►
From YouTube: Board of Health - December 14, 2020
Description
Board of Health, meeting 24, December 14, 2020
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=17096
A
Okay,
if
you
could
just
give
us
that
and
and
then
we'll
we'll
go,
live
very
very
shortly,.
B
And
can
I
ask
just
while
we're
waiting
on
that,
because
we're
fully
virtual
today
at
the
rep
request
of
clerks,
I'm
doing
this
on
an
ipad?
Does
anybody
know,
is
there
a
button?
I
can
click
on
the
screen
to
see
everybody
or
do
I
am
I
only
able
to
scroll
through
the
pages?
Oh
boy,
okay,
this
will
be
fun
to
chair
yeah.
C
If
members.
B
E
B
I
well
thank
you
good
morning.
My
name
is
joe
and
I'm
the
I
have
the
privilege
of
working
alongside
and
sharing
the
board
of
health.
I
say
alongside
because
we
have
all
our
directors
here
today.
B
B
So
I'll
ask
for
your
indulgence
as
we
work
through,
that
we
do
have
two
registered
public
speakers
today
and
city
staff
have
connected
them
to
the
meeting
by
audio,
and
with
that
I
I
will
note
that,
although
we
are
in
different
locations
and
meeting
remotely
today,
as
we
have
been
doing
for
nearly
a
year,
the
board
of
health
would
like
to
acknowledge
that
the
land
we
are
meeting
on
is
the
traditional
territory
of
many
nations,
including
the
mississaugas
of
the
credit,
the
anishinabe,
the
chippewa,
the
haudenosaunee
and
the
wandap
peoples,
and
is
now
home
to
many
diverse
first
nations
inuit
and
metis
peoples.
B
We
also
acknowledge
that
toronto
is
covered
by
treaty
13,
with
the
mississaugas
of
the
credit.
As
we
begin,
could
I
ask
if
there
are
any
declarations
of
interest
under
the
municipal
conflict
of
interest
act,
given
that
I
can
only
see
one
screen
in
front
of
me.
I'd
ask
if
you
have
an
interest
if
you
could
unmute
your
mic
and
just
state
your
name
and
state
that
in
state
state
it
so
are
there
any
declarations
of
interest
under
the
municipal
conflict
of
interest
act?
B
Okay,
seeing
none!
Next,
we
need
a
motion
to
confirm
the
minutes
from
our
last
board
meeting
on
november,
the
16th
2020
moved
by
councillor
lie.
Thank
you
by
way
of
a
show
of
hands
all
those
in
favor,
if
any,
is
opposed.
B
Okay,
seeing
none,
okay,
we're
going
to
do
an
agenda
run
through
here.
The
first
item
is
hl
24.1
to
supports
the
cobit
19
equity
action
plan.
We
have
a
presentation
from
staff
on
that.
The
second
item-
and
we
have
a
speaker-
is
item
hl,
24.2
response
to
covet
19
update.
B
Again
we
have
a
presentation
from
our
toronto
public
health
team
on
that
one
and
a
speaker,
so
it
will
be
held
down.
Item
eight
number
three
is
item
hl,
24.3,
appointment
of
associate
medical
officer
of
health.
There
is
a
staff
report
and
a
supplementary
report
as
well.
Would
anybody
like
to
hold
this
item
I'll,
move
the
staff
recommendations,
okay,
staff
recommendations
moved
by
councillor
layton
by
way
of
a
show
of
hands
all
those
in
favor
opposed?
If
any
that
carries.
B
A
A
Wondering
if
my
colleague
nydia
can
actually
display
those
on
the
screen.
B
B
B
I
can't
see
you
do
you
want
to
just
unmute
to
indicate
sorry.
Yes,.
B
B
This
is
the
subcommittee
with
recommendations
and
with
my
deep
gratitude
to
director
mulligan
and
councillor
wong
tam,
who,
alongside
me,
were
in
members
of
that
subcommittee
councillor
wong
tamra,
director
mulligan.
Would
you
like
to
move
the
recommendations
there.
B
Okay,
so
recommendations
from
the
from
the
subcommittee
have
been
moved
by
councillor
wong
tam,
all
those
in
favor,
okay
opposed
of
any
that
carries
and
then
item
hl
24.5.
B
This
is
the
2021
schedule
of
board
of
health
meetings.
These
are
the
pre-scheduled
meetings,
though
I
would
note
that
I,
I
think
board
members,
given
the
workload,
should
anticipate
that
there
may
be
additional
ones.
B
Would
anybody
like
to
move
the
recommendations
in
front
of
us
here
for
the
2021
meeting
dates
moved
by
trustee,
donaldson?
Okay,
all
those
in
favor
opposed?
If
any
that
carries,
and
then
we
have
one
item
of
new
business
that
I
would
like
to
introduce,
but
we
will
hold
down
so
that
members
have
a
chance
to
read
it.
B
This
is
a
letter
submitted
by
me,
working
in
partnership
with
our
school
boards
on
the
student
nutrition
program
and
some
immediate
measures
to
support
the
allocation
of
resources
for
those
who
are
experiencing
virtual
learning,
due
to
closures
or
regular
virtual
learning
during
covit,
and
so
that's
going
to
be
a
new
business
item
introduced,
but
we
will
hold
it
down
so
that
members
have
a
chance
to
review
it
and
we
can
deal
with
it
later.
B
So
this
is
a
motion
to
introduce
that
new
business
item
and
with
with
deep
thanks
to
trustee
locretti,
who
has
helped
on
that
that
and
from
the
tcsb
as
well.
All
those
in
favor
of
introducing
that
item
is
new
business,
opposed
if
any
that
carries
okay.
So
that
means
we
have
three
items
in
front
of
us
today.
Our
first
item
is
hl
24.1.
B
This
is
t.o
support
to
covet
19
equity
action
plan,
there's
a
staff
presentation,
and
so
we're
going
to
have
the
staff
presentation
first
and
we
have
julianna
carboni,
who
is
the
deputy
city
manager
as
well
as
denise,
andrea
campbell,
who
is
the
executive
director
of
social
development,
finance
and
administration
from
the
city?
B
They
will
be
providing
a
presentation
here.
We
will
then
proceed
to
our
registered
speaker
on
the
item
before
we
go
back
into
committee
for
questions,
and
so
with
that
I'm
gonna
turn
it
over
to
juliana,
carboni
and
denise.
That
is
unless
dr
deville,
you
wanted
to
to
say
anything
off
the
top
on
this.
C
Sorry,
mr
chair,
just
wanted
to
make
there
we
go
now.
I'm
on
video
thank.
H
C
Will
defer
now
to
julianna
and
to
denise
our
colleagues
from
community
and
social
services
and
sdfa?
But
thank.
B
You,
and
can
I
say
that
it
is
always
wise
to
defer
to
our
colleagues
at
sdfa.
It
is
that
always
steers
us.
Well,
it.
B
C
B
All
right,
so,
let's
begin
with
the
staff
presentation,
julianna
and
denise.
It
is
in
your
hands
and
with
our
gratitude
for
your
work
but
I'll.
Let
you
provide
the
presentation
over
to
you.
I
Oh
good
morning,
mr
chair
directors
of
the
board,
and
thank
you
for
this
opportunity
to
present
and
summarize
the
city's
consolidated,
19
equity
action
plan
joining
me
today.
In
addition
to
denise,
are
many
other
leaders
and
many
staff
that
are
behind
this
plan.
As
as
you'll
see,
this
is
very
much
a
corporate
effort.
I
Teal
support,
as
we've
named,
it
was
first
launched
in
march
shortly
after
the
emergency
was
declared,
and
it
was
really
to
respond
to
the
urgent
needs
of
communities
those
hardest
hit
by
covid
and
the
effects
of
the
lockdown,
and
it
is
very
much
a
multi-dimensional
plan
and
it's
built
on
a
strong
partnership
with
it
with
the
community
not-for-profit
sector,
and
it
is
a
plan
that
is
constantly
evolving
and
adapting
based
on
and
in
response
to
new
data
and
information,
emerging
pandemic
conditions,
changing
public
health
guidance,
new
partnership
opportunities
and
new
and
emerging
needs
next
slide.
I
I
We're
seeing
in
communities
the
city's
covet
equity
action
plan
includes
some
brand
new
lines
of
operation
and
brand
new
partnerships
all
designed
and
implemented
within
mere
days
or
weeks
of
the
emergency
being
declared.
And
you
know
looking
back.
I
really
do
think
that
these
innovations
demonstrate
the
powerful
capacity
of
the
city
to
be
creative
to
to
collaborate
and
to
be
nimble.
I
I
I
So
what
culvert
has
done
is
magnified,
as
I
said,
the
long-standing
systemic,
social
and
health
inequities
related
to
poverty,
racism
and
other
forms
of
disco
discrimination
and
in
order
to
support
those
hardest
hit
by
covet.
The
city
had
to
rapidly
connect
with
its
strong
network
of
community
agencies,
to
develop
and
roll
out
a
robust
plan
that
frames
and
guides
the
city's
coveted
equity
response.
Next
slide,
please
so,
right
from
the
onset
of
the
pandemics,
our
teams
were
very
much
focused
on
responding
to
the
urgent
needs
of
vulnerable
residents
and
communities.
I
In
march,
we
started
having
daily
calls
with
over
70
community
agencies,
public
health
and
a
number
of
city
divisions
all
in
order
to
share
information
and
insights,
formulate
responses,
and
then
we
quickly
worked
with
united
way
to
organize
over
400
community
agencies
into
what
we
call
clusters,
and
that
was
all
in
order
that
we
could
work
together
to
identify,
needs
to
strategize
and
coordinate
local
responses
to
distribute
donations.
I
I
So
we
refer
to
these
tables
as
our
community
coordination
tables
and
at
the
start,
working
with
these
tables,
there
was
eight
areas
of
high
need
that
were
identified,
they're
captured
here
on
the
slide,
and
then
once
we
understood
what
was
needed,
we
quickly
mobilized
a
whole
range
and
host
of
services
to
be
able
to
respond
to
those
high
need
areas.
Next
slide,
please.
I
I
The
actions
relate
to
community
and
outreach
access
to
community
health
services,
support
for
community
agencies,
shelter
and
housing,
income
support,
food
security,
seniors,
digital
access,
mental
health
and
family
safety
and
children
services.
So
the
full
plan,
with
all
25
actions
details
is
in
attachment.
One
of
the
report-
that's
before
you
today
next
slide.
Please
so
this
is
just
a
sample.
I
Okay,
I
had
another
slide,
but
I
guess
maybe
it
got
missing.
There
was
a
slide.
So
let
me
just
out
before
I
talk
to
this
slide,
I
had
meant
to
include
a
slide
that
sort
of
demonstrated
what
the
layout
of
the
attachment
looks
like
so
for
each
of
the
25
actions,
you're
going
to
have
a
page
or
two
that
at
the
very
top
summarizes
the
priority
need
area.
We
then
identify
the
specific
actions
at
the
bottom
of
the
page.
You'll
see
the
city,
divisions
or
agencies
that
are
involved
in
leading
the
implementation
of
the
action.
I
I
So
access
to
food
has-
and
it
continues
to
be
a
pressing
area
of
need.
It's
an
area
that
traditionally,
the
city
hasn't
been
involved
in
the
service
delivery
of
that
particular
service.
However,
within
days
of
the
lockdown,
it
became
very
apparent
that
many
emergency
food
supporters
were
closing
and
the
city
quickly
partnered
with
food
banks
and
the
red
cross
to
ensure
that
vulnerable
communities
continue
to
have
access
to
food.
I
We
repurposed
city
facilities
to
support
the
food
banks
and
we
invested
in
food
delivery
for
persons
that
were
isolated
or
couldn't
leave
their
homes,
and
we
also
reinvested
the
student
nutrition
grants
into
grocery
carts
for
families
whose
children
could
no
longer
receive
meals
at
the
school.
I
Mental
health
was
also
an
area
that,
before
the
city
had
not
traditionally
been
involved
in,
but
realizing
the
clear
need
for
mental
health
supports.
During
this
pandemic,
we
partnered
with
211
and
a
wide
range
of
mental
health
providers
to
ensure
that
residents
in
need
had
access
to
telephone
based,
counseling
and
supports,
and
thanks
to
the
contributions
of
many
telecom
companies,
we
had
free
phones
and
tablets
distributed
to
shelters
to
social
agencies
and
vulnerable
residents.
I
We
have
free
wi-fi
provided
to
all
of
our
10
long-term
care
homes,
to
some
of
our
shelter
sites
and
in
six
apartment
buildings
that
are
located
in
low-income
neighborhoods.
There's
an
additional
19
apartment
buildings
that
are
going
to
receive
free,
wi-fi
those,
hopefully
will
be
completed
in
2021.
We
just
have
to
wait
for
pandemic
conditions
to
allow
for
the
safe
resumption
of
the
installation
of
that
service,
and
the
city
also
has
developed
and
put
online
hundreds
of
free
programs
for
residents
of
all
ages
and
that's
to
offset
the
loss
of
our
in-person
activities
next
slide.
I
I
So,
as
I
said
from
the
onset,
our
community
not-for-profit
sector
is
a
critical
partner
and,
as
such,
we
worked
very
closely
with
the
sector
to
understand
what
supports
and
resources
they
needed.
What
supports
community
agencies
needed
in
order
to
continue
to
operate
safely
and
effectively
throughout
this
pandemic,
so
the
city
supported
the
sector
by
flowing
emergency
funding
to
agencies
in
need,
we
leveraged
and
distribute
and
distributed
donations,
and
we
continue
to
remain
close
to
the
sector
through
those
community
coordination
tables
that
I
referenced
earlier.
I
The
city
also
continues
to
support
people
who
are
experiencing
homelessness
within
a
few
short
weeks
of
the
emergency
being
declared
the
city
successfully
opened
over
40
new
locations
in
order
to
create
physical,
distancing
across
the
shelter
system.
Marianne
and
her
team
and
fsha
undertook
heroic
work
to
make
sure
that
that
happened
and
25
of
those
sites
are
currently
operating
today.
I
In
addition,
we've
connected
over
2500
shelter,
clients
to
permanent
housing
and
we've
we've
leveraged
a
variety
of
housing,
benefits,
rent
gear
to
income,
etc.
