Working Upstream to Create Long-Lasting, Proactive Solutions environments that foster good health, and What if we could prevent illnesses and importantly, addressing social injustice, inequities, injuries before they occur? and the determinants of health. That perspective on public health solutions is From building trust with Indigenous Peoples, to “working upstream,” preventing health problems addressing the negative impacts of the climate from occurring at the source. Upstream has crisis on equity-deserving populations, and making become a key analogy for how we must think our roads safer, thinking upstream is fundamental about health. It encourages a focus on prevention, to our work. Find out more at Working Upstream. health promotion, protecting people, creating Cycling Safe Passing Fall Prevention Distance Study We funded a project in the Northern Health With more cyclists on the roads in BC since the region that is taking an upstream approach pandemic, we partnered with the Ministry of to preventing serious injuries in seniors. This Health and Provincial Health Services Authority project is studying the impact COVID-19 had on a project, conducted by the University of on fall risks for seniors and fall prevention British Columbia, BCCDC, Australia’s Monash measures in rural and remote communities. University, and Fraser Health Authority, to make Working with seniors, elders, health the roads in our province safer for both cyclists authority, and community leaders, this and drivers. This project seeks to establish, for information will help to create the Healthy Aging in the North Strategy and Action Plan the 昀椀rst time, the average passing distance when vehicles pass cyclists. and help provide more regional programming This initiative is taking an upstream approach to support senior fall prevention. by researching driving and cycling habits to potentially prevent accidents in the future, and is already informing legislation.. 8 Paci昀椀c Public Health Foundation