►
From YouTube: Board of Health - May 7, 2020
Description
Board of Health, meeting 16, May 7, 2020
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=18668
Meeting Navigation:
0:01:06 - Call to order
Agenda Items:
0:06:55 - HL16.1 - Amendments to Board Procedures to Enable Remote Electronic Participation in Board of Health Meetings During an Emergency (Ward All)
0:12:49 - HL16.2 - COVID-19 Update (Ward All)
0:09:57 - HL16.3 - Proposed Change to the Toronto Urban Health Fund Review and Allocation Process due to COVID-19 (Ward All)
B
A
E
B
Thank
you
very
much
and
welcome.
I
will
officially
now
call
meeting
16
of
the
Board
of
Health
to
order
perhaps
before
I
begin.
I
know
that
members
of
the
public,
and
certainly
members
of
the
board
will
join
me
in
extending
our
deepest
thanks
and
appreciation,
certainly
to
the
clerks
staff
here
at
the
city
for
pulling
this
meeting
together,
but
in
particular
dr.
Eileen,
Davila
or
medical
officer
of
Health.
All
of
our
associate
medical
officers
of
Health
in
the
entire
tph
team.
B
They
have
been
exemplary,
principled,
relentless
and
at
all
times,
compassionate
and
so
wherever
you
are,
whether
you're
watching
on
YouTube,
whether
you're
participating
in
this
meeting
virtually
as
a
board
member
clap
your
hands.
Bang
on
your
desks
wave
your
hands,
you
should
be
deeply
proud
of
our
Toronto
public
health
team
and
the
whole
family,
so
dr.
Davila.
Thank
you.
B
I'd
like
to
welcome
members
of
the
board
to
this
special
meeting
as
well
as
members
of
the
public
following
this
meeting,
is
being
held
using
the
city's
WebEx
technology
with
directors
and
staff
calling
in
or
connecting
by
videoconference
or
attending
in
person
at
Toronto,
City
Hall,
because
we
were
meeting
remotely,
we
ask
for
your
patience
with
any
delays
and
technical
issues.
Members
of
the
public
are
observing
this
meeting
on
YouTube.
This
is
also
the
first
meeting
we've
had
since
the
Declaration
of
an
emergency
at
City
Hall,
where
we
have
deputations
I
know.
B
Those
who
have
registered
are
actually
already
connected
by
phone
and
they
are
registered
to
speak
on
the
second
item.
Although
we
are
in
different
locations
today
and
meeting
remotely,
the
Board
of
Health
acknowledges
the
land
we
are
meeting
on
is
the
traditional
territory
of
many
nations,
including
the
Mississauga's,
the
credit
be
honest,
nabe,
the
Chippewa,
the
Haudenosaunee
and
the
wind
at
people's
and
is
now
home
to
many
diverse
First,
Nations,
Inuit
and
maytee
people's.
We
also
acknowledge
that
Toronto
is
covered
by
treaty
thirteen
with
the
Mississauga's
of
the
credit.
B
Okay,
hearing
none
we'll
proceed
directors,
as
this
is
a
special
meeting
under
the
Board
of
Health's
procedures.
Bylaw,
the
board
is
considering
the
business
on
the
agenda,
not
new
additional
business.
We
do
have
three
items
on
the
agenda.
I
know
the
bulk
of
it
will
be
taken
up
with
the
second
item,
though
we
do
have
two
other
matters
of
routine
course
that
we
need
to
address.
We
do
have
six
deputies
registered
on
the
second
item.
B
I
know
having
spoken
with
all
of
you
in
advance
that
many
of
our
board
members
well,
many
of
you
are
busy.
We
have
people
overseeing
clinics,
we
have
people
in
urgent
conference
calls,
and
so,
while
we
have
structured
this
to
ensure
at
all
times,
we
have
quorum,
I
know
that
many
members
of
the
board
will
be
popping
on
and
off
to
deal
with
other
emergency
matters
while
we're
meeting,
and
so
we
will
do
our
very
best.
B
Let
me
commence
by
going
through
the
order
paper
just
to
and
we'll
begin
the
first
item,
HL
16.1
amendments
to
the
board
procedures
to
enable
remote
electronic
participation
and
Board
of
Health
meetings
during
an
emergency.
We
have
no
deputations
on
this
item.
Would
anybody
like
to
hold
this
item
down?
If
so,
if
you
could
unmute
your
mic.
B
B
D
B
D
B
You
very
much
our
second
item
on
the
agenda
is
item
HL,
16.2,
kovat,
19
update.
We
have
presentations
and
speakers
on
that
item
so
that
will
be
held
down
and
our
third
item
is
L.
16.3
proposed
change
to
the
Toronto
Urban
Health
Fund
review
and
allocation
process
do
to
cope
at
19.
Would
anybody
we
have
no
speakers
on
that
item?
Would
anybody
like
to
hold
that
item
down?
If
so,
I'd
ask
if
you
could
unmute
your
mic
and
indicate
so.
B
B
B
D
A
B
You
very
much
so
that
means
we'll
proceed
to
our
next
item.
I,
see
that
our
board
member
director
Johnson
has
joined
us.
Welcome,
can
I
just
say
off
the
top,
as
we've
just
experienced
that
under
this
new
virtual
scenario,
democracy
may
be
slower,
but
it's
no
less
important.
So
thank
you
all
for
joining
and
thanks
again
to
the
clerks
who
are
helping
facilitate
this.
So
we're
now.
B
Moving
on
to
item
HL,
16.2
kovat
19
update
where
we
have
on
this
item,
six
registered
deputies,
but
as
we
would
always
normally
do
we're
gonna
begin
with
the
staff
presentations.
We
have
a
presentation
from
dr.
Davila.
We
have
a
presentation
from
our
deputy
city
manager,
Julianne
Carboni,
and
a
presentation
from
the
general
manager
of
shelter,
support
and
housing
administration
Maryann
Bedard.
So
we
will
begin
with
those
presentations
followed
by
the
deputations,
and
then
we
will
move
into
committee,
and
so
I
should
also
note
that
it
would
be
at
my
request.
B
We
have
that
members
of
the
board
have
worked
tremendously
hard
on
over
the
last
three
days.
A
package
motion
that
has
will
be
moved
on
this
item.
I
asked
if
that
could
be
advanced
circulated
so
that
the
public
has.
It
has
an
opportunity
to
see
that
well
in
advance
as
well.
So
if
I
could
ask
clerks
to
do
that,
and
at
that
point
then
I'm
going
to
turn
it
over
to
a
face.
You've
all
come
to
see
all
the
time
on
television
who
is
wearing
a
scarf,
as
always
the
people's
doctor,
dr.
H
Thank
You
mr.
chair
and
good
morning,
everybody.
It
is
nice
to
see
you
on
the
screen
and
we
are
now
just
calling
up
the
slides
for
the
presentation
update
to
the
Board
of
Health,
we'll
move
to
the
next
slide.
So
on
the
next
slide.
This
will
just
give
you
an
outline
of
what
will
be
discussed
in
this
brief
presentation
and
I
will
try
to
take
us
through
as
expeditiously
as
possible.
H
We'll
look
first
at
the
response
of
Toronto
Public
Health,
again
at
a
very
high
level,
measures
taken
by
the
other
levels
of
government
in
concert
with
what
we
were
doing
here
locally
through
an
overview
of
kovat
19
data
to
date
and
then
thinking
more
on
a
forward-looking
basis.
What
does
the
future
look
like
and
what
does
the
recovery
phase
in
respective
kovat
19?
H
Look
like
next
slide,
so
taking
us
back,
it
seems
like
a
very
long
time
ago,
but
it
was
only
just
a
few
months
ago
back
in
January
that
there
was
a
new
corona
virus
that
emerged
on
the
scene
in
China,
and
we
now
know
that
the
disease
caused
by
this
new
virus
is
kovat
19.
We
had
our
first
case
locally
here
in
Toronto
towards
the
end
of
January
and
then
shortly
thereafter,
over
the
course
of
the
preceding
weeks
and
days.
H
It
became
more
of
a
significant
issue,
not
just
here,
but
certainly
provincially,
nationally
and
internationally,
and
as
you
can
see
that
as
Toronto
Public
Health,
we
certainly
have
roles
in
respect
of
this
response.
We've
been
a
very
front
and
center
and
those
elements
of
the
response
include
monitoring,
preventing
and
controlling
the
spread
of
kovat
19
as
an
infectious
disease.
Turning
to
the
next
slide,
this
is
a
very
broad
brush
overview
of
the
kinds
of
public
health
measures
that
have
been
implemented
by
Toronto
Public
Health.
H
You'll
have
hardly
heard
me,
speak
to
this
several
times
case
and
contact
tracing
as
the
foundation
of
infectious
disease
follow-up
and
our
prevention
and
control
measures
as
local
public
health
first-ever
class
order
under
the
health
protection
and
promotion
act
to
help
support
the
important
work
that
we
do
in
infectious
disease
control.
This
helped
to
advance
our
efforts
with
respect
to
isolation
and
Quarantine
of
those
who
were
either
diagnosed
with
kovat
19
or
at
high
risk.
H
As
you
can
well
imagine,
turning
to
the
next
slide,
this
gives
you
a
little
bit
of
a
sense
as
to
the
response
metrics
that
we've
had
to
date.
These
numbers,
of
course,
are
constantly
changing
and
the
work
that
we're
doing
constantly
evolves
to
meet
the
needs.
However,
the
principles
underlying
those
measures
and
the
actions
that
we've
taken
have
remained
unchanged.
H
Turning
to
the
next
slide,
this
is
just
a
slide
to
give
you
a
sense
of
the
kinds
of
activities
that
we're
taking
place
over
the
past
several
weeks,
I'm
not
going
to
go
through
all
of
it,
but
suffice
it
to
say
that
the
collaboration
and
coordination
amongst
all
three
levels
of
government
in
response
to
kovat
19
in
this
period
of
time.
You
know
I,
don't
know
of
any
other
time
when
this
level
of
collaboration
has
been
seen,
and
this
level
of
of
coordinated
response,
all
I
can
say
is
that
it
was
truly
remarkable.
H
Turning
to
the
next
slide,
this
again
will
be
a
slide
that
constantly
changes.
The
data
on
this
slide
are
accurate.
As
of
May.
The
fifth
gives
you
a
sense
as
to
the
case
count
that
we've
seen
in
the
city,
thus
far
almost
seven
thousand
by
that
point,
the
recovered
cases
and
what's
actually
happening
here
in
the
city
I.
H
Think
the
important
point
to
bring
out
here
in
respect
of
this
slide
and
as
I've
mentioned
through
public
briefings,
is
that
we
do
have
a
circumstance
where
there
are
in
fact
two
different
outbreaks
that
are
happening
in
our
community.
There
is
one
that
reflects
the
situation
in
the
broader
community,
the
broader
community
and
City
of
Toronto
writ
large
and
a
different
story,
that's
being
told,
and
that
is
unfolding
within
the
context
of
congregate
settings,
most
notably
long-term
care
homes.
H
So,
just
a
couple
of
points
to
bring
to
your
attention:
you'll
notice
that,
when
on
the
the
sort
of
pink
purpley
section
at
the
bottom
right
of
this
slide,
that
describes
the
circumstance
in
our
congregate
settings,
most
notably
the
long-term
care
homes.
There
are
certainly
other
settings
reflected
in
those
data,
but
the
most
most
of
those
data
reflect
what's
happening
in
long-term
care
homes.
H
H
Turning
to
the
next
slide,
knowing
what
we
know
here
at
the
Board
of
Health,
the
important
role
that
we
play
in
public
health
in
terms
of
improving
health
status,
but
in
particular,
seeking
to
reduce
disparities
in
health
status.
It
is
important
to
highlight
that
part
of
our
data
story
involves
understanding
and
establishing
a
better
understanding
as
to
the
differential
impact
of
kovat
19,
whether
there
are
in
fact,
specific
communities
that
are
great
or
have
more
significant
impact
from
kovat
19.
H
We
know
that
other
jurisdictions
are
saying
that
they
are
noting
specific
and
differential
impacts
in
different
sub
communities,
whether
we're
talking
about
those
of
lower
socioeconomic
status
or
particular
ethno.
Racial
groups
that
are
more
severely
impacted
by
kovat
19,
as
has
been
indicated
through
a
number
of
public
briefings,
both
at
the
provincial
level
and
certainly
here
locally.
The
provincial
data
system
and
the
data
which
we
are
required
to
collect
under
their
purview
at
provincial
Public
Health,
does
not
currently
include
socio-demographic
data
collection
and
ethno
racial
data
collection,
in
particular
at
the
individual
level.
H
So
thus
far,
Toronto
Public
Health
has
completed
preliminary
analyses.
Looking
at,
as
you
can
see
here.
On
this
slide
our
case
and
hospitalization
data
by
small
geographic
area
where
cases
live-
and
this
is
again
a
very
preliminary
analysis-
very
challenging
to
take
data
that
is
collected
at
a
group
or
geographic
area
and
try
to
then
bring
it
down
to
the
individual
level.
H
But
what
we
are
seeking
to
do
now
is
to
update
our
information
system
again,
an
information
system
that
was
introduced
in
the
midst
of
this
our
response
to
this
pandemic.
We
are
going
to
be
asking,
though,
once
we're
able
to
effect
these
changes
to
our
information
system,
kovat,
19,
positive
individuals
about
race,
income,
household
size,
indigenous
identity
and
First
Nation
status,
so
that
we
can
get
a
more
fulsome
analysis
of
this
issue
in
our
community.
I
do
also
want
to
highlight,
although
it's
not
specific,
to
socio
demographic
data.
H
We
have
been
doing
work
in
partnership
with
many
in
our
community
and
other
city
divisions,
whether
we're
talking
about
work
in
concert
with
our
shelter,
support
and
housing
administration.
Colleagues,
on
testing
and
helping
to
support
infection
prevention
and
control
in
shelter
and
respite
Center
settings.
We've
done
some
work,
certainly
with
our
colleagues
and
transportation
services.
H
That
particular
case
gave
rise
to
almost
another
four
cases.
That's
what
the
reproductive
number
refers
to
by,
as
we
were
approaching
the
end
of
April.
We
were
getting
that
number
down
to
one,
which
means
that
for
each
case
of
kovat
19
on
average
another
one
more
case
of
kovat
19
was
being
created
as
a
result
or
transmitted.
H
Unfortunately,
we
had
been
hovering
around
one
for
the
last
several
weeks,
just
getting
in
some
information
early
this
morning,
suggesting
that
in
fact,
we
may
be
starting
to
drift
up
a
little
bit.
So
this
is
the
kind
of
thing
that
we
must
constantly
be
vigilant
for
constantly
watching
and
observing
what
is
happening
in
our
community.
So
we
can
go
to
the
next
slide.
H
This
basically
captures
what
I've
just
told
you
of
verbally
speaking
about
what
the
circumstances
were
in
mid-march,
how
physical,
distancing
and
up
the
implementation
of
public
health
measures
writ
large
was
successful
in
terms
of
bringing
down
the
reproductive
number
and
reducing
the
transmission
of
kovat
19
in
our
community
and
where
we
are
seeking
to
get
which
is
bringing
that
report
active
number
below
one.
However,
we
are
just
getting
some
data,
as
I
mentioned.
H
We
do
need
to
start
looking
towards
the
future.
This
is
what
we're
terming
moving
from
kovat
response
to
kovat
recovery
and
rebuild
in
the
city
writ
large.
So
what
do
we
need
to
see?
As
mentioned
earlier,
we
need
to
see
evidence
of
good
Disease
Control
in
the
community,
including
reduced
transmission
as
well
in
congregate
settings.
We
also
want
to
be
sure
that
there
is
sufficient
healthcare
system
capacity.
H
It's
important
to
know
that
we've
seen
circumstances
in
other
jurisdictions
and
we've
seen
the
devastation
that
has
been
wreaked
upon
health
systems
throughout
the
world
and
healthcare
institutions
throughout
the
world.
When
you
have
a
significant
amount
of
kovat
19
activity
that
requires
hospitalization
and
hospital
level
care
and
the
hospitals
are
also
trying
to
attend
to
other
medical
conditions
that
arise.
