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From YouTube: Board of Health - September 21, 2020
Description
Board of Health, meeting 19 & 20, September 21, 2020
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=19292
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=17091
A
Well
good
morning
and
welcome
my
name
is
joe
cressy,
I'm
the
chair
of
the
board
of
health
and
our
board
secretary
has
confirmed
that
we
have
quorum,
so
I
will
call
meeting
19
of
the
board
of
health
to
order
welcome
everybody.
We
have
two
meetings
coming
forward
here.
The
first
is
a
technical
meeting
which
is
meeting
19,
which
we
will
deal
with
first
before
we
proceed
to
meeting
20,
which
is
the
formal
bulk
of
the
agenda.
A
I
might
note
just
before
we
we
begin
with
meeting
19
a
very
happy
public
service
week
to
the
toronto
public
service.
Some
of
toronto's
finest
have
worked
non-stop
now
for
eight
months
on
many
duties,
but
covet
in
particular,
and
we
want
to
welcome
that.
Well,
no
to
happy
public
service
week
for
them.
Today's
meeting
is
being
held
by
video
conference
city
staff
are
also
connecting
to
the
meeting
by
video
conference.
As
city
hall
remains
closed.
The
meeting
will
continue
to
participate
electronically.
A
A
A
Although
we
are
in
different
locations
and
meeting
remotely
today,
the
board
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
anashnabe,
the
chippewa,
the
honoshone
and
the
wendat
peoples,
and
is
now
home
to
many
diverse
first
nations
inuit
and
metis
peoples.
We
also
acknowledge
that
toronto
is
covered
by
treaty
13
with
the
mississaugas
of
the
credit
for
meeting
19.
A
A
Okay,
seeing
none
for
this
special
meeting,
this
is
meeting
19.
We
have
one
item
on
the
agenda,
which
is
the
one-year
extension
of
our
electronic
meeting
rules.
There
is
a
staff
report
with
this.
This
is
the
formal
extension
to
allow
us
to
continue
meeting
electronically.
I
let
me
just
see
by
way
of
a
show.
Is
there
anybody
who
wishes
to
speak
on
this
item?
A
A
Now
I
will
turn
us
to
and
call
meeting
20
of
the
board
of
health
to
order.
This
is
our
regular
meeting
and
to
welcome
everybody
to
meeting
20..
We
have
five
registered
public
speakers
and
the
clerk
staff
have
connected
all
of
the
public
speakers
to
the
meeting
by
audio
for
those
watching
and
for
members
of
the
board.
The
list
of
speakers
can
be
viewed
online
by
visiting
the
board
of
health's
agent
page
at
toronto,
dot,
ca,
council
and
clicking
the
speakers
box
hold
on
one.
Second,
just
a
question
from
our
board.
A
A
A
A
A
The
clerk
staff
have
connected
all
registered
public
speakers
to
the
meeting
by
audio
and
the
list
of
speakers
for
members
of
the
board
and
the
public
can
be
viewed
online
by
visiting
the
board's
page
at
toronto.ca
council
and
clicking
the
speakers
box
again,
I'd
like
to
remind
staff
and
members
of
the
board,
if
you
could
keep
your
mics
muted
and
we
will
call
on
you
as
we're
ready
I'll
begin
as
we
go
through
a
run-through
of
the
order
paper
by
saying.
Are
there
any
declarations
of
interest
under
the
municipal
conflict
of
interest
act?
A
Looking
for
any
other
declarations
of
interest,
okay,
seeing
none
next,
we
need
a
motion
to
confirm
the
minutes
of
our
july
board
meeting.
I
have
a
motion
there
from
councillor
layton,
all
those
in
favor.
If
we
could
see
a
show
of
hands,
okay
opposed
if
any,
okay,
that
carries
we're
going
to
begin
with
a
a
with
an
agenda
review
here.
The
first
item
is
hl,
20.1
response
to
coveted
reopening
and
preparation
for
a
potential
research
resurgence.
A
A
A
A
A
Okay,
so
that
item
is
held
in
counselor,
lies
name
and
so
director
mulligan.
That
item
will
be
dealt
with
later.
You're
welcome
to
rejoin
the
meeting
item
hl,
20.6,
a
change
in
approach,
toronto,
public
health's,
implementation
of
the
registered
nurses,
association
of
ontario's
breastfeeding
best
practice
guidelines.
Would
anybody
like
to
hold
that
item
down.
A
Okay
item
hl
20.6
is
held
in
director
peter
wong's
name,
and
then
we
have
one
new
business
item
to
introduce
which
will
be
held
down
so
it
can
be
posted.
This
is
a
new
business
item
hl
20.7.
It
has
been
submitted
by
myself
and
councillor
perks,
chair
of
the
toronto
drug
strategy
implementation
panel.
It
is
a
new
business
item
requesting
an
update
on
the
status
of
the
opioid
poisoning
crisis,
as
well
as
additional
measures
to
take
place
at
our
next
meeting.
A
So
we'll
have
a
vote
now
to
introduce
this
item.
It
will
then
be
held
down
so
that
members
of
the
board
and
the
public
have
a
time
have
a
chance
to
see
it.
So
a
motion
here
to
move
introduction
moved
by
councillor
perks,
all
those
in
favor,
okay
opposed
of
any
okay,
so
that's
introduced,
it
is
held
down
and
it
will
be
held
so
just
before
we
now
so
now
we
can
return
to
the
first
item
and
just
before
we
do.
A
A
I
do
not
want
to
let
this
meeting
pass
without
a
quick
moment
to
recognize
some
hard
work.
It
is
public
service
week
here
in
the
city
and
our
team
at
toronto.
Public
health
has
been
working
non-stop
since
we
met
last
and
in
fact,
for
nearly
eight
months
and
just
since
we
left
met
last
they've
released
and
analyzed
social
demographic
data
in
the
city
of
toronto,
the
first
public
health
unit
in
the
country
to
do
so,
they've
supported
school
reopening
measures
launched
a
new
multilingual
rapid
community.
A
They've
all
done
all
this
in
the
midst
of
an
emergency,
an
emergency
that
at
times
it
feels
like
it
never
ends,
and
so
before
we
begin
to
discuss
where
we
are
and
where
we're
going.
Let's
also
take
a
moment
to
recognize
that
hard
work
and
that
commitment
and
dedication
of
our
staff
in
tph,
and
so
I
want
to
thank
them
and
in
the
same
part
and
in
the
same
token,
I'd
like
to
acknowledge-
and
I
see
the
clapping
from
trustee
donaldson.
I
agree
with
that.
A
I'd
also
like
to
before
we
move
into
the
the
road
ahead,
acknowledge
the
work
of
this
board.
Every
single
one
of
you
and
the
hard
work
you've
been
undertaking.
But
I
would
like
to
signal
out
to
trustee
our
trustees
at
the
school
boards,
trustee
donaldson
and
trustee
lapretti,
who
have
worked
in
their
own
communities
and
at
the
school
board
level,
but
also
alongside
tph
staff
non-stop
for
months
in
the
eye
of
a
storm
here,
and
it
really
speaks
to
the
role
of
local
public
health.
A
A
We
will
begin
by
turning
it
over
to
dr
davila
for
a
presentation
we'll
take
we're
going
to
hear
the
presentation.
First,
then
we
will
hear
from
the
deputies
before
we
move
into
questions
of
staff.
We'll
do
that,
so
that
we
can
hear
from
the
deputies
to
inform
questions
of
staff
that
we
may
have
so.
Dr
davila,
the
compassionate
rock
the
people's
doctor
over
to
you.
E
A
E
Perfect,
thank
you
again
and
good
morning,
members
of
the
board
and
to
others
for
viewing
this
board
meeting.
Thank
you
for
joining
us.
I
will
be
taking
you
through
a
presentation,
as
you
can
see
here,
an
update
on
covet
19
and
you
know
a
story
as
to
what
we've
been
doing
and
where
we
see
things
going
in
the
future.
E
E
I
owe
a
special
debt
of
thanks
to
the
entire
team
here
at
toronto.
Public
health.
I
have
no
other
words
than
to
say
thank
you
for
the
hard
work
they've
done
and
for
the
personal
sacrifices,
which
I
know
are
many
that
they've
made
to
make.
You
know
our
response
happen
and
for
them
to
put
in
all
the
additional
hours
of
work
that
they
have
put
in
to
this
response
to
keep
our
city
safe.
E
E
E
But
let's
go
to
the
next
slide.
We're
going
to
look
you
know,
rather
than
looking
at
the
overall
picture.
Let's
now
focus
on
where
we
are
now
what
our
current
data
tell
us
and
what
trends
we're
actually
noting
on
the
next
slide,
you'll
see
a
high
level
overview
of
where
we
are
right
now
in
terms
of
covid19
cases
in
our
city,
these
data
depict
what
our
situation
was.
As
of
september,
19th
you'll
see
our
total
case
count.
E
There
is
17
528,
that's
over
the
course
of
the
entire
kobit
19
pandemic,
and
it
does
include
both
confirmed
and
probable
cases
to
give
you
a
sense
of
what
the
day
over
day
case
increase
looks
like
again.
These
are
september
19
data
or
data.
As
of
september
19th,
the
day
over
day
increase
from
the
previous
report
was
128
new
cases.
E
You'll
note
at
the
bottom
of
the
slide,
our
current
hospitalization.
As
of
september
19th,
we
had
33
and
8
in
icu.
I
would
remind
members
of
the
board
that
hospitalizations
and
icu
admissions
and
the
like
are
lagging
indicators,
so
we
continue
to
monitor
all
of
these
numbers
very,
very
carefully
on
a
day-by-day
basis.
E
Next
slide,
you'll
have
a
sense
of
where
these
new
cases
have
been
emerging.
Over
the
last
three
weeks,
here's
a
color-coded
map
depicting
the
various
neighborhoods
throughout
the
city
and
the
darker,
the
color
of
the
neighborhood
grid,
the
higher
the
number
of
coveted
cases
in
that
particular
neighborhood
over
the
last
three
weeks,
and
as
you
can
see,
the
northwest
and
the
northeast
parts
of
the
city
continue
to
have
a
preponderance
of
the
cases
in
the
city.
E
This
has
been
the
case
throughout
the
pandemic,
but
as
of
late
in
the
last
few
weeks,
we
are
starting
to
see
more
activity
happening
in
downtown
neighborhoods.
You'll
see,
in
fact,
that
the
darkest
of
the
neighborhoods
on
this
neighborhood
map
depicting
cases
is
a
downtown
neighborhood
by
the
waterfront.
E
E
The
next
couple
of
slides
will
take
us
through
the
specific
categories
of
indicators
that
comprise
this
monitoring
dashboard.
The
first
category
of
indicators
oops
just
going
back
to
the
first
one.
We
go
back,
one
slide
virus
spread
and
containment
is
one
of
the
key
categories
of
indicators
that
we're
monitoring.
E
Unfortunately,
as
you
will
see
our
seven
day,
moving
average
on
new
coven
19
cases
is
now
in
the
red
zone.
We
are
really
trying
to
look
for
and
what
we're
aiming
for
is
a
sustained
decrease
in
this
number
over
a
14
day
period.
Regrettably,
that
has
not
been
the
case
as
of
late.
