Interrim SIS

Last month, many residents were shocked to hear about an unsanctioned “pop-up” supervised injection site operating in a City of Ottawa Park. While neither Ottawa Public Health officials nor myself as Chair of the Board of Health approve of this site, actions are being taken to provide enhanced harm reduction services to those in need.
As you may know, the Sandy Hill Community Health Centre (SHCHC) was already in the process of preparing for an approved supervised injection site to open up later in the fall (approximately late October 2017). In the meantime, OPH has determined that there is an immediate need for harm reduction services and as such, proposed that an interim site be opened through OPH’s Site program at Ottawa’s Sexual Health Clinic (179 Clarence St) with operations commencing as soon as practicable once required approvals are obtained.

 

The proposed satellite SIS would be available 7 days a week, with hours of operation to be confirmed. Services would be provided by current qualified employees of OPH in accordance with both the requirements of Health Canada, and with applicable policies and procedures of the SHCHC for the SIS.

 

For more information, OPH has prepared a Frequently Asked Questions page which is available here.

 

More update will be provided as they come.

Healthy Lunch Tips from Ottawa Public Health

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School is back in session and that means filling up lunchboxes with lots of nutricious goodies to feed a hungry mind! But eating healthy doesn’t have to be a chore. Ottawa Public Health has prepared a list of some easy and fun ways to make healthy lunches part of your child’s everyday routine, giving them lots of energy to play and learn.

**Remember that a healthy lunch should include 3-4 food groups every day!

Such ideas include:

  • Ask your child for their favourite lunch and snack ideas.
  • Try switching the bread in your child’s lunch. Switch between whole grain pita wraps, tortillas and flatbread.
  • Aim to include 2 food groups in your child’s snack. For example, cheese and whole grain crackers or yogurt and a small oatmeal muffin.
  • Include your child in lunch planning by bringing them with you to the grocery store, or having them help put foods into containers.
  • Most schools in Ottawa require peanut free lunches. Check with your school to see if you should avoid packing peanut butter or foods containing peanuts in your child’s lunch.
  • Lunch box food safety is important. Try to make the lunch the night before. Place all the food and beverage items in the fridge overnight. Place all items in an insulated lunch box just before heading out to school. Add a small ice pack, or a food or beverage item that was frozen overnight. These will thaw by lunchtime. If serving hot foods, warm up the thermos with boiling water for a few minutes. Reheat your food and add to your emptied thermos. This will help keep the food hot until lunch time.

 

Food labels are important as well. If your child has a food allergy, be sure to read the labels on all pre-packaged food. The Ingredient List and the Nutrition Facts Table provide information about the food you are eating. The Ingredient List and the Nutrition Facts Table will help you:

  • Choose healthy food more easily
  • Compare two products to make better food choices for you and your family  Learn about the nutrition information of the foods you eat
  • Better manage special diets

Eating healthy is an important part of a child’s development! I hope that all parents and students are making the most of their lunches to fee the best they can be!

 

For more information on healthy eating, please visit http://ottawa.ca/en/residents/public-health

Ottawa Public Health reminds students to party safe during post-secondary return to school

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As Chair of Ottawa Public Health, and in partnership with the Ottawa Overdose Prevention and Response Task Force, I would like to take a moment to remind college and university students to be aware of the risk of drug and alcohol-related harms, including overdose, during welcome-back and orientation week activities.

Misuse of alcohol and/or drugs can lead to serious injuries, increased violence and alcohol poisoning and overdose. Several Ottawa hospitals see an increase of emergency department visits for sexual assaults during college and university orientation week activities.

Drug and alcohol overdoses are preventable. The most effective way to avoid an overdose is not to use illegal substances. Street drugs are not controlled substances. Unknown drug dosage, drug purity, and contamination issues may increase the risk of adverse reactions or overdose.

Anything can be cut with fentanyl. In Ottawa, bootleg fentanyl has been found in cocaine, heroin and MDMA (Ecstasy), and mixed into counterfeit pills that look virtually identical to prescription opioids like Percocet, and has been associated with life threatening overdoses. (Further information available: Prevent overdoses at summer parties and festivals)

Prescription drugs can also be very harmful when misused or taken without a doctor’s prescription. Taking these medications together with alcohol and/or other drugs can have serious consequences, including death.

