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From YouTube: Board of Health - October 28, 2019 - Part 2 of 2
Description
Board of Health, meeting 10, October 28, 2019 - Part 2
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=15404
Part 1: https://www.youtube.com/watch?v=tCepcN5hJ0E
Meeting Navigation:
0:10:08 - Meeting resume
A
B
B
We
have
a
local
food
policy
of
the
city
that
essentially
is
supposed
to
increase
the
component
of
local
food
that
we
procure,
but
I
think
for
the
same
reason
why
we
saw
a
motion
on
the
last
item.
We
have
to
put
this
motion
for
it
on
this
item,
because
it's
clear
that
that
were
not
taking
the
issue
seriously
enough.
We've
heard
that
our
local
food
policy,
it
also
it
doesn't
have
a
climate
lens
to
it
that
wasn't
its
original
intent.
B
It
was
perhaps
a
a
secondary
feature
of
the
notion
of
supporting
the
supporting
local
agriculture
as
part
of
a
need
to
protect
local
agriculture.
But
it's
it's
clear:
it's
not
working
when
you
just
put
in
kind
of
an
optional
policy
that
says:
we'd
appreciate
it.
If
you'd
include
some
local
food,
you're,
not
gonna
get
companies
going
going
beyond
the
bare
minimum
that
suit
their
bottom
line,
and
we
we
see
now
through
this
report.
We
see
internationally
that
given
the
impact
of
food
on
climate
on
greenhouse
gas
emissions,
we
need
to
do
something
more.
B
Does
the
city
have
power
to
institute
its
own
carbon
tax?
No,
we
don't.
Does
the
city
have
the
power
to
implement
a
cap-and-trade
system
within
its
boundaries?
No,
we
don't.
Does
the
city
purchase
a
lot
of
food?
Yes,
we
do
at
every
opportunity.
We
should
be
using
the
power
we
have,
whether
or
not
it's
a
legislative
power
or
a
power
by
virtue
of
our
size
and
status
internationally
and
locally.
We
should
be
using
that
power
for
good
and
to
try
to
accomplish
policy
ends
of
the
city.
Have
Pez
procurement
is
one
of
the
no-brainers.
B
It
should
be
the
easiest
one
for
us
to
do.
We
buy
a
lot
of
stuff,
let's
make
sure
we're
buying
with
purpose
and
buying
goods
that
actually
support
the
what
our
other
policies
are
trying
to
accomplish,
whether
or
not
they're,
social
or
environmental
or
economic
trying
to
trying
to
spur
local
economic
development.
Where,
where
we
have
the
option,
we
should
be
taking
that
this
motion
in
particular,
though,
just
tries
to
raise
the
profile
amongst
our
public
service
for
too
long
I
think
we
have
put
the
onus
of
of.
B
Healthy
environmentally-friendly,
locally,
responsible
food
on
a
division-
that's
that's
underfunded!
That's
under
recognized
for
their
leadership
amongst
the
city
and
we
need
to.
We
need
to
change
that.
That's
why
I'm
hoping
this
rings
rings
alarm
bells
for
the
city
manager
that
the
expectation
is
more
than
for
public
health
to
have
1.5
FTEs,
implementing
a
policy
like
this,
the
city
of
Copenhagen,
and
thanks
to
our
good
folks
from
from
public
health
for
making
the
introduction
councillor,
McKelvey
and
I
to
the
chief
food
procurement
officer
of
Copenhagen.
B
B
It's
an
opt-in
program,
95%
of
people,
opt
in
there's
a
charge
for
those
who
can
afford
it
and
on
a
blanket
offering
for
those
who
can't
and
if
a
teacher
thinks
that
a
child
can't
afford
it,
they
can
opt
them
into
the
program
without
questioning
the
parents
without
questioning
anyone
without
looking
for
having
to
search
for
money.
That's
a
program
that
supports
active,
healthy
young
minds
now,
on
top
of
that,
they
decided
to
add
an
organic
lens
to
their
to
their
stream
and
look
at
that.
B
It's
saved
the
money
in
the
end,
adding
an
organic
lens
they're
now
adding
a
climate
lens
to
the
stream.
They
added
a
lens
that
looks
at
food
diversity.
So,
looking
for
more
a
greater
number
of
offerings
of
apples,
for
example,
it's
the
example
that
was
that
that
was
given
to
me
and
it's
in
it's
allowed
those
distributors
to
support
local
markets
like
like
never
before,
and
to
encourage
diversity
amongst
the
food
offerings
that
that
they
that
they
grow
that's
type
of
policy.