We
in
fact
are
seeing
increases
in
our
seven
day.
Moving
average
of
do
covet,
19
cases,
new,
hospitalizations
and
outbreaks
are
in
the
yellow
zone
still
holding
at
relatively
low
levels.
E
E
E
We
know
that
we're
doing
better
or
our
provincial
counterparts
who
are
responsible
for
tests,
I
should
say,
are
doing
better
when
it
comes
to
turnaround
time
of
tests
within
48
hours,
and
our
percent
positivity
on
testing
is
going
up
slowly,
but
is
going
up,
and
this
is
not
the
direction
that
we're
looking
for.
So
this
is
certainly
something
that
we're
monitoring
carefully,
and
so
this
overall
category
of
indicators
remains
in
yellow
the
next
two
categories
of
indicators,
health
system
capacity,
largely
focused
on
our
health
care
capacity.
E
That's
the
next
slide
and
you'll
see
that
those
are
thankfully,
thus
far
still
in
the
green.
But
again
this
needs
to
be
monitored
carefully,
as
case
counts
increase
and
the
final
category
of
indicators
has
to
do
with
public
health
capacity,
also
in
the
green
at
this
point
in
time,
if
we
can
get
to
the
next
slide,.
E
Still
in
the
green
as
you'll
see
here,
however,
this
must
be
constantly
monitored
and
watched,
particularly
as
case
counts,
go
up
and
his
demands
on
the
public
health
team
here
to
manage
cases
and
contacts
in
a
timely
fashion
continue
to
increase.
That
is
just
more
and
more
problematic,
as
case
counts
and
covet
19
activity
increase
in
the
community.
E
E
I
think
that
you
can
see
by
the
map
that,
while
there
are
neighborhoods
that
are
more
impacted
than
others,
there
are
infections
distributed
in
neighborhoods
all
across
the
city
and
what
we
have
been
seeing
as
of
late,
particularly
since
that
stage
three
reopening,
and
throughout
the
month
of
august
and
into
september,
we
have
been
seeing
an
increasing
proportion
of
our
cases
being
reflected
in
our
population.
That
is
less
than
40
years
of
age,
as
indicated
here
on
the
slide
more
or
less
it's
in
the
range
of
about
two-thirds.
E
I
think
it's
important,
though,
that
we
have
to
remember
that
our
current
case
count
represents
exposures
or
transmissions
of
disease
from
about
two
weeks
ago
and
when
we
think
about
you
know
what
we've
been
seeing
as
of
late
in
the
last
few
days
in
terms
of
case
counts.
I
I
think
it's
a
reasonable
conclusion
that
or
a
reasonable
summation
that
end
of
summer
socializing
in
a
number
of
settings,
some
of
which
were
more
formal
and
regulated
settings
like
bars
and
restaurants,
but
also
with
high
frequency
based
on
our
data.
E
E
But
this
is
a
bit
of
a
change
over
what
we
saw
in
the
sort
of
spring
early
summer,
where
travel
really
did
not
figure
prominently.
It
did
at
the
very
very
beginning
of
our
pandemic.
Experience
back
in
january
february
died
down
for
that
springtime
early
summer
period
and,
as
you
can
see,
is
now
figuring
again
in
our
data
around
what
the
sources
of
cases
look
like,
but
taken
all
together.
E
Certainly,
the
isolation
center
is
another
component
of
the
response.
Communications
has
been
critical
and
will
continue
to
be
critical,
so
messaging
and
adjusting
the
messaging
in
accordance
with
the
circumstances
that
we
see
and
in
accordance
with
the
best
available
evidence
not
only
in
respect
of
covet
but
in
respect
of
messaging.
E
So
turning
to
the
next
slide
talking
about
adapting
our
organization
to
meet
the
response,
so
you
know
with
toronto
public
health.
When
it
comes
to
outbreaks,
we
generally
operate
within
an
incident
management
structure,
or
we
try
to
cover
outbreaks,
especially
large
ones,
using
an
incident
management
structure
and
at
the
outset
of
the
covid19
pandemic.
That's
exactly
what
we
did
and
in
fact
most
other
public
health
units
around
the
province
did
exactly
the
same
thing.
E
It
is
a
very
standard
approach
and
it's
actually
an
excellent
way
to
organize
a
response
to
an
emergency
event
such
as
an
outbreak,
and
so
for
the
last
few
months
we
have
actually
been
operating
as
two
different
organizations,
one
this
emergency
management
organization,
an
emergency
response
organization,
largely
focused
on
covet
19
and
as
well.
Another
organization
that
was
more
akin
to
the
toronto
public
health
that
we
generally
know
on
a
regular
basis,
which
offers
a
broad
range
of
of
service
program
and
policy
development
serving
a
broad
range
of
public
health
programs.
E
E
Moving
to
the
next
slide,
just
a
little
bit
more
on
this
issue.
Clearly,
we
are
going
to
continue
to
work
with
the
province
and
key
stakeholders
to
develop
strategies
to
to
manage
this
very
delicate
balance,
and
it
is
challenging.
I
I
will
tell
you
very
upfront.
The
covenant
response
requires
a
great
deal
of
resource,
so
do
our
critical
or
most
critical,
or
most
timely
and
urgent
public
health
programs.
E
E
So
I
see
in
our
organization
that
after
these
many
many
months
of
response,
even
when
the
case
count
was
down,
let
me
just
be
clear
on
that.
There
was
still
quite
a
bit
of
work
and
ongoing
work
that
needed
to
be
done,
including
following
up
on
some
very
large
exposures,
which
didn't
necessarily
produce
cases
but
still
generated
work
for
our
team
here
at
toronto,
public
health-
it
is
what
they
do.
E
It
is
what
we
do
and
they
have
gone
and
done
the
work
put
in
the
extra
hours
put
in
the
time
and
have
done
very
high
quality
work
really
really
remarkable,
but
I
have
to
be
very
upfront
with
you
as
a
board.
Our
team
is
tired
and
they
don't
have
the
same
reserve
capacity,
not
surprisingly,
as
they
might
have
had
earlier
this
year,
being
human
just
as
human
as
the
next
person.
E
So
I
I
think
it's
important
as
a
board
from
a
governance
perspective
that
you
know
that
we
are
managing
the
operational
challenges
that
face
us.
But
there
are
you
know,
issues
that
are
very
challenging
to
address
and
that's
not
unique
to
us
at
toronto,
public
health.
I
think
it
is
very
much
a
product
of
a
sustained
long,
lasting
emergency
and
the
impact
that
it
has
on
even
the
best
people,
which
I
can
assure
you.
We
have
working
on
this
response.
E
This
is
one
of
the
unique
value
adds
if
you
will,
of
public
health
in
the
response
to
an
outbreak
or
a
pandemic
monitoring
indicators
and
that
kind
of
surveillance
activity
that
happens
within
the
realm
of
public
health
is
of
another
unique
value
add,
but
as
cases
go
up
as
the
situation
changes,
it
beholden
on
us
as
public
health
professionals,
to
adjust
our
response
in
accordance
with
what
we're
seeing
on
the
ground,
whether
that
means
focusing
more
on
certain
cases
and
prioritizing
certain
activities.
Adjusting
public
health
measures
adjusting
messaging
adjusting
enforcement
endeavors.
E
E
E
E
We
know
that
pharmacies
have
been
a
major
component
of
our
flu
vaccine
campaign
over
the
last
few
years,
but
they
too
need
space
for
distancing
in
order
to
be
successful
with
immunization
flu
immunization
campaigns
this
year
and,
of
course,
as
local
public
health.
We
have
spent
our
resources
and
our
focus
over
the
last
few
years
with
respect
to
flu
vaccine
and
flu
vaccine
campaigns
on
those
key
populations
that
have
challenges
with
access
to
flu
vaccines,
either
through
primary
care
providers
or
through
pharmacies.
E
So
we
are
working
on
mass
immunization
clinics.
We
are
working
with
our
local
health
care
partners,
most
notably
through
the
local
health
integration
networks,
to
ensure
that
we're
coordinating
and
collaborating
with
primary
care
and
other
community
care
providers
in
respect
of
flu
vaccine
administration,
and
we
will
keep
you
informed
as
to
what's
happening
in
that
regard.
But
suffice
it
to
say
there
is
a
lot
of
activity
on
that
front.
E
Speaking
of
adjusting
messages
to
our
evolving
situation,
this
communications
has
been
a
key
component
of
the
response.
As
I'm
sure
the
members
of
the
board
will
know,
we
are
adjusting
our
messages
and
we
have
adjusted
our
messages
in
accordance
with
our
changing
circumstances
and,
as
you
can
see
here,
given
where
we
are
now
in
the
course
of
our
outbreak
and
the
circumstances
that
are
unique
to
us
here
in
this
city,
we
are
adjusting
our
messages
to
say
that
look
at
this
point
in
time
as
much
as
possible.
E
We're
asking
people
to
limit
contact
with
people
who
don't
live
in
the
same
household.
Certainly
the
steps
for
self-protection.
I
don't
think
we
can
ever
say
enough.
Watch
your
distance
right
and
the
ultimate
watching
your
distance
is
actually
not
going
to
certain
places
for
that
contact
with
others.
E
If
it
can
be
avoided
recognize
that
there
are
some
circumstances
where
it
actually
does
make
sense
to
go
and
be
in
contact
with
others,
but
to
watch
your
distance,
there
means
keeping
that
at
least
six
foot
or
two
meter
distance
wearing
your
mask,
washing
your
hands,
staying
home
when
you're
sick.
So
really
we're
asking
our
public
to
really
think
about
where
they're
going,
whether
it's
necessary,
whether
there
are
other
venues
or
other
means
by
which
to
achieve
the
objectives
of
whatever
activity.
E
This
just
gives
you
a
little
bit
of
a
flavor
as
to
the
kinds
of
things
that
are
in
active
discussion
and
will
continue
to
be
in
discussion
for
the
foreseeable
future.
It
all
depends
on
the
circumstances
that
we
see,
as
we
see,
changes
in
the
course
of
the
outbreak.
As
we
see
changes
in
the
epidemiology
as
we
enhance
our
understanding,
we
can
then
tailor
policies
to
meet
the
needs
as
delineated
by
our
data
and
the
circumstances
as
we
see
them
on
the
ground.
E
A
little
bit
more
with
work
on
the
province.
Thank
you.
That's
the
next
one,
exploring
new
testing
technologies
really
focusing
the
testing
efforts
and
the
resources
that
are
available
to
focus
more
on
suspected
cases
and
high-risk
situations
for
testing,
so
that
testing
is
available
when
we
need
it.
The
most
we're
certainly
also
working
with
the
province
to
ensure
the
availability
of
mobile
testing
for
circumstances
in
the
local
school
communities
where
that's
warranted
and
where
it
makes
the
most
sense.
E
As
I
mentioned
earlier,
there
are
challenges
still
in
respect
of
the
turnaround
times
on
laboratory
tests.
I
will
remind
members
of
the
board
and
those
listening
that
the
testing
regime
and
all
the
infrastructure
that
goes
along
with
testing
in
the
labs
is
something
exclusively
under
the
provincial
purview.
