Learn about resources from the six NCCs for Public Health
Various communication strategies and tools were implemented to address challenges that resulted from the pH1N1 pandemic. The objective of this literature review was to provide an overview of the approaches used to communicate pH1N1 information and summarize the results of initial evaluations.
Emerging zoonotic disease surveillance is inherently interdisciplinary, requiring co-operation between public health, clinical medicine, veterinary medicine, and ecology. Each field comes with a unique knowledge base that typically focuses on either animal or human health, but rarely both. This review prepared by the NCCEH is targeted towards public health practitioners and policymakers, among whom it is felt that knowledge of zoonotic disease surveillance is limited. This review is also limited to zoonotic disease and zoonotic disease surveillance as it pertains to Canada.
Air quality impacts both the environment and health. Air quality management aims to limit negative impacts through a variety of activities, including legislation, policies, and plans to manage emissions and monitor ambient air quality. The objective of this NCCEH guide is to increase the understanding and accessibility of the air quality assessment tools to better support public health responses and policy decisions on local air quality.
Basing their discussion on a review of the literature on HIA, the NCCHPP explores, in this fact sheet, the four main arguments favouring citizen participation in HIA. This short document may be of interest to public health actors who want to learn more about issues relating to health impact assessment
Personal Service Establishments (PSEs) encompass a large range of businesses offering services such as aesthetics, tattooing, piercing, and body modification. Services provided by such establishments may pose potential health concerns to their clientele, including risk of infection and injury. This evidence review prepared by the NCCEH summarizes the infection risks of manicures, pedicures, waxing, and hairstyling/barbering services, as identified through case-control studies, cross-sectional surveys, and case reports.
The NCCMT brings you new tools as well as improvements to the Online Health Program Planner (originally launched in April 2009). The additions and upgrades are based on feedback that we received from users and expert reviewers. The new Online Business Case Creator (OBCC) is a tool that will guide you through a three-step process to assess and analyze your project and help you make your best recommendations about whether a project should move forward.
The NCCHPP explores, in this fact sheet, five categories of factors that can explain the significant gap between the participatory rhetoric attached to HIA, and actual practices. This short document might be of interest to public health actors who want to learn more about issues relating to health impact assessment.
Public Health Observatories: Learning From Our World Neighbours explores the system of public health surveillance established in the United Kingdom, and discusses the development of similar systems within Canada.  The report is based on a visit by a Canadian delegation to the “Health Observatories: Learning from Our World Neighbours, 2008” meetings hosted by the London Health Observatory.
Generally, Canadians have access to safe and secure drinking water. However, as demonstrated by the events of Walkerton in 2000, the exception can be tragic. This report prepared by Sylvia Struck and Hannah Moffatt, synthesizes the findings from three publications which assess water-borne disease outbreaks in Canada; two retrospective research studies and a case history analysis exploring recurring themes and patterns in Canadian and international settings.
Inuit health in Canada has its own unique challenges. This report synthesizes current knowledge to 2011 and identifies trends and gaps for the four northern Inuit regions (Inuvialuit, Nunavut, Nunavik and Nunatsiavut) and southern Canadian cities. The report draws attention to issues such as diabetes, sexually transmitted infection rates, youth suicide, climate change and data gaps, while noting that “no single public health issue facing Inuit can be addressed in isolation.” Report author Dr. Emilie Cameron calls for holistic, culturally-sensitive initiatives to address complex and inter-generational public health problems, including Inuit-specific health indicators and the need to address underlying social, cultural and economic factors affecting the health of Inuit peoples.
Evidence-informed public health (EIPH) is the process of distilling and disseminating the best available evidence from research, practice and experience and using that evidence to inform and improve public health policy and practice. To learn more, have a look at this Fact sheet prepared by the NCC for Methods and Tools for the Centres.
The NCCAH has released a series of fact sheets in English, French and Inuktitut that make significant contributions to an understanding of Inuit worldviews at the heart of Inuit well-being. Inuit knowledge, or Inuit Quajimajatuqangit, is a dynamic and living knowledge system. This fact sheet, by author and educator Shirley Tagalik, defines Inunnguiniq that is literally translated as “the making of a human being.” The cultural expectation is that every child will become able/enabled/capable so that they can be assured of living a good life.

