluids, or an infectious disease. Any emergency service worker who is exposed to blood or body fluids requires immediate medical attention. There is potentially a serious risk for transmission of HIV, hepatitis B and C, and other bloodborne pathogens like West Nile virus, syphilis, tuberculosis, and influenza. Public Health is also responsible for training the individual who assumes the role of designated officer in each emergency service organization. A designated officer receives the report that an employee has been exposed to blood, body fluids, or an infectious disease. The designated officer is trained to provide counselling, guidance, and support. Public Health makes sure designated officers know important information about infectious diseases, disease transmission, how to assess a situation, and what measures to take to minimize the spread of disease. Public Health has an important responsibility to manage cases of reportable infectious diseases in the community. The Medical Officer of Health is available to respond to all reported cases of infectious diseases of public health importance. The Medical Officer of Health assumes this responsibility in accordance with the Health Protection and Promotion Act, the 8 | Community Report www.wdgpublichealth.ca Parenting Support at KIDS LINE: 1-800-265-7293 ext. 3616 Parenting just might be the most rewarding job on the planet. For many, the satisfaction of family surpasses the gratification of paid employment. But parenting can also be the most difficult job we undertake. And at some point we all need a little help. When you need to talk to someone, Public Health can help. We operate KIDS LINE, a parenting support phone line for families in Wellington, Dufferin, and Guelph. Public Health plays an important role in the early identification of developmental concerns in children, as we are mandated to do in the Ontario Public Health Standards. Our goal is to enable all children to reach their health and developmental potential. KIDS LINE expanded in March 2013 to include calls regarding children up to 13 years of age. Previously, the service was available for anyone calling about children up to the age of 6. Annually, we answer over 4,000 phone calls from parents on a broad range of topics. We answer questions about pregnancy, breastfeeding, children’s physical and mental health, growth, sleeping, eating, and parenting. KIDS LINE is also the intake point for a system of care in Wellington County called Growing Great Kids. In Dufferin County, Public Health works with the Dufferin Coalition for Kids. In both counties, Public Health plays a key role in helping parents and professionals access services for children. When someone calls KIDS LINE for help, we are able to refer them to appropriate service providers in the community. For more information about KIDS LINE visit www.wdgpublichealth.ca or call 1-800-265-7293 extension 3616. www.wdgpublichealth.ca Community Report | 9 Healthy Kids Strategy The number of overweight and obese Canadians is reaching epidemic proportions with about 60 percent of adults tipping the scales at an unhealthy weight. The nation’s children are following in their parents’ footsteps. The rate of overweight or obese children in Wellington, Dufferin, and Guelph is 33 percent which is five percent higher than the provincial average. Children who are obese are at a higher risk of a range of health problems. As part of a healthy kids strategy, Public Health is working to reduce the burden of the preventable chronic diseases associated with obesity. to create supportive environments and policies for healthy eating and active living. We also train volunteer community food advisors who work with the public to enhance food knowledge and skills. For more information about programs and services to assist with healthy eating and active living, visit www.wdgpublichealth.ca. The World Health Organization has referred to the increasing prevalence of overweight people worldwide as “globesity.” The impact to individual and population health cannot be ignored. The health consequences of being at an unhealthy weight include coronary heart disease, high blood pressure, stroke, type 2 diabetes, certain cancers, liver and gallbladder disease, respiratory problems, sleep apnea, mental health conditions, and reproductive health complications. The Ontario Ministry of Health and Long-Term Care is aggressively trying to reduce the child obesity rate by 20 percent in five years by starting all kids on the path to health, changing the food environment, and creating healthy communities. Public Health is working in each of these areas to enable all children to attain their highest potential. As a foundation for healthy children, Public Health offers prenatal education for women and their partners, provides support to pregnant teens, offers parenting programs, and promotes breastfeeding. We support and provide resources at the 18-month well-baby visit with primary healthcare providers. For the toddler and preschooler age group, Public Health has implemented a nutrition screening tool called NutriSTEP to assess their eating habits. Our public health nutritionists assess licensed childcare centre menus for nutritional content and work with schools 10 | Community Report www.wdgpublichealth.ca A Report Card on School Health In June, when students traditionally bring home their report cards, Wellington and Dufferin counties, and