However,
we
are
constantly
talking
to
our
provincial
partners
to
ensure
that
they're
aware
of
what
the
implications
are
and
what
the
consequences
are
on
our
end
of
the
lab
tests.
E
E
E
Actually
she
was
the
one
who
raised
this
issue
and
it
raised
this
important
gap
that
needs
to
be
filled
in
long-term
care
homes.
So
if
I
can
thank
you
menissa
for
raising
this
point
and
and
making
sure
that
this
recommendation
made
it
to
this
report,
it's
not
that
we
weren't
thinking
about
it,
but
it's
always
helpful
to
have
our
our
staff,
who
are
actually
right
there,
seeing
what's
happening
and
understanding
the
circumstances
on
the
front
lines,
as
it
were,
to
help
inform
important
decisions
and
policy
recommendations
to
the
province.
E
E
E
Unfortunately,
at
this
point
there
is
a
significant
delay
in
respect
of
the
sharing
of
appropriate
information
in
order
to
affect
timely
enforcement
of
isolation.
Orders
should
that
be
necessary,
so
this
particular
recommendation
is
directed
towards
urging
the
federal
government
to
implement
and
utilize
a
data
system
that
allows
for
the
timely
and
effective
transmittal
of
information
about
arriving
international
travelers,
so
that
local
enforcement
authorities
and
individuals
can
actually
help
our
federal
partners
better
support
compliance
with
the
existing
terms
of
the
quarantine
act.
E
E
We
need
to
continue
to
evaluate
and
engage
in
innovative
strategies
to
respond
to
resurgence
and
again.
This
is
the
first
time
that
all
of
us
are
living
through
this
particular
situation,
where
we're
trying
to
reopen
and,
at
the
same
time,
balance
out
increased
activity
which
isn't
a
surprise
but
needs
to
be
managed,
particularly
as
we're
seeking
to
support
our
children
through
school.
E
We
need
to
plan
to
deliver
mass
immunization
when
covid19
vaccines
are
ultimately
available.
That
continues
to
be
work.
That
needs
to
be
done
up
front
now,
not
just
when
we
are
certain
when
we
should
expect
delivery
of
a
vaccine.
So
that
is
certainly
part
of
our
response
and
we
need
to
continue
to
provide
strong
case
and
contact
management
policy
change
all
the
public
health
measures
that
we
can
put
into
place
in
order
to
be
successful
in
terms
of
achieving
the
objectives
of
our
response.
E
A
A
Our
first
speaker
is
andrew
morris
andrew
welcome
you're,
going
to
have
five
minutes
to
deputy
and
we'll
start
your
clock
here
and
I'll.
Give
you
a
30
second
heads
up
as
you
come
to
the
end
and
then
there'll
be
a
chance
for
questions
of
the
board.
So
andrew,
do
we
have
you
there
yeah?
You
got
me
here
great
andrew,
thank
you
for
being
here.
We'll
turn
it
over
to
you.
F
Okay,
so
I'm
a
professor
of
infectious
diseases
at:
u
of
t
center
health,
university
health
network
and
along
with
dominic
mertz,
an
epidemiologist
and
infectious
diseases
colleague
at
hamilton
health
sciences.
We've
been
working
on
something
that
works
quite
nicely
with
dr
davila's
presentation
just
now,
and
it
relates
to
situational
awareness.
F
Looking
on
my
second
slide
there,
I
want
to
point
out
that,
in
my
mind,
toronto
public
health
is
probably
the
most
transparent
and
data-driven
public
health
unit
in
the
province.
So
I
think
you
should
be
congratulated
on
that,
and
you
know
in
looking
at
both
dr
davila's
presentation
earlier
today
and
the
dashboard
online.
F
It's
an
excellent
dashboard
in
the
information
it
conveys
in
the
transparency.
I
will
also
note
that
I
am
aware
that
not
all
data
that
public
health
uses
is
presented
on
the
dashboard.
So
I'm
certainly
aware
of
that.
But
despite
this,
I
think
that
there
could
be
improvements
made
on
both
utilization
and
the
visualization
of
the
data.
F
For
example,
the
virus
spreading
containment
criterion
that
set
out
sets
a
target
for
sustained
decrease,
but
doesn't
at
least
explicitly
online,
and
I
I
know
that
there
are
many
more
deliberations
behind
the
scenes
gauge
the
various
increases
according
to
both
replication.
So
that's
the
rr
rt,
and
on
top
of
that,
it
probably
with
what
we
understand
today
in
terms
of
the
role
of
hospitalization
and
the
trends
of
hospitalization
globally,
whereby
it's
been
a
lagging
indicator.
F
It
probably
overstates
the
role
of
hospitalization
to
gauge
interventions,
the
other
things
that
we've
been
considering
have
been
health
system
capacity,
which
probably
ignores
known
and
emerging
challenges,
for
example
with
schools
back.
There
will
be
increasing
challenges
on
the
workforce
as
well
as
potentially
essential
medications.
F
The
workforce
for
demand
that's
available
and
also
identify
online,
the
inability
to
identify
contact
source
as
an
important
vulnerability,
and
I'm
going
to
congratulate
the
city
of
toronto
for
the
isolation
hotel.
That's
been
set
up
and
dr
davila
just
mentioned,
but
that's
certainly
that
inability
to
foster
isolation
and
quarantine,
including
things
like
food
security,
income
etc,
which
are
certainly
in
many
ways
outside
of
toronto.
The
city
of
toronto's
control,
but
certainly
identify
as
a
vulnerability.
F
What
we've
been
doing
is
we've
used
this
to
validate
our
tool
across
the
province
in
various
units
and
we've
identified
two
things.
One
is
there's
probably
a
lateness
to
an
understanding
of
the
degree
of
vulnerability,
and
this
has
been
seen
globally
as
well,
is
that
we
tend
to
respond
late,
because
the
degree
of
urgency
is
probably
not
as
well
identified
or
communicated.
F
F
A
A
G
G
Your
presentation
was
very
enlightening
and
it
actually
did
give
me
sort
of
an
idea
about
the
challenges
that
y'all
are
facing
across
the
board,
because
this
has
been
a
multi-month
ordeal
now
and
so
to
see.
The
response
evaluating
you
know
and
and
transforming
has
been
very,
very
reassuring
in
terms
of
our
confidence.
G
We
don't
see
that
here
is
there
and
and
something
that
the
the
toronto
board
of
health
is
going
to
start,
considering,
as
the
the
resurgence
goes
also
as
a
business
owner.
What
what
we
do
here
at
safe
can
we're
working
with
enhanced
cleaning
methods,
we're
offering
our
services
to
cases
of
outbreak,
centers
and
businesses
to
reopen
in
a
smooth
and
effective
manner.
We,
you
know,
manufacture,
uvc
parts.
G
We
have
antimicrobial
solutions
that
we
electrostatically
spray,
so
we're
very,
very
vested
in
in
the
cities
and
obviously
a
province
restart,
but
we
find
that
we
are
not
able
to
showcase
these
technologies
to
the
people
or
the
powers
that
be
that
be
often
times
we're
doing
this
on
the
residential
level
on
the
child
care
provider
level.
But
we
aren't
able
to
go
to
government
and
and
offer
our
technology
to
say:
hey,
there's
a
solution:
can
it
work
for
you?
G
How
can
we
partner
with
you,
because
I
I
do
believe
that
this
herculean
task,
that
that
you
all
have
taken
on
requires
assistance
and
as
what
I
can
do,
in
the
very
least
is,
is
try
to
assist
you
guys
in
that
manner.
So
I
I
definitely
would
like
some
direction
on.
How
can
companies
like
mine
work
with
with
with
you
guys
to
assist
you
in
some
of
the
endeavors
that
you
that
you
all
have
at
the
same
time?
G
A
A
Okay,
so
homs
is
seeing
no
questions
from
the
board,
we'll
consider
this
as
feedback
and
questions
that
you
have
for
our
toronto
public
health
team
to
consider
and
the
best
format
for
that
would
be
to
follow
up
with
you
offline,
and
so
thank
you
for
that.
Our
next
speaker
and
final
deputy
on
this
item
is
julian
bayard,
and
I
apologize
if,
if
I
mispronounced
your
name
is
julian
on
the
line.
A
D
Okay
thanks
good
morning
everyone,
so
my
comments
have
to
do
with
the
scientific
basis
for
toronto's
mass
by-law
around
the
time
that
the
bylaw
was
put
into
place.
The
mayor
asked
members
of
the
public
to
inform
themselves
saying
that
he
hoped
stringent
enforcement
wouldn't
be
necessary
if
people
just
inform
themselves,
so
I
I
said
it
to
do
that.
D
D
The
medical
officer
of
health
reported
to
city
council.
That
quote
growing
evidence
indicates
that
that
you
know
compliance
with
the
bylaw
will
tend
to
protect
people
from
the
novel
coronavirus,
and
that
statement
has
been
echoed
by
other
officials
ever
since.
But
it
seems
to
me
that,
in
light
of
what
the
national
collaborating
center
for
methodology
and
tools
reports
and
in
light
of
what
public
health
ontario
tells
us
about
the
evidence,
such
statements
are
very
misleading.
D
D
There
is
apparently
some
evidence
that
there
may
be
an
effect,
but
according
to
public
health
ontario.
Many
of
these
studies,
which
appear
to
support
the
theory
that
non-medical
mass
in
the
community
are
effective.
These
studies
quote
must
be
interpreted
with
caution
as
they
contain
substantial
biases.
D
So
you
know
again.
I
I'm
curious
to
know
what
what
people
think
about
this,
but
my
understanding
is
that
the
expert
consensus
at
the
time
when
the
bylaw
was
passed
and
and
prior
to
that
time
and
still
today,
is
that
we
have
only
some
fairly
weak
evidence
known
to
be
unreliable,
often
unreliable,
to
support
this
theory,
and
we
also
have
considerable
evidence
of
a
higher
quality
which
counts
against
it.
D
D
On
the
basis
of
this
sort
of
expert
review
of
the
evidence,
you
know,
the
the
the
opinions
I'm
citing
here
are
are
those
to
which
I
was
referred
by
toronto
public
health.
You
know
that
these
experts,
in
their
evidence,
reviews
effectively
say
that
you
know
on
balance.
There
is
very
little
evidence
that
this
measure
is
effective.
D
So
I
would
like
to
know
how
the
public
health
authorities
came
to
the
conclusion
that
they
should
strongly
recommend
non-medical
masks
in
enclosed
public
spaces.
There
doesn't
seem
to
be
any
strong
scientific
basis
for
this
measure,
and
my
other
two
questions
are
well
number
two:
why
didn't
the
authorities
communicate
to
city
council
or
to
the
public
that,
in
fact,
the
the
evidence
is
at
best
mixed
and
ambiguous
or
equivocal
as
one
of
the
publications
from
the
national
collaborating
center
puts
it
when,
when,
when
we
were
told
growing
evidence
indicates
that
it's
effective?
D
D
A
Okay,
thank
you
very
much
for
your
deputation.
That's
just
over
five
minutes.
Let
me
see
if
there
are
any
questions
from
the
board
for
you,
just
as
a
point
of
clear
clarification
for
members
of
the
public
deputing.
This
is
our
chance
to
ask
you
questions.
