Update
The board of Southeast Public Health (SEPH) has passed a motion asking its CEO to reconsider a plan to shutter eight rural offices and explain what led to that decision. The call comes as officials across eastern Ontario speak out against the proposed closures, which were due to take effect in March. SEPH announced last week that it planned to terminated leases in Almonte, Gananoque, Kemptville, Napanee, Perth, Picton and Trenton. An eighth office in Cloyne which SEPH owns would be sold.

When you’ve lived long enough in a rural place, you develop a sense for which institutions actually bind a community together. Some of them are obvious; the hockey arena, the library, the one café where you run into half the town before nine in the morning. Others do their work quietly. Public health units fall into that latter category. They never announce their importance; they simply keep a community ticking along.

That’s why the proposed closure of the Kemptville public health unit has struck such a deep chord in eastern Ontario. To anyone outside the region, it probably looks like a simple administrative shuffle: move the services to Ottawa or Kingston and carry on. But those who live here know that distance has a way of turning a small inconvenience into a real barrier. Rural health research is clear on that point. Canadian Institute for Health Information (CIHI) notes that rural residents face travel burdens six times higher than people in cities, and that even modest distance cuts down uptake of preventive care. It’s not theory. It’s Thursday morning in North Grenville.

A public health visit is rarely glamorous. Nobody posts a celebratory photo after getting their drinking-water sample tested or updating their child’s vaccination record, but these are the tasks that keep a place running, in the same way tightening a hinge keeps a door from falling off. When the unit is close, as the Kemptville unit is, tucked neatly beside the hospital, parents can stop in between shifts, seniors can get help without arranging a ride, and newcomers can manage the long list of small bureaucratic necessities required to make a life in a new place. When that office moves forty, sixty or maybe eighty kilometres down the road, the entire calculation changes.

People take a full day off work. Children miss school. A family without a reliable car postpones the visit until “next month.” And a problem that could have been handled locally becomes an emergency that costs everyone more: the household, the employer, and the healthcare system itself. That is the part governments always seem to forget: the cost of a rural resident sitting in a car for two hours is not measured in fuel receipts alone. It’s measured in missed wages, lost productivity, and the slow erosion of trust in the very systems meant to safeguard public health.

There is also the quieter economic impact. Studies of rural healthcare closures show a pattern: when services disappear, the ripple effects spread. Local hiring dries up. Families choose to settle elsewhere. Seniors relocate to be closer to care. The community loses a little more gravity, a little more anchoring. Rural towns rarely collapse in dramatic fashion; they thin out one service at a time.

All of this feels especially unnecessary in a place like North Grenville. The region is one of the fastest-growing in eastern Ontario. School enrolment is up. Housing construction is steady. The local hospital is expanding, not shrinking. The public health unit is not some neglected outpost; it’s a well-used, well-located service connected directly to the community’s primary health campus. Closing it now is the policy equivalent of removing the front steps during a house renovation: technically possible, but it makes entering the home far harder for everyone.

Public health is fundamentally about prevention, and prevention only works when it’s woven into daily life. When it’s close, familiar, and easy to reach. Kemptville has all of those conditions already. The proposal to centralize services somewhere down Highway 416 or the 401 misunderstands the landscape entirely. Rural communities don’t need systems pulled farther away. They need them held closer, strengthened, and modernized in place.

The truth is simple: local public health units are part of rural infrastructure. Not decorative. Not optional. They are as important as roads, schools, and clean water. You invest in them because they prevent larger problems; social, economic, and medical from taking root.

And in a growing rural township like North Grenville, the smart money isn’t on withdrawal. It’s on staying put.