B
A
C
C
The
reasons
why
some
populations
in
Toronto
are
less
healthy
than
others
and
trying
to
imagine
how
to
fix
that,
because
these
are
very
complex
and
interrelated
problems
of
nutrition,
of
income
of
being
from
a
racialized
or
non-english
speaking
community.
The
the
design
of
the
services
that
we
as
a
City
of
Toronto,
here
in
public
health
and
elsewhere
or
through
our
Boards
of
Education
deliver,
is
tricky
to
figure
out.
C
There
are
so
many
layers
when
we're
dealing
with
the
social
determinants
of
health
and
what
I've
always
admired
about
this
Board
of
Health
is
the
way
that
we
work
in
partnership
with
communities
where
they're
at
to
figure
out
new
ways
of
communicating
with
people
new
kinds
of
programs
to
deliver
ways
of
modifying
the
existing
programs
that
we
have
to
eliminate
barriers.
We
see
it,
we've
seen
it
in
the
work
that
Toronto
Public
Health
did
around
harm-reduction,
which
is
now
being
modeled
in
other
North
American
cities.
C
We've
seen
it
in
the
work
we've
done
on
trying
to
address
the
fact
of
racialized
outcomes,
racialized
health
outcomes
and
we
work
with
communities
to
try
to
shape
new
projects.
Our
staff,
neighborhood
organizations,
advocacy
groups
actually
building
up
from
the
ground
new
ways
of
delivering
services,
and
nowhere
have
we
done
it
better
than
with
the
toronto.
C
Food
counts,
Food,
Policy,
Council
and
with
the
food
strategy,
and
it's
a
it's
a
thing
that
I
think
we
have
to
keep
our
eye
on
as
we
try
to
negotiate
the
relationship
between
the
province,
Toronto,
City,
Council
and
the
services
we
deliver.
I
just
wanted
to
underline
that,
because
we're
going
to
be
entering
into
a
very
live
conversation
about
how
we
deliver
health
services
in
the
City
of
Toronto
over
the
next
several
months.
D
D
So
that's
why
it
is
separate,
but
it
is
very
much
building
on
that
lens,
and
so
this
is
just
establishing
that
the
City
of
Toronto
is
a
leader
in
terms
of
procurement
and
that
we
decrease
our
re
emissions
from
from
food
within
the
City
of
Toronto
and
and
the
programs
that
we
run
by
25
percent
by
2030
relatives,
2015
and
I
just
want
to
to
point
out.
I
really
enjoyed
the
discussion
that
I
had
with
dr.
Udall.
D
D
Poverty
and
people
are
spending
a
lot
of
time
on
the
bus
and
commuting
and
getting
to
and
from
work,
and
that's
time
that
could
be
better
spent
with
their
families,
that's
time
that
could
be
spent
being
able
to
go
to
a
local
market
and
pick
up
food
and
and
and
cook
a
healthy
meal
so
anyway,
thank
you.
Thank
you
for
that
and
I
look
forward
to
finding
ways
to
to
kind
of
advocate
for,
for,
in
particular,
the
community
of
Malvern,
which
I
know
that
time.
Poverty
is
a
real
constraint
for
them.
So
thank
you.
C
D
In
my
community
we
also
have
four
community
gardens.
I
should
mention
and
they're
mostly
newcomers
that
that
garden
in
there
and
you
really
see
that
it
contributes
to
to
their
social
well-being,
and
they
can't
sell
the
food
that
they're
growing
in
these
Gardens,
so
I
think
there's
a
lot
of
hurdles
that
can
almost
get
to
not
zero,
and
certainly
things
like
that
and
looking
at
being
able
to
buy
local
food
is
one
of
them,
as
well
as
all
the
different
issues
that
there
are
with
rooftop
garden.
A
Okay,
thank
you
any
other
speakers.
Okay,
seeing
none
in
the
interest
of
time,
because
I
know
some
members
of
the
board
are
gonna
have
to
leave
early
I
will
not
speak.
We
have
two
amendments
on
the
floor
from
directors,
Layton
and
McKelvey.
Can
we
take
those
as
a
package
yeah?
Okay,
all
those
in
favor
opposed?
If
any
that
carries.
Thank
you
adopt
as
amended
all
those
in
favor
opposed.
If
any
carried
we're
now
on
to
item
H,
L
10.3
food
in
Toronto,
affordability,
accessibility
and
insecurity,
director,
Wong,
Tam
I,
know
you
held
the
item.
A
E
A
So
director
Wong
Tim
is
moving
the
staff
recommendations,
all
those
in
favor
opposed
if
any
carried.
Our
next
item
is
item
10-point
for
strengthening
heat
resilience
in
the
City
of
Toronto.
We
have
speakers
on
this
hour.
First,
we
have
a
presentation.
