Janie Romoff, Director - Sport and Recreation, Ministry of Health Promotion

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Janie Romoff, Director - Sport and Recreation,
Ministry of Health Promotion
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Presentation Outline
Section 1 Key Information
Section 2 Our Changing Society
Section 3 Reality Check
Section 4 Where Do We Fit?
Section 5 How Do We Get There Together?
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Section 1 Key Information
Obesity Trends Among Canadian Adults - HPS, 1985
BMI ? 30, or 30 lbs overweight for 54 woman
Source Katzmarzyk PT. Can Med Assoc J
20021661039-1040.
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Section 1 Key Information
Obesity Trends Among Canadian Adults - NPHS, 1994
BMI ? 30, or 30 lbs overweight for 54 woman
Source Katzmarzyk PT. Can Med Assoc J
20021661039-1040.
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Section 1 Key Information
Obesity Trends Among Canadian Adults - CCHS, 2000
BMI ? 30, or 30 lbs overweight for 54 woman
Source P.T. Katzmarzyk, Unpublished Results.
Data from Statistics Canada. Health Indicators,
May, 2002.
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Section 1 Key Information
Obesity Trends Among Canadian Adults CCHS, 2003
BMI ? 30, or 30 lbs overweight for 54 woman
Source Statistics Canada. Health Indicators,
May, 2002.
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Section 1 Key Information
Obesity Trends Among Canadian Adults CCHS,
2002 2004
BMI ? 30, or 30 lbs overweight for 54 woman
15-19 20 -24 25-29
30-34
Provinces CCHS 2004 (measured) / Territories
CCHS 2002 (self-reported)
Data from Statistics Canada.
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Section 1 Key Information
Overweight and Obesity Trends in Canadas Youth
Overweight in Canadas Youth 1981 1996 Boys 1
5 35.4 Girls 15 29.2
Obesity in Canadas Youth 1981 1996 Boys 5
16.6 Girls 5 14.6
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Section 1 Key Information
Overweight and Obese Children by Age
Statistics Canada Canadian Community Health
Survey, 2005
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Section 1 Key Information
First Nations Information

• 79 of adults are inactive
• 40 of youth are overweight or obese
• 60 of children are overweight or obese
• Rates of obesity among Aboriginal people are
  nearly twice the overall rate for Canadian adults

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Section 1 Key Information
First Nations Information

• Two thirds of Aboriginal people diagnosed with
  diabetes were women
• Girls out number boys more that 5 to 1 among
  children diagnosed with diabetes
• Type 2 diabetes found in aboriginal children as
  young as 5 years old
• Stats Can reports that this disease is reaching
  epidemic proportions in Aboriginal populations

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Section 2 Our Changing Society
Ontarios Population Projections
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Section 2 Our Changing Society
Ontarios Population Projections
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Section 2 Our Changing Society
Ontarios Population Projections
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Section 2 Our Changing Society
Increased focus on the determinants of health

1. Income and Social Status
2. Social Support Networks
3. Education and Literacy
4. Employment/Working Conditions
5. Social Environments
6. Physical Environments
7. Personal Health Practices and Coping Skills
8. Healthy Child Development
9. Biology and Genetic Endowment
10. Health Services
11. Gender
12. Culture

Source Public Health Agency of Canada
Population Health Approach
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Section 2 Our Changing Society
The Story of Jason
This deceptively simple story speaks to the
complex set of factors or conditions that
determine the level of health of every
Canadian. "Why is Jason in the hospital? Because
he has a bad infection in his leg. But why does
he have an infection? Because he has a cut on his
leg and it got infected. But why does he have a
cut on his leg? Because he was playing in the
junk yard next to his apartment building and
there was some sharp, jagged steel there that he
fell on. But why was he playing in a junk
yard? Because his neighbourhood is kind of run
down. A lot of kids play there and there is no
one to supervise them. But why does he live in
that neighbourhood? Because his parents can't
afford a nicer place to live. But why can't his
parents afford a nicer place to live? Because his
Dad is unemployed and his Mom is sick. But why is
his Dad unemployed? Because he doesn't have much
education and he can't find a job. But why
...?" - from Toward a Healthy Future Second
Report on the Health of Canadians
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Section 2 Our Changing Society
Ontario municipalities are facing numerous
challenges

• Rising citizen expectations
• Growing focus on risk management and asset
  management
• Coping with rising costs of hard infrastructure
  replacement and renewal, i.e. roads and sewers
• Growing concerns about congestion and
  transportation in the GTA
• Continued concerns about waste management
• Balancing pro-development and pro-environment
  interests
• Coping with fallout of climate change intense
  storms, warmer winters, drought/heat stress
• Addressing social issues of poverty,
  homelessness, adequate housing, access to child
  care

