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Program directory · Department of Indigenous Services

Public Health and Disease Prevention

Program code
BYP01 (INDSC)
Core responsibility
Indigenous Well-Being and Self-Determination
In Departmental Plans
2023-24 – 2026-27 · New since an earlier plan

What it does

The Public Health and Disease Prevention Program provides First Nations and Inuit communities with support and flexibility to implement integrated and holistic health services. Aligning these program elements and leveraging their existing synergies helps support the transfer of these health services to First Nations and Inuit. Key activities supported by the program span across two elements: communicable disease control and management, and environmental public health. These are primarily delivered by First Nations on reserve and Inuit in Inuit Nunangat with funding and support from the Department.

The program supports communicable disease control and management on reserve and tuberculosis in Inuit Nunangat, and environmental public health services and project-based funding, including Climate Change and Health Adaptation, and the First Nations Environmental Contaminants Program.

Environmental public health provides an interdisciplinary approach to support First Nations to identify and develop options for managing perceived, actual and emerging hazards in the natural and built environments that can pose a risk to health. Activities include: developing guidance and tools for use by frontline officers that reflect the latest scientific and technical developments and contaminants of concern; supporting the occupational health and safety of frontline officers; supporting First Nations to identify, assess and respond to the health impacts of climate change, environmental contaminants and major industrial projects through three targeted funding programs; and supporting the department to meet its legislated requirements under the _Impact Assessment Act_.

Source: the department's Program Inventory, via GC InfoBase.

History and lineage

First appears in GC InfoBase's actual spending by program in 2023-24. The data does not record when a program was created; it may be older than its first appearance here, which is limited by the sources (program spending starts in 2010-11, Departmental Plans in 2018-19).

2019-202020-212021-222022-232023-242024-252025-262026-272027-282028-29Environmental Public Health 2019-20: $45.4MEnvironmental Public Health 2020-21: $46.1MEnvironmental Public Health 2021-22: $48.4MEnvironmental Public Health 2022-23: $48.9MEnvironmental Public Health 2023-24: $76MEnvironmental Public Health 2024-25: $78.9MPublic Health and Disease Prevention 2023-24: $1.33BPublic Health and Disease Prevention 2024-25: $1.36BPublic Health and Disease Prevention 2025-26: $1.62BPublic Health and Disease Prevention 2026-27: $267MPublic Health and Disease Prevention 2027-28: $212MPublic Health and Disease Prevention 2028-29: $213MEnvironmental Public HealthPublic Health and Disease PreventionPublic Health Promotion and Disease Prev…Public Health…
Bars: spending by fiscal year (dark: actual; light: actual restated on the 2017-18 program structure; outlined: the latest plan's forecast; grey: related programs). Bands: each program in the lineage over the years it has data. The line at the bottom shows this program's names over time.
ProgramRelationYears with dataActual spending over those years
Environmental Public HealthEarlier program (name match, low confidence)2019-20 – 2024-25$189M
Public Health and Disease PreventionThis program2023-24 – 2028-29$2.69B

Significant changes in scope and budget

Detected from the data: renames between plans, programs it appears to replace, merge with or split into (matched by name), year-over-year changes in spending of at least 25% and $5M, or in employees of at least 20% and 25 FTEs, linked budget measures, and results indicators added or dropped.

YearWhat changedSource
2023-24Appears to replace Environmental Public HealthCanada Spends name match across plans (an inference)
2024-25Indicators added: Annual active tuberculosis (all forms) incidence rate per 100,000 population among First Nations living on reserve; Annual active tuberculosis (all forms) incidence rate per 100,000 population among Inuit living within Inuit Nunangat; Annual rate of newly reported cases of HIV per 100,000 population among First Nations in CanadaDepartmental Results Framework (GC InfoBase)
2024-25Indicators dropped: Active tuberculosis incidence rate among First Nations on reserve; Active tuberculosis incidence rate among Inuit living in Inuit Nunangat; Rate of newly reported cases of HIV among First NationsDepartmental Results Framework (GC InfoBase)
2026-27Planned employees (FTEs) 497, against 936 in 2025-26 (−47%).FTEs (GC InfoBase)
2026-27Indicators added: Percentage of public facilities inspected at least once annuallyDepartmental Results Framework (GC InfoBase)
2026-27Renamed from “Public Health Promotion and Disease Prevention” to “Public Health and Disease Prevention”.GC InfoBase program names by year
2026-27Planned spending $267M, against $1.62B in 2025-26 (−84%).Latest Departmental Plan

