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From YouTube: Board of Health - July 2, 2020
Description
Board of Health, meeting 18, July 2, 2020
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=18761
Meeting Navigation:
0:00:05 - Call to order
Agenda Items:
0:06:20 - HL18.1 - Toronto Public Health's Response to COVID-19: Context, Status Update, and Next Steps (Ward All)
0:02:55 - HL18.2 - 2020 Board of Health Committees and Appointments (Ward All)
0:04:13 - HL18.3 - Service Agreements Awarded and Executed by the Medical Officer of Health for 2020 (Ward All)
0:04:51 - HL18.4 - Appointment of Associate Medical Officers of Health (Ward All)
2:22:20 - HL18.5 - Advancing a Public Health Approach to Community Violence (Ward All)
A
Well,
good
morning,
everybody,
the
board
secretary,
is
confirmed
that
we
have
quorum,
so
I
will
call
meeting
18
of
the
board
of
health
to
order
welcome
to
wherever
you
are
Viet
at
home
or
in
the
office
or
elsewhere.
This
meeting
is
being
held
using
the
city's
WebEx
technology
with
directors
staff
and
registered
speakers
connected
by
video
or
calling
in
while
under
normal
circumstances,
we
would
not
be
able
to
hold
a
virtual
meeting
of
the
board.
A
The
board
amended
its
meeting
rules
on
May
the
7th
to
allow
it
during
the
kovat
emergency,
in
accordance
with
the
municipal
emergency
act
of
2020.
Once
the
emergency
is
over,
we
will
return
to
holding
our
meetings
in
person
because
we
are
meeting
remotely
we'll
ask
for
your
patience
with
any
delays
and
technical
issues,
and
I
would
remind
that
members
of
the
public
can
watch
the
meeting
live
on
YouTube
at
youtube.com,
slash,
Toronto,
City,
Council
live.
We
currently
have
two
registered
speakers.
A
Although
we
are
meeting
in
different
locations
and
meeting
remotely
today,
the
Board
of
Health
acknowledges
the
land
we
are
meeting
on
is
the
traditional
territory
of
many
nations,
including
the
Mississauga's
of
the
credit
Daanish
nabe,
the
Chippewa,
the
hona
shown
a
and
when
dot
peoples
and
is
now
home
to
many
diverse
First,
Nations,
Inuit
and
maytee
peoples.
We
also
acknowledge
the
Toronto
is
covered
by
treaty
13
with
the
Mississauga's
of
the
credit.
Let
me
begin
by
seeing
if
there
are
any
declarations
of
interest
on
the
municipal
conflict-of-interest
act.
A
If
you
have
an
interest,
please
raise
your
hand
or
unmute
your
mic
to.
Let
me
know
all
right:
seeing
none
may
I
have
a
motion
to
confirm
the
minutes
from
our
board
meeting
on
June,
the
8th,
2020
I
see
it's
being
moved
by
Councillor
perks
by
way
of
a
show
of
hands,
all
those
in
favor
any
opposed,
seeing
none
that
carries
so
we're
now
going
to
proceed
with
a
review
of
the
agenda.
The
first
item
is
HL
18.1,
TP,
H's
response
to
Coppa,
19
contact
status,
update
and
next
steps.
A
We
have
two
speakers
and
a
detailed
presentation.
Our
next
item
is
HL
18.2,
2020,
Board
of
Health
committees
and
appointments.
We
have
no
registered
speakers
and
I
have
an
amendment.
I
can
move
here.
If
it's
the
will
of
the
committee.
This
is
to
formally
appoint
members
I've
heard
from
directors
who
have
reached
out.
So
I
can
move
that
here.
A
So
I
will
move
that
you
open
it
up
any
questions:
okay,
seeing
none
all
those
in
favor
by
way
of
a
show
of
hands
opposed
if
any
that
carries
all
right
and
oh
and
then
move
to
adopt
as
amended
by
way
to
show
of
hands
all
those
in
favor
opposed
if
any
that
carries.
Next
item
is
item
HL
18.3
service
agreements
awarded
and
executed
by
the
medical
officer
of
Health
for
2020.
These
are
the
service
agreements
coming
out
of
our
previously
endorsed
budget.
A
Would
anybody
like
to
hold
that
item
down
or
is
there
a
mover
okay,
seeing
none
to
move
that
item
I
have
director
Peter
Wong,
all
those
in
favor
opposed
if
any,
seeing
none
that
carries
all
right
and
item
the
next
item.
We
have
item
HL,
18.4
appointment
of
associate
medical
officers
of
Health.
There
is
a
staff
report
with
recommendations,
as
well
as
a
confidential
attachment
here.
Would
anybody
wish
to
hold
down
that
item?
A
Okay,
seeing
none
director
Johnson?
Would
you
like
to
move
that
you
have
the
nicest
living
room
by
virtue
of
the
background,
so
I'm
turning
this
one
to
you
all
those
in
favor
by
a
show
of
hands
opposed
if
any
that
carries
and
then
our
last
item
is
a
new
business
item
which
I
would
now
like
to
introduce
and
it
will
go
live,
which
is
advancing
a
public
health
approach
to
community
violence.
A
You'll
see
very
specifically.
Last
year
in
the
fall,
we
dealt
with
a
public
health
approach
to
community
violence
at
this
board,
and
the
new
business
item
is
asking
for
an
update
and
a
report
back
in
in
the
fourth
quarter
of
2020
on
the
status
of
that
work.
So
it
is,
it
is
a
request
for
a
status
update,
as
this
item
is
just
being
put
on.
I
would
ask
directors
if
we
can
add
it
to
the
agenda,
but
it
will
be
held
so
that
people
have
time
to
review
it.
So
I
would
ask
a
motion.
A
I
would
like
to
move
that
this
item
be
added
to
the
agenda,
all
those
in
favor
opposed
if
any
that
is
carried
okay.
So
that
means
that
we
have
on
the
agenda
item
HL,
18.1,
Toronto,
Public,
Health
response,
and
then
we
also
have
the
new
business
item,
which
I
believe
is
pretty
straightforward,
but
it
will
be.
We
won't
deal
with
it
now,
so
that
members
have
a
chance
to
take
a
look
at
it
first,
so
we're
gonna
go
back
to
our
first
item,
which
is
the
and
business
in
front
of
us.
A
B
B
I
would
just
like
to
acknowledge
as
well
that
in
the
middle
of
the
presentation,
I'm
going
to
hand
it
over
to
one
of
my
colleagues
Liz
Corson,
who
has
been
intimately
engaged
along
with
many
many
others
here
at
Toronto,
Public
Health
on
the
data
side
of
our
work,
she'll
be
taking
you
through
a
middle
portion
of
the
presentation
and
then
it'll
come
back
to
me.
So,
let's
get
through
the
presentation
and
get
with
it
without
further
ado,
so
update
on
the
current
koban
19
data
and
trends.
B
B
As
of
June
29th
telling
you
what
our
current
situation
is
on
kovat
19
cases
again,
the
slide
tells
you
up
to
June
29th,
to
give
you
slightly
more
updated
data
data
that
we
reported
yesterday
for
the
30th
of
June
has
us
now
at
14,000
391
cases,
and
you
know,
we
know
that
our
figures
continue
to
rise.
We
are
seeing
fewer
and
fewer
new
day
/
day
increases
in
respective
cases,
we're
now
in
the
double
digits.
As
you
can
see,
we
had
an
increase
between
the
thirtieth
and
the
29th
of
71
cases.
B
Overall,
on
the
plus
side,
our
hospitalization
numbers
continue
to
decline
here
on
this
slide,
you'll
see
as
of
the
29th
of
June,
we
had
214
looking
at
data
from
the
30th,
it's
209
and
52
in
intensive
care,
also
a
decrease
relative
to
what
was
being
reported
for
the
29th
of
June
and
as
well
outbreaks
continue
to
decline
in
the
city.
At
this
point
in
time
you
know.
B
Turning
now
to
the
next
slide,
you
can
see
in
front
of
you
here
a
map
of
the
various
neighborhoods
in
and
around
our
city,
showing
the
sporadic
case
counts
over
the
last
three
weeks.
As
you
have
heard
before,
there
are
certain
neighborhoods
that
are
more
impacted
in
respective
covent
19
activity,
and
notably
neighborhoods
in
the
northwest.
End
of
the
city
are
having
higher
sporadic
case
counts
over
the
course
of
the
outbreak
and,
as
demonstrated
here
on
this
slide
in
the
last
three
weeks.
B
Now,
while
the
dashboard
itself
was
launched
on
the
12th
of
June,
we
have
been
monitoring
a
number
of
indicators
for
much
longer
and
have
been
monitoring
the
outbreak
since
its
start
earlier
in
the
year.
However,
with
the
launch
of
this
monitoring
dashboard,
we
have
this
opportunity
to.
You
know
help
summarize
what
our
current
situation
is
locally,
using
a
core
set
of
four
indicators
which
aligned
with
the
provincial
reopening
framework
and
those
four
sets
of
indicators
are
as
depicted
here
on
this
slide.
B
You
see
there
are
four
circles:
virus
spread
and
containment,
laboratory
testing
health
system
capacity
and
public
health
system
capacity.
So
with
our
monitoring
dashboard,
we
provide
on
the
first
blush,
as
so
shown
here.
We
have
an
overall
status
on
how
we're
doing
and
right
now
that
current
overall
status,
using
a
red,
yellow
green
scale,
to
indicate
the
progress
we
are
now
currently
at
yellow
and
these
are
based
on
data
as
of
June
28th.
B
Primarily,
so,
let's
take
a
look
at
each
of
the
indicator
categories
that
we've
just
described
so
turning
to
the
next
slide,
looking
at
the
data
on
virus
spread
in
containment,
we
have
seen
consistent
decreases
generally,
in
our
case
counts.
We
do
have
a
few
days
where
we
get
a
few
small
increases
and
you
can
see
that
reflected
on
the
new
coded
19
cases
indicator
seven
day,
moving
average
that
is
yellow
status.
B
B
Sorry,
just
a
reminder
that
laboratory
testing
is
something
that
is
not
within
the
control
of
Toronto
Public
Health.
It
is
something
that
is
under
the
provincial
purview.
Provincial
testing
has
certainly
climbed
over
the
last
little
while
and
the
average
has
been
about
25,000
tests
per
day
through
the
entire
province,
with
some
days
that
have
gone
as
high
as
30,000
tests
in
any
given
day.
B
As
you
can
see
there,
these
are
in
red
because
they
are
not
meeting
those
goals,
but
certainly
I
know
that
there
is
much
work
happening
at
the
provincial
level
to
try
to
address
this
situation
and
to
try
to
get
faster
turnaround
times.
As
this
is
important
in
terms
of
timely
follow-up
case
investigation
and
contact
tracing
in
respective
new
koban
19
cases,
as
you
can
see,
on
the
plus
side
on
the
right-hand
side
of
the
slide
%
positivity
and
respect
of
code,
19
test
continues
to
decline,
and
that
is
a
good
sign.
B
Next
slide,
we
look
at
health
system
capacity,
another
indicator
and
set
of
indicators.
It
is
outside
of
our
control
as
Toronto
Public
Health,
but
still
very
important.
This
has
been
green
for
quite
some
time,
but
you'll
note
on
the
upper
right-hand
side
of
the
slide
that
we
are
now
in
the
red
zone
when
it
comes
to
acute
bed
occupancy
rate
and
that's
because
the
goal
for
this
indicator
is
at
85
percent
or
less
in
terms
of
acute
care.
B
Sorry
less
than
85%
in
terms
of
acute
fed
occupancy,
and
this
clearly
has
increased
over
the
last
few
days.
But
it's
not
unexpected.
We
know
that
as
hospitals
and
our
health
care
systems
start
to
engage
in
non
urgent
procedures
and
start
to
ramp
up
their
activities
that
their
acute
bed,
occupancy
rate
will
increase.
But
we
are
constantly
watching
as
I
know,
they
are
in
order
to
ensure
that
healthcare
is
available
for
those
who
need
it,
whether
we're
talking
about
a
need
for
koban
19:00
treatment
or
whether
we're
talking
about
any
other
medical
condition.
B
Last
indicator
has
to
do
with
public
health
capacity,
so
we
could
go
to
the
next
slide.