First,
we'll
do
the
staff
presentation
then
we'll
move
to
speakers.
Then
we'll
move
to
questions
of
staff.
F
Good
afternoon,
in
the
interest
of
time
and
with
your
blessing
chair,
I'll
briskly
go
through
the
presentation
and
then
we
can
take
questions.
We
have
individuals
here
from
other
divisions
that
we
worked
with
to
develop
this
heat
relief
strategy
and
they're
here
for
questions
at
the
end
as
well.
So
this
presentation
will
review
how
Toronto
Public
Health,
with
ten
other
divisions
in
the
city,
strengthened
our
response
to
heat
resilience.
F
We
began
this
work
because,
through
some
modeling
that
we
had
done,
we
know
our
experience
of
heat
is
going
to
change
in
three
ways:
heat
will
change
in
terms
of
intensity,
frequency
and
duration.
So
we're
going
to
see
higher
temperatures,
we're
going
to
see
longer
periods
of
intense
periods
of
heat
and
we're
going
to
see
those
heat
occurrences
coming,
not
just
occasionally,
as
we
have
in
the
past
throughout
the
summer
season,
we're
going
to
see
them
not
just
seven
or
eight
times
through
the
summer,
but
throughout
the
entire
summer
season.
F
F
We
want
the
public
to
evolve
with
us
as
an
organization
to
deal
with
heat
across
the
summer
and
instead
of
just
at
particular
times
when
we're
calling
a
heat
alert
in
terms
of
direction
in
2018,
you
directed
us
to
develop
a
strategy
and
then
in
2019
you
and
the
City
Council
counselors
directed
us
to
implement
that
set
of
changes
with
the
divisions
that
are
pictured
here,
but
I'll
list
a
few
of
them.
So
there
are
folks
from
shelter,
smarten
housing
and
our
last
IT
Parks
and
Rec
libraries,
SD
F&A
and
economic
development.
F
F
Days
is
on
searchable
platforms.
We
created
an
app
so
that
anyone
needing
heat
relief
in
the
city
or
someone
who's
working
with
a
vulnerable
client,
because
we
don't
expect
that
vulnerable
clients
will
be
looking
at
the
map.
We're
bringing
the
map
forward
so
that
individuals
who
work
with
vulnerable
clients
can
search
out
cool
spaces
across
the
city,
as
well
as
all
public
washrooms
and
all
water
fountains
in
the
city.
F
So
when
someone's
working
with
an
individual
who's
vulnerable,
they
can
talk
to
about
what
their
plan
for
the
day
is,
and
they
start
to
map
up
where
they
can
go
to
get
relief
from
heat.
It's
also
there
for
individuals
who
are
experiencing
health
challenges.
The
respiratory
health
challenges
would
be
going
outside
on
a
heat
on
a
day
where
there's
extreme
heat,
so
they
can
find
relief
for
a
few
minutes
or
it's
there
for
people
who
do
not
have
air-conditioning
in
their
home
or
workplace
neighbor
checking
pilot.
F
This
is
familiar
to
some
of
you
who
had
been
involved
in
an
earlier
pilot
that
was
done
in
the
city
and
it's
also
best
practice
for
cities
that
have
successfully
managed
heat.
This
is
where
neighbors
check
on
each
other,
especially
someone
who's
shut-in
and
needs
to
be
reminded
to
drink
and
to
move
so
that
they're,
not
in
mobile
for
long
periods
of
time.
The
communication
strategy
also
is
based
on
work
done
in
other
jurisdictions.
F
You'll
recall
that,
at
the
beginning
of
the
season
to
deal
with
the
confusion
that
land
law
sometimes
have
related
to
when
they
can
turn
on
air-conditioning,
we
focused
very
hard
on
helping
landlords
understand
that
they
needed
to
monitor
the
weather
and
adjust
when
they
turn
the
heat
on.
Are
the
air
conditioning
on
and
through
works
with
work
with
planning.
We
have
planners
encouraging
property
owners
when
they
do
redevelopments
to
include
shade
structure
or
to
include
a
cool
room
within
their
in
their
apartment
building.
Finally,
communication
with
environment
and
climate
change.
F
Canada
here
we're
amplifying
the
expert
work
that
is
done
by
this
group,
sometimes
called
Environment
Canada,
because
they're,
the
ones
that
have
the
expertise
on
weather
and
they've
created
weather
app
that
anyone
can
get
advanced
notice
about
when
a
heat
alert
is
about
to
occur
or
a
heat
event
of
any
kind,
and
that's
been
useful
for
Dacres
in
schools
or
long-term
care.
So
they
can
plan
their
activities
by
getting
first-hand
information
about
a
change
in
the
heat.