the city of Guelph received a report card on the health and well-being of youth in the community. Public Health participates in The Report Card Coalition which released The Well-Being of Youth Ages 14 to 18: A Report Card for Wellington-Dufferin-Guelph in June 2013 to assist in the development of local priorities to meet the needs of this age group. The Report Card shares the findings of data from many sources including a survey of local students in grade 10 who were asked questions about their physical activity, eating habits, school involvement, sense of safety and security, mental health, substance abuse, and relationships with family and friends. The top five health issues identified by youth themselves are depression, healthy weight and body image, healthy relationships, alcohol use, and physical activity. Among many key findings, 12 percent of local grade 10 students are at risk for depression, 43 percent are regularly physically active, and 35 percent are bullied at school. The Report Card identifies that some youth face greater challenges and are more vulnerable to particular health issues. Although the local number of youth living in low-income families is less than the provincial average, many families are still struggling to meet their basic needs. Public Health and community partners are using the key findings to improve the overall health and well-being of youth in our area. The Report Card is available online at www.wdgreportcard.com. www.wdgpublichealth.ca Community Report | 11 Food Safety From Kitchen to Fork Foodborne illness is frequently a topic in the news. Salmonella outbreak linked to chicken. Case of hepatitis A identified in food handler. Ground beef used in hamburger chain contaminated with E. coli. The general public expects food establishments to comply with food safety standards. Foodborne illness can be life-threatening. The Public Health Agency of Canada estimates that one in eight Canadians gets sick from a foodborne illness every year. It’s no wonder that food safety is one of Public Health’s priorities. Public Health inspects restaurants and all premises where food is packaged, prepared, or sold to the public. Since January 2013, the public has been able to access these inspection results at www.checkbeforeyouchoose.ca. The online inspection results provide the consumer with an important source of information to make an informed decision about where to eat. The posting of inspection results also provides restaurant owners with the incentive to comply with food safety standards. Evidence shows that posting results leads to increased compliance which reduces the risk and incidence of foodborne illness. Public Health’s goal is to minimize the risks in the food preparation process so what you put on your fork doesn’t make you sick. Fortunately most people recover from foodborne illness but some have serious side effects that have lifelong consequences. All food premises must comply with Ontario Food Premises Regulation 562 under the Health Protection and Promotion Act. So, if you’re eating in a restaurant, have a preschooler in a daycare, or a family member in a long-term care facility, you can be reassured that Public Health inspects all of these locations and others for compliance with food safety standards. 12 | Community Report www.wdgpublichealth.ca Preventing Falls Across the Lifespan What do children under 5 years old and seniors over 65 have in common? The youngest and oldest are most at risk of injury from falling. Typically, children fall from beds, chairs, and other furniture. Older adults are most likely to fall because of hazards in their own homes. The injuries from falling are largely preventable, which is why Public Health is working to increase public awareness of the risks and how to prevent them. In our region, falls are the leading cause of emergency room visits and hospitalizations for children in the under 5 age group. Public Health is working in partnership with a leading researcher from the University of Guelph, Dr. Barbara Morrongiello, and three other public health departments to evaluate local data. We work with stakeholders to increase awareness of the risks and reduce injury. The target audience for this initiative are the parents and caregivers of children. To address falls at the other end of the age spectrum, Public Health is participating on several senior falls prevention committees that aim to decrease the number of falls and the impact of falls in adults over 65. The Public Health Association of Canada reports that one in every three seniors fall every year, and 40 percent of these falls result in hip fractures. Falls have a significant impact on the healthcare system and the individual who falls can experience major physical, social, and emotional life changes. Even the fear of falling can significantly reduce a person’s quality of life. www.wdgpublichealth.ca Community Report | 13 How Public Health can help you and your family stay well Public Health has been in Canadian communities for over 100 years. By protecting the health of individuals, families, and communities and by promoting healthy behaviours, Public Health helps you stay well. This is a sample of the programs and services provided by Public Health. To find out more, visit our website at www.wdgpublichealth.ca or call 1-800-265-7293. Family Health Public Health offers many programs that help with pregnancy and parenting. You