In
order
to
be
able
to
do
that
and
we've
helped
over
a
thousand
people
that
were
living
outdoors,
move
into
safer
indoor
spaces
and
our
housing
secretariat
is
very
much
focused
on
building
and
opening,
affordable
and
supportive
housing
leveraging
city
investments,
our
open
door
program
that
council
has
approved
and
the
federal
rapid
housing
program.
I
The
first
of
these
units
will
open
by
the
end
of
the
year
and
by
the
end
of
2021.
We
are
targeting
over
600
supportive,
affordable
units
next
slide,
please,
I
think
you're
all
aware
that
the
city
opened
canada's
first
voluntary
isolation
site
as
well.
We
are
operating
a
recovery
and
isolation
site
for
our
homeless
population.
I
We
continue
to
provide
and
offer
city
facilities
to
help
meet
emerging
needs
such
as
pop-up
flu
clinics
and
testing
sites,
and
we've
also
repurposed
some
of
our
ttc
buses
for
mobile
testing,
and
also
to
help
move
residents
to
and
from
testing
sites.
Next
slide,
please
so
so,
as
I
mentioned,
the
city's
equity
action
plan
is
continually
evolving
and
most
recently,
council
approved
very
specific
equity
measures
for
areas
of
the
city
with
high
infection
rates,
so
starting
in
the
northwest
and
the
northeast.
I
We're
partnering
with
local
agencies
on
delivering
targeted
outreach
case
management
and
other
supports
directly
to
residents
in
a
way
that
is
culturally
and
community
appropriate
and
the
reason
the
community
sector
is
so
important
here
is
that
many
residents
trust
and
have
a
relationship
with
those
local
agencies,
so
we'll
be
much
more
effective
in
working
through
those
agencies.
In
order
to
achieve
this,
we're
also
advocating
quite
strongly
with
the
provincial
government
for
income
support,
so
that
residents
don't
resist
testing
or
isolation
for
fear
of
losing
their
job
or
losing
their
income.
I
We're
also
advocating
for
eviction
prevention
measures
to
ensure
that
lower
income
households
can
continue
to
maintain
their
housing
throughout
this
pandemic
and
afterwards,
as
we
move
on
to
recovery
next
slide,
please
so.
That
concludes
my
presentation,
and
the
team
is
all
here
to
help
respond
to
any
questions.
Mr
chair,
that
you
or
the
directors
might
have
of
us.
B
Well,
thank
you,
juliana
and
and
for
members
of
the
board
we
have
the
privilege
of
hearing
from
and
speaking
with,
our
toronto
public
health
staff
on
a
monthly
basis,
but
I
think
you
just
got
a
small
glimpse
into
the
exceptional
leadership
and
the
compassionate
work
that
the
entire
city
led
by
julia
carboni
and
her
divisions
do
so.
Thank
you
for
that
juliana.
B
B
J
Great
thank
you
and
good
morning
to
all
and
thank
you
for
the
opportunity
to
speak
to
you
today.
My
name
is
jennifer
scrow
and
I
live
in
one
of
the
hardest
covet
hit
areas
of
toronto.
My
two
children
attend
a
hot
spot
school.
Our
elementary
school
has
had
eight
positive,
coveted
cases
in
the
past
28
days.
J
J
All
eight
of
our
positive
cases
have
been
asymptomatic.
The
very
first
positive
case
was
in
my
son's
kindergarten
class.
Although
his
entire
class
had
to
isolate,
we
were
told
that
our
seven-year-old
daughter
continued
to
go
to
school
as
long
as
she
remained
symptom-free
again.
The
child
who
tested
positive
in
his
class
was
asymptomatic.
J
J
J
J
People
are
not
going
to
test
voluntarily
if
they
don't
have
to
it's
just
not
going
to
happen,
especially
in
the
neighborhoods
that
are
hardest
hit.
Where
I
live,
there's
you
could
take
an
example
of
one
of
the
schools
that
did
it
just
south
of
us
in
the
maple
leaf
area.
My
parents
live
in
that
community.
They
have
one
of
the
highest
positivity
rates
out
of
700
high
school
students
that
have
access
to
the
testing.
63
showed
up
63
out
of
700.
J
J
B
Thank
you
very
much
jennifer.
Let
me
caucus
members
of
the
board.
Are
there
any
questions
for
jennifer
and
I'd?
Ask
if,
if
you
have
questions,
if
you
could
indicate
so
by
just
unmuting
your
mic
and
stating
your
name
as
I
can't
see
everybody
on
on
my
screen
in
this
format,.
B
Okay,
seeing
no
questions.
Thank
you
very
much
jennifer
to
our
our
clerk's
office,
just
conferring
confirming
that
we
do
not
have
any
other
speakers
on
this
item
register.
I
That's
correct,
mr
chair.
We
only
have
the
one.
B
Okay,
thank
you
very
much.
So
that
means
members
of
the
board
were
taking
this
into
committee,
and
so
we
we
have
an
opportunity
here
for
questions
of
staff.
We
heard
from
juliana
carboni,
but
I
can
tell
you
that
many
members
of
her
of
her
team
are
here
as
are,
of
course,
representatives
from
toronto,
public
health.
So
could
I
ask?
Are
there
any
speakers
or
members
of
the
board
who
have
questions
on
this
item?
B
I
see
councillor
mckelde,
I'm
going
to
draw
a
list
here,
others
with
questions,
counselor,
wong
tam,
any
other
members
of
the
board.
With
questions
on
this
item.
B
I'm
just
checking
on
my
other
screen.
Counselor
lie.
I
see!
Thank
you,
okay,
so
we
and
trustee
lopretti.
Thank
you,
okay,
so
we
will
begin
and
I'm
so
we'll
have
five
minutes.
I'm
doing
this
on
a
phone
simultaneously
because
we're
not
in
committee
room
one
today
so
I'll
do
my
very
best
councilor
mckelvey,
soon
to
be
chair
of
infrastructure
and
environment.
Congratulations.
B
I
should
note
from
members
of
the
board,
who
are
not
aware
not
an
insignificant
deal
at
all
councillor
kelvin
when
you're
ready.
A
A
My
question
is
about
the
the
high
rates
in
in
the
northeast,
specifically
and-
and
I
think
the
same
question
pertains
to
the
northwest
as
well,
but
I
know
that
you've
just
started
to
roll
out
the
ttc
bus
testing
and
I
just
wanted
to
know
how
well
that
has
been
working
and
how
you're
seeing
this
potentially
being
expanded,
and
I
know
that
you're
you're
doing
two
things,
so
one
is
using
them
for
actual
testing,
but
also
using
them
for
transport
to
testing
centers.
A
So
could
you
just
maybe
speak
to
how
well
it
has
worked
in
in
the
and
how
many
you've
done
so
far.
G
Sure
so,
good
morning,
committee
and
good
morning,
councilman
calvey,
so
the
concentrate,
the
the
commitment
to
increase
mobile
testing
started
in
the
northwest,
with,
as
you
noted,
with
both
using
ttc
to
support
mobile
testing
sites,
as
well
as
increasing
sites
in
community
spaces
and
other
city
facilities.
A
G
So
my
understanding
from
my
colleagues
in
the
eoc,
the
emergency
operations
center
is
that
work
is
happening
currently
to
plan
and
that
on
the
city's
website,
I'll
have
to
look
exactly
where,
but
there
is
information
about
texting
locations
as
we
bring
them
on
board.
So
my
understanding
is
that
this
week
there
should
be
some
additional
sites
in
the
northeast,
and
we
can
certainly
follow
up
with
the
northeast
councillors
to
provide
that
detail.
A
Yeah,
so
that
would
be
myself
and
counselor
live
who's,
probably
going
to
ask
similar
questions
to
that
effect.
So,
thank
you
very
much.
I
was
happy
to
see
the
initiative
in
the
northwest,
but
I
am
interested
in
and
seeing
expanded
and
then.
H
A
Question
kind
of
builds
on
that:
how
do
you
advertise
that
they're
happening
and
and
and
in
what
languages
so,
for
example,
in
the
northeast?
I
think
it
it
it's
much
needed,
but
if
those
materials
should
be
distributed
to
door
and
door-to-door,
but
they
should
also
be
in
multiple
languages.
So
is
that
a
potential
for
us
to
do
that
as
well.
G
So
I
think,
certainly
can
defer
a
little
bit
here
to
the
medical
officers,
health
team,
but
the
one
thing
I
will
say
is:
I
know
that
through
this
initiative
there
are
multiple
efforts
being
made
to
get
the
information
out
to
as
many
residents
where
they
are
as
possible.
So
some
of
that
is
being
done
through
public
health.
Some
of
that
is
being
done
through
community
agencies
that
we've
contracted
as
partners
in
this
work,
and
I
think
I've
seen
updates
from
the
eoc
that
certainly
says.
C
Yes,
so
thank
you
for
that
denise
you're,
quite
right,
the
advertising
is
done
through
a
series
of
partners,
and
part
of
it
depends
on
who's.
Actually,
who
is
the
testing
partner?
That's
engaged,
they
have
their
many
networks
in
the
community,
and
certainly
language
and
a
variety
of
languages.
Appropriate
languages
for
the
population
are
part
of
that.
That
process,
I
think,
the
other.
Just
to
your
earlier
question,
counselor,
there
have
been
a
number
of
pop-up
sites
in
the
northeast
done
in
concert
with
a
number
of
different
community
agencies.
C
But
of
course,
as
the
ttc
program
starts
to
roll
out,
you
should
expect
to
see
some
locations
in
in
the
northeast
part
of
the
city
as
well.
B
Thank
you
very
much
counselor.
Next
I
have
counselor
wong
tan.
D
Thank
you
chair
and
thank
you
to
staff
for
your
excellent
presentation.
I
recognize
it
actually
simply
represents
a
quick
summary
of
the
thousands
of
hours
that
have
gone
into
responding
to
the
coveted
emergency.
D
With
with
that,
I
wanted
to
just
lean
into
a
few
points
and
in
particular
I'm
actually
going
to
focus
my
my
remarks
and
questions
on
the
attachment
number
one,
which
is
the
intergovernmental
requests
and
responses
around
covet
19
recovery,
because
much
of
what
we
have
seen
in
terms
of
the
city
of
toronto's
response
to
to
covet
and
what
is
coming
out
of
the
action
plan,
especially
putting
an
equity
lens
on
it,
is
that
there
are
still
some
existing
gaps.
D
And
in
particular
I
want
to
just
ask
the
question
around
mental
health
support
and
services,
because
whether
or
not
it's
true
or
whether
or
not
this
is
a
a
number,
that's
validated,
but
we're
seeing
the
the
the
rise
of
mental
health
challenges
for
canadians
and
torontonians,
especially
through
the
prolonged
lockdown.
The
further
social
isolation
away
from
family
for
those
who
are
living
homeless
and
perhaps
who
are
under
this
incredible
stress
of
being
an
essential
and
health
worker
and
yet
mental
health
services
is
not
something
that
cities
are
generally
mandated
to
deliver.
D
So
here
we
are
we're
we're
we're
facing
what
I
believe
is
a
mental
health
crisis
that
that
is
now
mounting
itself
and
growing,
we're
not
and
and
based
on
your
report
in
the
attachment
number
one.
What
is
the
the
service
gap
that
we
need
in
the
city
of
toronto
to
meet
this
mental
health
demand
for
service
and
and
what
is
it
that
the
province
and
the
federal
government
has
given
us
and
what
are
we
missing?
What
have
they
not
given
us?
What's
the
gap.
I
So
let
me
start-
and
maybe
some
of
my
staff
could
augment.
We
know
that
in
order
to
successfully
house
and
keep
people
housed,
many
of
them
need
support.
Mental
health
and
addiction
supports,
and
it's
ongoing.
We've
had
some
some
luck
or
we
have
been
provided
with
some
dollars
from
the
province
for
supportive
housing.
I
Our
challenge
is:
it's
one
time
dollars
right
now,
we've
got
dollars
to
the
end
of
march
for
some
of
the
union
units,
but
we
know
very
well
that
these
supports
have
to
continue
beyond
march.
They
have.
We
need
ongoing
dollars
to
help
support
individuals
but
to
meet
their
mental
health.
They
need
mental
health,
supports
addiction
and
harm
reduction
support,
and
we
we
estimate
that
it
takes
in
addition
to
the
housing
costs
it
takes
around
25
24
000.
I
C
Yes,
so
if
I
may
counselor,
I
think
julianna
has
described
exactly
what
needs
to
happen
quite
well.
I
would
suggest,
from
a
city
perspective
that
there
are
a
couple
of
things
for
the
city
where
we
can
engage.
C
Best
is
probably
in
creating
conditions
that
allow
for
better
mental
health
promotion,
but
when
we're
actually
talking
about
very
specific
services
and
in
particular,
when
we're
talking
about
mental
health
care
and
treatment,
this
is
something
that
really
we
need
our
provincial
counterparts
as
the
leads
on
health
care
and
that
kind
of
service
provision
to
take
the
lead
on
we're,
certainly
having
those
conversations
with
them.
But
we
see
this
there's
a
continuum
of
service
that
needs
to
be
offered.
Certainly
there's
much.
C
For
many
of
us,
you
know
creating
community
or
supporting
the
ability
for
community
networks
to
develop
and
flourish
is
another
example
of
the
kinds
of
things
that
we
can
do
from
a
city
perspective
that
would
have
significant
public
health
benefit,
but
clearly
mental
health
care
is
something
that
we
rely
on
our
provincial
partners
to
to
take
the
lead
on,
and
we
are
actively
actively
in
conversation
with
them
at
all
moments.
On
that.
D
Thank
you
both
for
that
response.
I
wonder,
if
has
has
the
advocacy
also
been
taken
up
with
the
provincial
agencies
and
hospitals
that
receive
provincial
dollars
because
ultimately
they're
the
ones
who
are
delivering
the
service?
It's
not
like
the
city
of
toronto
has
a
division
of
mental
health
services
right.
So
so
how
is?
How
is
that
partnership
being
reinforced,
because
what
I'm
hearing
on
the
ground-
and
this
is
perhaps
the
the
sticking
point-
is
that
all
these
provincial
agencies
and
hospitals
are
aware
of
the
service
deficiencies.
