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From YouTube: Board of Health - October 30, 2017
Description
Board of Health, meeting 22, October 30, 2017
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=11876
A
Okay,
they're
sub
meeting
to
order,
just
as
the
last
two
folks
are
seating-
welcome
to
the
meeting
number
22
of
the
Board
of
Health,
welcome
to
the
board
and
to
other
members
of
council
and
tenants
and
to
members
of
the
public.
These
are,
of
course,
always
open
meetings
that
you're
always
welcome
to
come
and
attend
for
those
in
the
room
with
us.
A
The
screen
at
the
back
of
the
room
tells
you
what
the
real-time
updates
are,
where
we
are
in
the
agenda
and
what's
coming
up
next
and
if
you
decide
to
leave
but
still
want
to
follow,
you
can
go
on
your
computer
or
tablet
or
smartphone
and
follow
us
at
WWDC,
a
ford,
slash
council.
You
can
do
that
at
home
for
any
of
the
meetings.
A
We
have
a
shortage
short
by
number
agenda,
but
there
are
a
lot
of
interesting
things.
Are
there
any
declarations
of
interest
pursuant
to
the
municipal
conflict
of
interest
Act,
seeing
none
confirmation
of
minutes,
September
25th
2017
moved
by
Angela
Johnson,
all
in
favor
opposed
if
any
that's
carried
we'll.
A
There
we're
holding,
basically
everything
is
being
held
one
way
or
the
other
there's.
Only
five
items
and
I
can
tell
you
in
advance
there
either
there's
either
deputation
or
there's
a
presentation
so
we'll
hold
the
the
entire
agenda
is
being
held
one
way
or
the
other,
so
we
won't
go
through
it
one
by
one,
but
we
do
have
a
presentation
right
up
off
the
top
first
or
am
I
going
first.
A
So
this
community
food
works,
which
is
what
we're
celebrating
at
the
outset
of
this
meeting,
is
a
program
that
integrates
food,
handler
training
and
certification,
nutrition,
education
and
employment.
Support
through
a
learner-centered
adult
education
approach
brings
that
all
those
things
takes
a
lot
of
boxes
in
one
single
program.
It
is
offered
to
residents
hoping
to
work
in
the
food
sector,
many
of
whom
have
been
living
on
a
low
income
when
Toronto
welcomed
very
proudly
refugees
from
Syria
to
this
city.
Community
food
works
adapted
to
meet
the
Anouk
unique
needs
of
this
newcomer
community.
A
This
included
cultural
tailoring
of
the
curriculum
and
the
introduction
of
a
peer-to-peer
model
of
program,
implementation
and
interpretation.
The
program
recognizes
the
importance
of
food
as
a
vehicle
for
settlement
and
integration
into
the
local
community.
It
does
this
through
enhancing
employability,
fostering
social
cohesion
and
helping
to
break
down
language
and
cultural
barriers.
Early
pilot
results
showed
that
of
the
initial
52
participants,
90%
acquired
food
handlers,
certification
and
then
25%
of
them
found
employment
within
three
months.
A
Community
Food
works
for
newcomer
settlement
could
not
be
happening
without
the
support
and
collaboration
of
our
colleagues
across
the
cities.
The
city
divisions
are
community
partners
who
I'll
introduce
in
the
sac
and
newcomer
peers,
who
are
here
also
are
today.
Today
we
are
showing
how
integrating
food
literacy
with
food
safety,
while
addressing
employment
as
a
determinant
of
health,
can
all
come
together
in
one
newcomer
settlement
journey,
so
we're
gonna
thank
them
individually,
but
before
we
do
that,
we
have
a
wonderful
video
to
show
what
this
program
was
about.
B
B
Came
from
Syria
back
home
I'm,
a
pharmacist
and
now
I
work
with
Community
Food
wars
are
still
any
bit
of
facilitate.
Oh
I
found
this
program
very
useful.
I
learned
a
lot
of
sense.
How
can
I
deal
with
the
food
to
store
the
food
in
the
fridge?
How
to
use
everything
in
the
kitchen
I
learn
about
how
to
read
the
label:
the
good
ingredient
and
bad
ingredient.
There's
a
food
like
cholesterol,
sodium
sugar,
very
bad
for
the
health
I
come
from
Asia
when
I
came
here,
I
didn't
know.
B
Anybody
involved
in
this
program
helped
me
a
lot
in
my
kitchen
for
mine.
For
me,
my
kid,
my
husband,
all
my
family
ain't
just
and
back
home
I
told
them
what
I'm
learning
I'm
a
peer
facilitator.
I
like
to
lead.
The
people
know
what
I'm,
knowing
from
information
experience
that
I
had
from
the
program
and
and
the
training,
and
especially
it's
in
Arabic,
because
there
nobody
here
I,
know
English.
B
B
German
Soria,
it
is
new,
almost
a
B&E.
No,
so
we
shot
a
lot
we'll
be
burning
up
room
of
kabernyuk.
Remember
I,
am
you
learn
on
our
own
and
we'll
actually
better
a
MOOC
tears,
oh
hey,
and
how
I
didn't
know
my
accrue
a
collab,
no,
an
outpost,
lon,
Oh
actor
sheep,
a
bagna
cauda
come
on
rofl
wacky
in
our
country.
We
eat
everything
in
natural
and
we
make
it
by
our
hand.
But
here
it's
different.
B
Everything
in
can
it's
very
healthy
for
us
to
keep
our
traditional
food,
but
we
can
also
use
the
a
new
food
for
us.
But
in
our
way
we
can
add
something
from
us
from
our
culture
will
make
it
very
good
for
us
yeah
anima
Surya.
Is
it
be
a
year's
money
a
year
and
fin
sabotage
unknown?
Who
knows?
Did
the
bee
Canada
energy
to
be
Canada
phenomena,
bihari,
atomic
energy,
Matata
off
atomic
energy,
honey,
fun,
hobby
hajiman
course,
life
that
option
on
the
part
of
a
Lusaka?
B
B
Having
a
good
job
like
make
your
life
easy
so
when
I
found
job
like
I
feel
in
peace
like
I,
have
my
job
I
have
my
money?
I
can
take
care
of
my
my
children.
My
future
dream
is
to
have
my
own
business,
because
I
had
that
food
handler
certificate,
so
I
have
power
to
do
that.
That's
why
I
want
to
do
that
in
future,
we.
B
B
A
Wonderful,
thank
you
very
much
for
that.
Last
last
week,
dr.
Davila,
Barbary
Manuel
and
myself.
We
accepted
the
award
on
the
health
units
behalf
and
on
the
City
Council's
behalf,
and
we
were
just
delighted
to
do
to
do
that
internationally.
Believe
it
or
not,
Toronto
is
seen
as
a
real
path
breaker
in
the
area
of
food
security
and
the
way
we
are
an
inclusive.
A
But
you
know
what
you
ain't
seen
nothing,
yet
we're
gonna
do
even
more
and
we're.
Some
of
that,
of
course,
is
on
the
agenda
before
us
in
items
number
four
and
five.
So
let's
do
some
thank
yous
here.
We
would
like
to
thank
and
welcome
the
peer
educators
from
Community
Food
works
for
for
newcomers
who
are
here
today
and
they
are,
and
you
know
what
don't
stand
up.
We're
gonna
applaud
you
all
at
the
end
and
we're
going
to
invite
you
all
to
come
up
and
take
a
picture
with
us.
So
it's
idea.
A
Idea,
maybe
just
stand
up
just
stand
up.
Yes,
as
I
call
your
name,
yeah,
okay,
okay,
no
wall,
okay,
Lena,
also
not
here
both
stand
up.
Both
Lina
stand
up.
Yes,
okay,
there's
one
Iman
there.
You
are!
Oh,
yes,
the
start
of
the
video
and
way
B.
Oh
yes.
Also.
This
heard
the
video
great
and
Marian
you'll
see
the
tph,
a
nutrition
promotion
consultant
and
program
coordinator
there.
You
are
both.
Congratulations,
let's
give
them
a
round
of
applause.
A
D
A
Okay,
thank
you
very
much.
That
was
a
good
moment,
so
we
have
five
items
on
the
agenda.
Three
have
deputations
two
have
presentations
and
two
half
motions,
so
we'll
go
through
them
one
at
a
time.
Our
first
item
is
twenty
two
point:
one:
the
deaths
of
homeless
people.
We
have
a
presentation
there
and
just
by
the
way,
we
also
have
a
presentation
from
the
MOH
for
twenty
two
point:
three:
reducing
health
risks
from
traffic
related
air
pollution
in
toronto.
Those
are
the
two
presentations
for
the
day,
so,
first,
a
death
of
homeless
people,
dr.
E
You
mr.
chair
so
I
believe
we
should
have
some
slides
coming
up
on
this
screen
in
respect
of
this
presentation
on
item
twenty
two
point:
one:
it
different
progress,
update
and
on
reporting
on
deaths
of
homeless
individuals
in
Toronto,
and
this
is
an
update
for
the
Board
of
Health
on
this
very
important
initiative
that
was
launched
earlier
this
year
and
the
purpose
of
this
initiative
was
to
address
limited
data
previously
collected
on
individuals
who
have
died
while
homeless.
This
is
an
important
public
health
issue
for
our
city.
E
It
contributes
a
great
deal
towards
health
inequalities
and
inequities
facing
vulnerable
residents
in
our
city,
and
the
notion
behind
this
initiative
was
to
provide
more
data
so
that
we
could
have
a
more
thorough,
a
more
fulsome
understanding
of
the
scope
of
this
very
complex
issue
in
our
city.
So
again,
on
the
notion
of
background,
we
know
that
homelessness
is
an
important
issue
in
Toronto
and
it
does
indeed
affect
some
of
our
most
vulnerable
residents
and
contributes
to
health
inequities.
E
We
know
that
the
last
time
a
street
needs
assessment
was
done
in
Toronto
was
in
2013,
and
at
that
point
the
estimate
was
of
about
five
thousand
two
hundred
and
thirty
two
homeless
individuals
each
night
in
Toronto.
These
are
Street
needs
assessments
that
happen
on
a
regular
basis
and
the
next
one
is
actually
scheduled
for
next
year.
However,
despite
that
needs
assessment
process,
until
this
year,
gathering
data
on
individuals,
who've
died,
who
and
who
were
homeless
but
did
were
outside
of
the
city.
E
So
this
particular
data
initiative
to
actually
get
a
more
thorough
picture
of
that
which
is
happening
in
respective
deaths
amongst
homeless
individuals
in
this
city
started
on
January
1st
of
this
year,
and
this
is
an
effort
that
we're
undertaking,
in
collaboration
with
the
series,
health
and
social
service
agencies
which
provide
service
to
homeless
people
in
Toronto.
In
addition,
we're
partnering
with
the
office
of
the
Chief
Coroner
of
Ontario
and
again,
the
notion
behind
this
is
to
get
a
better
picture
of
what's
happening.
So
through
this
initiative,
you
can
go
to
the
next
slide.
E
So,
when
we're
talking
about
deaths
that
are
suspicious
or
unexpected,
those
are
the
kinds
of
deaths
that
the
coroner
does
further
investigation
into,
and
once
that
investigation
is
complete.
Data
from
that
investigation
are
then
again
verified
and
included.
As
part
of
our
system
when
it
comes
to
reporting
these
deaths
so
to
date,
insofar
as
this
initiative
is
concerned,
we've
of
the
70
reports
that
we
received
on
homeless
deaths
and
year-to-date
32
of
those
cases
have
actually
gone
on
to
further
investigation
by
the
coroner.
E
So
when
we
talk
about
what
kinds
of
data
were
collecting
from
our
partners
as
part
of
this
initiative,
what
we're,
including,
are
such
things
as
the
deceased
individual
age,
gender
and
indigenous
status,
and
these
are
things
that
were
asked
for
that
are
asked
for
as
part
of
the
reporting
whether
the
people
reporting
can
actually
provide
these
data.
It
depends
on
whether
they
actually
know
or
have
any
sense.
As
to
those
particular
points.
E
E
We
asked
for
any
information
the
reporter
might
know,
or
the
person
reporting
might
know
about
the
individuals,
previous
health
status
prior
to
the
death,
their
history
of
homelessness,
that
kind
of
thing-
and
we
also
get
the
contact
information
of
the
person
reporting
the
deaths
such
that
we
can
actually
follow
up,
should
there
be
further
questions
that
arise.
So
the
important
part
here
to
note,
though,
is
that
these
are
quite
sensitive
data
and
in
many
cases
these
are
personal
health
information
under
privacy
legislation.
E
E
Prior
to
this
initiative,
we
were
receiving
data
in
respective
deaths
amongst
those
who
were
associated
with
city
shelters
and
we
were
expanding
as
a
part
as
part
of
this
initiative
to
beyond
the
city,
shelters
to
get
more
information,
and
we
were
hoping
that
we
would
not
that
there
would
not
be
much
more.
