Attend our upcoming webinar to learn more about the research and support PHO can offer to help you maximize your capacity building efforts!
Many of us are involved in building the capacity of the clients we serve within a variety of function or topic areas, be it infection control, health promotion or health equity. We regularly offer webinars, onsite consultations, workshops and other supports with the intent and assumption that we were building the capacity of our clients. But how do we know if our capacity building efforts are having the desired or intended impact? What if they’re not? And what is the appropriate level of impact to expect? Should we be planning our programs differently?
Intrigued by these questions, Public Health Ontario conducted two systematic reviews to determine the effectiveness of capacity building interventions relevant to health promotion and public health. These reviews were recently published in BMC Public Health.
What is capacity building?
The World Health Organization (WHO) defines capacity building as the development of knowledge, skills, commitment, structures, systems, and leadership to enable effective health promotion. To do this effectively, we need to work at three levels: individual, organizational and community. Typically, capacity building services include the provision of scientific and technical assistance, webinars, training workshops, and knowledge products–services offered by Public Health Ontario.
Theories, models and frameworks used in capacity building interventions relevant to public health: a systematic review
This article focusses on the theories, models and frameworks that underpin capacity building initiatives. A good theory provides a clear explanation of how and why specific relationships lead to specific events and how individuals, groups and organizations behave and change. Using theories, models or frameworks as a foundation for developing capacity building interventions can provide a road map for studying programs, developing appropriate interventions, and evaluating their effectiveness. The systematic review identified twenty-eight theories, models and frameworks and of this number, five were most frequently cited. The article concludes that there is a need for the use of theories, models and frameworks to be intentionally used and explicitly referenced to develop capacity building interventions.
Effectiveness of capacity building interventions relevant to public health practice: a systematic review
This article reviews the effectiveness of six types of capacity building interventions using eight outcome measures. The literature found improvements for each intervention type in one or more capacity building outcome, though mainly in terms of individual-level outcomes. Recommendations in the article include considering which outcomes are of highest priority when designing capacity building interventions.
Implications for Practice
Overall, the two systematic reviews support the effectiveness of capacity building interventions to increase knowledge, skills, self-efficacy, changes in practice/policy, application and perceptions of system-level capacity. However this evidence exists mainly at the individual level. It is important to note that the available literature was moderate in quality and showed a range of methodological issues. This points to a need to strengthen evaluation of capacity-building interventions, not only to ensure greater consistency with evaluations but also higher-quality evaluations. For example, future evaluations should assess outcomes at organizational and systems levels, include objective measures of effect, assess baseline conditions, and evaluate the feature that are most critical to the success of interventions, particularly for multi-strategy interventions.
Let's talk about antibiotics - Shared decision making
PHO is calling on prescribers, nurses, pharmacists and healthcare providers to change the way we talk about antibiotics for common acute respiratory tract infections (ARTI), including bronchitis, pharyngitis, sinusitis and otitis media.
In today’s era of rising antibiotic resistance, it is not
appropriate to routinely use antibiotics “just in case.” In fact, for most
patients with an ARTI, antibiotics pose more harm than good.
Conversations between patients and clinicians about when
NOT to use antibiotics are growing.
In partnership with Choosing Wisely Canada, PHO has developed a series of new resources, entitled "Let's Talk", encouraging clinicians to adopt a shared decision making (SDM) approach when having these conversations.
What is shared decision making?
SDM is a patient-centered conversation focused on the benefits and harms of treatment options and patient expectations, with the ultimate goal of informing a joint decision between the clinician and patient. SDM is an effective means of knowledge translation, where the patient is the expert in their own life situation and preferences, while the clinician in the expert in clinical evidence.1
Why practice shared decision making?
ARTIs are associated with the most inappropriate antibiotic use in primary care.2 Interventions and tools that facilitate SDM have been shown to reduce antibiotic prescribing in primary care without decreasing patient satisfaction or worsening patient health outcomes.3,4 Patients often mistake the effectiveness of antibiotics5,6, while prescribers often overestimate the expectation for antibiotics.7,8,9 SDM helps both parties clearly define the role of antibiotics and align expectations for treatment.
How can the "Let's Talk" resources be used in your practice?
Do you think you need antibiotics? includes 5 questions to encourage patients to understand the benefits and harms of antibiotics, and to discuss what matters most to them with their health care provider.
To improve understanding about the role of antibiotics in viral respiratory illnesses, clinicians can refer to these evidence-based resources to complement their discussions about the benefits and harms of antibiotics:
Do you think you need antibiotics?