Success criteria

The program's indicators from its department's Departmental Results Framework: the target set in each year's plan, and the result reported the following year. Source: GC InfoBase.

Historical: targets against results

Percentage of the recommended number of sampling weeks that public water systems in First Nations communities were monitored for bacteria
Expected result: First Nations and Inuit receive public health and disease prevention programming
77%2023-24✗ not met77%2024-25✗ not met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-24≥ 82%202477%
The average sampling frequency for 2023-24 (77%) is higher than in previous years (2022-23: 74% and 2021-22: 69%). These results were due to the continuity of the public health measures implemented during the reporting year. These measures restricted access to and sampling of public water systems. Since COVID-19 pandemic restrictions have been lifted in 2022-23, the data shows that the sampling f…
Not met
2024-25≥ 82%202577%
Performance results correspond to the preceding fiscal year to align with public reporting timelines. To support the new approach of aligning data with reporting timelines and enhancing consistency in public data reporting, the 2023-24 result is repeated for 2024-25. The average sampling frequency for 2023-24 (77%) is higher than in previous years (2022-23: 74% and 2021-22: 69%). These results we…
Not met

Current: the 2026-27 plan's targets

Percentage of public facilities inspected at least once annually
Expected result: First Nations and Inuit receive public health and disease prevention programming
32%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 32%2027—Planned
Percentage of the recommended number of sampling weeks that public water systems in First Nations communities were monitored for bacteria
Expected result: First Nations and Inuit receive public health and disease prevention programming
82%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 82%2027—Planned

Future goals: targets due after 2026-27

Annual active tuberculosis (all forms) incidence rate per 100,000 population among First Nations living on reserve
Expected result: First Nations and Inuit receive public health and disease prevention programming
02026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-270 – 52030—Planned
Annual active tuberculosis (all forms) incidence rate per 100,000 population among Inuit living within Inuit Nunangat
Expected result: First Nations and Inuit receive public health and disease prevention programming
02026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-270 – 12030—Planned
Annual rate of newly reported cases of HIV per 100,000 population among First Nations in Canada
Expected result: First Nations and Inuit receive public health and disease prevention programming
02026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-270 – 102028—Planned
Percentage of children in First Nations communities who are up-to-date with the Measles, Mumps, and Rubella (MMR) infant vaccination series by two years of age in accordance with their respective provincial/territorial schedule
Expected result: First Nations and Inuit receive public health and disease prevention programming
95%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 95%2028—Planned

Spending and employees: planned against actual

Spending

2023-24: $1.38B2023-24: $1.33B2023-242024-25: $1.22B2024-25: $1.36B2024-252025-26: $1.62B2025-262026-27: $267M2026-272027-28: $212M2027-282028-29: $213M2028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24$1.38B$1.33B
2024-25$1.22B$1.36B
2025-26$1.62B—
2026-27$267M—
2027-28$212M*—
2028-29$213M*—

Employees (FTEs)

2023-24: 8802023-24: 8322023-242024-25: 8532024-25: 8682024-252025-26: 9362025-262026-27: 4972026-272027-28: 4332027-282028-29: 4202028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24880832
2024-25853868
2025-26936—
2026-27497—
2027-28433*—
2028-29420*—

Planned spending, plan by plan

Each row is one year's Departmental Plan and its forecast for the next three fiscal years; read a column down to see how the forecast for one year changed. The last row is what was actually spent. Click an amount for its source. Biggest changes in federal spending plans

Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.