This
has
to
do
with
Toronto,
Public
Health
and
what
we
are
doing
in
terms
of
reaching
kovat
19
cases
and
reaching
contacts
within
24
hours.
This
continues
to
be
in
the
green
thus
far,
and
we
have
worked
very,
very
hard
on
our
process
reviews
to
ensure
that
we
stay
in
the
green
as
much
as
possible.
I
will
just
advise
that
as
the
numbers
get
lower.
You
know,
as
the
number
of
new
cases
does
drop,
which
is
a
good
thing.
B
You
recognize
that
meeting
the
the
goals
gets
a
little
more
complicated
because
it
takes
very
little
to
move
you
off
you're,
often
the
goal
and
off
the
target
measure.
I.
Think
the
other
thing
that's
important
to
note
here
we
were
higher
in
respect
of
reaching
cases
within
24
hours.
Very,
very
recently
we
are,
as
you
know,
well
into
our
response.
C
You're
good
Liz
great
today
I'm
going
to
present
some
findings
that
help
us
understand
how
the
social
determinants
of
health
might
affect:
Cova
19
infection
and
outcomes
at
a
very
high
level.
This
information
has
been
shared
with
you
previously,
but
today
I'm
providing
some
updated
findings,
but
before
I
move
forward,
I
want
to
acknowledge
my
privilege
in
society
as
a
white
cisgendered,
economically
stable
person
I
recognize
that
there
are
many
in
attendance
today
that
have
expertise
and
likely
lived
experience
in
how
social
determinants
affect
opportunities
for
health
and
well-being.
C
C
We
know
in
Toronto
that
the
social
determinants
of
health
are
the
biggest
drivers
of
health
outcomes
based
on
previous
work
by
Toronto,
Public,
Health
and
other
researchers
and
community
organizations.
We
know
that
access
to
good
health
is
greatly
influenced
by
the
environments
in
which
we
live,
work
and
play.
Toronto's
diversity
is
certainly
strengths,
but
it
also
means
that
policies
and
programs
focused
on
reducing
social
and
health
inequities
are
essential
and
disaggregated
data
is
needed
to
inform
those
strategies.
Hope
in
nineteen
is
no
exception.
C
You
know:
TVH
started
collecting
data
on
indigenous
identity,
racial
group,
income
and
household
size
on
May
20th
after
the
in-house
development,
our
coronavirus,
rapid
entry
system
course
we
continued
to
accumulate
these
data
and
conduct
quality
insurance
and
once
the
data
are
sufficient
to
reveal
meaningful
findings
we'll
be
able
to
share
them
with
partners
and
the
public.
We
expect
to
have
this
information
available
shortly
in
the
meantime,
to
begin
to
understand
how
the
social
determinants
of
health
are
associated
with
cope
in
nineteen,
we
have
been
conducting
area
based
analyses
linking
people
with
confirms,
or
probable.
C
Koba
19
to
data
at
a
small
geographic
area
from
the
2016
census
method
assumes
cases
share
the
general
characteristics
for
the
small
geographic
areas
where
they
live.
There
are
a
lot
of
limitations
to
this
method,
but
it
does
suggest
in
general
trends
that
can
inform
areas
that
need
further
investigation.
C
Move
to
the
next
slide.
I
just
want
to
emphasize
that
these
are
associations,
and
we
don't
have
enough
understanding
to
be
able
to
say
any
of
these
factors
directly
cause
an
increased
risk
for
carbon
19
infection.
Next
slide,
please,
our
area
based
analyses
uses
the
small
geographic
areas
where
people
lived,
create
five
groups
and
in
the
case
of
this
graph
I'm
showing
you
now,
the
groups
range
from
lowest
income
to
highest
income.
These
groups
contain
people
from
small
areas
from
all
over
the
city.
C
This
figure
is
showing
kovin
19
cases
by
the
percentage
of
people
who
live
below
the
low
income
measure.
The
group
on
the
left
is
the
lowest
income
group,
and
the
group
on
the
right
is
the
highest
income
group.
You
can
see
that
in
the
lowest
income
group,
five
hundred
and
four
people,
four
hundred
thousand-
have
received
a
diagnosis
of
confirmed
or
probable.
Kovin
19,
that's
more
than
three
times
as
high
as
the
rate
in
the
highest
income
group.
At
one
hundred
and
sixty
two
cases
per
hundred
thousand
people.
C
We
see
a
statistically
significant
difference
between
all
four
of
the
lower
income
groups
in
Harrison
to
the
group
with
the
highest
income.
Preliminary
individual
data
that
we've
been
collecting
also
support.
These
findings
that
people
living
in
lower-income
households
are
over-represented
among
people
with
reported
kovat
19
infection.
C
This
graph
is
showing
Coppa
19
hospitalizations
by
the
same
income
groups.
Note
that
the
scale
has
changed
on
his
graph
to
represent
the
lower
number
of
hospitalizations,
but
the
trend
is
similar
with
the
lowest
income
group
having
58
hospitalizations
400,000
people
compared
to
the
highest
income
group
with
just
95.
C
This
graph
shows
Coppa
19
cases
by
area
based
group
of
the
percent
of
newcomers
to
Canada
arriving
in
the
past
five
years.
The
trend
here
is
similar.
The
bar
on
the
Left
has
the
highest
percent
of
newcomers
and
the
highest
case
rate
of
Kovac
19,
and
the
bar
on
the
right
has
the
lowest
percent
of
both
newcomers
and
reported
Cove
at
19
infection.
The
hospitalization
trend
for
newcomers
is
similar.
C
One
of
the
many
limitations
of
these
analyses
is
at
an
area
level
we're
not
controlling
for
confounding
factors
which
other
factors
that
might
be
involved
in
the
relationship.
In
this
case
between
newcomer
status
and
Coppa
19,
the
bar
on
the
Left,
which
has
the
highest
percent
of
newcomers,
also
represents
some
of
the
same
people
that
were
in
the
lowest
income
group.
The
previous
slide
next
slide.
Please.
C
We
also
compared
occupation
categories
in
areas
with
a
high
case
rate
compared
to
areas
with
a
low
case
rate.
Occupation
can
be
difficult
to
categorize,
and
the
groupings
presented
here
are
broad
in
somewhat
vague,
but
we
are
seeing
some
trends
consistent
with
what's
coming
out.
In
the
anecdotal
evidence,
certain
occupations
are
over-represented
in
areas
with
a
high
case
rate
of
copán
19,
including
people
working
in
sales
and
service
occupations,
trades,
transport
and
equipment
operators
and
related
occupations
and
occupations
in
manufacturing
and
utilities.
C
Increased
risk
of
Kovan
19
in
areas
with
high
proportions
of
essential
workers
is
further
supported
by
occupation
data
collected
through
our
case
interviews
among
Toronto's
Cova
19
cases
reported
in
May
and
early
June.
The
most
commonly
reported
occupations
were
factory
workers
like
warehouse
workers,
manufacturing
supplying
workers,
retail
and
customer
service
workers,
and
several
healthcare
related
occupations
such
as
personal
support
workers,
long-term
care,
home
workers
and
nurses.
C
Next
slide,
please
this
last
graph
that
I'm
presenting
is
actually
a
newly
reported
findings.
This
is
the
first
time
that
we're
sharing
this.
This
graph
is
showing
the
köppen
19
case
rate
by
area
based
group
of
household
crowding
housing.
It's
considered
suitable
if
the
dwelling
has
enough
bedrooms
for
the
size
and
composition
of
the
household.
The
bar
on
the
Left
has
the
highest
percent
of
people
not
living
in
suitable
housings
Oh.
C
In
other
words,
they're
living
in
conditions
that
could
be
considered
overcrowded
bar
on
the
right
has
the
lowest
percent
of
people
who
are
not
living
in
suitable
housing.
The
trend
is
actually
the
most
pronounced
we've
seen
out
of
all
of
the
different
characteristics
we
looked
at
using
these
methods,
with
the
case
rate
being
almost
four
times
as
high
among
people
living
in
areas
with
high
levels
of
overcrowded
housing.
C
The
trends
seen
for
hospitalization
by
crowded
housing
is
not
quite
as
pronounced,
but
it's
similar.
They
support.
Some
of
the
anecdotal
information
learned
from
our
case
investigators,
where
concerns
about
housing
are
regularly
being
raised.
Crowding
is
only
one
dimension
of
what
is
known
as
core
housing
need,
which
also
includes
affordability
and
also
adequacy,
which
prefers
to
the
need
for
major
repairs.
Our
analyses
showed
that
core
housing
need
as
a
whole
was
also
associated
with
reported
cope
at
19
infection.
C
Other
racialized
groups
are
also
over-represented
in
areas
with
a
high
case
rate,
including
Latin
American
people,
South,
Asian
people
and
Southeast
Asian
people.
In
fact,
all
of
the
racial
groupings
we
looked
at
were
very
different,
except
for
the
group
Middle
Eastern,
where
no
differences
were
evident
and,
as
such
I've
not
presented
that
here,
you
can
see
on
the
slide
that
some
groups
are
underrepresented
in
Cova
19
cases,
including
East,
Asian
people
and
white
people.
C
The
preliminary
findings
from
our
individual
level
data
also
support
these
findings
illustrating
Copa
nineteen's,
disproportionate
effect
on
specific
racialized
groups.
I'd
like
to
take
a
moment
here
to
acknowledge
that
I'm
not
presenting
any
data
on
people
identifying
as
indigenous
as
a
part
of
these
findings.
We
know
that
indigenous
identity
is
a
very
important
social
determinants
of
health,
but
indigenous
people
are
underrepresented
in
a
lot
of
the
data
sources
that
we
traditionally
use
in
public
health
in
Ontario,
which
is
why
we
can't
speak
to
how
indigenous
peoples
are
affected
by
coping
19.
C
D
C
As
I
mentioned
before,
there
are
a
lot
of
limitations
to
these
area,
based
analyses.
As
for
all
of
our
coda
19
data,
we
need
to
consider
inequitable
access
to
testing,
particularly
at
the
early
stages
of
the
pandemic,
which
could
influence
the
results,
but
the
opposite
can
also
be
true
focus
testing
in
areas
where
we're
seeing
a
lot
of
cases
that
also
lead
to
a
clustering
of
positive
tests
among
certain
populations.
It
is
true
that
the
more
you
test
them,
where
you
find
most
important
limitation,
though,
is
that
we
don't
know
based
on
the
data
themselves.
C
What
is
driving
these
associations?
We
don't
have
direct
evidence
for
the
pathways
through
which
these
social
determinants
of
affect
of
health
affect
copa90
infection,
even
though
we
don't
have
direct
evidence.
We
can,
however,
name
some
of
the
usual
suspects
for
these
disparities,
which
stem
from
long-standing
systemic
health
and
social
inequities.
C
For
example,
there
are
historically
rooted
disparities
in
access
to
economic
opportunities
for
people
from
different
racial
backgrounds.
Racism
and
implicit
biases
entrenched
within
hiring
practices
mean
that
people
from
some
racial
groups,
such
as
black
people,
are
not
well
represented
in
higher
paying
professions
with
good
benefits.
Newcomers
and
racialized
groups
are
more
likely
to
work
in
higher
risk
occupations
that
don't
allow
physical
distancing,
including
those
deemed
essential
during
koban
19.
There
are
structural
barriers
to
prevention
and
reducing
transmission
for
many
of
the
most
marginalised
communities.
C
How
do
you
all
know?
This
is
a
brand
new
virus
only
discovered
in
January.
New
research
is
exploring
what
genes
might
make
people
vulnerable
or
resistant
to
cope
in
19,
and
at
this
stage
we
just
don't
know
if
this
could
explain
any
of
the
findings
presented
here,
but
we
do
know
that
the
social
determinants
of
health
of
health
have
historically
resulted
in
a
disproportionate
disease
burden
in
some
communities.
C
Next
slide,
please,
whatever
once
we
have
individual
level
findings,
we
may
be
able
to
explore
some
of
these
relationships
more
deeply.
As
mentioned
earlier,
once
we've
collected
enough
data
and
had
time
to
conduct
necessarily
necessary
quality
assurance
checks.