Are you interested in learning more? Join us for our November 13 webinar!
Shared decision making and antibiotic use in primary care
During this webinar, Dr. France Légaré will discuss using shared decision making to reduce unnecessary antibiotic use in primary care. She will review barriers and facilitators to implement shared decision making in your practice, and how shared decision making can be used to discuss decisions about antibiotics for patients with an acute respiratory tract infection.
Date: November 13, 2018
Time: 12:00 p.m. - 1:00 p.m.
For more information about antimicrobial stewardship check out these ASP resources.
Explore what organizations around the world are doing for
Antibiotic Awareness Week:
Choosing Wisely: Using Antibiotics
National Collaborating Centre for Infectious
Diseases: Antibiotic Awareness
World Health Organization: World
Antibiotic Awareness Week
US Centers for Disease Control and Prevention: Antibiotic Awareness Week
Australian Commission on Safety and Quality in
Awareness Week (Australia)
European Centre for Disease Control and
Antibiotic Awareness Day
Butler CC, Kinnersley P, Prout H, Rollnick S, Edwards A, Elwyn G. Antibiotics
and shared decision-making in primary care. J Antimicrob Chemother.
2001;48(3):435-40. Available from: https://academic.oup.com/jac/article/48/3/435/736084
Shively NR, Buehrle DJ, Clancy CJ, Decker BK.
Prevalence of inappropriate antibiotic prescribing in primary care clinics
within a veterans affairs healthcare system. Antimicrob Agents Chemother. 2018;62(8):e00337-18.
Available from: https://aac.asm.org/content/62/8/e00337-18.long
3. Coxeter P, Del Mar CB, McGregor L, Beller
EM, Hoffman TC. Interventions to facilitate shared decision making to address
antibiotic use for acute respiratory infections in primary care. Cochrane Database Syst Rev. 2015;(11):CD010907. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010907.pub2/full
F, Labrecque M, LeBlanc A, Njoya M, Laurier C, Côté L, et al. Training
family physicians in shared decision making for the use of antibiotics for
acute respiratory infections: a pilot clustered randomized controlled trial.
Health Expect. 2011;14 Suppl 1:96-110. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1369-7625.2010.00616.x
Davey P, Pagliari C, Hayes A. The patient’s role
in the spread and control of bacterial resistance to antibiotics. Clin
Microbiol Infect. 2002;8 Suppl 2:43-68. Available from: https://onlinelibrary.wiley.com/doi/full/10.1046/j.1469-0691.8.s.2.6.x
6. Mangione-Smith R, McGlynn EA, Elliott MN,
Krogstad P, Brook RH. The relationship between perceived parental expectations
and pediatrician antimicrobial prescribing behavior. Pediatrics. 1999;103(4 Pt
7. Stivers T, Mangione-Smith R, Elliott MN,
McDonald L, Heritage J. Why do physicians think parents expect antibiotics?
What parents report vs what physicians believe. J Fam Pract. 2003;52(2):140-8.
McNulty CAM, Nichols T, French DP, Joshi P,
Butler CC. Expectations for consultations and antibiotics for respiratory tract
infection in primary care: the RTI clinical iceberg. Br J Gen Pract. 2013;63(612):e429-36.
Available from: https:/bjgp.org/content/63/612/e429.long
9. Mangione-Smith R, McGlynn EA, Elliott MN,
McDonald L, Franz CE, Kravitz RL. Parent expectations for antibiotics,
physician-parent communication, and satisfaction. Arch Pediatr Adolesc Med.
2001;155(7):800-6. Available from: https://jamanetwork.com/journals/jamapediatrics/fullarticle/190801
Antibiotic overuse is contributing to increasing rates of antimicrobial resistance. Research shows that 50% of antibiotic courses in long-term care (LTC) are not needed and residents in homes with higher antibiotic use experience a 24% increased risk of antibiotic-related harm.
Public Health Ontario (PHO) has developed two suites of resources to address the overuse of antibiotics in long-term care homes (LTCHs):
- Shorter is Smarter resources focus on the evidence to support shorter courses of antibiotic treatment for long-term care (LTC) residents.
- Antimicrobial Stewardship Essentials resources aim to help guide LTCHs interested in developing an antimicrobial stewardship program.
We spoke to Bradley Langford, Acting Lead of PHO’s Antimicrobial Stewardship Program and Rita Ha, Pharmacist Consultant, to learn more about these resources.*
- What motivated you to develop these resources?