But
in
fact,
as
you'll
see
here,
we
do
know
that
there
are
a
number
of
deaths
that
we
are
now
picking
up
as
a
result
of
this
new
initiative
that
wouldn't
have
been
caught.
E
If
we
were
using
the
old
system
right,
where
only
those
deaths
that
occur
within
the
context
of
our
shelters
are
known
to
us,
so
not
entirely
unexpected.
But
these
are
our
data.
So
far,
so
for
the
first
three
quarters
of
this
year,
we
received
reports
on
the
deaths
of
seventy
seven,
zero
homeless
individuals
and,
as
you'll,
see
on
the
chart
in
front
of
you.
The
blue
bars
on
the
graph
represent
the
quarterly
totals
so
you'll
see
that
there
were
27
deaths
reported
in
the
first
quarter
of
the
year.
E
21
deaths
reported
in
the
second
quarter
and
in
the
third
quarter
of
this
year,
22
deaths.
This
works
out
to
about
an
average
of
1.8
per
week.
Now
I
should
advise
you
that
we're
still
relatively
early
on
this
initiative
started
in
January
of
this
year
so,
and
there
are
still
some
of
these
cases
that
are
under
review,
because
it
does
actually
take
quite
some
time
to
make
sure
that
we're
assessing
the
data
properly
so
I
think
at
this
stage
of
the
game.
E
It
would
be
wise,
we're
reporting
these
numbers
to
you,
so
that
you
have
a
sense
as
to
what's
happening,
but
I
would
advise
you
to
consider
this
as
these
as
preliminary
numbers
for
now
to
be
on
the
safe
side,
just
in
terms
of
details
are
further
detailed.
With
respect
to
demographics.
The
majority
of
those
reported
in
the
system
were
male,
so
57
out
of
70,
which
is
roughly
81%,
and
the
median
age
is,
as
you
can
see
here,
on
the
graph.
The
median
age
of
those
deaths
reported
is
48
years.
E
So
this
means
that
approximately
half
of
the
people
were
less
than
48
years
old
when
they
died.
Reporting
it
and
then
those
are
the
reports
received
in
this
system.
It's
important
to
note
that
the
life
expectancy
in
this
city,
when
we're
talking
about
the
general
population
of
Toronto,
is
79
years
for
men
and
83
for
women.
So
again,
as
I
mentioned
earlier,
the
initiative
is
still
fairly
new,
we're
still
early
in
the
data
collection
process
and
the
numbers
as
a
result
are
still
subject
to
fluctuation.
E
New
reports
coming
in
can
adjust
and
change
those
averages
and
medians
very
very
quickly.
However,
I
think
it's
fair
to
say
at
this
stage
of
the
game
that,
based
on
these
numbers
and
what
we
know
from
the
system
in
general,
what
we
know
about
homelessness
and
its
impact
on
health
is
that
being
homeless
is
absolutely
a
significant
risk
factor
for
early
death.
E
So,
as
you've
heard
me,
you
know,
X,
you
know
offer
advice
to
be
cautious
with
respect
to
the
data.
I
think
what
I'm
trying
to
convey
to
this
board
is
that,
in
fact,
there
are
a
number
of
limitations.
These
data,
this
initiative-
has
taken
us
further.
Absolutely
we
now
know
more
than
we
did
prior
to
January
of
this
year
in
respect
of
deaths
that
happen
amongst
this
population,
but
there
are-
and
there
continue
to
be,
a
number
of
limitations
with
respect
to
these
data
and
I've
tried
to
articulate
quite
a
few
of
them
thus
far.
E
E
You
have
people
who
are
well-meaning
individuals
who
are
trying
to
help
us
understand
this
particular
situation,
but
you
know
as
we
as
we
get
more
practice
and
as
the
initiative
takes
hold
a
little
bit
more
we're
hoping
to
refine
and
make
sure
that
we're
able
to
ascertain
those
data
and
ascertain
the
risk
factors
associated
with
the
deaths
so
that
we
can
actually
work
with
partners
to
address
the
situation.
I
think
one
gap
I
should
alert
the
board's
attention
to
is
that
we
don't
yet
have
hospitals
included
in
the
reporting
system.
E
So
with
that,
despite
all
those
limitations,
I
do
believe
we
actually
have
much
better
data
than
what
was
previously
available
before
this
initiative.
We
know
that
the
previous
data
were
limited
to
those
individuals
who
were
living
in
city,
funded,
shelters,
and
so,
as
a
result,
we
did
not
really
have
a
complete
picture.
E
So
I
expect
that
you
will
hear
more
from
us
more
from
Toronto
Public
Health
on
an
ongoing
basis.
One
is
this:
initiative
continues
and
two
as
we
work
with
our
partners,
interest
in
respect
of
meeting
the
needs
and
addressing
the
needs
of
this
vulnerable
population
and
I
expect
that
you
will
hear
from
us
as
we
seek
to
address
some
of
the
activities
and
connect
some
of
our
activities
to
other
strategies
that
are
in
play
in
the
city.
For
example,
the
poverty
reduction
strategy,
so,
in
conclusion
this
is
an
initiative
that
has
actually
advanced
our
knowledge.
E
We
expect
that
we
should
continue
to
work
with
partners,
as
I
said,
we've
got.
We
continue
to
bring
on
social
service
agencies
and
providers
to
help
us
report
on
these
data
and
as
well
we're
working
with
hospitals
to
increase
their
likelihood
and
ability
to
report
so
as
to
get
an
even
more
complete
picture
around
homeless
deaths.
I
think
that
that
brings
us
to
the
end
of
this
presentation
and.
A
A
A
This
is
not
a
discussion
around
that.
Our
task
as
the
Health
Unit
as
the
board
of
health,
is
to
ensure
that
the
that
the
number
count
the
deaths
of
homeless
people
are
counted
appropriately
and
that
they
inform
other
departments
on
what
they
should
be
doing.
So
the
action
doesn't
happen
here.
However,
if
there
are
questions
related
to
that,
we
do
have
Paul,
Raftis
and
Marianne.
Bedard
is
here
to
answer
that
they're
from
our
shelter,
housing
and
support
division.
So
now
we
have
our
deputation
time.
A
F
Is
definitely
a
sobering
presentation
from
the
medical
officer
of
health
I'm
here
today,
because
two
of
our
women
passed
away
in
the
last
few
months,
one
from
an
overdose
and
one
at
her
own
hand,
the
woman
that
passed
away
at
her
own
hand,
was
a
lovely
young
woman,
talented
artists,
really
a
terrific
human
being
she
volunteered
at
sistering,
but
she
had
a
troubled
life.
She
lived
at
the
in
the
wooded
area
around
the
RC
Harris
plant
for
a
year.
She
before
her
death.
F
She
was
living
in
High
Park
in
both
instances
in
a
tent
after
she
passed.
Her
mother
gave
me
her
tent
so
that
other
women
could
have
access
to
it.
So
Nicole's
tent,
hangs
in
my
office
available
to
any
woman
that
needs
it
and
I
asked
to
be
on
the
agenda
here
today,
because
death
of
homeless
women
in
particular
homeless.
Anybody
is
a
tragedy
in
the
city,
but
because
they
work
day
in
and
day
out
with
women
who
have
complex
health
histories,
mental
health
issues,
addictions
issues
and
these
women
literally
live
at
sistering.
F
For
two
years
we've
been
in
the
city
for
35
years,
we
were
funded
by
the
city
two
years
ago
to
open
24
hours
a
day,
because
a
woman
was
sexually
assaulted,
downtown
on
the
streets
of
a
city
funded
facility
twice
in
one
evening
by
two
different
people,
and
so
sistering
was
open
to
be
what's
called
a
low
barrier,
shelter,
a
shelter
for
women
that
are
not
welcome
in
other
location.
So,
due
to
our
women's
behavior,
they
can't
usually
access
the
shelter
system.
F
I
have
one
woman,
79
years
old,
who
was
evicted
two
years
ago
and
she
shuttles
between
us,
evangeline,
shelter
and
women's
rest.
79
years
old,
incredibly
complex
health
issues
at
sistering
she
sleeps
on
three
kitchen
chairs
helped
to
put
together
at
sistering.
We
have
12
reclining
chairs
the
first
people,
but
the
first.
The
winners
of
the
lottery
get
the
chairs
to
sleep
in
then
people
get
mad
and
then
they
got
the
floor.
F
Sistering
has
been
at
capacity
every
night
for
over
the
last
year
recently,
the
city
added
35,
more
mats,
Fred
Victor,
the
ad
laid
site
there,
full
City,
recently
added
30,
more
beds
to
the
Kennedy
women's
shelter.
It's
full.
There
are
no
places
for
women
to
go
in
the
city
for
safety.
We
have
women
still
outside.
F
We
have
yet
to
turn
a
person
away.
I
cannot
imagine
what
it
would
be
like
to
tell
a
woman.
She
can't
come
in
and
and
have
some
safety
what
we
may
get
to
that
point,
because
for
just
for
the
safety
of
staff
and
women,
we
have
a
you
know
it's
a
finite
space
and
as
it
is
when
women
are
sleeping
on
the
floor,
they
turn
over
there
in
the
face
of
another
woman.
F
F
Okay,
my
my
request
to
the
Board
of
Health
is
two
things
that
you
report
to
Council
on
the
absolute
dire
need
for
shelter
space
for
hard
to
serve
women
for
women,
whose
behavior
is
not
tolerated
in
other
locations
in
the
city.
Desperately
desperately
need
this
and
I've
made
a
request
to
anyone.
I
can
think
of
I
need
mental
health
nurses,
one
nurse
on
every
shift.
We
have
so
seven
days
a
week.
Three
shifts
I
need
a
mental
house.
F
G
F
F
G
A
You
very
much
seeing
no
other
questions
we'll
just
say.
Thank
you
very
much
for
your
presentation
and
the
good
work
that
you
do
in
our
community.
We'll
go
to
questions
of
staff
again
I
do
want
to
focus.
Our
focus
here
is
not
the
state
of
the
shelter
system,
though
we
have
staff
here
that
can
answer
that.
So
we
can
do
have
some
latitude
in
the
questions
that
we
ask.
A
Our
focus
really
is
on
the
count,
the
death
of
homeless
folks
and
whether
we're
doing
that
appropriately
methodologically
I,
guess
appropriately,
and
then
that
will
inform
shelter,
housing
and
supports
work,
but
it's
not
doing
shelter,
housing
and
supports
work.
So
questions
of
staff,
counselor
latent
counselor,
Cressey
counselor,
just
said
trustee
Glover.
Thank.
G
E
Through
the
chair,
you
mean
to
what
extent
mental
health
is
rationale
behind
that
I.
Don't
know
that
we
actually
have
those
days
I
think
there
are
some
data
with
respect
and
and
there's
a
general
understanding
that
there
are
mental
health
issues
faced
by
those
who
are
homeless
and
under
housed
in
our
communities.
But
to
what
extent,
what
degree
I
don't
think
there
is
actually
a
very
good
measure
of
that
anywhere.
So.
G
Patricia's
brought
up
an
interesting
point
here
in
that,
if
they,
if
we
don't,
have
the
wraparound
services
in
our
shelter
health
services
in
our
shelters,
I'm
trying
to
stick
it
to
the
Board
of
Health
relevance,
if
we
don't
have
those
within
our
shelters,
we
may
be
in
fact
being
negligent
of
our
responsibilities
to
the
to
the
health.
In
this
case
mental
health
of
the
the
people
that
are
staying
that
are
even
getting
access
to
mm-hmm.
E
So
if
I
can,
while
I
would
agree
that
there
are
challenges
with
respect
to
provision
of
adequate
mental,
well
health
care
services,
including
mental
health
care,
those
are
indeed
health
care
services,
which
is
quite
different
from
what's
under
the
purview
of
the
Board
of
Health.
So
it's
the
Lynn's,
the
local
health
integration
networks
were
actually
responsible
for
healthcare
service
provision
and
I
would
argue
that
that
does
absolutely
include
mental
health
care
as
well.
So.
G
If
we
were
looking
for
resources
to
provide
health
care
services
within
our
shelter
system,
for
any
number
of
reasons,
for
the
health
of
those
using
the
shelter's
or
simply
gate
to
to
prevent
emergency
room
visits,
you
would
you
would
say
that
that's
probably
not
the
city's
responsibility.
In
fact,
we
should
be
knocking
on
the
door
of
the
province
to
ensure
that
we
write
services
and.
E
C
So
I
have
a
few
questions
for
the
MOH
and
then
a
few
for
s
sha.
So
just
so
that
I
understand
your
presentation.
