Erna Coffin Owner / Graphic Designer
519.633.1093 erna@ec-designs.ca www.ec-designs.ca EC Design
From Concept to Printed Product... Erna Coffin, senior designer E.C. Design provides quality, professional
and owner, has provided
graphic design services for a multitude of
her services to businesses
printed media. By working with a number of
in Elgin County for 9 years.
select printers and preferred suppliers in the
With extensive experience
area, we can economically deliver the entire
in the retail, public health
project from concept to final product.
and not-for-profit sectors, Erna
has
developed
a
methodical process that brings a path of focus and clarity to each assignment. She asks the right questions, garnering a thorough understanding of both the message and the intended audience. Only then does she set to work on the design, with her uncanny ability to interpret the aesthetic without losing the core marketing message.
Retractable Banner Displays “Erna is a gifted and “Erna is a gifted and experienced graphic experienced designer. Shegraphic is able designer. She is able to interpret my vision to interpret my vision and create designs and create designs that translated my that translated my message into print message into print and and the the online onlineworld. world. Erna is an inspiring entrepreneur and Erna is an inspiring provides fantastic entrepreneur and perspective.” provides fantastic perspective.”
Christine Belan, Keller Williams Christine LifestylesBelan, Realty Keller Williams Lifestyles Realty
Tabletop Banner Displays
Branding and Logo Design
“Thanks for being so prompt! Always appreciated and always enjoy working with you.� Valerie Sloby, PC Healthcare
Annual Reports, Newsletters and Books A
Message from the Executive Director
Two thousand and thirteen was the year that moving plans, program plans and several new strategies for Elgin St. Thomas Public Health were put into action. With great enthusiasm, staff at ESTPH embarked on more new tasks and priorities than ever before. To keep track of this work, we began to report on our achievements based on our Strategic Plan using a scorecard framework.
LIC HEALTH ELGIN ST. THOMAS PUB
RT 20 13 AN N UAL RE PO
INTEGRATION AND LEARNING AND GROWING NAL SYSTEMS RESOURCES AND INTER
This was the first year of implementing our Strategic Plan. Knowing what the priorities are for the CityTofAND Elgin UNITY COMMand CLIEN St. Thomas RESPONSIVENESS County helped us to model programs and ILITY ACCOUNTAB services accordingly and to apply the most AND NANCE GOVER current research and latest interventions in health promotion and health protection.
This annual report highlights some of the client feedback we have received. In their own words, those who use our services
have shared opinions on what we do and how we have met their needs. This feedback can be found throughout the report, and I hope you find it interesting! In response to client feedback, we have developed and implemented new customer service standards to make sure our clients receive exceptional service whenever and wherever they engage with Public Health. This is a commitment we remain focused on in our daily work. After 23 years at the 99 Edward Street location, Public Health moved to 1230 Talbot Street in St. Thomas. The process resulted in a building purposely built to meet the health needs of the communities we serve. The building design includes ample community meeting spaces, as well as up-to-date clinical services, health resources and space for growth.