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Section 2 Our Changing Society
What if the York Region were a village of 100
people?
Citizenship 92 villagers, regardless of country
of birth would be Canadian Citizens, 8 would
not. Immigration About 40 villagers would be
immigrants, 60 would be Canadian born.
Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?
Ethnic Origin 22 villagers would be of Chinese
or East/Southeast Asian descent 20 would be of
Italian descent 12 would identify as being of
Canadian descent 10 villagers ethnic origin
would stem from the British Isles 10 would be
of South or West Asian descent 7 would be
Jewish 7 would be of Western or South Western
European descent 4 would be of Eastern
European descent 1 would be of Caribbean
descent The rest would be of a wide variety of
other ethnic origins.
Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?
Languages Spoken at Home 83 villagers would
speak English 8 would speak Cantonese or
Chinese 2 would speak Italian Other languages
spoken at home would include Russian, Persian,
Punjabi, Tamil and Korean.
The Top Ten Non-official Languages Cantonese,
Chinese, Italian, Russian, Persian, Punjabi,
Tamil, Korean, Mandarin and Urdu.
Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?
Age 35 villagers would be children or youth
between the ages of 0 and 24 47 would be 25 to
54 years of age 18 would be 55 or over
Religion 60 villagers would be Christians 17
villagers would have no religion 8 would be
Jewish 4 would be Muslim 3 would be Hindu 8
would belong to a variety of other religions
Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?

• Employment and Transportation
• 56 villagers would be in the labour force
• Of the 56 villagers in the labour force
• - 53 would be employed
• - 3 would be unemployed
• Of the 53 villagers that are employed
• - 42 villagers would drive to work
• - 8 villagers would be passengers, take
  transit or use another method to get to work
• - 32 would work outside of their municipality of
  residence
• - 12 would work in their municipality of
  residence
• - 3 would work at home
• - 5 would have no fixed work address

Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?

• Spending on Housing
• The amount spent on housing makes many
• economically vulnerable
• 21 of families who are homeowners would spend
  30 to 50 or more of their income
• on shelter
• 35 of families who are renters would spend 30
  to 50 or more of their income on shelter

Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 2 Our Changing Society
What if the York Region were a village of 100
people?
Education 71 villagers would be old enough to
have completed postsecondary education. Of
these 47 would have a university degree or
some post-secondary education 9 would have
graduated from high school 9 would have
attended but not graduated high school 6 would
have less than a Grade 9 education
Source Community Snapshots Recent Immigrants
Living in York Region, 2006
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Section 3 Reality Check
"Can Johnny come out and eat?"
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Section 3 Reality Check
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Section 3 Reality Check
3 in 5 Canadians are not active enough to
benefit their cardiovascular health.
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Section 3 Reality Check

• 63 of youngsters not active enough for optimal
  growth and development .
• A decline in activity with age and gender.
• Girls are less involved in intense physical
  activity

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Section 3 Reality Check
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Section 3 Reality Check
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Section 3 Reality Check
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Section 3 Reality Check
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Section 3 Reality Check
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Section 3 Reality Check
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Section 4 Where Do We Fit?
Sport and Recreation A changing and complex
environment
Federal Government Priorities and Issues
Demographic, Health and Social Trends
Trends for Sport and Recreation
Provincial Government Priorities and Issues
Economic/ Technological and Environmental
Trends
Municipal Government Priorities and Issues
Sport and Recreation Sector Trends
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Section 4 Where Do We Fit?
Shifting Lifestyle and Leisure Patterns
From
To

• Holistic wellness/balanced development
• Economical/environmentally friendly
• Outdoor and home focus
• Experiencing the adventure quest
• Managed risk and excitement
• Activity as means to larger benefits/outcomes
• Individual activities

• Physical fitness focus
• Consumptive/expensive activities
• Indoor, facility focus
• Doing something
• Safe, secure activities
• Activity as end
• Team Sports

Source Ken Balmer, A Prescription for Leisure,
2002
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Section 4 Where Do We Fit?
Municipal Recreation Delivery

• Of 218 municipalities reporting (representing
  10.9 million people) 185,120,333 program hours
• On average at 47 cost recovery
• 1.3B in operating costs
• Source Municipal Performance Measures Program,
  Ministry of Municipal Affairs and Housing, 2004

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Section 4 Where Do We Fit?
Sports Organizations are facing a number of key
challenges

• Lower than average salary rates for staff
• Heavy reliance on a dwindling pool of volunteers
• Lack of stability and consistency in leadership
• Increased expectations around quality of
  programming and safety

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Section 4 Where Do We Fit?
Sports Organizations are facing a number of key
challenges

• Growing cost of participation
• Availability of appropriate practice and
  competition venues
• Early specialization and growing demand for
  sophisticated training

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Section 4 Where Do We Fit?
The broad non-profit sector faces a number of
major challenges

• Maintaining stability and direction in turbulent
  social, political and economic environment
  (planning challenges)
• Adequacy and structure (project vs. core funding)
  of financial support
• Meeting increasing demands for services or
  products
• Ability to hire and retain paid staff in a more
  competitive labour market
• Capacity to recruit, train and support
  volunteers, especially Board members