Clearly,
your
contention
is
that
the
seventy
deaths
that
we've
identified
in
the
first
three
quarters
of
this
year
is
a
demonstration
of
the
number
of
deaths,
but
rather
not,
but
not
an
exhaustive
list,
that's
correct,
so
that
the
likelihood
is
that
it
is
higher.
Yes,.
E
C
You
mentioned
that
a
number
and
of
the
deaths
between
June
and
September
took
place
indoors.
Do
we
have
a
sense,
46
deaths
indoors,
four
of
the
70
deaths
46
of
them
have
been
indoors
for
outdoors
and
20
unknown?
Where
would
those
46
be
taking
place?
Do
you
have
a
general
sense?
Is
that
in
city
facilities?
Where
is
that
well.
E
With
the
ones
that
are
from
the
coroner's
office,
you
get
a
more
definitive
cause
of
death
and
then
the
ones
that
do
not
go
to
coroner's
cases.
One
of
the
questions
that
we
ask
the
reporters
which
we
call
sentinels,
we
ask
our
Sentinel
reporters.
What
what
is
the
cause
of
death,
so
they
also
provide
what
they
believe
is
the
cause
of
death
for
those
that
do
not
go
to
coroner's
case.
So.
E
With
this
period
of
time,
we
know
that
a
number
of
them
are
associated
with
overdoses,
but
for
the
vast
majority
you
have
single
causes
each
one
slightly
different
and
that's
the
challenge
when
you're
still
relatively
early
in
an
initiative
and
you're
collecting
data
you'll
get
one
caused
by
heart
disease,
one
caused
by
infection,
so
you'll
get
a
lot
of
one-off
causes.
But
if
there
is
a
group,
it's
it's
with
respect
to
by
drug
overdose.
Okay,.
C
Now
this
is
a
question:
I'll
begin
with
you,
and
perhaps
all
also
with
you
as
a
medical
officer
of
health
and
then
to
our
shelter,
support
and
housing
administration
team
I
wanted
to
pick
up
on
what
councilor
late
and
was
asking
about
about
frontline
health
care
support.
My
understanding
from
your
answer
was
that
frontline
health
health
care
services
are
funded
by
the
lynn.
C
H
Right
through
the
chair,
so
primarily
the
provision
of
health
care,
including
mental
health
services.
It's
provided
through
the
line'
and
we
partner
with
the
land
and
we're
you
know
we're
always
trying
to
improve
that
service
right
now.
Just
as
a
single
example,
when
we
look
at
Seton
house,
we
have
the
inner
city
health
team.
H
In
there
we
have
many
different
services
in
there
that
are
funded
through
the
Ministry
of
Health
and
we're
trying
to
expand
that
those
services
more
broadly
throughout
the
shelter
system,
so
that
we
can
have
the
same
types
of
services
in
other
shelters.
But
generally
the
city
doesn't
provide
broadly
healthcare
services.
The
province
and
the
lens
are
the
sort
of
provide
those
services,
but.
H
C
Is
there
is
there
a
request
in
right
now
for
additional
support
than
from
the
linen
the
provost
for
additional
services?
I
mean
I,
there's
a
question
related
to
beds
and
access
to
beds
that
we've
heard
and
you're
aware
of
but
the
specific
piece
as
it
relates
to
frontline
health
services,
because
you
homelessness
is
complex
in
terms
of
what
leads
you
to
that
point.
Is
there
a
request
into
the
province
for
additional
services?
Are
we
looking
at
through
the
upcoming
budget,
the
provision
of
additional
services
via
the
city,
so.
H
C
C
I
You
much
mr.
chair,
so
the
data
we
have
now
is
a
long
way
from
where
we
were,
but
it's
not
where
we
need
to
get
to.
How
are
we
reaching
out
to
the
other
agencies
which
we're
dealing
with
which,
as
many
of
them
to
give
them
a
template
of
what
the
information
we
need
back
from
them?
I
guess
that
would
include
emergency
units
as
well.
So.
E
Through
the
chair,
the
reporting
method
is
online,
so
there's
actually
an
online
form,
that's
available
to
social
service
agencies
for
participating
in
the
initiative,
which
they
can
then
fill
out,
and
we
we
ask
for
whatever
information
they
know
of
and
whatever
they
can
provide,
is
of
help
to
us
with
respect
to
reaching
out
to
other
health
and
social
service
agencies
and
recruiting
more
participants.
As
per
as
data
collectors.
For
part
of
this
initiative,
you
know
the
the
real
geniuses
behind
that
worker
right
in
front
of
you.
E
There
we
have
wonderful
staff
at
Toronto,
Public
Health,
who
are
extremely
well
connected
to
the
health
and
social
service
agency
community
and
have
worked
very
very
hard
over
the
years
to
alert
health
and
social
social
service
agency
partners,
one
of
the
initiative,
and
they
in
turn
use
their
networks.
So
we
will
take
the
reports
from
whoever
is
willing
to
provide
them
and,
of
course,
we
have
to
check
them
and
make
sure
that
we're
not
getting
duplicate
reports,
which
does
happen
from
that.
I
Was
actually
pod,
my
next
question,
so
we
may
get
two
or
three
reports
on
the
same
person
who
has
passed
away
because
they've
connected
with
various
agencies.
So
is
that
part
of
why
we
can't
get
our
data
out
as
quickly
as
we'd
like
because
you're
having
to
review?
So
we
make
sure
we
don't
double
triple
the
numbers.
That's
correct!.
E
I
E
That's
that's.
The
expectation
is
that,
as
we
get
more
data
and
as
the
initiative
carries
on
further,
we
get
better
and
better
data
so
that
we
can
then
report
and
provide
that
information.
As
the
chair
pointed
out
to
the
various
partners,
whether
they're
city
partners
or
other
partners
within
the
community
who
provide
services
to
the
homeless
population,
so
that
they
can
then
use
those
data
to
inform
their
programs
and
services,
and
that
would
include
our
provincial
health
care
partners
as
well.
E
I
You
mentioned
that
a
certain
number
these
deaths
are
related
to
overdose.
So,
as
the
years
go
on,
we
can
see
if
that
numbers
going
up
or
down
or,
as
you
say
other
other
reasons,
that's
correct,
and
this
is
just
early
stages
right.
When
did
we
actually
start
doing
this
kind
of
programming
January
1st
of
this
year?
Okay,
so
really,
videos,
new,
ok!
Thank
you.
J
J
E
So,
for
example,
I
may
know
of
somebody
peripherally
who
I've
heard
has
died
and
who
I
know
to
be
homeless,
but
I
may
not
know
the
exact
circumstances
of
death,
but
that
shouldn't
preclude
that
individual
from
saying
I
heard
that
so-and-so
died.
Here's
the
name
I,
believe
it
happened
on
this
date,
but
I
don't
really
know
where
and
I,
don't
know
what
the
exact
circumstances
were.
Okay,
so
because
of
the
nature
of
the
reporting
system,
because
we're
actually
allowing
for
a
wide
variety
of
sentinels
to
provide
us
with
information
we
get
varying
levels
of
it.
E
J
J
E
Guess
that's
the
issue.
The
question
is:
do
we
have
enough
that
actually
tells
us
something
that's
meaningful?
So,
for
example,
we're
talking
when
we
talk
about
location
of
death,
you've
got
the
data
in
front
of
you,
but
because
the
numbers
are
still,
you
know,
and
the
initiative
is
still
relatively
new,
we're
still
growing
and
understanding
what
we're
able
to
collect.
We
can't
actually
make
meaningful
comparisons.
E
Look
I
do
think
that
there
are
better
data
and
I
know
that
there
are
better
data
in
respect
of
those
cases
that
actually
go
to
the
coroner's,
because
they're,
unexpected
or
because
there's
a
suspicious
circumstance
around
that
death.
In
those
circumstances,
because
of
the
nature
of
the
coroner's
investigation,
we
actually
get
more
detailed
information,
but
that's
only
for
a
subset
of
those
deaths
that
are
involved
in
this
is.
J
Well,
for
example,
the
deputy
was
telling
us
a
little
bit
about
some
of
the
people
who
had
passed
away
its
history
right
and
I
mean
personally
I
find
that
very
informative
I'm.
You
know
that
I'm,
assuming
that
the
goal
here
is
not
to
provide
better
homeless
services,
but
to
actually
provide
information
that
will
allow
us
to
make
a
case
to
provide
housing,
so
people
aren't
homeless
and
I'm.
E
So
through
the
chair,
I,
don't
think
it's
an
either/or
proposition.
I
do
believe
that
it's
one
a
little
bit
about
providing
better
services
for
those
who
find
themselves
homeless
or
under
house,
and
also
to
try
to
get
to
root
causes
of
homelessness.
So
we
can
try
and
prevent
those
circumstances
from
happening
in
the
first
place,
and
also
to
move
people
successfully
out
of
homelessness
back
into
a
more
stable
housing
situation.
So
we
do
seek
through
our
online
forum
to
get
more
information.
E
So
we
ask
about
you
know
what
do
you
know
about
the
health
circumstances
or
what
pre-existing
conditions
might
have
occurred
for
that
individual,
whose
death
you're
now
reporting?
So
that's
in
the
online
form?
What
do
you
know
about
them?
What
do
you
know
about
their
circumstances?
Their
is
that
an
opportunity
to
provide
those
data
and
our
Sentinel
reporters
provide
us
what
what
they
can
provoke.
E
E
That's
the
question
is:
how
do
we
provide
the
appropriate
balance?
We
want
to
make
sure
the
data
are
useful
and
used
by
those
who
can
actually
make
decisions,
whether
we're
talking
about
health
care,
homelessness,
services,
and/or,
homelessness
prevention,
but
by
the
same
token,
we
want
to
make
sure
that
we're
doing
so
in
a
method
that
preserves
the
confidentiality
and
the
privacy
of
those
individuals.
So
this
early
on
in
the
game,
because
the
there
are
you
know,
74
counted
in
this
database
right
now,
it's
a
little
too
identifiable.
E
K
E
E
We're
sorry
we
would
have
had
24
reported
this
year.
If
we
actually
only
use
that's
what
it
is,
we
would
have
had
24
deaths
reported
this
year.
Had
we
used
our
you
know
the
system
of
just
those
who
are
associated
with
city
funded,
shelters,
and
now
we
actually
have
70
in
total.
So
we
know
that
we're
getting
more
by
actually
allowing
for
and
creating
a
system
for
others
to
provide
the
reports
right
and
I'm
just
gonna
turn
to
staff.
If
we
know
what
last
year's
numbers
were
I.
K
H
E
K
If
we
rise
to
our
old
way
and
70
now
so
it's
close
to
a
200
increase,
two
hundred
percent
increase
in
understanding
how
many
people
who
died
homeless.
So
thank
you
and
then
the
sources
obviously
are
shelters
to
just
describe
a
little
more
fine
detail.
The
other
is
it
just
emergency
rooms?
Are
there
other
shelters
who
are
those
other
45?
K
E
K
K
K
Confidentiality,
you
could
say
there
was
ten
drop-in
centers.
You
could
say
there
was
five
shelters
that
weren't
city
shelter
you
could
make
categories.
That's
not
us
know
very
clearly
where
this
increase
of
information
came.
That's
right.
That
would
be
helpful,
so
it
probably
would
ask
for
that
yeah.
K
Let
me
get
the
next
report,
so
we
know
who
who
has
really
stepped
up
and
is
giving
us
that
type
of
information
and
then,
when
we're
talking
about
the
Lin's,
we
talked
about
the
Lin
earlier,
but
we
have
shelters
that
are
covered
by
other
lens,
so
another
the
Kennedy
shelter
for
women.
That
is
not
the
Toronto
Centre
lens.
That's
going
to
be
a
lens
that
perhaps
even
is
associated
with
Peterborough
or
some
some
cities
and
towns
that
are
much
further
away.
H
Through
the
chair
great
question,
it
is
a
challenge
having
the
five
lens,
so
there's
two
ways
that
we're
doing
that:
a
Susan,
Fitzpatrick
who's,
the
CEO
of
the
Toronto
central
Lynne,
is
leading
the
charge
on
a
number
of
initiatives
representing
the
Lin's,
but
also
we
have
a
five
Lin
City
of
Toronto
table
where
we
bring
these
things
up.
There's
representatives
from
all
five
lens
at
that
table.
K
Interested
in
the
method,
so
if
there's
somebody
at
the
Toronto
Centre
lens
and
I'd,
say
the
majority
of
shelters
fall
within
the
boundaries
of
the
Toronto
central.
Is
that
person
able
to
kind
of
be
the
advocate
and
work
with
the
other
lens
as
far
as
getting
them
involved
in
in
funding
assisting
for
services
in
these
shelters
that
lie
outside
the
boundaries
of
Toronto
central.
K
I
note
here
from
the
Toronto
District
School,
Board
and
I'm
sure
that
trustee
Glover
will
speak
a
little
bit
more
about
it,
but
the
difficulties
that
they
are
having
in
trying
to
deal
with
students
and
their
health
and
we're
dealing
with
homeless
people
and
their
health
over
five
Lin's
and,
of
course,
even
in
our
situation.