We discovered a knowledge gap in regards to antimicrobial stewardship in LTC through consultations, surveys and interviews with LTC prescribers and staff. There was an identified need to provide evidence for why shorter courses of antibiotics can be effective and safe for residents of LTCHs. LTC clinicians and staff could also benefit from a framework for implementing antimicrobial stewardship initiatives in LTC, taking into account the unique needs and resources of this setting.
How did you develop these resources?
PHO conducted literature searches on the duration of therapy for common infections in LTC and drew from key references and systematic reviews on antimicrobial stewardship in LTC. The Shorter Is Smarter resources were reviewed by infectious disease physicians, as well as LTC prescribers and pharmacists. We consulted an LTC nurse practitioner, pharmacists and nurses who would be key members in an ASP in LTC for the Antimicrobial Stewardship Essentials.
- How will these resources help those in the long-term sector?
The Shorter is Smarter resources attempt to address the knowledge gap and misconception that LTC residents need longer durations of therapy to adequately treat infections and prevent antibiotic resistance. The Antimicrobial Stewardship Essentials attempt to help LTC stakeholders by integrating recommended ASP components and evidence-based strategies in a familiar and practical quality improvement (QI) framework to encourage behaviour change in the home. Solutions and program development will be unique to each LTCH depending on available resources.
Visit the Antimicrobial Stewardship page for more information and resources.
*This interview has been edited and condensed for clarity.
Image courtesy IPAC Canada
National Infection Control Week (NICW) begins October 15. We are recognizing this year's theme of "No Borders" and making available a series of PHO resources on our website to help you raise awareness about Infection Prevention and Control (IPAC) in your own organization. An annual event since 1989, we celebrate and recognize the efforts of health care workers across Ontario, whose commitment to IPAC protects the health of Ontarians.
On October 16, be part of our PHO Grand Rounds presentation, carbapenemase-producing Enterbacteriaceae (CPE) - Bacteria Without Borders. Speakers Camille Achonu and Kasey Gambeta will speak on the epidemiology of CPE in Ontario and a coordinated approach to prevention and control among public health, IPAC, medical and laboratory professionals.
Registration is available for in-person attendance, or via webinar.
With flu season right around the corner, PHO has been busy reviewing and refreshing the respiratory virus surveillance system. You’ll notice a revised surveillance package for public health units (PHU) and changes to come for an updated Ontario Respiratory Pathogen Bulletin (ORPB)—but that’s not all. Our Communicable Disease Emergency Preparedness and Response and Laboratory teams gave us a behind-the-scenes look at the planning and preparation that goes into flu season.
Q: What is PHO’s role during flu season?
Throughout the year we monitor influenza and other respiratory virus trends. We post these data weekly on our interactive website. From November to April we amplify this surveillance with a weekly report with data we receive from PHUs, the PHO laboratory, Public Health Agency of Canada (PHAC) and the National Microbiology Laboratory.
PHO’s Laboratory, via its 11 sites, performs primary diagnostic testing for influenza and other respiratory agents to support both acute care and outbreak management across Ontario. During the influenza season, PHO provides technical expertise to the Ministry of Health and Long-Term Care and respond to numerous science and technical requests from PHUs. This includes consultation support for the management of respiratory infection outbreaks.
Additionally, PHO monitors out-patient influenza vaccine effectiveness through its participation in the Sentinel Practitioner Surveillance Network. If you’re a practitioner interested in contributing to this important surveillance as a sentinel, please contact our coordinator: email@example.com or 647-792-3187.
Q: Why is influenza surveillance important?
Influenza is a rapidly changing virus. It is hard to predict exactly what will be circulating and how severe it will be in terms of causing illness, deaths and outbreaks. Every Fall we monitor for the first signals of local influenza activity. The data gives us some indications of what might be coming in the months ahead. In general, seasons with heavy influenza A(H3N2) activity are worse seasons with increased numbers of cases of influenza, hospitalizations, deaths and outbreaks compared to influenza A(H1N1) seasons.
Assessing and reporting on activity levels of influenza throughout the season helps inform health care providers and the community, as well as the public health community. Increasing influenza activity may activate additional control measures or communications to ensure everyone is aware and taking the necessary steps to reduce the burden of influenza illness.
Q: What does it mean when we start seeing influenza cases now?
We provide year round influenza testing in the laboratory, so it is possible to have some cases each week from June to September. In the summer months, many of these will be in people who travelled to other parts of the world where influenza is more common at this time of year.