Are
there
any
members
of
the
board
who
have
questions
of
julian
okay?
Seeing
none?
Thank
you
very
much
for
taking
the
time
and
your
deputation
julian
at
this
point,
we're
moving
this
into
committee.
A
A
A
C
C
I
do
have
a
couple
of
a
few
questions
for
dr
davila
and
before
I
begin
I'd
like
to
thank
dr
deville,
I
just
want
to
echo
your
sentiments
about
how
hard
working
you
and
your
team
has
been
and
really
appreciate
that,
and
we
we
do
know
that
we
have
a
marathon
now,
like
the
mayor,
said
and
not
a
sprint,
so
we
still
have
to
work
even
harder
to
make
sure
that
we
are
all
safe
and
sound.
I
just
have
a
couple
of
questions
with
your
report.
E
Sure
so
a
quick
update
and
thank
you
counselor
for
the
question.
Certainly
long-term
care
homes
around
the
city
are
working
diligently
to
prepare
for
respiratory
virus
season.
We
know
cold
and
flu
season
is
coming
back.
Covet
19
continues
to
circulate
in
the
community.
They
are
part
of
our
health
care
system.
They
are
very
closely
tied
with
ontario
health,
the
lynn's
and
hospitals.
E
C
E
So
at
the
last
check
I
did
not
see
any
we've
got
two
or
three
active
outbreaks
in
long
term
in
health
care,
I
should
say
writ
large
in
the
city.
As
my
last
check,
I
did
not
see
the
any
of
the
city's
ten
homes,
but
I
can
tell
you
that
they
have.
They
have
produced
a
report
they've
evaluated.
I
know
that
they've
looked
very
carefully
at
their
circumstances
and
are
doing
everything
they
can,
as
I
understand
it,
to
manage
the
circumstances
and
be
ready
for
the
fall
and
winter
season.
C
C
C
I
remember
when
I
was
drafting
the
motion
that
we
were
bringing
forward
to
ask
for
the
funding
you
know
just
to
the
province
or
the
federal
government
to
help
some
of
these
front-line
workers
would
that
be
included
in
the
in
into
the
vulnerable
population?
What
I'm
saying
is
you
know
like
nurses
and
psws,
and
if
they
don't
have
a
place
to
isolate
themselves,
would
they
be
able
to
get
the
help
within
this
funding?.
E
E
Are
there
particular
needs
either
that
they
have
themselves
or
that
people
in
their
house
have
that
put
them
at
higher
risk?
You
know
for
covid19
and
therefore
at
need
for
this
kind
of
isolation
facility.
So
that's
how
it
works
through
our
case
managers
premised
on
eligibility
criteria
that
they
review.
C
E
E
C
E
E
C
A
A
C
E
A
B
Thanks
through
your
chair,
thank
you
so
much
love
for
everything
and
also
for
this
report.
This
morning,
I'm
just
looking
at
the
recommendation
to
ask
the
government
of
canada
to
improve
the
quarantine
data
sharing
system,
and
I
also
in
the
beginning
of
the
of
the
presentation
you
talked
about
13
of
cases
being
as
a
result
of
travel
within
canada.
B
E
So
through
the
chair,
two
things
13
related
to
travel
not
exclusively
to
inter
provincial
travel,
but
it
includes
inter-provincial
travel.
The
data
are
actually
clearest
when
it
comes
to
international
travel.
There
isn't
a
lot,
they
don't
actually
collect
information,
as
you
know,
when
we
travel
from
one
province
to
the
next
within
the
country,
there
isn't
a
canadian
border
service
agency
process
for
that.
E
So
through
the
chair,
that's
correct
and
I
think,
even
in
those
other
jurisdictions
where
there
are
some
inter-provincial
travel
restrictions,
there
isn't
really
a
very
established
mechanism
by
which
to
identify
people.
There's
a
lot,
that's
being
done,
I
would
say,
on
the
frankly,
the
honor
system
and
on
the
goodwill
of
people
and
their
community-mindedness,
which
is
fundamentally
crucial
to
this
response,
regardless.
A
B
Here,
mr
chair,
I
have
a
question
about
influenza
planning
and
you
so
you
you
mentioned
it
as
part
of
the
update,
but
there
weren't
a
lot
of
details
in
the
slide
about
how
it's
happening
and
whether
it's
happening
in
a
timely
way.
What
is
your
assessment
of
our
readiness
with
respect
to
flu
vaccinations
in
particular
this
year?.
E
So
through
the
chair,
excellent
question,
as
you
know,
the
universal
influenza
immunization
program
is
a
provincially
run
program.
We
are
still
awaiting
some
word
from
them
around
what
their
large-scale
plan
is,
but
even
without
their
details,
we
have,
you
know
a
sense
as
to
what
goes
into
flu
clinic
planning
and
the
kinds
of
needs
that
exist
just
based
on
what
we're
seeing
on
the
ground.
E
Right
now,
and
as
I
mentioned,
there
are
challenges,
certainly
given
that
a
significant
proportion
of
the
vaccines
are
usually
given
by
primary
care
providers
in
the
community,
and
many
of
them
are
not
in
their
offices
right
now
and
don't
appear
to
be
moving
back
in
for
that
kind
of
clinical
interaction
in
the
near
future.
So
that's
certainly
a
challenge
and
we've
heard
from
pharmacies
that
they're
interested
in
participating,
but
the
challenges
exist
around
physical
distancing.
E
This
will
also
be
the
case
for
us
and
our
clinics.
We
do
usually
run
a
few
community
clinics.
We
are
preparing
ourselves
for
more
community-based
clinics,
given
that
other
providers
who
have
generally
picked
up
some
of
the
vaccine
activity
in
the
previous
years
may
not
be
able
to
do
that.
But
at
the
same
time
we
have
to
manage
those
populations
that
we
know
have
challenges,
getting
access
to
pharmacies
or
to
other
clinics.
So
that's
the
nature
of
the
conversation
we've
been
having
thus
far
along
with
the
leads
at
the
various
local
health
integration
network
tables.
E
I
know
your
director
mulligan
you're,
familiar
with
those
and
so
there's
a
lot
of
conversation
happening
there.
I
will
say
that
there
are
still
many
many
details
that
have
yet
to
be
worked
out,
but
we're
very
pleased
to
see
that
there
is
a
great
deal
of
interest
amongst
some
of
our
community
partners
in
terms
of
working
in
different
ways
and
collaborating
in
different
ways,
because
we
are
in
a
very
different
set
of
circumstances
compared
to
your
average
flu
season.
B
E
B
Okay,
I
have
another
question
about
your
slide
about
changing
messaging,
with
respect
to
cover
19
and
personal
protective
measures.
For
example,
given
that
we
seem
to
be
in
wave
2
and
correct
me
if
you
have
a
different
assessment
of
kind
of
where
we
are,
what
what's
the
balance
that
we're
that
we
need
right
now
between
those
sort
of
individual
behaviors
and
the
messaging
for
individual
people
and
the
policy
levers
that
we
need
to
be
pulling
like
closing
things
down
again
in
a
strategic
way.
E
E
E
A
Director
we're
just
almost
at
six
minutes
so
I'll
move
forward.
Are
there
others?
Are
there
any
other
members
of
the
board
with
questions
looking
for
okay,
seeing
none
we're
going
to
move
this
into
committee
for
speakers,
I'm
just
going
to
start
by
by
making
a
speaker's
list,
I'm
actually
going
to
put
myself
on
the
list
to
speak.
First.
Are
there
other
members
of
the
board
who
wish
to
speak?
A
Okay,
so
I
will
begin
here
and
I
will
start
by
placing
a
motion
that
has
been
advanced
circulated
if
this
can
be
put
up.
This
is
a
motion
with
a
series
of
amendments
that
many
of
us
on
this
board
have
worked
on
along
with
toronto,
public
health
staff,
the
moh
and
her
team,
and
it's
a
series
of
amendments
looking
at
both
policy
changes
and
individual
behavior
and
to
summarize
them
here.
The
first
is
to
that
the
board
requests
the
medical
officer
of
health
to
consider
any
additional
measures
and
implement
them
swiftly.
A
That
may
be
required
to
maintain
a
reproduction
number
below
one
measures,
such
as
potential
targeted
restrictions
in
commercial
settings
and
other
high-risk
environments,
enhanced
use
of
personal
protective
equipment
such
as
masks
and
methods
to
ensure
that,
as
well
as
additional
screening
in
public
locations,
it
may
not
be
our
job
as
board
members
to
direct
the
medical
officer
of
health,
especially
in
her
use
of
the
health
protection
and
promotion
act.
But
I
I
think
it's
important
that
our
moh
knows
that
dr
davila
knows
that
we
have
her
back.
A
You'll
see
a
motion
in
here
to
request
our
medical
officer
of
health
to
implement
a
system
to
publicly
share
workplace
outbreaks,
not
dissimilar
from
what
is
already
done
for
schools
and
long-term
care
in
shelters,
with
the
proviso
of
course,
of
ensuring
individuals,
privacy
and
finally,
for
strong
intergovernmental
action.
We
know
and
we've
seen
over
the
last
eight
months,
the
need
for
all
three
levels
of
government
to
each
do
their
part
individually
and
in
concert-
and
we
have
some
very
clear
asks
here
of
the
province
with
respect
to
testing.
A
A
Our
hands
are
tied
behind
our
back
with
respect
to
contact
tracing
with
numbers
like
that
and
for
long-term
care
support
on
site,
as
well
as
for
the
federal
government
to
support
the
quick
rollout
of
surveillance,
testing
options
and
a
data
system
to
support
compliance
with
the
quarantine
act.
So
that
is,
that
is
the
motion
that
is
being
placed
and
it's
being
circulated.
A
We've
learned
a
lot
over
the
course
of
the
last
six
to
eight
months,
whether
that's
on
intergovernmental
action,
improved
testing,
reporting
and
contact
tracing
those
congregate
sites
that
need
comprehensive
supports
and,
of
course,
the
data
has
shown
who's
most
disproportionately
impacted.
These
are
things
we
know.
A
It
has
been
quick
whether
that
was
locking
down
the
city
or
implementing
mandatory
masks
and
critically
it's
been
equity,
driven
and
equity
focused
and
you
we
can
see
that
in
action
with
the
establishment
of
the
hotel
programs
and
recovery
and
isolation
facilities
for
the
homeless,
but
also
the
isolation
facilities
for
the
under
house,
and
so
I'm
deeply
proud
of
that
work.
But
I
would
acknowledge
that
we
remain
and
are
in
the
midst
of
a
very
uncertain
storm.
It's
a
very
uncertain
moment.
A
A
C
Yes,
I
do
mr
chair,
thank
you
very
much.
I'd
like
to
propose
two
more
two
motions.
First
of
all,
let
me
say
start
by
thanking
you
as
chair
of
the
board
by
your
leadership
and
your
hard
work
during
this
pandemic
in
working
cooperatively
with
with
our
medical
officer
of
health,
dr
devela,
I
really
appreciate
your
12
recommendation,
but
I
just
I
wanted
to
add
about
the
enforcement
piece
that
would
be
very
important.
