Program directory · Department of Indigenous Services
Public Health and Disease Prevention
- Department
- Department of Indigenous Services
- 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).
| Program | Relation | Years with data | Actual spending over those years |
|---|---|---|---|
| Environmental Public Health | Earlier program (name match, low confidence) | 2019-20 – 2024-25 | $189M |
| Public Health and Disease Prevention | This program | 2023-24 – 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.
| Year | What changed | Source |
|---|---|---|
| 2023-24 | Appears to replace Environmental Public Health | Canada Spends name match across plans (an inference) |
| 2024-25 | Indicators 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 Canada | Departmental Results Framework (GC InfoBase) |
| 2024-25 | Indicators 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 Nations | Departmental Results Framework (GC InfoBase) |
| 2026-27 | Planned employees (FTEs) 497, against 936 in 2025-26 (−47%). | FTEs (GC InfoBase) |
| 2026-27 | Indicators added: Percentage of public facilities inspected at least once annually | Departmental Results Framework (GC InfoBase) |
| 2026-27 | Renamed from “Public Health Promotion and Disease Prevention” to “Public Health and Disease Prevention”. | GC InfoBase program names by year |
| 2026-27 | Planned 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
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2023-24 | ≥ 82% | 2024 | 77% 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% | 2025 | 77% 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
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 32% | 2027 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 82% | 2027 | — | Planned |
Future goals: targets due after 2026-27
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | 0 – 5 | 2030 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | 0 – 1 | 2030 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | 0 – 10 | 2028 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 95% | 2028 | — | Planned |
Spending and employees: planned against actual
Spending
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 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)
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 2023-24 | 880 | 832 |
| 2024-25 | 853 | 868 |
| 2025-26 | 936 | — |
| 2026-27 | 497 | — |
| 2027-28 | 433* | — |
| 2028-29 | 420* | — |
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
| Plan | 2023-24 | 2024-25 | 2025-26 | 2026-27 | 2027-28 | 2028-29 |
|---|---|---|---|---|---|---|
| 2023-24 plan | $1,384,894,640 | $1,154,350,641 | $1,164,412,208 | |||
| 2024-25 plan | $1,217,308,132 | $1,153,045,320 | $1,161,100,240 | |||
| 2025-26 plan | $1,623,016,327 | $1,225,126,816 | $1,206,240,293 | |||
| 2026-27 plan | $267,380,874 | $211,731,890 | $212,606,892 | |||
| Actual | $1,330,396,159 | $1,355,409,415 |
Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.