Message from the Acting Medical Officer of Health
I’m often asked what, in my medical opinion, is the best thing a person can do for their health. The answer, which still surprises many, is not a vitamin, a medication, or even taking steps to stop smoking. Nor is the key to health thirty minutes of exercise a day or a diet rich in healthy produce, helpful as these are. Although it isn’t obvious, the keys to a healthy life are much more fundamental to everyday life: a secure home, adequate nutrition, a steady pay cheque, and a supportive community. The good news is
Message from the Board
Chair
that none of these require a prescription or a needle in the arm. The challenge is that despite decades of research, many policymakers and segments of the public are still unaware of this simple truth. ESTPH is now moving into the
Cynthia St. John, MBA Executive Director
Please enjoy this 2013 annual report; it represents the highlights of what has been a great year of change in the organization’s history. It emphasizes some outstanding accomplishments! Board of Health 2013
In 2013 there was a mysterious a major Health from 99 Edward Street to 1230 result was . The on business to doing construction project happening the east Talbot Street in St. Thomas. The burst of rters for Elgin St. Thomas and community project tion A new many duties new headqua construc side of Talbot Street. building quickly construction began early in 2013 and Since 2011, I have enjoyed budget. Health. d under ity as a member Public emergedresource as the complete new home of Elgin St. never ceased for the rest of the year. It representing our commun I term, this Thomas Public Health. This community moving was a very busy time for Public Health an of the Board of Health. During County residents needed services are Public Health believe while continuing Elgin . Iwas building purpose-built for the delivery staff offering programs, packing and finally became the Board’s Chair le facility for health services report highlights . Thisservices. direction the right and the City of St. accessib of healthin promotion protection moving without disrupting the quality vital to serve as Alderman for staff also needed enough and initiatives of services ent each Public Health that people expect. mandated clear direction Thomas. The roles complem Elgin County. workspace to provide services the health of needs to ce bilities importan responsi After rigorous site evaluations, the in meets . The new facility other and I take pride s. We by the Province member assessments and planning sessions, the The new headquarters address many for Board built fellow I share with ents. It is purpose provide the these requirem health of Health decided to build a new priorities for local health. The design staff to tackle Board continuously work to s for the public health facility the and move Elgin St. Thomas Public includes community meeting spaces, up ity. We did necessary services and resource challenges in our commun ity. and s commun decision our E L G I N S T. T H O M A S P U B L I C H E A LT H A N N U A L R E P O R T 2 0 1 3 of right health homework, made the to make it happen. This the milestone of took action ied the correct approach In 2013, we accomplished ent of a process exemplif breaking ground on the developm
commit to the daily appointments. Part of her assessment at the Methadone clinic involved testing for blood borne infections involving Hepatitis B, C, HIV and syphilis. Although this blood work was completed, *Katie is an intravenous drug user living she never followed up for the results and with an addiction and Hepatitis C. She has the clinic was not able to locate her. used our needle exchange program (NEP) Unfortunately, she was not aware of her in the past but in the last year, found it new diagnosis (Hepatitis C) and her need difficult to access services for further testing. Public due to her own transportation ...the word on health was able to connect barriers. She heard about our with her through the clinic the street is that at Port Stanley United new clinic in Port Stanley from friends within the community. Church arrange further you are finally When she went to the new blood testing and help her clinic (at Port Stanley United here. follow up with a physician. Church) for the first time, her A great relationship now response was “the word on the street is exists with this client and we continue that you are finally here”. She did access supporting her through this journey. We the Methadone Clinic in St. Thomas are able to provide sterile syringes and several months prior, but was not able to clean drug use equipment and also the
safe disposal of all of these supplies. Katie says there is a real need for support in the community for services that involve addiction counseling, methadone and suboxone treatment and more hours for the needle exchange program.
School needs assessment – principal engagement
Each school has unique strengths and needs. It is very important that our services reflect this. In June of 2013, school satisfaction interviews and surveys were completed in an effort to gather feedback from within the school and evaluate the services provided through the year. All Public and Catholic school Principals in Elgin-St. Thomas were invited to meet with the public health nurse assigned to their school. Their discussion covered what went well, what needed improvement and identified any perceived gaps in service. The results were shared in a customized school summary report.
“
Back: David Warden (Chair), Bernie Wiehle, Frank Warsh, Cynthia St. John Front: Marla Champion, Heather Jackson, Jack Couckuyt Absent: Mark Cosens, Bill Walters
Dr. Franklin Warsh, Acting Medical Officer of Health
implementation phase of its Social Determinants of Health strategy, and one of the strategy’s overarching goals is to meet that very challenge. Thanks to the energy and creativity of front-line staff, and the support of the Board of Health and our partners and stakeholders, the next year should see meaningful progress towards this goal, and ultimately, a healthier and happier Elgin-St. Thomas region.
RESOURCES AND INTERNAL SYSTEMS David Warden, A Change of Space Chair, Board of Health
CLIENT AND COMMUNITY
A Client Experience with Clinical Services
Many clients within Elgin County benefit from the needle exchange program operated by Elgin St. Thomas Public Health. Below is a story shared by a client.