We
will
release
some
of
our
individual
level
findings
we'll
be
able
to
inform
specific
actions
to
mitigate
some
of
these
inequities,
which
dr.
Davila
will
speak
about
next.
C
In
addition
to
the
questions
that
we
have
added
to
our
case
investigation
process,
we're
also
exploring
a
strategy
to
collect
more
socio-demographic
characteristics
likely
for
mrs.
upset
of
cases,
we're
partnering
with
the
health
common
solutions
lab
on
this
work,
and
we've
begun
discussions
with
academic
institutions
who
may
also
be
able
to
collaborate.
C
We've
also
begun
the
process
of
engaging
a
broad
and
diverse
network
of
community
groups
about
these
findings
by
the
community
response
clusters,
which
are
led
by
the
social
development,
finance
and
administration
division
and
the
United
Way.
These
groups
include
ten
geographically
organized
tables,
as
well
as
a
black
resilience
table
and
an
indigenous
table.
C
We're
particularly
focused
on
engaging
with
groups
that
serve
and
represent
some
of
the
racialized
groups
disproportionately
affected
by
Coppa
19
infection,
to
better
understand
why
these
disparities
may
exist
and
how
we
can
mitigate
them,
and
with
that
I'll
hand
it
back
over
to
dr.
Davila,
who
will
speak
a
bit
more
about
steps
we're
taking
to
reduce
these
inequities.
B
B
She,
she
brought
some
very
stark
and
important
information
in
front
of
you
as
members
of
the
board
and
as
we
look
at
these
and
as
we
hear
about
these,
we
need
to
think
about
what
kinds
of
strategies
it's
absolutely
critical,
that
we
think
about
what
we
might
do:
strategies
and
actions
under
those
strategies
that
could
be
put
into
place
to
mitigate
the
disproportionality
disproportionately,
those
who
are
disproportionately
impacted
by
koban
19
and
certainly
in
order
to
do
this
well.
This
would
have
to
involve
active
engagement
of
those
communities
who
are
impacted
themselves.
B
B
Certainly,
we
know
that
better
support
for
safe
isolation,
given
the
data
that
lives
just
presented
comes
to
mind,
requesting
that
Ontario
Health
and
the
Ministry
of
Health
is
our
provincial
counterparts
in
charge
of
testing
actually
increased
testing
in
those
areas
with
higher
risk
through
strategies
like
mobile
units.
We
certainly
know
that
there
would
be
some
benefit
to
targeting
certain
messaging
or
ensuring
that
messaging
is
being
delivered
in
a
resonant
way
to
those
areas
that
are
higher
risk
and
would
benefit
from
better
information
and
educational
strategies.
B
These
are
just
a
few
of
the
ideas
that
were
contemplating
and
actively
engaging
with
partners
on
in
order
to
address
the
situation,
as
Liz
has
so
well
described
over
the
last
several
slides.
So
turning
now
to
the
next
section
of
this
presentation,
we'll
be
looking
at
the
recovery
efforts
both
from
the
province
and
of
the
City
of
Toronto,
but
going
to
the
next
slide,
let's
just
rewind
and
fresh
ourselves
as
to
what
the
objectives
of
the
koban
19
response
were.
B
They
remain
the
same.
They
have
been
this
way
from
the
beginning,
limiting
the
loss
of
life
and
preventing
loss
of
life
as
much
as
possible,
protecting
the
capacity
of
our
healthcare
system
to
respond
to
all
needs
and,
of
course,
limiting
the
negative
social
and
economic
impacts
associated
both
with
the
virus
and
the
measures
that
were
taken
in
order
to
manage
and
control
and
contain
that
virus.
B
The
challenge,
of
course,
is
that,
as
Liz
rightfully
pointed
out,
this
is
a
new
virus,
and
while
we
have
learned
much
over
the
past
several
weeks,
we
are
in
a
learning
phase
and
still
understanding
and
have
many
questions
yet
that
are
not
fully
understood
in
respect
of
the
virus.
We
so
those
continue
to
be
present.
There
are
many
questions
that
science
has
that
have
yet
to
be
answered,
and
this
is
one
of
the
challenges
as
we
move
forward.
B
Our
strategy
to
date
has
been
reduced
transmission,
largely
through
such
things
as
physical
distancing
and
the
management
of
cases
in
context,
and
we
know,
as
we
start
to
move
increasingly
towards
reopening
and
recovery,
that
intensive
case
and
contact
management
continue
to
be
important,
but
we
also
know
that,
because
we
are
still
learning
and
because
there
is
still
much
that
we
don't
fully
understand
reopening
has
to
be
approached
in
a
cautious
and
gradual
fashion,
and
we
must
constantly
be
monitoring
what
the
impacts
of
the
changes
that
we
put
into
place.
Look
like
so.
B
We
certainly
you
know
have
that
in
our
minds
and
in
the
future,
but
it
is
a
question
of
ensuring
that
we
have
balanced
out.
You
know
all
the
necessary
thoughts,
precautions
and
measures
being
taken
in
order
to
mitigate
risk
as
much
as
possible,
whether
we're
talking
about
specific
virus
risks
or
the
social
and
economic
harms
that
are,
you
know,
part
of
what
the
virus
has
wreaked
on
our
community.
B
We've
also
worked
with
our
city
partners
and
city
divisional
partners
on
a
variety
of
initiatives,
active
tío,
ensuring
that
people
have
space
to
get
outside
and
to
engage
in
physical
activity,
while
supporting
chuckle,
distancing,
cafe
tio,
allowing
for
expanded,
patios
and
sidewalk
cafes,
so
that
restaurants
can
restart
businesses
in
a
safer
way
and
allowing
outdoor
dining
curb
tio
and
camp
tio
are
just
two
other
programs
as
well.
That
we've
been
active
participants
in
supporting
as
well
and
and,
of
course,
as
I
discussed
earlier.
B
There
is
as
well
the
Koba
19
monitoring
dashboard
that
helps
us
communicate
to
our
public.
What
our
progress
looks
like
turning
to
the
next
slide
on
outbreak
management.
Just
to
give
you
a
sense
of
what
we
are
doing
as
Toronto
Public
Health
to
continue
addressing
the
outbreak
in
our
city,
and
some
of
these
are
reminders.
You
may
recall
that
we
developed
and
deployed
a
new
information
system
to
help
us
manage
our
cases
and
contacts
in
a
far
more
timely
and
a
far
more
efficient
process
that
replaced
the
existing
provincial
case
and
contact
management
information
system.
B
We've
certainly
worked
on
a
number
of
pilots
to
facilitate
the
more
timely
connection
of
information
around
new
koban
19
cases
that
are
identified
in
assessment,
centers,
facilitating
their
communication
and
our
awareness
of
them
in
a
more
timely
fashion.
By
connecting
directly
with
assessment
centers,
we
have
expanded
our
information
system
to
go
beyond
just
what
is
being
managed
on
individual
case
levels.
We
are
also
now
using
that
to
support
our
work
in
institutional
outbreaks
and
cases
and
I
think
it's
also
really
important
to
talk
about
how
our
technology
partners
have
really
helped
us
develop.
B
This
software,
in
a
very
timely
fashion,
in
the
middle
of
the
pandemic.
They
worked
very
well
with
us
to
maximize
the
capacity
of
this
technology
and
we
are
in
fact
the
first
local
Public
Health
Unit
in
the
province
to
fully
integrate
our
information
management
system.
The
system
that
we're
using
to
help
us
manage
cases,
contacts
and
outbreaks
with
the
provincial
laboratory
information
system.
So
this
was
incredible,
work
I
think
on
the
part
of
our
team
here
at
Toronto,
Public
Health
and
our
technology
services
partners
and,
of
course,
we
continue
to
recruit
and
develop
our
workforce.
B
That's
required.
We
hit
a
very
high
number
of
cases
on
a
daily
basis
for
quite
some
time
earlier
this
year,
and
this
is
very
intensive
and
challenging
work
to
do.
We
needed
to
make
sure
that
we
had
enough
of
a
workforce
and
enough
resources
we're
continuing
to
do
that,
and
that
is
a
very
important
work
that
we
are
continuing
to
promote
in
advance.
Turning
to
the
next
slide,
looking
at
actions
from
the
province,
we've
certainly
been
in
active
discussions
with
the
province
to
improve
case
and
contact
management
through
a
variety
of
different
solutions.
B
We've
talked
to
them
about
policy,
changes
about
laboratory
changes
and
about
what
can
be
done
to
information
technology
solutions
to
help
advance
our
work
in
this
arena.
The
province
has,
you
know,
also
stepped
up
in
many
regards
and
I
think
we
should
give
credit
where
that
is.
Do
they
have
launched
a
number
of
different
tables
and
initiatives
where
we've
been
invited
to
participate,
whether
it
has
to
do
with
case
and
contact
management,
the
better
use
of
digital
technologies
to
support
the
response
of
the
whole
Health,
System
healthcare
and
public
health
partners.
B
So,
just
getting
to
the
end
of
the
presentation,
we'll
just
take
you
quickly
through,
we
can
go
to
the
next
slide,
we're
going
to
go
through
the
recommendations
that
are
made
in
the
report.
I
won't
belabor
these
slides,
but
let's
move
to
the
next.
The
first
recommendation
that's
made
in
the
report-
that's
before
you
today
is
for
the
board
to
advocate
to
provincial
partners
and
to
federal
partners
around
supporting
the
work
that
we
are
currently
doing
to
establish
a
volunteer
isolation
and
Quarantine
Center
system.
B
Fundamentally,
what
we're
trying
to
do
is
to
ensure
that
there
is
effective,
safe
isolation,
circumstances
that
are
made
available
for
those
individuals
who
are
having
challenges
in
achieving
that
safe
and
effective
isolation.
Liz
and
her
excellent
presentation
talked
about
how
this
has
been
a
challenge.
You
can
see
that
in
the
data
we
hear
it
from
our
clients
directly
when
we're
doing
that
case
investigation
with
them.
We
feel
that
this
is
a
very
important
recommendation
to
move
forward
and
we
are
looking
for
board
support
on
this.
B
Turning
to
the
next
slide,
we're
also
seeking
board
support
on
our
work
with
transportation
services
and
the
active
tio
program,
particularly
to
support
vulnerable
individuals
and
community,
for
whom
access
to
space
for
physical
activity
continues
to
be
a
challenge.
I'll
move
them
to
the
next
recommendation.
B
This
is
again
building
on
the
earlier
recommendation,
a
request
that
I
work
with
the
city
manager
and
that
the
team
at
Toronto
Public
Health
work
with
the
city
manager
to
support
how
we
can
design
and
implement
the
social
determinants
of
health
I've
already
spoken
to
this,
but
we
do
know
that
this
is
incredibly
important
work
and
again
it's
not
just
about
coded
19.
It
is
actually
fundamentally
about
what
is
public
health
all
about.
It
is
about
improving
health
status
and
reducing
health
inequities.
B
This
is
the
kind
of
work
that
we
can
do
to
support
and
bolster
our
COBIT
19
response
and
recovery.
But
I
know
it's
the
kind
of
work
that
will
serve
as
well
far
beyond
kovat
19
and
when
kovat
19
is
hopefully
a
thing
in
the
of
the
past.
I
know
that
ensuring
that
we
have
actually
advanced
on
these
fronts
will
will
support
health
overall
in
our
community
and
will
become
incredibly
important
as
we
seek
to
recover
from
Kovich
I'm
team.
B
So,
turning
to
our
last
slide,
which
is
our
concluding
slide,
this
has
really
been
a
very
significant
response
for
us
and
a
significant
learning
for
us
throughout
new
voters
only
discovered
in
January,
we
humbling
experience
I
would
say
for
public
health
around
the
world,
and
certainly
that
would
include
us.
However,
we
have
continued
to
refine
our
approaches
and
we
continue
to
learn
from
this
very
unpress
Denton's
situation.
B
We
are
continuing
to
ensure
that
we
are
adding
staffing
resources
and
other
resources
in
order
to
be
able
to
respond
to
rises
in
cases
which
we
should
expect
to
see.
As
we
opening
happens.
This
is
inevitable.
One
only
needs
to
look
at
the
activity
south
of
the
border
to
understand
how
significant
that
can
be,
if
not
well
managed.