This
has
been
overwhelming
for
other
health
care
systems
throughout
the
world
and
we
are
absolutely
working
with
our
acute
care
partners
and
others
to
ensure
that
we
don't
find
ourselves
in
that
circumstance
as
well.
H
H
We
need
to
assure
ourselves
that,
from
a
public
health
perspective,
we
are
able
to
provide
not
only
effective
but
extremely
timely
case
and
contact
tracing
and
the
indicator
that
has
been
set
or
the
criterion
that
has
been
set
by
our
provincial
counterparts
is
seeking
to
ensure
that
we
do
all
contact
tracing
within
one
day
going
to
the
next
slide,
just
to
further
elaborate
on
the
principles
that
we
will
be
seeking
to
observe.
As
we
move
from
kovat
response
to
recovery,
it
will
require
a
gradual
easing
of
public
health
measures.
H
We
have
seen
from
other
jurisdictions
that
you
know
throwing
the
door
is
open
and
and
reverting
back
to
the
time.
Pre
public
health
measures
doesn't
make
sense.
In
fact,
it
may
create
all
kinds
of
challenges
both
for
public
health,
for
healthcare
and,
frankly,
for
the
benefit
of
our
community.
We'll
want
to
observe
that
things
are
having
that
that
easing
public
health
measures
is
not
creating
undue
burden
both
in
terms
of
illness
in
the
community
and
on
healthcare.
H
Last
slide.
Just
to
conclude
my
remarks.
Clearly,
this
has
been
an
unprecedented
global
health
emergency.
It
has
required.
You
know,
what's
described
here
on
the
slide
as
a
fulsome
public
health
response.
It
has
pulled
on
every
fibre
of
Toronto,
Public,
Health
and
I
would
say
that
that's
not
unique
to
us
I.
Think
every
public
health
agency
around
the
world
has
felt
that
very
same
poll.
We
will
be
moving
as
we
see
positive
signs
in
respect
of
our
surveillance
from
a
more
covert
response
mode
to
one
that
balances
response
with
recover.
H
So
those
activities
will
have
to
resume
if
I
can,
while
I
have
the
benefit
of
the
microphone.
I
would
like
to
take
just
a
few
moments
and
I
promise
to
be
brief.
Mr.
chair,
first
and
foremost,
I
think
there
are
a
series
of
thanks
that
I
owe
that
Toronto
Public
Health
owes
to
many
of
you
to
you,
mr.
chair,
for
your
undying
support
and
constant
support
to
all
of
us
throughout
this
unprecedented
and
very
challenging
time
to
you,
the
members
of
the
Board
of
Health,
you
have
offered
much
support
and
communicated
our
messages.
H
I
know
through
your
constituencies
and
through
your
networks,
for
that
we
thank
you
to
City
Council
and
to
the
mayor
for
all
that
you
have
done
in
terms
of
supporting
the
public
health
objectives
to
our
colleagues
all
around
the
city
who
have
been
fabulous
partners
and
collaborators
I'm.
Looking
at
one
across
from
me.
She
is
just
one
of
many,
an
important
one,
but
one
of
many
I'm
also
looking
at
one
to
my
left.
The
collaboration
and
support
has
been
truly
truly
amazing
and
very
very
much
appreciated.
H
B
Absolutely
no
apologies
necessary
or
accepted
dr.
Davila,
our
compassionate
Rock
at
all
times.
Thank
you.
We
now
have
two
brief
presentations.
Thank
you
for
for
that
fulsome
presentation.
We
have
a
five
minute
presentation
from
our
deputy
city
manager.
Julianne
Carboni
on
the
range
of
community
and
social
service
supports,
followed
by
a
five-minute
presentation
from
Marianne,
Bedard
and
so
Juliana.
Let
me
turn
it
over
to
you
for
five
minutes.
Please
morning.
I
Everyone
and
Eileen
thank
you
for
your
leadership.
You
are
leaving
this
city,
the
Toronto,
Public
Service,
and
what
you're
doing
is
absolutely
heroic
so
to
you
and
your
team.
Thank
you.
So
I
just
want
to
quickly
highlight
some
of
the
important
work
that
the
program
areas
under
community
and
social
services
are
doing
throughout
this
emergency.
Since
the
onset
of
kovat,
our
teams
have
been
focused
on
strategizing
and
coordinating
supports
for
our
more
vulnerable
population.
We
rapidly
connected
with
our
strong
network
of
community
partners
really
to
assess
and
understand
how
the
pandemic
was
impacting.
I
Families,
communities,
individuals,
neighborhoods,
and
then
we
use
that
knowledge,
as
well
as
our
collective
resources
and
expertise
to
quickly
mobilize
a
host
of
services
to
support
and
protect
vulnerable
Torontonians.
So
the
community,
not-for-profit
sector,
as
you
can
all
appreciate,
has
always
been
a
vital
partner
in
serving
our
residents,
and
that
work
is
even
more
important
now,
during
this
emergency.
So
early
on,
we
at
the
city
established
a
city
community
response
table
with
representatives
from
over
74
agencies
and
11
Division.
I
It
was
meeting
initially
daily
for
the
first
six
weeks,
or
so
we're
now
meeting
three
times
a
week,
and
it's
really
to
identify
and
discuss
issues
that
are
affecting
vulnerable
residents
and
Torontonians
and
to
strategize
on
how
best
to
support
them
and
meet
those
needs
so
working
together.
What
you
see
on
this
slide
is
eight
priority
areas
of
focus
that
were
identified.
There's
areas
of
high
need,
where
we
need
strategies
in
order
to
better
support
our
communities.
I
We
have
teams
assigned
to
each
of
these
priority
areas
and
those
teams
are
working
on,
formulating
and
launching
a
whole
range
of
actions
and
initiatives
to
help
stabilize
the
lives
of
residents,
and
it's
important
to
note
that
within
each
of
these
areas
of
need,
services
are
provided
not
only
by
the
city
but
also
by
our
community
partners
and
other
governments.
So
we
are
really
working
together.
I
Those
the
next
few
slides
are
just
going
to
highlight
some
key
areas
where
our
programs
had
to
step
up
and
rapidly
scale
up
and
transform
in
order
to
effectively
respond
to
what
you
can
imagine
was
ever-changing
and
evolving
needs
within
our
community.
So
long
term
care
was
very
proactive
early
on
on
introducing
infection
prevention
and
control
measures
well
before
the
province
required
such
measures
across
all
homes
and
out
of
the
abundance
of
caution.
All
of
the
city's
ten
city
operated
long-term
care
homes
are
operating
under
strict
outbreak
protocols.
I
The
balance
of
the
staff
testing
will
be
completed
next
week,
I'm
not
going
to
speak
to
the
shelter
enhancement,
because
Marianna
is
separate
presentation
summarizing
the
as
Eileen
put
the
heroic
work
that
she
and
her
teams
have
been
doing
and
continue
to
do
in
terms
of
supporting
our
shelter
clients
through
this
kovat
emergency
and
helping
to
get
people
housed.
But
I
do
want
to
highlight
one
thing
and
that
is
councils
meeting.
I
They
approved
accelerating
our
modular
housing
initiative,
so
we
are
planning
on
having
a
hundred
and
ten
modular
units
completed
and
occupied
by
the
end
of
September,
followed
by
an
additional
hundred
and
forty
and
two
thousand
and
one
so
moving
on
to
the
next
slide.
So
Toronto
was
the
first
municipality
in
Ontario
to
actually
open
up
the
emergency
childcare
centers
that
were
mandated
by
the
province
are
required
by
the
province.
We
started
with
four
we're
now
up
to
seven,
but
unfortunately,
only
six
are
operating
at
the
moment.
I
I
I
appreciate
that,
but
mitigate
them
to
the
fullest
extent
possible
access
to
food
I
have
to
tell
you
is
by
far
the
most
pressing
issue
that
we're
hearing
and
the
city
partnered
early
on
with
Red
Cross
on
a
food
hamper
program
for
seniors
and
other
vulnerable
residents
that
have
to
isolate
and
can't
get
out
to
get
their
food.
The
library
our
Toronto
Public
Library,
really
stepped
up.
We
have
12
library
sites
now
operating
as
food
banks,
and
those
banks
are
staffed
by
library
staff.
I
We
worked
with
public
health
and
we
repurposed
student
nutrition
grants
to
grocery
cards
for
student
families,
so
students
that
would
have
been
able
attended.
Our
nutrition
programs
now
get
a
grocer
a
fifty
dollar
grocery
cart
over
3,000
prepared
meals
have
been
delivered
to
those
in
need,
so
those
that
aren't
able
to
prepare
their
own
food
and
we
are
working
with
our
community
partners
and
hope
to
scale
up
to
14
thousand
meals
per
week.
I
So
Second
Harvest,
United
Way,
the
various
colleges
and
well
as
well
as
some
indigenous
chefs
community
gardens
I,
think
you
all
heard
province
allowed
to
open
up.
So
our
community
gardens
here
at
the
city
opened
this
week
and
the
allotment
plots
will
open
soon.
We
hope
mental
health
we're
seeing
a
very
increased
need
and
we
did
partner
with
two
one
one,
as
well
as
eight
mental
health
providers
and
residents
can
now
call
and
be
connected
by
phone
with
a
warmth
transfer
on
getting
the
supports.
I
We
need
and
I
can
tell
you
that
on
the
senior
side
we
are
seeing
a
dramatic
increase,
even
Red
Cross,
as
people
were
registered,
calling
to
register
for
food
hemp
hampers
the
staff
that
we're
taking.
Those
calls
could
tell
that
the
seniors
were
in
distressed,
so
the
Red
Cross
is
now
also
supporting
that
cause
and
active
when
they
deliver
the
food
hamper.
They
also
offer
our
mental
health
supports
for
those
seniors
on
to
the
next
slide.
So
social
assistance,
if
you
can
imagine,
continues
to
be
very
much
in
need.
I
We
had
five
five
thousand
new
cases
since
kovat
started
and
we're
continuing
to
process
our
o
w
applications
so
that
we
can
support
people.
The
province
did
introduce
a
one-time
benefit
for
covert
related
expenses.
It
was
originally
only
for
two
months
March
and
April.
They
now
extended
it
to
July
and
to
date,
we've
had
30,000
application
that
we've
been
processing.
I
I
Originally,
the
number
of
calls
for
911
services
was
down
10%
early
on
at
the
when
covet
first
hit
now
we're
down
5%
compared
to
next
last
year,
many
telecom
companies
have
stepped
up
and
offered
to
help,
and
so
when
now
we
have
free
Wi-Fi
thanks
to
those
partnerships
and
donations
in
some
of
our
low-income
neighborhoods,
so
25
large
apartment
buildings
and
low-income
neighborhoods
are
being
connected
free
of
charge
for
those
residents
we
have
all
of
our
long-term
care.
Homes
are
now
connected
to
Wi-Fi
and
that's
on
a
permanent
basis
and
four
of
our
shelters.
I
We've
also
had
donations
for
free
food
and
tablets
for
shelters,
for
social
agencies
and
for
vulnerable
residents,
and
this
week,
I'm
very
excited
that
we're
launching
virtual
recreation
and
learning
programs
on
the
city's
website,
and
this
is
just
really
a
sampling
of
everything
that
we're
providing
and
I
can't
commit
to
you
that
we
will
continue
to
work
with
United
Way
and
our
other
community
partners
to
continually
monitor
the
impacts
and
respond
appropriately.
So,
in
terms
of
the
last
slide.
I
Terms
of
next
steps,
as
I
mentioned,
we're
working
to
scale
up
the
food
program.
That's
the
most
pressing
issue
that
we're
seeing
we're
also
focused
on
ensuring
that
we're
leveraging
the
dollars
and
the
resources
that
we're
putting
forward
to
respond
to
kovat
in
a
way
that
can
help
accelerate
our
council's
ten-year
housing
plan.
I
So
the
council
had
adopted
last
year
a
plan
to
build
over
ten
years,
forty
thousand
affordable
housing
units,
18,000
of
which
would
be
supportive
and
as
we
secure
sites
to
create
the
physical
distancing
that
we
need
within
shelters,
we
are
continually
focusing
on
trying
to
acquire
some
of
those
sites
and
our
more
permanent
basis,
so
that,
after
we
get
through
this
emergency,
we
can
convert
those
to
supportive
housing.
We're
planning
in
case
as
Eileen
tells
me
there
might
be
a
second
wave.
So
I
was
a
Girl
Guide.
I
Needless
to
say,
I
think
we
can
all
appreciate
that
when
we
come
out
of
this,
we're
going
to
have
to
operate
and
provide
services
in
the
future
very
differently
than
we
did
postal
pre
kovat
and
we're
hoping
to
learn
through
this
experience
through
this
emergency
and
use
that
those
learnings
to
continually
improve
and
grow
more
resilient
and,
needless
to
say,
our
vulnerable
communities
are
a
very
important
part
of
our
city,
and
we
will
connect
continue
to
partner
with
our
community
agencies
to
ensure
that
they
are
appropriately
supportive.
Thank
you.
Thank.
B
J
You
mr.
chair
and
I'd
like
to
start
my
presentation
also
with
thanking
dr.
Davila
and
her
entire
team.
As
you
can
imagine,
shelter,
support
and
housing
has
needed
to
be
in
lockstep
with
tph
as
we
have
rolled
out
our
plan
and
it's
been
an
incredible
partnership
and
we've
really
benefited
from
your
support.
J
So
thank
you
so,
since
the
onset
of
kovat
19s
sha,
with
support
from
hundreds
of
redeployed
staff
from
across
the
city
as
well
as
critical
community
partnership,
we've
worked
around
the
clock
to
act
swiftly
and
significantly
to
the
challenges
in
front
of
us
and
we
have
continued
to
adjust
and
respond
as
the
pandemic
has
moved
through
the
city.
To
give
you
a
sense
of
the
current
context,
Toronto
has
the
largest
shelter
system
in
Canada,
it's
larger.
J
J
Our
objective
at
the
beginning
was
to
keep
COBIT
19
out
of
the
shelter
system
for
as
long
as
possible
to
allow
us
some
critical
time
for
planning
given
the
scale
of
this
pandemic.
Unfortunately,
we
knew
that,
despite
our
best
efforts,
it
would
only
be
a
matter
of
time
before
it
did
enter
our
shelter
system
and
as
of
May
5th,
there
are
261
confirmed
cases
of
pause
of
COBIT
19
in
our
shelters
and
seven
active
outbreak
sites.
J
So
we
developed
early
on
a
three
tiered
response
that
focused
on
prevention,
mitigation
and
recovery.
The
response
was
based
on
a
strategic
risk
analysis
that
we
did
early
on
and
a
phased
approach,
so
we
could
prioritize
actions
with
the
primary
goal
of
saving
lives
and
ensuring
that
the
healthcare
system
did
not
become
overwhelmed.
Our
response
has
been
intergovernmental
inter-sectoral
and
has
involved
other
city
divisions,
the
provincial
and
federal
government,
provincial
healthcare
sector
and
the
community
nonprofits.
J
We
have
rapidly
implemented
this
plan,
mobilizing
our
response
on
an
urgent
basis
to
be
as
prepared
as
we
can
and
to
stay
that
one
critical
step
ahead
of
a
very
rapidly
evolving
situation
to
delve
a
little
deeper
into
each
tier.
Our
first
aim
was
prevention,
so
the
initial
objective
of
prevention,
keeping
kovat
19
out
of
the
shelter
system.
For
as
long
as
possible,
we
provided
over
6
million
dollars
to
our
community
agencies.
24
hour
rest
respite
sand,
drop-in
centers,
so
that
they
could
increase
their
infection
prevention
and
control
measures.
J
They
could
secure
their
own
personal
protective
equipment
and
they
could
recognize
the
important
work
of
their
staff
by
increasing
their
wages.
We
rapidly
opened
23
new
facilities
and
we
have,
to
date,
moved
1800
almost
1900
as
of
this
morning,
actually
people
out
of
the
shelter
system-
and
this
has
allowed
us
to
create
physical
distancing
within
our
shelters
and
physical
distancing
within
the
new
locations.
