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Case 1 : Policy Change And Public Health: Obstacles To Advocating For Public Health Interventions, Sulaiman Alhalbouni, Erin Courtney, Mark Speechley Jan 2020

Case 1 : Policy Change And Public Health: Obstacles To Advocating For Public Health Interventions, Sulaiman Alhalbouni, Erin Courtney, Mark Speechley

Western Public Health Casebooks

Robin Scherbatsky, a public health nurse at Lambton Public Health in Sarnia, Ontario, plans to advocate for public funding of the more accurate interferon-gamma release assay (IGRA) test for latent tuberculosis infection (LTBI). She wants the IGRA to be covered by the Ontario Health Insurance Plan the same way the tuberculin skin test, which also tests for LTBI, is covered. Although IGRA tests are more expensive than tuberculin skin tests, IGRAs are very accurate and effective at reducing unnecessary treatments given to people falsely diagnosed with LTBI, and this results in cost savings for the public payer. Given that the …


Case 4 : Opioid Crisis In The Windsor-Essex Community: Time For Responsible Opioid Prescribing?, Debasree Deb, Nicole Dupuis, Eric Nadalin, Mark Speechley Jan 2020

Case 4 : Opioid Crisis In The Windsor-Essex Community: Time For Responsible Opioid Prescribing?, Debasree Deb, Nicole Dupuis, Eric Nadalin, Mark Speechley

Western Public Health Casebooks

Canada is in the midst of an opioid crisis, with the number of opioid-related harms and overdose cases increasing rapidly over the past few years. The opioid crisis involves a rising number of opioid-related deaths and overdoses, either from prescription opioids or from the increased availability of illegal, adulterated forms of potent opioids such as fentanyl. Today, fentanyl and fentanyl analogues have been reported to be the major drivers of the opioid crisis in the country, accounting for approximately 73% of accidental opioid-related deaths. Opioid-use disorders are increasingly prevalent in patients with chronic pain who have received opioids for management …


Case 5 : The Precision Of Aid: Remembering The Forgotten Disease In The Horn Of Africa, Janel Dhooma, Haytham Qosa, Ava A. John-Baptiste Jan 2020

Case 5 : The Precision Of Aid: Remembering The Forgotten Disease In The Horn Of Africa, Janel Dhooma, Haytham Qosa, Ava A. John-Baptiste

Western Public Health Casebooks

The district of Burao, Somaliland is in its 16th epidemiologic week in the midst of a cholera outbreak. The Somaliland Ministry of Health, in need of emergency relief, has requested that humanitarian organizations come to its aid. Eve Tinuviel has been deployed to Burao as a member of the Canadian Red Cross, where she serves as a global health advisor responsible for emergency health services. Eve’s main responsibility is to analyze disease surveillance data, triangulating data from different sources. A Health Cluster Coordination meeting amongst different health and humanitarian organizations reveals gaps in the epidemic response. The scarcity of resources …


Case 6 : No Fixed Address: A Cost-Effectiveness Analysis Of A Program To Prevent Psychiatric Discharge To Homelessness, Marie Fiedler, Bryanna Lucyk, Cheryl Forchuk, Ava A. John-Baptiste Jan 2020

Case 6 : No Fixed Address: A Cost-Effectiveness Analysis Of A Program To Prevent Psychiatric Discharge To Homelessness, Marie Fiedler, Bryanna Lucyk, Cheryl Forchuk, Ava A. John-Baptiste

Western Public Health Casebooks

Najwa D'Souza, the CEO of Hampden Health Care, is looking for an intervention that will reduce the rate of discharge to homelessness from the psychiatric units at her hospitals. She is presented with the No Fixed Address (NFA) program as a possible solution. This intervention is a multipronged, hospital-based intervention that provides support to psychiatric clients who are either experiencing homelessness or are at risk of homelessness. To implement the program at Hampden Health Care, hospital staff would refer clients they suspect are at risk of being discharged to homelessness to the NFA program. From there, clients would have the …