B
That
is
my
last
slide,
but
if
the
board
will
indulge
me
for
just
another
moment
to
take
you
or
to
end
this
presentation
on
a
positive
note,
there
are
a
number
of
personal
stories
that
I
just
wanted
to
share
with
the
board
stories
that
and
thank
yous,
that
our
staff
have
received.
I
can't
tell
you
enough
how
significant
the
work
of
our
staff
has
been.
B
One
has
to
do
with
one
of
our
Toronto
public
health,
nurses
and
I
have
her
full
name
here
so
I'm
going
to
actually
say
it
and
I
hope
she
doesn't
mind.
Lisa
Powell
Jed,
who
actually
I've
also
I've,
had
the
great
opportunity
to
have
some
interaction
with
one
person
writes
that
their
family
has
had
a
four
week:
interaction
with
Lisa
connecting
almost
on
a
daily
basis,
and
the
summary
is
is
that
the
resident
says
that
she
believes
that
Lisa
saved
their
lives.
B
Gosh,
she
gave
guidance,
helped
figure
out
a
plan
prevented
the
situation
from
becoming
a
dire
one.
She
was
professional,
compassionate,
informative,
responsive,
non-judgmental
and
kind.
This
is
the
best
of
public
health
practice.
In
a
nutshell,
another
message
regarding
Amanda,
who
was
described
by
this
resident
as
the
lifeline
for
their
family
parents
suffering
from
kovat
19,
worried
herself
as
to
whether
she
had
contracted
the
disease
but
said
to
our
staff,
always
felt
your
support
and
knew
that
you
were
virtually
holding
my
hand
through
this
day
in
and
day
out
again
I
remarkable
I.
B
B
So
you
know
if
I
can
just
thank
you
to
those
staff
into
the
entire
team
at
Toronto,
Public
Health.
These
are
just
a
few
of
the
stories.
I
can't
tell
you
all
of
them,
but
there
are
many
stories
just
like
this,
and
it
is
our
staff
that
you
know
our
amazing
staff
here
that
are
responsible
for
this
work.
B
It
has
really
required
each
and
every
one
of
us
to
push
our
limits
to
engage
sometimes
in
what
I
would
characterize
is
extreme
multitasking
to
respond
to
this
unprecedented
situation,
and
you
know
I
cannot
thank
our
staff
enough.
I
also
want
to
just
take
the
opportunity
to
say
thank
you
to
our
many
city,
colleagues
and
our
external
community
partners,
in
particular
for
their
constant
collaboration
again,
so
very,
very
appreciated
from
all
of
us
here.
B
You
know
I
again
can't
say
thanks
enough
to
those
partners
and
I
know
that
there's
much
more,
we
have
yet
to
do
so.
I'm
sure
I'll
get
the
chance
to
say
thank
you
again,
but
and
to
say
that
I
look
forward
to
our
continued
collaboration
to
the
Board
of
Health
members
and
to
the
chair.
Thank
you
for
your
support.
B
As
always,
this
unprecedented
situation,
I
think,
has
taken
quite
a
lot
of
all
of
us
here
at
Toronto
Public
Health,
but
we
know
that
you
have
been
behind
us
with
us
all
the
way
and
for
that
we
thank
you
and
if
I
can,
I
would
just
make
one
final.
Thank
you
to
the
people
of
Toronto
for
everything
that
they
have
done
for
listening
for
their
cooperation
and
further
continued
efforts
to
control
this
virus,
and
there
can
Canute
efforts
to
take
care
of
each
other.
Thank
you
to
the
people
of
Toronto.
B
A
You
dr.
Billa,
Thank,
You,
Liz
I,
we're
now
gonna
bring
this.
We
have
two
speakers,
so
we're
gonna
hear
from
we're.
Gonna
go
to
our
speakers
before
we
bring
it
back
into
committee
on
this
item.
Our
first
speaker
who
has
joined
is
Josh
fullen
from
Maximum
City
Josh.
Are
you
connected
they're
on
the
line
I.
E
A
E
Thank
you
very
much
and
thank
you
to
the
committee
for
this
opportunity
to
speak.
My
name
is
Joshua
and
I
work
for
an
organization
called
maximum
City.
We
have
spent
the
last
three
months
researching
the
impact
of
covert
related
closures
on
Canadian
children
and
youth
ages,
9
to
15,
with
a
focus
on
Toronto.
E
So
we
what
we
did
is
we
ran
two
parallel
surveys,
one
specifically
within
the
toronto
cma
and
then
we
ran
a
broader
one
coast
to
coast,
and
we
reported
on
those
two
survey
questionnaires
separately
in
executive
reports
that
I
have
submitted
today
for
this
committee.
I
just
want
to
speak
a
little
bit
to
first
the
rationale
for
for
the
study
very
quickly
and
then
some
of
the
key
findings
that
I
think
are
consequential
to
this
body
as
well.
E
So
the
rationale
for
the
survey
was
really
to
take
a
360
degree
view
of
daily
life
of
Canadian
kids
and
their
behaviors
of
how
they
changed,
of
their
feelings
of
their
school
and
engagement
of
the
different
dimensions
of
well-being
and
really
listen
directly
to
kids.
While
they
were
experiencing
these
unprecedented
changes
in
their
lives
and
not
as
a
retrospective,
so
the
survey
ran
in
the
middle
of
May
from
the
defense
of
Maine
to
just
just
about
the
end
of
May,
and
we
collected
932
responses
across
the
country,
but
just
over
a
third
from
Toronto.
E
Essentially,
we
wanted
the
the
findings
from
the
survey
in
the
study
to
be
used
as
evidence
in
the
recovery
strategies,
and
our
rationale
for
that
is
that
the
lived
experience
of
kids
and
teens
needs
to
be
a
critical
part
of
an
evidence-based
recovery
strategy.
You
can't
have
a
wasteful
recovery
strategy
without
using
that
key
element,
so
it
in
terms
of
some
of
the
findings.
I
mean
there
is
some
good
news
out.
E
Some
are
some
of
them
are
even
thriving,
but
there
is
a
confluence
of
factors
and
kids
and
teens
who
are
really
struggling,
and
those
five
factors
are
less
time
outside
more
time
with
technology,
less
physical
activity,
less
engaging
school
and
less
social
connection.
So
when
we
see
all
of
those
factors
come
together
in
respondent,
it's
a
very
troubling
sort
of
confluence
of
behaviors
and
well-being
outcomes
that
we're
concerned,
you
know,
can
lead
to
such
a
pretty
serious
mental
health
crisis.
E
If
it's
not
addressed
and
I
think
the
bottom
line
is
that
all
of
these
different
sort
of
outcomes
that
we
are
seeing
in
the
survey
need
a
response.
That
is
not
just
a
response
to
the
status
quo
and
Toronto
kids
in
particular,
and
I'll
explain
a
little
bit
about
this.
At
my
end,
my
last
sort
of
90
seconds
are
suffering
worse
in
all
of
us.
That
was
five
confluence
of
factors
and
their
Canadian
peers.
E
Toronto,
kids
and
teens
are
less
physically
active
and
spend
more
time
worrying
compared
to
the
Canadian
peers
and
they're
more
worried
about
their
families
having
enough
food
in
a
safe
place
to
live
their
self-reported
well-being
outcomes.
So
these
would
be
negative
feelings
that
they
are
having
more
strongly
since
the
pandemic
began
are
also
slightly
moderately
worse.
E
A
lot
of
the
focus
is
on
school,
real
thing,
but
there
are
divisions,
certainly
within
the
city
who,
who
can
play
a
strong
role
in
an
effective
and
equitable
recovery,
for
children
do
so
in
part
parks,
forestry,
recreation,
children's
services,
Toronto,
Public
Health.
All
of
these
divisions,
in
our
mind,
should
play
a
critical
role
in
this.
The
social
recovery
of
children
and
youth
coming
coming
out
of
the
pandemic.
It's
the
other.
E
The
last
thing
I'll
say
I,
see
that
my
time
is
up
it's
hard
to
crystallize
or
three
months,
three
months
of
research
and
analysis
and
in
a
five
minute
deputation.
So
I
would
really
urge
the
committee
members
to
take
a
look.
The
executive
reports,
the
very
sort
of
concise
and
and
take
a
look
at
the
recommendations
as
well,
and
then,
if
you
have
any
questions
with
me
or
my
team,
thank
you
very
much.
Thank.
A
F
It
is
actually
very
refreshing
to
to
see
the
voice
of
and
hear
the
voice
of
children
and
their
concerns,
as
this
is
one
of
the
UN
rights
for
children
in
their
declaration.
So
this
adds
significantly
to
that.
My
question
is:
in
your
survey:
did
you
disaggregate
your
data
to
see
if
children
that
are
more
vulnerable
situations,
worse,
worsley
affected
or
how
they
are
significant
benefits
as
well
we're
home
isolation?
Maybe
you
can
comment
on
that.
Thank
you.
Yes,.
D
D
Youth,
that's
so
important
to
consider
in
the
recovery
and
I
also
want
to
say
that
your
findings
match
everything
that,
as
a
trustee,
I've
heard
anecdotally
from
from
students
and
parents
and
also
as
a
trustee
at
the
TDSB
I,
just
want
to
say
that
this
report
is
so
helpful
to
articulating
the
experience
of
Toronto
youth
at
the
TDSB.
We
struggle
to
communicate
to
the
province,
in
particular
the
Ministry
of
Education,
what
Toronto,
youth
and
children
are
facing
in
particular
and
I
love
that
this
also
compares
it
against
Canadian
children.
D
E
Thank
You
trustee
Donald
tonight
and
I'll
just
add
quickly
that
ours
will
not
be
the
only
study
that
shows
this
difference
between
urban
kids
and
exurban
and
rural
kids.
So
I
know
that
least
two
other
studies
that
are
sort
of
in
the
pipeline
that
affirm
what
we're
finding
is
that
the
impact
on
kids
in
Toronto
and
large
cities
like
Toronto
are
worse
because
they
have
fewer
places
to
play
outside,
sometimes
smaller
households
and
there's
and
there's
many
more
time
and
technology
and
all
the
sort
of
confluence
of
negative
factors.
A
G
Okay,
thank
you
and
good
morning.
My
name
is
Helen
Chile's
and
I
am
a
tenant
advocate
and
I'm
also
on
the
Civic
epsilon
snow
public
advisory
committee
on
affordable
housing
today,
I'm
speaking
as
the
resident
in
our
wonderful
city
of
Toronto,
I
would
like
to
commend
both
the
Board
of
Health,
Public,
Health
and
City
Council
for
leading
the
way
to
help
curb
the
spread
of
occulted
19
in
our
cities.
G
These
measures
will
help
curb
the
spread
of
culprit
19
in
apartment
buildings.
Thank
you,
but
why
wait
until
July
13
for
ratification?
Why
put
hundreds
of
thousands
of
Toronto
nians
continued
undue
risk
for
two
weeks?
In
my
humble
opinion,
there
is
no
rationale
to
use
such
delay.
Time
is
of
essence
to
mitigate
with
the
some
of
Toronto
Toronto's,
most
vulnerable
citizens.
Please
reconsider
amendment
to
the
apartment,
building
by
law
immediately
and
as
vacation
I
know
it
can
be
done
quicker.
G
Torontonian
saw
it
in
action
on
June
30th,
where
City
Council
voted
in
the
mandatory
wearing
a
map
within
enclosed
public
spaces,
with
just
a
weeks
notice
affecting
3.5
million
residents
and
visitors
to
Toronto.
This
is
good
news,
great
news,
thank
you
again
for
taking
leadership
on
the
wearing
of
math,
but
there
is
also
a
major
problem
here
too,
with
the
role
of
City
of
Toronto
bill
5:11,
to
impose
temporary
regulations
requiring
the
wearing
of
maps
or
other
face
coverings
within
enclosed
spaces.
G
Section
7
states
the
following
crevasses
are
not
an
establishment
for
purposes
of
this
bylaw,
even
if
they
would
otherwise
fall
within
the
definition
that
would
include
school,
post-secondary
institutions
and
childcare
facilities,
private
transportation
and
public
transportation
and
previous
city
Toronto
bylaws
for
hospitals
and
dependent
health
facilities
and
offices
of
regulated
health
professionals.