J
We
have
secured
hotel
rooms,
we've
opened
temporary
sites
and
community
space.
We've
opened
housing
programs
for
people
in
encampments
and
we
continue
in
those
efforts
so
that
we
can
continue
to
follow
Public
Health
guidelines
and
create
that
all
important
physical
distancing,
our
second
tier,
was
mitigation
and
we
wanted
to
mitigate
the
impact
of
the
pandemic
and
protect
those
in
our
shelter
system.
And
so
we
put
measures
in
place
for
active
screening
testing,
providing
isolation
all
to
slow
the
transmission
of
the
virus
in
the
shelter
system.
J
So
we
implemented
standard
screening
processes
using
Public
Health
guidelines
at
all
points
of
entry,
whether
it's
by
phone
or
in
person.
We
actively
screen
and
monitor
clients
and
staff
at
all
our
sites,
using
a
screening
tool
that
we
developed
transportation
has
been
provided
for
clients
to
assessment
centers
for
testing,
and
we
have
also
continued
to
advocate
vigorously
to
the
province
for
prioritized
testing
in
our
shelter
and
respite
sites.
J
We
also
created
a
dedicated
isolation
program
with
appropriate
health
supports
well
for
those
people
who
are
waiting
test
results,
and
this
was
a
first
in
Canada,
given
a
significant
improvement
in
the
turnaround
time
for
test
results.
This
program
has
now
been
able
to
transition
to
provide
space
for
people
who
were
in
close
contact
of
confirmed
cases
so
that
they
could
isolate
for
a
required
period
of
14
days
to
see
whether
or
not
they
had
contracted
the
virus.
J
J
A
lot
of
the
illness
was
associated
with
people
who
had
traveled,
and
we
realized
that
that
was
critical
for
us
to
keep
the
virus
out
of
the
shelter
system,
and
we
continue
to
work
with
the
federal
government
on
their
border
policy
going
forward
in
the
in
the
future.
The
third
and
final
phase
is
the
all-important
recovery
phase.
We
opened
a
site
for
recovery
for
people
experiencing
homelessness,
who
tested
positive
for
kovat
19.
J
These
are
people
who
are
not
ill
enough
to
be
in
spittle,
but
are
contagious
with
the
virus
and
not
able
to
return
to
the
shelter
system.
So
it's
critically
important
that
they
have
a
place
where
they
could
recover
with
dignity,
and
we
are
preparing
now
to
open
a
second
site.
We
also
know
that,
regardless
of
this
pandemic,
the
best
and
only
solution
to
homelessness
is
to
provide
people
with
permanent
housing.
J
So,
in
addition
to
measures
to
rapidly
rehoused
during
this
current
crisis,
we
are
moving
quickly
to
take
advantage
of
all
the
opportunities
to
advance
longer
term
housing
solutions.
To
date,
we
have
been
successful
in
moving
218
people
into
permanent
housing
through
our
rapid
rehousing
initiative,
housing
allowance
and
rent
geared
to
income
in
our
social
housing.
J
We
are
also
leveraging
investments
for
permanent
housing
and
looking
to
secure
properties
for
long-term
housing
opportunities.
As
deputy
Carboni
referenced.
We
also
recognize
in
a
time
of
economic
uncertainty.
We
did
not
want
to
have
an
increase
in
the
number
of
people
who
who
became
homeless
and
to
that
end,
we've
increased
our
rent
bank
program
by
two
million
dollars
to
ensure
stability
of
low-income
renters
to
stay
in
their
homes.
J
During
this
difficult
time
and
I'd
like
to
thank
City
Council
who,
on
April
13th
of
April
30th,
approved
our
Canada
Ontario,
Housing
Benefit,
which
will
provide
1300,
low-income
households
from
the
centralized
waitlist
with
a
portable
housing
benefit
to
help
with
their
rental
affordability,
and
this
benefit
will
be
rolling
out
this
month.
Our
response
has
been
built
on
a
foundation
of
strong
communication
and
critical
partnerships.
We
have
worked
closely
with
our
sector
networks
to
implement
this
response.
The
toronto
shelter
network,
the
toronto
drop-in
network
and
the
toronto
Alliance
to
End
Homelessness
have
been
critical
partners.
J
We've
been
hosting
regular
webinars
in
partnership
with
Public
Health,
with
our
community
agencies,
sharing
information,
answering
questions
receiving
feedback
on
our
strategy.
We've
had
critical
partnerships
with
the
healthcare
sector,
including
the
inner
city
health
associates,
the
inner
city,
Family
Health,
Team,
University,
Health
Network,
and
the
Toronto
Centre
local
health
integration
network.
J
We've
been
participating
in
the
community
response
table
which
meets
daily
and
includes
representation
for
more
than
30
community
agencies
across
Toronto
and
11
city
divisions
and
we've
been
working
with
the
United
Way
to
coordinate,
supports
across
organizations
and
neighborhoods
and
agencies.
So,
in
addition
to
our
pandemic
response,
we
have
also
been
moving
forward.
Critical
housing
and
shelter
work
that
we
do
on
a
normal
basis
to
ensure
the
ongoing
stability
of
our
system
and
I
would
like
to
recognize
the
incredible
work
of
our
shelter,
support
and
housing.
J
I
consistently
hear
from
people
who
have
been
redeployed
to
the
shelter
system,
how
impressed
and
inspired
they
are
by
the
dedication
of
the
staff
and
shelter
support
in
housing.
They
are
doing
a
critical
role
in
the
programs
that
we
run
and
that
role
is
being
mirrored
in
our
community
agencies
with
our
frontline
shelter
staff.
So
I'd
like
to
thank
every
single
person
out
there
fulfilling
this
function.
Thank
you.
Well,.
B
Thank
you.
Thank
you
for
the
comprehensive
presentations
at
this
point
before
we
move
it
into
committee
for
questions.
We
have
deputations
and
I'm
delighted
we
at
at
our
request,
and
the
team
at
clerk's
has
made
this
possible.
This
is
a
first
for
the
city
since
we've
gone
virtual,
so
we're
gonna
do
our
best.
Thank
you.
So
we
have
six
deputies.
We're
gonna,
hear
them
one
by
one
to
members
of
the
board.
They
are
joining
by
telephone,
and
so
they
will
be
unmuted.
B
They
will
have
five
minutes
and
then
what
I'll
do
at
the
conclusion
of
their
five
minutes
is
I
will
ask
members
of
the
board
to
unmute
and
yourselves.
If
you
have
a
question
and
indicate
your
name
and
say,
question
and
I
will
put
you
on
the
list
so
to
our
speakers.
Our
first
speaker
is
Sarah
Garnett
from
the
Toronto
drug
strategy
implementation
panel
and
the
Toronto
harm-reduction
alliance.
Sarah.
Thank
you
for
holding
tight
with
us
into
Clerk's.
You
can
unmute
Sarah
when
you're
ready,
Sarah
you'll
have
five
minutes.
B
E
E
It
has
an
especially
grim
time
for
those
of
those
worth
working
on
the
front
line
for
many
reasons.
Today,
I'm
here
to
speak
about
overdose,
an
issue
we've
been
fighting
against
for
over
five
years
since
the
crisis
wrapped
up
in
2019
in
Toronto,
approximately
300
people
died
of
an
opiate
overdose
1,200
in
Ontario.
A
recent
report
noted
that
25
Torontonians
overdosed
and
died
last
month,
the
highest
recorded
number
in
September
2017,
there's
almost
one
person
a
day
in
our
city.
Monthly
numbers
will
only
rise
unless
immediate
action
is
taken.
E
E
No
aah
stone
and
space
site
are
not
overdose
prevention
strategies,
their
overdose
response
strategies
and
we
need
true
preventive
care.
The
overdose
crisis
is
unlike
most
public
health
emergencies,
because
we
know
what
needs
we
die.
The
solution
to
end.
This
is
right
at
our
hand,
and
it
is
a
regulated,
safe
supply
of
substances.
E
Headley
has
already
been
made.
There
are
smaller,
safe
to
fly
program,
set
up
these
expansion
of
these
services,
incentives
for
MPs
and
physicians
to
prescribe
resupply
and
for
these
life-saving
drugs
to
be
covered,
so
those
who
are
most
marginalized
and
access
them.
We
need
these
to
give
people
who
use
drugs
options
that
work
and
meet
them,
where
they're
at
methadone
and
suboxone
are
not
realistic
options
for
everyone.
The
terms
like
drug
tolerance
or
withdrawal
required
for
suboxone
create
barriers,
leaving
people
to
medicate
through
the
illicit
market.
E
E
Subscribers
that
have
a
supply
program
such
as
this
have
proven
to
stabilize
people
who
use
drugs,
they're
able
to
focus
on
other
aspects
of
their
well-being,
such
as
physical,
social
and
financial
health.
These
programs
are
an
avenue
for
people
who
don't
normally
access
health
care
to
build
relationships
with
health
care
providers
to
address
other
health
needs.
Not
only
do
they
save
lives
and
they
initiate
preventative
care
and
I.
Think
especially
now,
these
things
are
important
being
said.
E
As
we
sit
at
the
intersection
compounding
crises,
overdose,
housing
and
now
pandemic,
people
face
a
heightened
risk
of
fatal
overdose.
In
addition
to
the
risks
noted
and
counselor
first
letter
I'd
like
to
highlight
a
few
situations
in
particular,
people
are
being
asked
to
stay
home
the
degree
distance
in
order
to
flatten
the
curve
a
protect
society
at
large.
However,
a
standard
overdose
precaution
is
not
use
alone.
E
E
Okay,
people
who
use
drugs
rely
on
community
care
and
ensure
they
are
safe.
Miss
Lake
people
who
use
drugs
are
the
first
real
first
responders
to
the
overdose
crisis
without
safe
supply,
you're
asking
people
to
make
an
impossible
choice
between
curbing
infection
rates
or
putting
themselves
at
risk
of
overdose
without
anyone
being
around
you
respond,
you're,
asking
them
to
the
staff
additionally,
standards.
Overdose
response
is
respiratory
interventions
such
as
rescue
breath.
Again
this
puts
people
at
an
impossible
situation.
E
B
E
So
essentially,
I'm
asking
you
to
take
the
same
notion
of
urgency
to
do
everything
in
your
power
to
run
people
from
having
to
make
these
impossible
choices,
be
champions
in
your
reins
realm,
to
support
a
supply
program
and
bring
the
powerful
notion
that
will
be
held
in
this
room.
The
Minister
of
Health
Christine,
Aguila
Eliot,
the
supplier
is
a
lifeline
Morrocco
and
they
bring
people
back,
but
a
safe
supply
can
prevent
them
from
overdosing
in
the
first
place,
Thank.
B
B
B
K
My
focus
is
sort
of
measures
that
can
be
used
to
address
the
devastating
overdose
crisis
in
North
America
and
on
the
harm
reduction
measures
that
can
be
used
to,
hopefully
reverse
the
trend
of
deaths
that
we've
been
seeing.
I
would
like
to
thank
councillor
persons
letter
to
the
Board
of
Health,
urging
the
province
to
support
the
implementation
of
safe
at
the
PI
program,
in
particular
the
listing
of
high
dose
formulations
of
hydromorphone
on
the
Ontario
drug
benefit.
K
This
is
a
measure
that
urgently
needed
help
us
increase
the
spectrum
of
options
available
to
people
who
use
drugs
and
adjust
the
overdose
crisis.
This
is
particularly
important,
given
the
fact
that
we're
now
facing
intersecting
public
health
crises
with
those
over
those
prices
and
the
Cova
pandemic,
coming
together
to
devastating
effect
on
our
communities
and
I,
just
want
to
thank
Sarah
for
highlighting
some
of
the
devastating
ways
this
is
coming
together
in
our
communities
right
now.
K
Now
the
reason
for
this
visit
elusively
produced
phenols,
are
taking
over
the
drug
supply.
We're
now
at
a
point
where
literally
produced
as
moles
are
responsible
for
82%
of
all
opioid
related
deaths
in
Canada.
According
to
data
from
Health
Canada,
the
number
of
deaths
has
been
increasing
year
over
year.
As
national
has
permeated
the
drug
supply.
K
We
need
to
be
doing
more
as
many
harm
reduction
workers
across
the
city
have
been
making
valiant
attempts
during
these
intersecting
crises
to
support
people
who
use
drugs
in
other
jurisdictions
in
Canada,
like
in
BC
and
Alberta
they've
expanded
their
response
to
the
overdose
crisis
by
expanding
the
range
of
specify
options
available
to
people
to
address
the
contaminated
drug
supply
and
in
BC
in
particular.
The
rapid
expansion
of
this
program
has
led
to
a
decrease
in
the
number
of
overdose
deaths
that
they're,
seeing
quite
simply
in
Ontario.
K
We
need
to
do
the
same
because
apart
programs
are
actually
quite
simple.
They
transition
people
from
the
contaminated
street
sentinel
supply
onto
a
known
dose
of
the
pharmaceutical
opioid
under
the
supervision
of
a
doctor
experienced
in
this
type
of
care
and
Cooper
has
been
offering
high
doses
hydromorphone
as
part
of
a
spectrum
of
options
available
to
people
who
use
drugs
since
2011.
K
This
is
because
there's
no
coverage
available
for
the
medications
necessary
to
run
these
programs
on
the
Ontario
drug
benefit
will
be
unable
to
offer
the
full
range
of
options
for
diverting
people
from
the
contaminated
drug
supplies
until
there's
coverage
for
these
medications
in
our
province,
I
do
hydromorphone
needs
to
be
added
to
the
formulary,
as
requested
in
councilor
per
letter.
But
I
would
also
like
to
note
that
it
needs
to
be
accompanied
by
full
infrastructure
and
staff
and
support
to
run
these
programs
based
on
the
problem.
K
We
need
a
spectrum
of
options
to
address
this
crisis.
I've
been
working
with
a
different
type
of
paper
supply
program
in
Toronto
and
London
to
begin
research
and
evaluation
of
these
programs
and,
while
they're,
incredibly
promising
they're,
still
very,
very
small
because
they
lack
the
court
from
the
provincial
government.
We
desperately
need
a
rapid
expansion
of
broad
and
comprehensive
support
from
all
levels
of
government
working
together
to
address
this
crisis
and,
quite
frankly,
I've
been
frustrated
by
the
slowness
of
the
provincial
response
to
the
crisis
here
in
Ontario.
K
K
I'm,
just
finishing
up
I
would
just
like
to
say
that
I
appreciate
the
Board
of
Health
leadership
in
attempting
to
continue
to
push
the
response
with
devastating
crisis
forward
and
I
strongly
urge
the
Board
of
Health
in
support
counselors
letter
today,
and
also
to
support
the
broad
expansion
of
a
spectrum
of
safe
supply
programs
in
Toronto
to
address
the
overdose
crisis.
Thank
you
very
much.
Jillian.
B
Thank
you
so
much
and
thank
you
for
taking
the
time
I
know
all
speakers
had
to
join
us
early
this
morning.
At
this
point,
let
me
ask
members
of
the
board:
if
you
have
questions,
if
you
could
unmute
yourselves
and
say
your
name
and
your
if
you
have
a
question
okay,
thank
you
very
much
Gillian
our
next
speaker.
If
our
team
here
at
the
clerk's
office
could
get
ready,
is
Jeanette
Bowles
from
st.
Michael's
Hospital,
the
Center
on
drug
policy,
evaluation,
Jeanette
welcome,
are
you
there.
C
Thank
you
so
much
so
thank
you
all
for
allowing
me
the
time
to
speak
today.
My
name
is
dr.
Jeanette,
wolf
and
I'm,
a
postdoctoral
fellow
at
st.
Michael's
Hospital
on
the
Center
on
drug
policy.
Evaluation
I
really
want
to
echo
what
Sarah
and
Joe
and
just
said
for
me
and
hope
to
do
justice
to
supporting
their
work.
C
Since
moving
here,
I've
had
the
privilege
to
work
alongside
some
of
Toronto's
leading
infectious
disease,
physicians
and
epidemiologist,
and
your
abuse
activists
and
with
people
who
use
drugs,
who
seem
to
have
a
consensus
on
how
to
better
the
lives
of
those
experiencing
structural
inner
abilities,
such
as
being
precariously
housed
and
combined
with
substance
use.