Since traffic calming is a promising way to intervene on the built environment which seems to be gaining interest in Canada, the NCCHPP did a literature review examining its effects on four determinants of health, namely:

• The number and severity of road collisions,
• Air quality,
• Environmental noise, and
• Physical activity associated with active transportation.

Canada's health system is varied, complex and inconsistent when it comes to serving Aboriginal peoples. This new NCCAH report for 2011 tracks Aboriginal-specific policies and legislation to 2008, providing evidence that Aboriginal health policy in Canada largely remains a patchwork, and highlighting significant gaps and jurisdictional issues. The policy synthesis also documents health-related provisions in self-government agreements and draws attention to emerging opportunities for Aboriginal engagement in shaping health policy, programs and services.
In response to feedback from users, NCCMT made some improvements to their popular Applicability and Transferability of Evidence (A&T) tool. The new tool, “It worked there. Will it work here?” is especially for those at the ADAPT stage of the seven step EIPH process (the wheel). The revised tool now includes two variations that walk through the issues and challenges of A starting an intervention or B stopping an existing program or intervention.
The Centre's Florence Morestin presented a framework for analyzing public policies as part of a workshop on public policies, organized and presented in collaboration with Maude Chapados of the Institut national de santé publique du Québec
This document, produced by the NCCHPP, situates and describes the key policy differences between two general approaches to traffic-calming: the black-spots approach, and the area-wide approach.
This toolkit, developed by the NCCEH, intends to help public health inspectors (PHIs) and medical health officers (MHOs) inform the public about strategies to reduce non-agricultural residential pesticide exposure indoors.
This document provides a brief account of an HIA pilot project undertaken at the municipal level, in Québec's Montérégie region, and reports on the key findings that emerged from the process.
This briefing note introduces the nature and role of food policy councils, and how they relate to the development of healthy public policies.
Community health risks may result from poor local air quality related to manure management. Limited studies suggest respiratory and psychological health impacts on residents living in proximity to manure management operations.
This review, prepared by the NCCID, summarizes the recent literature on several non-pharmaceutical interventions: masks; quarantine, isolation, and social distancing; and hand hygiene, respiratory hygiene, and cleaning of fomites.
The resources in this Presentation Kit, created by Vivian Labrie, are based on a metaphor of up and down escalators. When used to animate a workshop, they provide an opportunity for different actors to share their thoughts about structural and social determinants of inequalities. The kit includes: a facilitator's guide, a poster template and an introductory PowerPoint.
This briefing note is a historical introduction to three meanings of the concept of traffic calming. The concept of traffic calming encompasses interventions associated with different goals, objectives, principles and ways of thinking about the street network and its problems. It is thus important to be clear about what we are referring to when evaluating, critiquing and promoting traffic calming.
This document, produced by the Canadian Institutes of Health Research (CIHR) Ethics Office, summarizes the proceedings from a Pre-conference workshop held during the CPHA Annual Conference 2011.
This document examines ways in which local community planning initiatives not only address health but can also make equity in health a priority.
Nanotechnology is an emerging science with broad applications and potential benefits, but it also carries many unknowns regarding its impact on human health. This review summarizes evidence for the potential toxic effects of engineered nanoparticles and identifies gaps and weaknesses in the current human exposure and health effects research.
Social distancing measures minimize influenza transmission by reducing contact between susceptible and infectious individuals, and include school closures, travel restrictions, and restrictions on mass gatherings. The NCCID reviews the recent literature to evaluate the effectiveness of this approach as a pandemic prevention measure.
This document provides a survey of the explicit goals, ethical principles, and ethics-related recommendations put forward by a selection of national, sub-national and international pandemic preparedness plans and policies. Read more
This document presents a summary of the discussions that took place during a workshop on transportation policies and health inequalities. Read more.
An introduction to the field of Public Health Ethics (PHE) as applied to policy and practice responses in times of pandemic. Read more.
From a traditional approach to health, with its focus on biomedical and behavioural risk factors, bed bugs do not pose a health problem. Indeed, unlike other insects (such as mosquitoes), bed bugs have not yet been proven to transmit disease. Adopting a social determinants of health (SDH) approach, however, leads to a different conclusion: bed bugs do constitute a public health problem. The SDH approach focuses on “the social and economic factors that shape the health and incidence of illness among individuals and groups of individuals”.
This document proposes that an awareness of the "frames" used by not-for-profits and public health actors can contribute to more successful partnerships to tackle issues of common interest. Read more
The purpose of this evidence review is to consolidate pH1N1 vaccine research (related to both adjuvanted and unadjuvanted formulations) published since the start of the pH1N1 pandemic and to contextualize the findings in a Canadian setting.

