Event Details

PHO Rounds: Alcohol Risk and Policy: Epidemiology and Outcomes of Alcohol-associated Liver Disease in Adolescents and Young Adults

This edition of PHO Rounds highlights the substantial increase in liver-related end organ complications and mortality from alcohol experienced by adolescents and young adults (AYAs) in Ontario, with specific attention to the consequences of alcohol-associated hepatitis (AH). We will highlight how alcohol is impacting AYAs in the setting of liberalization of access to alcohol in the general population. These results should impact public health policy related to alcohol. Currently, there are no multidisciplinary programs available for individuals who have been discharged after an episode of AH and our data supports the need to develop a strategy which could ultimately reduce mortality in these young adults.

Intended audience: Public health physicians, primary care physicians, public health nurses. public health unit (PHU) staff working in substance use and youth health, policy makers, epidemiologists, researchers.

By the end of this session, participants will be able to:

  • Recognize the spectrum of alcohol-associated liver disease (ALD)
  • Appreciate the changing epidemiology of ALD among adolescents and young adults (AYAs) in Ontario during changes to alcohol policy and COVID-19
  • Describe the outcomes after a first presentation of alcohol-associated hepatitis in AYAs in Ontario

Presenter(s): Dr. Jennifer Flemming

Dr. Flemming, MD, FRCPC, MAS, is an Associate Professor of Medicine and Public Health Sciences at Queen’s University, whose research program leverages Ontario administrative data to evaluate the epidemiology and outcomes of patients with chronic liver diseases and cirrhosis. Her research has been supported by the Canadian Institutes for Health Research (CIHR), American Association for the Study of Liver Disease (AASLD), the American Gastroenterological Association (AGA) and the Canadian Donation and Transplantation Research Program. Dr. Flemming is an Associate Editor of the American Journal of Gastroenterology, Chair for the Guidelines Committee of the Canadian Association for the Study of Liver Disease (CASL), and is a member of the AASLD Women’s Initiatives Committee, and the Canadian Task Force on Preventive Health Care.


The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.


Public Health Ontario Rounds are a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada (RCPSC). In order to receive written documentation for Continuing Medical Education (CME) credits, please check “Yes” beside the question “Do you require CME credits?” on the registration form.

College of Family Physicians of Canada (CFPC) Affiliate Members may count RCPSC credits toward their Mainpro+ credit requirements. All other CFPC members may claim up to 50 Certified credits per cycle for participation in RCPSC MOC Section 1 accredited activities.

PHO Rounds are also approved by the Council of Professional Experience for professional development hours (PDHs) for members of the Canadian Institute of Public Health Inspectors (CIPHI).

For more information or for a record of registration for other Continuing Education purposes, please contact capacitybuilding@oahpp.ca.


Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100 or capacitybuilding@oahpp.ca.

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Capacity Building


Published 20 Feb 2024