F
Oh,
yes,
the
next
story
I
want
to
speak
to
in
the
last
one
is
a
specialized
program
just
for
those
individuals
who
are
very
vulnerable
so
to
better
reach
phono
populations.
We
had
individuals
who
have
had
experience
with
homelessness
hired
through
money
that
was
previously
used
for
cooling
centers,
so
he's
shifted
the
funds
to
hire
individuals
who
have
experienced
homelessness
and
to
have
them
go
to
areas
where
those
who
are
vulnerable
are
likely
to
be
so.
F
We
then
looked
at
feedback
that
we
heard
about
this
approach
that
we
that
I
just
went
through
that
we
used
in
summer
2019,
and
we
received
positive
feedback
from
the
individuals
who'd
Haddix,
with
homelessness
who
were
hired
to
deal
with
phone
of
a
clients.
We
heard
good
things
from
the
community
organizations
about
how
this
was
an
improvement
over
cooling,
centers
and
SSH.
A
staff
appreciated
the
the
shift
in
approach.
F
We'll
continue
to
refine
the
interactive
map.
We've
we've
spent
a
considerable
effort
to
develop
at
this
past
year.
We've
got
some
feedback
on
how
to
refine
it.
We'll
continue
with
the
stakeholder
communication
and
neighborhood
checking
the
outreach
initiative
that
I
mentioned,
where
we
redirected
funds
to
shelter,
support
and
housing
to
hire.
Individuals
with
experience
of
homelessness
to
work
with
vulnerable
people
were
recommending
that
continue,
and
then
the
public
available
space.
F
We
know
that
we
have
done
some
training
and
we
know
that
there's
work
to
do
to
help
individuals
who
are
working
in
the
space
welcome
everyone
from
every
walk
of
life
into
that
space.
But
it
is
an
area
that
merits
ongoing
work
because
there
were
some,
in
particular,
faith
organizations
who
weren't
able
to
voluntarily
join
this
network,
but
who
wants
to
redesign
their
space
and
move
into
this
to
provide
a
civic
support
to
this
network
and
who
need
a
little
bit
of
support
from
us
to
be
ready
to
do
that.
So.
F
In
summary,
then,
we
have
successfully
created
a
citywide
strengthen
response
to
heat
we've
also
identified
areas
where
there
needs
to
be
ongoing
work
done.
We
have
two
insights
from
the
ten
divisions
who
are
involved
that
I
that
were
involved
that
I
want
to
share.
The
first
is
that,
although
several
of
these
divisions
have
work
they're
doing
in
heat,
there
needs
to
be
an
ongoing,
coordinated
response
so
that
there's
strategic
work
across
divisions.
It
doesn't
happen
independently
with
each
area
just
improving
their
services
and
needs
to
be
some
coordination
across
the
board.
F
The
second
insight
is
that,
although
I'm
talking
about
the
heat,
this
is
really
response
to
extreme
weather,
which
release
its
best
in
a
resilience
strategy,
as
many
of
the
things
that
we're
doing
would
complement
other
strategies
that
are
part
of
resilience.
Work
for
the
city
in
general,
so
we're
recommending
in
the
Figo
to
the
recommendations
on
the
last
slide
or
mekka,
recommending
that
there
be
leadership
across
the
three
divisions
of
public
health.
F
Medical
office
of
health
with
the
deputy
city
manager
of
corporate
services,
along
with
the
deputy
city
manager
of
infrastructure
and
development,
are
asked
to
continue
to
implement
the
heat
relief
response
as
we're
describing
it,
but
to
do
so
through
the
resilience
strategy
and
to
continue
to
use
the
cross
divisional
work
group
to
ensure
that
the
work
happens
in
the
individual
directorates.
But
there
are
also
operation
across
the
city.
F
The
second
recommendation
is
to
ensure
that
those
individual
divisions
are
able
to
advance
the
work
that
they've
started
with
in
the
he
really
responds
from
2019
and
then
finally,
that
there'd
be
a
report
back
so
I
want
to
thank
the
10
divisions
that
worked
hard
on
this
with
us.
They
had
to
do
some
problem
solving,
because
not
all
of
the
things
that
we
wanted
to
do
were
completely
worked
out,
and
some
of
them
are
here
today
to
take
questions
with
us,
so
we
have
from
MLS
Ellen
as
Ceglie
on
e.
F
A
You
very
much
we're
gonna
move
to
public
deputations.
Now,
members
of
the
board,
because
I
know
director
of
libretti,
has
to
leave
momentarily
and
I
believe
director
Donaldson
has
to
leave
in
15
or
20
minutes
that
we
are
gonna
have
we
are
gonna,
have
a
quorum
problem
very
shortly.
