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2020 Annual Report

HomeAbout UsAnnual reports2020 Annual Report
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KFLA Public Health Main Office building

Our agency

KFL&A Public Health is a local public health agency with over 230 staff and 175 volunteers who deliver public health programs and services to the people of the KFL&A area. The underlying goal of our services and programs—from immunization, physical activity, nutritious eating, food safety, raising healthy babies and children, sexual health, tobacco use reduction, and many other public health areas—is to promote and protect the health of the more than 204,000 residents of the Kingston, Frontenac and Lennox & Addington region.

two hands creating a heart shape

Vision

Healthy people, healthy places

person wearing a cloth face mask

Mission

KFL&A Public Health promotes and protects the public's health and strives to reduce health disparities through a skilled and dedicated work force that collaborates with our partners and communities and engages our residents to be as healthy as they can be.

adult hands and child hands hold a plant over soil

Mandate

We are directed by Ontario's Health Protection and Promotion Act, and the Ontario Public Health Standards: Requirements for Programs, Services, and Accountability. We develop and implement evidence-informed policies, programs, and services to address the public health needs of the residents in the KFL&A region.

Board of Health members

  • Denis Doyle (chair) – County of Frontenac
  • Wess Garrod (vice-chair) – Community Appointee
  • Councillor Mary Rita Holland – City of Kingston
  • Councillor Jim Neill – City of Kingston
  • Councillor John Wise – County of Lennox & Addington
  • Councillor Jeff McLaren – City of Kingston
  • Conny Glenn – community appointee
  • David Pattenden – community appointee

Message from KFL&A Board of Health Chair, Denis Doyle

portrait of KFL&A Board of Health Chair, Denis Doyle

Each year, local public health agencies face new and ongoing challenges; however, when we welcomed in 2020 no one could have anticipated the challenges that the COVID-19 pandemic would bring to our communities.

The KFL&A Board of Health started the year with a clear plan to consult with the government of Ontario regarding the modernization of the health care system, specifically to address the impact changes may have on the delivery of front-line public health services. But by mid-March when the first cases of COVID-19 presented in the KFL&A region, all public health resources were redirected to the pandemic response and the modernization of public health discussions were paused.

It has been an emotionally exhausting year that has changed the way we live, work, and connect with each other. Throughout it all KFL&A residents and community businesses and organizations have demonstrated incredible resilience in the face of this virus and worked together through provincewide lockdowns, stay at home orders, and community status changes to make KFL&A a stronger community.

While most of us were being told to stay home, the staff and volunteers at KFL&A Public Health were front and centre, taking care of those affected by the COVID-19 virus. We have seen firsthand the decisive actions that the agency has taken, beginning with the early implementation of the incident management system to address the initial response and to later embedding a more comprehensive approach into the agency’s ongoing operations. As well we applaud those who quickly adapted to effectively deliver essential programs during these ever-changing circumstances. We are very proud of our staff and volunteers for the efforts that they have made to keep our community safe and healthy. 

Over the past year, the KFL&A Board of Health advocated to the provincial and municipal governments in several areas to support public health measures and to protect the health of our residents, including requests to: 

  • Support community water fluoridation as an effective and safe measure to prevent tooth decay and reduce inequities in oral health in Kingston.
  • Endorse the basic income support and legislate mortgage relief, including deferral with no penalties or compounding of interest for all Canadians.
  • Consider community gardens an essential service that provides food to individuals and non-profit organizations serving vulnerable populations during the pandemic.
  • Purchase additional influenza vaccines and antivirals and to administer vaccines earlier than usual to high-risk groups to ensure high immunization availability and accessibility.
  • Support funding to cover virtual programs and services to support adults with developmental disabilities and their caregivers.
  • Support no-fault compensation for adverse effects following immunization.
  • Support the continued closure of the Canada-United States border until COVID-19 activity is better controlled.

As we say farewell to 2020, it is my hope that we continue to work together and stay strong. We have lots to look forward to as the arrival of vaccines in the new year will give us the opportunity to get back to the things we miss and love. 

Message from Dr. Kieran Moore, KFL&A Public Health medical officer of health

portrait of KFL&A Public Health Medical Officer of Health, Dr. Kieran Moore

The past year has been one of the most challenging years in my career. As most public health professionals will tell you, they prefer to work behind the scenes to keep everyone healthy and safe. The events of 2020 put public health in the spotlight with the COVID-19 global pandemic dominating the headlines.