So
why
did
the
city
disseminate
a
press
release
on
June
30th,
which
they,
the
bylaw,
will
not?
It
will
not
apply
to
apartment
buildings
and
condominiums
not
apply
to
apartment
buildings
and
condominiums,
including
lobbies.
G
I'm,
not
sure
where
this
came
from
many
media
outlets
have
also
been
reporting
that
the
mandatory
of
mass
indoors
does
not
apply
to
apartment
buildings
in
condominium,
including
lobby
where
viable
necking
can
be
seen
daily,
as
residents
wait
for
elevators
with
restrictions
of
maximum
for
elevator
business
information,
if
not
immediately
corrected,
will
undoubtably
cause
confusion
for
millions
of
residents
who
live
in
congregated
apartment
and
condo
towers
throughout
the
throughout
the
city.
It's
not
immediately
corrected.
This
undoubtedly
will
cause
the
conflict
of
interest
with
labor
laws.
G
Putting
workers
such
as
on-site
staff,
cleaner,
contractor
delivery,
personnel
and
alike,
indirect
unwarranted,
increased
risk
of
contacting
cold
19
business
information
is
not
immediately
corrected,
will
undoubtably
put
millions
undue
risk
of
contacting
kovat
19
to
on
tony's
working
and
living
in
congregated
apartment
and
condo
towers
throughout
the
city.
Please
correct
this
grave
error
immediately
for
the
well-being,
health
and
safety
of
all
Torontonian,
the
wearing
of
math
comes
with
its
own
controversy
and
conspiracy
theories.
We
don't
need
that.
It
is
important
that
we
stay
safe,
healthy
and
we
move
forward
from
the
coronavirus.
G
A
You
very
much
Helen.
Let
me
open
it
up.
Are
there
any
questions
for
Helen?
If
so,
if
you
would
raise
your
hand
to
indicate
so,
okay
seeing
none
Helen.
Thank
you.
So
much
at
this
point
we're
going
to
take
it
into
committee,
though
I
would
recognize
that
we
joining
us
in
committee.
Here
today
we
have
a
visiting
member
of
City
Councilor,
councillor,
purusa,
welcome
and
so
we're
gonna
move
it
into
committee
for
questions
of
staff.
I'll.
Take
us
a
list
here
for
questions.
A
Do
you
want
to
raise
your
hand
if
you
have
questions
of
staff
I
see
director
Mulligan
director,
Wong,
okay,
keep
your
hands
up
for
a
second.
If
you
wouldn't
mind
and
councillor
wong-tam
councillor
lie
and
I
will?
Okay,
so
I
have.
Let
me
just
see
so.
I
have
director
Mulligan
director,
Peter
Wong,
councillor
Wong
Tam
councillor
lie:
did
anybody
else?
Have
questions
and
I
see
visiting
member
perotta,
okay,
I'm
going
to
begin
with
as
a
courtesy
to
our
visiting
member
visiting
councillor,
Piazza
I'll?
H
H
A
couple
of
questions
of
staff
in
dealing
with
this
report,
first
of
all,
I
want
to
thank
you.
I
know
you
haven't.
You
haven't
moved
our
request
yet,
but
I
was
asking
the
other
day
about
some
testing
up
in
the
northwest
part
of
Toronto,
as
you
saw
the
map
earlier
and
in
the
presentation,
we're
kind
of
like
mid
blue,
dark,
blue
and
then
now
there's
there's
a
hot
spot,
obviously
in
north
Rexdale,
just
west
of
my
my
district,
that's
very
dark
blue
meaning
they,
you
know
the
cases
of
cobra
there
are
are
a
relatively
I.
B
So
through
the
chair
counselor,
my
understanding,
so
this
is
the
mobile
units
are
actually
under
provincial
purview,
so
I
don't
know
that
I
can
speak
particularly
well
to
the
details.
My
understanding,
though,
is
that
you
do
get
a
variety
of
healthcare
professionals.
Professionals
excuse
me
who
are
able
to
conduct
assessments
of
those
who
present
for
testing
and
then
perform
the
test,
the
COBIT
19
test
and
submit
it
to
the
laboratory
for
analysis
and
then
determination
as
to
whether
you've
got
somebody
who
actually
has
a
positive
case
or
who
is
a
case
of
koban
19
I.
B
Think
the
other
thing
that's
perhaps
worth
mentioning
counselor
is
that
you
know
I,
admit:
I
have
not
since
Tuesday
evening
have
not,
or
afternoon
have
not
had
that
opportunity
to
connect
with
the
province,
but
my
understanding
is
that
there
is
active
testing.
That's
happening,
that
my
latest
data
suggests
that
there
is
some
testing
that
is
happening
in
the
north
west
end
of
the
city.
I,
don't
have
specific
details,
but
I'm
certainly
happy
to
follow
up
and
connect
with
you
offline,
no.
H
I
know
that
some
specific
testing
in
a
few
key
locations
as
they
can
I,
was
having
the
conversation
earlier
this
morning
with
with
one
of
our
public
health
executives
in
the
area
and
I'm
told
that
if
you
get
the
unit
and
I
know
that
you're
gonna
be
asking
for
it,
you
need
a
doctor
or
a
nurse
practitioner
on
the
ground
with
the
unit
to
actually
issue
prescriptions
for
people
to
get
tested.
Is
that
cool.
B
So
there's
not
a
prescription,
that's
needed
for
testing.
There
is
an
assessment,
so
that
was
the
healthcare
professional
I
was
speaking
of
so
it
may
be
a
nurse
practitioner.
It
may
be
a
physician,
it
may
be
a
number
of
them.
In
fact,
who
are
there
to
provide
assessments
and
then
conduct
the
testing
and.
H
B
That's
my
understanding,
so
these
units
are
actually
put
together
if
we
can
call
it
that
the
the
mobile
testing
facility
actually
does
involve
the
collaboration
with
healthcare
partners.
Sometimes
it's
a
hospital.
Sometimes
it's
a
hospital
assessment
center,
but
they're
part
and
parcel
the
the
the
testing.
The
mobile
testing
needs
the
healthcare
providers
to
actually
be
do
the
assessment
to
go
with
the
unit
to
set
up
shop.
If
you
will
in
that
local,
you
know
facility
or
location
and
actually
do
the
assessments
and
actually
perform
the
testing
as
well.
Now.
H
I
was
also
told
that
so
one
of
the
problems
that
we're
having
from
the
experience
on
the
ground
is
if
somebody
goes
in
and
gets
tested
and
let's
say
they
test
positive,
there's
been
very
little
follow-up
and
I,
don't
know
who
would
be
doing
the
follow-up
with
them
to
see
if
they've
adequately
quarantined
if
they've
been
in
contact
with
other
folks.
As
you
know,
in
many
of
these
cases,
there's
language
barriers,
there's
access
barriers,
the
phones,
so
you
know
you
a
lot
of
people,
don't
answer
the
doors
when
you
actually
physically
knock
on
their
doors?
B
So
very
briefly,
I
threw
the
chair,
we've
managed
over
14,000
of
these
cases
and
there
is
a
regular,
that's
part
of
the
case
investigation
process
to
find
out
to
understand.
You
have
a
positive
test.
Where
might
you
have
acquired
this
infection?
Is
one
aspect
of
that
investigation
and
the
second
part
is
to
understand
who
might
have
been
exposed
during
the
period
of
infectiousness.
So
we
can
then
do
they
contact
tracing
and
follow-up
work.
So
we
actually
do
that's
Public
Health's
work
and
we
do
followup
with
all
of
our
case.
H
B
A
And,
and
for
citizen
members
of
the
board,
who've
never
had
the
privilege
of
a
counselor
/
to
speech.
Prepare
yourselves.
It
is
spectacular,
so
counselor
we're
glad
you're
here.
Thank
you
our
next
speaker.
Our
next
for
questions
is
director
mulligan,
followed
by
director
Peter
Wong
director
mulligan
over
to
you,
Thank.
D
You,
chair
and
good
morning,
dr.
Davila
and
Liz
thanks
so
much
for
your
presentation
about
the
about
the
data,
the
disaggregated
data
that
I
hope
it's
coming
and
the
the
evidence
that
supports
what
I
think
we
all
expected,
which
was
this-
would
have
a
disproportionate
impact
on
marginalized
people
who
have
been
made
marginalized
by
you
know:
histories
long
histories
of
social
and
urban
policy,
so
I'm
very
pleased
to
see
that
you're
interested
in
taking
some
steps
on
that
as
well
and
I.
B
C
C
Don't
think
we
have
looked
directly
at
mental
health
of
well-being
in
caregivers.
We
are
looking
at
mental
health
overall
and
we're
accessing
a
number
of
different
and
new
for
tbh
data
sources.
To
look
at
that,
including,
for
example,
two
one
one
and
some
callin
lines
for
people
who
call
when
they
need
mental
health
supports
and
they
can
call
for
referrals.
C
We
can
take
a
look
at
the
data
further
to
see
if
there's
a
way
that
we
can
stratify
out
parents
and
caregivers,
it's
obviously
a
very
important
population
of
people
currently,
especially
people
who
are
working
from
home
with
their
children,
which
I
can
imagine
as
a
massive
struggle.
So
we
can
take
a
deeper
look
just
to
see
if
there's
anything
there
that
we
can
report
specifically
for
that
population.
C
D
Thank
you.
Okay,
so
I
do
have
another
question
for
dr.
Davila
I'm
interested
in
all
I'm,
going
to
change
gears
for
a
second
and
just
ask
about
masking
I
I
know
that
you
have
now
issued
some
guidance
around
that
and
the
council
move
motion
on
this
a
few
days
ago.
What
what
has
changed?
We
asked
about
this
at
the
last
Board
of
Health
meeting
as
the
evidence
changed
or
what
has
changed
in
your
view,.
B
So
through
the
chair,
these
are
constantly
changing.
There
is
constantly
new
evidence,
that's
coming
out
and
I
think
if
I
had
to
summarize
it
very
quickly.
The
science
on
masks
is
not
entirely
settled,
but
we
do
know
that
there
is
an
increasing
understanding
of
asymptomatic
and
pre-symptomatic
transmission
of
disease.
We
certainly
know
that
that
there
is
increasing
evidence
that
suggests
that
using
cloth,
masks
or
the
use
of
cloth
masks
by
the
general
public
does
help
prevent
the
transmission
of
germs
from
the
wearer
to
those
around
them.
B
We
also
know
that
as
more
and
more
people
as
we
move
towards
reopening
that
there
is
more
interaction
between
people
and
it's
just
more
challenging
to
maintain
the
physical
distancing.
So
you
know
taking
all
this
together,
along
with
some
new
studies
that
show
that
that
the
use
of
cloth
masks
may
serve
as
a
physical,
a
visual
cue
to
remind
people
that,
as
we're
moving
around
that,
yes,
there
is
still
a
pandemic.
That's
ongoing!
You
know
you
take
all
of
these
together,
along
with
the
evidence
on
physical
distancing,
hand-washing
and
what-have-you.
We
felt
that
this
was.
B
Just
very
briefly
through
the
chair,
this
is
something
that
I
know
is
being
actively
looked
at,
and
this
is
something
that's
happening
at
the
provincial
level,
so
those
policies
are
actually
set
by
our
provincial
counterparts.
Certainly,
we
have
some
opportunity
to
discuss
with
them
what
the
policies
are,
and
there
is
still
very
active
conversation
around
who
should
who
can
participate
and
who
can
come
and
attend
at
those
facilities
and
what
the
requirements
are.
Certainly
local
public
health
and
other
community
stakeholders
have
expressed
some
concerns
around
the
current
testing
recommendations.
That
conversation
continues.
B
F
Thank
you
mr.
chair
yeah,
Thank
You,
dr.
Davila
and
Liz
for
an
excellent
presentation
and
very
informative
on
disaggregated
data.
I
want
to
thank
the
whole
team
for
their
sending
an
excellent
work
through
this
troubling
time.
My
question
really
is
around
next
steps
and,
as
we
start
to
open
up
I
think
people
are
beginning
to
get
this
false
sense
of
security
and
people
are
becoming
less
careful
about
physical
distancing
already
and
we're
just
barely
starting
to
open
up,
and
we
really
have
to
look
at
what's
happening.