can find out which ones will help you and your family by calling KIDS LINE at 1-800-265-7293 ext. 3616. Some of our parenting and family health programs are listed below. Breastfeeding Dental Health Healthy Babies, Healthy Children Prenatal Health We offer a prenatal breastfeeding class for you and your partner to help you feel confident and breastfeed successfully. After your baby is born a public health nurse will call and answer your questions. If you have concerns a public health nurse can visit you, or you can attend a breastfeeding clinic. Healthy Babies, Healthy Children is a home-visiting program for families experiencing difficult or stressful situations. The program supports pregnant women and families with children up to age 6. The goal is to ensure that all children have the healthiest possible start in life by helping families find and access community services and by strengthening parent/child relationships through positive parenting skills. Find out more by calling KIDS LINE (1-800-265-7293 ext. 3616). Let’s Grow e-Newsletter Qualifying families can get their children, 17 years of age and under, oral health screening, preventative, and treatment services for free. Public Health also works in schools providing fluoride clinics and screening children for dental needs. You can attend a class or participate through online prenatal classes. Preschool Speech and Language Public Health partners with several agencies in a system called “Wee Talk” which provides speech and language services for preschoolers. You can contact KIDS LINE at 1-800-265-7293 ext. 3616 to get a referral to a community service or to obtain information on how babies and young children learn to talk. You can receive a free email newsletter about pregnancy and parenting. Each issue corresponds to a different stage of your child’s development, from before birth to age 5½. Go to www.wdgpublichealth.ca to subscribe. 14 | Community Report www.wdgpublichealth.ca Disease Prevention and Health Protection Public Health works to prevent the onset of health problems by protecting the health of individuals in the community. Food Safety Safe Recreational Water Immunization Travel Vaccinations Public Health inspects restaurants, grocery stores, and food carts to make sure they follow food safety standards. Before you decide where to eat check our inspection results at www.checkbeforeyouchoose.ca. If you work in the food industry Public Health offers a food safety training and certification course. Find out more at: www.wdgpublichealth.ca. Immunization is an easy and effective way to protect you and your family from serious disease. Public Health can tell you what vaccines you or your children need, and you can get immunized at one of our clinics. Many vaccines are free of charge, while others are available at a low cost. Germs in recreational water such as pools, spas, lakes, and splash pads can make you sick with symptoms like diarrhea, nausea, and vomiting. Public Health monitors the quality of recreational water to make sure it’s safe to enjoy. We test local beaches from June to August. You can get test results at www.wdgpublichealth.ca or by following our Twitter account @WDGBeachTesting. Book an appointment with a public health nurse and get good health advice about your intended destination. You will learn about the country’s local health risks and the vaccines you need before you travel. Preventing Chronic Disease Developing programs to reduce the burden of preventable chronic diseases in the community is an important part of the work of Public Health. We work to promote good nutrition and physical activity in local schools and to build healthier communities. Preventing Infectious Disease Public health inspectors and nurses are working in the community to keep the public safe from vaccine-preventable diseases, sexually transmitted and bloodborne infections, tuberculosis, rabies, and other infectious diseases. We monitor outbreaks of infectious diseases like influenza and tuberculosis to protect the public. Sexual Health, Birth Control, and Sexually TransmittedInfections Public Health provides confidential services to both teens and adults about birth control, pregnancy, sexually transmitted infections, and maintaining your sexual health. Our clinics are a safe place to talk about your sexual health. Call 1-800-263-7295 to set up an appointment, or to talk to a nurse if you don’t want to come in. www.wdgpublichealth.ca Community Report | 15 Funding Public Health The total operating budget for Public Health was $25,533,135. The Government of Ontario provided funding for 69% of the total operating budget. The County of Wellington contributed 10%. The County of Dufferin contributed 6%. The City of Guelph contributed 13%. The Federal Government through the Public Health Agency of Canada contributed 0.25%. Full, audited financial statements can be found at www.wdgpublichealth.ca. Province of Ontario $17,651,306 69% Interest $113,445 1% County of Dufferin $1,602,804 6% County of Wellington $2,664,379 10% City of Guelph $3,437,791 14% Government of Canada $63,410 0% 16 | Community Report www.wdgpublichealth.ca Fergus Office 474 Wellington Road #18, Suite 100 Guelph Offices 160 Chancellors Way 20 Shelldale Crescent Mount Forest Office 311 Foster Street Orangeville Office 180 Broadway Shelburne Office 167 Centre Street, (Mel Lloyd Centre) 1-800-265-7293 [email protected] www.wdgpublichealth.ca