Case 7 : Going Beyond Bike Racks And Pedestrian Crossovers: Achieving Health Equity In School Travel Planning, Megan Graat, Andrew Clark, Jason Gilliland, Lloy Wylie Jan 2020

Case 7 : Going Beyond Bike Racks And Pedestrian Crossovers: Achieving Health Equity In School Travel Planning, Megan Graat, Andrew Clark, Jason Gilliland, Lloy Wylie

Western Public Health Casebooks

The Elgin-St. Thomas, London-Middlesex, and Oxford Active and Safe Routes to School (ASRTS) Steering Committee have established a School Travel Planning Equity Working Group. The goal of this group is to use the Government of Ontario’s Health Equity Impact Assessment tool to evaluate current inequities in school travel planning programming – a community-based approach to addressing barriers to and facilitators of walking and wheeling to and from school – by identifying relevant populations, potential impacts, and mitigation, monitoring, and dissemination strategies (Ministry of Health and Long-Term Care, 2018). The goal of the case is to provide readers with the opportunity …


Case 3 : Coming Together To Promote Change: Best Practices To Prevent, Treat, And Manage Type 2 Diabetes In Indigenous Communities In Canada, Sacha Bragg, Harsh Zaran, Regna Darnell Jan 2020

Case 3 : Coming Together To Promote Change: Best Practices To Prevent, Treat, And Manage Type 2 Diabetes In Indigenous Communities In Canada, Sacha Bragg, Harsh Zaran, Regna Darnell

Western Public Health Casebooks

Marie is a nurse and a member of the Bull Rapids First Nation. She is frustrated that there are no resources to help Indigenous people cope with the issue of chronic diseases such as type 2 diabetes, which is a major health issue in this community. Marie knows something needs to be done, so she undertakes research to determine whether there are any interventions that can help her community prevent, treat, and manage type 2 diabetes. During her research, she discovers Diabetes Alliance and the quality improvement strategy they have developed to empower Indigenous communities to create their own plans …


Case 9 : A Knot Of Contradictions: Systems Of Intersectionality And Muslim Lgbtq+ Mental Health Programs, Nour Kachouh, Harvir Sandhu, Amardeep Thind Jan 2020

Case 9 : A Knot Of Contradictions: Systems Of Intersectionality And Muslim Lgbtq+ Mental Health Programs, Nour Kachouh, Harvir Sandhu, Amardeep Thind

Western Public Health Casebooks

The case involves the protagonist, Yasmin Baytar, a queer Muslim woman who returns from the 2019 Women Deliver conference with the goal of implementing a community mental health program focusing on the LGBTQ+ Muslim population in Ottawa. She has extensive Sex- and Gender-Based Analysis Plus training and knowledge about intersectionality that she can use to develop a program that embraces true equality. However, she also needs to figure out how to obtain funding for her program and collaborate with different stakeholders while making sure she is keeping her population of interest involved and at the centre of her work. Students …


Case 10 : Changing The Service Delivery Model: How To Make It Happen?, Shradha Pandey, Yoshith Perera, Mark Speechley Jan 2020

Case 10 : Changing The Service Delivery Model: How To Make It Happen?, Shradha Pandey, Yoshith Perera, Mark Speechley

Western Public Health Casebooks

The case follows Ruksana Kadam, the 2SLGBTQ+ Programs and Community Engagement Manager at the HIV/AIDS Caring Communities (HACC). She has been tasked with developing and implementing a new service delivery model to be adopted at the HACC. The board and executive director are seeking change in order to improve services and care for its diverse clients. The new service delivery model would involve dissolving the current teams, which focused on priority populations such as people who have HIV/AIDS, 2SLGBTQ+ individuals, those who need harm reduction services, and African, Caribbean, and Black communities. The plan would involve creating two new teams …


Case 11 : Going Beyond The Virus: Understanding The Drivers Of The Ebola Virus Outbreak, Reshel Perera, Michel Deilgat, Suzanne Boucher, Ava A. John-Baptiste Jan 2020