D
They
say
they
don't
have
the
bandwidth
or
the
resources
to
deliver,
and
yet
it
seems
to
me
that
the
city
is
is
is
making
the
request,
as
opposed
to
perhaps
the
hospitals
or
those
health
agencies
that
are
funded
entirely
by
the
provincial
government.
Mental
health
supports.
So
so,
how
does?
How
does
request
from
us
get
get
strengthened
and
amplified
with
their
support
and
and
perhaps
in
partnership
with
a
few
other
critical
players
that
that
aren't
at
the
table
with
it
on
the
daily
calls
with
you.
B
And
just
before,
you
answer
staff
I'll
note
that
we're
just
over
six
minutes,
and
so
that
will
then
see
if
there's
a
second
round
of
questioning
after
this
okay,
thanks.
I
C
C
So,
for
we
have
a
task
force,
that's
been
created
and
it's
a
partnership
between
the
toronto
academic,
health
sciences,
network,
toronto,
public
health
and
a
number
of
community
partners
established
to
look
specifically
at
the
opioid
poisoning
crisis.
And
there
is,
you
know,
shared.
You
know,
work
that
is
happening
amongst
these
partners,
and
I
recognize
that's
only
one
particular
issue,
but
a
very,
very
important
one,
and
I
think
it
it
sets
a
model
for
the
kinds
of
things
that
we
can
do.
It
is
very
action
oriented.
C
It
is
seeking
funding
in
order
to
deliver
as
best
it
can
on
the
promise
that
exists,
but
I
think
that's
one
example
of
the
kind
of
thing
that
can
happen,
and
I
imagine
that
there
isn't
any
reason
why
similar
collaborative
partnerships
couldn't
occur
across
the
spectrum
of
mental
health
needs.
B
K
Thank
you,
mr
chair,
like
council
mckelvey,
this
will
be
my
last
meeting
too
off
the
board.
So
I
just
wanted
to
thank
everyone
for
for
teaching
me
there's
a
lot
that
I've
learned
and
in
this
board-
and
I
I
mean
you
know
even
doing
covid,
because
border
health
is
very
important
and
I
just
wanted
to
actually
counselor
mckelvey
has
asked
most
of
my
questions
and
I
just
wanted
to
elaborate
on
the
question
of
staff
of
the
communication
in
multiple
languages.
K
I've
seen
some
social,
some
infographics
that
are
coming
out.
Can
someone
can
staff
told
me
that
how
many
languages
I
mean
some
some
of
those
infographics.
I
don't
think
it's
enough,
but
can
stop
telling
me
that
how
what
how
are
they
communicating
to
the
people
that
don't
speak?
English,
because
you
know
I
to
me
they
are
the
vulnerable
and
I've
got
the
email
from
from
from
my
constituents
that
sometimes
you
know
they
don't
understand.
What's
going
on
and
it's
very
important
that
we
protect
them
as
well.
So
can
staff
tell
me
about
the
infographics?
I
K
That
that
is
good
enough.
I
just
wanted
you
know
we
can.
We
can
actually
do
more
and
and
better
because
communication
is
key
for
people
to
to
prevent
from
covet.
The
other
question
I
would
have
is
about
the
report.
Thank
you
very
much.
It's
a
very
nice
report
and
you,
you
touch
on
a
lot
about
the
the
equity
measures
I've
seen
in
in
the
in
the
in
your
presentation
that
they're,
you
know
the
racialized
group,
the
care
for
the
seniors
for
homeless
and
all
that
mental
health.
K
Those
are
some
of
these
equity
measures.
I'm
just
wondering
again
tell
me
in
this
presentation
or
in
this
report,
would
it
cover
people
that
don't
that's?
First,
language
is
not
english,
I
mean
they
have
a
barrier.
Often
obviously-
and
I
think
you
know
be
very,
very
important-
that
they
they're
being
communicated
with
the
key
messages
or
they
are
being
part
of
this.
This
whole
group
of
being
equity.
G
So
if
I
may
absolutely
cancer
lie
so
as
we're
taking
a
much
so
from
the
beginning
of
this
response.
G
Partnership
with
a
variety
of
community
agencies
has
been
critical
both
because
agencies
are,
as
I
think,
as
juliana
said
earlier,
trusted
and
knowledgeable
about
their
local
community
and
they've,
been
able
through
the
geographic
clusters
that
we
created
early
on
in
the
pandemic,
to
be
feeding
back
to
us.
The
multiple
needs
that
the
residents
that
they
serve
require
part
of
this
has
been
about
ensuring
that
people
who
english
is
not
their
first
language
can
understand
services
that
are
available
to
them.
G
That's
why
there
is
this
commitment
and
and
action
up
until
now
to
keep
translating
information
to
the
languages
that
are
most
dominant
in
particular
communities
and
neighborhoods,
and,
where
possible,
to
use
high
graphic
infographics
as
well
as.
K
Communication,
yeah,
okay,
thank
you.
My
last
question
would
be
with
the
calls
to
the
toronto
public
health.
Now
with
the
helpline
are
there
would
would
they
be
in
different
languages
as
well.
C
So
through
the
chair
we
do
have,
we
have
some
staff
who
certainly
speak
a
variety
of
different
languages,
but
as
well.
We
have
access
to
translation
services
in
order
to
support
calls
on
an
as-needed
basis,
for
whatever
language
is
most.
You
know
easy
for
for
the
caller
to
to
be
to
be
understood
and
to
understand
the
information.
B
Thank
you
very
much
counselor
line.
Next
I
have
trustee
lapretti.
A
Hi,
I
have
two
questions
regarding
the
delegation.
My
question
is:
are
we
considering
making
testing
mandatory
in
schools
to
keep
them
safe?
C
So
through
the
chair,
you
know,
counselor
sorry,
trusty,
lapretti,
good
question.
Their
testing,
as
you
know,
falls
under
the
provincial
purview
and
it
is
a
healthcare
clinical
kind
of
service.
We
are
absolutely
supportive
and
we
are
participating
in
current
testing
pilots,
asymptomatic
testing
initiatives
that
are
happening
again
under
provincial
purview.
It's
it's
a
little
more
complicated
than
it
might
appear
on
the
surface.
C
You
know
it
is
there
are
the
tests
are
imperfect,
they
are
good,
but
they
are
not
perfect
by
any
stretch
of
the
imagination.
That
is
the
case
for
every
test
that
is
provided
for
within
the
context
of
of
medical
practice.
C
So
what-
and
the
issue
of
course
is
that
there
are
challenges,
as
I
understand,
and
the
our
provincial
counterparts
are
probably
better
to
speak
to
this
than
we
are
around
the
capacity
within
the
system.
So
the
question
is
how
best
to
direct
the
resources
in
those
places
where
they're
likely
to
deliver
the
most
value.
C
So
we
have
a
current
asymptomatic
testing
initiative
underway.
The
province
is
the
lead.
We
are
one
jurisdiction
that
is
participating
in
this.
My
suggestion
would
be
to
let
that
continue
to
be
implemented
and
to
undertake
the
evaluation
and
to
look
at
the
evaluation
of
that
endeavor,
so
that
we
can
make
informed
decisions
around
what
would
be
the
next
best
steps
in
terms
of
either
scaling
up
adjusting
or
you
know,
whatever
makes
the
most
sense
given
what
they
find
from
that
evaluation.
B
Thank
you
trustee
lapretti.
Let
me
just
do
a
call
other
members
of
the
board
with
questions.
Okay,
I
see
director
mulligan.
Are
there
any
others,
just
as
I
create
a
list
and
then
see
if
we
need
a
second
round
caucusing
around
okay,
so
we'll
go
to
director
mulligan
and
then
myself,
director
mulligan,
when
you're,
when
you're
ready.
H
Thank
you
chair.
I
have
two
questions.
The
first
is
about
the
maps
so
we're
seeing
that
covet.
19
inequities
continue
to
persist,
even
though
there
is
this
heroic
effort
happening
at
the
city
level,
with
many
components,
new
initiatives,
short
up
initiatives,
and
so
on.
H
Excuse
me:
could
you
speak
a
little
bit
dr
davila,
about
evaluation
of
how
we've
done
so
far
and
whether
this
work,
we
think,
has
mitigated
covit
or
it's
the
attendant
impacts
of
of
isolation
and
lockdown.
C
So
through
the
chair,
an
excellent
question-
and
I
don't
know
that-
there's
a
simple
answer
to
that
question.
Quite
yet
we
know
that
you're
quite
right
inequities
persist,
despite
some
very
very
you
know
heroic.
I
would
characterize
them
as
efforts
on
the
part
of
you
know
many
of
my
colleagues
all
around
the
city
and-
and
I
can
assure
you
within
toronto-
public
health
itself.
C
I
think
some
of
the
challenges
are
that
what
underpins
and
underlies
the
inequities
that
we're
seeing
in
respect
of
covid,
you
know,
is
premised
on
circumstances
that
have
been
there
for
a
very,
very
long
time
and
will
require
significant
work
to
address
that
doesn't
mean
we
should
stop
or
that
we
should
throw
in
the
towel.
I
think
it
just
tells
us
that
we
have
significant
efforts
to
undertake
now
during
covid,
and
I
would
argue
beyond
that.
C
C
I
think
we
have
a
partial
picture
at
this
point,
you're
going
to
see
a
little
bit
about
a
little
bit
of
that
a
little
window
into
that
premise
on
one
of
the
upcoming.
The
next
report
that's
coming
on
the
agenda,
but
it
is
by
no
means
complete,
but
it
is
a
starting
off
point
and
it
is
something
that
we
are
actively
looking
at
and
that
we
will
need
to
continue
to
look
at
both
as
toronto.
Public
health,
I
would
say,
is
the
city
writ
large
and
certainly
from
the
provincial
perspective
as
well.
H
Thank
you,
and
I
have
I
have
one
more
question
and
it's
about
vaccination,
so
denise
and
julia-
and
I
mean
all
of
you,
mentioned
the
trusted
relationships
that
community
agencies
have
with
very
marginalized
communities
and
I'm
wondering
in
what
way,
if
at
all,
the
preparation
for
vaccination
is
related
to
the
work
that
has
been
done
around
testing
and
wraparound
supports
and
other
initiatives
with
these
communities.
H
If
you
could
speak
at
all
to
how
we're
preparing
for
that,
that
would
be
fantastic
thanks.
G
So
perhaps
I
could
quickly
start
and
then
throw
it
over
to
eileen,
so,
as
you
saw
in
the
slide
deck
from
julianna,
the
fourth
area
of
work
is
to
leverage
what
we
are
doing
now
to
your
point,
kate,
to
prepare
for
immunization.
We
anticipate
that
some
of
the
high
the
communities
with
the
higher
concentrations
may
also
have
a
immunization
hesitancy.
G
G
We're
also
looking
to
see,
potentially,
if
faith
leaders
in
some
communities
can
play
a
role,
potentially
you
know,
maybe
being
among
some
of
the
first
to
get
immunization
in
order
to
be
able
to
share
this
message
with
those
that
are
part
of
those
communities.
So
we're
trying
multiple
things
now,
seeing
these
things
as
quite
connected
to
your
point,
eileen.
C
Thanks
denise,
I
think
you've
captured
it
very
nicely,
and
I
think
that
over
and
above
you
know,
the
community
agencies
that
have
established
relationship
and
trusting
relationships
with
their
communities
and
clients
we
need
to
bring
in
you
know,
health
care
partners
who
have
trusted
relationships
with
clients,
faith
leaders,
social
service
and
community
service
agencies.
I
do
think
that
this
is
an
all
hands
on
deck.
C
The
the
part
that
I
I
am
I
think
we
need
to
be
upfront
about
in
terms
of
concern
is
that
we
know
that
these
agencies
are
also
they
are
also
stretched
and
and
feeling
the
pressure
so
we're
trying
to
you
know
be
respectful
of
that
and,
at
the
same
time,
it's
a
very
delicate
balance
to
ensure
that
they're
engaged
and,
at
the
same
time
recognize
how
best
do
we
ensure
that
they
still
have
the
capacity
to
do
what
they
need
to
do
and
to
be
mindful
of
themselves,
given
the
many
many
pressures
that
covet
19
and
the
response
has
placed
on
them
over
the
last
several
months.
C
B
We
do
a
call
if
there's
a
request
for
a
second
round,
if
not
I'm
going
to
put
myself
on
it's
a
counselor
wrong
time,
so
I'm
going
to
put
myself
on
and
then
we'll
do
a
second
round
for
any
who
who
wish-
and
I
see
counselor
wong
tam
there.
So
let
me
kick
it
off.
B
Just
for
myself
and
I'll
start,
my
timer
and
and
I'll
start
with
to
denise
and
eileen
jump
in
where,
where
you'd
like
the
report
speaks
to
family
isolation,
so
we
have
an
isolation
center
currently
in
operation,
the
tph
operates
in
the
feds
fund.
It
speaks
to
the
need
to
identify
increased
supports
for
families
who
need
to
isolate.
Can
I
just
get
an
update
on
what
the
status
of
that
work
is
and
and
what
we
might
expect
to
hear
coming
forward.
G
Certainly
counselor
cressie,
so
in
exploring
potential
barriers
for
people
to
access
both
testing
and
isolation.
If
required,
it's
come
to
our
attention
that
families
that
are
under
house
or
that
have
dependent
children
or
dependent
elders
may
struggle
in
order
to
go
for
an
individual
to
go
to
the
current
voluntary
testing
site.
So
we're
working
through
with
public
health
with
a
variety
of
other
partners
we're
looking
at
those
jurisdictions
around.
G
Can
we
bring
different
kinds
of
support
if
the
individual
needs
to
go
to
the
voluntary
isolation
center,
but
need
child
care
or
elder
care
support
in
home
as
well
as
is
there
a
safe
and
other
mod
safe
model
that
we
can
develop
where
a
family
might
be
able
to
isolate
together
outside
of
the
home
if
there
are
others
living
within
the
home?
So
it's
a
little
complex.