Most
of
those
Lin's
don't
have
a
lot
of
shelters
in
them,
but
you
agree
with
that.
This
is
not
some
would
agree.
K
I'll
just
toss
the
MOH
have
we
reached
out
to
the
Minister
of
Health
with
this
situation,
where
we
have
four
other
Lin's
that
may
have
maybe
the
running
eat
shelter
might
be
in
one
of
those
Lynn's
when
it
opens
up,
but
that
they're
very
unfamiliar
with
shelters
the
needs
around
shelters.
The
funding
required
around
shelters
and
therefore
would
really
require
an
extra
special
effort
as
far
as
meeting
and
addressing
the
needs
of
those
who
are
in
those
shelters.
What
steps
have
you
taken
or
do
you
plan
to
take
with
the
Minister?
Well.
E
I
think
we
can
I,
don't
know
that
we
have
a
special
Avenue
to
the
Minister
per
se,
but
we
certainly
do
have
opportunities
to
discuss
with
our
partners
in
the
population
and
Public
Health
Division.
When
we're
talking
about
specific
health
care
services,
our
best
venue
is
actually
through
the
Lin's
they're,
the
people
that
we
actually
meet
with
more
regularly
and
they're
the
ones
in
charge
of
the
local
level
of
planning
of
healthcare
services.
E
I
expect
that
they
in
turn
would
be
able
to
connect
with
their
partners
at
the
provincial
level,
but
as
a
public
health
practitioner
and
as
the
head
of
one
of
the
local
public
health
units.
We
don't
deal
in
general
with
those
at
the
province
who
actually
provide
health
care
services.
Although
I
think
we.
M
A
A
A
Then,
in
terms
of
live
data,
whereas
before
it
took
us,
people
may
be
aware
that
it
took
us
two
three
years
to
get
real
while
to
get
the
data
collected
and
presented
to
the
public.
Now
we
have
data
as
of
the
end
of
September,
so
we're
much
better
at
getting
the
data
is
that
is
that
accurate
as
well.
E
A
A
So
now
my
last
question
is
actually
to
Paul
Raftis,
the
head
of
the
shelter
house
and
support
I
know
it's
early
I
can't
see
anything
that
this
necessarily
tells
us
that
we
should
be
doing
differently
more
of.
Is
there
any
insight
of
how
this
might
actually
have
an
impact
on
the
work
that
you
do?
Are
you
seeing
anything
at
this
early
stage,
which
is
only
three-quarters
of
one
year
away
from
the
council
motion
asking
Public
Health
to
do
this
work.
H
So,
first
of
all,
it's
a
great
initiative.
I'm
really
happy
that
we're
starting
to
to
count
the
numbers.
The
numbers
are
very
small
in
terms
of
a
data
set
to
be
able
to
glean
information
from
that
coming
from
EMS.
We
would
look
at
300,000
cases
in
a
year.
You
know
and
then
be
able
to
split
those
out.
So
I
guess
from
my
perspective,
with
the
most
important
pieces
is
that
we're
collecting
them.
H
So
the
organization
is
working
exceptionally
hard
to
make
sure
that
services
are
available.
Toronto
provides
more
service
than
any
other
community
per
capita
in
Canada
and
three
times
that
of
Vancouver.
But
that
being
said,
we
need
to
continue
to
provide
more.
We
know
that
the
need
is
growing
and
we're
gonna
continue
to
do
that.
Thank.
C
I
think
what
we've
heard
here
today
very
clearly
is
that
the
number
of
deaths
are
even
higher
than
we
had
thought
and
with
70
death
seat
already
this
year,
1.8
deaths
per
week.
What
we've
heard
is
that
this
list
that
we're
aware
of
is
likely
a
demonstration
of
the
scale
of
the
crisis,
but
not
an
exhaustive
one.
Then
it
is
likely
very
much
higher
and-
and
so
it's
just
70
deaths
in
a
city
as
wellthey
of
our
as
ours
is
an
absolute
failure
on
the
part
of
everyone
at
the
political
level.
C
Absolutely
and
so
I.
Just
don't
think
we
can
claim
to
be
the
world's
most
livable
city,
as
70
people
die
in
our
streets
and
so
I
think
this
data
collection
today
is
not
where
we're
going
in
to
the
comprehensive
response,
but
rather
an
update
on
the
stats.
I
think
this
demonstrates
to
us
the
scale
of
the
crisis
and
and
certainly
as
we
prepare
for
this
winter
season
and
our
staff,
or
doing
tremendous
work
and
working
night
in
and
night
out
and
shelters
boarding
house
administration
to
ensure
that
we
have
enough
beds.
C
We
know
we
need
far
more,
but
I
also
think
we've
heard
very
clearly,
certainly
last
year
during
the
budget
process
and
here
today,
through
a
deputation
that
more
than
just
beds,
because
homelessness
is
complex
unless
the
solutions
must
also
be
complex.
Those
frontline
health
supports
need
to
be
increased
at
the
staffing
level
and
and
certainly
at
the
next
CDRC
meeting,
as
it
relates
to
whether
it's
working
with
the
province
requests
of
the
province
or
through
the
city
directly.
That's
something
that
I'll
be
looking
to
talk
about.
Thank
you.
K
I
do
hope
that
our
full-year
report,
when
we
get
that
we'll
be
able
to
aggregate
again
take
the
full
year
that
would
have
been
through
our
shelters
and
then
add
on
not
by
name
but
by
type
of
service
who
has
been
helping.
So
we
know
if
it's
drop-ins.
We
know
where
that
information
is
coming
from.
The
that
will
be
very,
very
helpful.
K
I
also
think
it
would
be
helpful
in
that
report
to
really
have
a
clearer
understanding
or
clearer
look
at
whether
or
not
or
quite
possibly
has
not
whether
or
not,
but
how
the
opioid
crisis
has
affected
the
number
of
homeless
people
who
are
dying
and
if
it's
significant,
which
we
could
look
at
our
last
year,
we
know
B
24.
If
we
were
counting
just
ourselves,
would
it
have
been
the
same
number
the
year
before,
but
do
we
do?
K
We
think
that
that
is
having
a
significant
impact,
because
we
believe
it's
having
an
impact
in
general
in
society.
So
looking
at
the
nature
of
these
tragic
deaths
and
to
look
and
say
possibly
by
the
end
of
the
we'll,
be
up
to
two
people
dying
a
year
that
are
homeless,
and
that
is
just
a
terrible
tragedy
in
the
city.
So
it
is
obviously
not
something
that
we
want
to
continue.
K
But
as
we're
expanding
the
shelter
system
throughout
the
city,
we
need
to
have
very,
very
strong
relationships
with
all
of
the
lens,
the
other
four
that
cup
all
the
other
areas
of
the
city
that
are
going
to
have.
The
shelter's
and
I
would
be
sure
that
the
Runnymede
shelter
is
not
within
the
Toronto
central
dense.
Although
counsel
urges
that
could
correct
me,
I
know
the
Kennedy
shelter
that
newly
opened
one
for
women
is
not
in
the
Toronto
central
lens
and
there's
probably
a
number
of
others.
K
So
that
would
be
also
helpful
for
us
to
know,
as
well
and
political
representatives
to
know
which
lens
could
be
more
helpful
as
far
as
establishing
shelters,
because
when
we
are
establishing
shelters,
having
the
lens
very
clearly
on
board
to
provide
services
is
actually
a
critical
piece
of
ensuring
a
well-run,
well
resourced
shelter
for
the
people
that
find
themselves
staying
there
for
whatever
period
of
time.
Thank
you,
Thank.
A
You
know,
I
do
remember
that
they
I
do
remember.
I,
think
it
was
in
the
mid,
maybe
late
1980s,
when
someone
died,
a
homeless
folk
person
died
on
the
streets
of
Toronto,
and
it
was
a
news
story
that
lasted
for
frankly,
almost
a
week,
maybe
even
longer,
and
it
was
just
so
abhorrent
that
City
of
Toronto
could
allow
someone
to
die
homeless.
A
Now,
it's
two
a
week
almost
two
a
week
and
so
I
hope
that
this
isn't
a
trend
that
says
we
are
becoming
callous
to
the
reality
of
people
dying
in
our
streets.
America
tolerates
this
way
more
than
we
have
historically,
and
we
can't
go
in
that
direction
here
in
this
in
this
city.
I
think
it's.
My
last
point
is
in
just
by
the
way
with
this
particular
motion
here.
This
is
just
the
piece
that
gets
reported
in
a
printed
copy
on
for
the
Board
of
Health
certification
once
a
year.
A
There
will
be
something
like
this:
the
winter
of
the
year,
speaking
to
the
data
from
the
previous
year,
that
isn't
to
say
that
people
who
are
into
open
data
or
who
people
who
are
monitored
monitoring
homelessness
in
deaths
related
to
homelessness.
A
lot
more
closely
won't
get
up-to-date
data
as
it
becomes
available.
I
think
that
is
all
good
in
that
fulfills.
Actually,
the
direction
of
that
motion
that
council
had
in
April
of
2016.
So
having
said
all
that
I
think
it's
like
at
the
end
of
the
day,
why
do
you
collect
data?
Why
did
why?
A
Do
you
do
it?
You
do
it
to
inform
policy
and
to
inform
action.
I,
don't
think
at
this
point.
We
should
make
too
much
of
it,
because
you
know
what
the
data
said.
Two
is
too
small,
like
I,
think
you're
looking
for
trends
and
patterns
and
wares,
and
is
it
opioid-related
and
in
or
is
it
not
opioid-related
and
that
informs
then
the
work
that
Paul
Raftis
and
his
group
does
in
another
division.
So
this
is
just
the
first
set
there's
going
to
be
a
lot
more
coming
in
in
the
years
to
follow.
A
A
Okay,
so
there's
only
this
motion
on
the
floor
to
get
an
end-of-year
report
in
my
by
March
31st,
and
he
can
we
vote
on
that
all
in
favor
opposed
if
any
that
carries.
That's
basically
it
for
that
item.
Thank
you
very
much
to
everyone
for
presenting
Patricia
O'connell
in
particular.
Ok,
we're
on
to
twenty
two
point:
two,
which
is
the
minister's
expert
report
on
public
health
in
an
integrated
health
system.
There
is
no
presentation.
A
We
do
have
two
deputies:
Gil
peñalosa
a
founder
and
chair
8-8,
YZ
cities
and
Monica
Turner,
director
policy,
Association
of
municipalities
of
Ontario
and
Gil
I.
Understand
your
well
I,
see
that
you're
also
on
the
next
item,
and
you
wanted
to
Peter
on
both
of
them.
So
with
the
board's
support,
we'll
give
you
ten
minutes
to
go
to
both
Oh
excellent.
O
O
What's
in
it,
there
is
no
health
system
that
will
survive
if
it's
only
curative.
We
gotta
have
health
system
that
is
preventive
and
I'm,
worried
how
the
provincial
government
is
moving
forward.
Just
a
few
years
ago,
three
or
four
years
ago,
we
used
to
have
a
min
history
of
health
prevention,
health
promotion
and
it
was
absorbed
by
the
gigantic
Ministry
of
Health.
The
oil
one
was
small,
but
at
least
everybody
every
single
person
was
focused
on
promoting
health.
How
we
live
now
is
a
tiny
office
in
the
middle
of
this
gigantic.
O
That
is
focuses
on
curative
or
urgency,
the
hospital,
the
medicine
and
so
on
and
is
clearly
is
not
as
effective,
and
now
that
is
suggesting
to
split
the
health
system
in
Toronto,
Public
Health,
and
not
only
Howe
Toronto,
but
all
across
the
province
and
absorbed.
This
I
think
is
gonna,
be
a
huge
problem.
First
I
think
that
is
important.
That
Toronto
has
a
public
health
for
the
city.
O
Health
promotion
is
has
to
do
with
how
with
how
we
live.
Just
to
give
you
an
example,
in
the
last
30
days
in
the
last
30
days,
I
have
worked
in
more
than
13
different
cities
in
six
different
countries,
and
all
of
this
is
related
to
health.
I've
been
working
in
London
at
the
Royal
College
of
Physicians
I've,
been
working
in
Birmingham
in
related
to
sport
and
culture
for
all
in
Amsterdam.
It
should
related
to
place
making
her
create
places
that
are
vibrant
and
exacting.
O
In
Copenhagen,
I
took
30
cities,
leaders
from
the
US,
including
public
health
planning,
transportation
to
Copenhagen
for
four
days.
I
was
in
Ghent
in
sustainable
mobility.
