User Manual for the GIS Portal at KFL&A Public Health: Version 1.0
Contents
1. 2 Double click on the symbol identifying the tobacco retailer on the basemap in order to display more detailed information about the retailer in a new window The new window includes an overview tab which displays a photo address and phone number of the selected premise The premise maintenance tab identifies store information including the retailer s tobacco permit number The summary statistics tab displays inspection information including the date of the previous inspection next inspection and total number of charges laid The inspection history tab displays information regarding previous inspections including youth access to tobacco products List of Tobacco Retailer Locations Tobacco Tool Specified Tobacco Retailer Summary Statistics Figure 29 Template of the Tobacco Module Tobacco Tool 43 References B C Air Quality 2013 Wildfire smoke forecasts for eastern Canada Province of British Columbia Retrieved from http www bcairquality ca bluesky east Chen H amp Copes R 2013 Review of air quality index and air quality health index Ontario Agency for Health Protection and Promotion Retrieved from http www cleanair hamilton ca downloads AQI AQHI 20Report 20Jan 202013 20Final pdf Cromley E K amp McLafferty S L 2012 GIS and public health New York Guilford Publication Dubray J Kirst M Yates E Schwartz R 2013 Evaluation of the Risk Based Enforcement Pilot2. M specified direction The middle zoom function allows you to zoom in or out of the basemap by a fixed amount The bottom rectangular pan function allows you to zoom into or out of a pre selected area i e Basemap Selector The basemap selector allows you to choose from nine different maps to use as your basemap Each map identifies different geographic features such as topography streets or public venues SDOH Layers This function gives you access to seven layers which identify deprivation and marginalization information for dissemination areas across Ontario as shown in Figure 22 Deprivation layers are derived from the Deprivation Index of Health by the Quebec Public Health Institute INSPQ The deprivation layers include social deprivation material deprivation as well as material and social deprivation combined The data for the deprivation layers are acquired from six main indicators from the 2001 Census of Canada Refer to the table in Appendix B for information related to the indicators for the deprivation layers The table identifies that material deprivation is associated with differences in education income and employment while social deprivation is prevalent among those who live alone live in single parent families and are separated divorced or widowed Pampalon et al 2009 Marginalization layers are derived from the Ontario Marginalization Index ON Marg developed by the Centre for Research on Inner Cit
3. Marginalization Index ON Marg by the Centre for Research on Inner City Health GIS and Public Health In broad terms a Geographic Information System GIS is a technology that can display and examine spatial data This is accomplished through the creation of computerized maps graphs and tables of geographic data to assist with identifying observations trends and relationships Cromley amp McLafferty 2012 GIS therefore provides visual tools that can assist with problem solving and informing decision making The increased uptake of GIS applications in public health in recent years is attributed to changes in technology and data sharing Developments in hardware software and spatial databases have made GIS more affordable and user friendly This includes the development of electronic medical records which has led to increased data sharing between various agencies and research communities Joyce 2009 Units of Geography There are different units of geography which can be used to report data within a GIS application as identified in the figure from Statistics Canada in Appendix A The GIS applications at KFL amp A Public Health currently use dissemination areas which are the smallest geographic areas for which all census data are disseminated and have population sizes of 400 700 individuals Matheson et al 2011 The next largest unit of geography which dissemination areas are linked to are census tracts which comprise of areas with popula
4. aged 16 Average number of persons per dwelling Proportion of dwellings that are apartment buildings Proportion of the popu lation who are single divorced widowed Proportion of dwellings that are not owned Proportion of the population who moved during the past 5 years Proportion of the of the 9t population who are age 65 and older Dependency ratio total population 0 14 and 65 total population 15 to 64 Proportion of the population not participating in labour force aged 15 Aboriginal indicators did not load on any of the factors Forthe 2006 index the indicator is the proportion of the population aged 25 without a certificate diploma or degree This is due to a change in the Statistics Canada definition Indicators were reverse coded meaning they were coded opposite of the measure e g married common law becomes esingle divorced separated widowed low income is defined as below the low income cutoff LICO a Statistics Canada measure that is adjusted for community size family size and inflation Matheson F Dunn J Smith K Moineddin R amp Glazier R 2011 Canadian marginalization index user guide Version 1 0 Centre for Research on Inner City Health Table 1 Dimensions of marginalization and their respective indicators Retrieved from http www torontohealthprofiles ca test onmarg userguide_data ON Marg_user_guide 1 0 F
5. amp Canadian Weather identify wind speed wind direction and precipitation forecasts B Aboriginal Reserve identify geographic proximity of the forest fire to Aboriginal Reserve locations C Air Quality Health Index AQHI and Air Quality Index AQI identify local air quality in real time D Forest Fire amp Smoke Forecasts for Eastern Ontario identify locations of forest fires and the anticipated geographic distribution of smoke and particulate matter for up to two days into the future E Demographics identify vulnerable populations in surrounding areas Identified Reserves Local AQI Symbol Figure 31 Forest Fire Scenario Demonstrated in PHIMS 53 Scenario 3 Local flooding due to heavy precipitation as demonstrated in Figure 32 GIS Tools to Use A Stream Gauges identify local water stream levels B Aerial Basemap amp Street View visualize local infrastructure and locations of nearby venues such as hospitals and schools C Canadian Weather amp Radar Weather identify local precipitation forecasts wind speed and wind direction D Traffic Cameras visualize flood impact on local road conditions Basemap Options HEE be Po t ON A nei 1 RE mz gt b TS Pad AA ove Stream Gauge and Local Weather Symbols Weather Radar Layers Figure 32 Flooding Scenario Demonstrated in PHIMS 54