G
G
So
we're
working
through
those
details,
councilor
cressie,
I'm
sure
early
in
the
new
year,
we'll
have
a
much
clearer
plan
that
we
will
be
able
to
fully
share.
I
think
that
includes
just
taking
sort
of
quietly
using
the
case
management
support,
trying
to
expand
and
test
out
this
expanded
family
approach
model.
B
Okay
and
I
so
more
to
come
early
in
the
new
year
work
underway.
One
of
the
recommendations
we
have
the
overarching
acted,
react
equity
action
plan
in
front
of
us
with
the
10
thematic
areas.
One
of
the
wrecks
denise
spoke
to
specific
and
targeted
black
and
indigenous
streams
of
work,
especially
within
the
black
community,
where
we've
seen
an
exceptionally
high
disproportionate
rate
of
infection.
Can
you
just
tell
us
what
the
next
steps
are
on
the
specific
black
and
indigenous
related
streams
and
when
the
board
might
hear
back
on
them.
G
Of
course,
camp
for
craftsy,
so
we
certainly
have
been
meeting
with
black
health
leaders
and
community
agencies
to
better
understand
some
of
the.
Why
and
some
of
the
patterns
behind
the
data
that,
as
you
noted,
continues
to
show
very
high
disproportionate
impact
on
black
communities.
G
G
We
presented
a
giraffe
black
resilience
and
equity
strategy,
health
equity
strategy
to
a
number
of
black
health
leaders
last
week,
and
we
will
need
to
do
some
more
work
to
refine
those
approaches
while
we're
simultaneously
doing
them
we're
building
cars
as
we
drive
them
in
this
work,
as
we
all
know,
and
certainly
one
of
the
loudest
and
clearest
voices
or
messages
from
the
community,
both
black
and
indigenous.
G
So
we
certainly
are
happy
to
come
back
and
to
continue
to
update
board
of
health
and
and
council,
ultimately
on
the
measures
that
we're
taking,
both
in
the
immediate
and
ultimately,
in
the
long
term,
to
address
both
anti-black
racism
and
anti-indigenous
racism
that
are
playing
a
role.
In
the
moment
we
find
ourselves.
B
Great
and
then
just
with
my
last
second
here,
one
last
question
and
eileen,
this
can
go
to
you.
The
recommendation
number
two
is
for
counseling
the
board
to
approve
the
inclusion
of
equity
indicators
in
our
monitoring
dashboard.
So
in
other
words,
we
have
our
health
care
indicators,
our
public
health
indicators,
our
case
rate
indicators.
This
is
to
embed
equity.
It's
a
core
set
of
overarching
indicators.
C
So,
thank
you,
mr
chair,
for
the
question.
We
are
working
on
that
and
I
understand
that
there
are
some.
You
know,
indicators
that
are
being
posed
right
now
and
being
examined.
I
believe,
early
in
the
new
year.
We
should
have
something
for
the
board
to
consider
and
you're.
Quite
right.
It
is
important
to
have
those
indicators
in
terms
of
evaluating
our
response.
C
You
know
we
do
want
to
see
inequities
addressed
not
only
in
respect
of
the
covid
response,
but
on
the
go
forward
basis.
As
denise
rightfully
pointed
out.
We
don't
want
to
see
ourselves
in
a
situation
where
we
have
programs
that
address
things
within
the
short
term,
only
to
have
them
fizzle
or
fade
and
not
really
address
what
our
longer
longer-term
consequences
and
longer-term
issues
that
are
fundamental
to
the
experience
of
health
status
in
the
city.
B
Thank
you
very
much,
doctor.
Okay,
we're
now
going
to
move
to
a
second
round,
as
requested
by
councillor
one
tam,
I'm
going
to
put
counselor
wrong
tam
down.
Can
I
just
see
by
a
show
of
hands?
Is
there
anybody
else
who
wishes
to
ask
a
question
in
the
second
round,
okay,
counselor
wong
tam
over
to
you
and
then
we're
going
to
move
it
in
for
speakers
on
this
item.
Counselor
one
tap.
D
Yeah,
thank
you,
chair
with
respect
to
communities
that
have
been
disproportionately
affected,
and
I
think
we've
spoken
quite
a
bit
about
you
know
who's
actually
not
doing
well
during
the
pandemic,
and
sometimes
it's
it's
a
rather
vague
term.
D
So,
therefore,
we
know
that
black
indigenous
plc
communities,
just
people
living
with
disabilities
are
not
doing
well
so
that
that
has
been
captured,
but
the
quantums
of
what
categories
that
they
need
in
terms
of
physical
support,
whether
it's
income,
whether
it's
eviction,
prevention,
whether
it's
child
care,
it's
sometimes
difficult
to
to
extrapolate
that
into
concrete
specific
actions
that
are
required
who's
doing
the
the
who's
who's
carrying
out
the
measurements
of
we
need
1
000
units
of
of
of
new,
affordable
housing.
D
This
is
the
the
corresponding
response,
and
this
is
where
we're
getting
it
from.
Can
we
can
we
flesh
that
out
further?
Just
because
I,
I
really
feel
some
difficulty
in
in
capturing
the
exact
requests
that
has
to
go
to
the
federal
provincial
government
or
the
responsibility
of
the
city,
whether
it's
child
care,
whether
it's
income
support?
Can
someone
speak
to.
C
That
so
perhaps
I
can
start
off
with
this,
you
know
counselor
and
then
I'll
turn
it
over
to
to
julie
or
to
denise
in
the
first
instance
when
it
comes
to
specific
situations,
specific
covet,
19
case
situations,
for
example.
That
is
part
and
parcel
of
the
case
management
approach
to
understand
what
the
unique
circumstances
are
of
the
individual
what's
going
on
in
their
family,
so
that
we
can
manage
the
the
covid19
infection
as
best
as
possible
and
prevent
further
spread
to
the
greatest
extent
possible.
C
So
when
it
comes
to
covid19,
it
has
to
be
done
on
an
individual
basis.
I
think
when
we
talk
about
the
needs
writ
large,
because
it's
interesting
that
you,
you
know
with
individual
covet
19
cases
you're
going
to
have
to
you,
know
make
it
in.
You
know
unique
to
the
circumstances
that
you
see,
but
when
we
talk
about
housing
needs
writ
large
or
you
know
who
is
at
risk
for
you
know
who
has
food
and
security
issues
or
housing
and
security
issues
as
communities
or
populations.
C
These
are
managed
in
slightly
different
ways
and
those
will
be
undertaken
by
the
kinds
of
assessments.
I
believe
julie
will
speak
to
through
our
housing
secretariat
through
sdfna
and
through
the
you
know,
our
our
colleagues
at
tess.
They
have
a
good
sense
as
to
what
is
happening
within
the
community
writ
large.
So
it's
it's.
You
know
if
it's
specific
to
covid,
it
may
be
very
much
linked
to
the
case.
Circumstances
broader
community
needs
are,
are
probably
going
to
be
managed
through
the
assessments
that
are
undertaken
as
part
of
our
community
assessment.
I
Thanks
eileen,
I
think
you've
captured
it
well,
counselor
wong
pam.
I
think
you're
aware
each
of
our
program
areas
continually
monitors
and
assesses
where
the
community
is
at
and
what
the
needs
are
so
and
that's
one
of
the
reasons
behind
our
ask
in
the
fall
earlier
on
in
the
fall
of
the
federal
and
provincial
government
to
accelerate
housing
that
we
needed,
3
000,
affordable,
supportive
units
over
the
next
24
months.
I
D
And
so
do
you
believe
confidently
that
we
have
provided
the
information
to
the
other
orders
of
government
in
the
most
succinct
and
in
in
quality
quantitative
way
so
that
they
can
respond
to
it
and-
and
the
reason
I
ask
this
question-
is
because
there's
oftentimes
some
some
some
confusion
and
back
and
forth
at
perhaps
the
political
level
of
what
does
the
city
of
toronto
want?
D
We've
already
made
these
announcements
we've,
given
you
more
mental
health
dollars,
we
talked
about
it
and
we've,
given
you
more
housing
dollars,
because
we
made
an
announcement
about
it.
So
how
do
we
ensure
that
what
we
are
asking
for
specifically
is
getting
out
in
a
response
by
way
of
the
announcement
from
the
other
orders
government,
but
also
there's
some
detail
tracking
that
you
made
an
announcement,
but
that
was
nationally,
and
this
is
what
the
toronto,
the
city
toronto,
was
actually
getting.
B
I
So
I
think
the
staff-
and
we
work
very
closely
with
the
intergovernmental
office
in
the
city
manager's
office-
has
been
pretty
clear
in
documenting
our
needs
to
the
funds
in
the
province,
how
they
interpret
that
and
how
they
flow.
The
money
is,
I
cannot
speak
to.
I
do
know
that
we've
been
responding
very
quickly.
We've
had
to,
as
I
say,
move
at
unprecedented
speeds
to
make
sure
that
we
are
able
to
support
vulnerable
communities.
What
we're
going
to
have
to
pause
and
reflect
on
is,
we
know
the
shorter.
I
We
know
how
covet
is
impacting
vulnerable
communities
now.
What
we
need
to
project
is
what
is
going
to
be
the
longer
term
effect.
So
as
we
move
into
recovery,
my
concern
is
that
not
all
communities
are
going
to
recover
at
the
same
pace,
so
we're
going
to
have
to
ensure
that
people
that
are
housed
don't
lose
their
housing,
that
people
that
are
now
ready
to
return
to
work
and
have
a
job
have
access
to
affordable
child
care.
I
So
we
knew
before
covet
what
that
that
high
level
need
was,
and
we
articulated
that
clearly
we
have
to
revisit
now
and
just
keep
a
constant
monitoring
on
the
ground
on
what
happens
happening.
So
we
can
update
those
plans
based
on
the
longer
term
impacts
that
covet
is
going
to
have
on
some
of
our
more
vulnerable
communities,
and
I
think
that
work
is
going
to
is
being
done
and
we're
working
very
closely,
as
I
say,
with
the
community
agencies,
because
they
are
on
the
ground
and
they
can
help
us
really
articulate
and
document
that
need.
B
Thank
you
very
much
so
we're
now
gonna
move
this
into
committee
for
speakers.
So
I'm
just
gonna
draw
a
speaker's
list
here
by
way
of
a
show
of
hands.
I
just
want
to
see
who
wishes
to
speak
director
mulligan.
Thank
you.
Any
other
members
of
the
board
wish
to
speak.
Counselor
lie
anybody
else
on
this
item:
counselor
wong
tam,
and
I'm
just
checking
my
other
screen
here.
B
Okay,
so
I
will
do
we're.
Gonna
go
director,
mulligan,
followed
by
counselor,
live,
followed
by
councillor
wong
tay,
I'm
followed
by
myself,
director
mulligan
when
you're
ready.
H
H
There
are
sort
of
four
art
that
I've
been
really
interested
in,
seeing
move
forward,
release
data
transparently
that
helps
us
inform
and
guide
decisions
when
it
comes
to
health
and
health.
Equity
help
do
take
every
possible
action
to
help
reduce
people's
contacts,
represent
diverse
communities
and
the
expertise
of
a
community
at
decision
making
tables
and
provide
resources,
resource
community
and
community
agencies.
H
It's
really
what's
needed
to
address
inequities
and
to
end
the
pandemic,
and
so
it
is
really
good
to
see
it's
clear
from
the
data
and
from
the
maps
that
we
still
have
a
lot
of
work
to
do
to
make
this
a
reality
and
that
some
of
that
work
needs
to
continue
to
happen
and
grow
at
the
city
level,
but
also
from
the
other
levels
of
government
that
we
all
need
to
be
working
together.
H
To
make
sure
that
we
are
on
the
same
page
about
releasing
data,
reducing
contacts
representing
communities
who
have
the
knowledge
and
expertise
to
really
make
this
happen
for
people
who
don't
have
a
choice
oftentimes
in
their
level
of
risk
exposure
and
resource
those
community
agencies,
community
health,
centers
and
others
to
do
this
work.
So
I'm
very
pleased
to
see
this.
I
would
love
to
see
this
continue
as
an
important
equity
direction
for
the
city
throughout
covid,
but
even
more
importantly,
beyond
covid.
H
These
four
r's
are
going
to
be
critical
as
we
encounter
other
health
issues
in
what's
really
a
syndemic,
which
is
the
combination
of
this
cova
19
pandemic,
other
health
and
social
and
economic
and
political
conditions
that
have
been
distributed
inequitably
across
our
city
for
a
long
time.
So,
thank
you
again
for
this
hard
work
and
we'll
keep
pushing
you
to
make
sure
it
improves
and
grows
over
time.
B
Thank
you
very
much
director
mulligan.
Next,
I
have
counselor
lie.
K
Thank
you,
mr
chair,
like
I
said,
this
is
going
to
be
my
last
meeting
at
the
board
of
health,
and
I
just
firstly
and
foremost,
I'd
like
to
thank
you,
mr
chair,
for
being
such
a
good
leader
and
from
the
beginning,
I've
pushed
on
multi-language
and
now
without
me,
even
requesting
it
you,
you
know,
you're,
making
motions
on
console,
including
multi-language,
because
you
know,
as
everybody
know,
we're
looking.
We
really
need
to
help
those
vulnerable
communities
and
we
have
to
look
for
all
of
them
and
help
all
of
them
and
I'm
very
happy.
K
And
secondly,
I'd
like
to
thank
the
city
staff,
especially
our
deputy
city
manager,
and
you
had
you
said
it
right
on
about.
We
have
to
actually
articulate
and
document
our
needs
to
the
different
levels
of
government
and
for
you
to
work
with
the
toronto
public
health
and
dr
devela
you're
doing
great
job
and
every
day
you
are
on
on
cp
24.
We
always
hurt
you
and
then
you
have
a
beautiful
scaffold
every
day.
So
you
know
it's
very,
very
good
that
we,
I
mean
everybody
works
hard
for
this.
K
No
doubt
about
that,
and
then
I'd
like
to
also
thank
the
the
federal
government
and
the
provincial
government
for
stepping
up
to
help
the
city
as
well,
and,
having
said
all
that,
I
just
wanted
to
ensure
that
everybody
would
be
having
a
little
bit
of
well.
I
guess
this
because
it's
a
second
wave,
we
cannot
really
really
stop
by
working
hard.