So
I've
spent
years
of
my
life
advocating
for
people
who
use
drugs
and
people
who
are
precariously
housed
and
whose
health
and
very
lives
are
at
risk.
C
For
various
reasons,
overdose
crisis
kills
thousands
of
people
in
North
America
each
year,
resulting
in
unending
pain
for
families
and
other
loved
ones,
and
while
incredible
progress
has
been
made
in
expanding
overdose
prevention
in
Canada,
the
rapidly
increasing
variability
in
street
drugs
has
created
an
environment
that
simply
demands
a
rapid
increase
in
effective
fatal
preventative
response
as
well.
Kovach
19
has
sadly
amplified
this.
As
a
case.
C
Fatality
rate
of
fatal
overdoses
has
increased
over
the
last
three
months,
which
is
sadly
unsurprising
to
many
of
us
who
work
in
this
field,
as
we
know
that
isolation
plus
contaminated
street
drugs
are
a
lethal
combination.
Drug
use
and
homelessness
are
also
characterized
by
social
networks
and
social
interactions
that
makes
physical
and
social
distancing
suggestions,
especially
difficult.
C
These
social
behaviors
do
not
simply
stopped
because
of
a
pandemic.
People
who
use
drugs
have
been
living
under
the
duress
of
infectious
disease,
and
while
koban
19
adds
another
layer
is
that
we
end
the
need
for
drugs.
That
being
said,
treacherous
times
such
as
now
do
not
result
in
drug
use.
Reductions
does
anything
economic
uncertainty,
stress
and
fear
of
the
unknown
when
two
increases
in
drug
use.
C
These
conditions
are
preventable
and
keeping
as
many
people
out
of
the
hospital
right
now
as
possible
is
incredibly
important
on
account
of
kovat.
However,
these
issues
are
further
compounded
by
the
fact
that
many
people
who
have
died
of
Cova
are
residents
of
communal
living
facilities.
In
spite
of
best
efforts,
my
employees
to
encourage
encourage
physical
distance
measures,
it
is
simply
an
unmanageable
request
when
people
do
more
than
just
sleep
in
these
spaces
spacing
beds.
Apart
is
not
enough.
These
are
spaces
where
people
dwell
where
they
eat
where
they
live
part
of
their
lives.
C
C
So
to
address
the
confluence
of
these
varying
factors,
impacting
people
who
are
homeless
and
who
use
drugs.
There
are
tangible
things
that
can
be
done
to
start
harm
reduction.
Programs
deserve
enhanced
autonomous
support,
as
they
know
their
community's
best
and
are
similarly
on
providing
essential
services
to
the
people
of
Toronto.
They
are
the
unsung
heroes,
as
in
not
only
with
the
most
marginalized
of
communities,
but
most
ignite.
Us
next
need
housing
and
temporary
individual
spaces
until
permanent
housing
has
been
established.
C
C
Wrapping
up,
finally,
people
who
use
drugs
need
a
safer
supply
of
drugs
considering
a
street
drug.
My
background
in
social
working
public
health
is
always
pointed
to
the
importance
of
the
simple
concept
of
options.
Options
like
buprenorphine
and
methadone,
or
not
enough.
Expanding
options
by
encouraging
and
incentivizing
prescribers
to
prescribe
hydromorphone
are
a
great
start,
but
to
echo
what
Gillian
and
Sara
said,
adding
higher
dose
concentrations
of
hydromorphone
to
the
ODB
injectable
formulations
critical
at
this
time,
as
that
would
result
in
safer
self-isolation
and
less
me
to
break
self-isolation.
B
B
A
C
Apart,
not
being
enough.
It's
that
the
way
that
this
pathogen
seems
to
be
evolving
is
it's
like
rapid
fire
right,
and
so
if
a
few
people
were
to
be
contaminated
and
that
are
living
within
these
facilities,
the
same
way
that
we
have
seen
in
other
shelters
for
folks
who
are
refugees
here
in
Ontario
to
take
off
like
wildfire
the
exact
same
way
in
any
of
in
any
of
the
shelters.
C
And
so
one
of
the
notes
that
I
had
written
down
was
that,
like
the
maximum
capacity
that
was
once
considered
for
a
homeless,
shelter
changed
the
moment
that
a
pandemic
was
struck
so
wrong
maximum
capacity
that
have
once
been
200.
We
really
need
to
redefine
what
maximum
capacity
means
in
these
to
deliver
facilities.
Right
now.
C
B
Okay,
thank
you
any
other
members
of
the
board
with
questions.
If
so,
if
you
could
unmute
yourself
and
indicate
so,
okay
hearing,
none
we're
gonna
go
to
the
next
speaker
just
before
we
do
can
I
take
a
moment
to
comment
on
councilor
Layton's
beard,
which
I
think
is
growing
in
Marvis
marvelously.
Well,
our
next
speaker
is
Aaron
Kaplan
from
the
Toronto
st.
Paul's
tenant
associations.
Network
Aaron.
Are
you
there
on
the
line?
Yes,
I
am
Aaron.
Thank
you
so
much
joining
what
whenever
you'd
like,
you
can
start
an
awl
begin,
your
timer.
L
L
L
As
long
as
Kovac
19
remains
widespread,
it's
important
that
tenants
receive
the
information
they
need
to
protect
themselves
and
their
neighbors
of
such.
We
have
requested
that
when
a
confirmed
case
of
kovat
19
occurs
in
a
multi
dwelling
residential
building
toronto,
public
health
place
a
notice
in
the
building
lobby,
informing
tenants,
something
like
the
following.
Your
building
has
one
or
more
units
where
the
residing
tenant
have
tested
positive
for
Kovac
19.
The
affected
tenants
are
currently
self
isolating
and
will
not
be
leaving
their
unit
until
Toronto
Public
Health
has
confirmed
that
they
have
recovered.
L
Please
take
extra
precaution
arey
that
extra
precautions
when
exiting
and
entering
your
apartment
unit.
The
further
information
is
required.
Please
contact
Toronto,
Public
Health.
Please
note
that
this
proposed
notice
does
not
identify
the
cove
at
19
positive,
tenant
in
any
way
and
so
does
not
infringe
upon
their
privacy.
Despite
raising
concerns
with
Toronto
Public
Health
regarding
notice
of
kovat
19
cases
in
buildings,
their
response
has
not
changed.
Tph
is
doing
contact
tracing
on
each
Cove
in
19
case
and
will
make
decisions
on
how
to
share
the
information
on
a
case-by-case
basis.
L
This
is
an
unconscionable
response.
Tenants
live
in
a
congregate
setting
and
deserve
better
protection
from
Toronto
Public
Health
tph
has
never
offered
an
explanation
of
why
it's
not
feasible
to
place
notices
of
kovat
19
positive
cases
in
apartment
buildings.
The
benefit
of
posting
informative
warning
notices
that
impose
no.
B
L
Have
provided
great
value
to
the
neighbors
of
the
infected
would
seem
to
be
self-evident
for
the
same
reason,
other
warning
signs
such
as
folly,
nice,
very
gas
line
and
children
at
play
are
valuable.
Public
notices
is
with
very
deep
regret
that
we
know
that
Toronto
Public
Health
preliminary
analysis
released
yesterday
suggests
that
people
living
in
areas
that
have
the
highest
portion
proportion
of
low-income
earners.
Recent
immigrants
and
high
unemployment
and
unemployment
rates
at
higher
rates
of
covin
19
cases
and
hospitalizations.
L
Better
understand
and
strengthen
capacity
dress.
These
issues
Toronto
Public
Health,
is
adding
socio-demographic
questions
to
their
case
and
contact
tracking
management
process.
Why
is
the
type
of
residence
of
kovat
19
cases
not
included
in
the
proposed
additional
associate
demographic
questions?
The
preliminary
analysis
of
gph
only
strengthens
the
argument
that
residents
of
apartment
buildings
needs
to
be
aware
of
positive
cases
in
their
building.
L
As
the
majority
of
these
subgroups
live
in
apartment
buildings,
when
the
first
wave
of
kovat
19
is
over
a
comparison
of
the
positive
cases
and
private
residents
versus
apartment
buildings
will
determine
the
validity
of
our
concern.
Let
us
hope
that
there
is
not
that
there
will
not
be
a
covet
90
note
break
in
any
apartment
building
in
Toronto
airing.
B
B
M
Yes,
good
morning,
I
am
my
name,
is
Helen
Chile's
and
I
am
a
tenant,
a
tenant
right
advocate
and
chair
of
our
apartment,
building,
tenant
group
and
also
a
member
of
the
city's
public
Advisory
Committee
on
affordable
housing.
Today,
though,
I
am
speaking
as
a
resident
who
calls
our
great
city
of
Toronto
home.
Firstly,
I
would
like
to
thank
Toronto's
Board
of
Health
for
everything
you
do
keeping
helping
to
keep
truant
onehans,
healthy
and
safe
during
this
most
unprecedented
time.
Thank
you
all.
M
All
that
nineteen
has
created
a
new
normal
businesses,
closed
people
on
lockdown,
our
essential
frontline
workers
or
health
care
professionals
and
their
public
servants
work
tirelessly
to
keep
all
of
us
healthy
and
safe.
Thank
you.
Toronto's
Board
of
Health
makes
critical
decisions
to
ensure
public
health
and
safety
comes
first
and
foremost,
it's
a
great
mantra,
but
with
every
approach
great
areas
remain.
It
is
inevitable,
most
especially
during
a
worldwide
pandemic,
which
will
forever
define
who
we
truly
are
by
how,
though
we
treat
those
most
in
need.
M
Our
vulnerable
are
homeless,
our
disabled,
our
seniors
and
the
hundreds
of
thousands
of
Toronto's
residential
tenants
living
in
congregated
housing
settings
apartment
building.
At
the
beginning
of
the
pandemic,
Toronto
Public
Health
stepped
in
and
began
releasing
guidelines
for
landlords
of
apartment
building
physical
distancing
posters
were
produced.
This
infection
recommend
the
recommendations
released
and
therein
lies
the
grey
zone.
Recommendation
and
guidelines
are
merely
suggestions.
M
Landlords
are
left
with
determining
how
to
apply
these
recommendations
and
guidelines.
Self-Regulation
rarely
works
at
the
best
of
times.
That
is
why
provincial
laws
are
written
and
municipal
bylaws
follow
during
a
time
of
crisis.
We
must
never
forget
that
existing
laws
cannot
be
put
on
the
sidebar
I
have
been
connecting
with
hundreds
of
residential
tenants
across
our
great
city
and
vast
province
at
the
top
of
people's
concern
is
paying
the
rent
and
putting
food
on
the
table.
Many
continue
to
experience,
elevated
levels
of
anxiety
and
stress
mental
health
is
a
public
health
matter.
M
Many
tenants
are
also
very
concerned
about
the
health
and
safety
of
their
homes,
homes,
which
they
rent
their
living
environment,
controlled
by
the
landlord.
After
decades
of
advocating
for
tenant
rights.
This
inequality
led
to
the
creation
of
the
run
safe
program
and
the
apartment
buildings
chapter
three
five
four.
Yet
today,
during
our
most
critical
juncture
during
the
pandemic,
municipal
licensing
and
standards,
rental
enforcement
has
come
to
a
standstill.
Tenants
understand
they
need
to
wait
for
repairs.
M
They
are
now
in
kovat,
19
lockdown,
but
worrying
about
whether
their
landlord
is
following
Public
Health
guidelines
in
apartment
buildings
is
out
of
their
control.
Mls
have
stated
that
the
city
is
communicating
directly
with
landlords
urging
them
to
adopt
new
public
health
and
safety.
Measure.
Tenants,
however,
are
left
out
of
the
equation.
Who
is
communicating
with
Tenace
tenants
who
pay
their
fair
share
of
property
taxes,
some
even
paying
as
much
as
almost
three
times
more
than
the
average
homeowner?
This
is
not
new.
Tenants
are
sadly
often
an
afterthought.
Tenants
continue
to
report.
M
Cleaning
plans
approved
by
MLS
have
not
been
adhere
to.
Disinfection
practices
remain
in
the
hands
of
landlords.
Discretion.
Staffing
levels
mostly
remain
the
same.
Some
landlords
are
claiming
more
cleaners
have
been
hired,
yet
we
are
still
waiting.
In
fact,
cleaning
levels
have
decree
and
many
apartment
buildings
throughout
the
city.
Tenants
also
worry
about
who
exactly
is
training
cleaners
in
disinfection,
best
practices,
cleaning
and
disinfection
are
not
the
same.
Tenants
also
worried
about
how
landlords
are
actually
maintaining
good
housekeeping
levels.
M
Reporting
reduced
cleaning
services,
tenants
are
left,
wondering
worrying
stressed
about
their
families,
health
and
safety.
Water
shutdowns
are
a
constant
revolving
door
in
older
building.
Now
during
the
pandemic,
tenants
are
left,
worrying
and
stressed
about
washing
their
hands
and
disinfecting
their
home.
Our
first
line
of
defense
to
help
stop
the
transmission
and
spread
of
ghovat
19
in
my
building.
We
have
had
for
water
disruptions
over
the
past
10
days.
Only.
M
We're
also
concerned
about
elevator
overcrowding,
signage.
Now
it's
the
time.
Businesses
are
slowly,
reopening
parks
and
trails
will
be
available
for
our
enjoyment
and
exercise.
People
will
be
coming
and
going
a
lockdown
is
starting
to
come
coming
to
ease,
hope
is
in
the
air.
Tenants
will
be
leaving
their
apartments
more.
Originally,
such
wonderful
news
so
much
hope.
B
B
N
Thank
you,
I
wanna,
thank
especially
dr.
Davila,
our
medical
office
chief,
who
I
met
when
she
was
leaving
the
P
region
and
was
amazing
and
I,
was
extremely
happy
when
she
came
to
Toronto
from
very
glad
that
she's
leading
and
I.
Thank
you
for
mazing
effort,
as
well
as
counsel
with
yo
crazy,
who
we
are
really
lucky
that
you
have
been
leading
the
process
through
this
period.
N
I
also
want
to
mention
that
we
have
a
dream
team
on
the
Board
of
Health
and
I
was
very
happy
last
year
when
it
was
appointed,
and
now
because
this
team,
the
Board
of
Health,
both,
has
health
policy
and
addresses
City
Council
on
broad
range
of
health
issues.
On
quote
so
in
some
ways
it's
wonders.
Is
it
comprehensible
that
you
have
not
met
or
four
months
in
the
middle
of
this
crisis?
N
Maybe
you
have
had
lots
of
informal
conversations,
but
nothing
like
this
energy
working
together
with
all
respect,
as
in
you
should
be
meeting
at
least
every
other
week
for
a
couple
of
hours,
and
it
would
be
a
the
board-
would
provide
a
fantastic
sounding
board
for
dr.
Davila
and
for
the
city
to
move
forward.
I
want
to
mention
that
I
totally
agree
on
support
wholeheartedly.
Every
policy
and
I
think
99%
of
Torontonians
use
issues
like
physical
distance.
No,
there
is
no
question
on
that.
So
I
just
want
to
make
some
suggestions
briefly
on
the.
How?
N
Because
we
have
a
gonna,
have
a
huge
mental
crisis.
Lcbo
liquor,
they're
selling
their
sales
are
way
up.
Domestic
violence
is
up
pills
for
depression
anxiety,
our
app,
so
we
need
to
work
on
this
so
specific
recommendations.
Hi
Park
I
partner,
with
close
I,
suggest
in
it
that,
while
it's
close
to
adapt
the
loop,
the
cookie
limited
loop
for
one
year
pilot
until
maybe
kind
of
that
day,
2021
where
the
sidewalk
will
be
to
walk
a
bike
lanes
will
be
for
people
warning
and
where
their
cars
are
on,
that
loop
would
be
for
people
cycling.
N
It
fantastic
easy
to
do
and
you
will
be
grateful
for
the
year
number
two
required
streets
that
maher
tori
mentioned
yesterday.