F
So
my
question
really
is
around:
how
are
we
going
to
maintain
good
vigilance
and
good
social
behaviors,
especially
in
the
young
people,
because
that's
the
next
group
that
we
see
that
the
positive
cases
are
increasing?
What
is
sort
of
Public
Health
doing
to
target
this
kind
of
false
sense
of
security,
especially
in
young
adults?
Thank
you.
So.
B
So
we
will
be
monitoring
for
that
and
one
of
the
other
things
that
we
are
just
exploring
now
is
that
we're
engaging
with
behavioral
scientists
and
other
researchers
who
have
expertise
on
you
know
how
do
we
create
circumstances
and
environments
that
actually
promote
the
right
kinds
of
behaviors
good
behaviors
in
respect
of
containing
cope
at
19?
You
know
that
this
has
been
used
in
the
United
States.
It's
been
used
in
the
UK
and,
to
a
certain
extent
here,
these
behavioral
insights
or
nudge
units.
You
may
have
heard
of
these
policy
shops
within
government
they.
B
They
are
a
number
of
researchers,
academics
and,
and
these
policy
outfits
that
work
on
this.
We
have
initiated
some
conversations
with
those
academics
and
research
types
in
order
to
try
to
see
what
we
might
be
able
to
do.
Of
course,
there
are
also
communications,
endeavors,
better
use
of
social
yeah
and
trying
to
understand
what
you
know,
what
the
motivations
are
of
young
people
and
to
see
how
we
might
be
able
to
work
with
them
better
to
make
messages
resonate
in
a
way
that
is
meaningful
to
them.
F
A
I
Thank
you
again
for
all
your
hard
work
in
this
excellent
presentation.
I
have
a
question
regarding
the
socio
demographics
piece
of
it.
There's
talk
about
income
I,
see
that
as
a
highlighted
category
and
there's
also
highlighted
category
around
housing
suitability
for
those
who
have
no
income
and
no
housing,
including
a
growing
population
that
is
finding
themselves
living
outdoors,
either
in
encampments
or
under
bridges,
and
in
other
places
that
your
presentation
didn't
capture.
That
group
is
that
correct,
or
is
there
a
separate
slide
that
perhaps
isn't
it
just
does
not
speak
to
that
so.
B
I
C
Sure
so
the
data
that
we
presented
today
unfortunately
relies
on
census
data
which
doesn't
capture
populations
experiencing
homelessness.
I
think
that
one
way
that
we
can
identify
people
who
are
experiencing
homelessness
in
our
data
is
I'm
getting
a
low
bandwidth
sign.
I'm,
not
sure
people
can
still
hear
me,
but
I'm
gonna
continue.
It's
one.
One
way
that
we
could
potentially
address
that
is
in
our
in
our
data
in
cores.
At
an
individual
level,
we
do
have
the
source
of
the
transmission
or
the
outbreak
captured.
C
So,
for
example,
we
do
know
cases
of
copán
19
that
people
are
experiencing
who
are
living
in
shelters
or
who
are
visiting
shelters.
So
that
is
one
way
that
we
could
pull
that
out.
I'm,
not
sure
if
Effie
on
the
line
wants
to
speak
to
that
further
I
don't
have
direct
access
to
those
data
currently,
but
we
can.
We
can
explore
and
report
back
potentially
as
well.
I
That
would
be
helpful,
I
think
just
because
there's
a
we
don't
want
to
leave
anyone
behind,
and
we
recognize
that
this
is
a.
This
is
the
most
vulnerable
population.
They
do
not
have
the
the
luxury
or
the
benefit
of
isolating
and
home
at
home,
because
they're
not
in
a
home
and
I,
recognize
that
shelter
support
housing,
administration
and,
of
course,
the
incredible
team
of
the
city
that
has
been
building
the
response
around
colvett
or
those
who
are
homeless.
I
Some
people
are
now
indoors
and
I
know
that
they've
done
a
lot
to
get
people
indoors,
but
there's
still
a
growing
population,
that's
very
hard
to
document
and
count
that
is
still
outdoors
without
adequate
sanitation
without
access
to
water,
especially
under
the
heatwave
that
we're
experiencing
right
now
and
it's
going
to
be
sustained
and
I.
Just
want.
I
I
want
to
understand
that
public
health
response
to
to
that
particular
population
may,
which
may
not
be
very
large,
but
but
they
are
certainly
the
most
vulnerable
and
and
and
so
being
able
to
understand
where
they
are
and
how
to
reach
them
and
also
how
to
help
and
support
them
is
critical.
So
can
you
just
elaborate
on
a
strategy
and
plan
that
or
or
perhaps
the
work
plan
is
underway,
to
help
this
particular
group
of
individuals
so.
B
Through
the
chair
I'll,
let
me
start
by
addressing
this
one.
Certainly,
we
have
worked
with
our
partners
at
shelter,
support
and
housing
administration
and,
to
a
certain
extent,
the
housing
Secretariat.
Fundamentally,
we
know
that
the
this
longer-term
solution
is
more
sustainable
housing.
So
that's
certainly
one
of
the
areas
that
we're
seeking
to
advance.
That
being
said,
we
are,
in
the
a
lot
of
our
focus.
B
How
will
we
manage
on
a
go-forward
basis
from
you
know,
balancing
out
public
health
and
housing
requirements
in
order
to
best
support,
effective
isolation,
and
what
I
would
characterize
is
true
infection
prevention
and
control
for
those
who
are
experiencing
homelessness
and
under
housing.
We
know
that
indoor
congregate
settings
are
particularly
challenging
for
Cobra
19
transmission,
we'd
like
to
see
that
minimized
to
the
greatest
extent
possible.
You.
A
B
B
I
know
that
our
colleagues
that
you
know
SDF
na
are
also
working
on
this
front,
so
I'm
happy
to
bring
that
back
to
city
partners
who
have
a
more
direct
handle
or
hand
on
the
lever
of
control
on
those
issues
and
to
you
know
ensure
that
the
best
is
being
provided
for.
Those
who
are
experiencing
homelessness
leave
encampments,
whether
it's
about
access
to
water
or
access
to
appropriate
washroom
facilities
and
the
like.
C
A
F
Team-
and
you
know
s
sha
and
others-
on
moving
people
from
encampments
into
temporary
apartments,
different
housing
options,
hotels.
So
we
are
actively
working
on
that.
But
I
think
we've
moved
over
300
to
date
and
we
continue
on
our
efforts
on
that.
So
I
can
provide
an
update
as
well.
I
can
call
you
offline,
but
we
are
but
I
know
you're
familiar
with
our
work
in
that
area
and
that
will
will
continue
no.
I
Thank
you
very
much
deputy
city
manager
and
and
as
well
as
dr.
Davila,
I,
guess
my
really
what
my
question
was
trying
to
dry
that,
as
haven't
been
as
clear,
is
that
I
know
that
by
way
of
physical
distancing
requirement,
we
just
have
to
get
it
done.
So,
therefore,
the
shelters
that
were
rather
crowded
were
thinned
out
and
open
and
33
new
facilities
are
open
so
that
physical
distancing
could
take
place,
and
that
was
driven
by
a
public
health
directive.
That
said,
this
must
be
done
so
I'm
just
curious.
B
So
through
you,
mr.
chair,
certainly
counselor
what
we
can
do
is
explore
what
options
are
available
to
us
and
how
best
to
you
know,
to
my
mind
whether
it's
done
under
directive
or
without
you
know,
how
do
we
make
sure
that
water
is
being
provided?
How
do
we
make
sure
that
access
is
being
provided
to
facilities
appropriately,
I'm
very
happy
to
work
with
our
city
partners
on
ensuring
that
that
happens?
Thank.
A
You
very
much
thank
you
very
much
and
welcome
to
the
the
virtual
meeting
deputy
city
manager.
Carbona.
Thank
you.
I
know,
you've
been
here
the
whole
time
next
I
have
councillor
lie
and
can
I
just
see
by
show
of
hands.
Is
there
anybody
else
who
wishes
to
ask
questions
as
I'm
finalizing
the
list
here?
Okay,
councillor
lie
over
to
you,
Thank.
F
B
Through
the
chair
very
briefly,
what
we
have
found
is
that,
with
certain
circumstances,
there
are
some
clients
who
find
that
they
have
a
Copic
19
infection
and
because
of
their
housing
circumstances,
they
may
live
in
a
relatively
small
space.
Perhaps
with
lots
of
other
people,
they
are
unable
to
manage
an
appropriate
isolation
right.
So
we
know
that
one
of
the
major
risk
factors
for
a
koban
19
infection
is
actually
being
a
close
contact
of
somebody
who
actually
has
cope
at
19
and
one
of
the
most
frequent
expenses
in
the
household.
F
B
So
effectively
what
it
is
is
to
work
with
provincial
and
federal
counterparts.
Who've
expressed
an
interest
in
supporting
this
to
establish
you
know,
say,
for
example,
a
hotel
like
facility
where
people
with
koba
19
cases,
who
can't
do
isolation
well
at
home,
would
be
temporarily
moved
for
the
period
of
isolation
with
appropriate
supports
so
that
they
can
actually
affect
a
good
isolation,
not
make
their
other
household
members
sick
and
recover
until
such
time
as
they
can
then
come
back
into
their
homes,
but
that's
effectively
what
it
is.
What.
B
So
none
of
the
details
have
been
really
worked
out,
but
if
we
were
to
use
the
examples
of
other
jurisdictions,
then
the
the
fee
for
covering
for
the
for
the
isolation
facility
and
the
supports
that
are
necessary
would
be
covered
by
by
government
agencies
and
there's.
This
was
something
that
the
province
to
a
certain
extent
in
to
a
greater
extent.
The
federal
government
has
expressed
interest
in
establishing
and
supporting
thank.
F
You-
and
this
should
follow-up
question
on
that.
One
I
think
I've
asked
questions
before
the
previous
meetings
about
about
this
issue,
and
you
were
telling
me
that
there
are
some
people
that
cannot,
you
know,
cannot
isolate
them,
met
them
and
on
a
case-by-case
basis,
the
city
is
helping
them.
Is
that
correct?
So.
B
F
I've
also
I
think
asked
questions
about
for
those
health
care
workers
just
to
ask
the
province
whether
they
can
provide
them
with
accommodation
during
this
pandemic.
You
know
cuz
they
when
they
go
home,
that
would
be
a
very
high
chance
of
they.
You
know
they
would
transmit
the
virus.
Is
there
anything
that
is
happening
that
at
this
I
mean
on
this
issue?
Here.
B
B
B
F
B
Through
the
chair
you're
quite
right,
any
Airport
measures
that
are
taken
and
screening
of
travelers
is
actually
under
federal
purview
with
respect
to
taking
temperatures
at
airports.
The
last
I
checked
of
the
literature
and-
and
you
know
we-
we
tend
not
to
get
very
engaged
in
this,
because
it
is
under
federal
authority,
but
the
last
I
checked
of
the
literature.
When
we
look
at
airport
temperature
screening.
It's
not
found
to
be
particularly
helpful,
but
you
know
the
science
is
constantly
changing
on
:
19.
B
We
can
certainly
look
to
see
what
the
what
the
evidence
is,
but
I'm
quite
certain
that
our
federal
partners,
who
have
this
under
their
jurisdiction
or
actively
following
that
literature
and
would
be
applying
I,
would
like
to
think
the
knowledge
the
best
available
knowledge
on
how
best
to
manage
passengers
and
travelers.
Thank.
A
You
very
much
and
I'm
gonna
put
myself
on
here
to
ask
questions
before
we
move
into
speakers,
so
dr.
Davila
on
the
on
the
accommodation
facilities,
the
item
to
support
isolation
for
those
who
can't
in
your
recommendation,
you're
requesting
the
city
manager
to
engage
with
our
federal
and
provincial
counterparts
on
this.
Have
there
been
conversations
already
with
the
federal
government
on
this
potential
initiative?.
B
A
So
there
is,
there
has
previously
they
have
previously
expressed
both
the
desire
to
see
it
and
app
attend
willingness
to
fund
it.
What
about
at
the
provincial
right?
Not
thank
you,
and
at
the
provincial
level
both
have.