We
have
everybody
have
to
work
hard,
but
having
offset
that,
I
wanted
to
wish
everybody
a
happy
new
year
and
a
merry
happy
holidays.
Thank
you.
B
D
Thank
you
very
much
chair
and
and
thank
you
to
staff
for
your
ongoing
work,
and
I
want
to
just
commend
to
every
to
to
those
who
have
been
on
the
the
leadership
table
of
the
city
of
toronto,
including
the
staffer
on
the
front
lines.
D
It
is,
of
course,
without
a
precedent
that
you
are
all
working
hard
to
respond
to
this
global
pandemic,
and
much
of
it,
of
course,
is
without
a
blueprint.
So
you
are,
you
are
assessing,
and
you
are
quickly
adapting
the
existing
city,
programs
and
partnerships
to
actually
scale
up
the
response,
and
I
I
don't
think
we
could
do
it
without
the
thoughtful,
careful
consideration
and
compassionate
leadership
that
each
and
every
single
one
of
you
have
demonstrated
so
far,
and
there
is
no
there's
always
of
course
room
for
improvement.
D
And
I
know
that
this
is
a
group
of
leaders,
as
well
as
a
group
of
service
providers
that
are
always
quickly
adapting
when
they
see
a
need
or
a
gap.
That
needs
to
be
filled,
and
I
really
am
very
proud
of
of
that
work,
especially
the
work
of
of
of
julia
carbone,
dr
davila,
and
everybody
that
falls
under
that
leadership
structure,
including
denise
campbell.
D
Really,
we
owe
you
a
huge
enormous
debt
of
thanks,
including
our
city
manager,
our
chair
and
everyone
else.
At
the
city,
who's
who's
really
been
driving.
This
change,
and
we
have
on
many
occasions
now-
and
I
think,
for
this
city
quite
quite
eagerly,
but
also
quite
accurately,
describe
the
disproportionate
impacts
of
kovit
to
certain
communities.
D
I
think
the
frustration
that
I
have
and
I
I
think
it
needs
to
be
stated,
because
we
cannot
necessarily
let
go
of
these
reports
without
noting
the
fact
that
we're
not
getting
the
same
type
of
corresponding
support
from
the
provincial
government.
D
Yes,
the
federal
government
is
at
the
table
and
we
do
know
that
they
are
responding
and
they're
trying
to
respond,
even
sometimes
without
the
leadership
of
the
the
province,
but
healthcare
and
mental
health
care
fall
squarely
within
their
purview,
and
so,
even
though
we
are
doing
the
best
that
we
can
with
the
attention
with
the
provincial
government,
I
cannot
let
another
report
go
with
respect
to
the
impacts
to
equity
groups,
be
released
from
this
board
without
citing
the
fact
that
we
have
an
order
of
government
that
is
not
paying
attention
the
way
we
need
them
to
or
if
they
are
paying
attention,
they're,
not
giving
us
the
corresponding
support
that
we
are
asking
for,
and
I've
asked
in
in
our
meetings
now
on
in
a
whole
number
of
ways.
D
So
when
I
speak
about
this
matter,
it
is
largely
because
I
know
that
our
staff
will
not
be
able
to
do
their
work
without
the
resources
and
the
funding
and
the
support
from
the
province.
And
so
our
efforts
to
address
the
health
inequities
will
always
be
somewhat
short
until
the
province
comes
to
the
table.
D
And
that's
why
I,
I
feel-
and
I
believe
it's
important
for
us
to
continue
to
cite
that
until
they
actually
arrive
at
the
table
with
the
supports
in
hand
with
the
long-term
sustainable
funding
commitments
in
hand
without
a
one-time
expiry
date
in
march,
or
perhaps
an
announcement
that
is
vague
on
details.
Only
to
have
details
be
released
weeks
later,
where
all
of
a
sudden
we're
into
a
new
crisis
or
a
new
phase
of
crisis
that
now
has
even
further
amplified
and
magnified
itself.
D
So,
mr
chair,
I
know
that
you'll
be
moving
a
motion
that
will
be
largely
supported
by
the
board
of
health
members.
We
thank
you
for
your
ongoing
leadership
and
deep
engagement
with
us,
and
I
just
want
to
associate
myself
with
the
motion
that
you're
going
to
be
tabling
and
lend
you
my
full
support.
Thank
you
very
much.
Everyone.
B
B
B
Let
me
begin
by
noting
that
the
staff
recommendations
in
front
of
us,
of
course
I
will
move,
which
is
to
endorse
toronto's
equity
action
plan
for
the
city
and
the
board,
to
approve
the
inclusion
of
equity
indicators
in
tph's
monitoring
dashboard
and
to
embed
the
equity
action
plan
in
its
work,
not
only
in
our
response
but
in
our
recovery,
and
I
would
move
an
amendment
that
has
been
pre-circulated
as
well,
which,
if
our
clerk
can
put
it
on
the
screen,
I
will
speak
very
briefly.
B
This
amendment
first
requests
cities,
our
staff
and
the
medical
officer
of
health
to
report
back
on
the
status
of
the
implementation
of
the
equity
action
plan,
including
the
specific
streams
of
work
that
staff
are
working
on
targeted
at
black
at
the
communities
within
the
toronto
of
the
black
community,
the
indigenous
community
in
the
disabled
community
as
well
to
continue
the
work
that
is
ongoing
around
family
isolation
for
the
board
to
endorse
the
recently
announced
enhanced
measures
by
the
ttc
to
expand
physical
distancing
in
disproportionately
affected
neighborhoods
and
to
encourage
the
ttc
to
continue
to
scale
up
that
work
and
finally,
on
sick
leave
and
I'll
be
specific
here,
time
and
time
again
going
right
back
to
the
spring.
B
Let
me
begin
by
having
spoken
to
those
amendments
by
thanking
our
staff,
both
in
toronto
public
health,
for
their
unwavering
commitment
to
address
inequities
as
part
of
our
covet
response.
But
I
really
want
to
acknowledge
and
commend
here
as
well:
deputy
manager,
juliana
carboni,
deputy
city
manager,
denise
andrew
campbell,
the
executive
director
of
sdfa
and
the
whole
government
at
the
city
of
toronto
for
their
response.
This
is
a
whole
of
government
response
to
equity.
B
So
I
want
to
thank
staff
for
that,
and
I
want
to
acknowledge
and
note
this
board
each
and
every
one
of
you
and
if
you
could
forgive
me
for
singling
out
director,
mulligan
and
councillor
wang
tam
for
their
push
and
drive
to
ensure
that
equity
was
at
the
heart
of
this
response.
B
Kovitt
didn't
create
the
housing
crisis
in
our
city.
It
didn't
create
the
the
rise
of
precarious
work
or
structural
racism,
but
as
we
know,
it
has
exposed
and
exacerbated
them,
and
we
cannot,
as
we've
talked
about,
beat
covet
without
tackling
structural
inequity,
and
so
you
can't
tell
somebody
to
to
go
and
get
a
test
and
isolate
if
the
result
of
a
positive
test
is
the
loss
of
a
paycheck
which
could
result
in
the
loss
of
their
home.
That's
why
we
need
sick
days
in
eviction
moratorium.
B
An
equity-driven
response
is
not
the
responsibility
of
one
agency
or
one
department;
it
is
the
responsibility
of
every
facet
of
every
order
of
government
and
so
on
that
front-
and
I
would
echo
director
mulligan's
comments-
I'm
proud
of
the
work
this
board
and
this
city
are
doing
and
there's
many
firsts
the
first
to
collect
and
share
disaggregated
data.
The
first
to
drive
some
of
those
responses
like
isolation
facilities,
the
first
to
develop
and
endorse
an
equity
plan.
B
B
You
do
more
good
work
because
that's
what's
needed,
and
so
we
in
the
days
weeks
and
months
ahead
in
the
midst
of
a
devastating
second
wave,
that
I
deeply
deeply
and
concerned
will
replicate
the
outcomes
of
the
first
wave.
We
need
to
fight
with
everything
we've
got
at
the
city
and
we
need
to
fight
with
everything.
B
We've
got
to
ensure
that
the
provincial
and
federal
governments
do
the
same
to
protect
those
who
are
hardest
hit,
and
I
will
tell
you
that
I'm
I'm
actually,
despite
the
great
optimism
in
the
scientific
success
with
the
development
of
a
vaccine,
I'm
concerned
that
the
vaccine
will
result
in
governments
turning
their
focus
away
from
the
continued,
disproportionate
and
brutal
assault.
This
pandemic
is
waging
on
frontline
workers
on
racialized
torontonians.
B
Thank
you
very
much
with
that
we
have
is.
I
would
suggest
that
we
take
this
as
a
package.
The
amendment,
as
well
as
the
staff
recommendations
are
people.
Can
I
just
see
by?
Is
anybody
uncomfortable
with
that
approach?
B
Seeing
none?
Okay
to
our
clerks,
we
have
taking
as
a
package
the
amendments
as
well
as
the
staff
recommendations,
all
those
in
favor
opposed.
If
any.
B
Thank
you,
members
of
the
board
that
is
the
first
centrally
embedded
equity
action
plan
in
the
country
kudos
to
staff
and
you
we
will
now
turn
to
our
second
item:
item
hl,
24.2
response
to
covid
update.
If
you
thought
we
just
dealt
with
covid,
there
is
more
to
come.
B
We
will
begin
with
a
presentation
from
our
medical
officer
of
health,
sarah
collier
and
liz
corson
from
tph
as
well.
We
will
then
turn
to
hear
from
one
registered
speaker
before
bringing
it
back
into
committee.
So,
dr
davila,
we
speak
all
the
time,
but
back
over
to
you.
C
We
do
indeed
mr
chair,
thank
you
very
much.
I
will
in
fact
be
turning
it
over
to
my
colleagues,
sarah
collier
and
liz
courson.
They
are
much
closer
to
the
data
in
respect
of
covid19.
C
You
know,
and
if
I
can,
while
there
are
the
two
of
them
here
who
are
going
to
present
the
first
part
of
this
presentation,
I
know
that
they
work
with
a
number
of
other
colleagues
back
at
toronto,
public
health
and
they
are
really
doing
herculean
work
in
respect
of
the
response,
one
to
make
sure
that
we
are
informed
as
toronto,
public
health
too,
that
you
are
informed
as
the
board
of
health
and
three
and
perhaps
most
importantly,
the
role
is
to
ensure
that
these
data
are
being
applied
to
achieve
the
key
objectives
of
the
response
and
to
address
the
health
status
issues
and
the
inequity
issues
that
we've
just
been.
C
E
End,
thank
you,
dr
davila.
Can
I
just
get
a
thumbs
up
that
you
can
hear
me?
Okay,
okay,
great!
Thank
you
good
morning.
Thank
you
for
the
opportunity
to
present
today
I'm
going
to
provide
an
update
on
the
epidemiology
and
surveillance
of
covet
19
in
our
city,
I'll,
be
discussing
a
few
of
the
key
indicators.
We
continue
to
monitor
many
in
the
context
of
the
28
day
lockdown,
my
colleague,
liz
corson,
who
is
a
supervisor
on
the
epidemiology
and
data
analytics
unit,
will
be
taking
over
for
the
second
part
of
the
epidemiology
report.
E
E
I'm
going
to
start
us
off
with
this
updated
version
of
this
infographic.
You
have
seen
this
many
times
before
and
this
is
to
share
the
most
current
totals
and
key
covid
metrics.
So
as
of
yesterday,
at
2
pm,
we
had
a
total
reported
case
count
reach
49
236
since
the
beginning
of
the
pandemic,
so
that
is
a
40
increase
which
translates
to
just
over
14
000
additional
cases.
Since
we
reported
to
you
at
the
last
board
of
health
meeting
last
month,
and
I'm
not
going
to
take
too
much
time
going
through
all
of
these
metrics.
E
Next
slide,
please.
So
this
slide
has
a
lot
going
on
and
I'm
going
to
try
and
walk
you
through
it
and
I'll
try
to
just
highlight
some
of
the
key
points.
There
are
two
panels,
so
there's
the
top
panel
and
the
bottom
panel
along
the
bottom
is
the
date
so
we're
starting
at
october
1st
and
so
really
we're
looking
at
the
second
wave
in
this
panel,
the
the
top
section
is
showing
the
cases
in
the
gray
bars
and
the
blue
band
is
the
date
that
we
estimate
that
cases
were
infected.
E
So
what
we
can
see
in
this
first
in
this
first
graph
at
the
top
is
that
there
are
bumps
or
increases
in
infections,
and
then
there
is
a
bump
in
the
increases
of
cases
reported
to
us.
So
there's
this
delay
between
when
a
person
becomes
infected
and
when
they
show
up
as
a
case
and
we've
known
this
for
a
long
time,
we
use
this
information
to
help
us
inform
the
bottom
panel
and
the
bottom
panel
is
showing
the
effective
reproductive
number.
E
So
the
effective
reproductive
number,
which
I'll
refer
to
as
rt,
represents
the
average
number
of
people
who
are
being
infected
by
an
infectious
individual
at
a
specific
time.
So
the
rt
is
affected
by
the
number
of
people
in
the
population
that
are
infected
and
the
number
of
susceptible
individuals
with
whom
the
infected
case
is
in
contact
with.
E
So
when
the
rt
is
above
one,
the
virus
spread
grows
and
when
the
case
numbers
are
high,
like
we're
seeing
right
now,
those
numbers
can
really
start
to
climb
and
when
the
rt
is
below
one,
the
virus
spread
declines
and
that
dotted
horizontal
line
in
that
second
panel
represents
an
rt
of
one,
and
so
I
want
to
draw
your
eye
to
the
rt
through
august
to
the
beginning
of
september.
It's
hovering
well
above
one
and
then
gradually
we
see
that
impact
on
the
top
panel
on
our
case
numbers.
E
E
So
the
reason
why
we
model
the
rt
at
the
time
of
infection
is
because
it's
actually
it's
better
at
seeing
the
changes
that
can
be
associated
with
changes
and
policies.
So
we
can
see
at
the
bottom
bottom
panel
again
thinking
about
that
28
day,
lockdown,
that
for
infections
that
acquired
that
were
acquired.