I
think
it's
a
good
start,
but
I
also
want
to
highlight
that
fifty
kilometers
is
not
enough
because
doctors,
they
be
less
concerned
about
gathering
the
only
way
of
not
having
gathering
is
we
have
big
city
wide.
A
city
like
Oakland
has
a
hundred
and
thirty
kilometer.
They
did
it
in
24
hours.
One
day
they
mayor
said
then
I
say
a
hundred
and
thirteen
kilometers
of
slow
Street.
That
is
the
same.
N
Consider
of
quiet
street,
and
this
is
totally
the
one
I
suggest
to
prioritize
areas
with
low
power
supply,
as
well
as
the
areas
with
heightened
next
bike
corridors
for
bike
corridors.
We
need
the
essential
services
people
need
to
get
to
places
now
and
in
the
period
of
transition.
So
we
need
connectivity.
We
need
citywide.
Let's
keep
in
mind
that
city
that
we
like
to
think
that
are
similar
to
Toronto
like
Paris
or
Rome
or
New.
York
are
doing
more
than
150
kilometers.
Each
Toronto
is
very
small.
It's
only
20
by
40
kilometers.
N
We
should
have
at
least
three
years
with
Mississauga
to
the
beaches
and
at
least
six
north-south.
So
this
is
totally
dude,
but
it
has
to
be
sitting
while
otherwise
he
will
not
work
on
like
a
glint
of
blue
and
kingpins
way
and
then
six
North,
our
next
I
suggest
to
have
open
streets.
We've
had
open
space
and
with
a
huge
support
of
councillor
long
time
for
the
philosophy
only
for
two
days
a
year.
I
think
we
should
have
it
from
now
till
October.
N
Every
Sunday
we
should
have
blue
and
young
glow
from
Mississauga
to
the
beaches
and
young
from
the
401
to
Lake.
Ontario
have
open
three
hundred
city
funded
is
do
all
and
people
so
I.
Guess
when
I
end
by
saying
that
this
has
been
a
horrible
crisis
and
I'm
very
happy
that
you
have
appointed
an
office
of
recovery
with
two
fantastic
people,
dr.
Moore,
what
is
great
as
well
as
mr.
Sal,
Rossi
and
I-
think
they
should
be
both
I
think
that
they
have
a
very
broad
mandate.
N
I
hope
they
take
advantage
of
this,
because,
with
all
of
the
people
that
have
died
and
all
of
the
sacrifices
by
everyone
in
the
city,
the
future
has
to
be
much
better.
We
cannot
go
back
to
how
we
were
four
months
ago.
The
future
has
to
be
more
equitable,
more
sustainable
and
healthier
for
all.
So
in
order
for
the
future
to
be
better,
we
need
to
act
today
and
in
the
process
of
transition
that
is
going
to
be
12
to
18
months,
so
I
thank
everyone.
B
O
Yes,
thank
you
very
much
and
thank
you
Gil
for
your
presentation.
I
hope
everyone
can
hear
me
properly.
Gil
I
understand
that
the
other
cities
have
somehow
been
able
to
sort
of
magnify
the
the
responses
around
opening
the
streets
in
in
the
City
of
Toronto.
We've
heard
that
we
have
some
limitations
with
respect
to
staffing
levels
that
transportation
services
I
recognize
they're,
not
here
to
to
add
to
them
my
comments
but
but
they're
there.
O
N
Well,
thank
you
very
much.
The
council
time
by
the
way,
I
want
to
thank
yours
for
your
constant
concern
for
equity,
because
you
continue,
focusing
or-
and
we
have
big
big
promise
of
equity,
but
we
got
to
the
street.
You
don't
need
a
lot
of
people
and
you
need
almost
nothing.
I
mean
Oakland
did
113
kilometers
in
24
hours
over
70
miles
Oakland
by
the
way
Oakland
has
only
20%
of
Toronto's
population
so
when
they
are
doing
113
kilometers,
that
means
that
maybe
we
should
be
doing
500
kilometers.
N
This
is
what
what
is
quiet
street
or
slow
street
is
a
simple
concept.
There
should
be
not
through
traffic
on
neighborhood
streets,
so
you
close
the
through
traffic.
You
only
allow
local
traffic,
but
at
only
15,
km/h,
very
slow
and
only
local,
so
people
can
go
out
and
work
and
run
and
do
physical,
acting
physical
distance,
New
York
is
doing
this
a
similar
more
than
a
hundred
kilometers
and
what
is
New
York
doing.
Initially
they
did
a
sample
with
lots
of
police,
and
it
was
horrible,
didn't
work.
N
Now
they
have
done
340
miles,
which
is
about
66
kilometers
or
most
with
no
police
it
just
put
in
pylons
and
they
and
posters
I
think
we
need
to
trust
the
citizens.
I
think
what
are
the
things
that
citizens
have
Hey
this
on
the
process
if
they
barricades
on
the
high
part,
because
it
was
so
aggressive
and
I'm
sure
that
99%
would
have
obey
we
just
put
in
some
posters.
So
so
that
is
really
simple.
N
We
could
have
used
all
the
tile
on
that
have
gone
on
maja
on
no
hot
water
to
do
blue
as
a
bike
corridor
from
beaches.
So
it's
very
low
intensive
in
in
people
I
think
we
also
have
70%
fewer
cars
so
and
people
are
in
the
mood
that
people
are
respecting
so
I
think
it
is
lots
of
pylons,
lots
of
green
lots,
of
yellow
tape
and
and
I
mean
and
and
that's
how
these
cities
are
doing.
O
Do
I
just
have
one
fall
off
question
with
respect
to
the
health
benefits,
because
I
think
that
there's
been
lots
of.
Obviously
we
don't
want
to
send
the
wrong
message
to
say
you
should
come
out
and
congregate
in
these
spaces,
because
us
that's
not
be
that
that
would
offer
undo
all
the
hard
work
and
personal
sacrifices
of
Torontonians
in
the
city,
and
we
will
we
won't
be
flattening
the
curve.
But
what
are
the
other
health
benefits
of
actually
creating
the
additional
space
for
people?
N
That's
a
critical
point:
they
are
not
doing
this
as
a
mobility,
as
a
priority
number
one
is
healthy,
is
Haro
deal
with
physical
with
mental
and
emotional
health.
We
all
of
the
indicators
in
all
of
the
cities
that
have
locked
down
have
shown
that
the
Messick
violence
has
increased
in
London
in
the
UK.
They
are
arrested
more
than
a
hundred
people
daily
for
physical
violence
in
Toronto
we
have
the
hotel
for
physical
violence,
and
a
lot
of
this
is
when
people
we
need
to
remember.
Remember
that
lots
and
lots
of
cities
is
huge.
N
Probably
over
a
million
people
living
in
in
condos
that
are
very
small,
might
be
500
square
feet
and
we
have
families
and
people
used
to
go
outside
with
when
you
live
in
small
condos.
You
almost
don't
live
there.
You
sleep
there.
You
live
outside
on
the
sidewalk
on
the
street
on
the
parks,
so
all
of
the
sudden
we
are
confined
and
it
becomes
a
huge
crisis.
N
So
one
people
need
a
physical
activity
and
to
the
physical
activity
alone,
increase,
improves
mental
and
emotional,
and
that
is
one
of
the
reasons
that
way
we
see
the
World
Health
Organization
today
is
promoting
people
to
go
out
and
work.
The
medical
offices
of
British
Columbia
same
please
go
outside
the
risk
of
catching
a
virus
outside
is
infinitesimal.
N
We
must
remember
that
most
of
the
people
that
are
dying
or
the
crisis
are
in
long
term
homes,
mostly
also
because
of
bad
management,
that
we
have
employed
people
that
work
two
days
in
one
to
this
in
another
two
days
in
another
and
then
were
carrying
the
virus.
But
we,
medical
offices
in
many
places,
are
saying
that
is
infinitesimal
probability
of
someone
catching
it
on
the
park
and
also
this
is
not
ready
for
one
or
two
months
now.
N
B
Okay,
hearing
none
and
welcome
to
board
member
Sue
Wong
who
has
joined
us
as
well.
So
thank
you
to
all
our
deputies.
That
concludes
our
deputies.
Thank
you
again
to
clerks
for
working
so
hard.
We
were
the
first
to
try
this
out
and
I
think
it
shows
that
it
works.
So
we're
now
gonna
move
on
this
item
into
committee.
This
is
where
we're
gonna
open
it
up
to
two
questions
from
committee
members
for
staff.
Again
we
have
dr.
Davila,
Julianne
Carbone,
a
and
Marianne
Bedard
here
could
I
ask
at
this
point.
B
If
you
could
unmute
and
tell
them
indicate
if
you
are
having,
if
you
will
have
questions
and
I
will
start
a
list.
So
if
you
just
want
to
unmute
I
see
raising
a
finger,
cape
mulligan,
actually
I
can
see
your
hand
so
Kate.
Does
anybody
put
up
your
hand?
If
you
don't
have
questions
okay,
so
Angela
ensue,
so
I
have
everybody
else:
okay,
we're
gonna
get
started,
then
I'm
gonna
work
my
way
from
bottom
to
the
top
on
my
screen
into
a
no
particular
order.
O
You
very
much
again
mr.
chair
with
respect
to
the
testing
and
the
speeding
up
of
testing.
There
was
an
announcement
made
by
the
premier
that
this
was
supposed
to
be
in
the
hands
of
the
local
health
units,
local
health
units
all
pushed
back
and
said:
no,
no,
no!
This
is
coordinated
by
the
province.
Where
did
that
conversation
end
up?
Did
we
find
a
resolution
to
that.
H
Though,
through
the
chair
testing
is
firmly
within
the
purview
of
the
province,
that
is
something
that
they
have
been
responsible
for
with
respect
to
testing
in
long-term
care
in
particular,
which
is
where
I
think
the
questions
arose.
Public
Health
has
local
public
health
has
stepped
in
to
support
the
activities
along
with
acute
care
partners,
and
we
are
happy
to
support,
even
though
this
isn't
within
our
regular
purview.
Just
given
the
circumstances.
H
O
You
and
for
organizing
with
our
frontline
workers,
who
are
working
in
city
funded,
but
perhaps
not
city,
operated,
shelters
or
drop-ins.
Those
organizations
that
are
still
remaining
opening
open
a
lot
of
food
handling,
type
of
food
bank
organizations.
They
have
written
a
letter
asking
for
PPEs
and
and
they're
there
they're
being
advised
that
they
need
to
go
through
the
province
and
and
at
the
same
time,
once
they
get
to
the
provincial
level
of
communication
it
goes
quiet.
Can
we
do
to
support,
especially
the
Downtown
East
service
providers,
who
specifically
flag
that
they
need
PPS?
I
Response
care,
I
counselor
wrong
time.
Ssh
a
did,
provide
additional
funding
to
the
shelter
operator,
so
they
have
some
resources
of
financial
resources
to
purchase
ppes.
We
are
working
through
the
EOC
to
make
sure
the
province.
I
understands
the
need,
and
hopefully
we
can
help
meet
that
supply
and
Maryann
might
be
able
to
augment.
J
Thank
you
yes,
counselor
long
time,
I
am
happy
to
let
you
know
that,
as
of
yesterday,
we
made
an
announcement
that
we
would
be
providing
masks
to
all
shelters
for
frontline
staff.
It's
about
thirty
five
thousand
masks
a
week
and
we'll
start
distributing
those
in
the
in
the
next
few
days.
Even
though
that
is
a
above
and
beyond
the
public
health
guidelines,
we
did
want
to
recognize
the
importance
of
frontline
workers
and
also
the
vulnerability
of
shelter
clients.
O
J
Yes,
so
through
the
chair
council
long
time,
we
have
received
some
financial
support
from
the
federal
and
provincial
government.
We've
received
21
million
dollars
from
the
federal
government
and
thirty-nine
million
dollars
from
the
province,
which
is
very
much
appreciated.
However,
the
response
that
we
have
put
in
place
to
adequately
respond
to
the
pandemic
if
we
maintain
this
to
the
end
of
the
year,
is
going
to
cost
in
the
region
of
200
million
dollars.
So,
as
you
can
see,
the
the
level
of
funding
we've
received
to
date
is
not
adequate
to
meet
the
need.
J
That's
also
operating
money
and
doesn't
provide
us
some
support
to
use
this
as
an
opportunity
to
have
capital
money
to
purchase
properties
for
long
term
solutions.
So
we
continue
to
have
those
discussions
at
the
provincial
and
federal
level
to
encourage
our
partners
to
come
to
the
table
with
additional
operating,
but
also
more
critically,
the
the
capital
money
for
long-term
solutions.
B
If
I
counselor
were
just
at
five
minutes,
we'll
go
through
the
first
list
with
speakers
up
with
questions
and
then
see
if
people
want
additional
rounds,
if
that's
okay,
so
I'm
working
in
reverse
alphabetical
order
here.
So
our
next
director
for
questions
is
Peter
Wong
and
who
will
be
followed
by
counselor
perks.
So
director
Wang
I'm
going
to
turn
it
over
to
you
and
counts
the
wrong
time.
I
know
you're
going
to
take
the
chair
for
a
few
minutes.
B
A
H
Sure,
thank
you
and,
through
the
chair,
I,
think
a
couple
of
things
that
need
to
be
considered
when
we're
talking
about
best
practices
for
testing.
Certainly
a
more
you
know,
testing
that
actually
covers
the
entirety
of
the
population
and
gives
us
a
sense
as
to
disease.
Transmission
throughout
the
community
would
be
one
element
and
and
having
sufficient
turnaround
times,
having
better
reporting
mechanisms
from
laboratory
very
timely
reporting
mechanisms
from
the
lab
to
us
at
local
Public
Health,
so
that
we
can
affect
our
actions
on
an
as-needed
basis
and
I'm
just
trying
to
think
through.
H
Certainly,
we
know
that
what
we
also
want
to
have
is
that
that
the
testing
in
and
of
itself
is
the
easy
part.
The
challenging
part
is
making
sure
that
there
are
viable
pathways
for
those
who
are
actually
tested
in
order
that
they
can
comply
with
the
appropriate
recommendations,
either
to
isolate
or
quarantine.
As
the
case
may
be
so
I
think
those
are
the
key
elements
when
we're
talking
about
what
makes
most
sense
and
what
is
optimal
in
terms
of
testing.
H
Testing
is
under
the
provincial
purview,
so
I
know
that
our
provincial
counterparts
are
exploring
many
possibilities
and
certainly
we're
pushing
on
a
number
of
those
aspects.
We
are
actually
piloting
a
number
of
initiatives
with
our
labs
and
with
assessment
centres
to
see
if
we
can
bring
down
the
time
from
notification
of
a
positive
test
to
having
that
result
in
our
hands
in
public
health.
So
we
can
then
do
the
appropriate
follow-up.
H
I
think
there
are
also
some
conversations
that
are
continuing
to
progress
in
respect
of
how
we
create
those
pathways
for
individuals
who
test
positive
and
those
who
are
at
high
risk
of
becoming
positive,
there's
still
much
work.
That
needs
to
be
done,
but
there
is
time
for
us
to
be
able
to
effect
better
strategies
and
solutions,
particularly
as
we
expect
we're
going
to
be
living
with
kovat
19
for
many
months
on
a
go-forward
basis.
A
Thank
you,
I'm,
not
sure
who
can
answer
the
next
question.
We've
we've
been
giving
some
presentations
about
actions
taken
around
the
shelter's
and
long-term
care
homes.
There
are
some
other
congregate
living
situations
that
I
haven't
heard
as
much
about
thinking
here
of
personal
care,
rooming
houses,
group
homes,
board
of
housing,
for-profit
rooming
houses
wondering
what
work
we
are
undertaking,
try
to
make
sure
that
we
don't
have
outbreaks
in
those
congregate
settings.
J
Through
the
through
the
chair
and
I'm,
just
realizing
I
need
to
look
this
way
and
not
look
at
your
picture.
Counselor
perks.
So,
yes,
those
are.
Those
are
also
very
important.
Congregate
settings,
unlike
shelters
where
the
City
of
Toronto
is
the
service
system
manager
with
direct
responsibility
for
that
system.