6. A Risk Categorization Model for Youth Access to Tobacco Interim Report Toronto Ontario Tobacco Research Unit Retrieved from http otru org wp content uploads 2013 06 special_enforcement pdf Environment Canada 2013 Frequently asked questions about the air quality health index Retrieved from http www ec gc ca cas aghi default asp lang En amp n 3E3FDF68 1 Health Canada 2011 Environment and workplace health Water talk Uranium in drinking water Retrieved from http www hc sc gc ca ewh semt pubs water eau uranium eng php Joyce K 2009 To me it s just another tool to help understand the evidence Public health decision makers perceptions of the value of geographical information systems GIS Health amp Place 15 3 831 840 Matheson F Dunn J Smith K Moineddin R amp Glazier R 2011 Canadian marginalization index user guide Version 1 0 Toronto Centre for Research on Inner City Health Retrieved from http www torontohealthprofiles ca test onmarg userguide_data ON Marg_user_guide_1 0 FINAL MAY2012 pdf Ministry of Community Safety amp Correctional Services MCSCS 2009 Emergency response plans Provincial nuclear emergency response plan Retrieved from http www emergencymanagementontario ca english emcommunity response_resources pla ns provincial nuclear emergency response plan html Ministry of Natural Resources MNR 2009 How we fight fire Retrieved from http ww
7. Publ Mesi x c phimskfia appspot com Repentigny Montr al Salaberry do Valbeyfieid Watertown Vaughan Toronto a so Sart Catherine Figure 8 PHIMS Well Water Uranium Layer 14 4 Nuclear Stations This layer identifies the locations of various nuclear reactor stations in both Canada and the United States The layer identifies four nuclear power plants in Ontario and six across Michigan New York and Ohio This layer is useful for emergency preparedness purposes as it has the ability to visualize three main geographical zones surrounding a nuclear station to use while planning a nuclear emergency as shown in Figure 9 The size of each of these zones can be modified to identify at risk populations The contiguous zone is the area closest to the nuclear reactor where the primary evacuations occur due to the area s proximity to the nuclear power plant The primary zone is the area around the nuclear power plant where measures are taken to avoid exposure to radioactive plume The secondary zone is the largest area around the nuclear power plant where steps are taken to avoid ingestion of radioactive matter MCSCS 2009 The nuclear stations layer in PHIMS also has the ability to identify at risk populations under the at risk tab to the right of the zones tab with data from the 2006 Census of Canada The at risk population estimates will be updated with the most recent Census of Canada data when it becomes a
8. and draw freehand line shapes allow you to determine the distance between locations All other shapes allow you to identify the area and perimeter units of a specified geographic location Options to define your selected shape will appear within the draw and measure tool These options include fill colour which allows you to change the colour of the selected shape the style option allows you to choose a fill pattern for the selected shape and the alpha option allows you to adjust the transparency of the selected shape Check the show measurements box along the bottom of the draw and measure tool to show perimeter and area measurements Various distance and area units can be selected from the drop down menus Click and drag the pointer over the desired geographic area on the basemap to draw the selected shape 4 Draw and Measure Tool Options Draw and Measure Tool KirepeSon Area and Perimeter Measurements Figure 28 Tobacco Module Draw and Measure Tool 42 4 Tobacco Once the Tobacco Module is fully developed this tool will allow you to identify the locations and addresses of Tobacco retailers in the KFL amp A Public Health region as the template displays in Figure 29 Each of the Tobacco retailers are colour coded according to their compliance with the Smoke Free Ontario Act To use the Tobacco tool 1 Click on a tobacco retailer location listed in the Tobacco tool to identify it on the basemap
9. english traveller compass camera camhomel shtml http www mto gov on ca english traveller trip traffic_cameras shtml Environment Canada Real Time Hydrometric Data http www wateroffice ec gc ca index_e html National Oceanic and Atmospheric Association NOAA National Weather Service http www weather gov Ministry of the Environment Well Record Data http www ene gov on ca environment en mapping wells index htm B C Air Quality Smoke Forecasts for Eastern Canada http www bcairquality ca bluesky east 51 Appendix E Scenarios Using the GIS Portal Layers Scenario 1 A highway chemical spill as identified in Figure 30 GIS Tools to Use A Plume Dispersion identify geographic areas impacted by chemical plume B Traffic Cameras visualize the incident area C Air Quality Index AQI identify local air quality in real time D Canadian Weather identify wind direction and wind speed E Layer List identify vulnerable populations near the chemical spill including seniors 65 children under five areas with high ethnic concentrations and dependent populations Senior Demographics Local Traffic Cameras Layer Legend Local Weather Symbol fe d Y l 4 n r Local AQI Symbol Chemical Spill Plume Dispersion Figure 30 Chemical Spill Scenario Demonstrated in PHIMS 32 Scenario 2 Heavy forest fire activity in Northern Ontario communities as shown in Figure 31 GIS Tools to Use A Radar Weather
10. INAL MAY2012 pdf 49 Appendix D Data Sources for GIS Applications Data Source Links Aboriginal Statistics Canada 2006 Aboriginal Population Profile Reserves http www 12 statcan ca census recensement 2006 dp pd prof 92 594 index cfm Lang E amp fpv 10000 Ontario Data http www 12 statcan ca census recensement 2006 dp pd prof 92 594 search recherche Ist page cfm Lang E amp GeoCode 35 Air Quality Environment Canada Air Quality Health Index AQHD AQHI amp AQI http www ec gc ca cas aghi default asp Lang En Ministry of the Environment Ontario Air Quality Index AQI readings http www airqualityontario com history locations php pol 250 Canadian Environment Canada National Climate Data and Internet Archive Weather http www climate weatheroffice gc ca climateData canada_e html Earthquakes U S Geological Survey USGS Interactive Earthquake Map http earthquake usgs gov earthquakes map Forest Fires Ministry of Natural Resources Current Fire Locations Interactive Map http www affes mnr gov on ca Maps Fire FireMap html KFL amp A Cool List of Kingston Cool Down Centres Down Centres http www kflapublichealth ca News aspx NId 264 Interactive Map of Kingston Cool Down Centres https maps google com maps ms ie UTF8 amp oe UTF8 amp msa 0 amp msid 21437 7109322786524857 00048214254f1d43064f6 KFL amp A Warm Interactive Map of Kingston Warm Up Places Up Places https maps goo
11. Mesue Worldwide Earthquakes Occurring in the Past 7 Days Figure 10 PHIMS Earthquake Layer 16 6 Air Quality Index AQI This layer shows the AQI for cities in Ontario which was created by the Ministry of Environment MOE to inform the public on air quality based on levels of ambient air pollution as shown in Figure 11 This layer is useful as it identifies sensor data in real time from the MOE The AQI is measured approximately every hour in cities across Ontario and designates a score for air quality which ranges from 0 to 100 The index is calculated by first assigning scores to various air pollutants based on their concentration levels These air pollutants include fine particulate matter PM 5 ozone 03 sulphur dioxide SO nitrogen dioxide NO2 carbon monoxide CO and total reduced sulphur TRS The score for the highest ranking pollutant is used as the final AQI score for the specified location and time period Chen amp Copes 2013 As identified in the legend tab in Figure 9 scores are categorized as follows 0 15 indicate very good air quality 16 31 indicate good air quality 32 49 indicate moderate air quality 50 99 indicate poor air quality and 100 indicate very poor air quality The symbols tab allows you to change the shape of the symbol used to mark the various locations where the AQI is identified Hovering the cursor over one of the symbols on the basemap allows you to view the AQI score for the cho