On
december
1st,
we
observed
an
rt
of
1.1,
which
means
that
the
virus
is
still
spreading
and
growing.
E
I
know
that
we're
all
eager
to
see
some
positive
impacts
of
the
lockdown,
but
based
on
modeling
this
pandemic.
For
several
months
now
and
through
various
policy
changes,
we
know
that
it
takes
approximately
four
weeks
to
see
the
impact
of
public
health
interventions
on
rt,
and
then
it
takes
a
bit
more
time
before
those
cases
are
reported
to
us
and
show
up
in
our
data
and
our
monitoring
indicators.
E
So,
in
other
words,
this,
if
I
were
to
summarize
this
entire
slide,
it
really
is
that
we're
going
to
need
to
check
back
in
the
beginning
of
january
to
see
if
there
was
a
decrease
in
cases,
and
we
are
very
hopeful-
and
we
of
course
continue
to
monitor
the
rt
to
see
if
we
will
start
to
see
it
dip
below
one
again.
It
indicating
that
there
is
a
slow
decrease
in
cases
ahead
of
us,
but
based
on
our
current
irt
of
1.1
again,
we
can
expect
to
see
an
increase
in
cases.
E
E
Toronto,
public
health
has
recently
obtained
aggregated
and
anonymized
mobility
data,
so
these
are
not
individual
records
but
rather
show
the
population
trends.
Overall,
these
aggregated
mobile
device
data
come
from
users
who
have
authorized
sharing
their
location
and
apps
so
map
mapping,
apps
weather
apps
social
media,
for
example,
and
the
data
are
collected
on
the
location
of
the
device,
every
30
minutes
and
then
again,
aggregated
and
sent
to
us.
E
So
this
is
the
proportion
of
time
a
device
spends
within
200
meters
of
its
home
location
in
a
24
hour
day
period.
So
when
the
proportion
of
device
time
is
high
at
home
is
high,
we
assume
that
people
are
less
spending
less
time,
moving
around
and
possibly
less
time,
interacting
with
others.
Again,
it's
a
proxy,
and
so
what
what
we
can
see
in
this
graph
is
that,
after
the
initial
lockdown
in
march,
toronto
saw
a
rise
in
device
time
spent
at
home.
E
E
As
I
mentioned
before,
we
are
interested
in
seeing
if
this
lockdown
will
have
an
impact
on
the
case
numbers,
but
we
also
need
to
continue
to
monitor
other
indicators
as
a
means
of
understanding
what
the
current
case
count
will
mean
for
hospitalizations,
as
well
as
our
ability
to
test
and
trace.
So
we
continue
to
encourage
folks
to
check
our
monitoring
dashboard.
E
E
Focusing
on
this
virus
spread
and
containment
section
of
the
dashboard,
we
can
see
that
there
is
a
pattern
of
increase
in
all
of
our
indicators
here.
I've
specifically
highlighted
in
the
bottom
part
of
this
of
this
slide
the
numbers
that
we
would
need
to
see
to
move
us
from
red
to
yellow
or
from
yellow
to
green
in
the
case
of
the
rt.
E
I
just
want
to
focus
on
the
trends
and
new
hospitalizations,
because
it's
also
concerning,
while
we're
reporting,
approximately
15
new
cases
hostile
life
per
day.
We
know
that
there
is
a
delay
in
when
hospitalizations
are
reported
to
us,
so
that
very
sharp
line
down
at
the
at
the
very
end
of
this
line
is
likely
just
due
to
a
reporting
leg,
and
so
I
just
want
to
talk
a
little
bit
more
about
hospitalizations.
E
E
So
on
december
9th
we
had
24
new
hospitalizations
we've
also
graphed
the
total
number
currently
in
hospital
again
that
have
been
reported
to
toronto
public
health,
and
this
is
the
light
blue
shaded
area,
and
what
we're
seeing
here
is
that
the
pattern
seems
to
be
that
approximately
10
days
to
two
weeks
after
the
peak
in
new
hospitalized
cases.
So
again,
those
being
newly
admitted
each
day.
We
see
a
reflected
peak
and
the
cases
currently
hospitalized,
so
those
total
coveted
cases
in
hospital
and
again
using
that
seven
day,
moving
average.
E
E
But
what
you
may
be
noticing
is
that
if
you
look
at
the
darkest
blue,
those
darkest
colors
in
the
most
recent
period
are
for
those
aged
14
to
17
years
of
age
and
18
to
23.,
most
notably,
the
percent
positivity
for
secondary
school
age
children.
So
again,
that's
the
14
to
17,
year
year
old
age
group
is
11.6
for
the
most
recent
week
of
complete
data.
E
E
E
E
E
E
And
we
can
see-
and
this
is
because
we
know
that
we
have
seen
an
increase
in
the
number
of
outbreaks
in
schools
since
the
beginning
of
november.
E
E
E
Unfortunately
case
rates
in
percent
positivity
to
continue
to
increase
across
the
entire
city,
and
while
the
testing
rates
can
be
seen
as
a
as
a
small
win,
we
know
that
covet
19
is
not
impacting
the
city
equally
with
to
support
our
equity
action
plan.
Having
just
been
discussed,
we
thought
it
prudent
to
bring
forward
our
newest
data
on
these
disparities
and
I'd.
Like
to
take
a
moment
now,
just
to
turn
it
over
to
liv
courson
who's
going
to
take
you
through
some
of
this
work.
F
Thank
you.
Sarah
next
slide,
please
perfect.
So
as
you
as
you've
heard
before
our
data
show
that
people
who
are
living
with
a
lower
income
to
people
who
are
racialized
are
over
represented
in
our
reported
coca-19
infection
rates.
As
juliana
mentioned
this
morning,
some
of
the
factors
contributing
to
these
inequities
likely
include
pre-existing
health,
social
and
economic
disparities,
systemic
racism
and
other
discrimination,
higher
likelihood
of
being
an
essential
worker
or
living
in
housing
or
using
transportation
where
physical
distancing
is
difficult
and
a
lack
of
access
to
health
and
social
services.
F
If
a
rate
is
larger,
the
rate
ratio
is
larger
than
one
and
that's
the
gray
horizontal
bar
on
the
graph.
It
means
that
a
particular
group
is
over
represented
in
coca-19
cases
and
if
it's
less
than
one
they're
under-represented
ethno-racial
groups
that
are
consistently
over-represented,
include
arab
middle
eastern
or
west
asian
people,
black
people,
latin
american
people,
south
asian
or
indo-caribbean
people
and
south
east
asian
people.
F
F
F
It's
important
to
note
that,
while
the
rate
ratio
fluctuates
fluctuates
over
time,
the
true
rate
for
all
of
the
ethno-racial
groups
has
increased
in
october.
So,
for
example,
despite
the
rate
ratio
dropping
over
the
last
few
months
for
black
people,
the
overall
rate
in
that
population
has
increased,
along
with
the
rate
in
the
entire
population.
F
F
We're
also
still
seeing
disparities
in
household
income
groups
over
time.
This
graph
is
showing
the
rate
ratio
of
reported
covet
19
infection
by
household
income
groups,
so
groups
that
have
a
rate
ratio
above
one
again.
The
gray
line
across
the
middle
of
the
graph
have
a
higher
rate
compared
to
the
rest
of
the
population.
F
The
inequity
by
income
was
a
bit
higher
in
the
beginning
of
the
summer
than
it
is
now,
but
it's
still
striking
how
the
lower
household
income
groups
bear
greater
burden
of
reported
covet-19
infection
due
to
a
lack
of
access
to
the
social
determinants
of
health
and
barriers
to
participating
in
the
public
health
response
to
coca-19
next
slide.
Please.
F
To
ensure
that
we
remain
committed
to
reducing
these
inequities,
we're
introducing
a
new
layer
of
indicator
to
our
monitoring
dashboard,
as
councilor
cressie
mentioned
earlier
this
morning.
These
indicators
will
provide
a
high
level
glimpse
into
whether
or
not
our
response
to
cover
19
is
contributing
to
a
reduction
in
inequities,
and
it
will
ensure
that
we
factor
trends
in
inequities
into
decision
making
that
affects
the
whole
city.
F
Perfect,
thank
you.
We've
just
touched
on
some
evidence.
I'm
sorry,
maybe
there's
a
bit
of
delay
on
my
feet
here.
We
just
touched
on
some
evidence
that
suggests
that
some
of
the
public
health
measures
put
in
place
to
reduce
copenhagen
infection
are
only
affected
in
certain
neighborhoods
and
now
we're
going
to
move
to
another
unintended
consequence
of
these
measures
and
that's
their
contribution
to
a
negative
trend
in
mental
health.
F
F
We're
updating
this
report
with
more
recent
data
and
we'll
be
reporting
back
to
the
board
in
the
new
year
with
the
findings,
but
some
preliminary
analyses
suggest
that
we
might
be
seeing
a
repeat
of
what
we
saw
in
the
first
wave
whereby
mental
health
ev
visits
decreased
in
the
coveted
resurgence,
which
might
mean
another
increase
in
calls
to
community
level.
Virtual
and
telephone
support
next
slide.
Please,
toronto
residents
are
reminded
that
they
have
access
to
free
mental
health
services
from
the
safety
of
their
homes.
F
Here
we're
showing
that
at
the
end
of
october
29,
almost
one
in
three
residents
consider
their
mental
health
to
be
poor
or
fair,
while
36
consider
it
to
be
excellent,
or
very
good.
Normally,
over
70
percent
of
adults
consider
their
mental
health
to
be
excellent
or
very
good.
Based
on
the
canadian
community
health
survey
for
toronto
over
the
past
10
years
of
available
data,
the
percent
of
adults
who
rate
their
health
and
break
their
mental
health
is
excellent
or
very
good,
has
not
dropped
below
70
until
coveted
hit,
and
now
it's
36
next
slide.
F
F
F
F
F
F
F
F
F
C
Thank
you
liz
and
thank
you
sarah
again.
If
anyone
has
my
vote
of
confidence,
it's
certainly
you
two
and
the
entire
data
team
at
toronto,
public
health,
as
you
can
see,
we
have
some
very
skilled
individuals
working
for
us
and
working
on
behalf
of
the
people
of
toronto.
C
C
You
know,
I'm
sure
that
health
canada
has
approved
the
first
covet
19
vaccine
for
use
in
canada,
and
I
believe
there
were
just
reports
coming
in
about
its
arrival
and
there's
much
fanfare
and
excitement,
as
you
can
well
imagine,
as
this
vaccine
is
starting
to
make
its
way
here
into
ontario
and
specifically
into
toronto,
we
are
expecting
in
canada
to
receive
just
under
250
000
doses
of
vaccine
by
the
end
of
the
year
and
at
a
very
high
level.
C
This
being
said,
the
plan
is
in
accordance
with
federal
guidance
and,
as
articulated
by
the
province,
certain
sub-populations
identified
by
the
province
will
be
the
focus
for
the
first
lots
or
allocations
of
vaccine,
and
it
will
likely
be
at
some
point
in
in
the
spring
before
you
start
to
see
wider
population
access
to
vaccine
you've
heard
a
little
bit
about
what
we
understand
based
on
surveys
as
to
the
interest,
or
you
know,
in
the
plans
of
our
population
around
taking
up
vaccine.
C
But,
of
course,
we
have
every
intention
of
working
with
community
organizations
and
that
work
has
already
started
to
be
clear
to
create
a
vaccination
campaign
that
actually
focuses
on
the
community
and
its
needs,
and
we're
really
interested
in
ensuring
that
the
broad
diversity
of
populations
here
in
the
city
of
toronto
are
not
only
knowledgeable
around
the
vaccine
and
its
benefits,
but
are
really
engaged
in
the
planning
of
the
covet
19
immunization
efforts,
so
that
we
can
ensure
that
the
vaccine
is
able
to
deliver
on
its
promise.
C
C
Let's
turn
now
to
the
next
slide.
Please
focusing
now
on
the
issue
of
workplace
outbreaks.
As
you
know,
right
now,
toronto,
public
health
releases
information
about
workplace
outbreaks
when
there's
a
need
to
notify
the
public
of
a
potential
exposure
and
at
the
september
board
meeting
a
request
was
made
specifically
of
me
and
the
team
at
toronto
public
health
to
to
implement
a
system
for
more
public
disclosure
in
respect
of
workplace
outbreaks.
C
C
That
actually
is
the
method
by
which
we
collect,
store
and
and
manage
data
in
respect
of
covid19
cases
and
outbreaks
and
clusters
and
the
like,
and
as
we
are
making
this
switch,
we
want
to
make
sure
that
when
we
are
reporting
on
information,
particularly
when
we're
talking
about
new
reporting
and
disclosure
mechanisms,
we
want
to
make
sure
that
we
have
all
the
issues
worked
out
appropriately,
so
that
we
are
reporting
in
a
fashion
that
respects
privacy
requirements.
C
But
we
all
know
that
with
respect
to
workplace
outbreaks,
disclosure
is
not
the
end
in
and
of
itself,
and,
on
the
contrary,
the
objective
is
to
make
sure
that
we're
supporting
the
ability
of
our
public
to
engage
in
appropriate
self-protective
behaviors
and
in
for
employers
as
members
of
the
public,
to
also
ensure
that
they
are
facilitated
to
engage
in
appropriate
behaviors
that
creates
for
safer
workplaces
amongst
the
many
places
in
our
community
that
need
to
be
made
as
safe
as
possible.
While
we
are
continuing
to
live
with
covid19
in
our
midst.
C
Hence
we
have
spent
quite
a
bit
of
time
working
with
our
colleagues
at
the
ministry
of
labor
training
and
skills
development,
not
only
in
terms
of
advocacy
as
they
really
have
the
purview
over
workplaces,
but
we've
actually
been
working
with
them
in
very
concrete
and
action-oriented
ways.
In
order
that
we
get
effective
change
happening
within
workplaces,
so
one
of
our
associate
medical
officers
of
health
at
toronto,
public
health
is
in
regular
communications
with
an
adm
level
person
at
the
ministry
of
labor
training
and
skills
development.