Case 11 : Going Beyond The Virus: Understanding The Drivers Of The Ebola Virus Outbreak, Reshel Perera, Michel Deilgat, Suzanne Boucher, Ava A. John-Baptiste

Western Public Health Casebooks

The protagonist, Jason Fitzgerald, faces challenges performing contact tracing during an Ebola outbreak in the Democratic Republic of the Congo. This represents a small fraction of the many difficulties in responding to the 2018-2020 Ebola outbreak. Despite the best efforts of national and international organizations, the outbreak isn’t close to being contained. In fact, the virus threatens to spread to neighbouring countries, triggering the World Health Organization to declare the outbreak a Public Health Emergency of International Concern (PHEIC) on July 17, 2019. The Ebola outbreak is a dangerous, complex, and ongoing public health concern with serious national and international …


Case 13 : Preparing For The Tickpocalypse, Rayda Sheikh, Fatih Sekercioglu, Mark Speechley Jan 2020

Case 13 : Preparing For The Tickpocalypse, Rayda Sheikh, Fatih Sekercioglu, Mark Speechley

Western Public Health Casebooks

The blacklegged tick population is increasing within the Realike region, and this has been associated with the emergence and increase of Lyme disease cases in the area. Zachary Smith, the Manager of the Safe Water and Rabies Prevention & Control, and Vector-Borne Disease team at the Realike Health Unit’s Environmental Health Department, has been notified by Public Health Ontario of a potential Lyme disease outbreak in the area. Lyme disease is a vector-borne disease caused by bites from blacklegged ticks, also known as deer ticks, that are infected with Borrelia burgdorferi bacteria. The disease was once mostly endemic to the …


Case 15 : Recovery Through Education: An Integrative Approach To Mental Health For The People, By The People, Qi Xue, Andrew Johnson, Gerald Mckinley Jan 2020

Case 15 : Recovery Through Education: An Integrative Approach To Mental Health For The People, By The People, Qi Xue, Andrew Johnson, Gerald Mckinley

Western Public Health Casebooks

Recovery colleges are cocreated and codeveloped programs and services that mainly focus on increasing community integration and improving the well-being of people who have mental health concerns. Recovery colleges originated in England in 2009, with the first college established at the South West London Recovery College in London. Currently, there is no general consensus about what constitutes a recovery college. The primary focus of a recovery college is to provide a safe space where people who have mental illnesses and/or problematic substance use can lead their own journey to recovery. Eight components are used to define a recovery college (Perkins …


Case 14 : A Sticky Situation: A Medical Problem With A Social Solution, Stephanie Susman, Natasha Crowcroft, Amardeep Thind Jan 2020

Case 14 : A Sticky Situation: A Medical Problem With A Social Solution, Stephanie Susman, Natasha Crowcroft, Amardeep Thind

Western Public Health Casebooks

Vaccine hesitancy has been labelled as a complex risk communication problem for public health professionals because the reasons for this hesitancy are complex and unique. A provincial public health agency is faced with the difficult task of combatting the miscommunication about vaccines within the province. Lisa Walters, Public Health Consultant, has been working diligently to develop an effective risk communication message that targets vaccine-hesitant parents. Ultimately, the problem is one of framing, with the issue greatly influenced by how the media and health care professionals frame the issue and communicate with the public. The goal is to plan a communication …


Case 16 : When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald Jan 2020

Case 16 : When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald

Western Public Health Casebooks

While visiting a local school, the mayor of London was asked a simple question by a grade three student: “why aren’t there flashing light barriers at all railway crossings that are close to the places where children play?” The mayor did not have an answer to this question or the many other questions that went along with it, but he knew something needed to be done. But what? And by whom? Rail crossings in London are typically prone to risk. In Canada, only 17% of all 17,000 railway crossings have gates, and the primary purpose of these gates is to …


Complete 2020 Casebook Jan 2020

Complete 2020 Casebook

Western Public Health Casebooks

No abstract provided.