12. S portal with graduated levels of access and security depending on the user entering the portal This user manual is divided into three main sections with each section devoted to one of the GIS applications PHIMS the SDOH Mapper and the Tobacco Module Each section explains how to navigate the current user interface of the specified GIS application and describes how to use their various functions Vision The public health informatics team at KFL amp A Public Health is working to develop in an ongoing systematic manner a single access point to the GIS portal which will visualize multiple environmental and population based data sets in real time The GIS portal will be used to provide public health situational awareness and assist with evidence informed decision making to protect the health of Ontarians Mission The public health informatics team intends to provide available real time data from multiple partners into the GIS portal in order to assist with identifying health events earlier than through traditional public health methods The GIS portal aims to visualize environmental data with underlying population based indicators This includes incorporating information related to vulnerable populations with the use of both age and social determinants of health data into the GIS portal The social determinants of health data are derived from the Deprivation Index for Health developed by the Quebec Public Health Institute INSPQ and the Ontario
13. User Manual for the GIS Portal at KFL amp A Public Health Version 1 0 User Manual for the Public Health Information Management System PHIMS the Social Determinants of Health SDOH Mapper and the Tobacco Module Applications Nicole Andruszkiewicz MPH Candidate Kingston Frontenac and Lennox amp Addington Public Health August 2013 KFLA gt PHI Table of Contents OVERVIEW aaa praline 1 VO RAR ARA RO A RL IRR IR IR CIR DPI VOR STI MCR E 1 Dis ie shi shat Bat ad itch gd aaa tite Rin aa ca 1 GIS and Public Health e t e aite t tas Ha aaa oa Gen aaa agenda 2 ES OF COSTA I ROIO MERI RI RAMUS 2 Part 1 Public Health Information Management System PHIMS 3 PHIMS User Interface eei e rettet i ee ia Pn S x eset ere mi ea eens 3 PO BT RAPIRE AI ASI AITINA ASI NORTE ENI IE 3 SCIECHN NAVISQUON AVC aea R E IR a 2 Layer List Tools aia suena i Nr xe Ru ie ed a ee Desc a IU tre ORE 7 Public Heal Information LOOMS 5 dii dati titia ecd il iii dalai 12 KFL amp A Operational Activities TOOLS So eee adit did lptom e epp Oud ARP ipi end ON la 23 Part 2 Social Determinants of Health SDOH Mapper 28 SDOH Mapper User iit GOES natalia ala 28 OTT Ay T FE TOR RERUM PR ENSIS RNC NUNT UNE 29 Screen Navigation AY GG RC 31 Population Summary Too l assi tennera enaena san Lantellaageenintiardedaaaeaaabhatian 33 Part 3 Tobacco Module lla 38 Tobacco Module User Ini
14. a on the basemap to draw the selected shape Draw and Measure Tool Measurements Tab Area and Perimeter Measurements Figure 3 PHIMS Draw and Measure Tool 3 Print The print tool allows you to print a screenshot of the basemap with a specified title and subtitle 4 Find Places This tool can display a specified geographic location on the basemap by entering a specified address or geographic coordinates 5 Layer List The layer list tool provides visualizations of health data related to demographics environmental information and Aboriginal Reserve locations Refer to Appendix D for links to data sources for the layers in the layer list These layers include 1 Demographic layers related to age deprivation and marginalization Age Layers These include visualizations of seniors 65 years of age and children under five years of age across dissemination areas within Ontario as shown in Figure 4 and are derived from the 2006 Census of Canada Deprivation Layers These include social and material deprivation layers and are obtained from the Deprivation Index for Health developed by the Quebec Public Health Institute INSPQ Social and material deprivation information is acquired from 6 main indicators from the 2001 Census of Canada Refer to Appendix B for a description of the indicators that make up the deprivation layers The table identifies that material deprivation is associated with differences in education income and e
15. as shown in Figure 2 The main screen shows a gray scale basemap with a pan and zoom area on the left a basemap selector on the top right corner and a screen navigation area along the top portion of the basemap Pan and Zoom Area Perrbroke Ottawa Watertown Oshawa Vasghan Brampton y Toronto Mississauga Stratford Hamilton Saint Catharines Woodstock Brantford Figure 2 PHIMS Main Screen Pan and Zoom Area The pan and zoom functions allow you to change the view of the basemap with single click actions The circular pan function allows you to move the basemap by a fixed amount in the specified direction The middle zoom function allows you to zoom in or out of the basemap by a fixed amount ry The bottom rectangular pan function allows you to zoom into or out of a pre selected area Basemap Selector The basemap selector allows you to choose from nine different maps to use as your basemap Each map identifies different geographic features such as topography streets or public venues To select a map click once on the chosen map then double click the top right corner of the map to display it as a basemap Screen Navigation Area The PHIMS screen navigation area has nine main tools which include Bookmarks Draw and Measure Print Find Places Layer List Street View Public Health Information KFL amp A Operational Activities and Legend Each tool is described in detail below 1 Bookmarks The bookma
16. asurements were taken and the temperature from the preceding measurement A symbol on the basemap will momentarily flash to indicate that a change in weather conditions such as temperature or wind direction for that area has occurred Specified Location Detailed Weather Information Figure 13 PHIMS U S Weather Service Layer 20 9 Plume Dispersion This layer as shown in Figure 14 allows you to visualize a simulated dispersion of air pollutants or toxins into the atmosphere due to factors such as a chemical spill from an industrial plant To use the plume dispersion tool 1 Specify where the plume dispersion occurs by clicking on the location on the basemap It is also possible to identify the location of the plume dispersion by checking the box labelled as use coordinates and entering the location s coordinates into the boxes labelled as longitude and latitude To ensure that the coordinates entered are correct click validate for the location to be identified with a cross symbol on the basemap 2 To define the plume dispersion values must be entered into the fields marked with a red asterisk These include the emission rate grams second the release height metres and the wind speed km h 3 Other optional variables that can be defined for the plume dispersion are the wind direction degrees use wind sensors and the number of sensors 4 Upon entering the values in