J
Those
congregate
settings
are
under
the
purview
of
the
province.
However,
we
do
continue
to
try
to
support
that
sector
with
the
issues
that
they
are,
that
they're
facing
we're,
having
conversations
with
them
regarding
recovery
opportunities
for
people
in
congregate,
settings
who
test
positive
for
kovat
19
and
providing
them
access
to
our
recovery
sites-
and
you
know
we
do
include
that
that
important
element
in
our
community-based
table
with
organizations
that
support
the
broader
community
but
specific
to
those
locations.
They
are
under
the
purview
of
the
provincial
government.
B
A
A
J
So
through
the
chair,
counselor
perks,
yes,
I
mean
it
is
very
difficult
for
them,
lacking
the
infrastructure
to
to
provide
that
role.
We
would
be
more
than
happy
to
to
support
those
actions
if
the
province
were
to
provide
us
with
those
resources.
As
I
said,
we
continue
to
have
those
discussions
at
the
provincial
level.
We
continue
to
advocate
for
the
sector's
at
large
and
we
will
continue
to
have
those
conversations
Thank.
B
G
Very
much
chair
and
I
want
to
convey
my
deep
respect
and
thanks
to
medical
officer
of
health
and
city
staff
and
Toronto
Public
Health
staffer
for
all
the
work
that
you
have
been
putting
into
this
I'm
Co
good
night
in
crisis
over
the
last
several
months.
I
do
have
some
some
questions
about
data
in
particular
and
I
was
very
struck.
Dr.
Davila
by
your
you'll
have
to
kovetz
and
the
inequities
in
impact
of
Ovid
that
we
are
seeing
in
our
city.
G
Here,
I
think
those
are
other.
Some
other
important
measures
that
that
we've
been
hearing
are
important
for
data
collection
and
our
doable
with
respect
to
data
again
with
congregate
settings,
including
those
apartments
and
rooming
houses
and
other
kinds
of
congregate
settings.
Are
there
plans
to
disaggregate
these
data
and
daily
reporting?
So
we
get
a
sense
of
where
outbreaks
are
occurring.
H
Though,
through
the
chair,
certainly
some
congregate
settings
actually
most
congregate
settings.
We
are
actually
separating
out
the
data
so
that
we
are
providing
that
sense
to
the
public,
and
perhaps
you
know,
on
a
more
immediate
basis,
also
changing
our
actions
and
and
adapting
or
adjusting
our
resources
depending
on
where
the
situations
require
those
resources
to
be
deployed.
So,
yes,.
G
That's
really
good
to
hear
wondering
if
you
could
also
clarify
the
role
of
Toronto
Public
Health
is
visa
vie
the
province
when
it
comes
to
you
know
deciding
where
to
prioritize
testing
or
to
prioritize
allocation
of
personal
protective
equipment
and
infection
control
procedures.
I
know
that
you've
mentioned
that
it's
within
the
purview
of
the
province,
but
is
there
any
discretion
for
the
local
Health
Unit
to
prioritize?
Those
areas
that
you
have
demonstrated
in
your
research
are
more
at
risk
right
now,.
H
So
through
the
chair,
there
is
some
discretion
again.
Testing
is
still
under
the
provincial
purview
and
there
are
very
specific
directives
that
they've
provided
to
local
public
health
around
we're
testing
resources
and
testing
efforts
should
be
prioritized
first
and
at
this
point
in
time,
that's
long-term
care
homes.
H
However,
there
are
circumstances
that
arise
within
the
City
of
Toronto,
where
there
is
clear
health
risk
and
it's
on
premise
on
those
specific
risks
that
we
can
as
the
local
Health
Authority
direct
resources
specifically.
So,
for
example,
in
a
setting
a
congregate
setting
where
there
is
a
case,
or
we
have
reason
to
believe
that
we
should
be
suspecting
an
outbreak,
we
would
clearly
be
directing
resources
towards
there
when
it
comes
to
personal
protective
equipment.
H
G
Also,
okay:
I
want
to
go
back
to
the
data
for
a
moment.
I
noticed
that
indigenous
I
date,
identity
is
one
of
the
indicators
of
interest
and
I'm
just
wondering
what
practices
are
in
place
to
ensure
indigenous
data
governance
principles
are
follow
up
with
respect
to
ownership,
control,
access
and
possession
of
these
data.
So.
H
Through
the
chair,
I,
don't
know
that
I
can
get
into
the
granular
level
of
detail
that
you
might
be
interested
in,
but
I
can
confirm
that
staff
who
are
working
on
this
data
collection
have
been
in
contact
and
are
continuing
to
have
conversation
with.
You
know
whether
it's
through
the
we
have
a
variety
of
indigenous
partners
who
are
offering
us
guidance,
particularly
those
who
have
been
involved
in
our
health
counts.
H
I
know
that
they've
provided
some
guidance
to
us
and
respect
of
data
collection
principles,
and
certainly
we
have
other
venues
through,
for
example,
the
Toronto
indigenous
health
advisory
circle
members.
So
we
are
trying
to
make
sure
that
the
our
work
is
proceeding
in
an
appropriate
fashion
through
those
regular
connections
and
conversations
with
the
relevant
community
partners.
Thank.
B
D
D
So
my
question
is:
how
are
we
collecting
socio-economic
data
right
now
that
are
showing
where
people
are
having
biggest
changes
in
circumstances,
because
the
data
that
we
have
it's
it's
a
little
census
data
and
that
where
people
are
in
need
will
be
changing
throughout
this
pandemic
and
I'm
just
wondering
how
we're
trying
to
capture
that
data
in
real
time.
So
we
can
redeploy
resources
in
a
very
different
way.
I
D
B
D
Thank
you.
So
my
question
was:
are
we
collecting
data
about
other
health
impacts,
non-coated
19
related
so,
for
example,
mental
health
data?
Do
we
have
data
looking
at
suicide
rate?
Do
we
also
have
data
about
other
health
issues
so
that
we
can
start
to
discern
if
people
are
being
reluctant
to
go
to
hospitals
for
treatment
and
that's
having
adverse
health
effects?
Also.
H
So
through
the
chair
very
briefly,
we
do
continue
to
have
an
epidemiology
function
and
we
will
continue
to
receive
data
from
the
usual
sources
in
respect
of
all
other
aspects
of
health.
I,
don't
know
that
we've
had
an
opportunity
to
do
significant
analysis
on
that,
just
given
our
focus
on
kovat
19
at
this
point
in
time,
but
certainly
you
know
in
the
coming
weeks
and
months,
we
will
be
looking
at
those
data
to
understand
what
the
fulsome
impact
of
kovat
19
has
been
on
our
community
in
all
the
other
aspects
that
you
described.
D
As
we
look
towards
reopening,
is
there
thought
or
health
services
that
that
should
be
prioritized
so,
for
example,
chiropodist
and
balls
going
to
physio
or
massage
therapy
for
pain
and
pain
management?
So
is
that
being
I
know
right
now,
for
example,
the
province
is
looking
at
opening
businesses,
but
are
they
also
looking
at
reopening
in
the
lens
of
you
know,
people
are
at
home
suffering
because
they're
not
able
to
get
treatments
that
they
normally
do.
H
So
through
the
chair,
I
can't
speak
to
what
specifically
is
happening
at
the
provincial
tables
and
I
know
they
are
discussing
many
aspects
and
respective
recovery.
We
certainly
are
having
those
conversations
here
through
the
recovery
team
and
I
expect
you
should.
You
know
you'll,
hear
more
about
this
as
our
work
on
recovery
and
rebuild
progresses,
but
certainly
we
are
mindful
of
those
issues
that
you
raised.
B
F
No,
no,
no,
no
I'm
good
there.
You
are
that's
right,
my
phone
for
a
moment.
Thank
you.
First
of
all,
thanks
to
mr.
chair
I,
like
to
echo
sentiments
of
things
of
appreciation
to
to
our
public
health
team,
led
by
dr.
Davila,
as
well
as
the
city
staff,
and
my
first
question
is
for
dr.
Davila.
Your
slide
in
the
presentation
about
the
power
of
social
distancing
is
very
good
because
you
know
I
think
just
to
combat
this
virus.
F
We
need
to
put
social
distancing
in
place
and
there
are
reports
to
show
that
in
the
McLean
magazine,
as
well
as
in
Australia,
to
show
that
wearing
masks
or
any
form
of
is
covering
would
reduce
the
transmission
probability
from
70%
to
1.5
percent.
My
question
is
that,
would
you
consider
exercising
directives
on
mandatory
wearing
of
masks
places
where
social
distancing
is
impossible,
which,
for
example,
on
public
transit
on
elevators
that
are
crowded
in
cinema
Arts
in
grocery
stores?
And
if
not,
you
please
tell
me
why.
H
So
through
the
chair,
I
think
that's
an
excellent
question
and
it's
certainly
an
issue
masks.
The
subject
of
masks
has
been
one
that
has
been
discussed
in
quite
a
bit
in
public
health
circles.
I'm,
going
to
summarize
my
comments
on
this
issue
to
say
that
we
know
that
there
is
what
we
call
in
public
health,
this
hierarchy
of
controls
and
some
methods
are
actually
more
effective
than
others,
as
indicated
through
the
slide
physical
distancing
and
respiratory
hygiene.
These
are
the
the
mainstays
of
reducing
transmission
of
virus
in
our
community.
H
Those
continue
to
be
the
most
important
elements.
We
basically
say
that
when
it
comes
to
personal
protective
equipment
like
masks,
that's
the
lowest
end
and
that's
not
to
say
it's
not
helpful.
It's
just
the
final
stop,
and
it
is
something
that
we
are
actively
considering.
I
can
tell
you
that
the
current
recommendation
at
the
federal
level
is
it
is
a
recommendation
to
you
know,
consider
use
of
a
non-medical
mask
in
those
instances
or
circumstances
where
physical
distancing
cannot
be
maintained.
That
is
our
current
stance.
H
Right
now,
I
will
say
that
this
is
an
issue
that
is
being
actively
discussed
at
public
health
tables
across
the
country.
We
have
tried
to
stay
in
lockstep
with
our
federal
counterparts
on
this
front
and
I
think
the
entire
country
is
trying
to
stay
in
lockstep
on
this
issue,
so
I
I
expect
we
will
be
hearing
more
and
more
about
this
in
the
coming
days
and
that
you
may
be
seeing
a
slight.
H
F
Yes,
thank
you
very
much
for
that
answer,
because
I
held
the
townhall
yesterday
with
the
mayor
and
then
my
constituents
are
asking
the
same
question
and
the
mayor
was
saying
that
he
will
follow
the
guideline
of
the
public
health
of
the
medical
office
of
Health.
So
that's
very
important
that
latina
we
take
that
into
consideration.
The
second
question
I
am
asking
is
about
mental
health.
I
think
mental
health
is
a
public
health
matter.
H
So
through
the
chair,
I
think
certainly
early
on
in
the
kovat
response,
there
was
a
significant
amount
of
activity
that
was
happening
here
at
the
city
and
within
public
health.
In
order
to
combat
our
racism,
I
will
say
that
over
the
last
several
weeks,
given
the
focus
of
our
activity
on
case
and
contact
management
and
managing
outbreaks,
that
has
probably
been
less
so
a
focus
of
our
activity
in
the
last
little.
While
that
doesn't
mean
that
we've
forgotten
about
that.
H
So
clearly,
we
are
trying
to
provide
information
to
people
in
a
way
that
supports
the
ability
of
our
community
to
make
good
choices
around
their
health,
while
at
the
same
time
ensuring
that
we
don't
do
anything
that
promotes
stigmatization
or
discrimination
against
any
particular
group.
Those
efforts,
thank
you
tinu,
but
happy
to
hear
from
you
on
what
advice
you
would
have
for
us.
Thank.
F
H
So
through
the
chair,
I
can
tell
you
that
we
are
participating
on
a
provincial
table
called
the
public
health
measures
table
the
issue
around
schools
and
and
congregate
activities
for
children
is
one
that's
on
on
the
table
for
discussion
still
in
its
early
stages,
but
that
is
clearly
a
primary
concern
for
us
and
the
rest
of
the
province
I.
Thank
you.
G
G
Building
on
counselor
lies
question
about
the
school's
first
question
is
that
school
reopening,
and
my
second
one
also
about
mental
health,
so
I've
been
watching
what's
happening
in
Quebec
and
also
what's
happening
in
Montreal
and
I.
Have
some
concerns
about
this
and
I
also
know
in
your
slide
deck
under
the
recovery
phase
principles,
one
of
the
one
of
the
key
principles
is
avoiding
the
rehearsal
changes
it
possible.
G
So
my
concern
is
about
the
treatment
for
Toronto
schools
and
I
know
that
the
direction
comes
from
the
province
across
the
province
for
school,
reopening
and
I'm
wondering
if
Toronto
needs
to
be
closed
for
longer,
how
we
make
that
happen,
and
maybe
more
specifically,
dr.
Davila.
If
you
can
clarify
what
your
powers
are
related
to
schools,
reopening
and
what
measures
need
to
be
taken
there
to
protect
students
and
staff
and
families.
H
H
It's
clear
to
me
that
they
are
that
there
are
some
powers
that
I'm
able
to
exercise.
They
are
not
as
broad
or
as
wide-ranging
as
perhaps
we
would
like
them
to
be
so.
I
think
that
really,
the
resolution
on
this
front
will
require
significant
interaction
with
the
province
and
careful
explanation.
As
to
what
the
circumstances
are
here
in
Toronto,
and
why
certain
actions
may
need
to
be
different,
and
that
may
not
only
be
about
schools,
it
may
be
about
other
realms
of
activity
as
well.
G
Thanks
very
much
for
that
answer.
That
really
clears
things
up,
and
my
second
question
is,
in
general:
what's
the
role
that
Mental
Health
Promotion
plays
in
the
public
health
effort
to
manage
through
the
pandemic
and
obviously
to
recover
from
it?
And
in
your
estimation,
is
Toronto
Public
Health
set
up
with
their
resources
of
funding
and
human
resources
that
are
needed
to
be
able
to
mount
the
type
of
mental
health
promotion
effort
that
will
be
required
for
us
to
recover
from
this
pandemic
successfully.
H
Though,
through
the
chair
I
think
there
will
be
significant
efforts
that
are
required
on
the
mental
health
promotion
front
and
they
are
not
exclusively
within
the
realm
of
Toronto
Public
Health,
so
I
know
that
we
will
be
reaching
out
to
many
many
other
community
partners
and
other
partners
at
you
know
here
at
the
city.
I
would
suggest
this
that,
right
now,
the
effort
at
Toronto,
Public
Health,
has
been
focused
as
I'm
sure
you
can
appreciate
on
kovat
19
response.
As
we
start
to
move
into
the
realm
of
recovery,
still
keeping
response
activities
active.
H
We
also
will
be
starting
to
look
at
how
do
we
return
to
a
provision
of
those
necessary
Public,
Health
Services
that
have
nothing
that
are
not
related
to
kovat
19
per
se,
the
Cova
19
response,
but
involve
our
mental
health
promotion.
But
this
is
not
something
we're
going
to
do
alone.
We
will
be
doing
that
in
partnership
with
our
other
city
partners
and
other
agencies
throughout
the
city,
so
stay
tuned.
That
is
coming.
B
D
Hi
I'm,
it's
lovely,
to
see
everybody
and
I
want
to
say
a
huge
thank
you
to
dr.
Davila
and
the
entire
Toronto
Public
Health
family,
for
your
guidance
and
your
leadership
as
a
health
care
provider.
Myself
I
can
say
that
your
guidance
and
leadership
has
been
the
only
constant
through
what
has
been
very
uncertain
and
turbulent
time.
So
thank
you.
The
best
part
about
going
last
is
that
most
of
my
questions
have
been
answered
already
and
answered.
Well.
D
H
So
through
the
chair,
one
I
will
echo
your
wish
for
warmer
weather
I.
Think
many
of
us
are
hoping
for
more
spring-like
conditions,
but
when
it
comes
to
heat
relief
there,
there
has
been
significant
conversation
and,
in
fact,
even
prior
to
kovat.
