Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Enteric illness incidence rate The rate of new enteric diseases relative to the total A iPHIS A A Cross reference with IDCD Surveillance Plan Include Annual Surveillance
population (per 100,000) in a specified time period. The
following diseases are classified as “enteric”: Amebiasis,
Brucellosis, Botulism, Campylobacter enteritis, Cholera,
Creutzfeldt-Jakob Disease, Cryptosporidiosis, Cyclosporiasis,
Food Poisoning (all causes), Giardiasis, Hepatitis A,
Listeriosis, Paratyphoid Fever, Salmonellosis, Shigellosis,
Trichinosis, Typhoid Fever, Verotoxin-producing Escherichia
coli (VTEC) infection and Yersiniosis.
Food premises compliance 1.) Proportion of food premises that were inspected (by facility A PHACTS A A Include Semi-annually Health Protection
risk category) per year;
2.) Proportion of food premises that were re-inspected in York
Food Safety
Region (by facility risk category) per year
Food premises enforcement 1.) Proportion of food premises that were issued a provincial B HP internal A A Include Annual Health Protection
offences notices under Food Premises Regulation 562/90 per database
year;
2.) Proportion of food premises that were issued an order
under HPPA per year
Certified food handler Proportion of food premises in York Region with at least one A PHACTS A A Include Annual Health Protection
current certified food handler on site
Food safety in the home See RRFSS module - Food Safety in the Home for specific A RRFSS A C RRFSS module completed partially for 2009, optional Include Annual Health Protection
definitions content for 2010 (Jaime with
assistance from
Surveillance)
Food safety disclosure Annual number of requests for food premise disclosure in A Health A A Currently, information can be pulled out of Health Include Annual Health Protection
York Region received by Health Protection Connection Connection, however HP has requested Surveillance
support in developing a system for food disclosure for
2011
Private well water testing 1.) Number of households on private wells per year that A HP internal A A To discuss with Safe Water Manager re:access to Include Annual Health Protection
submitted a laboratory sample; database, system
2.) Proportion of private wells that have been tested by the WITSEN
Public Health Laboratory at least three times in the past 12
months;
3.) Proportion of households on a specific well type (shallow,
bored, deep/drilled)
Water-related complaints Annual number of water-related complaints and inquiries B PHACTS A A Include Annual Health Protection
received from the public by requiring a Public Health Inspector’s response, by facility type
facility type (regulated, unregulated, water haulage, small drinking water
systems, public swimming pools and spas, other recreational
facilities, public beaches)
Number of drinking water Annual number of adverse water reports from drinking water A HP internal A A Include Annual Health Protection
systems adverse water quality systems in York Region that fall under Ontario Drinking Water database
incident reports Systems, Regulation 170/03 and Small Drinking Water
Systems, Regulation 319/08
r
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Drinking water systems 1.) Annual number of advisories (boil water and drinking A HP internal A A Include Annual Health Protection
enforcement (advisories and water) issued to drinking water systems under Regulation database
orders issued) 170/03 and Regulation 319/08;
2.) Annual number of orders (boil water and drinking water)
issued to drinking water systems under Regulation 170/03
and Regulation 319/08
Small drinking water systems 1.) Annual number of small drinking water assessments A RCAT/LRMA A A Inspections for SDWS to begin January 1, 2012 Include Annual Health Protection
completed by York Region;
2.) Annual number of directives issued;
Safe Water
3.) Annual number of SDWS that required sampling
Water haulage facility 1.) Proportion of water haulage facilities that have been A HP internal A A Include Annual Health Protection
compliance inspected per year; database
2.) Proportion of water haulage facilities that required a re-
inspection per year
Waterborne illness incidence The incidence rate of reportable diseases that indicates that B iPHIS A A Include Annual Surveillance
rate water is the source of illness
Public beaches water quality Proportion of days per season that York Region public A HP internal A A Identified as a priority for 2011; move towards a Include Annual Health Protection
beaches are posted or closed relative to the total number of database modeling approach using risk factors and historical AND Surveillance
days that beach has been monitored per year. Beaches are data. Potential change for acceptable E. coli levels
posted when E. coli levels exceed Ontario Ministry of
Environment Guidelines to Recreational Water Quality
Public beaches assessments 1.) Proportion of public beaches in York Region in which A HP internal A A See above - values collected here to feed into Include Annual Health Protection
assessments were completed per year; database modeling system AND Surveillance
2.) Values for turbidity, temperature and sources of pollution
in each beach
Drowning death rate Annual rate of drowning deaths in York Region (ICD10 B IntelliHEALTH A A Data available up to 2005. Look if coding is available Include Annual Surveillance
Primary Cause = V90, V92, or W65 - W74.99 from Vital and complete for "Place of Injury"; HP is not sure how
Statistics) useful this indicator is to their program, although it has
been used before
Regulated recreational water 1.) Proportion of inspected public swimming pools and spas A PHACTS A A Include Annual Health Protection
facilities compliance per year;
2.) Proportion of swimming pools and spas requiring a re-
inspection per year
Recreational water facilities 1.) Proportion of public swimming pools and spas that were A HP internal A A Include Annual Health Protection
enforcement issued a HPPA order per year; database
2) Proportion of other recreational facilities (e.g. splash pads,
wading pools) that were issued a HPPA order
Air quality standards - particulate Annual number of days that particulate matter 2.5 exceeded A MOE B A Include Annual Health Protection
matter 2.5 Canada-Wide or applicable standards at Newmarket and
Toronto North air monitoring stations
Air quality standards - nitrogen Annual number of days that nitrogen oxides exceed Ministry A MOE B A Include Annual Health Protection
oxides of Environment's or applicable standards at Newmarket and
Toronto north air monitoring stations.
Air quality - ground level ozone Annual number of days that ground level ozone exceeded A MOE B A Include Annual Health Protection
MOE or applicable standards at Newmarket and Toronto
North air monitoring stations
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Perception of outdoor air quality See RRFSS module Outdoor Air Quality. 1.) To identify and A RRFSS A C Data only available for 2008; possibly biannual Include Biannual? Health Protection
measure public awareness of health impacts of poor outdoor availability? To be put into 2011 RRFSS module (Jaime with
air quality; selection assistance from
2.) To identify the level of concern associated with human Surveillance)
health effects of poor outdoor air quality among adults (18+);
3.) To identify methods used to reduce individual exposure to
poor outdoor air quality
Air quality - Air Quality Index Annual number of days where air quality index was in the A MOE C A Include Annual Health Protection
moderate, poor and very poor categories for at least 1 hour on
one day at Newmarket and Toronto North air monitoring
stations.
Hospitalization and emergency 1.) Rate of emergency department admissions related to A Environment B A Annual number of days when the humidex is 40 or Include Annual Health Protection
department visits related to asthma on humidex exceedance days and its 3-day lag Canada and more at the Buttonville monitoring station. The AND Surveillance
asthma on humidex exceedance period. IntelliHEALTH humidex is an index (a computed value as opposed to
days 2.) Rate of inpatient hospitalization admissions related to something measured) devised to describe how hot or
asthma on humidex exceedance days and its 3-day lag humid weather feels to the average person. The
period. humidex combines the temperature and humidity into
one number to reflect the perceived temperature. It
takes into account these two important factors that
affect summer comfort. It is therefore a better measure
of how stifling the air feels than either temperature or
humidity alone. This replaces high temperature and
high humidex days as indicators.
Information (DAD and NACRS) available up to 2008
from IntelliHEALTH; ICD10-CA code J45.