Once we start detecting a continuous increase in influenza activity among cases who did not travel or start seeing spread in the community—i.e., an influenza outbreak in a long-term care home, we are more alert to this potentially being the start of influenza activity for the season. We report the start of the season on the ORPB webpage based on these surveillance indicators.
For more information about influenza and respiratory infections contact firstname.lastname@example.org.
It’s that time of year again!
The ramp up to TOPHC 2019 has officially begun with the call for abstracts. Here’s your chance to share your public health topic and shape the conversation at the upcoming conference.
From March 27 to 29, 2019, public health professionals from across Ontario will gather to explore how strategy, leadership and practice can align to address changes in the public health sector.
The learning objectives for TOPHC 2019 are to:
- Describe the implementation and impact of evidence-based and evidence-informed strategies, programs and policies to promote and protect the public’s health.
- Identify considerations and approaches for enhancing collaboration and partnerships to address current and emerging public health issues.
- Recognize gaps in and challenges to current public health practice and policy and discuss opportunities and potential solutions to address these gaps.
- Apply new or enhanced skills to questions and concerns facing public health professionals and our clients.
The deadline to submit an abstract is Monday, October 22 at 7 p.m.
It is a time of transformation within public health, with the new Ontario Public Health Standards, as well as emerging and ongoing health issues that present new opportunities and challenges for today’s public health professionals. Collaboration and information sharing will be instrumental to provide high quality public health service throughout Ontario for years to come.
Stay tuned for resources to help you create an abstract. For more information about TOPHC, visit our website or contact email@example.com.
PHO is an active participant in Emergency Preparedness Week (May 6-12). This annual event is a Canada-wide venture to promote awareness of individual and family preparedness. Emergency preparedness encourages individuals and organizations to take actions that will keep them protected during emergencies. This shared responsibility ensures that when unexpected events occur that could negatively impact the health of Ontarians, PHO is ready to work with our public health partners and staff to minimize that impact.
Depending on the type of emergency, PHO may be involved in supporting the Ministry of Health and Long-Term Care, public health units, and other health professionals as they plan for and respond to health emergencies. This support can take the form of the continued provision of scientific and technical advice, as well as the continuity of laboratory services.
In addition to having established emergency protocols in place, PHO offers an online course in Emergency Preparedness aimed at public health professionals. The Public Health Emergency Preparedness online course discusses definitions, concepts and strategies over a series of three modules. A certificate of completion is available after accessing all three modules.
PHO remains committed to emergency preparedness and ensuring that we are able to continue our essential services, even in unpredictable times.
For three days in March, members of Ontario’s public health community gathered to exchange ideas, learn and gain inspiration from each other at the eighth annual Ontario Public Health Convention (TOPHC).
We were extremely pleased to have more than 1,000 registrants for TOPHC this year – our most ever. TOPHC also included: 50 sessions, 5 full-day workshops, 88 academic posters, 781 unique visitors to the TOPHC 2018 mobile app and many interesting conversations and insights shared through our social media feeds.
I enjoyed connecting with many of you throughout TOPHC as we engaged with this year’s theme: Leadership. Partnership. Change. Some highlights for me include:
• The Sheela Basrur Centre Lecture on promoting truth and reconciliation in public health with Pat Mandy, Kevin Lamoureux, Dr. Marcia Anderson and Dr. Rosana Salvaterra. They discussed strategies for how we can advance the Truth and Reconciliation Commission of Canada’s “calls to action” in our work and shared perspectives and experiences from both Indigenous health and public health. As the first plenary session at TOPHC they helped set the tone for a thoughtful, energetic and engaging convention.
• The Hot TOPHC plenary session on working together to achieve an integrated health system with Dr. Vera Etches, Dr. Rita Valaitis, Dr. Doug Manuel, Dr. Penny Sutcliffe, Cynthia Martineau and Liane Fernandes. Our panel provided public health unit, Local Health Integration Network (LHIN) and health system partner perspectives on challenges and opportunities when collaborating under the Patients First legislation.
• Dr. Brian Goldman from CBC’s White Coat, Black Art’s insightful talk about combating fake health news at the first ever TOPHC Talks session.
• The opportunity to participate in the Dalla Lana School of Public Health (University of Toronto)’s In the Loop alumni event, which was held on site at TOPHC. It featured Dr. Timothy Caulfield who gave a talk on “Science-ploitation.”
• Ontario’s Chief Medical Officer of Health Dr. David Williams’ advice for the next generation of public health practitioners at the Fireside Chat for students.