”
“
Our relationship with Public Health is more meaningful than it has ever been. Student health is important to us and we have seen an increase in the number of contacts over the past two years. You are a valuable member of our school community and you’re really connecting with the students. Your involvement and visibility in the school makes it easier for students to contact you and feel comfortable doing so.
”
Mr. Scott Massecar, Department Head of Student Services, Central Elgin Collegiate Institute
to date clinical services and health protection resources. The location is designed for public accessibility with a central location in Elgin County, convenient access to nearby residential areas and a stop along the St. Thomas bus route. The building process was a new and exciting challenge for the organization with the end result being a landmark site for the community that will contribute to the health and well being of all residents for years to come.
*To protect the client’s anonymity, their name and some case details were changed.
Elgin Schools Value Nursing Support
Elgin St. Thomas Public Health is committed to continuous quality improvement in our programs and services. In a school community, the goal is to work with administration, teachers, parents, students and local agencies. Together we create an environment that will have a meaningful impact on a child’s health and improve learning outcomes.
The results were helpful. Principals reported they welcomed increased support from Public Health to service the health and wellness needs of their students. Based on the feedback and the success of certain programs, the most popular ones were added to a menu of service options for schools to choose from.
This process strengthened the collaborative relationship Public Health has with schools and helped to inform program plans, service goals, and targets. Based on the success in 2013, and the need for ongoing feedback, this initiative will expand in June of 2014 so private and Amish schools are included. E L G I N S T. T H O M A S P U B L I C H E A LT H A N N U A L R E P O R T 2 0 1 3
, Ontario N5P 1G9 6 • www.elginhealth.on.ca
1230 Talbot Street • St Thomas
519.631.9900 • 1.800.922.009
“Thank you so much for the fabulous work! The finished product is AMAZING!” René McIntyre, Trumpet of Truth Christian Ministries
Youth Brain Development
Frontal Lobe
Think About It
• initiation, problem solving, personality
Parietal Lobe • language, sense of touch
Occipital Lobe • vision
Temporal Lobe • memory, hearing
Brain Stem
Cerebellum
• breathing, heart rate, swallowing
• movement, balance
What is the cost of eating well?
Reeal life situations for people living in Elgin and St. Thomas:
r Every year Elgin St. Thomas Public Health surveys the price of food items from grocery stores across St. Thomas and Elgin County using a tool called the Nutritious Food Basket (NFB)
Single Person Households ouseholds
Households with Children
r The cost is determined by pricing 67 food items in six grocery stores across the county and calculating the average lowest retail price. In 2013, the weekly cost of groceries for a family of four was $184.95. r Items included in the NFB meet recommendations from Canada’s Food Guide. However, the assumption is that people have the time, skill, and equipment needed to prepare food from scratch.
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r Prepared convenience foods, personal and household non-food items such as toothpaste and cleaning supplies are not included in the NFB
Income
The weekly cost of groceries for a family of four is now $184.95. That is an increase over three per cent in three years.
Why does the cost of food matter? When money is tight people are often forced to cut into their food budget to pay for other living expenses. People will skip meals, eat fewer fruits and vegetables, drink less milk, and fill up on non-nutritious foods because they are more affordable. This is called food insecurity. The result of this unhealthy diet is an increased risk of chronic illness, and ppor growth and development in children .
Who can’t afford to eat well & why? For people living on minimum wage, Ontario Works, or the Ontario Disability Support Program, it is hard to make ends meet. After paying rent, they still have to pay for other necessities such as:
“I wish I could afford more of the good stuff... fresh fruits, vegetables and meat. When I do get the fresh stuff it doesn’t last long.� ~ Minimum wage earner and mother of two children
2
r
Heat and hydro
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Transportation, car maintenance and gas
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Child care
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Clothing
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Eye and dental care
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Home maintenance
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Costs for children school supplies
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Household cleaners and personal hygiene products
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Insurance
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When faced with the choice of paying rent or going hungry, many families are forced to go hungry.
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When income is low and living expenses are high people don’t have enough money for food. In March 2013 the Caring Cuboard food bank in St. Thomas served 703 people. Of these 34% were children.