It has been a long and difficult year for everyone. I would like to take a moment to reflect and to thank our community, including government, the health care system, businesses and community agencies, and residents, for how quickly everyone adapted and pulled together to find creative and effective solutions to respond to the COVID-19 pandemic.

Acting decisively as a community, all 11 municipalities in KFL&A formally declared a local state of emergency on March 26, 2020. This decision aligned with the steps the government of Ontario had taken and demonstrated how united our area municipalities were in providing access to the necessary resources to keep our economy open and community healthy.

As a result of the early actions taken by the health care system, virus transmission in the KFL&A region was minimized and patients were able to continue to access essential health care during these difficult times. I want to acknowledge and thank all frontline health care workers for participating in training for prompt identification and management of cases, implementing comprehensive infection prevention and control (IPAC) strategies in their agencies, and providing screening, assessment, and testing at the local assessment centres. Working collaboratively across the continuum of care, the health care system and providers quickly responded to meet the health needs of our community.

An outpouring of support, coordination, and goodwill transpired across KFL&A as businesses and community agencies offered vital supplies like personal protective equipment (e.g., gowns, masks, and gloves) for critical health care services. These acts of kindness and generosity by the businesses and community agencies were so appreciated by those who worked on the frontline.

As the province opened the economy, our business community was truly tested. We saw many businesses pivot to offer their goods and services in new and unique ways. They adapted their practices, made enormous sacrifices, and endured tremendous hardships but throughout it all, our business community needs to be praised for how they prioritized their staff and customers’ safety.  

The impact of COVID-19 was particularly stressful on the residents of KFL&A. For all of us--staying home, working remotely, physically distancing, limiting close contact, screening for symptoms, getting tested, and isolating when sick—has meant considerable sacrifice. The KFL&A region has maintained very low positive case counts and very little community transmission in part to the extraordinary effort of residents who have acted in such a responsible and conscientious way to protect others in our community.

We are fortunate to have safe and effective vaccines on the way in early 2021. As circumstances continue to change, we will adapt and change with them. We have worked incredibly hard to limit the spread of the virus in the KFL&A region and we all want to continue to keep our community healthy, safe, and open. We should be extremely proud of our efforts. Let us continue to work together, support one another, and demonstrate our strength and resiliency.

 

 

Highlights of evolving COVID-19 pandemic events and actions taken in KFL&A.

Icon of a coronavirus and caution symbol

January to March 2020

  • January 29: KFL&A Public Health initiates Incident Management System to prepare for COVID-19 response activities.
  • January 31: World Health Organization (WHO) declares the novel coronavirus outbreak a public health emergency of international concern.
  • February 2: KFL&A Public Health initiates biweekly meetings with registered nurse leads and administrators at long term care and retirement homes; and weekly meetings with medical directors from acute care facilities.
  • February 7: KFL&A Public Health issues first media release to prevent the spread of COVID-19.
  • February 28: KFL&A Public Health restructures operations and forms COVID-19 teams (i.e., Infection and Prevention Control (IPAC) and outbreak management; contact tracing and case management; assessment centre; and call centre).
  • March 5: KFL&A Public Health hosts a COVID-19 education session for primary care leaders that covered the science, epidemiology, symptoms, and testing related information.
  • March 10: KFL&A Public Health inspects all long term care and retirement homes to ensure strong adherence to Infection Protection and Control (IPAC) measures.
  • March 11: WHO declares COVID-19 a pandemic.
  • March 16: First COVID-19 assessment centre opens to swab those with symptoms of COVID-19.
  • March 17: KFL&A Public Health implements restrictions in long term care and retirement homes (e.g., visitor restrictions, cancelling non-essential appointments, and implementing active screening of staff). A provincial directive with the same restrictions was issued March 22.
  • March 17: First three positive cases of COVID-19 present in the KFL&A region.
  • March 26: KFL&A municipalities uniformly declare a local state of emergency. This decision aligned with the provincial declaration of emergency that was enacted on March 17.

head with face mask icon

April to June 2020

  • April 30: KFL&A Public Health reinspects long term care and retirement homes to ensure strong adherence of IPAC measures in these congregate care living settings.
  • May 5: KFL&A Public Health and local municipalities submit a regional reopening business proposal to the provincial government. One month later, the provincial government enacted a regional reopening strategy.
  • June 24: Nail salon outbreak results in 37 COVID-19 cases in KFL&A region.
  • June 26: KFL&A Public Health issues class order enforcing mandatory face coverings in public places. Three months later, the provincial government enacted mandatory face coverings regulations.
  • June 30: KFL&A Public Health issues class order enforcing self-isolation requirements.

school icon

July to September 2020

  • July 1: Testing rates hit record levels swabbing as many as 927 people in one day.