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Hospitalizations and emergency 1.) Rate of emergency department admissions related to A Environment B A Annual number of days when the humidex is 40 or Include Annual Health Protection
department visits related to cardiovascular disease (including stroke) on humidex Canada and more at the Buttonville monitoring station. The AND Surveillance
cardiovascular disease (including exceedance days and its 3-day lag period. IntelliHEALTH humidex is an index (a computed value as opposed to
stroke) on humidex exceedance 2.) Rate of inpatient hospitalization admissions related to something measured) devised to describe how hot or
days cardiovascular disease (including stroke) on humidex humid weather feels to the average person. The
exceedance days and its 3-day lag period. humidex combines the temperature and humidity into
one number to reflect the perceived temperature. It
takes into account these two important factors that
affect summer comfort. It is therefore a better measure
of how stifling the air feels than either temperature or
humidity alone. This replaces high temperature and
high humidex days as indicators.
Information (DAD and NACRS) available up to 2008
from IntelliHEALTH; ICD-10 CA codes I10 (essential
primary hypertension), I11 (hypertensive heart
disease), I20-I22 (angina pectoris, acute myocardial
infarction, subsequent myocardial infarction), I24
(other ischaemic heart diseases), I25 (chronic
ischaemic heart disease), I46 (cardiac arrest), I47
(paroxysmal tachycardia), I50 (heart failure), I51
(complications and ill-defined descriptions of heart
disease), I70 (atherosclerosis). Cardiovascular
disease indicators will be collected as part of CVD-GIS
grant (ongoing project). Data up to 2008. Potential to
tie in with ER Surveillance in 2011.
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Hospitalizations and emergency 1.) Rate of emergency department admissions related to A Environment B A Annual number of days when the humidex is 40 or Include Annual Health Protection
department visits related to respiratory disease on humidex exceedance days and its 3- Canada and more at the Buttonville monitoring station. The AND Surveillance
respiratory disease on humidex day lag period. IntelliHEALTH humidex is an index (a computed value as opposed to
exceedance days 2.) Rate of inpatient hospitalization admissions related to something measured) devised to describe how hot or
respiratory disease on humidex exceedance days and its 3- humid weather feels to the average person. The
day lag period. humidex combines the temperature and humidity into
one number to reflect the perceived temperature. It
takes into account these two important factors that
affect summer comfort. It is therefore a better measure
of how stifling the air feels than either temperature or
humidity alone. This replaces high temperature and
high humidex days as indicators.
Information (DAD and NACRS) available up to 2008
from IntelliHEALTH; ICD-10 CA codes as follows: J06
(acute upper respiratory infections of multiple and
unspecified sites), J20 (acute bronchitis), J22
(unspecified actue lower respiratory infection), J39-J45
(other diseases of the upper respiratory tract,
bronchitis, emphysema, other chronic obstructive
pulmonary disease), J47 (bronchiectasis), J60-J63
(coalworker's pneumoconiosis, pneumoconiosis due
to asbestos and other mineral fibres, pneumoconiosis
due to dust containing silica, pneumoconiosis due to
other organic dusts), J66-J68 (airway disease due to
specific organic dust, hypersensitivity pneumonitis due
to organic dust, respiratory conditions due to inhalation
of chemicals, gases, fumes and vapours), J70.0
Hospitalizations, emergency 1.) Rate of emergency department admissions (visits) related A Environment B A Annual number of days when the humidex is 40 or Include Annual Health Protection
department visits and deaths to excessive cold exposure on windchill exceedance days. Canada and more at the Buttonville monitoring station. The AND Surveillance
related to excessive heat 2.) Rate of inpatient hospitalization admissions related to IntelliHEALTH humidex is an index (a computed value as opposed to
exposure on humidex excessive cold exposure on windchill exceedance days. something measured) devised to describe how hot or
exceedance days 3.) Rate of deaths in York Region due to excessive cold humid weather feels to the average person. The
exposure on windchill exceedance days. humidex combines the temperature and humidity into
one number to reflect the perceived temperature. It
takes into account these two important factors that
affect summer comfort. It is therefore a better measure
of how stifling the air feels than either temperature or
humidity alone. This replaces high temperature and
high humidex days as indicators.
Information (DAD and NACRS) available up to 2008
from IntelliHEALTH; ICD-10 CA codes (T67 and X30);
Vital statistics only available up to 2005.
Potential to tie in with ER Surveillance in 2011
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Hospitalizations, emergency 1.) Rate of emergency department admissions (visits) related A Environment B B Annual number of days when the windchill of -30 or Include Annual Health Protection
department visits and deaths to excessive heat exposure on humidex exceedance days Canada and lower at the Buttonville monitoring station. Wind chill AND Surveillance
related to excessive cold and its 3-day lag period. IntelliHEALTH is the cooling effect of the wind in combination with
exposure on windchill 2.) Rate of inpatient hospitalization admissions related to low temperatures. When it is windy, we feel colder
exceedance days excessive heat exposure on humidex exceedance days and because our skin temperature is lower. This sensation
its 3-day lag period. of cold is what the windchill index quantifies: as such,
3.) Rate of deaths in York Region due to excessive heat the index is not a real temperature and is expressed
exposure on humidex exceedance days and its 3-day lag without units, even though it is calibrated according to
period. the Celsius temperature scale.
Health Hazard Prevention and Management
Information (DAD and NACRS) available up to 2008
from IntelliHEALTH; ICD-10 CA codes (T68-T69,
X31); Vital statistics only available up to 2005.
Potential to tie in with ER Surveillance in 2011
Total point source on-site release Annual total of point source on-site releases of toxic A NPRI (current) C B Data available online up to 2008 at Include Annual Health Protection
of toxic chemicals chemicals in tonnes by municipality as reported by facilities to and provincial http://www.ec.gc.ca/inrp-npri/default.asp?lang=en.
the National Pollutant Release Inventory (water/air) and Toxics Adding values reported by facilities may result in
provincial registry under Toxics Reduction Act Reduction Act errors, facilities may report different amount of
(2011) pollutants that they release/dispose/recycled as new or
more up-to-date information has been received and
reviewed. Facilities may use different methods to
determine how much of a particular substance they
release, dispose or recycle and vary depending on the
substance or facility, and may change year to year
(http://www.ec.gc.ca/inrp-
npri/default.asp?lang=En&n=B5C1EAB8-1).
Environmental health hazard Proportion of environmental health hazard investigations A PHACTS A A Include Annual Health Protection
investigations and enforcement identifying potential health hazards necessitating corrective
action to mitigate health hazard per year.
Indoor air quality enforcement Proportion of indoor air quality investigations (including A PHACTS A A Include Annual Health Protection
mould) or risk assessments identifying potential health
hazards necessitating corrective action to mitigate health
hazard per year
Arena enforcement Proportion of arena ice pad inspections identifying potential A PHACTS A A Include Annual Health Protection
health hazards necessitating corrective action of mitigate
health hazard (includes referrals to Ministry of Environment
and Ministry of Labour) per year
Migrant farm enforcement Proportion of migrant farms that required a re-inspection per A PHACTS A A Include Annual Health Protection
year
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Mortality attributable to outdoor Mortality measures from Air Quality Benefits Assessment A AQBAT model C A AQBAT modeling program - potential to tie in with ER Include Annual Health Protection
air pollutants Tool including: acute exposure mortality attributable to Surveillance in 2011.