A summary of some real life situations for people living in Elgin and St. Thomas appears above. These scenarios show that after paying y rent and for food, people and households who earn minimum wage orr receive social assistance have little, if any money left over to cover the cost of other basic monthly expenses.
T H E R E A L C O S T O F E AT I N G W E L L I N S T. T H O M A S E LG I N C O U N T Y 2 0 1 3
T H E R E A L C O S T O F E AT I N G W E L L I N S T. T H O M A S E LG I N C O U N T Y 2 0 1 3
3
Posters, Flyers, Brochures and Signs
Meats Ian and Connie Foster 29 48649 College Line, Aylmer • 519-773-8718
Honey and Syrup Clovermead Adventure Farm ~ Home to 24 Million Bees 35 11302 Imperial Road (Hwy. 73), Aylmer, N5H 2R3 • 519-773-5503
icfoster@amtelecom.net
info@clovermead.com • www.clovermead.com
Corn-fed freezer beef. No animal by-products in feed or hormones used. Portions or halves may be ordered or come visit us at our on-farm store.
Honey and honey products, maple syrup and more. School & group tours.
Crocker Honey 30 49801 Glencolin Line, Aylmer • 519-773-9208 Custom slaughter, retail store. Chicken, pork and beef.
Mon, Tues, Thurs, Fri. 8-5. Wed. 8-12, Sat. 9-12
Lunnvale Family Farms 31 46698 Crossley-Hunter Line, Belmont • 519-318-0388
jblunn5@gmail.com Freezer beef, certified organic crops available for livestock feed.
Please call to order.
McSmith’s Organic Farm 32 42828 Shorelea Line, St. Thomas • 519-631-0279
mcsmith@amtelecom.net • www.mcsmithsorganicfarm.com Certified Organic chicken, eggs, vegetables, beef & pork.
Phone to order. Also see us at St. Thomas Horton Farmers’ Market.
Oegema Turkey Farms Inc. 33 10882 Sunset Road, Talbotville • 519-633-0527
36 44635 Sparta Line, Sparta • 519-633-1099
Mon-Fri. 9-5:30, Sat. 9-4
Empire Valley Farm Market and Greenhouse 41 27983 Talbot Line, Wallacetown • 519-762-3504
www.empirevalleyfarms.com
www.crockerhoney.ca
Perennials, hanging baskets, tomatoes, berries, sweet corn, strawberries.
May-Oct: Mon-Fri. 9-6, Sat. 9-5, Sun. 12-5
Farmgate Markets Gibson’s Honey Farm 37 25629 McMurchy Line, West Lorne • 519-768-0035 Pure honey, beeswax and related items.
Open year-round, please call ahead.
Rodgers Family Maple Syrup 38 36500 & 36435 Lake Line, Port Stanley
519-782-4662, 519-782-3904 Maple syrup, maple butter.
Open year round.
Wineries
42 19 Elgin Street, St. Thomas • 519-637-0055
info@farmgatemarket.com • www.farmgatemarket.com Fresh Ontario Meats and store made deli meats. Featuring no fillers or by-products in any of our products.
Mon-Fri. 9-6. Sat. 9-5
From the Meadow 43 3881 Avon Drive, Belmont • 519-633-9338
info@fromthemeadow.com • www.fromthemeadow.com 100% natural, organic personal care products. 167 local grown herbs.
Open year-round, Mon-Fri 10-4. May-Oct every Sat. at Horton Farmers market and year-round every Sat. at Western Fairgrounds.
Salt Creek Market 44 11143 Highbury Avenue, St. Thomas • 519-633-9338
Quai du Vin 39 45811 Fruit Ridge Line, St. Thomas • 519-775-2216 Wine & misc. supplies, grapes and grape juice in season.
Mon-Sat. 10-5, Sun. 12-5 (Grape juice early October)
www.saltcreekmarket.com Handmade baking, produce, apples, cider, pickles, jams, jellies, maple syrup, cheese and gifts.
May-Dec: 9-7
St. Thomas Horton Farmers’ Market 45 Manitoba Street, St. Thomas • www.hortonfarmersmarket.ca Farmer produced fruits, vegetables, bread, cheese & meats, local artisans featured.