To lower your risk of drug and/or alcohol overdoses and other associated harms:

  • Do not use multiple substances at the same time, such as alcohol and drugs.
  • Stay well hydrated with water and take frequent breaks from drinking
  • Do not accept drinks (even water) or drugs from others
  • Stay with friends you trust – keep an eye on each other.
  • Avoid drinking games
  • If you feel unsafe or unwell, seek help immediately from people you know or security staff
  • Plan for a safe ride home. Do not drink or use drugs and drive. Do not drink or use drugs and cycle.
  • If walking, ensure you are visible to drivers. Walking or cycling while intoxicated or while using drugs increases the risk of a collision and injury for you and others.

If you use drugs:

  • Use a small amount first to test the strength.
  • Don’t use alone.
  • Carry naloxone- a medication that can temporarily reverse the effects of an opioid overdose. You can get a take-home naloxone kit for free from pharmacies and other agencies in Ottawa.

 

Don’t be afraid to call 9-1-1 if you or someone else is showing any of the following signs or symptoms of a drug or alcohol overdose:

  • Slow, shallow or difficulty breathing and/ or bluish lips and nails
  • Changes in level of consciousness including confusion
  • Person is not moving or cannot be woken up
  • Pupils are tiny (also known as pinpoint)
  • Skin feels cold or clammy
  • Inability to walk or loss of balance
  • Gurgling sounds or snoring
  • Personality changes or hallucinations
  • Vomiting
  • Choking
  • Seizures

 

For more about overdoses and how to prevent them, visit StopOverdoseOttawa.ca

Tips for Managing Mosquitos from Ottawa Public Health

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You don’t need to look past your full bottle of sunscreen to know that it has been a very wet and rainy summer. While few of us are celebrating the near- record rainfall, it’s been a prime season for mosquitoes.

 

Mosquitoes lay eggs in standing water and love to do so around your home – in recycle bins, the top of pool covers, bird baths and anywhere else a little bit of water can pool. Certain types of infected mosquitoes, especially the northern house mosquito, can spread the West Nile virus (WNV) when biting humans. Most people will not develop any symptoms if infected with WNV, but some may experience flu-like symptoms.

 

Symptoms may include:

  • Flu-like symptoms, which can include, fever, frontal headache, muscle aches and occasionally a skin rash;
  • Additional symptoms such as neck stiffness, muscle weakness, stupor, disorientation and coma.

 

After a rainfall, help stop mosquitoes from breeding – and lower the risk of WNV – by draining any standing water around your house, including even small amounts of water in small containers.

  • Empty water from flower pots, pet dishes, pool covers, buckets and barrels
  • Turn over plastic wading pools and wheelbarrows when not in use
  • Clean clogged eavestroughs regularly
  • Remove unused items, such as tires that can collect water
  • Change the water in wading pools, bird baths, pet bowls at least once a week
  • Cover all access points to rain barrels with tight-fitting screens
  • Use an aerator in garden ponds to keep surface water moving; this will only work if all parts of the water move
  • Consider stocking your garden pond with fish that eat mosquito larvae

 

Prevent mosquito bites:

  • Wear long pants, a long-sleeved shirt and socks
  • Wear light-coloured clothing; mosquitoes are attracted to dark colours
  • Place mosquito netting over infant carriers  Stay indoors between dusk and dawn when mosquitoes are most active and avoid shady, bushy or wooded areas at any time
  • Screen all windows and doors
  • Use an insect repellent that has DEET or icaridin. Always read and follow label directions
  • Seek medical attention if you develop symptoms of WNV

 

To learn more about Ottawa Public Health’s WNV prevention program, visit www.OttawaPublicHealth.ca or call OPH at 613-580-6744.

Ottawa Public Health reminds students to party safe during post-secondary return to school

download

As Chair of Ottawa Public Health, and in partnership with the Ottawa Overdose Prevention and Response Task Force, I would like to take a moment to remind college and university students to be aware of the risk of drug and alcohol-related harms, including overdose, during welcome-back and orientation week activities.