• Day 3 remarks by Roselle Martino, Assistant Deputy Minister, Population and Public Health at the Ministry of Health and Long-Term Care on a changing public health landscape, which helped set the stage for the day’s five full-day workshops – a new format for TOPHC this year.
• The five full-day workshops, which sold out before the start of TOPHC. Special thanks to the workshop organizers and presenters who put so much work, time and thought into developing and running their sessions.
TOPHC is truly a public health community event and wouldn’t be possible without your support. Thank you again to everybody who participated and especially to our TOPHC partners, the Ontario Public Health Association (OPHA) and the Association of Local Public Health Agencies (alPHA).
For those of you who were unable to attend or missed a session that you were interested in, we will be posting presentations on the TOPHC website in the next few weeks. In the meantime, I encourage you to visit the TOPHC blog to read recaps on select sessions.
I always come away from TOPHC feeling energized and inspired by our discussions. I look forward to continuing the conversation with you throughout the year and hopefully seeing you on March 27-29 for TOPHC 2019 at the Beanfield Centre in Toronto.
National Immunization Awareness Week 2018 (NIAW) kicks off April 21 and we are continuing our annual tradition of presenting all of the expertise, resources, and research available to you from Public Health Ontario.
Running concurrently with NIAW 2018 is Vaccination Week in the Americas and World Immunization Week. Continued vigilance is required at a provincial, national, and international level to ensure that we are all protected from the various vaccine-preventable diseases that represent an ongoing threat to global health. NIAW recognizes the success and impact of vaccines in saving lives in Canada, and reminds us that immunity is our defense against disease. In place since the 1990s, NIAW’s historical prospective demonstrates that vaccines are needed as much now as ever.
PHO continues to offer a variety of resources displaying our work in immunization, including research, reports, and infographics to help you have a clear understanding of the value of vaccines.
On April 24, be part of our PHO Grand Rounds presentation, Integrating CANImmunize with the DHIR: Using technology to connect Ontarians with Public Health. Speakers Dr. Kumanan Wilson and Katherine Atkinson will discuss the use of technology to improve vaccine uptake and series completion and what integration means for Ontarians, clinicians and public health officials. Registration is available for in-person attendance, or via webinar.
Photo credit: Kevin McDermott, Research Technician,
Public Health Ontario Laboratory, Kingston.
Flooding and a private drinking water system
Every year as
snow melts, the run-off (often called spring run-off) results in contaminants
entering groundwater. In addition to spring runoff, Ontario often receives record amounts of rainfall, which can lead to flooding in many
areas. Flooding combined with annual spring runoff can cause a higher-than-usual risk of contaminants, particularly in private well water.
important to take flooding seriously, understand the risks and know what steps
to take to protect you and your family.
What are the
can affect water quality, and this is a particular concern for rural residents
in Ontario on private drinking water systems. Be aware that flooding may cause contamination
of private water sources, such as wells.
drinking water systems serve many Ontarians, particularly in rural and remote areas.
These systems are vulnerable to contamination with fecal pathogens,
particularly during flooding, and should be tested frequently."
What should I
If you use a private well for your water supply, ensure that you reach out to your local public health unit or your local Public Health Ontario laboratory to have your water tested. Don’t drink, use the water in food preparation, or for brushing your teeth, until it has been determined that there are no indicators of bacterial contamination in the water source.
- It is important to test frequently throughout the year. However, in times of flooding, heavy rainfall, snow melt or spring run-off, it is recommended that private well owners test more often (minimum of once per month).
Flooding and a private
your property is at risk of a flood, or flooded, consider the effect on
your private sewage system. A flooded sewage system will not function properly
and can cause problems such as:
- sewage backup in your home, and;
- contamination of your water supply.
the event of a flood, contact your local public health unit for guidance
regarding how to manage your private sewage system during the flood period.
LDCP Cycle 5 has
launched! Read on to see how we’re using collaboration at the local and
provincial levels to tackle public health issues.
What is the LDCP
The Locally Driven Collaborative Projects (LDCP) program
brings public health units together to develop and run research projects on
issues of shared interest related to the Ontario Public Health Standards. We
focus on fostering partnerships, strengthening knowledge transfer, and creating
scientifically sound and relevant projects.
Cycle 5 launch
We are pleased to announce the launch of cycle 5 of the LDCP program. The three new projects for this cycle are:
Cannabis misuse among youth
An examination of key messages, best practices, strategies and interventions to address cannabis misuse among youth.