17. can be identified in the legend The quintiles for the marginalization and deprivation indices range from 1 least unstable to 5 most unstable with each quintile containing dissemination areas that make up approximately 20 of the population in Ontario For instance a dissemination area with a social deprivation ranking of 1 on the quintile scale indicates that the dissemination area is in the least socially deprived 20 of areas in the province Colour Coded Quintiles Layer List Tool Transparency Slide Bar Figure 4 PHIMS Children Under Five Years of Age Layer 2 Environmental layers related to weather radar data weather conditions stream gauges and heat information Weather Radar Layer This layer identifies cloud and precipitation data for Ontario and is obtained from Environment Canada s National Climate Data and Information Archive Weather Layer This layer shows local weather conditions across Ontario by displaying visualizations of precipitation and cloud coverage occurring in various cities across the province Stream Gauge Layer This layer identifies the locations of stream gauges across Canada and the measurements of bodies of water The data is obtained from Environment Canada and the Water Survey of Canada Real Time Heat Layer This layer includes the locations of 12 Wet Bulb Globe Temperature WBGT sensors across four health units in Ontario as identified in Figure 5 The WBGT sensors examine heat stress by tak
18. cation on the basemap through street level imagery from external websites which include Bing Maps and Google Maps The various functions of this tool are currently under development 7 Public Health This function consists of 11 different layers which visualize pertinent public health data Refer to Appendix D for links to data sources for the layers described and Appendix E for scenarios using the PHIMS public health layers These layers include 1 Forest Fires This layer can display the status of various forest fires occurring in Ontario As shown in Figure 7 the forest fires are classified into five main categories A fire that is defined as under control means that it has been established that the fire will no longer spread A forest fire is classified as not under control during the period prior to any attempt to prevent the spread of the fire For a fire to be defined as being observed means that the spread of the fire is not currently being prevented A fire is being held when it is probable that the fire will no longer spread but efforts are made to manage the fire MNR 2009 Each of these five classifications of forest fires can be displayed on the basemap separately by checking their equivalent check boxes or they can be viewed simultaneously by checking the box to the left of the all option 12 Forest Fires Legend Public Health Layers Tool Specified Forest Fire Date Cause Status Size Figur
19. cking the input tab and enlarged by clicking the output tab 33 Shape Drawn Over Population Summary Tool Population Area Figure 24a SDOH Mapper Population Summary Tool 34 Population Summary Tool Input Tab Output Tab me ST Types of Selected Graph ON Marg Quintiles Number of Graphs Material Marginalization Dissemination Areas and Total Population Figure 24b SDOH Mapper Population Summary Tool Graphs 35 4 Draw and Measure This tool allows you to measure the distance between locations or to identify the perimeter and area units of a specified geographic location as identified in Figure 25 To use the draw and measure function 1 2 3 4 Select a shape from the draw and measure tool The draw point shape allows you to place a marker on a specific location The draw line and draw freehand line shapes allow you to determine the distance between locations All other shapes allow you to identify the area and perimeter units of a specified geographic location Options to define your selected shape will appear within the draw and measure tool These options include fill colour which allows you to change the colour of the selected shape the style option allows you to choose a fill pattern for the selected shape and the alpha option allows you to adjust the transparency of the selected shape Check the show measurements box along the bottom of the draw a
20. e 7 PHIMS Forest Fires Layer 13 2 Wildfire Smoke Forecasts for Eastern Canada This layer displays hourly forecasts of smoke from wildfires in Eastern Canada Smoke levels are colour coded based on concentrations of particulate matter that are 2 5 micrometres or smaller in diameter PM 5 Small particulate matter can be lodged in the lungs and lead to respiratory and cardiac problems B C Air Quality 2013 The layer can display the wildfire smoke forecasts for up to two days into the future 3 Well Water Uranium This layer identifies the levels of uranium in well water across Ontario The information displayed for each well includes the concentration of micrograms of uranium per litre of water the well depth and the date the well water was last sampled The layer also allows you to search for wells containing a specified concentration of uranium under the filter results tab to the left of the show all tab as shown in Figure 8 The current maximum acceptable concentration of uranium levels in drinking water in Canada is 0 02 milligrams or 20 micrograms per litre of water Long term exposure to high levels of uranium in drinking water can lead to negative health effects such as damage to kidney cells Health Canada 2011 Clicking on a well name in the list allows you to zoom in on the well s location on the basemap Well Water Uranium Concentration Well Depth Filter Results Tab Show All Tab Date Sampled TY O rr ima
21. erface iii 38 Sereen Navigation Aed RR NATA EI 40 Tobucco TOOL dc sessanta obama bpm ante DE Lon b E mL AE cde 43 IRELCTCNICES TM PT 44 Contact DME OVA GON e 46 Appendice aaa 47 Appendix A Statistics Canada Hierarchy of Standard Geographic Units esses 47 Appendix B Table of Indicators for the INSPQ Deprivation Index 48 Appendix C Table of Indicators for the Ontario Marginalization Index cesses 49 Appendix D Data Sources for GIS Applications eese sesenta nnne 50 Appendix E Scenarios Using the GIS Portal Layers eese eene enne 52 Overview There are three main Geographic Information System GIS applications being developed at Kingston Frontenac and Lennox amp Addington KFL amp A Public Health which include the Public Health Information Management System PHIMS the Social Determinants of Health SDOH Mapper and the Tobacco Module PHIMS was developed by the Health Informatics team at KFL amp A Public Health in 2011 Presently PHIMS contains health data focused on environmental health and emergency preparedness The SDOH Mapper consists of layers of information related to deprivation and marginalization across dissemination areas in Ontario The Tobacco Module visualizes information related to health inspections of tobacco retailers in the KFL amp A region The health informatics team at KFL amp A Public Health intend to combine these GIS applications into a single GI