So
after
a
director
lip
reading
leaves,
we
all
have
to
be
in
our
seats,
so
we're
gonna
move
into
public
deputations,
but
I'm
just
putting
us
on
notice
that
we
may
be
at
risk
of
quorum.
Okay.
Our
first
speaker
is
nancy
bolton
from
fred
victor.
G
You
very
much
for
having
me
here
today:
I'm
Nancy,
Bolton
I
am
from
Fred
Victor
from
our
training,
employment
services,
and
so
for
a
number
of
years.
We
have
worked
with
the
city
of
Toronto
to
operate
previously.
The
cooling
centers
in
this
year
the
keep
cool
project
and
I'm
just
here
to
again
emphasize
the
need
for
this
program.
It's
not
only
a
wonderful
program
for
training
participants
that
are
marginalized
homelessness
or
at
risk
of
homelessness,
but
also
for
all
the
marginalized
individuals
in
the
city
itself.
G
G
Hats
umbrellas
those
kind
of
things
the
bat
of
it
was
when
we
were
giving
referrals,
we
were
sending
them
to
the
respite
centers
to
drop-ins,
and
all
those
services
were
full,
so
they
weren't
able
to
actually
find
a
place.
That
was
cool,
so
they
were
going
to
splash
pads
and
then
the
police
were
being
called
because
you
had
a
marginalized
homeless
individual
hanging
around
with
kids.
They
were
going
to
shopping
malls
and
people
there
again
we're
questioning
why
they
were
hanging
out
and
shopping
malls.
G
G
It
was
asked
that
the
landlord's
provide
a
cool
space
for
them,
but
no
follow-up
was
done
on
that,
and
so
we
did
see
people
coming
out
looking
to
go
to
the
community
centers
looking
to
go
to
the
previous
cooling
centers,
so
they
could
find
a
cool
space
to
go
to
and,
of
course,
that
wasn't
able
to
happen.
We
also
faced
challenges
on
weekends.
G
Many
of
our
heat
alert
days
were
on
weekends
and,
of
course,
when
you're
dealing
with
social
services,
a
lot
of
the
organizations
are
dealing
with
skeleton
staff,
and
so,
when
you
go
to
a
service
of
course,
there's
skeleton
staff,
a
lot
of
their
levels
can
be
down.
You
know
they
may
not
have
all
the
prevention,
so
they
normally
would
they
wouldn't
have
intake
workers.
They
wouldn't
have
different
people
that
be
able
to
provide
the
programming,
so
that
was
also
challenged,
so
why
this
was
a
good
year
for
us.
G
In
terms
of
the
report,
we
will
build
with
people
and
meeting
people
where
they
were
at.
There
is
still
a
lot
of
work
to
be
done.
We
need
to
again,
as
was
stated
in
the
recommendation,
the
city
divisions
need
to
work
together
on
a
collaborative
approach
so
that
we
can
provide
for
services
to
people.
Definitely.
Thank
you.
Thank.
A
H
Good
afternoon
my
name
is
joy:
Dawkins
I
am
a
registered
nurse
and
a
nursing
policy
analyst
at
the
Registered
Nurses
Association
of
Ontario
or
RNA.
Oh,
so
thank
you
for
this
opportunity
to
share
our
newest
feedback
on
the
city
of
Toronto's
heat
relief
strategy.
Our
nao
has
a
long-standing
commitment
and
history
of
action
on
the
environmental
and
social
determinants
of
health.
Our
goal
in
this
work
is
to
improve
and
protect
the
health
of
Ontarians
and
to
decrease
health
inequities
among
marginalized
people
who
bear
an
increased
burden
of
avoidable
sickness
and
premature
death.
H
As
is
well
established,
climate
change
is
a
risk
to
health
and
Canada
is
warming
at
twice
the
global
rate.
Those
who
are
most
marginalized
in
Toronto
as
in
the
rest
of
the
world,
are
most
at
risk
from
the
rapidly
rapidly
changing
effects
of
climate
change.
These
changes
include
but
are
not
limited
to
extreme
heat
and
cold.
He
didn't
cold,
impair
physiological
processes.
In
many
ways.
Extreme
heat
can
exacerbate
pre-existing
health
conditions,
interact
poorly
with
medications
and
lead
to
heat,
stroke
and
heat
exhaustion.
H
Those
living
without
safe,
affordable
housing
or
even
adequate
shelter
are
particularly
vulnerable
and
their
numbers
are
growing
from
June
2017
to
June
2019.
There
was
an
early
44%
increase
in
the
average
nightly
number
of
people
served
in
Toronto's
shelter
system
from
4884
people
to
9019
Toronto's.