Yesterday
I
was
in
Argentina
working
on
issues
or
happy
cities
tomorrow
tonight
I'm
off
to
Orlando,
to
work
on
or
with
the
mayor
of
Orlando
and
all
of
the
commissioners
on
creating
a
healthy
City.
Why
am
I
saying
this?
Because
that's
what
public
health
is
about?
O
A
hundred
years
ago,
we
were
dying
because
there
were
no
clean
water
and
sewage
and
lack
of
vaccinations,
but
now
we
are
done
of
life
related
issues
and
we
need
public
health
work
in
with
all
the
city
departments.
We
need
public
health
working
with
Parks
Department
to
make
sure
that
every
single
child
and
person
in
Toronto
has
a
park
or
a
player
within
a
10-minute
walk.
We
need
public
health
to
be
working
with
transportation,
so
that
we
know
that
sustainable
mobility
is
an
actual
option
for
everyone.
O
We
need
public
health
to
be
working
with
planning
so
that
we
are
facing
a
huge
urgency.
We're
gonna
grow
by
more
than
50%
population
within
the
next
25
or
30
years.
The
GTHA
is
probably
the
fastest
growing
area
in
the
developed
world
in
the
next
30
years,
so
public
health
has
to
really
be
front
and
center
in
how
we
grow.
How
dense,
how
how's
it
going
to
be
the
mobility
issues
such
as
loneliness
with
the
our
population
or
65,
are
gonna
double
the
population
over
area
gonna
quadruple
a
lot
of
it.
O
Issues
of
the
older
adults
have
to
do.
The
two
main
issues
are
mobility
and
isolation,
and
a
lot
of
this
about
public
health
prevention
I
think
that
splitting
health
in
Toronto
in
three,
which
is
what
would
happen
the
east,
also
engage
with
Ottawa
and
others.
The
center
engage
with
also
with
Simcoe
on
the
west
side,
with
Kitchener
and
Waterloo.
A
lot
of
these
municipalities
don't
really
have
the
same
issues
as
Toronto
has,
at
the
same
time,
within
Toronto
having
three
different
offices
report
trying
to
deal
work
with
the
different
departments
of
the
city.
O
O
In
the
point
of
view
of
the
traffic-related
air
pollution,
I
think
that
more
than
electric
cars
or
more
than
having
driverless
cars
or
anything
we
need
to
work
is
on
sustainable
mobility.
We
need
a
city
where
people
could
walk,
could
ride.
Bicycles
could
take
public
transit
and
in
a
safety
in
a
safe
manner.
Obviously
we're
gonna
move
eventually
to
automated
cars,
but
when
we
have
driverless
cars,
actually
we're
gonna
have
many
many
many
more
cars
moving.
O
We're
gonna
have
less
cars
parked
because
maybe
people
would
not
have
their
own
cars,
but
we're
going
to
have
many
more
cars
moving.
So
how
is
this
gonna
affect
our
city?
We
need.
We
cannot
just
accept
this
technology
blindly,
because
the
people
or
the
older
people
that
are
not
driving
any
longer
well,
if
there
are
driverless
they're
going
to
have
their
cars
till
the
day
they
die.
Maybe
you
don't
have
to
be
16
to
drive
a
car,
so
you
actually,
you
might
not
even
have
to
have
people
to
have
a
driverless
car.
O
You
can
have
also
have
people
less
cars.
You
come
here.
You
don't
have
parking,
you
tell
it
to
go
home
and
come
back
and
pick
you,
so
we
might
have
many
more
cars.
So
I
do
think
that
council
should
focus
on
changing
behaviors
on
changing
how
we
live
and
I
think
that
we
need
to
put
money
into
it.
Is
we
just
approved,
transform
TO
WEAR?
We
said
that
we
are
going
to
eliminate
80%
of
the
co2
by
2050.
O
Without
one
cent
it
doesn't
make
any
sense
to
approve
policies
without
money
is
worse
than
nothing,
because
the
citizens
get
the
idea
that
we
are
moving
forward.
Where
are
they
so
they
say,
Oh
check.
Let's
not
worry
about
that
because
no
same
thing
with
vision,
zero,
what
provision
zero
and
we
don't
really
put
any
money
that
that
will
make
any
difference
in
vision,
zero.
O
You
know
a
person
walking
in
Toronto
gets
hit
by
a
car
every
three
and
a
half
hours,
a
person
riding
a
bicycle,
gets
hit
by
a
car
every
seven
hours,
and
then
we
have
a
bike
plan.
Ten
year
bike
plan
were
reporting
to
16
million
dollars
per
year.
That's
that's
laughable!
16
million
in
when
we
have
a
budget
of
13
billion
dollars.
O
We
will
need
to
do
much
better
than
that,
so
so
I
substation
encourage
that
we
need
to
make
walking
safe
for
all
ages.
I
run
an
organization
that
is
called
880
cities,
880
cities,
it's
a
simple
of
a
powerful,
confident
concept.
What
if
everything
we
did
in
our
city,
the
crosswalk?
The
sidewalks
they
bite
way,
they
Park
the
library
they
building
everything.
O
How
do
we
say
for
an
eight-year-old
and
for
an
18-yard,
because
he
not
8
to
80
buddy,
8
and
areas
and
indicator
species,
because
he
is
good
for
date
and
it's
good
for
the
area.
It's
gonna
be
good
for
everybody
from
zero
to
over
a
hundred,
and
we
really
need
to
create
a
city
that
is
safe
for
everyone,
and
currently
it
is
not
safe
to
walk
it's
even
less
safe
to
ride
a
bicycle
and
public
transit
will
not
do
it.
We're
not
creating
a
grid,
and
we
are
really
wasting
a
lot
of
resources.
O
There
is
no
city
in
the
developed
world
that
is
building
elevated
highways
and
all
of
the
sudden,
we're
gonna,
move
the
gardener
and
build
an
elevated
highway
and
waste
two
billion
dollars
in
Dhahran.
They
say
we
don't
have
money
well
work.
We
could
save
those
two
billion
dollars
if
we
don't
tear
it
down
and
build
it.
It
sounds
nice
because
we
call
it
hybrid,
but
hybrid
is
the
worth
of
both
options
that
we
had
and
then
we've
already
certainty.
O
The
Scarborough
subway
we're
gonna
live
80
percent
of
the
people
in
Scarborough,
with
a
subway
without
public
transit,
they're
gonna
have
only
one
station,
so
20
percent
of
the
people
in
Scarborough
and
we're
going
to
waste
4
billion
dollars.
That's
that's
$1,200
per
citizen,
$1200
per
super
man,
woman
and
child,
and
we
just
heard
the
issue
of
homelessness.
How
can
we
be
having
homeless
people
dying
when
we're
gonna
spend
$1200
per
person
on
a
subway
on
a
one-stop
subway?
O
A
Thank
you
very
much.
Gil.
Are
there
any
questions?
I
have
a
one.
You
spoke
a
it's
very
interesting.
You
spoke
on
two
topics.
One
is
the
before,
or
the
reform
that
is
being
proposed
at
the
provincial
level
of
the
public
health
within
an
integrated
integrated.
What
health
system-
and
the
second
issue
that
you
spoke
on-
was
reducing
health
risks
of
traffic
related
pollution.
Would
you
say
that
the
second
issue
is
is
an
example
of
why
the
first
issue
should
not
happen
exactly
we.
O
Need
to
work
totally
integrated
everybody
in
the
city,
because
if
we
have
parts
or
not
have
parts
within
walking
distance,
that's
what
like,
what
some
of
the
issues
that
we're
gonna
have
to
deal
with
it
with
how
we
do
the
parts
we
just
approved
the
ravine
strategy
that
really
has
to
do
with
health
there.
There
are
very
few
access
into
the
ravine,
so
they're
both
a
total
in
that
the
parks.
Last
week,
the
mayor
of
New
York
approved
that
Prospect
Park
that
is
similar
to
our
High
Park.
O
They
will
not
have
any
cars
going
through
Prospect
Park.
As
of
January
1st,
why
are
we
being
suffocated
in
High
Park
through
cars,
going
up
and
down
all
the
time
which
makes
it
dangerous
and
also
pollutes
the
quality
of
the
air?
When
we
have
really
fantastic
air,
the
public
transit
going
into
high
part,
we
got
subways,
we
got
streetcar,
we
got
bosses,
so
those
are
the
things
the
two
are
totally
interlink.
A
Great
just
the
last
one
on
the
twenty
two
point:
three,
the
air
air
pollution,
there's
so
much
media
conversation
on
on
electric
vehicles
and
self-driving
cars
as
a
city
planner
as
a
planner,
is
that
a
2%
of
the
solution?
People
are
saying:
that's
going
to
end
our
environmental
woes
related
to
to
traffic
and
congestion.
Well,
beyond
that,
most.
O
People
are
concerned
about
traffic
jams.
Well,
the
traffic
jams
are
not
going
to
stop
because
the
cars
are
driving
this
or
driver.
We
I
think
two
effects
are
going
to
have
the
driverless
cars
one
good
one
were
gonna
need
less
parking
because
the
car
ownership
is
going
to
be
reduced,
so
that's
gonna
be
good,
but
and
also
they
are
cheaper.
So
since
it's
gonna
be
cheaper
and
it's
gonna
be
less
part,
we're
gonna
have
many
many
more
cars
moving.
O
That
means
that
congestion
is
gonna,
be
first,
that
if
we
don't,
if
we
don't
use
electrical
somewhere,
that
they
might
be
even
more
polluting
an
order
that
more
people
are
gonna
sprawl
because
they
say
oh
now,
I'm
going
to
have
a
car.
So
even
if
I
age
it
doesn't
matter,
I
can
use.
So
we
need
to
instead
of
doing
what
we
did
a
hundred
years
ago
to
say
the
car
is
coming
up.
Maybe
we
should
have
done
a
second
network,
one
for
the
cars
one
for
people
walking
and
cycling.
Now
we
need
to
rethink.
O
How
are
we
gonna
use
those
cars?
Sometimes
we're
really
happy
that,
oh
now
we're
going
to
have
space
for
bicycle
lanes.
Well,
what?
If
the
car
the
manufacturers
of
driverless
cars
say?
Oh
no,
we
will
have
many
more
cars
moving,
so
we
need
more
space,
so
the
space
one
the
cars
part
would
needed
is
to
move
cars.
So
I
think
that
we
need
to
anticipate,
because
otherwise,
that
that's
gonna
be
worst
I.
Think
the
reality
is
that
we
need
public
transit
and
a
major
part
of
Toronto
big
sectors
of
Toronto.
O
We
do
not
have
public
transit
and
we
will
not
have
if
we
spend
four
billion
dollars
in
a
one-stop
subway
and
the
two
billion
dollars
moving
the
Gardiner,
which
we
could
instead
of
they'll,
have
a
network
of
public
transit
through
light
rail,
2l
artists
and
beer
tees
across
the
city
and
have
everybody
within
access
to
public
transit.
You
know
inefficient.
That
is
fast,
is
safe
and
clean,
so
we,
the
quality
of
there,
would
be
much
better
for
everyone.
Great
thank.
A
P
You
very
much
and
thank
you
for
the
opportunity
of
speaking
you
to
you
today,
I'm
here,
to
talk
to
you
about
what
other
municipal
leaders
are
saying,
what
other
municipal
organizations
are
saying
about
the
experts
panel's
recommendations
to
integrate
public
health
with
the
healthcare
system
to
date,
and
to
start
we
haven't
heard
any
municipal
leader
or
a
municipal
organization,
saying
that
this
is
a
really
good
idea.
In
fact
we're
hearing
the
opposite.
P
There
we're
hearing
that
it
doesn't
make
sense,
and
it's
not
a
good
idea
and
just
to
go
over
some
of
the
things
that
are
being
said,
the
first
one
if
the
X.
If
the
expert
panel
recommendations
are
implemented,
it
will
completely
change
the
public
health
system
and
place
it
within
the
healthcare
system,
and
you
had
a
conversation
about
that
earlier
today.
P
It's
like
the
elephant
in
the
mouse
Public
Health
would
not
be
able
to
retain
its
identity
and
mandate
if
integrated
the
needs
in
the
healthcare
system
are
too
strong
and
there's
evidence
across
across
the
world
where,
when
they
have
been
placed
closer
together,
there's
somewhat
of
a
vortex
that
happens.
The
public
health
system
is
focused
on
population,
health
and
health
promotion
prevention.
It
works
upstream
on
social
determinants
of
health,
which
is
not
a
focus
of
the
health
care
system
which
focuses
on
individual
health
when
sick
or
injured,
there's
not
been
and
I
need
to
save.
P
The
expert
panel
was
not
instructed
to
talk
about
implementation,
but
there
also
was
no
analysis,
provided,
as
the
recommendations
were
done,
there
was
not
any
analysis
to
cost
benefit
from
a
patient
or
program
perspective.