22. gle com maps ms ie UTF8 amp hl en amp msa 0 amp msid 21437710 9322786524857 00049a38ee2085d0ce55f amp 11244 563077 76 758728 amp spn 1 254338 2 128601 amp z 9 Nuclear Stations Canadian Nuclear Safety Commission Nuclear Power Plants http www nuclearsafety gc ca eng licenseesapplicants powerplants HNNPP United States Nuclear Registry Commission Nuclear Reactors http www nrc gov reactors html 50 Data Source Links Ontario Marginalization Index ON Marg Radar Weather Real Time WBGT Heat Sensors Routing Evacuation Tap into Kingston Traffic Cameras Stream Gauges United States Weather Well Water Uranium Wildfire Smoke Forecasts for Eastern Ontario Centre for Research on Inner City Health ON Marg User Guide http www torontohealthprofiles ca test onmarg userguide_data ON Marg user guide 1 0 FINAL MAY2012 pdf Environment Canada Canadian Historical Weather Radar http www climate weatheroffice gc ca radar index_e html KFL amp A Public Health Report on Eastern Ontario Heat Sensor Network http www quesst ca publications Heat System 2009 09 14 ISDS_Abstract pdf Microsoft Developer Network Bing Maps http msdn microsoft com en us library dd877180 aspx KFL amp A Public Health Tap into Kingston Q amp As and Interactive Map http www kflapublichealth ca motiv8 swap TapIntoKingston aspx Ministry of Transportation COMPASS Traffic Cameras http www mto gov on ca
23. gton Adress 197 Davey 63 PO Box 4 e Figure 17 PHIMS Cool Down Centres Layer 24 3 Warm Up Places This layer as shown in Figure 18 identifies the locations of centres in the KFL amp A Public Health region that the general public can access for relief from extreme cold weather conditions Warm Up Places Locations Specified Warm Up Place List Location Figure 18 PHIMS Warm Up Places Layer 25 4 Tap into Kingston This layer as shown in Figure 19 identifies the locations of businesses and restaurants in the city of Kingston that offer free tap water to the general public in order to promote an accessible alterative to bottled water and soft drinks List of Tap into Specified Tap into Kingston Kingston Locations Location few martea Jt 311 Premia se Pe Fine tata LEI dure met Und Lindano ay lm Merten PIT ee ee Mnt ee NUT Lia mi mro one etme Aber mat Conero Figure 19 PHIMS Tap into Kingston Layer 26 5 Traffic Cameras This layer identifies the locations of traffic cameras across Ontario as List of Traffic Camera Locations shown in Figure 20 Cri ei APA per Ded Ual o s Vu Specified Traffic Camera Location Figure 20 PHIMS Traffic Control Layer 9 Legend This tool allows you to identify the colour coded quintiles for the marginalization and deprivation layers in the layer list function 27 Part 2 Social Determinants of Health SDOH Mapper SDOH Mapper User I
24. he colour coded triangle indicates whether a location s AQHI score is increasing decreasing or remaining stagnate A location s symbol on the basemap will begin to flash to indicate a change in its AQHI score Specified Location AQHI Score and Date Time Legend Tab Symbol Tab Measured b Vaughan cb E gt Toronto Mis oret Figure 12 PHIMS AQHI Layer 19 8 U S Weather Service and Canadian Weather Service These two layers identify weather information obtained from weather sensors across locations in Canada and the United States Both of the layers have a legend tab which describes the symbols used The arrow symbol faces the direction in which the wind is travelling and the length of the arrow symbol signifies the force of the wind with a longer arrow indicating a stronger wind The colour coded triangles to the right of the arrow symbol identify whether the temperature is remaining stagnant increasing or decreasing The symbol tab allows you to change the shape of the symbol that marks the locations of the weather sensors on the basemap and the colour tab allows you to change the colour of these symbols As shown in Figure 13 hovering the cursor over a chosen weather sensor on the basemap allows you to identify detailed weather information for the specified location This information includes the current temperature humidity visibility wind direction wind speed air pressure dew point time weather me
25. ing into account factors such as ambient air temperature wind and cloud cover NOAA 2011 Final Layer Selected Drop Down List vM mas Sii Taig ec po PublidHealth ste E e ne x W ester tac TU Ero E Agditoc Hest Levers ILL Real Tene Heat WEGTOI Sensors T Hom unts Sal site ry de N an dre Figure 5 PHIMS Real Time WBGT Sensors Layer 10 3 Aboriginal Reserve Layer This layer as shown in Figure 6 identifies the locations of Aboriginal Reserves across Canada with data obtained from Statistics Canada Selected Layer Figure 6 PHIMS Aboriginal Reserves Layer In order to use the layer list function 1 Check the box next to the chosen layer you would like to display on the basemap 2 Click on the triangle to the left of the layer selected for a drop down list of specific layer options 3 If applicable repeat steps 1 and 2 until no more drop down lists are available and a final layer is chosen 4 If applicable once a final layer is chosen the colour coded quintiles and their percentile ranges will appear on the legend 5 Reveal one layer at a time for appropriate visualizations although multiple layers can be selected simultaneously by checking their equivalent check boxes 6 The transparency of each layer can be adjusted by using the slide bar next to the selected layers 11 6 Street View This tool allows you to view a selected geographic lo
26. ivation Index TABLE 2 Principal components of the deprivation index in Canada Component Indicator Material SCOLAR EMPLOI REVENU SEULESS S D VI F MONO Explained variance 34 33 Cumulative variance 34 67 Ratio of individuals 15 years and older with no high school diploma to the population 15 years and older Ratio of individuals 15 years and older who are employed to the population 15 years and older Average personal income for the population 15 years and older Ratio of individuals 15 years and older living alone to the population 15 years and older Ratio of individuals 15 years and older who are separated divorced or widowed to the population 15 years and older Ratio of single parent families to the total number of families NOTE The above values are saturations They should be interpreted as correlation coefficients between the indicator and the component Source 2001 Census of Canada Pampalon R Hamel D Gamache P amp Raymond G 2009 A deprivation index for health planning in Canada Table 2 Principal components of the deprivation index in Canada Chronic Diseases in Canada 29 4 178 191 48 Appendix C Table of Indicators for the Ontario Marginalization Index Table 1 Dimensions of marginalization and their respective indicators MENS ION S Residential instability Material deprivation Dependency Proportion of the population living alone Proportion of the ion who are not youth