outdoor pollutant concentrations, chronic exposure mortality
Morbidity attributable to outdoor Morbidity measures from Air Quality Benefits Assessment A AQBAT model C A AQBAT modeling program - potential to tie in with ER Include Annual Health Protection
air pollutants Tool including: acute respiratory symptom days; adult chronic Surveillance in 2011
bronchitis days; asthma symptom days, cardiac emergency
room visits, cardiac hospital admissions, child acute
bronchitis episodes, elderly cardiac hospital admissions,
minor restricted activity days, respiratory emergency room
visits, respiratory hospital admissions, restricted activity days
Mortality due to air pollution Premature deaths due to air pollution A iCAP model C D ICAP modeling program from Canadian Medical Include Annual Health Protection
Association to be investigated further - potential to tie
in with ER Surveillance in 2011
Pain and suffering of air pollution Pain and suffering costs of air pollution using ICAP model A iCAP model C D ICAP modeling program from Canadian Medical Include Annual Health Protection
Association to be investigated further - potential to tie
in with ER Surveillance in 2011
Health care costs of air pollution Health care costs of air pollution using ICAP model A iCAP model C D ICAP modeling program from Canadian Medical Include Annual Health Protection
Association to be investigated further - potential to tie
in with ER Surveillance in 2011
Lost productivity of air pollution Lost productivity costs of air pollution using ICAP model A iCAP model C D ICAP modeling program from Canadian Medical Include Annual Health Protection
Association to be investigated further - potential to tie
in with ER Surveillance in 2011
Asthma rates Prevalence rate of asthma in population ages 12+ A CCHS A A Prevalence of asthma can only be gathered for those Include Annual Surveillance
12+ years from Canadian Community Health Survey,
data up to 2008
Hospitalizations and emergency 1. Annual rate of hospitalizations in York Region related to A IntelliHEALTH B/C A Information (DAD and NACRS) available up to 2008 Include Annual Surveillance
department visits related to asthma; from IntelliHEALTH; ICD10- CA code J45, data up to
asthma 2.) Annual rate of emergency department visits in York 2008
Region related to asthma
Hospitalizations and emergency 1. The number of emergency visits and hospitalizations in B IntelliHEALTH B B Request to add this indicator on August 2010 TBD, possible TBD Health Protection
department visits related to York Region related to asthma when: a) PM 2.5 exceeds daily and indicator for AND Surveillance
asthma when air quality acceptable values; b) Ground level ozone exceeds daily Environment 2011?
measures exceeded acceptable acceptable values; c) Nitrogen oxide exceeds daily Canada
values acceptable values at Newmarket and Toronto North air
monitoring station. Its 3-day lag period is also examined.
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to A IntelliHEALTH B/C A Information (DAD and NACRS) available up to 2008 Include Surveillance
department visits related to cardiovascular diseases, including stroke; from IntelliHEALTH; ICD-10 CA codes I10 (essential
cardiovascular disease (including 2.) Annual number of emergency department visits in York primary hypertension), I11 (hypertensive heart
stroke) Region related to cardiovascular diseases, including stroke; disease), I20-I22 (angina pectoris, acute myocardial
3.) Annual number of emergency department visits in York infarction, subsequent myocardial infarction), I24
Region related to cardiovascular diseases, including stroke (other ischaemic heart diseases), I25 (chronic
ischaemic heart disease), I46 (cardiac arrest), I47
(paroxysmal tachycardia), I50 (heart failure), I51
(complications and ill-defined descriptions of heart
disease), I70 (atherosclerosis). Cardiovascular
disease indicators will be collected as part of CVD-GIS
grant (ongoing project). Data up to 2008. Potential to
tie in with ER Surveillance in 2011.
Hospitalizations and emergency 1. The number of emergency visits and hospitalizations in B IntelliHEALTH B B Request to add this indicator on August 2010 TBD, possible TBD Health Protection
department visits related to York Region related to cardiovascular disease when: a) PM and indicator for AND Surveillance
cardiovascular disease when air 2.5 exceeds daily acceptable values; b) Ground level ozone Environment 2011?
quality measures exceed exceeds daily acceptable values; c) Nitrogen oxide exceeds Canada
acceptable values daily acceptable values at Newmarket and Toronto North air
monitoring station. Its 3-day lag period is also examined.
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to A IntelliHEALTH B/C A Information (DAD and NACRS) available up to 2008 Include Annual Surveillance
department visits related to respiratory disease; from IntelliHEALTH; ICD-10 CA codes as follows: J06
respiratory disease 2.) Annual rate of emergency room visits in York Region (acute upper respiratory infections of multiple and
related to respiratory diseases unspecified sites), J20 (acute bronchitis), J22
(unspecified actue lower respiratory infection), J39-J45
(other diseases of the upper respiratory tract,
bronchitis, emphysema, other chronic obstructive
pulmonary disease), J47 (bronchiectasis), J60-J63
(coalworker's pneumoconiosis, pneumoconiosis due
to asbestos and other mineral fibres, pneumoconiosis
due to dust containing silica, pneumoconiosis due to
other organic dusts), J66-J68 (airway disease due to
specific organic dust, hypersensitivity pneumonitis due
to organic dust, respiratory conditions due to inhalation
of chemicals, gases, fumes and vapours), J70.0
(acute pulmonary manifestations due to radiation),
J70.1 (chronic and other pulmonary manifestations
due to radiation), J70.8 (respiratory conidtions due to
other specified external agents), J70.9 (respiratory
conditions due to unspecified external agent), J96
(respiratory failure, not elsewhere classified).
Potential to tie in with ER Surveillance in 2011
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Hospitalizations and emergency 1. The number of emergency visits and hospitalizations in B IntelliHEALTH B B Request to add this indicator on August 2010 TBD, possible TBD Health Protection
department visits related to York Region related to respiratory disease when: a) PM 2.5 and indicator for AND Surveillance
respiratory disease when air exceeds daily acceptable values; b) Ground level ozone Environment 2011?
quality measures exceed exceedsdaily acceptable values; c) Nitrogen oxide exceeds Canada
acceptable values daily acceptable values at Newmarket and Toronto North air
monitoring station. Its 3-day lag period is also examined.
Hospitalizations, emergency 1.) Annual rate of hospitalizations in York Region related to A IntelliHEALTH B/C A Information (DAD and NACRS) available up to 2008 Include Annual Surveillance
department visits and deaths excessive heat exposure; from IntelliHEALTH; ICD-10 CA codes (T67 and X30);
related to excessive heat 2.) Annual rate of emergency room visits in York Region Vital statistics only available up to 2005.
exposure related to excessive heat exposure;
3.) Annual rate of deaths in York Region due to excessive Potential to tie in with ER Surveillance in 2011
heat exposure
Hospitalizations, emergency 1.) Annual rate of hospitalizations in York Region related to A IntelliHEALTH B/C A Information (DAD and NACRS) available up to 2008 Include Annual Surveillance
department visits and deaths excessive natural cold exposure; from IntelliHEALTH; ICD-10 CA codes (T68-T69,
related to excessive cold 2.) Annual rate of emergency room visits in York Region X31); Vital statistics only available up to 2005
exposure related to excessive natural cold exposure;
3.) Annual rate of deaths in York Region related to excessive Potential to tie in with ER Surveillance in 2011
natural cold exposure
Bloodborne infections incidence The rate of new bloodborne illnesses relative to the total B iPHIS A A Include Annual Surveillance
rate population (per 100,000) in a specified time period. This
includes diseases such as hepatitis B (acute and chronic) and
hepatitis C
Institutional outbreak summary Annual summary of outbreaks occurring in York Region A iPHIS, IDCD A A Include Annual Surveillance
institutions, including Long-term care homes, day care
centres, and retirement homes. The summary includes a
breakdown by outbreak type (i.e., respiratory vs. enteric),
causative agent and average length of time in outbreak. It will
also include the enteric illness rate (exposure: long term care
home) and the proportion of premises in outbreak per year.