So
what
I'm
saying
is
there's
great
concern
that
Public
Health
would
lose
its
local
focus
and
with
it
its
strong
municipal
and
community
integration.
P
So
I
will
say
this
goes
to
the
potential
trend
we
are
seeing
from
the
province
to
weaken
local
elected
members
on
local
boards
and
I
will
point
you
to
bill
139
on
conservation
authorities
as
an
example
of
that
and
as
well.
The
health
promotion
and
health
protection
and
promotion.
Act
still
has
municipal
governments
legislatively
responsible
for
a
hundred
percent
of
the
costs
of
Public
Health,
although
by
policy,
the
province
is
now
now
saying
that
they
will
find
in
seventy
five
percent.
But
that
is
policy,
not
legislation,
and
one
of
the
concerns
with
the
expert
panels.
P
P
Last
sorry
in
2050,
in
the
last
year,
data
is
available.
Municipal
governments
funded
38
percent,
on
average
of
the
public
health
costs
for
mandatory
programs,
Ontario
public
health
standards,
that's
on
average.
Now
we
also
know
that
many
municipalities
are
have
to
stay
to
25%.
So
that
means
a
number
of
municipal
governments
are
funding
well
over
40%.
P
A
J
P
Don't
they
haven't
responded
to
my
knowledge
and
I
think
in
in
some
ways
they
were
very
strategic
by
just
putting
out
the
expert
panel
recommendations
without
commentary,
though
some
analysis
would
have
been
nice,
so
it
actually
allowed
for
a
full
consultation.
They
also
extended
the
consultation
period
till
the
end
of
October.
A
Thank
you
just
a
quick
question.
My
sense
is,
and
this
you
know
it's
hard
to
read.
The
tea
leaves
here
is
that
they
were
looking
at
other
jurisdictions
in
the
way,
many
a
senior
order
of
government
who
has
done
this
in
the
past-
that
they
were
thinking
that
perhaps
Ontario
should
follow
suit,
not
noting
that
the
jurisdictions
that
have
done
that
have
found
that
they
did
find
that
it
was
an
elephant
sleeping
with
the
mouse
in
public
health
weakened
its
its
strategic
municipal
abilities.
P
Can't
answer
that,
but
I
can
say
that
in
other
jurisdictions,
at
least
from
a
public
health
lens
and
I'm
thinking,
particularly
nova
scotia,
that
you
UK
etc
that
once
public
health
and
its
professionals
get
too
close
to
public
health.
Sorry,
healthcare,
the
need
is
so
great.
You
want
the
nurses,
you
want
the
epidemiologists,
you
want
those
folks
to
help
with
health
care
and
it
can't
help,
but
integrate
all
also
points
to
alberta.
That's
gone
back
and
forth
between
regional
decentralized,
regional,
decentralized
and
again,
I.
P
A
I
E
I
The
other
thing,
I,
don't
quite
understand,
is
funding
page
7.
It
says
that
under
this
model,
city
counts,
so
we're
not
have
a
role
in
the
public
health
budget
process
or
design
decisions
making,
including
determining
budget
growth,
staffing
resource
on
a
so
forth.
So
well.
That
would
make
our
budget
so
much
easier
here.
But
how
would
budget
work
because
it's
not
just
going
to
be
Toronto
funding
I
mean
personally
Ward
13
stays
in
the
downtown
center
area,
I'm
thrilled.
But
what
will
happen
if
we
go
we're
doing
funding
with
other
regions?
How
was
that
work?
I
E
Through
the
chair,
I,
don't
know
that
I
can
actually
answer
that
question
as
it
turns
out
to
be
fair
to
members
of
the
expert
panel,
the
specific
mechanics
around
funding-
and
you
know
those
kinds
of
issues.
There
were
general
principles
that
were
provided,
but
the
specifics
of
the
funding
were
not
within
the
purview
of
the
expert
panel,
so
I
I
think
at
this
stage
of
the
game.
E
We
can
only
really
look
at
that
which
was
proposed
by
the
expert
panel
in
terms
of
the
recommendations
and
I
think
we're
left
to
try
and
surmise
what
the
specifics
of
the
funding
arrangements
might
look
like.
How
would
it
mechanically
work
with
three
regional
public
health
entities
serving
the
city
of
Toronto
and
a
municipal
council
also
same
serving
that
same
city?
What
would
the
negotiations
look
like?
I
Simple
questions
like
Toronto
has
taken
on
the
pesticide.
We
did
a
bylaw
saying,
you
can't
use
pesticides
in
our
city.
We
know
we
can't
tell
people
around
us
to
do
the
same
thing,
but
we
could
get
into
a
situation
where
part
of
a
city
would
have
a
by
law
against
pesticides.
You
walk
across
the
other
side
of
a
street
and
they
could
use
pesticide.
Is
that
the
sort
of
thing
we
could
be
looking
at
if
this
went
ahead
and
threw.
I
Decisions
at
all
I
think
it's
going
to
decimate
our
health
system,
I!
Think
it's
going
to
make
lives
for
residents
worse,
it's
one
of
the
most
ridiculous
things
I've
heard
and,
as
I
said,
using
my
words
carefully
here
so
I
do
support
honto
health
and
this
Board
of
Health,
giving
good
directions
saying
that
this
wouldn't
work
in
our
city.
I
We've
heard
that
other
municipalities
are
saying
the
same
thing.
I
think
we've
got
to
just
get
together
and
say:
I'm
sorry,
but
as
a
government
you've
just
wasted,
however
much
money,
it
is
well
actually
we
could
have
put
that
into
helping
the
health
of
our
residents
rather
than
coming
up
with
something
like
this,
which,
as
we've
heard,
they
don't
even
know
how
to
implement
it.
So
what
a
waste
of
time?
Thank
you
Thank.
J
I'll
just
mention
it
and
you've
got
it
on
your
desk,
but
there's
a
letter
from
the
Toronto
District
School
Board,
so
I
brought
and
I
want
to
thank
the
tph
staff
for
helping
me
to
draft
the
background
ER
and
the
motion
that
went
to
the
school
board,
but
it
it
basically
echoed
the
concerns
that
have
been
raised
at
this
table
and
it
was
passed
unanimously
by
everybody
at
the
board.
The
only
amendments
were
to
add
in
all
of
the
affected
school
boards.
That
would
be,
you
know.
J
Partnered
with
us
in
the
city,
be
part
of
the
new
map.
So
it's
it's
gone
out
wider.
It's
probably
too
late
for
those
school
boards
to
risk
within
the
deadline,
but
perhaps
they
could
respond
after
the
deadline,
but
just
to
say
that
the
school
board
is
is
completely
in
line
with
our
thing
with
the
thinking
of
the
Board
of
Health
on
this
issue
and
that
they
don't
want
any
part
of
this.
This
recommendation
implemented.
J
A
G
Yes,
I'll
just
very
briefly,
because
I
if
I
remember
correctly,
the
last
time
we
met
I
kind
of
went
to
task
on
on
the
rationale
behind
sticking
counselors
from
wards.
35,
36
and
37
in
with
counselors
or
municipal
officials
from
Halliburton
didn't
make
much
sense
from
a
logistic
point
of
view
to
hold
regular
meetings
and
I
think
the
same
truth
stands
now
that
you're
gonna
have
a
really
really
tough
time
figuring
out
the
logistics.
G
A
Well,
I
think
the
heart
of
the
opposition
to
this
is
a
well
articulated
in
a
Moe's
letter
in
the
first
two
bullet
bullet
points.
Our
main
concerns
with
the
expert
panel
recommendations
is
that
Public
Health
will
lose
its
local
and
community
focus.
It
is
currently
integrated.
So
it's
not
we're
seeking
integration.
It
is
already
currently
integrated
within
its
communities
with
multiple
local
linkages,
with
both
public
and
private
bodies
and
organizations.
So
we
are
totally
integrated
with
the
municipal
system.
A
If
you
look
at
this
agenda
every
piece,
so
we
just
had
people
from
shelter,
housing
and
support
sitting
over
there.
Now
we
have
people
from
the
environmental
office
sitting
over
there
and
at
the
next
item
that
the
last
items
that
we'll
deal
with
will
on
food
security.
We
have
our
Toronto
Food
Policy
Council
in
urban
food,
wise
owls.
A
So
we
have
the
motions
in
front
of
us
any
final
comments,
seeing
none
all
in
favor
opposed
if
any
that's
carried.
Okay,
we'll
go
on
to
number
three,
which
is
the
reducing
health
risks
from
traffic
related
air
pollution
in
Toronto
we
have
a
presentation,
and
then
we
have
two
deputies
as
well.
Dr.
Davila.
E
Thank
you
mr.
chair.
In
fact,
the
presentation
will
be
delivered
by
two
of
my
colleagues
at
Toronto,
Public
Health
or
over
at
the
desk.
There
Gail
Percy
is
our
new
director
of
healthy
public
policy
and
Kate
basil
is
our
acting
associate
director
also
from
the
healthy
public
policy
Directorate,
so
I'll
turn
it
over
to
them.
Thank.
M
This
is
a
joint
report
with
the
environment
and
energy
division
that
will
also
be
presented
in
November
17th
to
the
parks
and
Environment
Committee,
and
eventually
it'll,
don't
counsel.
The
origin
of
this
report
is
that
energy
and
environment-
sorry,
Environment
and
energy
were
requested
to
report
back
on
a
citywide
study
of
air
quality
as
well.
They
were
asked
to
import
on
the
important
contribution
that
transportation
contributes
to
air
pollution,
so
our
role
in
public
health
is
as
a
partner
in
this
work.
M
Specifically,
we
are
reporting
on
the
health
impacts
of
transportation
related
air
pollution,
and
we
also
assisted
with
the
development
of
the
record
to
mitigate
these
impacts
in
three
ways
through
policy
through
engineering,
for
our
existing
operations
and
through
education.
This
presentation,
like
the
report,
is
divided
into
two
parts.
First,
I'll
highlight
what
we
found
in
the
report
from
a
technical
point
of
view
in
terms
of
the
extent
of
exposure
and
uncapable
walk
through
the
recommendations
that
are
aimed
at
reducing
this
exposure.
M
So,
looking
at
the
results
of
our
review,
we
found
that
over
the
last
decade,
in
fact,
air
quality
has
been
improving
in
Toronto.
That
said,
it
continues
to
have
substantial
health
impacts
on
outcomes
such
as
cardiovascular
or
heart
disease,
or
on
respiratory
diseases,
specifically
lung
disease,
Toronto,
Public,
Health's
2014
report
paths
to
healthier
air
estimated
that
air
pollution
in
general
contributes
to
about
1300,
premature
deaths
and
approximately
3,500
hospitalizations
each
year
in
Toronto.
M
Using
the
available
evidence,
we
can
say
that
the
exposure
Dair
pollution
varies
with
proximity
to
busy
roads
and
the
associated
risk.
So,
for
example,
air
pollution
impacts
could
occur
at
a
hundred
metres,
which
is
about
the
size
of
a
city
block
from
an
arterial
road,
and
that
has
traffic
volumes
of
1,500
or
more
vehicles
per
day.
As
you
can
see,
in
yellow
these
are
roads
all
across
the
city.
But
to
give
you
some
sense
of
this
specific
examples,
Islington
and
Markham,
Road
steals
Avenue,
East
or
Yonge.
M
So
in
summary,
then,
because
we
now
have
a
more
fulsome
understanding
of
the
exposure
and
the
health
risk
staff
have
developed
a
list
of
very
proactive
recommendations
that
put
us
in
a
good
position
to
reduce
the
risks
of
traffic
related
air
pollution
going
forward.
The
recommendations
are
also
very
comprehensive.
They
advocate
for
changes
federally
and
provincially,
because
air
pollution
by
its
nature
is
a
shared
challenge.
M
D
So
there
are
many
city
initiatives
that
will
help
reduce
trap,
such
as
the
Complete
Streets
guidelines,
the
10-year
cycling,
Network
plan
and
the
climate
change
action
plan
and
transform
to
you.
However,
there
are
important
additional
opportunities
to
reduce
traffic
related
pollution
in
Toronto.
The
report
we're
discussing
today
includes
several
recommendations
to
accomplish
this
and
the
recommendations
fall
into
three
broad
categories.
D
The
first
is
improving
air
quality
by
reducing
emissions
at
the
source.
The
second
is
modifying
the
environment
and
ways
to
reduce
the
amount
of
trap
reaching
people,
so
this
would
include
modifying
the
environment
in
new
construction,
as
well
as
reducing
exposure
in
existing
buildings
in
the
city
and,
lastly,
improving
our
understanding
of
the
impact
of
traffic
related
pollution
on
health
through
ongoing
research
and
review.
D
Many
of
the
recommendations
in
the
report
focus
on
reducing
the
amount
of
pollution
that's
actually
released
into
the
air.