27. mployment while social deprivation is prevalent among those who live alone live in single parent families and are separated divorced or widowed Pampalon et al 2009 Marginalization Layers These layers include residential instability material deprivation ethnic concentration and dependency which are derived from the Ontario Marginalization Index ON Marg These four dimensions were created based on 18 indicators reflecting inequality and marginalization in Canada from both the 2001 and 2006 Census of Canada Refer to Appendix C for a table describing the various marginalization layers The table identifies that residential instability is based on seven indicators related to place of residence number of household dwellers and marital status Material deprivation has six indicators related to education single parent families income employment and housing conditions Dependency has three main indicators which includes the proportion of the population that is aged 65 a reverse coded indicator for the proportion of the population that is aged 15 and not participating in the labour force as well as a dependency ratio indicator which is the total population aged 0 14 and those aged 65 divided by the total population aged 15 64 Ethnic concentration has two indicators related to immigration status and identifying as a visible minority Matheson et al 2011 The data for the demographic layers are sorted into colour coded quintiles which
28. nd measure tool to show perimeter and area measurements Various distance and area units can be selected from the drop down menus Click and drag the pointer over the desired geographic area on the basemap to draw the selected shape 36 Draw and Measure Tool Options Draw and Measure Tool Area and Perimeter Measurements Figure 25 SDOH Mapper Draw and Measure Tool 5 Print The print tool allows you to print a screenshot of the basemap with a specified title author copyright date layout template format and scale 6 Legend This tool allows you to identify the colour coded quintiles for the marginalization and deprivation layers in the SDOH layers function 37 Part 3 Tobacco Module Tobacco Module User Interface The Tobacco Module is currently under development with aims to examine tobacco retailers within the KFL amp A region and their compliance with the Smoke Free Ontario Act The module will identify through colour coding whether the retail locations are low medium or high risk with regards to underage youth access to Tobacco products The risk categories are based on scores from a risk assessment questionnaire being developed by the Ontario Tobacco Research Unit The questionnaire addresses factors such as tobacco retailer enforcement history and their proximity to schools Dubray et al 2013 Information for each tobacco retailer will be provided in the module which includes details related
29. nstable with each quintile containing dissemination areas that make up approximately 20 of the population in Ontario For instance a dissemination area with a social deprivation ranking of 1 on the quintile scale indicates that the dissemination area is in the least socially deprived 20 of areas in the province while a dissemination area with a residential instability ranking of 5 on the quintile scale means that it is in the most residentially unstable 20 of areas in the province Matheson et al 2011 Pampalon et al 2009 The SDOH Mapper displays each of these layers with colour coded quintiles To use the SDOH layers function 1 Check the box next to the chosen layer you would like to display on the basemap 2 Click on the triangle to the right of the layer selected for a drop down list of options to adjust the selected layer These options include the zoom to tool which allows you to zoom away from the current basemap location the transparency tool which allows you to adjust the transparency of the selected layer the move up and move down options which allow you to change the order in which the six layers are displayed in the SDOH layer tool 3 Reveal one layer at a time for appropriate visualizations although multiple layers can be selected simultaneously by checking the equivalent check boxes 4 The classifications of the colour coded quintiles will appear in the legend along the bottom right corner of
30. nt Click the solve button for a travel route outlined in red from your origin to your destination to appear on the basemap Click the directions tab to find detailed travel route directions including the total distance and time travelled Route Destination Route Origin Vian toned Newent Ld Route Tab Directions Tab Figure 15 PHIMS Routing Evacuation Layer 22 1 KFL amp A Operational Activities This function consists of five different layers related to KFL amp A Public Health operational activities Immunization Clinics This layer identifies as shown in Figure 16 the locations of clinics within the KFL amp A Public Health region that offer free seasonal influenza vaccinations to the general public during specific periods throughout the year Specified Immunization Immunization Clinics Clinic Location Locations List North Addington Education Centre c Abiss 14198 Highway 41 Wote istant Commandy Modica Centre Figure 16 PHIMS Immunization Clinics Layer 23 2 Cool Down Centres This layer identifies air conditioned locations within the KFL amp A Public Health region as identified in Figure 17 that are open to the general public for respite from extreme heat and humid weather Specified Cool Down Centre Cool Down Centres Location Locations List Artery Park Aquatic Finews Centre Adsreos 78 Ordnar veet Barrie Community Halt 4225 High Dath Branch Library County of Lennox amp Addin
31. nterface The SDOH Mapper visualizes data related to marginalization and deprivation within the province of Ontario Marginalization data is obtained from the Ontario Marginalization Index On Marg and deprivation data is obtained from the Deprivation Index for Health developed by the Quebec Public Health Institute INSPQ Matheson et al 2011 Pampalon et al 2009 Main Screen To access the SDOH Mapper use the following website http www kflaphi ca sdoh You will be directed to the main screen of the SDOH Mapper as identified in Figure 21 The main screen shows a topographic basemap with a pan and zoom area on the left the basemap selector in the top right corner a list of the SDOH layers to the left of the basemap selector and a screen navigation area along the top portion of the basemap The more information box along the right side of the basemap indicates that clicking on a geographic area within Ontario will display marginalization and deprivation scores for the closest dissemination area Screen Navigation Area SDOH Layers Basemap Selector N c D ac rr co ne mao a SOOM statica olbia 4 932878 Lenqihude 78A A34 Pan and Zoom Area More Information Message Box Figure 21 SDOH Mapper Main Screen 28 Pan and Zoom Area The pan and zoom functions allow you to change the view of the basemap with single click actions The circular pan function allows you to move the basemap by a fixed amount in a A
32. rks function is the first tool from the left side of the toolbar This function allows you to save an exact geographic area under a specified name that can be accessed upon your subsequent return to PHIMS To use the bookmarks tool 1 Identify the geographic location you would like to save on the basemap 2 On the add bookmark tab enter a name for your chosen geographic location 3 Click the add bookmark button to save the chosen geographic location 4 To return to the bookmarked location upon your subsequent return to PHIMS click on its specified name in the bookmarks tab for the location to appear on the basemap 2 Draw and Measure This tool as shown in Figure 3 allows you to measure the distance between locations or to identify the perimeter and area units of a specified geographic location To use the draw and measure function 1 Select a shape from the draw tab Multiple shapes shape colours and text sizes can be chosen The draw point shape allows you to place a point maker on a specific location The draw line and draw freehand line shapes allow you to determine the distance between locations All other shapes allow you to identify the area and perimeter units of a specified geographic location 2 Select whether to show measurements on the measurements tab Various distance and area units can be selected from the drop down menus 3 Click and drag the pointer over the desired geographic are