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Section 4 Where Do We Fit?
Sport and Recreation Not for ProfitNot for
Revenue
of Ontarios Total Revenue
of Ontario NFP Organizations
Source NSNVO Ontario 2003.
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Section 4 Where Do We Fit?
Sport and Recreation Primarily Volunteers
Percent of Paid Staff and Volunteers in Ontario
Nonprofits
by Primary Activity Area
Paid Staff
Volunteers
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Section 4 Where Do We Fit?
Sport and Recreation The Poor Cousin
Sources of Revenue for Core Ontario Nonprofits
By Primary Activity Area
Source NSNVO Ontario 2003.
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Section 4 Where Do We Fit?
Sport and Recreation The Results are In

• Increasing user fees
• Aging infrastructure
• Rising barriers to participation
• Increased health risk
• Increased health care costs

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Section 4 Where Do We Fit?
What are we doing?

• The Ministry
• The Ministry of Health Promotion was created on
  June 29, 2005 when Premier McGuinty asked the
  Honourable Jim Watson to become Ontario's first
  Minister of Health Promotion.
• The Ministry will help Ontarians lead healthier
  lives by delivering programs that promote healthy
  choices and healthy lifestyles. To do this the
  Ministry will work closely with partners,
  stakeholders and all levels of government.

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Section 4 Where Do We Fit?
What are we doing?

• The Sport and Recreation Branch
• The Branch encourages involvement in sport,
  recreation and physical activity for the health,
  social, and economic benefit of Ontarians and the
  communities in which they live. Through its
  support of the sport and recreation sectors at
  the provincial and local level, the Branch helps
  meet the government's priorities in health,
  education, job creation and economic growth and
  promotion of voluntarism.
• The Branch contributes to a strong provincial
  sport system and the development of athletic
  achievement in Ontario. It fosters the
  involvement of children and youth in sport and
  recreation, recognizing their contribution to
  healthy child development and positive youth
  development.

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Section 4 Where Do We Fit?
What are we doing?
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Section 4 Where Do We Fit?
What are we doing?

• In her 2004 Chief Medical Officer of Health
  Report, entitled Healthy Weights, Healthy
  Lives, Dr. Sheela Basrur highlighted the growing
  number of obese children in Canada and the
  dramatic effect this has on the increased rates
  of illnesses such as type 2 diabetes, heart
  disease, stroke, hypertension and some cancers.
• Increasing physical activity through the
  provision of accessible sport and recreation
  facilities can help reduce health care costs
  attributed to inactivity and address rising
  obesity rates by supporting Ontarios action plan
  for Healthy Eating and Active Living.

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Section 4 Where Do We Fit?
What are we doing?
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Section 4 Where Do We Fit?
What are we doing?

• ACTIVE2010 aims to build stronger communities,
  promote participation in sport and physical
  activity, develop a strong sport system, and
  build a dedicated volunteer base through sport
• By 2010 to increase to 55 percent the proportion
  of the Ontario population that is active.

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Section 4 Where Do We Fit?
What are we doing?

• Promotion
• Sector Development
• Barrier Removal
• Trails
• Sport Hosting

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Section 4 Where Do We Fit?
What are we doing?

• 5M annually
• Community based initiatives that align with
  Active 2010
• Since 2004, 15.8M awarded to over 500
  organizations
• Over 330,000 people participated in activities as
  a result of CIAF

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Section 4 Where Do We Fit?
What are we doing?

• Enhance the sustainability of Ontario Trails
• Enhance the trails experience
• Public Education about trails
• Trails mapping
• Trails for Life grant program

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Section 4 Where Do We Fit?
What are we doing?
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Section 4 Where Do We Fit?
What are we doing?

• Support to Amateur Sport
• Core funding to over 50 Provincial Sport
  Organizations
• Sport Priority Funding to support sport
  development
• The National Coaching Certification Program
• The Ontario Games Program
• Long Term Athlete Development from playground
  to podium
• The Canadian Sport Centre - Ontario

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Section 4 Where Do We Fit?
What are we doing?
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Section 4 Where Do We Fit?
What are we doing?
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Section 4 Where Do We Fit?
What are we doing?

• Infrastructure Investments
• Ontario sport and recreation infrastructure
  deficit estimated to be over 5B and growing
• 2006-07, more than 35M invested in Sport and
  Recreation infrastructure
• Continued advocacy for a federal, dedicated
  infrastructure fund

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Section 4 Where Do We Fit?
What are we doing?

• Community Use of Schools
• Joint MHP-EDU policy statement on Community Use
  of Schools
• 20M annually, directly to schools to increase
  access by not-for-profit groups
• Make school space more affordable and accessible

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Section 5 How Do We Get There Together?
Group Discussion

• What can we do to influence public policy that
  would make Ontario a centre for innovation?
• What new strategic partnerships must we build?
• What do we have to mobilize to extend the reach?
• What public policy levers do we need to consider
  as we address the issues?

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Section 5 How Do We Get There Together?
Question and Answer Session