Ontario Public Health Standard: Chronic Diseases and Injury Prevention, Wellness and Prevention of Injury and Substance Misuse
A provincial framework for healthy community design
Description: There is a need for a legislative framework in Ontario that compels municipalities to incorporate health unit feedback into the development approval, community design plans and evaluability assessment processes to ensure healthy natural/built environments are created
Ontario Public Health Standard: Healthy Environment
Best practices for collaborating with school boards and the Ministry of Education in relation to mental health
Ontario Public Health Standard: School Health
If you are interested in getting involved, please contact LDCP@oahpp.ca. You can learn more on our LDCP webpage.
March is Nutrition Month! To celebrate, here’s five things we learned in the past year about food and nutrition:
1. Two-thirds of packaged foods and drinks in Canada have added sugars
A PHO and University of Waterloo study found that 66 per cent of packaged food products had at least one added sugar in their ingredients list, including baby foods, infant formulas, and many so-called ‘healthier’ foods. See the newsroom article to find out more.
2. On-shelf nutrition labels help supermarket shoppers choose healthier foods
A PHO study looked at an on-shelf labelling system in major super market chains that shared simple, standardized nutrition information to help shoppers make informed and healthy food choices. They found that the labelling system led to increases in the proportion of healthy foods (such as fresh fruits and vegetables) that shoppers purchased. See the newsroom article or the PHO Rounds presentation for more.
3. A nutrition “report card” can help us assess and take action on how our communities support healthy eating
In a PHO Rounds presentation, Dr. Kim Raine described the Alberta’s 2016 Nutrition Report Card on Food Environments for Children and Youth. The report card aims to increase awareness of food environments for children with a focus on health promotion and obesity prevention. See the presentation to find out more.
4. Measuring food literacy is more than just knowing about nutrition or how to cook
A Locally Driven Collaborative Project is creating a tool to measure food literacy in youth, young parents and pregnant women. They discovered that food literacy also includes individual beliefs and attitudes, environmental factors and the ability to apply knowledge and skills to food decisions. Read the report to find out more.
5. Menu labelling in restaurants may help children and youth choose healthier options
A systematic review by PHO found that nutrition labelling on menus in restaurants or school cafeterias may result in lower calorie food choices for children or adolescents. This is the first study of it’s kind to synthesize evidence on menu labelling’s impact on children and adolescents. Read the journal article to find out more.
For more information on Nutrition Month, see the Dietitians of Canada website.
Substance use has
been thrust into the spotlight in the past year, with the rapid increase of
opioid-related deaths and the Health Minister calling the opioid crisis a
“public health emergency”. Coupled with the impending cannabis legalization
fast approaching in July 2018, it’s becoming more important to establish public
health approaches to mitigate the burden of substance use. In such a quickly changing
environment, public health professionals are asking, “Can we keep up”?
“This series provides a much needed forum for us to discuss recent developments, explore opportunities, and advance practice related to substance use.”
- Pamela Leece, Public Health Physician, Public Health Ontario
In response to this evolving environment, Public Health
Ontario is introducing a PHO Rounds series that will focus on substance use to
provide up-to-date and relevant information that will help you and your team
feel more prepared. Our series will focus on surveillance data, local
responses, and evaluation approaches – all presented by the foremost experts in
each of these areas. Please join us for the following three sessions:
March 13: Community-based
Integrated Drug Strategies: Fit for Success? 12:00 p.m. to 1:00 p.m.
Michael Parkinson, Drug strategy specialist, Waterloo
Region Crime Prevention Council
Rob Schwartz, Executive Director, of Ontario
Tobacco Research Unit
17: Legalization of Cannabis, 12:00 p.m.
to 1:00 p.m.
Public Health Nurse and member of the Ontario Public Health Association
Cannabis Task Force
Dr. Lawrence Loh,
Associate Medical Officer of Health, Region of Peel
24: Opioid Surveillance Panel, 12:00
p.m. to 1:00 p.m.
Presenters to be announced.
How can I register?
Visit our for more information on each session, including
registration links. If you have any questions, please contact the PHO Events
Team at firstname.lastname@example.org.
February 13: Opioid Early Warning
Systems, 12:00 p.m. to 1:00 p.m
Dr. David Williams, Chief Medical Officer of
Dr. Kieran Moore, Medical Officer of Health,
Kingston, Frontenac and Lennox & Addington Public Health Unit.
Missed a presentation? Visit our presentations
page to check it out at a later time.