Infectious Diseases Prevention and Control
Vectorborne disease incidence The annual rate of new enteric diseases relative to the total A iPHIS A A Include Annual Surveillance
rate population (per 100,000) in a specified time period. This
includes diseases such as Lyme disease and West Nile virus
Positive mosquito pools Annual number of positive mosquito pools captured by A HP internal A A Include Annual Health Protection
mosquito traps per year database
Lyme disease positive ticks Annual number of positive ticks that were submitted to Public A HP internal A A Include Annual Health Protection
Health Lab database
Infection control premises 1.) Proportion of infection control premises that were A PHACTS A A Include Annual Health Protection
inspection compliance inspected per year by facility type (daycares, LTCH) in York
Region;
2.) Proportion of infection control premises that were re-
inspected in York Region by facility type (daycares, LTCH) in
York Region per year
Infectious Diseases Prevention an
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Personal service setting 1.) Proportion of personal service settings that were inspected A PHACTS A A Include Annual Health Protection
inspection compliance per year in York Region;
2.) Proportion of personal services settings that were re-
inspected per year in York Region
IPAC complaints by facility type Annual number of infection prevention and control complaints A PHACTS A A Include Annual Health Protection
and inquiries requiring a Public Health Inspector’s response,
by facility type (LTCH, daycares, PSS, community)
Number of HPPA orders issued Annual number of section 13 HPPA orders issued to infection A CFIA A A Include Annual Health Protection
to infection control premises control premises including LTCH, daycares, and PSS notification
Use of PSS procedures Monitors prevalence of personal care procedures; monitors A RRFSS A D Complete data summary for available years (2006 and Include Biannual? Health Protection
public awareness regarding licensing of personal service 2007), to add into 2011 RRFSS module selection (Jaime with
settings in York Region residents (18+). See RRFSS module- assistance from
Personal Services Settings Surveillance)
Rabies incidence rate in animals Annual number of animals with confirmed rabies A HP internal A A Include Annual Health Protection
Rabies Prevention and
database
Rabies incidence rate in humans Annual number of humans who die of rabies infection A iPHIS A A Include Annual Surveillance
Control
Proportion of humans given Proportion of York Region residents given prophylactic A HP internal A A Include Annual Health Protection
prophylactic treatment for animal treatment for human exposure to rabies per year system
exposure
Rabies immunization for cats and Proportion of cats and dogs that are currently immunized A HP internal A A Include Annual Health Protection
dogs against rabies during time of animal exposure incidents per system
year
Proportion of tobacco vendors 1.) Proportion of tobacco vendors that were inspected in York A TIS A A Include Annual Health Protection
inspected Region per year;
Chronic Diseases and Injury (Tobacco
2.) Proportion of tobacco vendors that were re-inspected in
York Region per year
Proportion of tobacco vendor Proportion of tobacco vendors in York Region that were A TIS A A Include Annual Health Protection
inspections resulting in SFOA issued a provincial offences notice under Smoke Free Ontario
charge Act per year
enforcement)
Proportion of tobacco vendors Proportion of tobacco vendor sites in York Region that have A TIS A A Include Annual Health Protection
with repeated offences repeated offences in the past year
Current teen smokers Percent of the teen population (12 to 19 years of age) that B CCHS A A Data current up to 2008 Include Annual Surveillance
were current cigarette smokers from Canadian Community
Health Survey Use of OSDUS as a potential data source - cross
reference with Healthy Lifestyles Division
Use of other tobacco products Percent of the population that have smoked or used other B CCHS A A CCHS provides data for age group 12+; data current Include Annual Surveillance
tobacco products (cigars, pipe, chewing tobacco or snuff) in up to 2008; focus on chewing tobacco and snuff if
the previous month from Canadian Community Health Survey available
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
15
10
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
Health
Program Currently Data Data Reporting Divisional
Area
Indicator Description Protection Data Source Comments Outcome
Reported Quality Availability Frequency Responsibility
Priority
r Food Safety
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Safe Water
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Health Hazard Prevention and Management
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Infectious Diseases Prevention and Control
Program
Chronic Diseases and Injury (Tobacco Rabies Prevention and
Area
enforcement) Control Infectious Diseases Prevention an
Program
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Area
r Food Safety
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Safe Water
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Health Hazard Prevention and Management
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Program
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Infectious Diseases Prevention and Control
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Chronic Diseases and Injury (Tobacco Rabies Prevention and
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enforcement) Control Infectious Diseases Prevention an
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Program
Area
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r Food Safety
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Safe Water
Program
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Health Hazard Prevention and Management
Area
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Program
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Infectious Diseases Prevention and Control
Program
Chronic Diseases and Injury (Tobacco Rabies Prevention and
Area
enforcement) Control Infectious Diseases Prevention an
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Area
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Program
Area
Divisional Priority Rating Scale Data Quality Rating Scale
Letter Rating Criteria Letter Rating Criteria
A High Priority Indicator integral to A High quality No reporting issues
business operations for overall frequency
on a continual basis estimates of
and included in indicator
program logic
models
B Medium Indicator would be B Medium Some subanalysis
Priority helpful for program quality estimates to be
planning on a interpreted with
continual basis caution/few not
reportable for
municipality only
C Low Priority Indicator would be C Low quality Several subanalysis
helpful, but yearly estimates to be
data is not required interpreted with
caution & several
issues with
reportability
D N/A Indicator is not D No value Interpretation or
required reportability issues
with overall
frequency estimate
of indicator
Note: All indicators in red are recommended to be not included. All indicators in purple should be subject to discussion
To be discussed with team
Not included
Data Sources
1d IPHIS
2d PHACTS
3d HP internal database
4d RRFSS
5d Health Connection
6d WITSEN
7d RCAT
8d LRMA
9d IntelliHEALTH
10d Ministry of Enviroment
11d Environment Canada
12d National Pollutant RI
13d
Data Availability Rating Scale
Letter Rating Criteria
A Annual Indicator data
available every year
B Biannual Indicator data
available every two
years (rotating)
C Optional Indicator may be
Content selected for data
collection, may have
been collected in
past
D Variable Received data for
availability several years,
unknown future
availability
E Limited Received data at
availability one time, not
anticipated in near
future
Indicator Description
Enteric illness incidence rate The rate of new enteric diseases relative to the total population (per 100,000) in a specified time
period. The following diseases are classified as “enteric”: Amebiasis, Brucellosis, Botulism,
Campylobacter enteritis, Cholera, Creutzfeldt-Jakob Disease, Cryptosporidiosis, Cyclosporiasis,
Food Poisoning (all causes), Giardiasis, Hepatitis A, Listeriosis, Paratyphoid Fever, Salmonellosis,
Shigellosis, Trichinosis, Typhoid Fever, Verotoxin-producing Escherichia coli (VTEC) infection and
Yersiniosis.
Food premises compliance 1.) Proportion of food premises that were inspected (by facility risk category) per year; 2.) Proportion
of food premises that were re-inspected in York Region (by facility risk category) per year
Food premises enforcement 1.) Proportion of food premises that were issued a provincial offences notices under Food Premises
Regulation 562/90 per year; 2.) Proportion of food premises that were issued an order under Health
Protection and Promotion Act per year
Certified food handler Proportion of food premises in York Region with at least one current certified food handler on site
Food safety in the home See RRFSS module - Food Safety in the Home for specific definitions
Food safety disclosure Annual number of requests for food premise disclosure in York Region received by Health Protection
Private well water testing 1.) Proportion of households on private wells per year; 2.) Proportion of private wells that have been
tested by the Public Health Laboratory at least three times in the past 12 months; 3.) Proportion of
households on a specific well type (shallow, bored, deep/drilled)
Water-related complaints Annual number of water-related complaints and inquiries requiring a Public Health Inspector’s
received from the public by response, by facility type (regulated, unregulated, water haulage, small drinking water systems,
facility type public swimming pools and spas, other recreational facilities, public beaches)
Number of drinking water Annual number of adverse water reports from drinking water systems in York Region that fall under
systems adverse waterquality Ontario Drinking Water Systems, Regulation 170/03 and Small Drinking Water Systems, Regulation
incident reports 319/08
Drinking water systems 1.) Annual number of advisories (boil water and drinking water) issued to drinking water systems
enforcement (advisories and under Regulation 170/03 and Regulation 319/08; 2.) Annual number of orders (boil water and
orders issued) drinking water) issued to drinking water systems under Ontario Drinking Water Systems Regulation
170/03 and Small Drinking Water Systems Regulation 319/08
Municipal drinking water Annual number of adverse reports received per year when the following chemical parameters in the
chemcial quality municipal water system are over the acceptable level, as outlined in the Ontario Drinking Water
Quality Standards, Regulation 169/03. Chemicals include: antimony, arsenic, atrazine, benzene,
chloramines, chromium, dioxins and furans, glyphosate, lead, mercury, nitrate, N-
nitrosodimethylamine (NDMA), polychlorinated biphenyl (PCBs),sodium, trihalomethanes (THM),
and vinyl chloride
Small drinking water systems 1.) Annual number of small drinking water assessments completed by York Region; 2.) Annual
number of directives issued; 3.) Annual number of SDWS that required sampling
Water haulage facility 1.) Proportion of water haulage facilites that have been inspected per year; 2.) Proprotion of water
compliance haulage facilites that required a re-inspection per year
Waterborne illness incidence rate The incidence rate of reportable diseases that indicates that water is the source of illness
Public beaches water quality Proportion of days per season that York Region public beaches are posted or closed relative to the
total number of days that beach has been monitored per year. Beaches are posted when E. coli
levels exceed Ontario Ministry of Environment Guidelines to Recreational Water Quality
Public beaches assessments 1.) Proprotion fo public beaches in York Region in which assessments were completed per year; 2.)