The
city's
transportation
services
division
could
pursue
opportunities
to
improve
air
quality
by
giving
priority
to
the
implementation
of
measures
identified
in
the
congestion
management
plan
in
high
traffic
emission
zones
where
vulnerable
populations
live,
work,
learn
and
play
transportation
services
division
could
also
evaluate
the
city's
street
sweeping
service
levels
and
identify
the
optimal
standards
to
achieve
good
call.
D
The
report
also
includes
recommendations
to
reduce
exposure
to
trap,
both
in
new
buildings
and
existing
buildings.
The
first
of
these
recommendations
is
that
the
environment
and
energy
division
and
Toronto
Public
Health
work
together
with
relevant
city
divisions
and
agencies,
to
develop
feasible,
best
practice
guide
on
measures
to
reduce
traffic
related
air
pollution
exposure
in
new
buildings,
with
the
idea
that
these
could
be
implemented
on
city
sites,
as
well
as
promoted
among
designers,
builders
and
other
professionals
who
were
involved
in
development
planning,
design
and
construction
in
Toronto.
D
These
guidelines
could
include
measures
for
buildings
that
will
prevent
polluted
air
from
entering
the
building.
For
example,
it
could
involve
the
placement
about
door,
immunity
areas
away
from
high-traffic
areas.
Ensuring
the
layout
of
the
building
is
such
that
areas
that
are
most
used
are
away
from
traffic
building
design
and
appropriate
placement
of
barriers
that
will
disperse
air
pollution,
an
installation
of
high-performance
air
filtration
systems.
D
There
are
also
several
operational
changes
that
can
be
made
to
improve
indoor
air
quality
in
existing
buildings,
for
example,
two
central
ventilation
systems,
but
further
improvements
to
existing
buildings
could
be
me
through
retrofits.
However,
we
know
that
these
can
be
expensive.
The
provincial
government
should
encourage
the
improvements
in
existing
childcare,
centers
schools
and
long-term
care
facilities
through
appropriate
financial
mechanisms
and
incentives.
D
The
last
group
of
recommendations
is
around
improving
our
understanding
of
traffic-related
air
pollution
in
Toronto.
Currently,
there
are
limited
data
on
trap,
exposure
to
obtain
Toronto,
specific
data,
transportation
services,
the
Ministry
of
Environment
and
climate
change,
and
public
health
Ontario
are
being
requested
to
conduct
air
quality
monitoring
along
Toronto
streets
and
provincial
highways
and
near
buildings
occupied
by
vulnerable
populations.
This
would
provide
a
better
understanding
of
the
extent
of
exposure
to
trap
in
the
city.
D
The
Ministry
of
Environment
and
climate
change
could
undertake
a
study
to
estimate
the
social,
environmental
and
health
costs
associated
with
tribe
and
compare
these
with
the
costs
of
preventing
emissions
of
an
exposure
to
trap.
This
would
support
the
implementation
of
effective
interventions
and,
lastly,
the
Toronto
Public
Health,
child-friendly
policy
assessment
tool
is
intended
to
provide
a
child
lense
on
a
policy
to
better
understand
its
potential
positive
or
impact
on
child
health.
D
A
A
L
L
My
husband
and
I
moved
in
three
years
ago
to
a
gorgeous
place
in
Hyde
Park,
and
we
were
very
comfortable
though
we
didn't
want
to
move,
and
last
December
we
heard
that
there
was
going
to
be
an
enormous
construction
site
all
around
the
buildings
that
we
were
enjoying
their
pools
and
all
sorts
of
wonderful
things
that
gave
our
senior
life
joy
in
the
ladder
garrison.
Both
of
us
are
quite
alone.
L
L
35
years
later
we
got
the
answer
and
that
experience.
What
is
what
I
want
to
share
with
you,
because
I
volunteered,
my
services,
because
my
experience
with
politicians,
presidents
of
universities,
Princess
Margaret,
Hospital,
Sick,
Kids,
Hospital,
you
name
it
it's
there
and
I
just
want
to
tell
you
that
the
results
of
our
research
are
all
now
in
the
archives
of
Ontario.
L
So
we
got
the
go-ahead
from
the
Privy
Council.
We
did
our
homework
and
we
really
did
our
homework
and
we
literally
formed
a
charity
and
started
the
center
for
global
research
and
education
on
him
on
the
environment
and
health,
and
it
was
a
global
data
center
and
we
had
it
all
set
up
near
York
University
and
we
had
graduate
students
working
with
us
doing.
L
Research
and
I
want
to
raise
a
really
big
issue
right
here,
because
one
of
the
things
that
this
public
health
and
I
really
enjoyed
everybody
talking
tonight
is
there
is
a
huge
gap
in
our
research
system.
A
huge
gap
and
that
question
who
is
doing
research
into
the
accumulation
of
toxins
in
our
tissues
was
very
simple.
We
thought
we'd
have
it
over
a
month.
L
I
was
also
on
a
national
advisory
council
for
fitness
and
amateur
sport
and
when
they
heard
what
we
were
doing,
they
said
well,
while
you're
doing
that,
would
you
look
into
how
polluted
our
Olympic
athletes
are?
So
we
started
out
and
I
will
just
say
right
now
that
I
was
shocked
as
a
mother
of
three
and
just
an
ordinary
citizen.
When
we
went
to
people
who
should
be
able
to
give
us
the
answer,
they
had
not
done
their
homework
and
it
wasn't
that
we
were
that
smart.
It
was
just.
L
We
couldn't
believe
the
answers
we
were
getting
back,
we
moved
from
this
was
in
Ottawa
and
we
moved
to
Toronto
and
immediately
I
was
asked
to
go
to
sick
kids
hospital
because
they
had
heard
of
what
we
were
doing
and
we
ended
up
going
to
st.
Princess,
Margaret,
sick,
kids,
presidents
of
universities,
you
name
it.
We
went
there
and
we
kept
on
getting
stupid
answers
for
that
very,
very
simple
question:
who
is
doing
research
into
the
accumulation
of
toxins
in
our
children?
But
we
formed
a
charity.
There
was
quite
a
bit
of
interest.
L
The
president
of
sick
kids,
hospital
encouraged
us.
We
got
a
lot
of
encouragement
and
we
were
learning
a
lot
actually
and
we
started
realizing
that
when
you
went
to
ask
researchers
about
this
sort
of
say
well,
you
know
we'd
really
like
to
do
that,
but
we
can't
get
funded
for
it.
So
we
started
looking
into
why
why
they
weren't
getting
funded
and
it
slowly
began
to?
L
We
began
to
realise
that
there
was
something
blocking
this
research
and
it
was
becoming
very
apparent
that
we
were
up
against
something
that
we
didn't
quite
understand:
I'm
not
going
to
go
on
anymore,
except
for
the
fact
we
did
get
funded
by
the
Privy
Council.
We
started
this
data
center,
they
looked
at
and
they
thought
it
was
so
simple
and
still
so
brilliant
that
no
one
would
believe
that
it
was
what's
that.
Okay,
no
one
would
believe
that
we
actually
had
put
this
thing
together.
L
They
funded
us
Health,
Canada,
funded
us
Environment,
Canada
funders,
and
we
found
out
that
our
universities
across
this
country
after
we
did
a
survey
of
every
college
and
university
in
this
country,
are
not
producing
PhDs
in
biochemical
toxicology.
They
only
work
on
fruit
flies
frogs
and
fish.
They
don't
need
to
work
on
humans.
L
This
gap,
this
gap
in
our
public
health,
is
what
you
people
are
valuing
right
now,
because
everything
that
you've
talked
to
tonight,
if
you
can't
do
research
on
our
blood
urine
and
tissue,
and
they
can't
then
we're
not
finding
out
the
causes
of
our
diseases
and
the
reason
we're
getting
sick.
There
is
one
lab
in
Quebec
City
wrap.
L
I
Thank
You
van
for
coming
out
today.
Can
I
narrow
this
down
a
bit.
You
have
given
us
the
two.
Ladies.
Thank
you
very
much
you've.
Given
us,
some
information
just
want
to
make
sure
everyone
knows
you
provided
us,
and
one
of
your
concerns
right
now.
After
all,
your
years
of
work
is
the
fact
that
there
are
some
proposals
coming
into
High
Park,
which
include
five
high-rise
buildings
and
two
mid-rise
buildings,
and
you
are
concerned
about
the
health
of
the
children
and
the
people
during
construction
and
after
construction.
Does
that
sort
of
narrow
it
down?
L
Narrows
down
is,
we
will
never
be
able
to
everybody
in
in
this
in
this
high-rise,
development
and
I,
say
everyone,
because
if
we've
been
talking
to
a
lot
of
people
are
very
concerned
about
their
health
and
and
the
pollution
that's
going
to
be
there
and
when
you
see
the
design-
and
you
see
the
the
whole
construction
of
it,
there's
one
building
going
up
right
now
and
everybody's
complaining
about
it.
The
noise
is
incredible.
L
Now
there's
going
to
be
nine
buildings,
it's
not
just
six
and
where
I
live,
there's
one
right
in
front
of
us
and
we
have
no
sunlight
anything
it.
The
whole
design
is
right
off
now.
The
reason
why
I
took
on
the
public
health
is
because
I
know
how
the
system
works
and
in
those
35
years,
I
know
how
the
structure
of
organizations,
schools,
hospitals,
work
and
I
will
be
very
honest
with
you.
L
It's
not
linked,
there's
nothing
linked
in
our
systems,
so
so
next,
what
I'm
doing
right
now
is
trying
to
help
people
understand
that
I
will
help
them
get
through.
For
instance,
we've
been
to
the
city
planners
they've
been
to
our
home.
They
leave
stayed
there
three
or
four
hours
we
also
have
had,
and
I
would
like
to
name
the
gentleman
because
he's
here
tonight
he
came
up
and-
and
we
had
an
amazing
talk
and
he
agreed
with
everything
that
we
had
put
together
and
thought.
L
I
When
I
heard,
you
are
aware
right
now,
yes,
that
you're
correct
the
the
province
who
dictates
some
of
our
planning
does
not
look
at
the
health
impact
on
people
during
construction
or
after
construction
when
it
comes
to
city
planning's
envelope
to
approve
developments.
I'm
not
saying
City
Planning
has
approved
these
applications
because
we're
still
through
that
process.
Yes,
but
you
are
you,
aren't
you
that's
what
you're
trying
to
change
that
correct?
What.
L
We
were
trying
to
do
is
bring
public
health
out
and
when
I
started
doing
my
usual
research
on
something
like
this.
As
you
know,
we
found
that
the
City,
Planning
and
and
public
health
were
separate
and
they
had
to
get
together,
and
so
we
were
able
to
get
that
together.
I've
also
been
to
be
on
to
your
news
report
and
they
were
shocked
to
find
out
that
they
had
never
ever
ever.
Had
public
health
presented
to
them
at
the
OMB,
so
there's
there's
a
picture
that
is
growing.
L
That
needs
to
be
put
back
together
and
I
think
that
public
health
should
be
number
one.
It's
low
man
on
the
totem
pole
in
Canada,
it's
shocking
how
low
it
is
in
showing
fall.
So
thank
you.
My
experience
is
a
little
strange
because
we
were
so
persistent
and
where
we
are
now
in
206,
they
cancel
us
Harper
cancelled
us
and
we
have
an
amazing
data
center
going
out
with
kids
graduate
students
from
New
York
University.
L
It
was
amazing,
we
fought
it
for
a
year
and
then
we
realized
we
were
up
against
corporations
who
do
not
want
this
research
done
so
in
being
here
today.
I'm
sharing
with
you
actually
an
experience
that
not
too
many
people
had
but
I'm.
Also
sharing
you
an
experience
that
I
would
like
to
stay
in
this
apartment
and
my
husband's
91
and
we've
had
an
amazing
life,
but
I
can't
live
in
that
place,
who
they
put
up
those
apartments,
and
neither
can
my
husband
and
neither
can
anybody
else.
N
I'm
not
the
world's
best
speaker,
but
just
a
time
to
this.
It's
really
about
what
we
don't
know
about:
reducing
health
health
risks
from
traffic
related
air
pollution
and
many
other
pollutants.
I'm
a
tenant,
that's
been
in
the
High
Park
community
in
those
high-rises
for
35
years.
We
live
in
the
largest
city
in
North
America
that
are
in
Canada
and
the
fourth
largest
in
North
America,
and
we
have
a
major
issue
with
public
health.
N
As
van
mentioned,
we
recently
were
at
a
community
meeting
which,
on
October
the
25th
and
Sara,
updated
us
on
us,
a
community
study.
That's
going
to
be
done
in
the
particularly
impacted
area
of
these
high-rise
additions,
of
which
we
currently
have
nine
buildings
in
a
couple
of
townhouses
with
the
ones
that
are
going
in
across
the
street
and
the
other
two
proposals
they'll
be
nine
more.
