BOARD OF HEALTH AGENDA October 5, STAFF PRESENTATIONS

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1 BOARD OF HEALTH AGENDA October 5, STAFF PRESENTATIONS 7.2 Beach Report Andrew Landy, Senior Public Health Inspector, and Allison Girouard, Public Health Inspector 7.3 Vaccine Preventable Disease/Communicable Disease Update Bill Sherlock, Program Manager, Health Protection

2 SCHEDULE 7.2 Beach Report 2016 Safe Water Program

3 Outline Goals Our Process Signs Adverse Results Trends Blue Green Algae The Future

4 Goals Ontario Public Health Standards Prevent and reduce the incidence of water-borne illness and injury Education Surveillance Monitor trends

5 Our Process Sample municipally designated beaches Frequency of weekly, bi-weekly or monthly 5 samples/site/visit If adverse post warning/closure notices Weekly media release and website posting

6 Northern Beaches Frankford Park -Trenton River Moira Lake Park Tweed Park Stoco Lake L Amble Lake Dam Steenburgh Lake Wollaston Lake Beach Booster Park Beach Crowe River Riverside Park York River Echo Beach Papineau Lake Hinterland Beach Kaminiskeg Lake Fosters Lake Beach Diamond Lake Beach Legion Park, Marmora - Crowe River

7 Southern Beaches Centennial Park, Deseronto Wellington Beach Centennial Park Northport Bay of Quinte Roblin Lake Kingsford Salmon River

8 Provincial Park Beaches (Responsibility of the Ministry of Natural Resources and Forestry) Sandbanks North Beach Lake St Peter

9 Signs

10 E.coli Public health inspector will post any beach where the water quality does not meet the Ministry standard of a geometric mean of less than 100 Escherichia coli per 100 ml of water.

11 Permanent Beach Sign

12 Beach Warning Sign

13 Beach Closure Sign

14 New Signs 2016

15 Adverse Results: 2016 * Posting remains in place for one week minimum Beach Posted Date(s) Centennial Park, Deseronto Yes July 29, Aug. 19 Frankford Park Trenton River Yes June 24, July 15, July 29, Aug. 5, Aug. 12, Aug. 19, Sept. 2 Kingsford Conservation Area Salmon River Yes June 30, Aug. 12, Aug. 19 Wellington Beach Wellington Bay Yes June 3, June 10, June 24, July 29, Sept. 2

16 Contamination Factors: warm temperatures and shallow water high winds/wave action transport, stir up beach sands that harbour E. coli heavy rains flushing, storm water outfalls birds

17 Trends Data gathered ( ): Water/air temperature Wind direction/speed Rain in past 48 hours/at time of sampling # of Birds Bather load Water clarity Wave activity

18 Observations: Frankford Beach Large numbers of geese (= feces) observed Rain noted 48 hours prior to sampling Wellington Beach High wave activity Dead fish along shoreline Rain noted in previous 48 hours prior to sampling

19 Observations: Centennial Park, Deseronto Rain noted 48 hours prior to sampling Kingsford Conservation Area Rain noted 48 hours prior to sampling

20 Blue-green Algae Zwicks Park 2009

21 When there is a significant bloom: Notify affected municipality and stakeholders Issue media release Consider posting warning signs

22

23 Sites posted/media releases in 2016 for Blue-green Algae: Deseronto (Yacht Club) Tweed Park, Stoco Lake (no media release)

24 The Future

25 Geographical Information Systems (GIS)

26 Our Team: Student PHIs Debbie Fingland, Support Staff Allison Girouard, PHI Lead for Recreational Water Pauline Boucher, PHI GIS Andrew Landy, Senior Public Health Inspector

27 SCHEDULE 7.3 Vaccine Preventable Disease/Communicable Disease Update Bill Sherlock Program Manager

28 Ontario Public Health Standards 2008 The board of health shall promote and provide provincially funded immunization programs to any eligible person in the health unit, including: Board of health-based clinics; School-based clinics (hepatitis B and meningococcal immunization); Outreach clinics to priority populations 2

29 3 HPV Expansion HPV Vaccine is now offered to girls and boys in grade 7 Since 2007 HPV Vaccine was offered to grade 8 girls HPV is a two dose vaccine in grade 7 Boys and girls who are unable to begin or complete the HPV vaccine in Grade 7 are eligible to catch-up free of charge until end of grade 12 HPV High Risk vaccine available for MSM up to age 26

30 4 HPV HPV Vaccine helps protect against HPV related cancers and diseases HPV Vaccine is recommended by: National Advisory Committee on Immunization Society of Obstetricians and Gynaecologists of Canada (SOGC) Society of Gynaecologic Oncology of Canada (GOC) College of Family Physicians of Canada (CFPC) Canadian Paediatric Society (CPS) Public Health Ontario (PHO) Provincial Infectious Disease Advisory Committee (PIDAC)

31 Shingles Vaccine (Zostavax II) As of Sept. 15, 2016 Shingles publicly funded for yr olds Until December 31, 2016, individuals born in 1945 (i.e., those who are already 71 or will be turning 71 in 2016), are also eligible to receive the publicly funded shingles vaccine. 5

32 What is shingles? Infection causing painful skin rash with blisters on one side of the body Caused by re-activation of varicella zoster virus same virus causing chicken pox Complications from shingles may result in post-herpatic neuralgia (PHN) no treatment for PHN 6

33 7 Shingles Vaccine How is shingles spread? Shingles cannot be passed from one person to another You can t get shingles from being exposed to someone with shingles But the virus can be spread from a person with shingles to another person who has never had chickenpox. Who is at Risk for Shingles? The risk increases as you get older 1/3 Canadian develop shingles over their lifetime 2/3 cases are in people over 50 yrs old

34 Questions?? 8

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