Values for turbidity, temperature and sources of pollution in each beach
Drowning death rate Annual rate of drowning deaths in York Region (ICD10 Primary Cause = V90, V92, or W65 - W74.99
from Vital Statistics)
Regulated recreational water 1.) Proprotion of inspected public swimming pools and spas per year; 2.) Proportion of swimming
faciltiies compliance pools and spas requiring a re-inspection per year
Recreational water faciltiies 1.) Proportion of public swimming pools and spas that were issued a Health Protection and
enforcement Promotion Act order per year; 2) Proportion of other recreational facilities (e.g. splash pads, wading
pools) that were issued a Health Protection and Promotion Act order
Air quality standards - particulate 1.) Annual number of days that particulate matter 2.5 exceeded Canada-Wide standard (30ug/m3)
matter 2.5 over a 24-hour period at Newmarket and Toronto North air monitoring stations; 2.) Annual number of
days that particulate matter 2.5 exceeded World Health Organization standard (25 ug/m3) over a 24-
hour period at Newmarket and Toronto North air monitoring stations
Air qualtiy standards - nitrogen 1.) Annual number of days that nitrogen oxides exceed Ministry of Environment's 1-hour standard
oxides (200 ppb) at Newmarket and Toronto north air monitoring stations; 2.) Annual number of days that
nitrogen oxides exceed EPA 1-hour standard (100 ppb) at Newmarket and Toronto north air
monitoring stations; 3.) Annual number of days that nitrogen oxides exceeded MOE 24-hour average
standard at Newmarket and Toronto North air monitoring stations
Air qualtiy - ground level ozone 1.) Annual number of days that ground level ozone exceeded Ministry of Environment's 1-hour
standard (80 ppb) at Newmarket and Toronto North air monitoring stations; 2.) Annual number of
days that ground level ozone exceeded Ministry of Environment's standard (65 ppb) at Newmarket
and Toronto North air monitoring stations; 3.) Annual number of days that ground level ozone
exceeded World Health Organization standard (50 ppb) over an 8-hour period at Newmarket and
Toronto North air monitoring station
Perception of outdoor air quality See RRFSS module Outdoor Air Quality. 1.) To identify and measure public awareness of health
impacts of poor outdoor air quality; 2.) To identify the level of concern associated with human health
effects of poor outdoor air quality among adults (18+); 3.) To identify methods used to reduce
individual exposure to poor outdoor air quality
Air quality - Air Quality Index 1.) Annual number of days with at least one hour of air quality index was in the moderate category
for at least 1 hour on one day at Newmarket and Toronto North air monitoring stations; 2.) Annual
number of days with at least one hour of air quality index was in the poor category for at least 1 hour
on one day at Newmarket and Toronto North air monitoring stations; 3.) Annual number of days with
at least one hour of air quality index was in the very poor category for at least 1 hour on one day at
Newmarket and Toronto North air monitoring stations
York Region per capita fossil fuel Special data request to Statistics Canada
consumption
Average greenhouse gas Average greenhouse gas emission reductions achieved by York Region 20/20 The Way to Clean Air
emissions participants per year
High temperature days Annual number of days when the air temperature is over 30 degrees Celsius reported at the
Buttonville monitoring station
High humidex days Annual number of days when the humidex is 40 or more at the Buttonville monitoring station. The
humidex is an index (a computed value as opposed to something measured) devised to describe
how hot or humid weather feels to the average person. The humidex combines the temperature and
humidity into one number to reflect the perceived temperature. It takes into account these two
important factors that affect summer comfort. It is therefore a better measure of how stifling the air
feels than either temperature or humidity alone
Cold weather days Annual number of days when the air temperature is -15 degrees Celsius or lower reported at the
Buttonville monitoring station
High windchilll days Annual number of days when the wind chill of -30 or lower at the Buttonville monitoring station. Wind
chill is the cooling effect of the wind in combination with low temperatures. When it is windy, we feel
colder because our skin temperature is lower. This sensation of cold is what the wind chill index
quantifies: as such, the index is not a real temperature and is expressed without units, even though it
is calibrated according to the Celsius temperature scale
Severe rainfall events Annual number of days where precipitation within a 24 hour period that is equal to or greater than 25
mm.
Number of flood warnings Annual number of flood warnings issued. A Flood Warning is defined as a notice that flooding is
imminent or occurring. The Flood Warning is based upon information received by the Conservation
Authority’s weather monitoring systems, and is intended to provide notice to municipalities and
emergency services that action is required on their part. Flood Warnings may be updated depending
upon weather and runoff conditions, and will be followed by a notice of cancellation once the
potential for flooding has passed.
Spills reported through Ministry Annual number of spills reported. Spills are defined as releases of pollutants into the natural
of Environment Spills Action environment originating from a structure, vehicle, or other container, and that are abnormal in light of
Centre all circumstances. Spills must be reported immediately to the ministry and to the municipality when
they cause or are likely to cause any of the following: impairment to the quality of the natural
environment - air, water, or land; injury or damage to property or animal life; adverse health effects;
safety risk; making property, plant, or animal life unfit for use; loss of enjoyment of normal use of
property; or interference with the normal conduct of business.
Total point source on-site release Annual total of point source on-site releases of toxic chemicals in tonnes by municipality as reported
of toxic chemicals by facilities to the National Pollutant Release Inventory (water/air)
Outdoor air quality investigations Proportion of outdoor air quality or environmental investigations identifying potential health hazards
and enforcement necessitating corrective action to mitigate health hazard per year
Indoor air quality enforcement Proportion of indoor air quality investigations (including mould) or risk assessments identifying
potential health hazards necessitating corrective action to mitigate health hazard per year
Arena enforcement Proportion of arena ice pad inspections identifying potential health hazards necessitating corrective
action of mitigate health hazard (includes referrals to Ministry of Environment and Ministry of Labour)
per year
Migrant farm enforcement 1.) Number of migrant farm inspections conducted per year; 2.) Proportion of migrant farms that
required a re-inspection per year; 3.) Proportion of migrant farms requiring an HPPA order issued
per year
High risk contaminant sites Annual number of high risk sites reported per year, including polychlorinated biphenyl storage sites,
brownfields, contaminated sites and landfills
Fish species in York Region 1.) Number of fish species found in York Region water bodies in every other year; percentage of
sport fish species with eating restrictions for sensitive populations; 2. Eating restriction size of
largemouth bass in York Region water bodies. York Region water bodies include: Mill Pond,
Richmond Hill; Lake Simcoe, Georgina; Musselman's Lake, Whitchurch-Stouffville; Lake Wilcox,
Richmond Hill; Holland Marsh Canals, King and East Gwillimbury; Milne Reservoir, Markham.