C
Given
the
reason
media
report
on
exemptions
granted
to
the
the
canada
strict
14
days,
quarantine
rules,
it's
very
important
that
the
city
reinforce
the
commitment
to
ensure
the
safety
of
all
these
residents
and
toronto,
the
province
and
the
feds.
You
know
we
all
have
done
a
good
job
so
far
in
adopting
and
promoting
measures
that
will
assist
in
the
reduction
of
the
spread
of
covet
19,
but
these
actions
must
not
be
put
at
risk
by
increased
exemptions
for
visitors
and
for
the
lack
of
enforcement
of
existing
quarantine
rules.
So
this
is
very
important.
C
we've
seen
last
week
that
we
read
stories
about
visitors
to
canada
being
admitted
under
the
exemption
rule
and
the
federal
the
federal
government
has
since
said
that
that
was
a
mistake.
So
we
have
heard
stories
of
enforcement
measures
having
to
increase
for
private
gatherings.
You
know
the
province
is
doing
and
in
in
brampton
in
the
peel
region,
where
the
mayor
crumb
bee
said
that
four
charges
were
laid
this
past
weekend,
so
we
need
really
to
in
order
that
we
can
contain
the
pandemic.
I
think
we
must
ensure
that
all
the
rules
are
enforced.
C
We
know
that
it's
self-discipline,
but
I
think
you
know
some.
What
we
get
here
with
the
with
the
self-discipline
is
not
really
perfect,
so
we
we
really
wanted
to
make
sure
that
the
enforcement
rules
and
restrictions
being
in
place
so
and
that's
why
I
really
wanted
to
stress
the
importance
of
having
some
that
we
request
the
city
as
well
as
the
province
and
the
feds
to
all
work
together,
because
we
have
to
get
through
this
together
to
to
make
sure
that
our
enforcement
rules
are
in
place.
A
B
So
you
know,
of
course
our
province
can
do
more
on
testing
and,
of
course,
it
can
do
more
for
schools
to
help
make
it
safer.
I
mean,
I
know
we'll
talk
about
that
a
little
bit
more
in
the
next
item,
but
I'm
really
happy
to
support
these
motions,
and
I'm
grateful
to
our
chair
and
to
counselor
lie
as
well
for
putting
the
motions
on
the
table
and
and
to
staff
of
toronto
public
health.
Thanks
on
behalf
of
our
children,
youth,
thank
you.
B
B
As
dr
davila
always
says,
it's
our
actions,
our
decisions
as
individuals
and
and
as
a
society
at
large.
That
is
going
to
make
the
difference
in
how
successful
we
are
in
managing
this
pandemic
and
by
providing
the
excellent
information
to
the
public.
We
all
are
in
a
position
to
make
better
choices
and
and
to
contribute
to
better
outcomes.
B
Just
when
we
were
discussing
this,
I
spent
an
awful
lot
of
time
this
weekend
thinking
through
the
current
practice.
We
have
the
reasons
for
that
practice
and
whether
or
not
it's
appropriate
for
us
to
change
the
practice
for
how
notification
works
and
I've
come
to
the
conclusion
that
your
emotion
is
one
of
the
more
critical
motions
that
we
will
be
considering
both
at
this
meeting
and
throughout
the
whole
pandemic.
B
B
Public
policy
is
driven
by
public
attitudes,
public
understanding,
public
behavior
is
driven
by
public
attitudes
and
public
understanding
and
because
there's
been
an
inadvertent
omission
of
making
known
to
the
public.
When
there
are
outbreaks
in
pop
in
private
businesses
and
commercial
settings,
we
have
a
distorted
picture
of
how
the
disease
is
spreading
and
that
distorted
picture
has
been
having
implications.
B
A
Thank
you,
okay,
so
you
have
the
motion
put
in
front
that
I
moved,
but
in
front
of
us,
which
includes
the
recommendation,
along
with
the
staff
recommendations
in
counselor,
lies
motion
all
together
as
a
package
all
those
in
favor.
I
will
ask
for
a
show
of
hands
and
I
would
ask
if,
if
the
recording
secretary
could
make
sure,
I
could
see
the
screen
with
everybody's
hands,
please.
A
Just
waiting
for
that
sorry,
this
is
an
exercise
moment
there
we
go
okay,
any
opposed
seeing
counselor
long
time
are
you
opposed
your
hand,
is
still
up?
No
okay,
seeing
none
opposed
that
that
carries
unanimously.
Okay,
we
now
are
going
to
proceed
to
item
hl,
20.2
toronto,
public
health
guidance
for
reopening
schools.
I'd
note
that
we
do
have
two
speakers
listed
for
this
item
that
we
have
a
presentation
from
from
staff
first,
so
we
will
begin
with
the
presentation
before
speakers,
dr
davila.
I
will
turn
it
back
over
to
you.
E
B
B
E
So,
while
we're
waiting
for
that
as
your
medical
officer
of
health,
I
might
suggest
that
we
all
stand
up
and
stretch
for
a
little
bit.
We've
been
seated
for
quite
some
time.
I
see
dr
bowery
has
initiated
herself.
I
may
do
the
same
for
your
own
health,
always
good.
To
get
a
little.
Mr
chair,
I
noted
that
you
were
able
to
stand
up
as
well,
which
is
good.
A
E
E
All
in
the
common
you
know
goal
of
bringing
students
back
to
school
in
as
safe
a
fashion,
as
is
possible
with
covid19
in
our
community.
Turning
to
the
next
slide,
you
know
there
are
a
number
of
plans.
This
has
been
under
consideration
and
in
the
works
for
for
many
many
weeks
now,
but
I
think
that,
what's
really
at
the
top
of
mind
for
many
people,
and
understandably
so,
is
what
happens
when
there's
an
infection
at
you
know
your
child's
school.
So
let's
go
through
that
notification
process.
E
Just
so,
you
have
a
sense
as
to
what's
happening
so
going
to
the
next
slide.
You'll
see
that
the
province
has
launched
a
web
page
that
releases
data
on
a
daily
basis,
outlining
covet
19
cases
in
staff
and
students
in
schools
and
in
day
cares,
and
that
is
widely
available.
It's
ontario.ca
slash
reopening
this
is
a
screenshot
of
the
data
on
their
web
page
from
this
past
friday
september.
E
E
So
I
think,
if
I
can
just
take
you
very
quickly
through
the
process,
we
we
know
that
there
are
a
number
of
different
elements
as
part
of
the
response
we
know.
On
september
16th
the
province
launched
a
new
voluntary
interactive
screening
tool
to
assist
parents,
students
and
staff
with
daily
assessment
for
covid19
symptoms
and
risk
factors.
This
is
required
before
students.
Actually,
it's
required
that
students
complete
that
tool
before
attending
school,
and
you
know
I'm
pleased
to
report
on
my
our
you
know.
E
E
E
So
if
I
can
we're
going
to
go
to
the
next
slide,
a
high-level
summary
around
what
happens
with
the
covid
sorry,
the
toronto
public
health
notification
process
in
the
event
of
of
covid
cases-
and
it's
very
clear-
we
have
had
long
discussions
with
our
colleagues
and
will
continue
to
have
those
discussions
that
at
the
school
level,
if
there
is
a
confirmed
student
or
staff
a
covid19
case,
there
is
a
methodology.
That's
established
for
schools
to
report
directly
to
us.
E
We'll
talk
a
little
bit
more
about
this
as
we
go
through,
but
let's
go
through
the
the
the
next
steps
in
the
process
and
get
to
the
slide.
So
schools
are
aware
of
how
best
to
inform
us
when
it
comes
to
their
attention
that
a
student
or
staff
is
a
covid19
case.
Of
course
our
regular
system
applies.
We
are
getting
positive,
covet
19
tests,
as
we
usually
do.
E
E
E
This
gives
you
a
flavor
as
to
the
steps
in
case
and
contact
management
in
the
school
once
we
actually
have
a
case.
That's
been
identified.
You
know,
we
begin
that
case
of
of
the
case
and
contact
management
process,
and
you
know
that,
as
all
as
it
always
does
involves,
you
know
understanding
from
the
case.
You
know,
when
was
the
diagnosis
made?
What
happened
symptomatic
not
symptomatic
what
kind
of
exposure
might
have
occurred?
Where
have
they
been?
What
is
the
appropriate
period
of
communicability?
E
We
start
to
figure
that
out
with
the
case
based
on
their
symptoms
and
what
their
understanding
of
where
they
might
have
acquired
the
infection
is
once
we
have
a
sense
on
the
period
of
communicability.
We
can
then
try
to
figure
out
who
might
have
been
at
high
risk
of
exposure,
and
certainly
all
students
and
staff
are
determined
to
be
at
high
risk
of
exposure
to
a
case
that
has
been
identified
in
a
school
they're
directed
to
isolate
and
recommended
for
testing.
E
In
turn,
the
school
boards
will
post
if
there
is
a
confirmed
case
of
covet
19
in
their
school
or
in
their
various
schools.
That
involves
the
student
or
staff
and,
as
indicated
here,
we
work
very
very
closely
with
the
schools
to
determine
once
we
know
what
the
period
of
communicability
looks
like
we
make
determinations
in
partnership
with
the
school
around
who
that
case
was
in
contact
with
in
the
school
environment.
E
If,
in
fact
that
actually
happened,
there
may
be
some
cases
where,
and
we
have
seen
this,
where
cases
have
been
identified
in
individuals
who
are
either
students
or
staff
at
a
given
school,
but
that
individual
never
had
time
to
actually
be
in
the
school
or
to
expose
anybody
at
the
school.
But
these
are
the
kinds
of
situations
that
we
need
to
assess
on
their
own
individual
circumstances
to
make
a
proper
assessment,
so
it
is
risk
stratified.
E
We
need
to
look
at
what
the
particulars
are
of
a
given
circumstance.
Those
who
are
deemed
to
be
at
high
risk
of
exposure
are
directed
to
isolate
and
recommended
for
testing.
But,
of
course,
we
know
that
not
you
know,
having
a
case
in
a
school
doesn't
mean
that
everybody
in
the
school
is
at
risk,
where
there
are
circumstances
where
there
is
wider,
spread
transmission
or
we
have
concerns.
E
E
Moving
to
the
next
slide,
we
have
really
worked
very
hard
with
our
our
school
partners
and
and
with
members
of
our
community
to
try
to
understand
what
their
questions
are
and
to
make
sure
that
they
have
information
in
front
of
them
that
they
can
readily
go
to
and
refer
to
on
an
as
needed
basis.
We've
put
together
this
resource
on
the
covet,
19
school
protocol,
we've
written
it
in,
I
think
reasonably
accessible
language,
so
that
people
know
what
to
do.
How
does
the
notification
process
work?
What
is
contact
tracing?
E
E
So
turning
now
to
the
next
slide,
to
give
you
a
high
level
overview
of
what
our
toronto
public
health
school
response
looks.
Like
you
know,
of
course,
we
are
all
invested
in
what
happens
in
our
school
communities,
but
when
I
look
specifically
at
what's
happening
here
in
our
school
response
on
covid19,
it
rests
largely
on
these
three
teams.
We
have
a
school
case
in
contact
and
outbreak
management
team
focused
specifically
on
managing
those
cases
and
the
contacts
that
emanate
from
school
communities
and,
if
outbreaks
emerge,
this
team
will
also
be
responsible
for
managing
those
outbreaks.