We
heard
whether
they
would
like
to
see
such
a
program
and
whether
they
too
would
be
prepared
to
fund
it
at.
B
A
Thank
you
for
that
in
terms
of
the
criteria
as
to
who
would
qualify
for
such
facilities.
I
understand
from
your
report
the
intent
for
those
who
cannot
effectively
self
isolate
at
home.
This
would
provide
a
safe
manner
by
which
they
could
to
protect
fellow
have
sold
members.
Have
you
started
in
Toronto
Public
Health
to
determine
what
the
criteria
is
in
order
to
qualify
for
such
accommodation.
B
So
I,
don't
have
all
the
details
in
front
of
me
and
I
do
apologize
for
that.
Mr.
chair,
but
certainly
household
crowding
would
be
one
of
the
concerns,
the
number
of
rooms
and
the
number
of
persons
and
the
home
access
to
separate
washrooms.
That
kind
of
thing
essential
workers,
you
know
and
and
the
ability
for
them
to
continue
to
provide
those
essential
services.
Those
are
some
that
come
to
mind,
but
I'd
be
happy
to
provide
you
with
a
complete
list
of
the
criteria
that
have
been
proposed
as
far
I.
Just
don't
have
them
list
no.
A
B
A
B
A
And
then
just
to
turn
my
attention
to
the
discussion
of
a
potential
increase
in
cases
in
the
future.
You
mentioned
just
there
that
we
need
to
prepare
ourselves
for
a
potential
increase
in
cases.
People
refer
to
the
second
wave
based
on
what
other
jurisdictions
around
the
world
are
seeing
in
their
response
at
along
with
their
reopening.
B
So
through
you,
mr.
chair
that
difficult
question
to
answer
it's
it's
hard
to
know
again
unprecedented
virus.
You
know.
Are
we
going
to
continue
to
see
a
bit
of
a
slow
burn
and
then
some
kind
of
increase
in
activity?
Will
we
actually
get
down
to
zero
and
then
start
to
see
an
increase
in
activity
very
difficult
to
say,
I
think
there's
been
a
lot
of
speculation
and
thought
that
as
respiratory
virus
season
starts
and
in
October
ish
that
we
might
actually
expect
to
see
increased
activity
of
kovat
19.
B
But
I
would
also
suggest
that
as
people
move
as
a
result
of
cold
weather
into
indoor
environments,
while
there
is
virus
circulating-
and
we
know
that
the
risk
of
transmission
is
higher
in
indoor
settings-
that
we
should
expect
to
see
increased
activity
as
people
retreat
into
the
indoors
given
colder
weather.
Okay,
those.
A
A
Okay
I
see
councillor
want
am
councillor,
lie
now
is
councillor,
Perutz
is
still
with
us.
I
had
promised
members
of
our
board
first,
no,
we
no
longer
have
councillor
for
it's.
Okay,
so
we're
gonna
move
into
speakers.
I
have
councillor
wong-tam
to
be
followed
by
councillor
lie.
If
there
are
other
speakers,
you
can
indicate
by
show
of
hands,
but
we
will
begin
with
councillor
longtan.
I
Thank
you
very
much
mr.
chair
and,
as
we
always
now
have
become
accustomed
to,
we
think
in
our
remarks
by
extending
thanks
and
gratitude
heartfelt
gratitude
to
the
extraordinary
team
at
trial,
public
health
to
you.
Mr.
chair
for
your
leadership,
ongoing
leadership
during
the
COBIT
response
and
hopefully
path
to
recovery.
Dr.
Davila
and
your
team
I
know
it's
been
very
difficult.
There.
It's
been
difficult
earth
to
telework,
to
be
quite
honest
and-
and
it's
certainly
it's
very,
very
difficult
to
be
on
the
front
lines.
I
I
am
incredibly
encouraged
by
the
attention
the
issue
around
disaggregated
data
and
and
recognising
that
people
with
vulnerabilities
experience
covet
and
this
pandemic
differently.
I
recognise
that
this
particular
body,
the
Board
of
Health,
has
always
been
a
thought
leader
in
in
advancing
health
equity
zand
addressing
the
social
inequities
when
it
comes
to
who
gets
to
stay,
healthy
and
and
who
doesn't
who
has
access
to
housing,
who
doesn't
and
all
the
myriad
of
factors
that
that
play
into
that
particular
conversation
and
that
drive
outcomes.
I
I
am
incredibly
distraught
and
and
worried
and
I
have
been
for
some
time
about
those
who
don't
have
access
to
housing.
Do
not
have
access
to
proper
medical
supports,
who
don't
have
access
to
recovery,
vents
if
they're
living
with
addictions
and
who
don't
have
access
to
safe
supply,
who
don't
have
access
to
and
now
in
this
case,
access
to
sanitation
and
water
for
those
who
are
living
outdoors
tomorrow
is
incredibly
rich,
City
and
and
I
think
we
can
all
be
very
grateful
for
the
resources
that
we
do
have.
I
I
do
fear
that
there
is
a
particular
group
of
individuals
who
are
falling
through
the
cracks
even
further
and
further,
and
they
are
no
longer
hidden
from
us.
They
are
now
in
entirely
plain
sight
and
it
comes
back
to
the
issue
of
not
having
adequate
suitable,
long-term
housing,
and
we
know
that
that
has
to
be
the
the
ultimate
pathway
for
people
who
are
living
on
the
streets
and
who
are
Street
involved,
which
are
predominantly
also
black,
indigenous
racialized
people
and
women.
I
When
it
comes
to
how
poverty
affects
you
know,
those
of
that
particular
gender
and
and
also
LGBT
people
and
and
those
who
are
non-binary
so
I
know
that
everything
is
being
Mustard
in
terms
of
all
the
resources.
All
the
powers
of
the
city
has
but
I
would
just
say
this
tonight
and
I
hope
that
it's
not
a
criticism.
It's
just
something
I
want
to
put
out
there
when,
when
leadership
at
the
city,
and-
and
this
includes
us
as
the
port
of
health-
but
there
are
others
who
sit
at
tables
that
we
don't
have
access
to.
I
That
impacts
everyone
differently
and
I
know
that
there
many
requests
I
recognize
that
the
list
of
the
laundry
list,
as
we
appear
before
our
provincial
and
federal
counterparts,
is
incredibly
long.
I
get
that,
but
I
just
want
to
ensure
that
our
requests
and
and
call
for
intergovernmental
action
is
there,
because
what
I?
What
I
think
is
happening
and
I'd
like
to
be
proven
wrong.
I
Is
that
we
remind
them
that
the
33
facilities
of
the
city
has
booked
temporarily
at
some
point
will
come
to
an
end,
whether
it's
community
centers,
that
we
have
to
return
back
to
regular
programming
or
schools.
When
we
work
with
school
board
to
provide
temporary
respite
centers
or
if
it's
hotel
rooms,
who
were
the
contracts,
will
come
to
an
end
or
if
it's
interim
housing.
I
Those
facilities
will
come
to
an
end
at
some
point
in
time,
which
means
that
the
population
that
has
been
temporarily
moved
into
alternative
indoor
accommodations
to
make
the
social
distancing
required
in
the
crowded
shelter
system.
It
means
that
they
may
not
go
back
into
the
crowded
shelter
system,
because
the
my
set
will
be
that
they're
still
not
safe
with
or
without
a
vaccine.
I
So
we
are
heading
into
a
even
bigger
crisis
than
then
I
see
the
one
before
us,
and
that
crisis
is
going
to
be
compounded
by
the
fact
that
we
don't
necessarily
have
a
financial
plan
to
address
the
challenges
that
we
are
seeing
today
and
I
know
that
that's
not
because
the
staff
are
not
trying
I
know
that
the
staff
are
working
really
hard,
but
the
bigger
crisis
is
that
we're
going
to
be
at
coming
to
the
end
of
the
year.
We're
facing
a
multi-billion
dollar
deficit.
I
We
have
a
growing
population
around
that
continues
to
expand
exponentially
and
I'm,
just
really
incredibly
nervous
and
frustrated
and
angered.
To
be
quite
honest,
not
not
at
anybody
here
but
I'm,
angered
by
the
lack
of
attention
being
paid
by
the
province
and
the
federal
government
to
what
I
think
is
a
humanitarian
crisis,
around
homelessness
and
koban
and-
and
that
is
is-
is
really
alarming.
I
I
A
H
A
A
H
Well,
first
of
all:
listen
I!
Thank
you.
So
much
I
know
that
you're
entertaining
emotion
today
that
seeks
to
ask
the
province
to
bring
a
one
of
these
mobile
testing
units
up
into
the
northwest
part
of
the
City
of
Toronto
and
I
know.
I.
Thank
you
for
that.
As
the
chair
I
know,
you've
you've
taken
the
lead
on
this
and
and
really
appreciate
it,
and
I
also
want
to
thank
dr.
Davila
and
her
and
her
team
and
her
staff
and
their
efforts.
I
know
this
is
this
is
a
real
real
tough
job.
H
H
You
know
the
pastor
is
aware:
they
have
a
big
site
there.
They
would
welcome
it
as
they
would
welcome
the
unit
the
mobile
unit
there,
and
it
would
be
in
the
middle
of
one
of
your
so-called
hot
spots,
so
hoping
that
somebody
is
making
a
note
of
that
and
they
they
might
follow
up,
will
certainly
follow
up
with
you
as
well.
I
can't
imagine
how
hard
this
is
and
in
the
conversations
that
we've
been
having
with
people
here
on
the
ground.
H
There
drive
myself
there
and
get
tested
because
I
understand
the
importance
of
all
of
this
and
inputted
the
importance
of
containing
this
otherwise
invisible
to
the
naked
eye,
bug
that
you
know
that
that
just
seems
to
want
to
hop
around
all
over
the
place
and
all
over
us.
The
problem
is:
is
that
it
the
bug
itself
camouflages
itself
so
well
in
people
that
experience,
you
know
very
better
with
the
word
you're
using
the
the
the
technical
word
is
asymptomatic,
but
people
who
experience
very
by
way
of
you
know
physical
distraction.
H
Let's
say
you
know
either
sore
throat
or
kind
of
runny
nose.
It's
like
cough,
and
you
know
if,
if
I
live
up
here
and
I'm
struggling
to
survive
and
pay
the
rent,
you
know
bouncing
from
my
you
know,
part-time
jobs
or
or
just
simply
bouncing
trying
to
figure
out.
You
know
how
I'm
going
to
you
know,
connect
to
the
next
dollar,
to
kind
of
you
know
get
by
I'm,
not
watching
the
news.
H
I'm,
not
I'm,
not
on
CNN
I'm,
not
following
all
of
this
stuff,
so
I'm
not
getting
the
information
and,
if
I
feel
a
twitch
in
the
back
of
my
throat,
I,
probably
think
it's
just
kind
of
like.
Oh,
you
know
what
I
didn't
sleep
well
last
night
or
something
I
ate
or
something
I
drank,
or
you
know
you
know
slight
cold
and
I'm
not
going
to
get
myself
to
a
testing
center,
because
it's
very
very
difficult
to
do
that
so
and
the
other
problem
that
we
have
is
we
have
language
barriers.
You
know,
people
aren't.
H
You
know
they're,
not
following
their
stuff,
so
but
I
think
we
need
to
do.
Is
we
need
to
get
a
lot
of
boots
on
the
ground
in
these
neighborhoods
to
find
a
way
to
contain
this
bug,
to
locate
it
and
then
isolate
it
right?
That's
the
way
we're
going
to
deal
with
it
and
I
know
we
use
all
these
terms
about
contact,
tracing
and
all
the
rest
of
it.
H
But
really
you
need
to
get
to
the
folks
that
that
that
where
the
hardware,
the
bug
is
harboring
itself
and
it's
moving
around
it's
hopping
around
because
the
person
doesn't
doesn't
know
or
doesn't
I
feel
the
symptoms
deeply
enough
to
go
get
tested.
So
we
need
to
get
people
out
there
and-
and
what's
been
suggested
to
me
by
the
by
some
of
the
local
people
on
the
ground.
Doing
the
work
up
here
is
what
you
need
to
do.
