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2022 Annual report

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Our agency

KFL&A Public Health is a local public health agency with over 250 staff and 150 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 209,000 residents of the Kingston, Frontenac and Lennox & Addington region.

Vision

Healthy people, healthy places

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.

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.

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2022 Board of Health members

  • Denis Doyle (Chair) – County of Frontenac

  • Wess Garrod (Vice-Chair) – Community Appointee

  • Christopher Seeley – Province 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

  • David Pattenden – Community Appointee

Message from KFL&A Public Health Board of Health Chair (2016 to 2022), Denis Doyle

KFL&A Board of Health Chair (2016 to 2022), Denis Doyle

After eight consecutive years as KFL&A Board of Health Chair, I have made the difficult decision to step down concurrent with my retirement from public service and office. It has been an incredible experience to be the Board Chair and to see how public health impacts virtually every aspect of our lives.

As I reflect on my time, I am overwhelmed with gratitude to have had the privilege to serve the residents of KFL&A and to be associated with an agency that provides such a diverse and wonderful range of programs and services that promote and protect our community’s health. 

I want to thank my fellow Board of Health members for their advocacy for the health of our community and commitment to public service. A very special thank you to out-going members of the Board, Councillors Jim Neill, Mary Rita Holland, and John Wise. I want to congratulate Wess Garrod, community representative and vice chair of the board since 2017 who will now serve as the board chair, and congratulations to Jeff McLaren who will assume vice chair position. Both of these positions will be voted in at the first meeting of the incoming board of health members in 2023.

When I reflect on the past year, I want to express my appreciation and recognize the tremendous effort of our community—residents, municipalities, workplaces, businesses, stakeholders, and community partners—in working together to support the largest vaccination campaign in our history. I understand the sacrifices that have been made and I want to thank you for getting vaccinated and for assisting others to get vaccinated to ensure your families, friends, colleagues, and the broader community all stay healthy and safe.

Along with supporting immunization efforts, The KFL&A Board of Health was extremely active this year advocating to the federal, provincial, and municipal governments in several areas to support public health guidance and to protect the health of our residents, including requests to:

  • Support for long-term, stable provincial health funding to ensure evidence-based solutions to the drug poisoning crisis continue.

  • Support the advancement of the federal Healthy Eating Strategy with a focus on finalizing front-of-package labelling regulations and developing regulations to restrict food and beverage marketing to children.

  • Support e-petition for the decriminalization of drugs for personal use and methods to access uncontaminated supplies to reduce the harmful consequences that people with substance use disorder face as a result of criminalization.

  • Support climate advocacy through the endorsement and signing of the Canadian Association of Physicians for the Environment’s open letter on fossil fuel advertising.

  • Support the federal mandatory labelling of all alcoholic beverages including the number of standard drinks in a container, the guidance on alcohol and health, health warnings, and nutrition information.

  • Support the development of a federal Alcohol Act that will include alcohol labelling regulations.

  • Advocate to KFL&A members of parliament to support the private members motion M-61 Warning Label Strategy for Alcoholic Products.

  • Support municipalities to continue to prohibit alcohol consumption in public spaces and to strengthen or develop municipal alcohol policies that balance the responsible provision and use of alcohol against the need to reduce alcohol related risk and harm.

  • Support municipalities who are considering by-laws to permit the consumption of alcohol in public spaces to conduct an initial health impact assessment and health equity analysis, apply evidence-informed strategies to mitigate the associated increase in alcohol-related harms, and to seek early and on-going public engagement and feedback across diverse groups.

I am extremely honoured to have been a part of such an exceptional board of health and very thankful for their support and guidance. I firmly believe that with the continued commitment of staff and management, oversight of our Board, and the continued support of our community members and partners, that KFL&A Public Health will continue to play an integral role in our community’s well-being. 

 

Message from KFL&A Public Health Board Chair, Wess Garrod

KFLA Public Health Board of Health Chair, Wess Garrod

I am honoured to have been elected as the new chair of the Board of Health for KFL&A Public Health. I joined the Board of Health in 2014 as a provincial appointee and have served as the Vice Chair since 2019. I believe in the value and importance of Public Health to keep our community healthy.

Provincially, I represent KFL&A Public Health and Eastern Ontario on the Association of Local Public Health Agencies (alPHa) and I am member of the alPHa executive. In the KFL&A region, I am president of the Kingston Track and Field Club, member of the Limestone Learning Foundation board of directors, and a former trustee with the Limestone District School Board.

KFL&A Public Health has a dedicated staff and a strong leadership team that focuses on protecting the health of our community. They work collaboratively with our community partners making our public health agency a leader in the province. I look forward to working with fellow board members to provide the necessary governance for the agency.

Message from KFL&A Public Health Medical Officer of Health, Dr. Piotr Oglaza

KFL&A Public Health Medical Officer of Health, Dr. Piotr Oglaza

Over the past two years, KFL&A Public Health staff and volunteers, alongside our supportive community partners have worked at the forefront of our community’s response to the COVID-19 pandemic. We are very grateful for this collective effort and collaboration with health care agencies, primary care providers, pharmacies, schools, businesses, and municipalities to provide access to COVID-19 vaccines in various settings across our region. We have made an impact by working together and focusing on where the needs were the greatest to allow us to return to doing many pre-pandemic activities—people have, for the most part, learned to assess their individual risk and to navigate life with this new virus. Towards the latter part of 2022, our agency shifted from the strong focus on controlling viral spread in the community to managing the recovery and getting back to core public health programs and services. Key public health areas of focus were identified to support a healthier community and to keep our health care system strong and resilient in the long term.
  • Support for programs and services that influence a child’s most formative and critical years of life to prevent disease and promote health.