C
I
will
say
this
ministry
of
labor
tends
to
come
into
a
workplace
with
a
slightly
different
perspective
relative
to
that
which
we
have
in
public
health,
we're
bringing
them
more
to
what
I
would
characterize
as
a
public
health
approach,
a
prevention
approach
that
really
does
take
into
consideration
the
best
available
science,
including
behavioral
science,
so
that
we're
creating
environments
that
allow
for
people
to
protect
themselves
and
protect
others
around
them
within
their
workplaces
and
seeks
to
actually
get
the
kind
of
compliance
and
adherence
to
public
health
practice
that
we're
looking
for
not
only
from
the
workers
themselves
but,
most
importantly,
from
those
who
are
responsible
for
those
workplaces.
C
That's
really
what
will
create
the
safest
workplaces
possible
while
we're
working
on
the
disclosure
elements
of
of
the
toolkit
as
well.
So
turning
now
to
the
next
slide,
let's
look
at
the
just
high
level
summary
on
the
report.
Recommendations
you'll
see
here
on
this
slide
that
there
are
a
number
of
recommendations
made
within
the
report
that
get
at
the
significance
of
the
covid19
response
and
really
seek
to
ensure
that
we
have
the
available
resources
or
the
necessary
resources
and
funding.
C
What
is
a
remarkable
development
from
identification
of
virus
in
january
of
this
year
to
the
rollout
of
vaccine
and
its
actual
administration
by
december
of
the
same
year
is
an
absolutely
unprecedented
achievement
of
of
science
and
of
collaboration
amongst
key
partners,
and
I
don't
think
we
can
emphasize
how
significant
I
emphasize
enough,
how
significant
an
achievement
that
is
and
if
we
are
to
capitalize
on
the
significance
of
that
achievement
and
to
maximize
its
benefit.
We
need
to
make
sure
we
have
the
appropriate
resources
and
funding
to
actually
take
advantage
of
this
remarkable
development.
B
C
Sorry
sorry,
mr
chair,
I'm
just
about
done
we're
almost
at
the
end
last
couple
of
recommendations,
you'll
see
on
this
slide
and
actually
on
the
next
as
well,
which
is
the
final
slide.
It
speaks
to
the
need
for
data
and
and
collection,
and
the
sharing
of
these
data
and
the
use
of
these
data,
for
you
know
the
appropriate
and
evidence-informed
action,
that's
necessary
to
respond
to
covid19
and
ultimately
to
improve
health
and
reduce
inequities
in
the
experience
of
health
and
the
experience
of
the
covid19
pandemic,
in
particular.
C
B
Well,
thank
you
very
much,
dr
davila,
sarah
and
liz
for
the
exceptional
work
under
the
most
trying
of
conditions
exceptional.
Thank
you.
We
have
one
registered
speaker
so
we're
going
to
turn
to
hear
from
our
our
registered
deputy
before
bringing
it
back
into
committee
for
questions
I'll
check.
With
our
recording
secretary.
Do
we
have
derek
moran
on
the
line.
B
B
Derek
we
can
hear
you,
you
have
joined
us
before,
so
you
know
the
drill.
You'll
have
five
minutes
when
you're
ready.
L
I
just
want
to
point
out
I
recently
emailed
city
solicitor,
wendy
wahlberg,
that
scott
duncan
has
said
that,
by
way
of
her
title
credential
of
doctor
that
I
dr
eileen
davila
is
surety
for
everything
she
signs
and
everything
she
says
and
asked
wendy.
If
that
was
true
today,
wendy
wahlberg
has
yet
to
respond
to
my
email,
because
one
thing
I've
heard
dr
davila
say
a
number
of
times
is
that
her
best
health
advice
is
guided,
partly
by
experiences
from
other
jurisdictions.
L
So
I
wanted
to
share
with
her
a
recent
experience
from
another
jurisdiction.
She
may
may
not
be
aware
of
from
a
recent
court
decision
dated
november
11
2020,
where
portuguese
appeal
court
ruled
against
the
azores
regional
health
authority.
If
you're.
Looking
at
my
written
submission,
I
provide
links
to
the
article
from
portugal
about
the
court
case,
the
actual
ruling
in
portuguese
and
the
english
translation
of
it.
L
Being
sure
that
in
advising
his
patient,
he
should
always
try
to
obtain
their
informed
consent.
In
the
case
we're
dealing
with
there
is
no
indication
or
evidence
that
such
a
diagnosis
was
actually
carried
out
by
a
professional
qualified
under
the
law
and
who
acted
in
accordance
with
good
medical
practices.
L
It
also
violates
number
one
of
article
six
of
the
universal
declaration
on
bioethics
and
human
rights,
which
poor
people
subscribe
to
and
is
internally
and
externally,
obliged
to
respect
since
no
document,
proving
that
the
informed
consent
that
this
declaration
imposes
has
been
shown
in
the
file.
Now.
L
B
B
Thank
you
derek.
This
is
the
opportunity
for
members
of
the
public
to
speak
to
us
and
that's
what
you're
doing
it's
not
an
opportunity
for
you
to
ask
us
questions.
So
thank
you
very
much.
Welcome
caucus.
Are
there
any
questions
for
derrick
from
members
of
the
board?
B
Okay,
seeing
none!
Thank
you
very
much
derek
appreciate
it.
Okay
to
our
recording
secretary.
Are
there
any
other
members
of
the
public
who
have
registered
to.
B
Okay,
thank
you.
So,
at
that
point
we're
going
to
move
this
into
committee
and
with
thanks
again
to
liz
sarah
and
eileen
for
the
exceptional
and
comprehensive
presentation.
Let
me
open
it
up.
Members
of
the
committee
who
have
questions
for
our
team.
I
see
trustee
and
director
sue
wong.
Other
members
of
the
committee.
K
B
I
would
just
note
that
chief
pegg
of
the
daily
media
availability
fame
has
also
joined
us.
I
see
him
on
the
screen.
It's
just
a
shout
out
because
I
like
to
do
that.
No
questions
from
chief
peg
just
a
hand
wave.
Are
there
any
other
member?
Are
there
any
other
members
of
the
board
who
have
questions?
I
have
trustee
donaldson,
followed
by
director.
Sue
wong
and
counselor
lie.
H
Thank
you
through
your
chair
thanks,
so
much
for
this
report
to
sarah
collier
and
liz
carson
and
courson.
In
particular,
you
have
a
way
of
making
extremely
complex
information,
very
understandable,
so
kudos
to
you
for
your
ability
to
do
that
and
all
the
work.
All
the
amazing
work
that
you
do.
I
was
surprised
to
hear
that
only
32
percent
of
those
surveyed
see
covid
as
a
risk
to
themselves.
H
C
So
through
the
chair
that
continues
to
be
the
figure
as
far
as
we
know,
with
vaccine
hesitancy
writ
large
you've
seen
some
data
that
were
presented
based
on
a
survey
that
we
conducted
on
an
interest
in
taking
up
this
particular
vaccine.
C
H
Okay,
so
my
question
is
about
children
and
youth
in
particular,
and
I
know
for
children
under
the
age
of
14
that
it's
it's
parents
who
make
the
decisions
about
whether
or
not
their
children
are
vaccinated.
So
once
once
toronto,
public
health
starts,
it
does
the
work
to
rule
out
the
vaccine.
H
Are
there
any
particular
efforts
that
are
being
made
in
terms
of
communications
to
parents
of
children
under
the
age
of
14
and
actually
given
the
percent
positivity
rates
right
now
of
the
14
to
17
year
old
range,
any
particular
communications
to
parents
of
that
group
of
teens
as
well
relative
to
vaccine
safety?
Thanks.
C
So
through
the
chair,
a
couple
of
things,
one,
you
know
the
I
talked
about
how
quickly
and
how
remarkable
it
is.
It
is
really
an
amazing
achievement
of
science
people
actually
really
working
together
towards
development
of
a
vaccine.
At
this
point
now,
the
studies
to
date
have
not
really
been
done
in
any
significant
way
in
young
people
yet
and
knowing
what
the
current
recommendation
is
both
from
the
federal
government
and
from
provincial
authorities.
C
The
focus
is
right
now
on
particular
populations,
notably
those
who
live
in,
who
are
seniors
or
more
advanced
in
age
and
or
support
the
care
of
those
living
in
congregate,
living
facilities
for
seniors
health
care
workers
and
indigenous
communities,
adults
as
well.
So
there
is
still
some
ongoing
study
that
is
happening
in
respect
of
the
broader
application
of
the
vaccine,
especially
to
younger
populations.
C
But
there's
no
question
that
communications
products
and
processes
are
actively
underway,
and
this
will
naturally
have
to
include
communications
around
what
the
vaccine
means
for
young
people
and
how
best
to
connect
with
parents.
On
on
those
discussions
to
support
vaccine
of
younger
or
vaccination
of
younger
individuals
in
our
community.
M
Thank
you
very
much,
mr
chair.
I
have
three
questions
for
the
staff
so
on
the
slide
number
17
you
share
with.
Thank
you
so
much
for
the
presentation
by
the
way
to
the
entire
public
health
team.
With
regard
to
slide
number
17,
you
indicated
that
about
the
percentage
of
the
staff,
the
residents
in
toronto
with
excellence
or
very
good
mental
health,
have
we
used
those
data?
M
I
associate
that
with
this
their
social
economic,
because
there
may
be
some
relationship
between
their
mental
health
and
the
social
economics.
I
want
to
ask
that
first
question.
The
second
question,
mr
chair,
through
you
to
the
staff
with
regard
to
this
latest
survey
by
episode,
reid,
is
this
survey
done
in
multi-language,
whether
by
phone
or
by
survey
during
the
phone
call,
and
then
my
last
question,
mr
chair,
with
regard
to
I
remember,
seeing
on
the
powerpoint
slide
that
was
shared
with
the
board?
M
The
talks
about
the
37
of
the
resident
that
was
interviewed
indicated
that
media
exaggerated
extent
of
the
kovac
19
and
given
that
one
of
the
recommendations
by
staff
using
the
data?
How
do
we
address
this
perception
by
the
public
that
the
media
is
exaggerating
the
severity
of
covert
19,
because
if
this
is
this
is
pretty
high
percentage,
almost
40
of
torontonian,
seeing
that
media
is
exaggerating
the
the
degravity
of
this
disease,
but
more
importantly,
that
this
is
a
very
serious
problem
with
our
community.
M
F
Yeah
definitely
great
question:
if
did
a
really
good
job
of
targeting
newcomer
populations
and
lower
income
populations,
so
that
we
could
attempt
to
look
at
some
of
these
questions
by
some
of
those
social
determinants,
we're
still
in
the
process
of
exploring
the
data
and
seeing
you
know
what
we
have
a
big
enough
sample
size
to
do
and
what
maybe
we
don't
have
a
big
enough
sample
size
to
do
so.
F
That's
some
of
our
ongoing
work
for
the
next
few
weeks
and
we
plan
to
you
know,
keep
using
these
data
and
keep
reporting
out
on
these
data
as
much
as
possible,
because
it's
a
very
rich
data
source.
There
are
a
lot
of
topics
addressed
and,
like
I
said,
the
sample
sampling
strategy
was
quite
efficient.
F
However,
in
response
to
your
second
question,
unfortunately,
it
wasn't
translated,
so
the
survey
was
administered
online
to
people
who
have
signed
up
to
work
with
ipsos
as
channel
participants.
So
having
said
that,
of
course,
there
is
a
we
have
to
take
that
into
consideration
when
we're
looking
at
some
of
the
findings.
As
I
said,
they
did
target
newcomers,
which
is
great,
but
the
newcomers
would
have
to
have
proficiency
in
english
in
order
to
participate.
So
it's
a
limitation
for
sure.
C
And
then,
through
the
chair
with
respect
to
the
final
question,
there's
no
there's
no
doubt
that
there
is
some
degree
of
media
skepticism,
as
expressed
through
this
survey
and
through
other
channels
that
we
hear
about.
I
think
that's
why
it's
really
important
that
our
public
one
hears
directly
from
us.
You
know
I
realize
that
the
the
media
are
part
of
that,
but
there
are
opportunities
through,
for
example,
the
press
briefing
where
we're
able
to
connect
more
directly
with
our
public
so
that
it's
clear
that
it
is
not
exaggerated
or
overblown
and
as
well.
C
We
talked
a
little
bit
in
this
meeting
around
our
partnership
with
trusted
community
partners,
liaising
with
them
and
actually
working
with
them
to
inform
members
of
the
community
again
in
the
context
of
very
trusted
relationships,
people
who
they
know
are
reliable
with
the
kinds
of
information
that
they're
putting
out
there.
These
are
two
just
examples
of
the
kinds
of
strategies
we
can
adopt
in
order
to
to
get
around
some
skepticism
of
the
broader.
K
Thank
you,
mr
chair.
Just
a
follow-up
question
on
director
sue
wong's
question
about
the
survey
by
the
way.
Thank
you
very
much.
It's
a
very,
very
comprehensive
survey
and
there's
a
lot
of
information
and
data
in
there
it
will
be
on
the
website.
Is
that
correct?
Would
it
be
published
on
the
website
no
survey,
information.
F
Yes,
so
we
currently
have
a
slide
deck
with
some
high
level
findings
as
an
attachment
to
the
board
of
health
report.
That's
also
posted
on
the
website
and
we'll
be
doing
some
further
exploration
into
the
data
and
identifying
the
most
important
trends.
In
addition
to
what
we've
already
shared
that
it
could
be
very
something.
C
So
through
the
chair,
counselor,
what
I'm
going
to
suggest
is
we'll
connect
with
our
communications
colleagues
and
make
some
determination
as
to
how
best
to
share
the
information
that
may
or
may
not
include
news
release,
but
certainly,
I
think,
there's
an
opportunity
to
connect
with
ethnic
media
to
make
sure
that
the
various
communities
around
the
city
are
aware
of
it.
K
K
C
Well,
I
think
you've
probably
heard
me
say
many
times,
there's
a
role
that
we
can
play
as
government
in
order
to
create
conditions
that
make
it
easier
for
people,
if
you
will
to
minimize
their
social
interaction
with
others.