33. sen location as well as the date and time the AQI was last measured A symbol will begin to flash if there is a change in its AQI score The layer also identifies whether the AQI for a particular area is increasing remaining stagnant or decreasing with colour coded triangles 17 Figure 11 PHIMS AQI Layer Specified Location AQT Score and Date Time Measured 18 7 Air Quality Health Index AQHD This layer identifies the AQHI for cities in Ontario and Manitoba as shown in Figure 12 The AQHI was developed by Environment Canada to inform the public about health risks associated with air pollution The AQHI is measured across Canadian cities using a scale from 1 to 10 Scores which range from 1 3 indicate a low health risk 4 6 indicate a moderate health risk 7 10 indicate a high health risk and 10 indicate a very high health risk The index is calculated using a formula to determine the daily change in mortality risk based on three main air pollutants known to be detrimental to human health Environment Canada 2013 These pollutants include fine particulate matter PM 5 ozone O3 and nitrogen dioxide NO2 The resulting index score is combined with specific health messages related to outdoor activity for both the general public and at risk populations Hovering the cursor over one of the symbols on the basemap allows you to view the AQHI score for the chosen location as well as the date and time the AQHI was last measured T
34. sure and Tobacco Each tool is described in detail below 1 Bookmarks The bookmarks function is the first tool from the left side of the toolbar as shown in Figure 27 This function allows you to save an exact geographic area under a specified name that can be accessed upon your subsequent return to the Tobacco Module To use the bookmarks tool 1 Identify the geographic location you would like to save on the basemap 2 On the add bookmark tab enter a name for your chosen geographic location 3 Click the add bookmark button to save the chosen geographic location 4 To return to the bookmarked location upon your return to the Tobacco Module click on its specified name in the bookmarks tab for the location to appear on the basemap Bookmarks Tab Add Bookmark Tab Bookmarks Tool Selected Bookmark Location Figure 27 Tobacco Module Bookmarks Tool 40 2 Find an Address This tool displays a specified geographic location on the basemap by entering a specified address or geographic coordinates di Draw and Measure This tool allows you to measure the distance between locations or to identify the perimeter and area units of a specified geographic location as identified in Figure 28 To use the draw and measure function 1 2 3 4 Select a shape from the draw and measure tool The draw point shape allows you to place a marker on a specific geographic location The draw line
35. th inequities in an area over time To use this tool 1 2 3 4 5 6 7 Select a shape to define your chosen population area Click and drag the cursor over your chosen population area to draw the selected shape on the basemap as shown in Figure 24a The placement of the drawing can be adjusted by clicking and dragging it to the desired position The drawing can be erased by clicking the clear option Once the drawing is in the appropriate position on the basemap click the submit button to display the marginalization and deprivation graphs for the selected area as shown in Figure 24b There are three different types of graphs that can be used to display the marginalization and deprivation data which include a vertical bar graph a horizontal bar graph and a pie chart To change the type of graph being used click on the image of the chosen graph type displayed along the left side of the population summary tool A graph for each of the marginalization and deprivation layers can be enlarged by clicking on the graph s name along the bottom of the population summary tool or by clicking on the compressed image of the chosen graph along the top portion of the tool The quintile values for the enlarged graph are displayed along the bottom right portion of the tool A quintile value can be displayed by hovering the cursor over the chosen quintile on the enlarged graph The population summary tool can be minimized by cli
36. the basemap Screen Navigation Area The SDOH Mapper screen navigation area has six main tools as shown in Figure 21 which include Bookmarks Find an Address Population Summary Draw and Measure Print and Legend Each tool is described in detail below 1 Bookmarks The bookmarks function is the first tool from the left side of the toolbar This function allows you to save an exact geographic area under a specified name that can be accessed upon your subsequent return to the SDOH Mapper To use the bookmarks tool 1 Identify the geographic location you would like to save on the basemap 2 On the add bookmark tab enter a name for your chosen geographic location 3 Click the add bookmark button to save the chosen geographic location 4 To return to the bookmarked location click on its specified name in the bookmarks tab for the location to appear on the basemap 31 2 Find an Address This tool displays a geographic location on the basemap by entering a specified address or geographic coordinates as shown in Figure 23 Kingston a TI Address of Specified Location Figure 23 SDOH Mapper Find an Address Tool 32 di Population Summary This tool allows you to visualize graphs related to the marginalization and deprivation layers for a specified population This tool is useful for observing trends in marginalization and deprivation across dissemination areas in Ontario and for examining heal
37. tion sizes of 2 500 8 000 individuals Dissemination areas are also linked to census subdivisions which are defined by municipalities and municipal equivalents such as Aboriginal Reserves or townships These are followed by census divisions which are comprised of geographic areas that include counties or regional districts which are followed by provincial or territorial boundaries Statistics Canada 2013 For more information about the current research projects being developed by the public health informatics team at KFL amp A Public Health and for links to additional resources go to www kflaphi ca Part 1 Public Health Information Management System PHIMS PHIMS User Interface PHIMS includes various tools related to environmental health and emergency preparedness Specific tool functions include identifying extreme weather conditions and the locations of various public health services such as warm up centres PHIMS Login Page To access PHIMS use the following website http www phimskfla appspot com On the login page as shown in Figure 1 you will see an area to enter a UserID and a Password to gain entry into PHIMS The current UserID is kfla and Password is qphi 5 P x O PHIMS KFLA Public Heath Y e phimskfla appspot com PHIMS Authentication Publ icHealthe UsenD ikia Password Login Fields Figure 1 PHIMS Login Page Main Screen Upon logging into PHIMS you will see the main screen