We
at
Toronto
Public
Health
we're
having
conversation
with
our
partners
in
the
city.
This
is
a
function
that
will
be
largely
assumed
by
our
colleagues
in
the
resilience
office.
That
doesn't
mean
we're
not
going
to
be
engaged.
H
I
think
this
is
as
as
our
many
activities
that
are
done
here
at
the
city,
a
concerted
effort
and
a
collaborative
effort
on
the
part
of
several
of
us
across
many
many
divisions.
So
this
is
on
our
minds
as
we
approach
recovery,
specifics,
I
think
have
yet
to
be
completely
worked
out,
but
suffice
it
to
say
that
we
are
thinking
about
it
and
we
do
know
that
there
are
some
good
plans
in
place
just
need
to
make
sure
that
they're
appropriately
adapted
for
kovat
19
and
what
we
know
about
our
response
and
what's
needed.
D
B
D
B
Okay,
thank
you
so
that
takes
us
through
the
first
round
of
questions.
What
I
to
ask
and
I'm
looking
at
the
screen
is,
if
you
could
raise
your
hand,
if,
if
you
would
wish
to
be
put
on,
our
screen
is
frozen
for
a
moment
so
just
hold.
So
what
I'd
ask
is,
if
you
would
wish
to
be
part
if
you
wish
to
have.
If
you
have
a
second
question,
I
see
councillor
perks,
director
Mulligan
anybody
else.
B
D
F
M
D
D
I
D
B
B
D
Thank
you
very
much
mr.
chair
I
want
to
thank
the
city
stopped
beginning
with
dr.
Davila
and
the
entire
public
health
staff
to
lead
us
through
this
Kovach
19
pandemic
during
the
presentation,
but
both
the
medical
staff
health,
as
well
as
the
deputy
city
manager
and
the
manager
dealing
with
shelters.
I,
didn't
hear
any
information
about
the
taxi
industry,
because
we've
recently
heard
about
what
happened
in
the
with
the
limo
drivers.
So
what
measures
do
we
have
any
cases?
D
Do
we
have
any
incidents
of
collect
positive
taxi
drivers
in
our
city
to
make
sure
that
we,
as
an
advocate
board,
our
public
health
board
can
be
advocating
for
them
as
well
to
make
sure
there
that
this
particular
sector
is
extremely
vulnerable?
Yes,
it
is
a
private
sector.
We
want
I
want
to
hear.
Are
there
any
data
about
this
particular
sector.
H
So
through
the
chair,
I,
don't
have
that
specific
information
in
front
of
me.
I
can
certainly
take
that
back
to
staff
and
see
what
information
we
have
on
cases
within
the
taxi
industry
and
those
who
are
driving
limos
and
the
like.
Certainly,
we
have,
first
of
all,
some
guidance.
That's
been
provided
in
respect
of
protecting
oneself
and
how
best,
even
in
the
face
of
providing
transportation
to
individuals
who
are
known
to
be
kovat,
19
positive,
how
to
create
the
safest
environment
possible
for
those
who
are
providing
that
driving
service
and
as
well.
H
We
know
that
our
Emergency
Operations
Center
actually
has
a
working
group
with
representatives
from
the
taxi
industry
to
understand
how
best
we
can.
You
know
provide
supports,
ensure
that
the
appropriate
transportation
needs
of
our
city
are
being
met
while
at
the
same
time
working
with
the
taxi
industry
as
in
their
role
to
ensure
that
health
and
safety
of
those
who
are
providing
those
important
transportation
services
are
being
balanced
out
as
well.
D
G
B
G
J
Through
the
chair,
thank
you
for
the
question.
So
the
access
to
the
recovery
sites
is
managed
through
our
partnership
with
the
inner
city
family,
the
inner
city
health
associates.
So
when
somebody
tests
positive,
they
are
referred
to
to
our
medical
partners
and
they
provide
approval
to
come
into
that
recovery
site
right
now.
We're
using
that
recovery
front
site
for
anyone
that
is
currently
a
resident
of
one
of
our
shelters.
B
B
G
Okay,
I
just
have
one
further
question:
that's
about
long-term
care
and
dr.
Davila
was
wondering
if
you
could
share
what
is
your
current
advice?
My
families
and
friends.
Are
you
prior
to
restrictions
on
accessing
city-run,
long
term
care
facilities?
Why
did
essential
hair
services
to
people
in
long-term
care?
So
these
are
people
who
are
now
alone
and
living
without
some
essential
support
that
family
and
friend,
caregivers
provided
with
respect
to
feeding
and
other
essentials
of
daily
life.
G
H
So
through
the
chair,
can
you
folks,
on
the
line,
hear
me
just
making
sure
we?
Okay?
Are
we
up?
Okay,
so
through
the
chair
with
respect
to
long-term
care?
So
long-term
care
is,
as
you
know,
under
the
provincial
purview,
it
has
been
traditionally
managed
under
the
Ministry
of
Health
and
long-term
care.
That
arrangement
shifted
mid
last
year
with
the
establishment
of
the
ministry
of
long-term
care.
H
Where
we
know
it's
been
a
very
serious
and
severe
impact
that
kovat
19
has
had
on
long-term
care
residents
and
their
staff,
but
we
recognize
and
I
think
there's
widespread
recognition
that
the
optimal
health
of
those
who
reside
in
long-term
care
settings
is
about
protecting
them
from
kovat
19,
but
also
ensuring
that
they
have
access
to
a
broad
range
of
supports.
So
right
now,
that's
under
conversation,
and
it
is
under
provincial
purview
and
I
am
happy
to
raise
those
issues
with
our
provincial
counterparts.
G
G
So
this
is
about
going
back
to
screening
when
we're
asking
questions
about
sociodemographics
and
so
on.
Has
there
been
any
conversation
about
screening
for
social
needs,
making
referrals
for
social
determinants
of
health
during
this
time,
given
that
we
know
how
critical
housing,
food
access,
mental
health
and
others
other
conditions
are
during
this
time
of
kovat
19?
So
what
what
has
been
put
into
place
with
respect
to
social
screening
and
referral.
H
So
through
the
chair
I'm,
not
particularly
I'm,
not
aware
of
current
publications.
In
this
regard,
certainly
we
are,
as
the
local
public
health
unit
interested
in
understanding
the
fulsome
aspect
of
kovat
19
on
our
community.
The
infectious
disease
aspects
are
certainly
one
component
of
the
impact.
We
are
absolutely
interested
in
understanding
the
broader
health
impacts
of
kovat
19
on
our
community
and
how
that
might
affect
referral
patterns
and
and
what
sorts
of
services
are
now
needed
as
we
move
from
response
to
recovery.
I.
G
O
Yes,
thank
you
miss.
My
question,
I
should
say
is
for
Maryanne
Bedard
and
the
work
after
she's
leading
her
team
through
around
the
homelessness
response,
with
respect
to
the
the
shelter
standards.
Currently,
they
sit
at
just
under
1
meter
and
terms
of
separation,
space
point
3.75
between
sort
of
facility
and
how
much
space
someone
needs
to
have
to
the
next
matter
of
that
and
I
know
that
in
in
fits
centers
and
drop
ins,
they
don't
necessarily
have
the
shelter
standard,
but
oftentimes
they
function
like
a
self
shelter
moving
forward.
J
So,
thank
you
for
the
question.
Yes,
I
mean
I
think
as
Julianne
referenced.
This
is
an
amazing
opportunity
for
us
to
review
all
of
our
standards
and
look
at
lessons
learned.
The
respite
standards
do
encourage
the
same
distancing
between
beds
as
the
shelter
standards,
but
as
you've
identified,
it
is
less
than
the
six
feet
required
during
kovat
19,
but
it's
absolutely
part
of
our
recovery
strategy
to
look
at.
Where
are
the
gaps
before
we
experience
kovat
19?
How
did
that
play
out
during
the
pandemic?
J
O
Thank
you
just
a
fall
question
with
respect
to
trying
to
get
everyone
who
is
either
street
involved,
sleeping
up
open
under
the
sky
or
who
is
currently
in
the
shelter
system.
What
is
the
estimated
time
frame?
Do
you
think,
in
terms
of
the
runway
of
work,
that
that
still
needs
to
be
done
until
we
get
everyone
into
some
type
of
indoor
accommodation
or
inside
place?
Are
we
looking
at
another
month
of
work?
That's
before
at
the
team
at
s
sha?
Is
it
another
two
months
give
us
a
ballpark.
J
A
council-
that's
that's
a
complicated
answer
to
provide.
We
are
continue
to
work
daily
with
people
who
are
staying
outside
and
trying
to
make
space
available
to
them.
Obviously,
it
has
been
difficult,
as
we've
been
working
very
hard
to
create
physical
distancing
in
the
shelter
system
to
enhance
our
shelter
system,
and
so
we've
been
looking
at
specific
programs
for
people
in
encampments
and,
as
you
know,
we
opened
up
an
interim
housing
program
last
week
with
a
hundred
and
twenty
five
units.
J
We
have
over
a
hundred
people
there
now
and
the
second
building
will
be
coming
online
next
week.
They're,
not
everybody
in
an
encampment
is
in
a
position
to
accept
an
indoor
placement,
and
that
is
why
the
streets
to
homes
program
is
so
important.
They
continue
to
link
with
people
in
encampments
to
develop
relationships
to
build
trust,
to
provide
support
in
you
know
getting
ID
and
health
care,
and
you
know
various
services
that
they
need,
while
they're
staying
outside
and
then
obviously
part
of
that
relationship.
O
My
final
question
is
just
coming
back
to
the
relationship
and
supports
that
we've
received
from
the
provincial
and
federal
government
recognizing
that,
once
a
facility
is
secured
by
the
city,
it
seems
to
be
somewhat
quick
to
be
able
to
move
people
into
those
facilities.
I
mean
we
have
to
get
it
furnished
we've
got
the
bill
to
staffing,
support
models,
I'm
just
curious
to
know
what
specific
supports
have
the
provincial
or
federal
government
offered
to
us
as
a
City
of
Toronto
in
a
response
to
addressing
and
trying
to
support
the
homeless
population.
J
Terms
of
just
the
homelessness
sector,
they
have
provided
us
with
funding,
as
you
mentioned.
The
other
thing
that
the
provincial
government
has
provided
us
with
is
support
from
our
health
care
partners.
So
they've
been
directly
funding
the
inner
city
health
associates
who
work
in
our
recovery
and
isolation,
programs
and-
and
so
that's
been
a
tremendous
help
to
us.
But
that's
that's
the
support
that
we
have
received
and
our
last
Juliana
to
talk
about
anything
broader.
I
I
counselor
I
do
and
also
the
federal
government
through
CMHC,
has
stepped
up
and
provided
funding
for
modular
housing,
so
they've
committed
to
help
us
fund
110
units
for
2020
and
the
140
units
for
2021,
which
is
going
to
be
a
very
important
part
of
not
just
sheltering
people
but
actually
getting
them
housed.
Thank.
A
H
Through
the
chair,
we've
put
forward
an
application
to
the
federal
government
for
funding
for
exactly
the
programs
and
activities
that
were
described
by
the
deputies.
I've
had
a
number
of
conversations
with
partners
at
the
federal
government
who
have
this
within
their
bailiwick
and
I
remain
cautiously
optimistic,
but
optimistic,
nonetheless,
that
we
will
have
some
success
so
I
keep
your
fingers
crossed
I'm
there.
H
D
Thank
you
very
much.
My
first
question
is
to
Maryanne
batard
a
Bedard.
There
seemed
to
be
in
the
early
days
a
time
delay
between
when
we
announced
that
we
had
secured
hotels
and
we
actually
started
moving
people
in
and
then
it
was
quite
slow
moving
people
into
those
units.
Can
you
describe
to
us
what
what
challenges
there
were
or
what
steps
were
taken
and
may
have
led
to
delays
and
moving
people
into
a
more
isolated,
socially
distant,
a
distance
housing.
J
Thank
you
for
the
question,
so
I
wouldn't
say
that
there
were
delays
because
we
actually
implemented
those
services
as
soon
as
was
operationally
possible.
So
we
we
did
secure
particular
hotel
programs
with
the
hotel
owners.
After
that,
we
had
some
ongoing
discussions
with
our
community
agencies
to
identify
if
any
of
them
would
be
able
to
provide
the
staff
support.
In
some
cases,
those
agencies
needed
some
time
to
hire
some
additional
staff.
Obviously
these
are
new
programs,
and
so
they
did
require
additional
support.
J
J
So
we
wanted
to
make
sure
before
we
moved
people
into
those
locations
that
we
had
confidence
that
the
fire
life
safety
was
in
place.
So
behind
the
scenes
there
was
a
tremendous
amount
of
work
happening
and
as
soon
as
those
things
were
put
into
place,
we
began
moving
people
into
those
rooms.
Additionally,
that
is
also
a
complicated
process
of
identifying
people
who
are
at
highest
risk
having
conversations
with
them
about
where
the
offer
of
the
hotel
is
who
the
operator
of
the
hotel
will
be.
J
It's
not
always
the
same
people
that
are
providing
support
to
that
person
and
what
supports
will
be
available
at
the
hotel.
What
is
the
location
of
the
hotel?
So
all
of
those
things
needed
to
be
taken
into
consideration,
but,
as
I
said
operationally,
we
moved
people
as
quickly
as
we
were
able
to
into
those
spaces
and
in
just
a
matter
of
a
few
short
weeks.
We
have
over
a
thousand
people
now
in
those
hotels
which
I
think
is
a
phenomenal
job
done
by
our
community
partners
and
and
our
staff.
D
So
I
guess
this
is
to
miss
Carboni
about
the
federal
support
it.
Our
shelter
response
clearly
is
involved
is
is
as
a
significant
price
tag
attached
to
it
and
I
believe
this
is
money
well
spent,
but
has
the
federal
government
beyond
this
money,
some
of
the
support
that
they're
giving
to
the
affordable
housing
side?
Are
they
providing
some
supports
as
we
work
through
addressing
our
homelessness
crisis
through
Colvin.
I
Well,
through
the
chair,
we're
still
in
discussions
with
both
the
federal
and
the
provincial
government.
So
all
we
have
committed
right
now
is
that
21
million
and
the
funds
for
through
CMHC
for
modular
housing,
but
the
conversations
have
not
ended
and
there's
a
strong
indication
that
they're
willing
to
work
with
us.
I
We
have
been
advocating
and
we're
actually
putting
together
a
business
case
that
we
could
submit
on
the
importance
of
more
permanent
solutions
and
not
just
temporary
shelter
beds
and
investing
some
of
the
dollars
and
monies
that
they're
flowing
to
us
for
our
temporary
response
on
a
more
permanent
basis
like
capital
dollars,
so
that,
instead
of
just
leasing,
hotels,
etc.
If
we
have
an
opportunity
to
purchase
them
at
a
reasonable
price
of
course,
then
we
can.
After
we
get
through
this
emergency.
I
D
You
and
if
I,
do
have
any
time
left
I'd
like
to
ask
one
last
question
to
the
medical
officer
of
Health
and
that's
about
physical
distancing
on
sidewalks.
Just
because
this
isn't
an
evolving
set
of
recommendations,
and
we
have
had
some
time
to
see
what's
going
on
in
other
jurisdictions
as
they
shut
down
their
roads
or
part
of
the
roadways
and
what
what
that
has
done
to
either
facilitate
or
to
facilitate
physical
distancing
or
attract
more
people
to
those
spaces.
H
Though,
through
the
chair,
as
you
can
appreciate
at
the
beginning,
we
were
very
focused
on
physical
distancing,
which
actually
meant
for
people
to
stay
at
home
as
much
as
possible.
But
as
we
move
from
response
to
recovery,
we
are
learning
how
to
live
with
kovat
19,
as
are
many
other
jurisdictions,
and
this
will
include
how
we
move
about
in
our
city
in
a
way,
that's
safe,
that
promotes
that
physical
activity
and
the
mental
health
benefits
have
come
from
more
active
transportation
while
at
the
same
time
ensuring
physical
distancing.
So
it's
short
version.