  • July 9: KFL&A Public Health advocates to the federal and provincial government to continue border shutdown.

  • July 17: Businesses and municipalities are permitted to reopen under Stage 3 of the Reopening Ontario (A flexible response to COVID-19) Act.

  • July 30: KFL&A Public Health support local school boards of education in planning for a safe learning environment with in-person classes starting in September. This coincided with the provincial government’s plan for safe reopening of schools prepared by the Chief Medical Officer of Health, members of the COVID-19 command table, and paediatric experts.

  • August 13: KFL&A Public Health and Hastings Prince Edward Public Health release statement to reassure community that health and safety of students and staff is the top priority with the re-opening of in-person classes in September.

  • August 27: KFL&A Public Health releases joint statement with local enforcement partners to remind the community, especially young adults, to stay vigilant, and adhere to social gathering restrictions.

  • September 4: KFL&A Public Health experiences spike in cases, especially among individuals under 30 years of age.

  • September 25: Community status moves from green to yellow with increased level of COVID-19 cases.

bar chart icon with an upward arrow

October to December 2020

  • October 8: KFL&A Public Health releases a COVID-19 transmission model to show impact Thanksgiving celebrations will have on cases if residents do not adhere to public health measures and make every effort to virtually celebrate.

  • October 23: KFL&A Public Health releases recommendations for a safe Halloween, including discouraging door-to-door trick or treating.

  • October 30: KFL&A Public Health increases influenza vaccine uptake through primary care providers hosting flu clinics at community locations.

  • November 18: With increasing COVID-19 transmission, the provincial government releases new COVID-19 Response Framework: Keeping Ontario Safe and Open to provide provincial direction on the community status in each public health region.

  • December 7: Rates of COVID-19 activity are at the highest levels to date in KFL&A region.

  • December 10: KFL&A Public Health issues class order to owners and staff in home and community care organizations to enforce stronger IPAC measures and mandate surveillance testing.

  • December 15 and 16: KFL&A Public Health welcomes Ontario’s multi-ministry education and safety awareness team for a two-day inspection campaign to ensure local businesses are complying with the health and safety requirements under the Reopening Ontario Act.

  • December 16: KFL&A Public Health issues message of thanks, encouragement, and appreciation to the community, including the timelines for the arrival of safe and effective vaccines in 2021.

  • December 21: KFL&A Public Health moves to Orange-Restrict community level status.

A snapshot of COVID-19 team activities in 2020

15,846 Patients assessed at the Kingston Assessment Centre bewteen March 14 to July 30

23,286 Inquiries (calls, texts, emails and in -person) to the dedicated COVID-19 call centre.

555 Local cases and 3,683 high risk contacts followed by contact tracing and case management.

2,297,658 Visits to the KFL&A Public Health COVID-19 Dashboard.

92 Infection prevention and control assessments completed in community schools.

231,771 Views from 135 Ask the MOH videos.

2,231 Enforcement concerns addressed.

291 Media interviews about COVID-19.

6,891,100 Impressions from 939 tweets.

621 Case investigations completed by KFL&A Public Health for York Region Public Health.

251 Cases managed by KFL&A Public Health for Toronto Public Health.

164 High risk contact follow up calls to assist Hastings Prince Edward Public Health.

Financial report

Public health programs revenue: $25,643,503

Public Health Programs Revenue 2020 Pie Chart

KFL&A Public Health operating expenses in 2020

Total 24,687,784
Operating expenditureAmount
Mandatory programs 17,872,766
One time funding 1,680,236
Ontario Seniors Dental Care Program 453,097
Syndromic Surveillance Project 385,217 
Blind Low Vision, Preschool Speech & Infant Hearing Program 1,690,768
Healthy Babies program 1,262,642
Private Sewage program 619,714
Special project expenses 723,344

 

For a copy of the full financial report, please contact us.

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