N
All
of
this
until
we
resolve
some
of
the
unknowns
that
we're
talking
about,
because
it
is
going
to
impact,
for
example,
vehicles
double
the
vehicles,
whether
it's
cars,
TTC
buses,
school
buses,
vans
trucks
bringing
in
loads
because
of
proposed
retail
right
within
the
setting
that
we're
in
which
will
just
compound
everything.
It'll
affect
the
the
all.
N
The
air,
of
course,
sunlight
trees,
a
provincial
park
that
we
live
just
up
the
street
from
that's
almost
four
hundred
acres
and
on
an
upset,
the
balance
of
nature
there
and
all
of
our
lives,
whether
it's
human
animal
plant
and
that
all
has
an
effect
and
creates
a
negative
impact,
and
so
the
toxins
that
are
release
that
have
been
mentioned
already
in
terms
of
impacts
on
respiratory
health,
cancer,
mutations
as
well,
and
also
acid
rain.
So
there's
a
number
of
impacts,
negative
impacts.
We
don't
see
the
benefit
of
this
for
anyone.
N
That's
living
there
to
be
quite
honest:
to
have
a
freely
recreation
center,
really
doesn't
cut
it.
When
you're
trying
to
live
your
daily
lives
and
raise
your
children
and
take
care
of
elderly
people,
we
have
daycare
centers,
we
have
a
seniors
home,
not
far
away
and
schools
and
so
on
in
the
community,
and
so
it's
just
an
appeal
to
please
address
this,
help
us
and
the
city,
because
there's
developments
all
over
the
city
to
deal
with
this
issue
of
Public
Health
and
make
our
lives
better.
Thank
you.
I
I
N
I
I
I
Are
you
aware
also
that
the
situation
we're
dealing
in
the
area
you're
talking
about
it's
not
just
construction
of?
However
many
towers
come
in
or
don't
come
in,
it's
actually
also
developed.
The
property
owners
are
having
to
redo
their
garage
roof
membranes,
which
is
why
we've
lost
far
more
trees
and
we
look
like
the
Sahara
Desert
right
now.
I
I
A
I
I
E
I
My
understanding
is,
and
again
maybe
counselors
who've
gone
through
this
more
than
I.
Have
you
can't
build
within
30
metres
of
a
railway
track,
but
I
have
a
development
coming
within
three
metres
of
the
Gardner.
So
is
that
so
that's
really
what
you're
saying
is
we
don't
have
a
distance
from
a
highway
where
people
can
build
okay,
I
sort
of
answer,
my
own
question:
I'm.
Sorry,
yes,
I,
guess
I'm
trying
to
get
a
point
across.
E
A
Have
one
question
on
one
of
the
slides
and
actually
throughout
the
report,
there's
lots
that
you
speak
about,
but
one
piece
that
I
found
them
that
could
be
really
strengthened
is
the
best
way
to
improve
reduce
emissions,
that
sources
promote,
walking,
cycling
and
public
transit,
and
the
report
is
kind
of
light
on
that
I'm.
Just
wondering.
Is
it
because
you
assumed
that
work
or
is
it
the
subject
of
future
work
at
a
future
date?.
E
Can
let
staff
add
to
this,
but
certainly
we
have
a
number
of
other
documents
and
strategies
where
we
have
tried
to
put
forward
the
notion
of
the
health
benefits
associated
with
increased
cycling,
walking
in
public
transit,
so
I
think
that's
one
part
of
the
answer
to
your
question.
However,
that
is
also
included
here
with
respect
to
traffic
related
air
pollution
that
that's
an
assumed
method
by
which
to
reduce
emissions
at
source.
Reducing
the
emissions
from
actually
happening
in
the
first
place
would
clearly
be
one
method.
M
When
you
think
of
it,
logically,
reducing
at
the
source
through
walking
or
cycling
is
the
ideal
solution
and
I
think
to
give
credit
to
those
of
known
much
more
work
on
this
and
I
have
only
lost
several
months.
The
existing
documents,
such
as
the
tenure
cycling
plan
and
the
Complete
Streets
guidelines,
transfer
tio.
M
Those
all
do
heavy
justice
to
those
reduce
the
source
policy
mechanisms,
but
to
be
fair
now
that
we
have
these
results,
I
think
that
they
will
be
ones
that
planning
and
transportation
will
use
effectively
in
promoting
those
methods
at
reducing
a
net
source.
So
it
wasn't
an
intent
to
diminish
those,
obviously
most
effective
rolls,
but
to
give
credit
for
their
previous
reports
that
have
been
done.
I.
A
K
I
I
want
to
thank
my
residents
for
coming
out,
because
this
is
a
concern.
I
know
this
report
is
more
around
near
the
highway.
We
have
a
gardener
running
across
the
south
end
of
my
ward.
We
have
made
your
roads
as
well
running
throughout
and,
yes,
we
talk
about
heavy-duty
diesel
trucks
on
the
highway,
but
we
have
these
really
really
big
trucks
right
now
lining
up
on
some
of
my
local
streets
to
take
all
that
dirt
away.
I
Right
now,
just
from
those
garage
repairs
which
are
having
to
happen
and
they
stand,
there
sit
there
and
they
idle
I'm
trying
to
find
out
can
they
idle
because
they
were
to
do
with
construction.
I,
don't
know
so
looking
into
that
we
so
it's
it's.
The
report
is
very
good
when
it
comes
to
what
should
a
building
be
like
when
it's
built,
but
our
concern
is
the
health
of
people
Wow.
I
These
buildings
are
being
built
and
also
the
health
of
the
residents
who
are
there
now
and
health
the
residents
when
they
move
in
we're
losing
light,
we're
losing
open
space,
we're
losing
I
know
it
sounds
City
sky
views,
but
by
golly.
Looking
at
the
sky
on
a
beautiful
day,
we'll
make
your
smile
make
your
healthy,
rather
than
looking
at
someone
and
see
that
there
and
some
what
they're
barbecuing
on
their
balcony.
So
it
is
going
to
change
a
lot
of
the
health
of
people.
I
I
know
that
my
residents
are
going
through
a
very,
very
stressful
time
right
now,
because
we
don't
know
what
is
going
to
be
happening
if
construction
will
be
going
on
for
the
next,
probably
seven
years
non-stop,
two
buildings
are
being
built
right
now,
garages
are
being
done
right
now.
Two
buildings
are
then
being
built.
We
have
these
two
proposals
right
now:
three
towers
and
a
mid-rise
two
towers
and
a
mid-rise
side-by-side.
I
We
know
that
something
will
be
built,
but
we
don't
know
what
will
be
built.
We
know
that
residents
are
working
with
the
developer.
We
know
we're
doing
a
character
study
of
the
neighborhood,
but
stress
is
a
killer
and
living
with
vibration
from
the
construction
living
with
the
noise
and
the
dust.
Yes,
they
can
only
build
right
now
from
7:00
to
7:00
and
I'll
tell
you,
we
I'm
sure
the
counselors
get
this.
We
get
developers
wanting
exemptions
to
go
further
into
the
night
further
into
the
weekends
I.
I
Don't
support
those,
because
residents
right
now
have
to
already
closed
their
windows
and
some
not
everyone,
has
air-conditioning
in
amis
summer
when
you've
got
all
this
construction
going
on.
That's
not
good
for
anyone.
I
read
into
this
report
that
we
want
to
get
more
people
walking.
We
want
to
get
more
people
riding
their
bikes.
We
want
to
get
people
out
of
cars
by
reading
that
and
I'm
not
going
to
put
words
into
anyone's
mouths
here.
I
I
think
we'd
be
supporting
transit,
which
allows
more
people
to
walk
to
the
transit,
whether
it's
light
rail
transit,
where
you
can
walk
to
your
station
rather
than
having
to
get
in
your
car
and
drive
to
a
parking
lot
to
get
on
the
transit.
That's
what
I
think
is
a
healthy
City
not
having
to
get
in
your
car
to
get
to
your
transit.
You
can
go
on
your
bike.
You
can
park
your
bike
up
a
subway.
You
can
park
your
bike,
hopefully
at
light
rail
to
get
downtown
or
wherever
you're
going.
I
The
brake
pads,
just
tired,
crud,
dirt,
dusting
I,
know,
there's
technical
terms
for
these
I
call
these
the
sucky
ones:
okay,
I'm,
getting
really
down
to
nitty-gritty
I
call
those
a
sucky
ones.
The
other
kind
of
street
sweeper
we
have
is
the
ones
of
those
big
rotor
things
which
should
get
all
the
dirt
and
soil
out
of
our
curbs,
which
means
then,
in
my
world
we
wouldn't
have
foot
high
weeds
growing
in
the
summertime,
and
it
would
mean
the
leaves
that
weren't
there
for
covering
the
sewer
grates,
which
then
causes
flooding.
I
I
Do
your
dirt
your
leaves,
and
then
you
can
go
back
and
pick
up
all
these
particles,
which
also
aren't
healthy
for
people,
so
I've
got
a
sucky
and
I
got
the
spinny
things:
okay,
I'm,
not
a
technical
person,
I'm,
not
an
engineer
I'm
just
me.
So
thank
you
for
this
report.
It
is
a
good
report.
I
think
it
does
go
further
and,
as
I
say,
I
have
a
high-rise
buildings,
probably
another
two
coming
in
which
are
within
three
meters.
Their
building
is
within
three
meters
of
a
garden
of
expressway.
I
The
city
tried
to
get
five
meters
and
we
weren't
getting
it
for
health
reasons.
We
were
getting
it
for
maintenance
reasons,
so
we
could
actually
get
in
and
fix
the
highway.
Little
thing
called
the
OMB
building
was
put
three
meters
away.
So
there's
a
lot
of
things
we
need
to
do.
We
do
need
to
work
with
planning.
We
do
need
to
improve
where
buildings
are
built.
We've
got
daycares
being
put
in
buildings
as
I
say.
I
You
know
just
several
hundred
meters
away
from
these
highways
seniors
homes,
other
places
so
great
report
for
a
start,
still
a
long
way
to
go
with
my
residents.
We
welcome
at
health
aspect
but,
as
you
both
know
right
now,
there's
no
provision
in
any
bile
or
any
level
of
government
to
allow
us
not
to
build
because
of
health
reasons.
The
same
as
we
can't
not
build
because
there
are
schools
are
overflowing,
but
if
we
don't
ask
we
don't
get
so,
let's
keep
it
bugging
different
levels
of
government.
Thank
you
both
very
much.
A
A
A
Basically,
it
is
to
include
the
words
and
also
reiterated
support
for
a
living
wage.
That's
been
a
debate,
that's
at
the
provincial
level.
Right
now,
we
have,
as
council
already
indicated,
our
support
for
the
$15
minimum
wage,
and
this
is
in
that,
in
line
with
that,
what
council
has
already
approved
and
the
other
questions
on
this
seeing
none.
This
is
addressing
food
insecurity
in
Toronto,
all
in
favor
posts
of
any
that's
carried.
A
A
Strong
neighborhood
strategy,
transformative
economic
development
in
Toronto
resiliency
strategy,
so
that
the
new
council,
when
it
comes
together,
will
have
a
coherent
piece
and
will
be
able
to
take
it
to
the
next
level.
I
think
we've
done
a
lot
of
good
work
with
the
first
iteration
of
the
urban
food
policy
for
Toronto.
We
need
to
take
it
up.
A
notch,
I
think
who
need
to
move
from
the
pilot
and
the
experimental
to
the
more
systemic
and
the
more
broad-based
I
think
that's
the
challenge
before
us.
A
This
is
a
great
report
on
what
we've
done
to
date.
We
can
celebrate
a
lot
of
good
things,
and
now
we
have
to
move
beyond
the
pilots
to
see
how
we
can
do
system-wide
changes
in
the
food
strategies.
That's
what
this
motion
tries
to
encourage,
tries
to
put
before
staff
to
do
over
them
and
to
think
through
over
2018
into
2019.
A
Anybody
else
wish
to
speak
on
it.
They
say
none
all
in
favor
of
the
motion
opposed
if
any
that's
carried
that
takes
us
to
the
end
of
the
agenda.
But
may
I
just
say
this:
just
before
people
leave
we
do
have
Peter
Wong
is
our
representative
on
Alpha.
There
is
an
alpha
meeting
in
alpha.
Is
the
association
of
local
public
health
agencies?
There's
a
meeting
this
Friday?
A
That
is
happening,
and
it's
here
in
Toronto.
If
anyone
would
like
to
go,
you
can
go,
you
will
learn
a
lot
and
also
be
able
to
bring
for
the
Toronto
a
perspective
I've
the
agenda
here.
If
that
entices
you
feel
free,
we
will
find
a
way
to
get
you
there,
even
though
it's
in
Toronto,
okay.
Thank
you.
This
meeting
is
adjourned.
Thank
you.
Everyone.