  • Address the ongoing opioid crisis that has been driven by a combination of factors, including an increasingly toxic drug supply, barriers to access to harm reduction services and treatment, and public health restrictions that led to more people using drugs alone.

  • Focus on programs and services that address the modifiable risk factors associated with chronic disease, including tobacco smoking, alcohol consumption, physical inactivity, and unhealthy eating.

  • Address inadequate and insecure access to food due to financial constraints to improve individual’s physical and mental health.

  • Support strategic initiatives that focus on the negative consequences of climate change which disproportionately affect the elderly, infants and young children, rural communities, members of racialized communities, people living with chronic illnesses, and those experiencing low income or homelessness.

  • Protect the public from exposure to health hazards and reduce the burden of communicable diseases and other infectious diseases of public health significance through the implementation of health protection services.

In 2023, we are looking forward to re-aligning with these key public health priorities as we continue to collaborate with our community partners to develop a new strategic plan, addressing the health needs in our community. I want to thank the entire team at KFL&A Public Health as well as all our community partners for their hard work and dedication to keep our community safe and healthy.

KFL&A region at a glance

The syphilis rate in KFL&A spiked in 2021 to 19.6 per 100,000 which eclipsed the Ontario rate (18.6 per 100,000) for the first time and the 2022 rate will increase again.

The exclusive breastfeeding rate has fallen in recent years to 8.8% (2021) at about 6 month (see 5.5 months on graph).  This is mainly due to a decrease in breastfeeding supports available during the pandemic.  

The ED visit rate and mortality rate due to opioids has increased since 2011, with a spike in ED visits in 2021 to 368 ED visits. Additionally, both the ED visit rate and mortality rate are higher in KFL&A than in Ontario. The opioid prescribing rate did decrease from 2018 to 2020.

In KFL&A, the rate of mental health ED visits was higher for residents living in the most deprived areas (2.45 times higher than those living in the least deprived areas) and for those living in areas with the highest ethnic concentration (2.57 times higher than those living in the least concentrated areas).

Hospitalizations for respiratory-related diseases decreased during the pandemic (from 2019 to 2020) (from 735.2 to 542.3 per 100,000). Respiratory-related hospitalizations (2016/2017) were also higher in those living in the most materially deprived areas (2.32 times higher than those living in the least deprived areas).

The ED visit rate and mortality rate due to opioids has increased since 2011, with a spike in ED visits in 2021 to 368 ED visits. Additionally, both the ED visit rate and mortality rate are higher in KFL&A than in Ontario. The opioid prescribing rate did decrease from 2018 to 2020.

The Acute Care Enhanced Surveillance (ACES) system collects data from 164 acute care sites across the province, with only 7 sites missing for complete coverage. This accounts for roughly 92% of all ED visits in Ontario. ACES has users in all but 1 of the 34 health units in the province.

There were just under 10K total views of the viral respiratory mapper dashboard in 2021 compared to 16K views in 2022.

School-based immunization coverage (Hepatitis B, HPV and quadrivalent meningococcal conjugate) decreased during the pandemic, but significant progress has been made to catch up.

By the end of 2022,

  • 92.6% of 13 to 15 year olds were vaccinated for meningococcal,

  • 71.6% for Hepatitis B and

  • 66.8% for HPV.

KFL&A also had higher rates of school vaccination coverage in 2020/2021 compared to Ontario. ISPA compliance at the end of the 2021/2022 school year was 90.0%.

A snapshot of team activities in 2022

57 Media interviews on all public health topics.

165,423 COVID-19 vaccines given in KFL&A.

5,022,000 Impressions from 730 tweets.

421 Mobile COVID-19 vaccine clinics held to make vaccines more accessible to all.

Over 10,000 Inquiries (calls, texts, e-mails and in-person) answered by the COVID-19 call centre.

1,242 Doses given at COVID-19 vaccine clinics held at schools across KFL&A.

8,899 Doses given at mobile COVID-19 vaccine clinics across KFL&A.

Over 3,000 Volunteer hours dedicated to COVID-19 efforts.

243,561 Visits to the KFL&A Public Health COVID-19 vaccine webpage.

604,350 Visits to the KFL&A Public Health COVID-19 dashboard.


Financial Report

Public health programs revenue $27,165,150

Pie chart - Public health programs revenue

 

KFL&A Public Health operating expenses in 2022

Operating expenditure Amount
Mandatory programs $18,899,556
One time funding $3,073,905 
Ontario Seniors Dental Care program $868,653 
Syndromic Surveillance project $286,788  
Blind Low Vision, Preschool Speech and Infant

Hearing program

$1,803,332 
Healthy Babies program $1,210,769
Private Sewage program $1,210,769
Special project expenses $742,012  
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