First
resilience
strategy
released
in
June
of
this
year
acknowledge
that
interlinked
challenge
of
climate
change
and
the
fact
that
those
who
face
the
semuc
barriers
are
ready
are
especially
vulnerable.
H
Despite
the
compelling
evidence,
the
city's
current
response
through
the
heat
relief
strategy
is
not
adequately
providing
the
services
and
resources
needed
by
Toronto's
most
vulnerable.
The
heat
relief
response
this
past
summer
involved
the
end
of
issuing
heat
alerts
and
the
cancellation
of
the
cooling
center
program.
In
its
place,
a
web-based
map
of
a
heat
relief
network
that
listed
organizations
and
locations
people
could
go.
Frontline
are
nao
members
who
work
with
people
experiencing
marginalization
in
Toronto
express
their
concerns
throughout
the
summer.
This
new
approach
of
providing
information
in
place
of
dedicated
services
was
not
enough.
H
Not
only
did
the
locations
listed
on
the
map
lack
signage
and
resources,
but
many
were
inappropriate
and
inaccessible
somewhere.
People
were
reported
being
met
with
active
hostility
during
extreme
heat.
People
need
24
access
to
air,
conditioned
spaces,
not
a
swimming
pool
or
slash
pad.
They
also
need
to
feel
welcome
in
those
spaces
and
be
met
with
the
appropriate
resources,
including
water,
food,
trained
staff
and,
when
necessary,
access
to
health
care.
Our
nao
shares
with
you
the
common
objective
of
a
healthy
City,
where
all
people
can
live
with
dignity.
H
A
I
Large
every
night,
all
the
time
hope
everyone
had
a
good
weekend.
Nice
start
to
the
week.
Tio's
nemesis
is
back
at
Queen's
Park.
The
border
house
background
item,
to
quote
hot
weather,
is
associated
with
a
number
of
health
impacts,
ranging
from
heat
stroke
to
serious
effects
such
as
cardiovascular
related
morbidity
and
mortality.
I
Those
are
just
three
more
respiratory
problems
and
the
registered
nurses
association
submission
bottom
pages.
Two.
On
top
page
three
mentions
hypo
and
hyperthermia
causes
respiratory
problems
and
millions
of
people
haven't
taught
patients
in
a
coma,
deny
rescue
breaths
and
give
cardiac
compressions
through
a
beating
heart,
and
they
follow
orders
wish
everyone
a
great
week
too
much
fun.
I
trust.
This
video
deputation
will
not
suffer
technical
difficulties
as
it
did
September
23rd
vanish
into
the
great
beyond.
You
guys,
have
a
good
work.
A
Have
a
great
day,
thank
you,
so
we're
gonna
bring
this
into
committee.
Can
I
just
check,
so
we
are
at
bare
minimum
quorum
now
with
seven
people
before
we
go
into
questions
of
staff.
At
what
time
do
people
have
to
leave
because
whoever's
leaving?
First?
That's
our
that's
our
window.
Okay!
Thank
you
versus
about
ten
minutes.
Okay,
so
I'm,
just
conscious
of
time
here,
questions
of
staff,
okay,
I,
have
questions,
but
in
the
interest
of
time
in
dealing
with
the
item,
I'm
going
to
forego
them
to
move
into
speakers.
A
Let
me
just
speak
really.
Broadly,
to
start
with,
the
objective
of
heat
relief
has
to
be
to
ensure
that
all
of
those
who
require
heat
relief
have
access
to
it.
Everybody
and
everybody
who
requires
it
should
have
access
to
it,
whether
it's
28
degrees
or
38,
because
the
evidence
has
shown
that,
just
like
our
seasonal
programs
in
winter
have
gone
from
expanding
services,
only
on
extreme
cold
nights
to
winter.
Long,
so
is
what
so
is
the
so?
Must
the
same
approach
be
to
heat
relief?
A
That's
what
the
evidence
says
so,
who
are
we
focused
on
we're
focused
on
those
who
have
access
to
housing,
but
not
access
to
AC?
That's
one
group
of
people
were
focused
on
and
that's
a
large
group
there's
about
3400
apartment
buildings
without
AC
in
this
city
and
those
people
are
at
risk,
and
then
there
are
also
the
most
of
all
marginalized,
of
which
we
have
nearly
nine
thousand
homeless
people.
A
All
of
those
are
critical,
but
what
I
meant
here
is
seeking
to
do
is
to
ensure
that,
as
we
go
into
2020,
there
is
a
stronger
and
a
clearer
focus
on
those
who
are
most
vulnerable,
clear
from
the
perspective
of
communications,
certainly
and
signage,
but
stronger
from
the
perspective
that
we
can't
just
direct
people
to
spaces
that
are
already
full,
that
that's
not
a
heat
relief
strategy.