Misuse of alcohol and/or drugs can lead to serious injuries, increased violence and alcohol poisoning and overdose. Several Ottawa hospitals see an increase of emergency department visits for sexual assaults during college and university orientation week activities.

Drug and alcohol overdoses are preventable. The most effective way to avoid an overdose is not to use illegal substances. Street drugs are not controlled substances. Unknown drug dosage, drug purity, and contamination issues may increase the risk of adverse reactions or overdose.

Anything can be cut with fentanyl. In Ottawa, bootleg fentanyl has been found in cocaine, heroin and MDMA (Ecstasy), and mixed into counterfeit pills that look virtually identical to prescription opioids like Percocet, and has been associated with life threatening overdoses. (Further information available: Prevent overdoses at summer parties and festivals)

Prescription drugs can also be very harmful when misused or taken without a doctor’s prescription. Taking these medications together with alcohol and/or other drugs can have serious consequences, including death.

To lower your risk of drug and/or alcohol overdoses and other associated harms:

  • Do not use multiple substances at the same time, such as alcohol and drugs.
  • Stay well hydrated with water and take frequent breaks from drinking
  • Do not accept drinks (even water) or drugs from others
  • Stay with friends you trust – keep an eye on each other.
  • Avoid drinking games
  • If you feel unsafe or unwell, seek help immediately from people you know or security staff
  • Plan for a safe ride home. Do not drink or use drugs and drive. Do not drink or use drugs and cycle.
  • If walking, ensure you are visible to drivers. Walking or cycling while intoxicated or while using drugs increases the risk of a collision and injury for you and others.

If you use drugs:

  • Use a small amount first to test the strength.
  • Don’t use alone.
  • Carry naloxone- a medication that can temporarily reverse the effects of an opioid overdose. You can get a take-home naloxone kit for free from pharmacies and other agencies in Ottawa.

 

Don’t be afraid to call 9-1-1 if you or someone else is showing any of the following signs or symptoms of a drug or alcohol overdose:

  • Slow, shallow or difficulty breathing and/ or bluish lips and nails
  • Changes in level of consciousness including confusion
  • Person is not moving or cannot be woken up
  • Pupils are tiny (also known as pinpoint)
  • Skin feels cold or clammy
  • Inability to walk or loss of balance
  • Gurgling sounds or snoring
  • Personality changes or hallucinations
  • Vomiting
  • Choking
  • Seizures

 

For more about overdoses and how to prevent them, visit StopOverdoseOttawa.ca

Public Health Expert Panel Report

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In January of this year, the Provincial Ministry of Health partnered with public health units together to create an Expert Panel on public health which would generate a report to guide the future of public healthcare plans in Ontario.

 

This report makes recommendations on structural, organizational and governance changes for Ontario’s public health sector that, if implemented, would constitute a significant departure from status quo. As part of their recommendation, the Expert Panel was asked to consider:

  1. The optimal organizational structure for public health in Ontario to:
  • ensure accountability, transparency and quality of population and public health programs and services
  • improve capacity and equity in public health units across Ontario
  • support integration with the broader health system and the Local Health Integration Networks (LHINs) – the organizations responsible for planning health services
  • leverage public health’s expertise and leadership in population health-based planning, decision-making and resource allocation, as well as in addressing health equity and the social determinants of health.

 

  1. How best to govern and staff the optimal organizational structure.

 

Yesterday, the report was made available in full and is available by clicking here.

I believe this is a great stride forward toward a public health sector that operates consistently between municipality and province. Moreover, an integrated health system will make the programs offered by public health will be more visible in the public domain, thereby improving upon resources that are readily available.

I highly encourage all residents to review the report as there are quite a few perspectives explained in the way of optimizing public health for everyday life.

Tips for Hosting a Successful Summer BBQ from OPH

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Summer is now here and what better way is there to enjoy some fun in the sun than a summer barbecue (BBQ) with friends, colleagues and/or family? As with any type of cooking, it is important to follow safe food handling procedures to prevent harmful bacteria from ruining outdoor spreads. As residents continue to head outdoors to enjoy their summers, Ottawa Public Health (OPH) and myself would like to provide a reminder to home-chefs of some of the food safety challenges that cooking on their grills may present.