Mon, Tues, Thurs, Fri. 8-5. Wed. 8-12, Sat. 9-12
Nurseries Canadale Nurseries Ltd. Ontario’s Favourite Garden Centre! 46 269 Sunset Drive, St. Thomas • 519-631-7264 info@canadale.com • www.canadale.com Trees, flowering shrubs, perennials, annuals and more.
Spring: Mon-Sat 8-8, Sun 9-6. Summer/Fall: Mon-Sat 8-6, Sun 10-6; Winter: Mon-Fri 8-5
Family Flowers Inc. Family owned and operated since 1994 47 44329 Talbot Line, St. Thomas • 519-631-6004
www.familyflowers.ca Fresh Potted Flowers and Unique Home + Garden Décor for each season.
By appointment.
info@quaiduvin.com • www.quaiduvin.com
Pete Charlton's Quality Meats 34 239 Ross St, St. Thomas, N5R 3Y5 • 519-631-2340 Butcher, locally sourced meats.
Mon-Fri. 8-8, Sat-Sun. 8-6
Honey.
info@turkeyshoppe.com • www.turkeyshoppe.com Fresh and frozen turkeys & turkey products.
Briwood Farm Market
March-Dec: Mon-Sat. 9-5:30. Jan-Feb: Tues, Fri & Sat
By phone or by chance. Open year-round.
Johnson Meats
Markets 40 1030 Talbot Street, St. Thomas • 519-633-9691 Fruit, vegetables, plants/flowers, fresh meat, baked goods made daily.
May 7-Oct 29: Sat. 8-noon
Mon-Sat 9-5. Open year round.
Harris Family Farm Eco-Conscious Seasonal Cut Flowers 48 42488 Ron McNeil Line, St. Thomas • 519-668-9537 harrisflowerfarmpasturedpork.weebly.com Flowers for special events. Pastured pork.
At St. Thomas Horton Farmers' Market & Covent Garden. Call year round.
Moore's Flower & Garden Centre 49 11047 Imperial Rd N, Aylmer • 519-773-8526 Bedding plants, fall mums, annuals, perrenials, hanging baskets.
Open Spring to fall, hours vary by season.
h? What’s In Your Moutcare?
FREE dentalqualify for Do you qualify for or younger, you may old If you are 17 years to find out. er these questions dental care. Answ
FREE
YES NO
?
Do your gums hurts Do you have bad
breath, even after
Do your gums bleed
brushing?
when you brush
your teeth?
?
es or broken teeth
Do you have caviti
Did you know?
dentist ts pay to see the Do you or your paren have t because you don’t out of their own pocke Many Elgin County plan? a dental residents are without your last than a year since dental benefits. For Has it been more st? some, it’s a struggle to denti visit to the
And...
YES to at least If you answered section, one question in each complete the give us a call or 31-9900 519-6 : card below Please detach
for Elgin St. Thomas and return to school office
pay for basic dental care or even emergency dental care.
Oral Health Services works to improve the oral health of teens by offering oral health education and financial assistance.* dental screening. Public Health The Healthy Smiles Ontario and CINOT (Children In Need Of
Treatment) Programs are run by Elgin St. Thomas Public Health for____ those 0-17 years old.* ____
________________
________ Name: ________
________
________________
________ Grade: ________ Scho
we can help.
________________
________________ Teacher/Room: email (optional): Phone number or
buylo calbuyfresh.ca
*must meet eligibility criteria
____ ____should ________ Teeth last a lifetime;
____________ ol: ____________
__ ____ Elgin St. Thomas Public Health ____ ____ Oral Health Services 99 Edward Street • St. Thomas, Ontario 519-631-9900 text only option: 519-520-3392
________________
________________
To find out if you qualify for our service, contact us:
Page 1
PROTECT YOUR CHILD Infant and Toddler Rear-facing
Quiz for Toddlers (18-35 months)
LAW
Toddler and Child Forward-facing
Children No Back / High Back Booster
LAW
• Under 9 kg (20 lbs) • Harness slots at or below shoulders • Infant reclined to 45˚ angle
• 9 kg to 18 kg (20 to 40 lbs) • Harness slots at or above shoulders • Tether strap must be used
BEST until at least: • 1 year of age and • Walking unassisted and • Weigh at least 10 kg (22 lbs) Some rear-facing car seats are made for children that weigh up to 20 kg (45 lbs).