And
so
while
we
may
have
spaces
designed
to
accommodate
those
who
don't
have
the
same
needs
and
complex
case
of
needs.
A
As
some
of
those
who
are
marginalized
on
the
streets
and
our
heat
relief,
the
general
heat
relief
spaces
may
work
for
those
people
for
those
living
on
the
streets.
We
need
a
clear
focus,
and
so
that's
that's
the
amendment
to
head
in
that
direction.
With
a
report
back
in
early
2020
and
with
that
I
can
conclude
my
remarks
to
speak
director
one
time.
Yes,.
E
Then,
thank
you
very
much.
Mr.
chair
I
would
hold
hardly
support.
The
recommendation
that
you've
just
placed
before
this
particular
board
I
do
recognize
that
there
is
a
significant
service
gap
that
will
be
in
place
by
the
summer
2020
if
we
simply
just
take
the
cooling
centers
offline,
which
we've
done
in
2019
and
keep
them
offline
without
actually
trying
to
replace
them
with
something.
In
addition
to
so
anything
that
we
can
do
to
sort
of
number
one
focus
on
the
vulnerable
population,
that's
already
most
at
risk
is
I.
Think
a
step
in
the
right
direction.
E
I
recognize
that
there
were
some
difficulties
with
the
cooling
center,
especially
with
respect
to
the
way
they
were
being
staffed
and
resourced,
and-
and
there
was
just
not
staff-
and
there
was
no
resources-
and
perhaps
that's
one
of
the
reasons
why
they
failed,
but
to
come
back
with
something.
That's
not
such
an
ad
hoc
mechanism
is
to
actually
develop
some
more
concrete
but
more
sustainable
measures
moving
forward
because
we're
still
going
to
have
a
problem
in
2020.
E
But
for
those
without
even
that,
access
of
accommodation
and
those
type
of
protective
measures.
It
means
that
they're
left
with
very
little.
So
I
really
do
support
this.
This
recommendation,
and
hopefully
we'll
get
some
clearer
idea
and
understanding
of
what
more
the
city
can
do
to
to
fill
that
service
gap
in
in
the
summer
of
2020
before
the
heat
comes
again.
So
thank
you.
Thank.
A
You
very
much
are
there
any
other
speakers
on
this
item?
Okay,
seeing
none
we'll
vote.
First,
we
have
an
amendment
if
it
can
be
put
on
the
screen,
all
those
in
favor
opposed
if
any
and
then
motion
item
as
amended,
all
those
in
favor
opposed.
If
any
that
carries.
Okay,
we
have
three
more
items:
I'm
going
to
clear
two
of
them
off
the
deck
is
there
are
no
speakers
on
them.
These
were
the
new
business
items.
A
The
first
was
placed
on
as
a
new
business
item
by
myself
on
the
December
update
on
the
Toronto
Public
Health
reorganization
I'd,
like
to
move
the
recommendations.
In
my
letter,
all
those
in
favor
opposed
been
carried.
The
second
new
business
item
which
was
tabled
by
councillor
wong-tam.
This
was
the
new
business
item,
requesting
an
update
on
the
status
on
hookah
lounges,
all
those
in
favor
of
the
recommendation
in
the
letter
opposed
if
any
that
carries.
Okay,
our
final
item
and
we
have
one
deputy
in
town.
This
is
the
Item
HL
10.5
noise
action
plan.
J
I
J
Hey
Thank
You
mr.
chair
members
of
the
committee
I'm
here
today
to
speak
to
you
about
the
noise
action
plan
items
regarding
unreasonable
and
persistent
noise.
My
point
to
pertain
particularly
to
Section
591
3
1,
a
of
the
Municipal
Code,
also
known
as
3
1,
a
of
Toronto's
noise
bylaw.
That
section
grants
exemptions
to
emergency
services,
specifically
bells
or
sirens
required
for
the
purposes
of
public
safety.
Emergency
services
and
Toronto
Fire
Services
in
particular,
rightly
enjoy
a
very
high
level
of
public
support.
We
all
love
the
fire
department
for
good
reason.
J
They
are
often
first
responders
and
we
rely
on
their
services
when
we
need
help
3
1
a
accords,
privileges
to
emergency
services
under
the
presumption
that
siren
use
is
associated
with
safer
EMS
operations.
That
assumption
deserves
this
committee's
careful
consideration.
I
fully
support
fire
chief
Matthew
Pegg
when
in
his
budget
brief,
he
endorses
evidence-based
policies
and
practices.