H
Yes,
we
are
absolutely
looking
to
other
cities
around
the
world
to
learn
from
them
and
avoid
whatever
challenges
they
may
have
already
encountered.
I'm
always
best
practiced
to
do
that.
Certainly,
and
I
know
that
we're
working
very
actively
with
our
transportation
services
partners
to
make
sure
that
we're
capitalizing
on
all
the
opportunities
that
present
themselves
to
support
active
transportation,
one
as
part
of
living
with
kovat
19
safely.
But
two
we
would
like
to
see
this
become
a
more
significant
way
of
life
in
our
city.
We
know
that
active
transportation
has
a
multitude
of
benefits.
H
We
know
that
how
we
live
and
move
in
our
city
has
a
myriad
of
health
benefits
for
all
of
us.
So
please
rest
assured
that
this
is
an
important
issue
as
far
as
we're
concerned.
Yes,
it
has
very
specific
resonance
within
kovat
19
and
as
we
move
to
recovery,
but
we
are
taking
the
much
longer
view
on
this
and
aiming
for
active
transportation
modes
to
figure
prominently,
and
yes,
that
includes
public
transit,
cycling,
walking
all
the
things
that
you
would
expect
to
see
in
a
healthy
modern
city,
even
as
we
live
with
kovat
19.
B
Thank
you
very
much.
Those
are
all
our
questions
so
we're
now
gonna
move
this
into
committee.
Four
speakers
just
a
time
check
just
so
people
are
aware:
it's
12:15.
We
do
have
a
scheduled
recess
at
12:30,
depending
on
the
number
in
the
length
of
speakers.
I
may
propose
that
we
seek
to
extend
to
finish
so
just
to
get
a
sense.
Could
you
indicate
by
raising
your
hand
if
you
wish
to
be
put
on
the
speaker's
list.
B
B
Let
me
let
me
begin
and
I'll
start
my
timer
I
will
begin
by
placing
that
has
been
advanced
circulated
by
email
to
all
of
you
and
distributed
publicly
I
believe
this
sets
the
record
for
longest
motion
in
the
history
of
a
City
Committee,
and
that
is
in
large
part
in
a
result
of
a
collaborative
effort
with
so
many
members
of
this
board.
This
is
not
my
motion.
B
The
first
amendment
that
I
have
placed
here
is
for
city
council
to
commend
Toronto
Public
Health
staff,
and
that
is,
as
we
have
all
mentioned
again
and
again
and
again
over
the
course
of
this
morning,
because
our
tph
staff
have
been
working
flat
out
and
I
counted
for
120
straight
days.
They
have
been
meeting
daily
on
kovat
19
before
that,
the
novel
coronavirus
for
120
days
it
has
been
long
hours.
B
It
has
been
tough
days,
they
have
done
it
with
the
weight
of
the
world
and
the
health
of
our
city
on
our
shoulders,
and
they
deserve
our
immense
gratitude.
Dr.
Davila
has
talked
about
the
two
pandemics
we
face
both
within
the
general
population
as
one
but
all
in
particular
the
second,
which
is
preying
on
the
most
vulnerable,
those
who
live
far
too
often
in
congregate,
settings
and
those
who
are
far
too
often
living
in
a
low-income
status,
and
so
at
all
times
as
a
city.
B
We
should
measure
our
success
based
on
how
we
care
for
the
most
vulnerable,
and
so
too
must
we
measure
our
response
to
kovat,
based
on
how
we
care
for
the
most
vulnerable
and
there's
a
lot
of
work
to
do
there,
and
the
motion
here
in
front
of
us
speaks
to
that
work.
That's
still
in
front
of
us
both
for
the
city
but
in
particular
some
very
clear
and
strong
positions
and
Quest's
of
our
alta
other
levels
of
government
for
funding,
yes
from
the
federal
government.
B
In
particular,
around
housing,
but
from
the
provincial
government
to
increase
testing
and
data
collection
and
share
the
data
collection
to
provide
increased
support
on
our
homelessness
and
housing
response,
including
unsafe
supply,
and
to
ensure
that
our
long-term
care
and
the
workers
in
it
reserve
the
support
they
need.
But
our
response
is
just
one
part
of
the
our
overarching
piece
of
work
in
front
of
us,
as,
as
was
mentioned
in
the
presentation.
B
Recovery
is
in
many
ways
going
to
be
the
hardest
part,
because
we
know
how
to
respond.
We
have
to
spike
this
curve.
We
have
to
distance,
we
have
to
respond
in
congregate
settings.
We
also
know
once
we
have
a
vaccine
that
we'll
need
to
reopen
and
reopen
hopefully
into
a
new
and
better
and
more
fair
normal.
But
this
recovery
phase
is
the
hardest,
because
it's
the
great
unknown
and
we're
all
learning
in
real
time
and
cities.
That's
public
health
units
in
his
countries
around
the
world,
but
it's
just
as
it's
challenging.
It
is
an
opportunity.
B
It
is
an
opportunity
to
fundamentally
not
just
recreate
the
status
quo,
a
status
quo
that
had
severe
health
inequities
that
have
been
exposed
to
during
kovat,
but
rather
to
build
a
better
city
and
so
over
the
next
few
months.
That
is
the
task
in
front
of
us
I
believe
as
the
Board
of
Health
we've
spent
years
as
those
of
us
in
public
health
talking
and
advocating
for
the
city
for
the
province
for
the
country
to
tackle
the
social
determinants
of
health.
B
Often
we're
rolling
rocks
up
hills,
trying
to
desperately
encourage
others
to
tackle
housing
and
equity
and
food
insecurity
and
the
overdose
crisis.
Well,
now,
everybody's
listening
we're
making
the
same
recommendations,
but
decision-makers
are
listening,
and
so
the
task
in
front
of
us
is
to
seize
that
moment
to
build
that
better
and
more
fair
and
more
sustainable
city
and
to
not
miss
this
opportunity
is.
If
we
do,
we
will
recreate
the
same
unhealthy
circumstances
that
koban
has
taken
advantage
of.
B
G
G
We
have
seen
the
ways
in
which
the
pandemic
demonstrates
not
only
hey
love
to
kovetz,
also
that
care
for
the
most
marginalized
person
care
for
all
of
us,
and
that
we
are
all
deeply
connected
that
we
may
not
be
in
the
same
boats,
but
we
are
in
the
same
dorm
and
that
this
interconnection
is
becoming
quite
evident
and
I
think.
This
is
part
of
the
reason.
This
board
is
being
heard,
that
these
issues
are
gaining
more
prominent,
so
I'm,
very
pleased
to
support
and
I
am
impressed
by
that
120
days
of
hard
work.
G
I
truant-
a
public-health
by
our
chair
by
the
staff
across
the
city,
and
also
want
to
note
that
it
has
been
almost
as
long
since
we
met
115
days
and
I.
Really
pleased
to
see
us
gathering
here
today
think
that
it
is
important
for
us
to
consider
the
what
the
role
of
a
Board
of
Health
is
and
should
be
could
be
during
a
pandemic
and
as
we
move
into
a
future
of
living
with
covin
19
rule,
it's
not
and
should
not
be
have
the
individual
privilege
of
reefing
x'
or
questions
and
answers.
G
She'd
be
a
collective
public
service.
It
should
be
collective
governance
and
for
those
of
us
who
are
here,
citizen
members,
this
is
really
vital.
We
are
here
on
behalf
of
our
fellow
residents
of
the
city
and
not
part
of
all
conversations
about
what's
happening,
and
we
want
to
make
sure
all
of
us
on
this
board
want
to
make
sure
that
the
residents
of
this
city
are
well
informed
about
what's
going
on
and
have
strong
access
to
the
the
decision-making
processes
that
are
happening.
G
All
the
debutantes
are
acting
the
chair
and
the
staff,
and
everyone
have
shown,
really
demonstrates
something
that
you
know,
unfortunately,
I
think
has
been
lost
over
the
last
115
days.
But
it's
not
too
late.
And
it's
really
really
heartening
to
see
us
here
today,
and
you
know
it
would
be
good
to
keep
that
conversation
going.
G
The
Ontario
public
health
standards
set
out
what
we
should
be
doing
as
a
board,
what
we're
accountable
for
and
we
need
to
live
up
to,
but
they
don't
that
out
clear
guidelines
about
what
to
do
in
a
pandemic
and
people
who
are
very
busy
trying
to
cope
with
emergencies.
And
so,
let's
take
up
the
opportunity
now
that
we
have
to
live
up
to
that,
to
think
about
what
ought
to
be
in
those
kinds
of
standards
in
the
future
and
to
support
the
very
strong
measures
about
health,
equity
and
community
well-being
there
in
this
motion.
F
You're
ready,
I,
don't
know,
I
have
some
issue
with
the
with
with
the
muting
button
race
thanks
mr.
chair.
Thank
you
very
much
and
I
also
like
to
echo
without
director
Millikan's
sentiment.
Not
only
we
saying
or
team
very
proud
of
our
city
and
proud
of
our
team
shows
the
leadership
and-
and
thank
you.
F
Or
laboratory
workout,
this
motion
that
we
have
in
front
of
us
and
I
I
will
support
the
motion,
especially
some
of
the
points
that
I
wanted
to
to
to
make
one
number
my
number
one
is:
we
need
to
actually
provide
accommodation
for
our
frontline
healthcare
workers
during
the
pandemic,
and
this
will
prevent
the
virus
from
transmitting
through
their
family
members
or
to
the
people.
You
know
in
congregated
settings
it's
very
important
that
we
we
protect
and
make
sure
that
everybody
is
safe
in
our
city
and
point
number
two:
is
that
the
same
with
quarantine?
F
We
need
to
quarantine
those
who
have
been
tested
positive
of
the
virus
yeah
as
one
of
the
deputies
stated,
some
of
them
may
be
living
in
condominiums
apartments.
You
know,
and
whenever
there's
that
it's
very
important,
that
we
don't
put
other
people's
at
risk
and
that's
why
we
need
to
have
some
measures
and
ask
the
province
to
consider
doing
some
quarantine
of
the
people
that
have
been
tested,
positive,
going
forward
as
it's
one
of
the
tip
deputies
said
in
order
that
the
future
will
be
better.
F
We
need
to
act
now,
so
we
need
to
be
proactive
and
enforcing
some
of
these
protective
and
prevention
for
the
second
wave.
We
have
to
prepare
for
that
that
you
know
we
need
to
have
the
infrastructure
in
place
to
make
sure
that
we
protect
vulnerable
and
especially
people
there
in
long-term
care
homes
and
shelters
in
schools.
F
At
a
point
of
limbo,
point
number
four
I
wanted
to
make
is
that
we
need
to
find
ways
to
help
those
while
victims
of
sena
phobia
and
racism,
and
it
happens
in
vancouver.
I
noticed
not
so
much
in
the
city
of
toronto,
but
I've
heard
some
stories
and
it's
very,
very,
very
important
as
the
mandate
for
mental
health
for
Toronto
Public
Health,
that
we
need
to
help
those
people
who
are
suffering
from
emotional
distress
and
it's
very
important
and
is
really
paramount
for
us
to
take
the
leadership
doing
all
that.
F
B
Thank
you
very
much.
We
have
two
speakers
left,
but
we
are
just
at
12:30.
So
procedurally
I
must
move
that
the
Board
of
Health
extend
its
meeting
past
12:30
p.m.
lunch
recess
to
complete
its
agenda
in
breaking
ground
for
for
virtual
meetings.
If
we
can
have
the
video
screen
back
up
I'm
going
to
ask
you
to
raise
your
hand
if
you
are
in
support
of
said
motion,
one
two,
three:
four:
five:
six,
seven,
eight
nine
ten
eleven
all
present
members
voted
in
favor
technology.
O
Much
mr.
chair
and
I
wanted
laughs
I.
Thank
you
for
your
leadership.
I
recognize
that
you've
been
working
really
hard
in
front
of
the
scenes
behind
the
scenes,
making
sure
all
the
directors
on
this
board
are
connected,
and
we
cannot
say
that
enough
to
our
Toronto
public
service,
especially
to
those
who
will
have
been
in
leadership
positions
and
those
who
are
on
the
front
lines.
O
Adapting
to
academic
endemic
and
a
crisis
is
probably
something
that
you
have
perhaps
trained
done.
Some
training
on.
Perhaps
you
were
going
to
lead
some
seminars
on,
but
to
have
it
all
encompassing
in
the
way
it
has
engulfed
this
city
and
I
suspect
your
family,
life
and
professional
life
is
really
to
me
inspiring
to
see
each
and
every
single
one
of
you
rise
up,
and
there
will
be
those
who
are
who
are
not
named.
O
There
will
be
those
that
we
will
never
see
and
I
just
want
to
acknowledge
that
work
does
not
come
without
sacrifice
and
that's
that
work
is
hard
and
there
are
probably
times
where
you
probably
think
that
you
know.
Why
are
you
doing
this
and
I
just
want
to
say?
Thank
you
because
you're
doing
it,
because
that
is
who
you
are
a
member
of
the
dedicated
Travel
Public
Health
member
of
Charl
service,
and
without
you
we
would
not
have
the
response
that
we
have
today.
O
And
you're
doing
it
together
and
the
responses
that
we
heard
from
our
senior
leaders
today
is
that
there
are
polite
conversations
being
held
with
had
with
the
provincial
and
federal
government
and
that
those
polite
conversations
of
support
may
be
coming
well.
I
regret
your
bring
that
largely
because
we
need
them
at
the
table
today.
We
need
them
saying
yes
today,
they
need
them
actually
doing
more
today,
not
necessarily
asking
us
to
bear
all
the
responsibility
or
the
maturity
of
the
responsibility,
and
that
one
day
they
may
step
in
with
more.
O
The
human
toll
is
very,
very
high
and
I
recognize
that
you
have
really
carried
this,
that
the
bulk
of
that
burden,
so
I
just
want
to
say
thank
you
to
you,
each
and
every
single
one
when
we
can
meet
again
on
the
other
side,
I
think
I,
thank
you
in
person
and
and
with
respect
to
the
motion.
I'll
keep
my
remarks
very
short.
There
I
support
the
motion.
There
was
a
lot
of
good
intentions
that
went
into
the
motion.
O
The
theme
around
the
motion
is
driving
equity
and
making
sure
that
people
are
included
in
the
change
and
the
look
forward.
Looking
piece
of
the
motion
is
about:
how
do
we
capture
the
opportunities,
so
we
can
build
a
more
resilient
society
and
moving
forward.
We
have
had
a
shelter
and
a
housing
crisis
for
years
now
largely
unaddressed.
The
pandemic
made
things
worse
exposed
all
of
that
moving
forward.
Let's
make
sure
we
have
the
opportunity
to
fix
it
once
and
for
all.
Thank
you.
A
A
A
A
You
have
heard
about
an
in
action
at
provincial
level.
The
provision
of
a
safe
supply
of
opioids
you've
heard
about
a
lack
of
support
or
provincially
regulated
group
homes
and
long
term
or
sorry
personal
care.
Rooming
houses
heard
about
a
shortfall
of
personal
protective
equipment
and
having
to
ration
it
so
that
many
who
need
it
happen.
A
Of
course,
we've
known
for
some
time
that,
despite
an
early
promise,
the
provincial
government
has
not
come
forward
to
provide
any
support
or
our
transit
system
gather.
All
of
this
can
be
taken
to
show
he
could
have
done
something.
We
need
to
acknowledge
and
note
that
in
the
motion
that
is
in
front
of
us,
there
are
several
requests
from
the
for
the
provincial
government
who
try
to
get
up
to
a
better
standard
of
participation
in
fighting
kovat
19.
A
B
B
D
D
B
So
with
that,
that
concludes
our
special
meeting
here
today,
my
deepest
thanks
and
gratitude
to
every
single
member
of
the
board
for
all
the
work
you've
done
and
for
being
here
today
and
again
to
the
team
at
clerks.
This
was
our
first
time
with
public
deputies
in
this
city
and
it
worked
and
I'm
thrilled
and
thank
you
as
well
again
to
our
Toronto
Public
Health
staff
have
a
great
day
everybody.
Thank
you.
So
much.