In follow up to Board of Health interest in this area, the Sudbury & District Health Unit (SDHU) hosted a determinants of health stream as part of the November 2005 Joint Conference of the Association of Local Public Health Agencies (alPHa) and Ontario Public Health Association (OPHA), Determinants of Health: Developing an Action Plan for Public Health. [...] Recommendations and Necessary Next Steps The following recommendations are made for the successful incorporation of social and economic determinants of health into the formal Ontario public health mandate: 1. That a general and a program standard related to the social and economic determinants of health be incorporated in the revisions to the Mandatory Health Programs and Services Guidelines (MHPS [...] Public Health SDOH Framework: A Discussion Paper ii Sudbury & District Health Unit A Framework to Integrate Social and Economic Determinants of Health into the Ontario Public Health Mandate Introduction Evidence is widespread, solid and increasing that social and economic determinants of health have a significant impact on population and personal health (Canadian Public Health Association, 1997; W [...] Motions were passed at each of the annual general meetings of alPHa and OPHA relating to the importance of the social and economic determinants of health and the need to develop a social and economic determinants of health framework for public health in Ontario. [...] As previously noted, recommendations from the determinants of health stream of the 2005 Joint Conference of the Association of Local Public Health Agencies (alPHa) and the Ontario Public Health Association (OPHA) call for public health action on six key social and economic determinants: income and income distribution; education; employment; housing; social inclusion; and food security.