We
have
such
high
confidence
in
Toronto
Fire,
where
sometimes
are
reluctant
to
critical
to
critically
critically
assess
Toronto
fires
practices,
but
the
City
of
Toronto
Act
gives
committees
like
this
one.
J
The
responsibility
to
undertake
those
critical
assessments
not
only
for
the
effective
allocation
of
resources,
but
also
for
the
health
and
safety
of
our
community.
In
this
context,
I
want
to
bring
your
attention.
These
main
points,
there's
a
substantial
body
of
evidence
suggesting
that
discretionary
siren
use
is
actively
harmful
to
the
health
of
our
community.
This
evidence
is
reflected
in
the
sample
of
supporting
evidence
that
accompanies
this
presentation,
some
of
which
is
on
the
projector
too,
with
great
respect
to
chief
peg.
The
discretionary
use
of
sirens
by
Toronto
Fire
is
not
evidence-based.
J
Toronto
Fire
has
not
absorbed.
Recent
research.
Siren
use
is
still
largely
a
matter
of
custom
and
tradition.
Discretionary
use
lacks
evidentiary
justification.
Three
metrics
used
by
Toronto
Fire
are
not
outcomes
based
when
toronto
fire
examines
the
evidence.
It
will
discover
that
some
of
its
practices
multiply
operational
hazards
without
improving
outcomes.
Contrary
to
intuition,
there
is
no
factual
basis
for
a
safety
motive
of
discretionary
siren
use,
in
other
words,
there's
no
reliable
evidence
that
siren
use
improves
health-related
outcomes
nor
other
outcomes.
J
Quite
the
contrary,
in
fact,
for
Toronto
fires
invested
zero
resources
towards
the
mitigation
of
health
harms
from
unnecessary
siren
use.
Consequently,
residents
are
exposed
to
excess
health
risks
taken
together.
These
facts
suggest
that
much
of
the
siren
noise
that
Torontonians
accept
as
justified
and
necessary,
is
in
fact
unreasonable.
Noise
here
are
some
of
the
well-documented
hazards
from
siren
use,
firefighter
hearing
loss,
which
translates
to
higher
health
care
costs
for
those
employees.
The
additive
nature
of
harms
from
hear
harm
securing
suggests
that
bystanders
are
also
vulnerable.
J
These
harms
and
hazards
must
be
balanced
against
the
benefits
of
use,
it's
incumbent
on
Toronto
Fire
to
risk
justified
discretionary
siren
use
or
to
mitigate
it.
This
remains
to
be
done
until
these
steps
are
completed.
I
submit
that
this
committee
must
concern
itself
with
the
real
and
potential
health
harms
arising
from
3
1,
a
of
the
noise
bylaw.
So
how
to
proceed.
One
place
to
start
is
with
the
hazards
profile
of
Toronto's
community
risk
assessment,
as
mandated
by
Ontario
regulation.
378
18
fire
departments
typically
gloss
over
the
harms
that
accompany
emergency
response.
J
Whoever
incidental
harms
from
siren
news
clearly
fall
within
the
explicitly
stated
scope
of
the
regulation.
Siren
use
during
emergency
response
is
clearly
a
matter
relevant
to
fire
protection
services
and
is
therefore
a
proper
subject
for
the
community.
Risk
assessment,
in
any
case,
is
completely
within
the
city's
discretion
to
include
sirens
within
the
hazards
profile.
To
this
end,
my
supporting
materials
include
a
petition
from
roughly
30
Toronto
residents,
asking
for
Toronto's
community
risk
assessment
to
include
hazards
from
siren
use.
J
In
closing,
my
request
to
this
committee,
to
the
to
the
Toronto
Board
of
Health
is
for
the
board
to
consider
the
health
impacts
of
unnecessary
siren
use
and
to
and
to
promote
evidence-based
risk,
justified
exercise
of
the
exemption
in
3
1
8.
Thank
you.
That
concludes
my
presentation.
I've
deposited
an
abundance
of
supporting
material
with
the
clerk
of
this
committee.
Thank
you.
Thank.
A
Jeffery
I've
spoken
with
the
medical
officer
of
health
and
we've
spoken
to
in
the
report
dealing
with
the
TTC
and
transportation
services,
but
we
have
not
included
in
here
speaking
with
our
emergency
service
providers,
which
our
medical
officer
of
Health
is
committed
to
following
up
based
on
what
we've
heard.
So
thank
you
very
much
all
right,
so
we
will
do
that
and
with
that
I'm
happy
to
move
the
recommendations
in
the
report,
any
other
speakers,
okay,
seeing
none
the
rep
on
the
staff
recommendations,
all
those
in
favor
supported,
opposed
if
any
that
carries.