E
We
also
have
a
liaison
team,
a
school
liaison
team
that
is
actually
set
up
and
meant
to
address
the
interaction
between
toronto,
public
health
and
the
various
schools
throughout
our
community
before
cases
and
contacts
emerge
and
before
outbreaks
emerge.
It's
around
the
infection,
prevention
and
control
guidance
and
support.
It's
around
training,
it's
communications,
to
make
sure
that
information
is
flowing
well
between
ourselves,
the
schools
and
other
health
care
partners
as
needed,
for
example,
the
local
health
integration
network
and
community
covet
assessment
centers
as
well.
E
We
can
serve
as
a
conduit
between
the
healthcare
system
and
the
school
community
to
facilitate
interactions
and
communications
in
a
timely
and
effective
way,
and
then,
finally,
the
covid19
hotline
is
a
key
component
of
our
school
response.
It
is
not
unique
to
the
school
response.
The
hotline
does
provide
information,
much
needed
and
valuable
information
to
our
entire
public,
but
they
are
also
available
to
provide
answers
and
information
to
those
members
of
our
school
community,
for
whom
you
know
the
resources
aren't
addressing
their
questions
or
those
who
have
unique
and
particular
concerns.
E
E
So
turning
to
the
next
slide,
we
do
have
a
significant
guidance
and
we
have
a
huge
repository
of
guidance
documents
and
one
of
those
guidance
documents
is
specifically
directed
towards
schools.
It
covers
a
broad
range
of
topics:
everything
from
infection
prevention
and
control.
Some
training
components
are
in
there
as
well.
E
It
does
get
into
some
areas
that
have
to
do
more
with
occupational
health
and
safety,
and
I
recognize
that
that's
not
exclusively
it's
not
really
within
the
purview
of
public
health,
but
certainly
we
are
happy
to
support
occupational
health
and
safety
guidance
recognizing
and
deferring
appropriately
to
occupational
health
and
safety
professionals
when
it
comes
to
very
specific
management
of
occupational
health
and
safety
questions
or
employment.
Health
questions:
it's
got
some
information
around
cohorts
and
physical,
distancing
and
specific
recommendations.
E
Turning
to
the
next
slide,
the
package
of
resources
is
also
for
includes
some
that
are
specifically
directed
towards
parents,
while
this
is
useful
as
well
for
the
school
to
help
inform
the
interaction
these
resources
for
parents
are
around
what
they
should
do.
You
know
if
your
child
has
coped
19
symptoms.
How
do
I
manage
this?
E
But
I
am
confident
that
we
were
helpful
to
our
school
board
partners
and
to
our
provincial
partners
in
refining
their
plans
for
as
safe
as
school
reopening,
as
is
possible,
and
of
course
we
continue
those
conversations
the
next
slide.
Please
we
didn't
stop
communicating
and
we
haven't
stopped
communicating
and
we
won't
stop,
but
on
august
the
10th
we
did
submit
a
second
letter
to
the
ministry
of
health.
E
Again
addition
recommending
some
additional
measures
for
school
reopening
as
a
result
of
those
ongoing
conversations
we
were
having
with
partners
and
our
understanding
of
what
the
plans
were,
and
I'm
pleased
to
say
that
you
know
the
ministry
of
education
did
take
into
consideration.
I
believe
our
recommendations
and
implemented,
for
example,
a
delayed
and
staggered
school
reopening
for
schools.
E
This
fall,
as
you
have
seen,
and
I
think
that
this
has
been
important
in
terms
of
all
the
relevant
partners
having
that
opportunity
and
time
to
slowly
work
our
way
up
as
we
approach
school
reopening
for
the
first
time,
with
covid19
in
our
environment
and
and
trying
to
do
so
in
as
safe
a
manner
as
is
possible
is
requires.
Some
coordination
requires
a
great
deal
of
coordination,
in
fact,
and
is
challenging,
I
think,
for
all
partners,
given
that
it
is
our
first
goal
at
doing
this
next
slide.
E
There
is
still
some
provincial
advocacy
that
we
are
continuing
to
engage
in.
There
are
other
recommendations
that
we
would
like
to
see
for
the
benefit
of
our
students
and
our
entire
school
communities,
including
staff
at
those
schools
our
province
take
on
and
those
are
listed
here
on
this
slide,
we
strongly
recommend
that
classes
or
cohorts
be
limited,
so
that
two
meter
distancing
can
truly
be
maintained.
E
Again,
I
can't
emphasize
enough
how
important
distancing
is.
That
is
what
the
evidence
throughout
this
pandemic
from
jurisdictions
all
around
the
world
continues
to
point
towards.
Distancing
makes
a
difference
so,
to
the
extent
that
we
can
limit
class
sizes
to
facilitate
the
ability
for
that
distancing
to
be
maintained.
E
But
at
the
same
time,
this
needs
to
consider
very
seriously.
How
do
we
keep
those
who
most
need
and
those
who
most
benefit
from
being
in
school
in
person
on
a
full-time
basis
as
much
as
possible?
How
do
we
continue
to
keep
them
in
those
schools
as
much
as
possible,
just
given
those
existing
needs?
So
these
are
delicate
balances
again
that
need
to
be
struck.
E
So
the
next
is
the
final
slide,
and
it's
just
to
give
you
a
list
of
resources,
a
handy
list
of
resources.
We
anticipate
that,
given
the
significance
of
school
reopening
in
our
community,
you
will
likely
receive
inquiries.
You
probably
already
have
received
many
inquiries
in
your
offices
and
we
expect
that
you
will
want
to
communicate
with
your
constituents
and
and
with
those
in
your
community,
so
we're
providing
you
with
these
links,
which
include
all
of
the
resources
and
information
that
you've
just
reviewed
here
on
through
this
slide
deck.
E
So
this
is
available
for
your
use.
I
would
welcome
your
sharing
this
information,
whether
it's
through
newsletters
or
other
communications,
that
you
provide,
I
think,
the
more
we're
able
to
disseminate
this
information
and
the
more
people
are
aware
of
what
the
resources
are,
the
better
off.
We
will
be
in
terms
of
providing
again
that
as
safe
as
possible
school
environment
for
our
students
and
for
those
who
work
within
our
school
communities.
A
Well,
thank
you,
dr
davila.
We
do
have
two
registered
speakers
on
this
item.
So
we'll
we'll
move
to
the
speakers
before
bringing
it
back
into
committee.
Our
first
is
josh
fulham
fullen.
Excuse
me
from
maximum
city
who
you'll
recall
presented
their
most
recent
research
at
the
last
meeting
of
the
board.
Josh.
Are
you
on
the
line?
A
H
Yes,
thank
you.
One
of
them
is
sleeping
very
nearby,
so
I'm
gonna,
I'm
gonna.
I
hope
he
stays
asleep
during
this
deputation
good
morning.
Everyone
and
thanks
for
this
opportunity
to
present
our
second
round
of
analysis
on
our
child
and
youth
study.
It
occurs
to
me,
having
listened
to
the
first
item
this
morning,
that
this
deputation
could
apply
to
that
one
as
well.
It
was.
It
was
sort
of
difficult
for
us
to
determine
where
we
should
attach
our
deputation.
So
I
think
it
applies
to
both
right.
H
So
the
main
research
question
we
explored
in
this
analysis
is
simply
are
some
groups
of
children
and
youth
disproportionately
affected
by
their
experience
of
living
through
pandemic
conditions
and
what
are
their
socioeconomic
and
demographic
characteristics
so
that
the
behaviors
we
looked
at
specifically,
there
were
five
behaviors
we
looked
at.
One
was
physical
activity.
One
was
screen
time.
H
One
was
sleep
duration,
one
was
sleep
quality
and
the
fifth
one
was
going
outside
the
frequency
of
going
outside.
So
this
first
four
there
is
an
evidence-based
guideline,
canada-wide
guideline
for
24-hour
healthy
movement
guidelines
for
children
and
youth
that
we
can
peg
the
results
to
and
the
fifth
one
we
included,
even
though
it's
not
in
that
canada-wide
set
of
guidelines,
because
there
is
a
recent
unicef
report
that
found
strong
evidential
links
to
children
going
outside
playing
outside
in
their
happiness.
H
Those
are
the
reasons
that
those
behaviors
were
measured
and
studied
by
disagree
by
disaggregation,
and
I
want
to
focus
really
just
in
the
time
that
I
have
today
on
physical
behavior,
on
physical
activity
and
going
outside
those
two
behaviors.
So,
on
average
physical
activity
has
declined
during
covet
19
pandemic
among
canadian
children
and
youth.
H
So
that's
between
100,
000
and
400
000
population
had
a
higher
proportion
of
children
and
youth
with
discrete,
with
decreased
physical
activity
levels
compared
to
the
small
and
large
municipalities
and
in
terms
of
that,
the
the
going
outside
activity.
We
also
see
similar
inequalities
by
race
and
by
location.
H
And
again,
there
are
spatial
inequalities
in
the
reported
differences
in
going
outside
available
outdoor
amenities
and
feelings
of
safety,
children
and
youth
from
large
municipalities.
That's
four
hundred
thousand
population
and
more
including
toronto
were
more
likely
to
report
going
outside
less
feeling
less
safe
outside
and
having
fewer
places
to
play
or
exercise
outside
of
home.
H
And
if
you
look
at
the
the
charts
and
the
report,
you
see,
the
differences
are
quite
stark
in
toronto
across
all
of
those
measures,
so
going
outside
less
than
once
a
day
not
going
outside
at
all
and
not
feeling
safe
when
they
go
outside
and
not
having
enough
places
to
play.
The
outcomes
are
all
worse
in
large
municipalities
and
they're,
all
even
even
more
negatively
impacted
in
the
city
of
toronto.
A
B
B
H
Yeah,
thank
you
trustee
dolphin
for
the
question
we
do.
We
do
have
recommendations
so
when
we
have
situations
where
we
have
large
groups
of
students
participating
in
remote
learning,
what
we're
recommending
is
that
teachers
avoid
using
long
blocks
of
synchronous
learning
for
direct
instruction
on
a
screen.
H
So,
given
the
increase
in
screen
time,
both
academically
and
recreationally
we're
recommending
that
teachers
use
synchronous,
learning
time
for
things
like
physical
activity,
play
collaboration,
social
interaction
and
not
just
direct
instruction
on
a
screen,
which
is
something
that
we
heard
clearly
from
kids
across
the
country
was
not
working
for
them.
They
wanted
more
variety
of
instruction
and
they
wanted
to
engage
more
deeply
with
material
rather
than
that
traditional
direct
instruction,
but
there
are
opportunities
within
that
synchronous.
Direct
instruction
time
to
have
kids,
do
fit,
participate
in
physical
activity,
play
collaboration,
etc.
A
D
My
question
is:
are
you
going
to
continue?
You
know
with
regard
to
school
opening?
Are
you
going
to
continue
to
study
post-school
opening,
because
we
know
that
children
are
going
to
get
more
physical
activity,
they're
going
to
get
more
guidance
from
from
school
educators
and
they're
going
to
have
more
organized
structured
activities?
D
H
Thank
you
for
the
question.