Mortality attributable to outdoor Mortality measures from Air Quality Benefits Assessment Tool including: acute exposure mortality
air pollutants attributable to outdoor pollutant concentrations, chronic exposure mortality
Morbidity attributable to outdoor Morbidity measures from Air Quality Benefits Assessment Tool including: acute respiratory symptom
air pollutants days; adult chronic bronchitis days; asthma symptom days, cardiac emergency room visits, cardiac
hospital admissions, child acute bronchitis episodes, elderly cardiac hospital admissions, minor
restricted activity days, respiratory emergency room visits, respiratory hospital admissions, restricted
activity days
Mortality due to air pollution Premature deaths due to air pollution
Economic impact of air pollution Economic impact of air pollution using ICAP model
Pain and suffering of air pollution Pain and suffering costs of air pollution using ICAP model
Health care costs of air pollution Health care costs of air pollution using ICAP model
Lost productivity of air pollution Lost productivity costs of air pollution using ICAP model
Asthma rates Prevalence rate of asthma in population ages 12+
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to asthma; 2.) Annual rate of emergency
department visits related to department visits in York Region related to asthma
asthma
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to cardiovascular diseases, including
department visits related to stroke; 2.) Annual number of emergency department visits in York Region related to cardiovascular
cardiovacular disease (including diseases, including stroke; 2.) Annual number of emergency department visits in York Region
stroke) related to cardiovascular diseases, including stroke
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to respiratory disease; 2.) Annual rate of
department visits related to emergency room visits in York Region related to respiratory diseases
respiratory disease
Hospitalizations and emergency 1.) Annual rate of hospitalizations in York Region related to accidental poisonings; 2.) Annual rate of
department visits due to emergency department visits in York Region related to accidental poisonings
accidental poisonings
Poison control calls/incidents Annual number of poison control centre calls per capita by contaminant and age group
Hospitalizations, emergency 1.) Annual rate of hospitalizations in York Region related to excessive heat exposure; 2.) Annual rate
department visits and deaths of emergency room visits in York Region related to excessive heat exposure; 3.) Annual rate of
related to excessive heat deaths in York Region due to excessive heat exposure
exposure
Hospitalizations, emergency 1.) Annual rate of hospitalizations in York Region related to excessive natural cold exposure; 2.)
department visits and deaths Annual rate of emergency room visits in York Region related to excessive natural cold exposure; 3.)
related to excessive cold Annual rate of deaths in York Region related to excessive natural cold exposure
exposure
Bloodborne infections incidence The rate of new bloodborne illnesses relative to the total population (per 100,000) in a specified time
rate period. This includes diseases such as hepatitis B (acute and chronic) and hepatitis C
Institutional outbreak summary Annual summary of outbreaks occurring in York Region institutions, including long-term care homes,
day care centres, and retirement homes. The summary includes a breakdown by outbreak type (i.e.,
respiratory vs. enteric), causative agent and average length of time in outbreak. It will also include
the enteric illness rate (exposure: long term care home) and the proportion of premises in outbreak
per year.
Vectorborne disease incidence The annual rate of new enteric diseases relative to the total population (per 100,000) in a specified
rate time period. This includes diseases such as Lyme disease and West Nile virus
Positive mosquito pools Annual number of positive mosquito pools captured by mosquito traps per year
WNv awareness Monitors public knowledge, attitudes and behaviour regarding West Nile virus. See RRFSS module
West Nile Virus Awareness
Mosquito protection – personal Monitors personal protective behaviour against mosquitoes. See RRFSS module Mosquito
Protection Personal
Mosquito protection – household Monitors household protective behaviour against mosquitoes. See RRFSS module Mosquito
Protection Household
Infection control premises 1.) Proportion of infection control premises that were inspected per year by facility type (daycares,
inspection compliance LTCH) in York Region; 2.) Proportion of infection control premises that were re-inspected in York
Region by facility type (daycares, long-term care homes) in York Region per year
Personal service setting 1.) Proportion of personal service settings that were inspected per year in York Region; 2.)
inspection compliance Proportion of personal services settings that were re-inspected per year in York Region
IPAC complaints by facility type Annual number of infection prevention and control complaints and inquiries requiring a Public Health
Inspector’s response, by facility type (long-term care homes, daycares, personal service settings,
community)
Number of HPPA orders issued Annual number of section 13 HPPA orders issued to infection control premises including long-term
to infection control premises care homes, daycares, and personal service settings
Use of PSS procedures Monitors prevalence of personal care procedures; monitors public awareness regarding licensing of
personal service settings in York Region residents (18+). See RRFSS module- Personal Services
Settings
Rabies incidence rate in animals Annual number of animals with confirmed rabies
Rabies incidence rate in humans Annual number of humans who die of rabies infection
Proportion of humans given Proportion of York Region residents given prophylactic treatment for human exposure to rabies per
prophylactic treatment for animal year
exposure
Rabies immunization for cats and Proportion of cats and dogs that are currently immunized against rabies during time of animal
dogs exposure incidents per year
Proportion of tobacco vendors 1.) Proportion of tobacco vendors that were inspected in York Region per year; 2.) Proportion of
inspected tobacco vendors that were re-inspected in York Region per year
Proportion of tobacco vendor Proportion of tobacco vendors in York Region that were issued a provincial offences notice under
inspections resulting in SFOA Smoke Free Ontario Act per year
charge
Proportion of tobacco vendors Proportion of tobacco vendor sites in York Region that have repeated offences in the past year
with repeated offences
Support for tobacco enforcement Measures public support for banning smoking in public places not covered under the Smoke-free
Ontario Act. See RRFSS module - Tobacco Enforcement
Reasons for tobacco Assesses public support among York Region residents (18+) for using underage shoppers to check
enforcement opposition if tobacco vendors are selling tobacco products to people under 19 years of age; to determine
reasons for those who oppose. See RRFSS module Tobacco - Tobacco Enforcement
Knowledge of legal age for Assesses general awareness of legal age limits of retailer tobacco sales. See RRFSS module
tobacco sales Tobacco - Minors' Access to Tobacco
Current teen smokers Percent of the teen population (12 to 19 years of age) that were current cigarette smokers from
Canadian Community Health Survey
Smoking law related to To be developed
workplaces and workplace
vehicles
Use of other tobacco products Percent of the population that have smoked or used other tobacco products (cigars, pipe, chewing
tobacco or snuff) in the previous month from Canadian Community Health Survey
Environmental Health Program Standards
Food Safety Safe Water
Indicators Suspected and Public beaches and
Drinking water Drinking water Recreational
confirmed foodborne Food premises public beach water
systems illnesses water facilities
illness illnesses
Enteric illness incidence rate 1d, 1a, 1f
Food premises compliance 2d, 1a, 1f
Food premises enforcement 3d, 1a, 1f
Certified food handler 2d, 2a, 1f
Food safety in the home 4d, 2a, 2f
Food safety disclosure 5d, 1a, 1f
Private well water testing 3d/6d, 1a, 1f
Water-related complaints received from the public by facility type 2d, 1a, 1f
Number of drinking water systems adverse water quality incident reports 3d, 1a, 1f
Drinking water systems enforcement (advisories and orders issued) 3d, 1a, 1f
Small drinking water systems 7d/8d, 1a, 1f
Water haulage facility compliance 3d, 1a, 1f
Waterborne illness incidence rate 1d, 1a, 1f
Public beaches water quality 3d, 1a, 1f
Public beaches assessments 3d, 1a, 1f
Drowning death rate 9d, 2a, 1f
Regulated recreational water facilities compliance 2d, 1a, 1f
Recreational water faciltiies enforcement 3d, 1a, 1f
Indicators
Particulate matter (PM2.5)
Nitrogen oxides
Ground level ozone
Perception of outdoor air quality
Air quality index