We
know
that,
at
the
end
of
the
day,
covet
19
is
transmitted
largely
from
close
contact,
one
person
who
has
an
infection
with
another-
and
it's
not
always
obvious
who
has
covid19
it's
not
there,
isn't
a
label
or
something
that
makes
it
easy
to
determine
that
somebody's
got
covet
19..
C
So
frankly,
the
best
thing
that
we
can
do
at
this
time
is
for
each
and
every
one
of
us
who
has
the
ability
to
you
know
work
from
home
to
to
stay
home
as
much
as
possible
to
only
go
out
for
those
essential
activities
to
minimize
our
social
interaction
with
others
in
person,
so
that
you're
really
only
interacting
with
close
contact
with
those
with
whom
you
live.
C
Of
course,
we
continue
to
ask
people
that,
if
you
need
to
go
out
for
whatever
reason
for
grocery
shopping,
for
those
essentials
for
exercise
to
wear
your
mask
as
much
as
possible
to
wash
your
hands
and,
of
course,
to
stay
home
when
you're
sick
not
to
interact
with
others.
When
you
are
actually
symptomatic,
I
think
we
have
seen
that
the
more
people
are
able
to
adopt
those
behaviors.
K
C
B
B
Okay,
seeing
none,
I
just
have
a
couple
just
dr
davila,
just
a
couple
for
you
at
a
very
high
level.
First
of
all,
as
we
look
to
january,
based
on
the
current
rate
of
reproduction
number
based
on
the
modeling
based
on
the
potential
for
holiday
gatherings,
is
it
fair
to
say
that
we
are
heading
towards
january
being
the
worst
month
of
the
pandemic,
thus
far
in
terms
of
case
counts,
hospitalizations
and
potentially
fatalities.
C
So
through
you,
mr
chair,
you
know
it's
always
dangerous
to
to
make
predictions,
but
certainly
we
have
reason
to
be
very
concerned.
Our
r
continues
to
be
above
one,
which
means
that
the
outbreak
continues
to
grow.
If
there
is
increased
interaction
amongst
people,
residents
of
the
city
and
beyond,
we
can
expect
that
there
will
be
ongoing
and
further
transmission
of
cobit
19..
It's
that
simple.
B
And,
and
if
it's
you
know,
based
on
the
r
number
as
it
is
today,
are
you
concerned
that
if
there
are
gatherings
beyond
what
is
recommended
by
public
health
officials
over
the
holidays,
that
this
will
result
in
an
even
further
spike
and
perhaps
an
even
higher
rate
of
reproduction
number.
B
Do
you
believe,
with
both
enhanced
measures,
enhanced
investments
and
test
trace
and
isolate
enhanced
compliance
to
the
recommendations
out
there?
Can
we
still
beat
this
second
way.
C
So
through
you,
mr
chair,
we
certainly
have
the
capacity
to
impact
transmission
and
to
reduce
it.
There
is
no
question
the
more
we
adhere
to
public
health
measures,
the
the
better
off
we
will
be
as
a
community
from
a
covet
19
impact
perspective.
Okay,.
B
C
Sure
so
through
you,
mr
chair,
there's
no
question
that
we're
very
excited,
I
think
writ
large
in
the
global
public
health
community
around
vaccine,
and
what
we're
looking
for
in
the
case
of
communicable
diseases
is
when
you
get
to
a
certain
level
of
immunity
across
a
population.
It
just
makes
it
that
much
harder
for
a
disease
to
continue
to
transmit
and
spread
and
wreak
havoc
on
that
population.
C
C
But
what
has
been
put
out
there
in
the
public,
based
on
the
best
available
scientific
evidence,
is
that
they're
aiming
in
and
around
for
something
of
70
percent.
C
B
And
can
you
tell
us
by
way
of
of
a
comparison,
so
we
if
the
target
has
been
set
at
over
70
percent?
I
assume
that's
by
our
federal
counterparts
who
have
set
that
target.
Is
that
correct.
C
So
it's
largely
from
the
global
public
health
community
premised
on
the
best
available
science-
and
it
is,
there
is
a
bit
of
a
range,
but
you
know
we're
using
roughly
this
figure
of
70
for
now.
C
So
you
know
through
you,
mr
chair,
it's
interesting
when
we
look
at
immunization
coverage.
It
largely
focuses
on
on
that
programs
that
we
have
specifically
designated
for
kids
and
their
yes,
we
do
achieve
those
standards,
this
one's
a
little
a
little
different
in
that
we're
talking
about
a
vaccine
that
will
be
applied
across
the
entire
population,
and
so
it
again
it's
very
difficult
to
predict
with
a
brand
new
vaccine,
but
certainly
in
respect
of
of
children.
We
know
that,
with
that
childhood
immunizations,
we
are
able
to
exceed
that
standard.
C
B
B
Okay,
so
let
me
begin
first
of
all,
then
let
me
ask
there
is
two
small
amendments
and
I
will
ask
clerks
to
place
them
on
the
screen.
The
first
is
to
request
the
the
medical
officer
of
health
alongside
toronto
19
incident
commander.
That's
chief
peg,
who
attended
earlier
to
provide
a
presentation
at
our
january
meeting
on
the
status
of
toronto's,
immunization
task
force
and
the
various
preparations
underway
from
intergovernmental
coordination
to
prioritization
distribution,
targeted
approaches
to
distribution
based
on
our
equity
action
plan
and
other
local
work
being
done.
B
The
second
amendment
is
at
the
request
of
city
legal.
This
is
the
medical
officer
of
health
has
issued
a
series
of
section
22
orders
over
the
course
of
this
pandemic
city
legal
have
advised
that
they
require
direction
from
our
board
in
order
to
seek
recovery
costs
incurred
during
in
carrying
out
the
moh's
direction,
and
so,
at
the
request
of
city,
legal
I'll,
move
that
so
I
will
move
those
two
amendments,
one
at
the
request
of
city,
legal
and
the
other
on
vaccinations
as
well.
B
B
They
are
battling
right
now
they
have
been
going
for
11
straight
months,
like
everybody
in
our
city,
they
are
not
only
tired
and
worn
down,
but
they
are
carrying
the
emotional
burden
of
the
work
that
this
entails
and
they
are
doing
so
with
everything
they've
gotten
with
with
exceptional
skill,
professionalism,
encourage,
I
would
argue,
and
so
11
months
into
a
pandemic.
B
I
just
want
to.
I
would
focus
my
comments
on
two
objectives
in
front
of
us
today
and
I
think
the
presentation
and
the
recommendations
speak
to
both
the
first
is
to
beat
this
second
wave.
That's
the
first
objective
and
the
second
is
to
plan
for
and
roll
out
the
largest
immunization
campaign
in
our
country's
history
collectively
with
the
other
levels
of
government.
B
Can
we
beat
this
second
wave?
We
can
other
jurisdictions
have
shown
us
the
way.
Are
we
in
a
position
today
where
we
are
headed
towards
arguably
the
worst
months
in
the
entire
pandemic?
As
we
look
to
january
and
february,
we
are,
I
will
tell
you
that
I'm
deeply
concerned
that,
based
on
the
current
rate
of
reproduction,
the
modeling,
the
combination
of
general
covert
fatigue
and
december
holidays
coming
soon,
and
the
absence
of
effective
policies
from
all
levels
of
government
to
protect
those
hardest
hit
and
marginalized
communities.
B
It
has
set
us
on
a
path
for
arguably
a
perfect
storm
in
a
brutal
january,
and
I
think
we
have
to
be
honest
about
that,
because
that
recognition
has
to
inform
the
urgency
of
our
collective
response
today
and
that
urgency,
as
demonstrated
by
other
jurisdictions,
can
be
seized
with
the
right
measures,
strict
public
health
interventions
to
reduce
contacts
and
collective
and
individual
adherence
to
them.
Enhanced
protections
for
frontline
workers
in
marginalized
communities,
stronger,
test,
trace
and
isolate
systems,
and
I
would
tell
you
stronger
measures
to
support
residents
to
cope
with
this
painful
period.
B
It's
winter,
it's
dark!
It's
cold
and
people
have
been
struggling
for
a
long
time.
You
take
all
of
those
measures
together,
public
health
interventions,
enhanced
protections,
stronger
public
health
systems
and
measures
to
allow
residents
to
cope,
and
you
do
all
that
and
we
can
prevent
a
brutal
january
and
february.
B
We
do
not
have
to
accept
that
january
and
february
will
see
increased
cases,
increased,
hospitalizations
and
increased
deaths,
but
that
is
the
path
we're
on,
if
collectively
as
all
levels
of
government,
we
don't
respond
harder,
that's
the
first
objective
and
the
second
I
do
want
to
mention.
On
this
immunization
campaign.
Last
month
we
received
at
our
board
a
detailed
update
on
toronto's
vaccine
task
force,
and
this
board
made
specific
recommendations
around
prioritization.
B
B
B
We
need
to
ensure
that
those
who
want
a
vaccine
and
are
able
to
access
it
can
we
need
to
ensure
those
who
that
those
who
want
a
vaccine
but
need
help
accessing
it
can
and
we
need
to
ensure
that
those
who
are
unsure
or
hesitant
about
a
vaccine
have
the
trust
in
it
and
are
convinced
of
its
efficacy.
In
order
to
take
it,
and
so
we
need
to
do
all
of
those
things
as
three
orders
of
government
to
achieve
herd,
immunity
in
political
words
to
win
70
percent,
not
just
the
vote
of
all
registered
voters.
B
Our
task
today
is
the
same
as
it
ever
was
not
only
to
beat
cobid
and
roll
out
an
immunization
campaign
to
help
do
so,
but
to
address
the
fundamental
inequalities
and
inequities
that
covet
is
laid
bare
to
protect
the
health
of
torontonians
in
the
future.
Thank
you
very
much
with
that.
With
the
concurrence
of
the
board
and
I'll
check,
we
would
move
the
staff
recommendations
with
the
amendment
recommended
by
city,
legal
and
on
vaccines.
For
a
presentation
is
there?
Would
anybody
like
to
vote
on
those
separately
or
can
we
take
those
as
a
package?
B
Okay,
we'll
take
those
as
a
package,
all
those
in
favor
by
way
of
a
show
of
hands
opposed.
If
any,
thank
you
that
carries,
we
will
now
move
to
our
final
item,
which
is
the
new
business
item.
This
is
item
24.6
student
nutrition
program,
support
for
remote
learning.
This
was
we
introduced
this
at
the
beginning
and
it's
been
circulated.
Let
me
start
by
seeing
if
there
are
any
questions
of
staff
on
this
item.
B
Okay,
seeing
none
I
can
to
speak
trustee
lecretti
did
you
want
to
say
a
few
words
off
the
top.
A
A
A
Currently
after
30
of
students
within
our
school
are
in
remote
learning,
which
is
at
home
learning,
and
that
would
suggest
a
significant
number
of
students
who
are
not
receiving
any
access
to
the
nutrition
programs
that
they
would
be
entitled
to
in
the
year
about
30
percent
of
total
s
p
funding
this
pro.
This
proportion
of
provincial
funds
is
not
enough
to
extend
the
nutrition
to
meet
the
needs
of
virtual
learners.
A
So
I
really
thank
you
councillor
cressie,
for
putting
this
motion
forward,
because
this
motion
would
allow
up
to
30
percent
of
the
toronto
public
health
nutrition
funding
to
be
used
for
remote
virtual
learners
through
grocery
cards,
as
we
did
previously
in
the
first
lockdown
of
april
sorry,
march,
to
june.
B
Thank
you,
trustee
lepretti
I'll,
put
myself
next
to
speak
on
this
and
then
we'll
see
if
there
are
further
speakers
just
building
on
what
trustee
le
pretty
mentioned,
we've
heard
from
a
number
of
our
school,
our
school
counterparts
and
trustee
counterparts
that,
in
this
second
wave,
a
number
of
students
who
would
normally
access
student
nutrition
programs
in
school
in
class
are
unable
to
currently
either
due
to
cohort
class
closures
or
school
closures
or
due
to
virtual
learning,
and
so
the
recommendations
in
front
of
us
target
two
twin
objectives.
B
First,
is
to
enable
flexibility
during
the
second
wave,
so
that
so
that
local
schools
are
able
to
ensure
that
those
virtual
learners
or
those
affected
by
closures
and
and
and
are
able
to
access
food
and,
secondly,
to
ensure
that
we
can
do
so
in
a
way
that
doesn't
undermine
existing
student
nutrition
inc
in
class
programs.
The
cost
of
food
has
gone
up.
B
The
cost
of
running
the
program
in
many
cases
has
gone
up,
so
we
need
to
ensure
there
is
access
to
nutritious
food
for
those
who
are
at
home,
but
not
at
the
expense
of
those
who
continue
to
access.
The
student
nutrition
program
in
person-
and
so
the
recommendations
in
front
of
us
here
today
specifically
are
to
enable
that
flexibility
to
request
the
other
two
levels
of
government
to
support
us
in
allocating
funds
for
those
extraordinary
costs
and
to
authorize
from
the
city
the
use
of
any
surplus
student
nutrition
program
funding.
B
We
have
in
year
right
now
to
support
those
two
objectives.
So
that's
the
context
and
the
background,
and
I
do
want
to
thank
trustee
la
pretty
and
trustee
dominico,
who
is
a
member
of
the
tcdsb
board,
who
have
been
working
closely
with
toronto,
public
health
staff
in
our
office
to
bring
this
forward.
So
those
are
my
comments
and-
and
I
should
formally
say
I'll,
move
the
recommendations
included
in
the
letter
here.
Are
there
anybody
else
who
wish?
Are
there
other
members
of
the
board
who
wish
to
speak
on
this
item?.
B
Okay
with
that
all
those
in
favor
of
the
recommendations
in
front
of
us
opposed
if
any
seeing
none
that
carries
members
of
the
board.
That
concludes
our
agenda.
It's
only
12
15..
It
feels
like
we've
been
here
all
day.
Maybe
that's
just
me,
but
thank
you
from
the
bottom
of
my
heart.
Have
a
safe,
safe
holidays?
B
Don't
stick
in
your
household,
don't
talk
to
anybody
outside
of
your
household.
Unless
it's
virtual
and
the
work
continues,
we
gotta
we
got
a
busy
few
months
ahead
of
us,
keep
it
up.
Everybody!
Thank
you.