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Smaller public health units fear big impact from Ontario budget cuts The Globe and Mail

Smaller public health units fear big impact from Ontario budget cuts The Globe and Mail The subject who is truly loyal to the Chief Magistrate will neither advise nor submit to arbitrary measures. To view your reading history, you must be logged in. The last 10 stories you viewed are saved here. You must be logged in to use this feature. Health officials in rural parts of Ontario are bracing to learn how provincial funding cuts to public health units will affect the services they can offer. The Progressive Conservative government announced in the budget two weeks ago that it would downsize the number of public health units from 35 to 10. Then last Thursday, Health Ministry officials told public health representatives from across Ontario that provincial funding for some programs would be , with municipalities left to fund the gap. Formal consultations to modernize Ontarios public health units will begin soon, as the government prepares to empower municipalities to have a stronger role in the delivery of public health, Hayley Chazan, a spokeswoman for Health Minister Christine Elliott, said in an e mail.

Story continues below advertisement But some officials are worried that municipalities, particularly those in rural areas, will not be able to make up the provinces funding cuts, which could leave important services for vulnerable populations at risk. Our fear is that our municipalities are going to be stuck with paying more, which they cant afford … and at the same time, well lose the ability to have localized flavour to deliver our services, said Paul Roumeliotis, medical officer of health and chief executive of the Eastern Ontario Health Unit, pointing to the smaller population size – and therefore budgets – of rural regions. Dr. Roumeliotiss health unit represents 250,000 people across 17 municipalities in his area, which he says faces a greater demand for services such as pre and postnatal care as it has among the highest rates of single mothers in the province. Some pockets of the region are also predominantly francophone, requiring bilingual health workers. In addition to budget cuts made on an aggressive timeline, its unclear how the new governance model of fewer public health units will continue to meet local needs, Dr.

Roumeliotis said. Its a difficult thing to disentangle. Its a complicated, heterogeneous type of set up in the province. Not all of the boards are structured the same way, with some public health officials employed by the municipality and others directly by the independent health unit. Another hurdle is that municipal budgets for the year have already been set, said Penny Sutcliffe, a medical officer of health and CEO for the Sudbury and Districts area. Her unit has put a freeze to hiring and non essential expenditures until the province provides more information about how it will implement its plans. The province is pledging that public health units in rural communities will be protected from any major cost increases, Ms. Chazan said. Ultimately, the governments proposed plan will enable a better matching of public health needs with local realities. Story continues below advertisement Equitable access to health care in the north, particularly among First Nations populations, is a focus for the Sudbury and Districts unit.

Last year, its northern fruit and vegetable program served almost 20,000 students across 86 elementary schools, expanding to seven First Nations schools. The unit also reached hundreds of students on the dangers of opioids and launched a pilot program about mindfulness for middle schoolers. These look different in different settings, Dr. Sutcliffe said, pointing to immunization services as an example of initiatives that are a particular focus for rural health units because there are not others providing those services like there are in cities. With reports from Jeff Gray Welcome to The Globe and Mails comment community. This is a space where subscribers can engage with each other and Globe staff. Non subscribers can read and sort comments but will not be able to engage with them in any way. . If you would like to write a letter to the editor, please forward it to . Readers can also interact with The Globe on and . Welcome to The Globe and Mails comment community. This is a space where subscribers can engage with each other and Globe staff. Non subscribers can read and sort comments but will not be able to engage with them in any way.

. If you would like to write a letter to the editor, please forward it to . Readers can also interact with The Globe on and . Discussion loading … Read . The Globe is committed to bringing you stories that matter. Journalism offers a safe harbor for the exchange of ideas that is central to democracy. Please help support our journalism by turning off your ADBlocker and refreshing the page. Try globeandmail.com for JUST dollar per week for the first 24 weeks Already subscribed to globeandmail.com? Copyright 2019 The Globe and Mail Inc. All rights reserved. Phillip Crawley, Publisher .

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