H
Is
you
need
to
to
activate
that
legion
of
people
that
network
of
people
that
you
have
in
neighborhoods
who
are
disseminating
information
to
others
and
and
connecting
to
volunteers
and
and
and
and
so
on,
and
going
to
these
places
where,
where
people
otherwise
congregate,
where
they
have
to
go
through,
you
know
the
malls
and
the
in
the
shopping
places
where
eventually,
they
have
to
end
up
and
getting
that
information
out
of
there
to
them.
And
in
you
know,
the
variety.
A
H
Language
I
know
it
sounds
like
a
lot
of
work
and
I
know
it
sounds
like
you
need
to
go
out
and
touch
a
lot
of
people,
but
that's
what
we
need
to
do.
If
we're
going
to
be
successful,
that
and
at
finding
the
bug
where
it
loves
to
sort
of
hide
and
hop
around
right
until
then
it
it
bites.
Somebody
who's
who's,
got
these
sort
of
those
Lander
lying
conditions
where
it
could
take
their
lives.
H
That's
that's
what
we
need
to
do
it
I
I,
understand
that
it's
it's
it's
a
monstrous
amount
of
work,
but
but
it,
but
that's
what
you
know
you
got
to
get
the
boots
on
the
ground
and
you
got
it,
and
this
is
what
we
need
to
do
so.
I
appreciate
the
mobile
unit
really
do,
but
if
it
doesn't
come
with
the
bodies
on
the
ground
to
actively
do
that.
H
That
sort
of
that,
like
you,
know
that
touching
of
people,
you
know
locally,
that
you
know
to
to
get
them
to
get
tested
and
then
to
find
the
bug
and
to
isolated
in
those
folks,
then
I've
done
I'm
afraid
that
you
know
it's
just
we
just
keep
going
in
circles
with
it
and
I
and
I
understand
that
I
imagine
dr.
Davila
goes
on
the
night.
It
spends
lots
of
nights
thinking
about
this,
but
but
that's
that's.
Those
are
my
comments
on
this
mr.
chair
and
thank
you
for
for
for
your
help.
In
this
regard,
all.
A
F
F
My
roundtables
on
this
Kovach
19
recovery
is
about
the
mandatory
wearing
of
masks
and
I.
Really
thank
you,
and
they
thank
you
too,
for
the
for
your
leadership
and
for
listening
to
to
them,
and
it
is
very
important
that,
like
I
said
this
is
a
new
virus
and
there
are
the
signs
and
all
that
we
know
that,
and
you
know
you
are
the
experts
and-
and
we
really
appreciate
what
you've
done
to
making
it
a
reality.
F
There
are
many
and
I
also
thank
you,
dr.
Davila,
by
sharing
for
sharing
all
your
touching
stories
of
your
staff
and
I'm
sure
that
there
are
many,
many
other
touching
stories
in
Toronto.
There
are
many
many
tons
of
acts
of
kindness
during
this
Cove
at
19
that,
because
we
are
into
this
together-
and
we
will
is
only
by
collaborating
together
that
we
can
get
through
this
together.
F
It's
very
important
to
be
proactive,
like
I,
have
always
said,
and
to
protect
our
city
from
our
second
wave,
and
this
recommendation
that
there's
before
us
today
is
it's
very
good
and
I
will
support
it.
Just
veterinary
in
in
a
heartbeat,
I
will
I
will
support
this,
because
this
is
really
important
for
us
to
be
proactive.
F
D
Thank
You
Jo
I
also
want
to
commend
you
and
dr.
Davila
and
the
TP
HT
for
your
your
very
hard
work
and
leadership
during
this
time.
I
know
that
were
in
a
new
phase
of
exhaustion
from
all
of
this
and
I.
Just
I
really
want
to
recognize
the
the
leading
work
that
the
city
has
put
in
to
really
trying
to
take
action
on
health,
equity
and
data
and
the
social
determinants
of
health.
D
The
data.
I
also
want
to
recognize
you,
mr.
chair,
because
there
are
some
boards
of
health
and
the
province
that
still
haven't
met,
and
it
isn't.
It
is
important
for
us
to
continue
reflecting
on
the
role
of
a
board
during
a
pandemic.
What's
our
what's
our
place,
what
influence
can
we
have
over?
What's
going
on?
What
do
we
need
to
know,
and
how
do
we
share
that
better
with
the
public?
So
even
today,
for
example,
we
only
had
two
deputies
I
think
we
can
do
better.
D
Where
its
leading
needed,
relying
on
the
expertise
of
community
organizations
who
have
the
trust
of
the
community
and
knowledge
of
the
community
as
well
as
in
those
conversations
about
what
are
the
policy
responses
that
we
might,
we
might
need
into
the
future,
so
I'm
very
happy
to
hear
that
and
I'm
I
think
it's
very
important
for
us
to
recognize
the
importance
of
democracy
and
transparency
in
the
work
around
kovat
as
we
move
away
from.
Maybe
an
initial
highly
centralized
emergency
response
to
something
that
we
can
all
participate
in
a
little
bit.
D
D
We
have
reports
of
people
dying
of
isolation
and
lonliness
of
people
experiencing
significant
cognitive
decline,
significant
physical
and
mental
health
challenges
that
may
not
be
reversible
at
their
age
and
stage,
and
yet
we
still
don't
empower
Emily
and
other
caregivers
to
enter
these
homes
in
a
way
that
is
supportive
of
the
health
and
well-being
of
these
residents.
And
so
I
know
that
dr.
Davila
mentioned
that
this
is
primarily
the
purview
of
the
province.
D
These
are
all
really
critical
on
loneliness
and
isolation
is
a
significant
one
as
well,
and
one
that's
really
become
even
more
significant
in
this
time
of
lockdown
and
isolation.
So
we
we
need
to
not
only
address
the
fundamental
social
determinants
of
those
inequities,
but
also
the
social
needs
that
arise
in
real
time.
So
it's
the
kovat
screening
is
an
opportunity
for
us
to
identify
people's
social
needs
and
meet
them
in
real
time,
and
so
this
is
why
the
bats.
There
we
had
the
work
on
social
prescribing
that
has
been
undertaken
in
New
Jersey.
D
A
You
so
much
last
call
are
there
any
other
speakers
on
this
item?
I
didn't
have
anybody
else,
but
anybody
else
like
to
speak.
Okay,
I
will
speak
here
now
then,
and
let
me
begin
by
placing
the
amendment
that
has
been
advanced
circulated
and
for
everybody's
benefit.
I'll
very
briefly
address
some
of
the
things
that
are
new
in
here
item
to
be
that
the
board
supports
the
expansion
of
active
tío
measures
to
provide
safe
and
physically
distanced
alternatives
for
transit
in
item
3b
as
part
of
the
data
analysis,
as
dr.
A
There
is
to
report
back
on
the
potential
for
social
needs.
Screening
and
referrals
as
director
Mulligan,
which
is
speaking
to
in
number
five
as
part
of
our
recovery
planning
to
consider
food
security,
specifically
food
access,
affordability
and
the
specific
needs
related
to
the
black
community.
And
finally,
as
visiting
member
councillor,
Pruitt
spoke
to
in
item
six,
the
provincial
government
to
ensure
that
their
testing
strategy
is
focusing
and
takes
into
accounts.
The
high-risk
areas
that
are
we're
identifying
in
the
data
analysis
and
that
in
particular
in
our
city,
includes
and
means
the
Northwest.
A
So
I
will
move
those.
It's
been
26
weeks.
I
know
at
the
beginning
of
every
meeting.
I
give
a
bit
of
a
time
check
on
this,
but
it's
been
26
straight
weeks
of
Public
Health
response
on
this
file
and
while
you
know
we're
in
the
midst
of
a
storm
at
times,
you
know
sort
of
take
a
step
back,
and
you
realize
the
profound
tragedy
and
destabilization
that
this
moment
in
history
has
brought
and
it's
hard
to
take
a
step
back
because
we're
so
focused
on
working.
A
But
we
have
no
choice
but
just
to
keep
working.
I
mean
this
is
a
case
where
our
residents
are
counting
on
us,
and
our
city
is
counting
on
us
and
so
amidst
the
storm
we
plow
ahead
and
in
doing
so
as
I
will
do
at
every
meeting
going
forward
and
perhaps
forever
I
will
thank
our
medical
officer
of
Health,
dr.
Davila
again
for
her
unwavering
leadership
and
her
non-stop
work
in
the
entire
Toronto
Public
Health
staff
team.
A
A
We've
always
said
that
we're
gonna
do
everything
always
and
we're
gonna
seek
to
do
it
early
and
we're
gonna,
follow
the
evidence
and
follow
the
experts
and
by
virtue
of
that
approach
we
have
been
as
a
public
health
unit,
the
first
in
the
country
to
do
many
things,
whether
that's
the
collection
and
in
turn,
sharing
of
disaggregated
data.
Whether
that's
the
proposal
here
today
to
initiate
kovat
isolation,
accommodation
options
for
the
under
house
or
whether
that's
in
partnership
with
other
divisions
at
the
city,
the
establishments
of
homeless
recovery
and
isolation
facilities.
A
A
A
Collecting
data
is
the
launching
point
for
further
actions,
and
so
when
it
comes
to
a
potential
second
wave
in
this
country
and
in
this
province
and
in
the
city,
there
will
be
no
excuses.
There
are
no
excuses
to
see
a
repeat
of
what
happened
in
long
term
care.
There
will
be
no
excuses
if
we're
not
ready
in
our
shelters.
There
will
be
no
excuses
in
migrant
arms.
A
But
normal
wasn't
good
enough
for
far
too
many
residents
of
our
city.
The
data
has
exposed
that
it's
those
pre-existing
health
inequities
that
kovat
is
taking
advantage
of
it's
the
people
working
in
precarious
frontline
jobs,
who
are
most
at
risk.
It's
people
living
in
crowded
under
house
settings
who
are
most
at
risk.
A
It
is
racialized
people
who
are
most
at
risk,
and
so,
while
I
desperately
want
to
return
to
normal-
and
we
desperately
want
this
period
in
history
to
end
returning
to
normal-
isn't
good
enough
for
those
we
need
to
take
care
of
and
in
the
world
of
public
health
for
too
long
we've
yelled
and
screamed
about
the
negative
health
consequences
of
poverty.
We've
written
report
after
report
study
after
study
we've
made
endless
recommendations
to
the
city
to
the
province
to
the
federal
government.
Now
is
the
time
for
the
governments
to
act.
A
There
are
no
excuses
in
a
second
wave
anymore.
It's
our
time
and
with
that
I
will
once
again
thank
dr.
Davila
members
of
this
board.
We
have
a
long
road
ahead,
but
we
can't
let
our
residents
down.
Thank
you
very
much
with
that.
We
have
an
amendment
in
front
of
us.
Can
we
is
their
willingness
to
take
the
amendment
along
with
the
staff
recommendations
as
a
package?
A
Okay,
all
right,
I'll
do
this
by
by
way
of
a
hand,
vote
unless
there's
a
request
for
a
recorded
vote,
all
those
in
favor
by
show
of
hands
any
opposed
a
counselor
long
time
your
hand
is
up
for
a
pose.
Does
that
in
favor?
No,
it's
okay,
so
any
opposed
seeing
hands,
seeing
none
that
carries
unanimously.
Thank
you.
A
The
final
item
here
was
a
new
business
item
that
we
put
on
the
agenda.
This
is
item
HL
18.5
I
submitted
it
as
a
letter
of
new
business,
which
is
a
request
for
the
medical
officer
of
health
to
report
by
the
end
of
this
year
on
the
status
of
our
work
regarding
a
public
health
approach
to
community
violence.
Would
anybody
does
anybody
have
any
questions
on
that
item?
A
Okay,
seeing
none
I
will
move
the
speakers.
Anybody
wish
to
speak.
Okay,
seeing
none
I
will
move
the
recommendations
contained
in
the
letter,
all
those
in
favor
opposed
if
any
that
carries,
and
that
takes
us
to
the
end
of
our
meeting.
Thank
you
again,
everybody
for
those
of
you
who
have
the
joy
of
getting
away
or
spending
time
with
your
family
this
weekend.
Please
do
so
safely
and
we
will
talk
to
you
all
very
soon.
Thank
you
again
and
thank
you
to
our
clerk's
staff
here
today
for
all
their
hard
work.
Goodbye
for
now.