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

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

2. 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?

3. No Data <10% 10%-14% 15-19% 20% Section 1 – Key Information Obesity Trends* Among Canadian Adults - HPS, 1985 BMI 30, or ~ 30 lbs overweight for 5’4” woman Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

4. No Data <10% 10%-14% 15-19% 20% Section 1 – Key Information Obesity Trends* Among Canadian Adults - NPHS, 1994 BMI 30, or ~ 30 lbs overweight for 5’4” woman Source: Katzmarzyk PT. Can Med Assoc J 2002;166:1039-1040.

5. No Data <10% 10%-14% 15-19% 20% Section 1 – Key Information Obesity Trends* Among Canadian Adults - CCHS, 2000 BMI 30, or ~ 30 lbs overweight for 5’4” woman Source: P.T. Katzmarzyk, Unpublished Results. Data from: Statistics Canada. Health Indicators, May, 2002.

6. No Data <10% 10%-14% 15-19% 20% Section 1 – Key Information Obesity Trends* Among Canadian Adults – CCHS, 2003 BMI 30, or ~ 30 lbs overweight for 5’4” woman Source: Statistics Canada. Health Indicators, May, 2002.

7. Section 1 – Key Information Obesity Trends* Among Canadian Adults – CCHS, 2002 & 2004 BMI 30, or ~ 30 lbs overweight for 5’4” woman 15-19% 20 -24% 25-29% 30-34% Provinces = CCHS 2004 (measured) / Territories = CCHS 2002 (self-reported) Data from: Statistics Canada.

8. Section 1 – Key Information Overweight and Obesity Trends in Canada’s Youth Overweight in Canada’s Youth 19811996 Boys: 15% 35.4% Girls: 15% 29.2% Obesity in Canada’s Youth 19811996 Boys: 5% 16.6% Girls: 5% 14.6%

9. Section 1 – Key Information Overweight and Obese Children by Age Statistics Canada: Canadian Community Health Survey, 2005

10. 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 Section 1 – Key Information First Nations Information

11. 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 Section 1 – Key Information First Nations Information

12. Section 2 – Our Changing Society Ontario’s Population Projections

13. Section 2 – Our Changing Society Ontario’s Population Projections

14. Section 2 – Our Changing Society Ontario’s Population Projections

15. Income and Social Status Social Support Networks Education and Literacy Employment/Working Conditions Social Environments Physical Environments Personal Health Practices and Coping Skills Healthy Child Development Biology and Genetic Endowment Health Services Gender Culture Section 2 – Our Changing Society Increased focus on the determinants of health Source: Public Health Agency of Canada – Population Health Approach

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. Section 3 – Reality Check "Can Johnny come out and eat?"

26. Section 3 – Reality Check

27. Section 3 – Reality Check “3 in 5 Canadians are not active enough to benefit their cardiovascular health.”

28. 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

29. Section 3 – Reality Check

30. Section 3 – Reality Check

31. Section 3 – Reality Check

32. Section 3 – Reality Check

33. Section 3 – Reality Check

34. Section 3 – Reality Check

35. 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

36. 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

37. 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 Section 4 – Where Do We Fit? Municipal Recreation Delivery

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

39. Growing cost of participation Availability of appropriate practice and competition venues Early specialization and growing demand for sophisticated training Section 4 – Where Do We Fit? Sports Organizations are facing a number of key challenges

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

41. Section 4 – Where Do We Fit? Sport and Recreation: Not for Profit…Not for Revenue % of Ontario’s Total Revenue % of Ontario NFP Organizations Source: NSNVO Ontario 2003.

42. 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

43. 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.

44. Increasing user fees Aging infrastructure Rising barriers to participation Increased health risk Increased health care costs Section 4 – Where Do We Fit? Sport and Recreation: The Results are In…

45. 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. Section 4 – Where Do We Fit? What are we doing?

46. 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. Section 4 – Where Do We Fit? What are we doing?

47. Section 4 – Where Do We Fit? What are we doing?

48. 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 Ontario’s action plan for Healthy Eating and Active Living.

49. Ministry of Health Promotion Section 4 – Where Do We Fit? What are we doing?

50. 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.