Hospitalization and emergency department visits related to asthma on humidex exceedance days
Hospitalization and emergency department visits related to cardiovascalar disease (including stroke) on humidex exceedance d
Hospitalization and emergency department visits related to respiratory disease on humidex exceedance days
Hospitalizations, emergency department visits and deaths related to excessive heat exposure on humidex exceedance days
Hospitalizations, emergency department visits and daths related to excessive cold exposure on windchill exceedance days
Total point source on-site release of toxic chemicals
Environmental health hazard investigations and enforcement
Indoor air quality enforcement
Arena enforcement
Migrant farms enforcement
Environmental Health Program Standards
Health Hazards Prevention and Management
Outdoor air quality Extreme weather Other Indoor air quality
10d, 1a, 1f
10d, 1a, 1f
10d, 1a, 1f
4d, 3a, 2f
10d, 1a, 1f
11d/9d, 2a, 1f
11d/9d, 2a, 1f
g stroke) on humidex exceedance days
exceedance days 11d/9d, 2a, 1f
e on humidex exceedance days 11d/9d, 2a, 1f
on windchill exceedance days 11d/9d, 2a, 1f
12d, 2a, TBD
2d, 1a, 1f
2d, 1a, 1f
2d, 1a, 1f
2d, 1a, 1f
WATER
Private well water testing Proportion of households on private wells; proportion of private wells
that have been tested by the PHL at least three times in the past 12
months; the proportion of households on a specific well type (shallow,
bored, deep/drilled)
Water-related complaints received from the public by The number of complaints received by Health Protection requiring a
facility type PHI response, by facility type (including regulated drinking water
system, unregulated drinking water system, water haulage facility,
small drinking water systems, swimming pools, spas, other
recreational facilities and beaches)
Number of drinking water systems adverse water The number of adverse water reports from drinking water systems
reports (ON Reg 170) that fall under Drinking Water Systems, Regulation 170/03, in York
Region
Drinking water systems enforcement (advisories and The number of advisories (boil water and drinking water) and orders
orders issued) (boil water and drinking water) issued by York Region
Municipal drinking water chemcial quality
The number of adverse reports received per year when the following
chemical parameters in the municipal water system are over the
acceptable level, as outlined in the Ontario Drinking Water Quality
Standards, Reg 169/03. Chemicals include: antimony, arsenic,
atrazine, benzene, chloramines, chromium, dioxins and furans,
glyphosate, lead, mercury, nitrate, N-nitrosodimethylamine (NDMA),
polychlorinated biphenyl (PCBs),sodium, trihalomethanes (THM), and
vinyl chloride
Number of small drinking water systems risk The number of small drinking water assessments completed by York
assessments completed per year Region per year
Water haulage facility compliance The proportion of water haulage facilities that have been inspected,
and the proportion of water haulage faciltiies that requiried a re-
inspection.
Waterborne illness incidence rate The incidence rate of reportable diseases that indicates that water is
the source of illness
Public beaches water quality
The proportion of days per season that Yokr Region beaches are
posted relative to the total number of days the beach has been
monitored. Beaches are posted when E. coli levels exceed Ontario
Ministry of Environment Guidelines for Recrational Water Quality
Public beaches assessments The proportion of public beaches in York Region in which
assessments were completed, and the values for turbidity,
temperature and sources of pollution
Drowning death rate The number of drowning deaths in York Region (ICD10 Primary
Cause = V90, V92, or W65 - W74.99 from Vital Statistics)
Regulated recreational water faciltiies compliance The proportion of inspected swimming pools and spas in York Region,
the proprotion of of swimming pools and spas requiring a re-
inspection
Recreational water faciltiies enforcement The proportion of swimming pools and spas that were issued an
HPPA order in York Region; the proportion of other recreational water
facilities (e.g. splashpads) that were issued a HPPA order in York
Region
FOOD
Enteric illness incidence rate The rate of new enteric diseases relative to the total population (per
100,000) in a specified time period. The following diseases are
classified as “enteric”: Amebiasis, Brucellosis, Botulism,
Campylobacter enteritis, Cholera, Creutzfeldt-Jakob Disease,
Cryptosporidiosis, Cyclosporiasis, Food Poisoning (all causes),
Giardiasis, Hepatitis A, Listeriosis, Paratyphoid Fever, Salmonellosis,
Shigellosis, Trichinosis, Typhoid Fever, Verotoxin-
producing Escherichia coli (VTEC) infection and Yersiniosis.
Food premises compliance Proportion of food premises that were inspected in York Region (by
facility risk category), proportion of food premises that were re-
inspected in York Region (by facility risk category)
Food premises enforcement Proportion of food premises that were issued a provincial offences
notices under Food Premises Regulation 562/90; proportion of food
premises that were issued a section 13 order under HPPA
Certified food handler Proportion of food premises in York Region with at least one current
certified food handler on site
Food safety in the home See RRFSS module "Food Safety in the Home" for specific definitions
Food safety disclosure The number of requests for food premise disclosure in York Region
received via Health Connection
HEALTH HAZARDS
Air quality standards - particulate matter 2.5 Number of days that particulate matter 2.5 exceeded Canada-Wide
(30ug/m3) and WHO standard (25 ug/m3) over a 24 hour period at
Newmarket and Toronto North air monitoring stations
Air quality standards - nitrogen oxides Number of days that nitrogen oxides exceed Ministry of Environment's
1-hour standard (200 ppb) and EPA 1-hour standard (100 ppb) at
Newmarket and Toronto north air monitoring stations; number of days
the nitrogen oxides exceeded MOE 24-hour average standard (100
ppb) at monitoring stations
Air quality - ground level ozone Number of days that ground level ozone exceeded MOE's 1-hour
standard (80 ppb) at monitoring stations; number of days taht ground
level ozeon exceeded MOE's standard (65 ppb) and WHO standard
(50 ppb) over an 8-hour period at Newmarket and Toronto North air
monitoring station
Perception of outdoor air quality Perception of outdoor air qualtiy with respect to different seasons,
activities and beliefs. See RRFSS module Outdoor Air Quality
Air quality - Air Quality Index Number of days with at least one hour of air quality index was in the
moderate, poor and/or very poor category for at least 1 hour on one
day at Newmarket and Toronto North air monitoring staions )
York Region per capita fossil fuel consumption Special data request to Statistics Canada
Average greenhouse gas emissions reductions Averagge greenhouse gas emission reductions achieved by York
Region 20/20 The Way to Clean Air participants
High temperature days Days when the air temperature is over 30 degrees Celsius reported at
the Buttonville monitoring station (Environment Canada, Weather
Office)
High humidex days
Days when the humidex is 40 or more at the Buttonville monitoring
station. The humidex is an index (a computed value as opposed to
something measured) devised to describe how hot or humid weather
feels to the average person. The humidex combines the temperature
and humidity into one number to reflect the perceived temperature. It
takes into account these two important factors that affect summer
comfort. It is therefore a better measure of how stifling the air feels
than either temperature or humidity alone. (Environment Canada,
Weather Office)
Cold weather days Days when the air temperature is -15 degrees Celsius or lower
reported at the Buttonville monitoring station (Environment Canada,
Weather Office)
High windchilll days
Days when the wind chill of -30 or lower at the Buttonville monitoring
station. Wind chill is the cooling effect of the wind in combination with
low temperatures. When it is windy, we feel colder because our skin
temperature is lower. This sensation of cold is what the wind chill
index quantifies: as such, the index is not a real temperature and is
expressed without units, even though it is calibrated according to the
Celsius temperature scale. (Environment Canada, Weather Office)
Severe rainfall events Precipitation within a 24 hour period that is equal to or greater than 25
mm. (Environment Canada, Weather Office)
Number of flood warnings
A Flood Warning is defined as a notice that flooding is imminent or
occurring. The Flood Warning is based upon information received by
the Conservation Authority’s weather monitoring systems, and is
intended to provide notice to municipalities and emergency services
that action is required on their part. Flood Warnings may be updated
depending upon weather and runoff conditions, and will be followed by
a notice of cancellation once the potential for flooding has passed.