38. to premise maintenance and inspection history Main Screen To access the SDOH Mapper use the following website http www kflaphi ca Tobacco You will be directed to the main screen of the Tobacco Module as identified in Figure 26 The main screen shows a gray scale basemap with a pan and zoom area on the left the basemap selector in the top right corner of the basemap the Tobacco tool minimized to the right of the pan and zoom area and a screen navigation area along the top portion of the basemap Pan and Zoom Area Screen Navigation Area Tobacco Tool Basemap Selector Figure 26 Template of the Tobacco Module Main Screen 38 Pan and Zoom Area The pan and zoom functions allow you to change the view of the basemap with single click actions The circular pan function allows you to move the basemap by a fixed amount in a specified direction The middle zoom function lets you to zoom in or out of the basemap by a fixed amount The bottom rectangular pan function allows you to zoom into or out from a pre selected area Basemap Selector The basemap selector allows you to choose from nine different maps to use which include topographic and aerial maps Each map specifies different types of geographic data such as the locations and names of roads parks and bodies of water 39 Screen Navigation Area The Tobacco Module screen navigation area has four main tools which include Bookmarks Find an Address Draw and Mea
39. to their appropriate fields click draw to display the plume dispersion on the basemap Location of Plume Dispersion Mandatory Values Validate Coordinates Figure 14 PHIMS Plume Dispersion Layer 21 10 Routing Evacuation This layer allows you to create a travel route between two specified locations with the use of vehicle transportation as identified in Figure 15 The tool has some limitations since it does not include information related to traffic flow weather conditions or road accidents To use this tool 1 2 3 4 5 6 7 Under the route tab click the select origin button Click the location on the basemap where you would like the travel route to begin The longitude and latitude coordinates of your location should automatically appear in their labelled boxes along the left side of the route tab A red square outlined in green will appear on your specified location on the basemap Click the select destination button Click the location on the basemap where you would like the travel route to end The longitude and latitude coordinates of your location should automatically appear in their labelled boxes along the right side of the route tab A blue circle outlined in red will appear on your specified location on the basemap Select the distance option for a travel route that has the shortest course or the time option for a travel route that is the most time efficie
40. vailable At Risk Population Tab j SISI e A ____ m__ _ _ m _mT _ 6 6 3 z Ls Y I PublcHbalth st s Pl Peer reg cnet Cone ating Smee ha ert oe Mx ma Comes tag Sateen Selected Nuclear Generating Station with Labelled Evacuations Zones Figure 9 PHIMS Nuclear Stations Layer 15 5 Earthquakes This layer shows information related to earthquakes that have occurred around the world in the past week The layer identifies the locations of earthquakes the magnitude of the earthquakes as well as the date and time the earthquakes occurred as shown in Figure 10 Earthquake magnitude is most commonly measured using the Moment Magnitude Scale MMS which measures the size of the earthquake based on the energy released Earthquakes with a magnitude under 3 0 are classified as small earthquakes earthquakes with a magnitude ranging from 3 0 7 0 are medium sized and those with a magnitude rating of 7 0 and greater are large earthquakes USGS 2012 Clicking on a specific earthquake in the list zooms into the location of the earthquake on the basemap The main goal for this tool is to have alerts for earthquakes occurring in Ontario and earthquakes occurring in close proximity to nuclear stations More specific details regarding the chosen earthquake can be found by following the link provided to the United States Geology Survey Selected Earthquake Date Time and USGS Website Link
41. w mnr gov on ca en Business AFFM 2ColumnSubPage STELO2 165808 html National Oceanic and Atmospheric Association NOAA 2011 WetBulb globe temperature Retrieved from http www srh noaa gov tsa n wbet Pampalon R Hamel D Gamache P amp Raymond G 2009 A deprivation index for health planning in Canada Chronic Diseases in Canada 29 4 178 191 44 Statistics Canada 2013 Census reference material Census dictionary Retrieved from http www 12 statcan gc ca census recensement 201 1 ref dict index eng cfm U S Geological Survey USGS 2012 USGS earthquake magnitude policy Retrieved from http earthquake usgs gov aboutus docs 020204mag_policy php 45 Contact Information Dr Kieran Moore QPHI Director 613 549 1232 x1121 Kieran Moore kflapublichealth ca 46 Appendices Appendix A Statistics Canada Hierarchy of Standard Geographic Units Figure 1 Hierarchy of standard geographic units for dissemination 2011 Census gt Cexcriptcr SAC Statistica area Classification 1 A best fit linkage is created between the previous census CSOs and the current census dissemination blocks to facilitate historical data retrieval Statistics Canada 2012 Hierarchy of standard geographic units for dissemination Figure 1 2011 Census Retrieved from https www12 statcan gc ca census recensement 201 1 ref overview apercu pop9 eng cfm 47 Appendix B Table of Indicators for the INSPQ Depr
42. y Health The marginalization layers include residential instability material deprivation dependency and ethnic concentration which are 29 derived from 18 indicators reflecting inequality and marginalization in Canada from both the 2001 and 2006 Census of Canada Refer to the table in Appendix C for a description of the indicators used to create the marginalization layers The table identifies that residential instability is based on seven indicators related to place of residence number of household dwellers and marital status Material deprivation has six indicators related to education single parent families income employment and housing conditions Dependency has three main indicators which includes the proportion of the population that is aged 65 a reverse coded indicator for the proportion of the population that is aged 15 and not participating in the labour force as well as a dependency ratio indicator which is the total population aged 0 14 and those aged 65 divided by the total population aged 15 64 Ethnic concentration has two indicators related to immigration status and identifying as a visible minority Matheson et al 2011 Legend Tool SDOH Layers Legend Classification of Colour Coded Quintiles Figure 22 SDOH Mapper ON Marg Deprivation Layer 30 To create the indices the data for each marginalization and deprivation layer was sorted into quintiles These quintiles range from 1 least unstable to 5 most u
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