The Ontario Agency for Health Protection and Promotion (OAHPP), in collaboration with the Dalla Lana School of Public Health at University of Toronto, hosted Drs. Peter Sandman and Jody Lanard to provide a three-day risk communication workshop in Toronto. This issue of the Purple Paper presents the “Risk = Hazard + Outrage” formula for risk communication created by Dr. Sandman and highlights some of the key elements of his approach discussed at the workshop.

This review, produced by the NCCAH, includes examples of how ecohealth approaches are being applied to improve health and well-being in Aboriginal communities in Canada and Indigenous communities internationally.
Ecohealth approaches have been described as "participatory, systems-based health approaches to understanding and promoting health and wellbeing in the context of social and ecological interactions."
The importance of nutrition and a balanced diet have long been recognized as key factors in improving overall health, and in reducing and preventing chronic diseases. This fact sheet, prepared by the Métis Centre of the National Aboriginal Health Organization utilizes findings from the 2006 Aboriginal Peoples Survey (APS) to examine the nutritional habits of Métis children and youth between the ages of six and 14.
For Métis in Canada, a true picture of population health and well-being has been missing, the predominant reason being the lack of adequate, accurate and accessible data and information on Métis health and well-being. This fact sheet prepared for the NCCAH by the Métis Centre of the National Aboriginal Health Organization explores some of those potential factors that contribute to the lack of Métis health and well-being data/information.
Integrating Social Determinants of Health and Health Equity Into Canadian Public Health Practice is an environmental scan that analyzes literature and expert opinion and proposes key roles for public health practitioners and organizations to advance health equity. This environmental scan included a focused scan of the literature; key informant interviews with practice and research experts; focus group teleconferences to validate early emerging themes; and, an online survey with over 600 respondents.
The objective of this review prepared by NCCID is to focus on the salient epidemiological features of the 2009 pandemic, the known risk factors for severe disease during infection, and specific vulnerable populations.
Have a look at this knowledge synthesis on nutrition labelling, produced to show an applied case of the NCCHPP's proposed new method for synthesizing knowledge about public policies. Read more.
The NCC hosted a Small Drinking Water Systems Project session at the CPHA Conference on June 15, 2010. This was an opportunity to present the latest developments re the project and to receive feedback from participants. They have indentified various gaps and problems and suggested some activities for the project.
The NCCEH has prepared a systematic review of EBD studies that have been conducted in Canada or are potentially relevant for the Canadian context. This information is relevant for policy-makers and health practitioners who are responsible for allocating scarce resources and designing or implementing environmental health policies to directly address specific sources of disease; it can also be used as a teaching tool to better educate and inform the public about the relative importance of potential exposures and risks.
Cytokines are proteins that act as chemical messengers, sending signals between many types of cells and tissues. These molecules play an essential role in almost every immunological process, such as white blood cell trafficking, activation, regulation, survival, viral clearance and cell death. During some infections and pathological conditions, regulation fails, and an unbalanced cytokine response called a cytokine “storm” can develops, leading to uncontrolled inflammation and increased morbidity and/or mortality for the host.
This fact sheet from NCCAH summarizes research findings exploring the differences between First Nations, Inuit, Métis and non-Aboriginal children served by the child welfare systems in Canada.

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