The standard content of a Flood Warning may include:
• the date and time of issuance;
• identification of sender (Conservation Authority and person);
• recipient list;
• summary of weather forecast;
• description of potential flood magnitude and a general assessment
of flooding implications;
• specific information regarding the magnitude and timing of the
forecasted flooding, and the locations of anticipated problem areas;
• date and time of next update;
• Conservation Authority contact for additional information (including
adjacent Conservation Authorities when applicable).
Spills reported through MOE Spills Action Centre
Spills are defined as releases of pollutants into the natural
environment originating from a structure, vehicle, or other container,
and that are abnormal in light of all circumstances. Spills must be
reported immediately to the ministry and to the municipality when they
cause or are likely to cause any of the following: impairment to the
quality of the natural environment - air, water, or land; injury or
damage to property or animal life; adverse health effects; safety risk;
making property, plant, or animal life unfit for use; loss of enjoyment
of normal use of property; or interference with the normal conduct of
business.
Total point source on-site release of toxic chemicals Total annual point source on-site releases of toxic chemicals in
tonnes by municipality as reported by facilties to the National Pollutant
Release Inventory (water/air)
Outdoor air quality investigations and enforcement Proportion of outdoor air quality or environmental investigations
identifying potential health hazards necessitating corrective action to
mitigate health hazard
Indoor air quality enforcement Proportion of indoor air quality investgations (including mould) or risk
assessments identifying potential health hazards necessitating
corrective action to mitigate health hazard
Arena enforcement Proportion of arena ice pad inspections identiifying potential health
hazards necessitating corrective action of mitigate health hazard
(includes referrals to MOE and MOL)
Migrant farm enforcement Number of migrant farm inspections conducted per year; proportion of
migrants farms that required a re-inspection; proportion of migrant
farms requiring an HPPA order issued
High risk contaminant sites
Number of high risk sites reported per year, including polychlorinated
biphenyl storage sites, brownfields, contaminated sites and landfills
Pesticides used in agriculture Not included in surveillance plan
Fish species in York Region
Number of fish species found in York Region water bodies;
percentage of sport fish species with eating restrictions for sensitive
populations, eating restriction size of largemouth bass in York Region
water bodies. York Region water bodies include: Mill Pond,
Richmond Hill; Lake Simcoe, Georgina; Musselman's Lake,
Whitchurch-Stouffville; Lake Wilcox, Richmond Hill; Holland Marasha
Canals, King and East Gwillimbury; Milne Reservoir, Markham
Mortality attributable to outdoor air pollutants Mortality measures from Air Quality Benefits Assessment Tool
including: acute exposure mortality attributable to outdoor pollutant
concentrations, chronic exposure mortality
Morbidity attributable to outdoor air pollutants Morbidity measures from Air Quality Benefits Assessment Tool
including: acute respiratory symptom days; adult chronic bronchitis
days; asthma symptom days, cardiac emergency room visits, cardiac
hospital admissions, child acute bronchitis episodes, elderly cardiac
hospital admissions, minor restricted activity days, respiratory
emergency room visits, respiratory hospital admissions, restricted
activity days
Mortality due to air pollution Premature deaths due to air pollution using Canadian Medical
Association's Illness Cost of Air Pollution (ICAP) model
Economic impact of air pollution Economic impact of air pollution using ICAP model
Pain and suffering of air pollution Pain and suffering costs of air pollution using ICAP model
Health care costs of air pollution Health care costs of air pollution using ICAP model
Lost productivity of air pollution Lost productivity costs of air pollution using ICAP model
Asthma rates Prevalence rate of asthma in population ages 12+
Hospitalizations and emergency department visits
related to asthma
Hospitalizations and emergency department visits
related to cardioavacular diseases (including stroke)
Hospitalizations and emergency department visits
related to respiratory diseases
Hospitalizations and emergency department visits due
to accidental poisonings
Poison control calls/incidents Annual number of poison control centre calls per captia by
contaminant and age group
Hospitalizations, emergency department visits and
deaths related to excessive heat exposure
Hospitalizations, emergency department visits and
deaths related to excessive natural cold exposure
rates
INFECTION CONTROL
Bloodborne infections incidence rate The rate of new bloodborne illnesses relative to the total population
(per 100,000) in a specified time period. This includes diseases such
as: Hepatitis B (acute and chronic) and hepatitis C
Institutional outbreak summary Summary of outbreaks occurring in York Region institutions, including
Long-term care homes, day care centres, and retirement homes. The
summary includes a breakdown by outbreak type (i.e., respiratory vs.
enteric), causative agent and average length of time in outbreak. It
will also include the proportion of premises in outbreak per year.
Vectorborne disease incidence rate (WNv, Lyme The rate of new enteric diseases relative to the total population (per
disease) 100,000) in a specified time period. This includes diseases such as
Lyme disease, malaria and West Nile virus
Positive mosquito pools Number of positive mosquito pools captured by mosquito traps per
year
WNv awareness Monitors public knowledge, attitudes and behaviour regarindg West
Nile virus. See RRFSS module West Nile Virus Awareness
Mosquito protection – personal Monitors personal protective behaviour against mosquitoes. See
RRFSS module Mosquito Protection Personal
Mosquito protection – household Monitors household protective behaviour against mosquitoes. See
RRFSS module Mosquito Protection Household
Larvicides and adulticides Not to include in surveillance plan
Infection control premises inspection Routine inspection and re-inspections for daycares and LTCH
complianceProportion of premises inspected (LTCH,
PSS, daycares)
Personal service setting inspection compliance Routine inspection and re-inspections for personal service settings
IPAC complaints received per year (by facility: PSS, The number of complaints received by Health Protection requiring a
LTCH, daycare, community) PHI response, by facility type (including LTCH, daycares, PSS)
Number of HPPA orders issued to infection control The number of section 13 HPPA orders issued to infection control
premises (PSS, LTCH, daycares) premises (LTCH, daycares, PSS)
Use of PSS procedures (popularity) Monitors prevalence of personal care procedures; monitors public
awarness regarding licensing of personal service settings in York
Region residents (18+)
RABIES
Rabies incidence rate in animals Annual number of animals with confirmed rabies
Rabies incidence rate in humans Annual nubmer of humans who die of rabies infection
Proportion of humans given prophylactic treatment for Proportion of York Region residents given prophylactic treatment for
animal exposure to rabies human expsoure to rabies
Rabies immunization for cats and dogs Proprotion of cats and dogs that are currently immunized against
rabies during time of animal exposure incidents
TOBACCO CONTROL
Proportion of premises inspected Proportion of tobacco vendors that were inspected in York Region,
proportion of tobacco vendors that were re-inspected in York Region
Proportion of tobacco vendor inspections resulting in Proportion of tobacco vendors in York Region that were issued a
SFOA charge provincial offences notice under Smoke Free Ontario Act
Proportion of vendor sites with repeated offences Proportion of tobacco vendor sites in York Region that have repeated
offences in the past year
Support for tobacco enforcement Measures public support for banning smoking in public places not
covered under the Smoke-free Ontario Act. See RRFSS module -
Tobacco Enforcement
Reasons for tobacco enforcement opposition Assesses public support among York Region residents (18+) for using
underage shoppers to check if tobacco vendors are selling tobacco
products to epople under 19 years of age; to determine reasons for
those who oppose. See RRFSS module Tobacco - Tobacco
Enforcement
Knowledge of legal age for tobacco sales Assesses general awareness of legal age limits of retailer tobacco
sales. See RRFSS module Tobacco - Minors' Access to Tobacco
Current teen smokers Percent of the teen population (12 to 19 years of age) that were
current cigarette smokers from Canadian Community Health Survey
Smoking law related to workplaces and workplace To be developed
vehicles
Use of other tobacco products Percent of the population that have smoked or used other tobacco
products (cigars, pipe, chewing tobacco or snuff) in the previous
month