BEST until child outgrows forward-facing seat. Some forward-facing car seats are made for children that weigh up to 30 kg (65 lbs).
LAW Under 8 years of age OR 18 kg to 36 kg (40 to 80 lbs) OR • Less than 145 cm (4’9”) • •
BEST until seat belt fits properly (even if over 8 years old). The top of child’s ears should not be above the back of the vehicle seat or high back booster.
All children 12 years and under should be buckled in the back seat.
For more information: www.elginhealth.on.ca Click on Quick Links: Car Safety Seats Installation
Ads, Postcards, Rack Cards and Bookmarks S
Is your child a
Quit Now.
Healt hy Eater?
Using a Car Safety Seat in a Vehicle Always follow the instructions of: 1 the car safety seat manual and 2 the vehicle owner’s manual •3 CMVSS label must be on the car safety seat 3• Check the vehicle’s manual for the Universal Anchorage System (UAS or LATCH system) weight limit. 3• Check the vehicle manual to be sure you are using an approved seating position. 3• Do NOT install a car safety seat in a seating position that has an active air bag. 3• Do not use bulky clothing or extra padding when dressing a child.
If your child is between the ages of 18 months and 5 years old, go to
nutritionscreen.ca to find out.
It takes less than 10 minutes and shows you: 3 What is going well with your child’s eating habits.
Make sure…
3 What to work on to help make your child a healthy eater for life.
• The harness straps are tight with one finger between the strap 3
Counselling and subsidized nicotine replacement therapy available to individuals interested in quitting.
nutritionscreen.ca
Consider Your Health.
and the child. • The harness chest clip is at the arm pit level. 3 • A child uses a safe car safety seat with a CMVSS label 3 when travelling in any vehicle. 3 • The car safety seat is checked every time you place a child in it.
3 Trusted nutrition resources, tools and recipes.
Moving to next stage of car safety seats? • Watch an installation video at: www.elginhealth.on.ca under “Quick Links” on the left side • Click “Car Safety Seat Installation” Want more information?
Contact Elgin St. Thomas Public Health and we’d be happy to help.
For more information: 519.631.9900 • www.elginhealth.on.ca
519.631.9900 www.elginhealth.on.ca
ForFor more information call more information call Elgin St.St.Thomas Elgin ThomasPublic PublicHealth Health at at 519-631-9900 519-631-9900and andask ask to to speak Nurse. speakwith withaaPublic PublicHealth Health Nurse.
CONTRABAND TOBA TOBAACCCCO WHAT IS IT?
Tobacco that’s imported or exported illegally, either in defiance of a total ban or without payment of o duty
WHY IS IT ILLEGAL?
IDENTIFYING LEGAL TOBACCO
t Tobacco that has not been checked by the t Packaging must have the YELL Y OW government so it’s not regulated by the Ontario-adapted federal sstamp Canadian Tobacco Act (w we don’t know what’s in it) t 75% of the packaging t Tobacco made for First Nations but sold is health warnings to Non-First Nations people t Sold from a legal t Tobacco illegally made and sold with fake Ontario store labels contributing to organized crime
You can get FINES and/or JAIL TIME if caught with contraband
Online and Social Media FORWARD-FACING
Common Installation Error
FORWARD-FACING
Common Installation Error Harness through the wrong slots for the child’s size
FORWARD-FACING
Common Installation Error Harness through the wrong slots for the child’s size
Impact in a crash: Possible injury: Neck and Head
3
FORWARD-FACING
Correct Installation
HARNESS • Is pulled snug • Is at or below my shoulders • Lays flat
TETHER STRAP TIGHT HEAD & NECK SUPPORT
CHEST CLIP • Is at armpit level www.elginhealth.on.ca
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