So,
in
response
to
the
first
part
of
your
of
the
question,
we
are
going
to
continue
to
collect
data
on
what's
happening
among
children,
youth
not
just
in
toronto,
but
across
canada.
What
what
we're
planning
for
now
we're
still
working
out
the
methodology
is
to
do
a
point-in-time
measurement
sometime
in
the
fall
so
say
mid
october
or
november,
and
then
do
a
second
measurement
early
in
the
new
year.
H
So
maybe
february
would
be
a
good
time
and
it
will
also
depend
on
you
know
the
conditions
around
the
pandemic
as
well,
when
the
best
time
to
do
those
are,
and
the
methodology
will
also
adapt
to
those
conditions
as
well.
I
I
don't
want
to
speculate
about
whether
the
behaviors
will
improve
or
or
deteriorate
over,
the
fall.
I
I
think
that's
the
point
of
taking
these
measurements.
H
What's
unique
about
our
study
is
that
it
speaks
and
listens
directly
to
kids.
So
there
are
a
number
of
studies
out
there
right
now,
they're
being
published
or
emerging,
or
just
just
coming
out
that
validate
everything
that
I've
told
you
today
and
everything
that's
in
the
report,
but
they
really
focused
on
parents
reporting
on
kids
behavior
on
behalf
of
kids.
H
What
this
study
does
and
what
our
two
subsequent
studies
will
do
is
listen
directly
to
kids
so
that
they
have
a
voice
in
in
the
sort
of
the
opportunities
they
have
an
opportunity
to
participate
in,
what's
impacting
their
lives
in
in
in
a
real
way,
so
part
one.
Yes,
we're
going
to
continue
to
to
collect
this
data
part
two.
I
don't
want
to
speculate
until
we
see
more
data
that
we
can
speak
to
in
an
evidence-based
way.
A
G
A
G
G
I
find
that
initiative
is
going
to
be
very
helpful
in
educating
businesses
on
what
would
be
the
right
way
to
go
about.
You
know
on
the
internet,
on
the
infection
control
side
of
things
and
how
would
be
a
safe
way
to
just
to
reopen
as
a
company
that
is
specializing
in
infection
control
and
and
disinfection.
We
we
find
that
a
lot
of
our.
A
G
Yes,
sir,
okay,
getting
getting
to
that
getting
to
that
as
well,
so
I
did
review
the
the
presentation
in
terms
of
with
the
from
dr
allen
and
when
I
look
and
I
see
what
are
these
specifics
as
to
what
happens
once
there's
there's
an
outbreak
confirmed
at
a
school,
it
says,
perform
enhanced
cleaning.
Now
it
does
not
give
a
lot
of
details
as
to
how
this
is
supposed
to
be
performed.
G
Is
it
going
to
be
performed
internally?
Is
there
a
need
for
external
third
parties
to
assist
the
school
boards?
Also,
I
sometimes
I
I
find
that
across
school
boards,
say
pl
or
or
rtdsb.
There
is
a
different
metric.
That's
used
to
evaluate
the
enhanced
cleaning
methodology,
so
I
find
that
there
are
differences
in
the
way
school
boards
are
treating.
G
G
You
know
when
we
go
through
procurement,
we
are
unable
to
get
the
answers
that
are
required
and
even
showcase
what
we
want
to
do
when
you
look
at
the
the
standard,
bits
and
tenders
aspect
of
things
there
are
no
apart
from
janitorial,
there's
nothing
very
specific
to
this.
So
that's
sort
of
the
challenge
that
we
have
faced.
G
Typically,
we
call
schools
and-
and
schools
are
saying
well
we're
following
all
the
the
activities
or
all
the
guidelines
when
and
they
say
well
pick
it
up
with
the
school
board.
When
we
look
and
try
to
find
the
contacts
of
the
school
board,
we
are
unable
to
to
access
them
or
to
even
get
an
idea
of
what
these
techniques
need
to
be
to
see
if
we
can
add
any
value.
G
So
this
is
one
of
my
one
of
the
challenges
that
we
have
faced
and
I
I
definitely
would
would
like
some
information
from
mr
stephanie
donaldson
and
obviously
idler
predi
as
well
to
see
what
they
would
do
and
obviously,
after
this
quality,
my
staff
will
reach
out
to
you
guys
also
to
get
some
more
information
and
see
if
we
can
assist
you.
But
on
the
private
side,
when
we
look
at
private
schools,
we
find
that
they
are
they're
a
lot
more
open
to
to
accepting
different
type
of
solutions.
G
They
are
going
or
exceeding.
Rather
some
of
the
some
of
the
recommendations
in
the
report.
We
just
want
to
kind
of
be
able
to
connect
with
you
guys
and
be
get
get,
get
a
clarification
on
what
exactly
is
being
done
and
how
we
could
help
and-
and
if
we
can,
we
would.
We
would
love
to
complement
whatever
accident
that
you're
doing
right
now.
So
I
I
yield
the
rest
of
my
time.
A
B
Thanks
to
you
chair,
my
question
is
about
the
saliva
based
testing
and
what
the
barriers
are
to
making
this
happen,
even
as
a
pilot.
So
my
I
guess
I
guess
I'm
wondering
is
this:
is
there
a
procurement
issue
associated
with
this?
Do
we
have
the
the
matter
or
the
material
that
we
need
to
actually
make
this
happen,
or
is
this
just
an
issue
of
having
the
province
green
light?
This
this
testing
methodology.
E
E
What
testing
modalities
and
methodologies
will
be
used
as
the
funder
of
things
within
the
healthcare
system,
which
includes
testing
for
covet
19.,
so,
but
the
the
the
key
issue
here
right
now
is
that
we
don't
have
tests
of
that
nature
approved
for
use
in
canada
and
therefore
they
can't
write.
That's
one
of
the
challenges
that
exists.
So
then
the
province
has
to
make
decisions
thereafter,
including
funding
once
excuse
me.
E
B
E
It's
all
a
question
of
just
managing.
Is
there
a
public
health
risk,
and
if
there
isn't
a
risk,
then
there
is
no
reason
why
they
can't
go
back
to
regular
activities.
I
think
the
issue,
though,
is
around
symptoms.
Some
people
may
have
lingering
symptoms
for
a
longer
period
of
time
and
that's
something
that
needs
to
be
managed,
but
really
from
a
disease
control.
Point
of
view,
a
risk
point
of
view
that
14
day
period
covers
the
risk
and
that's
what
most
other
jurisdictions.
B
Thank
you
so
much.
My
other
question
is
with
asymptomatic
siblings.
So
if
we
have
a
child
that
is
symptomatic
in
school,
I
know
that
different
boards
are
doing
different
things.
Just
so,
I'm
wondering
what
is
your
recommendation
for
sending
the
siblings
of
the
symptomatic
child
home?
There
seems
to
be
some
confusion
happening.
I
know
specifically
with
with
an
arm
board.
E
E
E
So,
even
if
this,
if
the
siblings
of
an
individual
case
of
cobit
19,
appear
to
be
asymptomatic
by
virtue
of
the
fact
that
they
live
in
the
same
household
with
somebody
with
a
positive
case
of
covet
19.,
they
are
higher
risk.
They
should
be.
You
know
appropriately
assessed
and
isolated
so
as
not
to
create
the
next
generation
of
covid19
infection.
You
want
to
eliminate
that
risk.
B
Understood,
thank
you
so
much
we've.
I
just
my
last
question.
So
we've
seen,
we've
heard
a
lot
of
talk
on
the
cohorts
of
being
15
for
20..
So
now
I
see
that
in
the
recommendations
we're
seeing
two
meter
distancing
so
just
to
be
clear.
So
the
public
at
large
is
understanding
this.
This
15
number
are
we
moving
away
from
that
15
number
now
and
moving
towards
the
two
meter
distancing.
E
So
through
the
chair,
it's
it's
not
really
an
either
or
it's
a
bit
of
a
both
end
right.
So,
ideally,
what
we
want
to
do
is
maintain
that
two
meter
distance
between
individuals
in
a
class
or
a
cohort
and
from
a
public
health
perspective,
keeping
the
numbers
to
a
relatively
small
number
15
is
a
is
one
that
we
use.
But
again
it
depends
on
the
size
of
the
class.
There
may
be
classroom
circumstances
right.
E
There
may
be
classroom
circumstances
where
you
might
have
18
people
and
be
able
to
effectively
create
two
meters
distance
between
every
individual
in
that
class.
So
it
is
the
combination
of
the
two
things
we're
interested
in
one
is
the
two
meter
distance
to
minimize
the
transmission
from
one
person
to
the
next.
E
The
smaller
numbers
frankly
limit
the
risk
to
a
smaller
number
of
people
should
a
case
arise
within
the
context
of
that
class
or
cohort
and
from
a
very
practical
perspective
from
a
public
health
case
and
contact
follow-up
perspective,
the
smaller
the
number
of
contacts
we
have
to
follow
up
the
faster
and
the
more
timely
we
are
with
the
case
and
contact
management
right.
So
by
virtue
of
the
fact
that
we
have
smaller
classrooms,
you
just
automatically
reduce
the
risk
to
a
smaller
number
of
people.
Even
if
covet
19
should
enter
that
environment.
A
Okay,
I'm
going
to
put
myself
on
for
as
the
last
for
questions
dr
davila.
I
just
want
to
follow
up
on
surveillance
and
the
potential
implementation
of
rapid
testing
options
at
home,
rapid
testing
surveillance
options.
So
you
mentioned
that
regulatory
approval
is
required
from
health
canada
in
order
for
what,
in
order
for
widespread
rollout
of
such
testing
modalities,
but
is
it
not?
E
So
through
you,
mr
chair,
yes,
there
are
research
protocols
under
which
those
tests
might
be
made
available,
but
in
order
to
actually
implement
those
research
protocols,
even
if
on
a
pilot
basis
for
further
scale
up
and
consideration
for
scale
up
to
on
a
future
basis,
you
have
to
do
the
you'll
need
to
establish
a
research
protocol,
and
that
does
require
research
and
ethics
and,
and
there
are
some
logistics
that
need
to
be
managed.
As
part
of
that.
E
So
through
you,
mr
chair,
it's
not.
I
have
not
had
the
opportunity
to
speak
with
them
directly
on
this.
I
do
know
that
they
have
a
more
rapid
test
that
they're
using
now
they
just
announced
recently,
I'm
not
sure
if
it's
being
done
under
a
research
protocol
similar
to
that
which
we
are
seeing
being
done
here
through
our
colleagues
at
the
hospital
for
sick
children.
So
it
may
very
well
be
under
similar
circumstances
and
I'd
be
happy
to
check.
A
Okay,
no,
I
just
want
to,
because
while
there
we
have
directed
advocacy
towards
health,
canada
for
the
to
expedite
the
approval
in
a
safe
manner
of
such
testing
equipment,
I
just
want
to
be
clear
that
there
is
a
mechanism
by
which
public
health,
ontario
or
the
province
could
implement
on
a
research
basis.
Such
testing
tools.
E
A
Those
are
all
my
questions,
so
we're
now
going
to
move
this
in
for
speakers
and
just
a
time
check.