 

Here are some important food safety tips to remember when BBQing:

 

Clean

  • Wash your hands well with soap and water for at least 15 seconds before preparing food and/or when changing tasks.
  • Clean and sanitize utensils, cooking equipment and work surfaces with hot water and soap. Always make sure to use separate utensils for raw and cooked products. So remember – when putting chicken on the grill; be sure to use a new, clean utensil to take it off!

 

Separate

  • Make sure to keep raw meat away from other foods, including garnish like lettuce and tomatoes. If heading over to a friend’s place for a BBQ, pack raw meats separately from other food items.
  • Use separate utensils (e.g. spatula, tongs) and cutting boards to prepare raw meats, cooked meats and fruits/ vegetables.
  • Always cover food items to protect from cross contamination by food, humans and/or insects. No extra protein needed!

 

Chill

  • Are the burgers frozen? Thaw foods in the refrigerator, under cold running water, or microwave (if the food item is placed immediately on the grill). Meat should be completely thawed before grilling so that it cooks more evenly.
  • Keep cold foods cold at 4°C/40°F or lower by placing the items in a cooler full of ice or on a platter that is full of ice.

 

Cook

  • Bacteria such as Coli and Salmonella are killed by heat. Raw meat must be cooked properly and to a safe internal temperature to avoid the risk of food borne illness.
  • Use a probe thermometer to ensure that food has reached the proper temperature before eating.
  • Place the probe thermometer in the thickest part of the meat. It is important not to rely on the colour of the food or juices as an indicator that meat is safe to eat.

 

For a full list of cooking temperatures, consult this handy chart.

 

Serving Food and Leftovers

  • Use a clean plate when taking food off the grill. Do not put cooked food on the same plate that held raw meat.
  • Cool food using shallow containers, or ice baths. Discard any food that is left out for more than 2 hours.

For more information about food safety, please visit http://ottawa.ca/en/residents/public-health/healthy-living/food-safety.

I hope that all residents have a safe and delicious summer!

Ticks and Lyme Disease

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I would like to take a moment to remind residents to be aware of ticks and to take harm-reducing measures to prevent the spread of Lyme Disease.

 

Lyme disease is an infection caused by a bacteria transmitted through the bite of an infected tick. Not all ticks carry Lyme disease. In Ontario, Lyme disease is spread by the bite of a black-legged tick, commonly known as the deer tick. Most humans are infected through the bite of an immature tick called a nymph, which is very small and are most active in the spring. Adult ticks are larger and active during the late summer and fall.

 

Ottawa Public Health (OPH) has been advising Ottawa physicians and the public since April of 2017 that all parts of Ottawa should be considered risk areas for Lyme disease. The prevalence of Lyme disease in blacklegged ticks will fluctuate in time and geographically throughout the Ottawa region; however, as mentioned, all of Ottawa is considered a risk area for Lyme disease.

I would also like to remind residents that OPH has put together Lyme disease “kits”, which are available for pickup free of charge at my ward office in the Goulbourn Recreation Complex (GRC) for your information, use and distribution. Each “kit” includes a Lyme disease factsheet, which offers details related to the symptoms of Lyme Disease, tick removal processes, testing protocols and ways to prevent tick bites. The kits also include a tick key, which is designed to help remove any tick that may have attached themselves to a person, a family member, friend or pet.

I encourage all residents to pick up a tick-kit and be prepared for what to do in case you find a tick attached to you or your pets.

For more information on how to protect yourself and your family, please visit www.ottawa.ca/lymedisease. Should you have any questions or require more information, please feel free to contact me at shad.qadri@ottawa.ca.

Prevent Overdoses at Summer Parties and Festivals

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The Ottawa Overdose Prevention and Response Task Force is reminding residents to party safely while celebrating throughout the summer festival season. The Task Force advises that overdoses, whether from drugs, alcohol or a combination of both, are preventable. There is also an increased risk of alcohol and drug-facilitated sexual assaults at large events.