So
people
are
aware
we're
at
noon,
and
I
know
our
intention
and
hope
is
to
be
able
to
finish
before
the
lunch
recess
on
account
of
people's
quorum
issues,
just
so
for
people's
awareness.
So
we'll
move
this
into
committee.
Could
I
check
who
would
like
to
speak
on
this
item?
I
see
trustee
donaldson.
A
B
Thanks,
I
promise
to
be
quick.
I
just
wanted
to
share
as
a
trustee
the
extreme
confidence
I
have
in
dr
deville
and
her
staff,
and
I
wanted
to
express
to
the
members
of
this
board
that
the
partnership
between
at
least
the
tdsb
and
tph
is
truly
remarkable,
and
I
want
to
give
a
special
shout
out
to
nicole
welch
and
dr
bonita
dube,
who
have
been
exceptional
from
day
one
and
continue
to
be,
and
our
communities
and
our
board
just
feel
so
well
supported
and
you're
our
most
trusted
partner.
So
so
many
thanks.
F
And
similarly
brief
speech,
I
will
just
first
thank
dr
davila
and
the
tph
team
for
doing
their
very
best
during
what
what
I
know
was
a
difficult
time
and
and
then
my
thanks
to
the
trustees
on
this
committee
and
across
the
boards
for
for
managing
through
as
well.
You
know
as
a
parent
to
a
senior
kindergarten
student
at
the
tdsb.
F
This
has
been
a
really
hard
month.
This
has
been
an
incredible
a
month,
full
of
of
agonizing
and
anxiety
about
what
will
happen
because
none
of
us
knew
going
into
just
a
couple
days
before,
and
that
was
largely
due
to
the
inaction
of
the
province
in
taking
the
very
clear
steps
early
to
address
what
what
we
knew
was
gonna.
F
We
need
to
remember
that
there
are
tens
of
thousands,
hundreds
of
thousands
of
parents
out
there
and
kids
out
there
that
are,
are
going
to
school,
packing,
masks
and
and
with
new
safety
protocols.
All
things
that
are
are
foreign
to
them
and
and
they
raise
something
in
the
back
of
your
head
all
day,
long
you're
thinking
about
the
safety
of
your
kids
and
and
whether
or
not
they're
gonna
they're
they're
contracting
something
while
they're
there,
as
well
as
what
will
happen
tomorrow.
And
so
I
think
that
level
of
anxiety.
F
F
If
their
kid
can't
get
tested
to
go
back
to
school,
and
you
know
how
much
that
will
just
turn
upside
down
people's
lives
on
a
regular
basis
in
the
coming
weeks.
Is
it
can't
be?
It
can't
be
overstated.
So
again,
thank
you
to
staff
and
thank
you
for
the
trustees
for
moving
so
quickly
through
this,
but
we
need
to
make
sure
that
we're
there
for
parents
and
kids,
because
it's
a
very,
very
stressful
time
for
them.
Thank
you.
A
A
Okay,
seeing
none
I'll
put
myself
on.
Let
me
begin
by
moving
an
amendment
which
is
that
the
board
of
health
urged
the
province
of
ontario
to
provide
school
boards
with
the
necessary
resources
to
support
toronto.
Public
health's
recommendations
on
safely
reopening
schools-
and
this
is
as
the
recommendations
as
outlined
by
the
medical
officer
of
health
and
her
presentation
to
there
and-
and
I
think
it's
critical
to
acknowledge
that.
A
I
think
this
school
reopening
has
truly
demonstrated
the
importance
of
frankly
local
public
health
units
and
the
critical
piece
that
local
public
unit
public
health
units
are
not
separate
from
or
divorced
from,
the
wider
community,
including
school
boards,
but
rather
we're
all
integrated
and
that
partnership
is
critical.
In
my
time
on
the
board
of
health,
we've
never
had
representatives
of
both
the
toronto
district
and
the
toronto
catholic
boards
represented
here
until
this
time.
A
This
recent
term
and
having
them
both
here
at
the
table,
has
significantly
improved
and
informed
school
reopening
protocols
together
and
so
in
acknowledging
that
I
do
want
to
thank
the
team
at
toronto,
public
health
and
our
trustees,
trustee
donaldson
and
le
pretty
and
their
boards.
But
I'd
like
to
acknowledge
in
moving
this
and
moving
the
the
recommendations
of
the
moh
that
it
is
still
not
too
late
to
provide
for
a
safer
school
opening
plan.
A
Schools
may
be
open
and
for
how
much
longer
how
we
do
what
this
pandemic
will
tell.
But
we
have
measures
at
our
disposal
that
the
province
can
help
to
support
to
enable
a
safer
school
reopening
still
today,
whether
that's
smaller
class
sizes
or
working
either
on
their
own
or
with
the
federal
government
to
implement
surveillance,
testing
options.
A
More
can
be
done
and
should
be
done,
and-
and
that
is
what
is
in
front
of
us
here
and
then
I
would
just
note
a
concern.
I
have-
and
I
know
it's
a
concern
as
it
relates
to
school
reopening
that's
under
active
conversation,
both
at
the
provincial
level
and
internally
at
toronto.
Public
health,
which
is,
I
think,
some
clarity
needs
to
be
provided
and
rather
urgently
to
parents,
as
it
relates
to
the
bubble.
A
If
you're,
a
teacher
or
you're
a
parent
with
kids
does
that
10
person
bubble
still
apply.
I
will
tell
you
that
that
provincial
10
person
bubble
it
has
not
been
removed.
The
advice
from
the
province
has
not
been
to
change
that,
but
I
speak
to
parent
after
parent
who
are
having
to
make
their
own
decisions
as
to
whether
they
will
now
limit
their
own
interactions
with
people
in
their
household
and
other
essential
supports,
or
not.
A
A
C
G
C
G
So
through
the
chair
council
lie.
Yes,
we
are
planning
to
submit
an
extension
as
the
this
planning
and
and
procurement
will
take
longer
than
needed.
Of
course,
during
this
covet,
so
we
will
be
asking
the
province
for
an
extension
and
we'll
be
doing
through
our
finance
department
as
well.
We
we
have
heard
that
the
province
has
indicated.
There
is
a
possibility
of
an
extension
passed
march.
2021.
A
C
Just
very
quickly,
mr
chair,
I
just
wanted
to
thank
the
province
for
actually
taking
care
of
our
seniors,
because,
especially
my
ward,
there
are
a
lot
of
seniors
that
are.
They
cannot
afford
to
actually
go
to
the
dentist
themselves
and
it
is
really
doing
a
lot.
A
great
deal
of
taking
a
lot
of
great
deal
pressure
stress
away
from
them.
C
A
Thank
you
councillor.
Are
there
any
further
speakers
on
this
item?
Okay,
seeing
none,
I'm
I'm
just
placing
the
revised
recommendations
here,
which
is
with
the
news
that
the
confidential
information
can
be
made
public.
So
if
that
can
be
put
on
the
screen,
this
is
the
staff
recommendation
to
increase
the
tph
capital
budget
to
account
for
the
senior
dental
care
program
and
authorizes
the
moh
denture
into
specific
funding
agreements
with
the
listed
dental
clinics.
A
D
D
We
know
that
breastfeeding
gives
our
children
the
best
start
to
life,
and
it
has
far-reaching
benefits
and
implications
for
family
members,
mothers
and
society
at
large.
So
I
just
needed
to.
I
think
it
was
important
to
just
reassure
the
board
that
we're
not
going
to
lose
ground
on
breastfeeding
practice
in
the
city
of
toronto,
because
over
the
last
couple
of
decades
we
have
worked
really
hard
to
get
as
far
as
we
are.
D
D
D
E
So
through
the
chair,
first
of
all,
thanks
for
that
question
and
I'm
going
to
try
to
be
brief
to
be
very
cognizant
of
your
time,
because
this
is
a
rather,
we
can
get
into
a
long
conversation
on
this.
But
suffice
it
to
say
that,
first
and
foremost,
the
bfi,
the
baby
friendly
initiative
and
the
accreditation
that
went
through
that
becoming
designated
baby
friendly
was
actually.
E
And
if
you
speak
to
the
breastfeeding
committee
of
canada,
the
researchers
there
will
tell
you
that
that
endeavor,
that
designation
was
actually
created
for
health
care
organizations
more
like
hospitals
rather
than
public
health
units.
So
one
of
the
challenges
with
the
the
system,
the
designation
under
the
baby
friendly
designation,
was
that
it
actually
put
on
us
as
the
local
public
health
unit
requirements
that
were
actually
outside
of
our
control
things.
That
actually
happen
within
the
context
of
the
hospital
over
which
we
have
little
to
no
influence.
E
So
I
think
that
if
I
had
to
encapsulate
it
in
a
very
simple
way,
that
would
be
the
distinction
here,
but
it
in
no
way
diminishes
the
importance
of
breastfeeding,
as,
as
you
know,
the
beginning
of
nutrition
and
optimal
nutrition
and
much
more
than
nutrition.
It's
about
the
connection
between
you
know,
mother
and
child.
It
is
a
you
know,
a
very
health
promoting
activity,
not
only
in
the
nutritional
sense,
but
it
certainly
goes
beyond
that
and
we
recognize
that
importance
it's
to
our
minds
here.
E
D
Thank
you,
dr
deville.
I
just
want
to
say
thank
you
for
that
explanation,
because
I
think
it
will
make
the
board
much
more
reassured
that
we're
not
just
changing
practice
because
of
its
standards
and
that
we
will
continue
to
work
very
hard
to
improve
our
breastfeeding
rates
and
maybe
also
to
work
to
help
those
healthcare
organizations
that
that
do
deliver
that
have
maternal
child
deliveries
to
help
them
get
that
baby
friendly
initiative
as
all
the
hospitals
within
the
city
of
toronto.
D
A
A
Okay,
I
will
move
the
the
recommendations
here,
which
is
to
receive
the
port
report
for
information
all
those
in
favor
posed
if
any
carried
takes
us
to
our
last
item
which
we
introduced
earlier,
which
is
item
hl
20.7,
it
is
the
letter
requesting
an
update
to
the
october
meeting
on
measures
to
combat
the
opioid
poisoning
crisis
submitted
by
councillor
perks
and
myself.
Are
there
any
speakers
on
this
item?
A
Okay,
seeing
none
all
those
in
favor
of
the
recommendations
contained
in
the
letter
show
of
hands
any
opposed,
seeing
none
carried
and
just
before
we
conclude,
we
need
to
reopen
and
revote
on
item
hl
20.5,
it's
the
ontario
seniors
dental
care
program,
director
mulligan
had
declared
a
conflict,
and
so
we
did
need
a
recorded
vote
on
this
item.
So
that's
my
apologies
for
for
not
doing
that
earlier
so
motion
to
reopen
item
hl,
20.5,
moved
by
councillor
mckelvey,
all
those
in
favor
opposed
if
any
that
carried
now.
A
The
item
is
in
front
of
us.
I
moved
the
motions
so
the
motion's
going
to
be
shown
by
the
recording
secretary
previously
moved
by
me,
and
then
I
will
ask
the
recording
secretary
to
call
a
recorded
vote
so
that
director
mulligan
her
conflict
can
be
noted
by
her,
not
participating
so
to
the
recording
secretary.