Ottawa sees over 30 drug overdose deaths every year, and the number of emergency department visits related to accidental drug overdoses nearly doubled from 2009 to 2015. In Ottawa in 2016, there was an average of 22 emergency department visits per week for life-threatening drug overdoses.

To lower the risk of overdose and sexual assault, the Task Force is working with festival organizers, security companies and first aid providers, as well as providing festival goers with safe partying tips.

  • Don’t mix drugs with other substances like alcohol. Using more than one drug at a time increases the risk of overdose.
  • Stay hydrated with water and take breaks from dancing to prevent dehydration and overheating.
  • Don’t accept drinks (even water) from people you don’t know –  there is increased risk of alcohol and drug-facilitated sexual assaults at large festivals.
  • Speak up!Don’t be afraid to say you feel unsafe or don’t feel well.  Seek help from your friends, first aid providers or festival support staff.
  • Plan a safe ride home before you go out – have a designated driver, plan your bus route or your cab ride before going out.

Festival goers who choose to use drugs should:

  • Never use without others present– stay with friends you trust and keep an eye on each other
  • Go slow if you are using a new substance;
  • Know the signs of an overdose and call 911 – an overdose is always a medical emergency;
  • Carry naloxone – it is a medication that can temporarily reverse an opioid overdose;
  • If you witness an overdose, call 911 immediately. Administer first aid, give naloxone and if you are on festival grounds, send someone to get festival medical staff.

 

The Task Force also reminds festival goers that counterfeit pills in Ottawa have tested positive for fentanyl, which is an opioid that is approximately 50-100 times stronger than morphine. Getting “street drugs” from a non-medical source such as a friend, ordering online, or from a drug dealer is very risky and potentially life-threatening. There is no way to know what is actually in them or how toxic they may be. Partying at festivals doesn’t have to include drug use.

 

Festival goers should also be familiar with the signs of an opioid overdose, which include:

  • Breathing will be slow or absent
  • Lips and nails are blue
  • Person is not moving
  • Person may be choking
  • Person will make gurgling or snoring sounds
  • Person can’t be woken up
  • Skin feels cold and clammy
  • Pupils are tiny (also known as pinpoint)

The Task Force is working with festival organizers to reduce harms to festival goers, including facilitating training to first aid attendants and other first responders on overdose prevention, opioids and naloxone administration. You can get a take-home naloxone kit for free from pharmacies and other agencies in Ottawa. For more about overdoses and how to prevent them, visit StopOverdoseOttawa.ca

#HaveYourSay: Marketing of unhealthy foods to children and youth

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In my role as Chair of Ottawa Public Health (OPH), I am happy to share that OPH has launched a public consultation asking residents, businesses and sports groups to ‘have their say’ on marketing of unhealthy food and beverage to children and youth in our communities.

 

The results of the consultation will help OPH better understand what Ottawa residents think about marketing of unhealthy food and beverages to children and youth in Ottawa and will be used to guide future public health work in this area.

 

A bilingual survey is now available online until August 14, 2017. In addition to the survey, residents are invited to participate in a live Facebook chat on June 21, 2017. The live chat will run from 8:00am to 3:00pm with a special noon hour presentation with guest speaker Mr. Manuel Arango, Director of Health Policy at the Heart and Stroke Foundation to discuss their report “The kids are not alright: How the food and beverage industry is marketing our children and youth to death”.

 

OPH invites all Ottawa business and industry organizations, and sports and child-focused groups to contact OPH should they wish to participate in a focus group on marketing of unhealthy food and beverages to children and youth. Interested parties can do so by emailing M2CY@ottawa.ca.

 

Other opportunities to provide feedback on this public consultation include calling the OPH Information Line at 613-580-6744 (TTY: 613-580-9656),written submission via email to M2CY@ottawa.ca, regular mail, and via social media networks on Facebook and Twitter.

 

I highly encourage all residents to take a moment to provide their feedback as this is an important issue regarding how unhealthy foods and drinks are promoted to our youth. By providing feedback, you are helping to shape the healthy eating habits for children not only today but in the future of Ottawa.

 

I would like to thank OPH for pursuing this excellent initiative and also thank all residents for contributing your time to complete the survey. Thank you.

 

For additional information, please visit OttawaPublicHealth.ca.