►
From YouTube: Board of Health - November 16, 2020
Description
Board of Health, meeting 23, November 16, 2020
Agenda and background materials:
http://app.toronto.ca/tmmis/decisionBodyProfile.do?function=doPrepare&meetingId=17095
A
A
Today's
meeting
is
being
held
by
video
conference
city
staff
are
also
connecting
to
the
meeting
by
video
conference
at
city
hall
remains
closed.
The
public
will
continue
to
participate
electronically
and
can
watch
the
meeting
streaming
live
at
youtube
at
youtube.com
toronto
city
council
live
and,
of
course
I
ask
everyone
for
their
patience
with
any
delays
and
technical
issues.
A
Although
we
are
in
different
locations
and
meeting
remotely
today,
the
board
of
health.
Our
board
of
health
would
like
to
acknowledge
that
the
land
we
are
meeting
on
is
the
traditional
territory
of
many
nations,
including
the
mississaugas
of
the
credit,
the
anushnabe,
the
chippewa.
The
haudenosaunee
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.
A
A
If
you
have
an
interest
I'd
ask
now
for
you
to
raise
your
hand
and
indicate
so
okay
seeing
none.
We
need
a
motion
to
confirm
the
minutes.
From
our
last
board
of
health
meeting
on
october,
the
19th
2020
moved
by
trustee
donaldson,
all
those
in
favor
by
way
of
a
show
of
hands
opposed.
If
any
that
carries.
Thank
you
now
I
having
caucused
board
members.
A
It
appears
that
we
will
have
quorum
until
about
1
pm,
and
so
with
that
in
mind,
given
the
the
urgent
need
to
address
all
of
the
items
in
front
of
us,
as
well
as
our
desire
and
to
hear
from
all
those
who
have
registered
to
speak,
I
would
like
to
to
move
a
motion
that
for
those
speaking
public
deputies
and
for
questioning
of
public
deputies,
that
the
the
time
limit
be
set
at
three
minutes.
Of
course,
in
questions.
A
A
A
Okay,
if
there
is
so,
we
can
then
deal
with
this
quickly.
So
if
on
the
amendment
can
be
placed
on
the
screen
and
the
amendment
for
item
hl
23.3
is
that
the
board
of
health
direct,
the
medical
officer
of
health
to
allocate
and
spend
any
funds
necessary
for
the
coveted
19
response
and
in
the
event
that
such
spending
exceeds
the
approved
2021
operating
budget
to
report
with
recommendations
on
seeking
reimbursement
from
the
provincial
government.
A
The
budget
in
front
of
us
at
345
million
dollars
for
2021
is
57
million
over
last
year's
budget
and,
while
we're
asking
city
council
to
approve
that
every
indication
has
been
provided
that
the
province
will
cover
it.
But
my
amendment
here
is
to
direct
our
moh
to
spend
additional
funds
as
necessary
and
to
seek
reimbursement
from
the
province.
A
Okay,
seeing
concurrence
so
we'll
take
the
amendment
and
the
staff
recommendations
as
a
package,
all
those
in
favor
opposed
if
any
that
carries.
So
that's
a
then
the
item
hl,
23.4
toronto,
public
health,
2021-2030
capital
budget
and
plan
request.
Would
anybody
like
to
hold
down
that
item
okay,
seeing
none
counselor
layton?
Would
you
like
to
move
that?
A
A
A
Would
anybody
like
to
hold
down
that
item?
Okay,
seeing
none?
Would
somebody
like
to
move
that
moved
by
trustee
le
pretty
all
those
in
favor
opposed
if
any
that
carries
okay?
So
we
will
return
to
the
first
item
and-
and
I
would
just
note
for
for
members
of
city
staff
and
our
tph
team,
if
you'd
like
to
keep
your
videos
off,
not
that
we
don't
love
seeing
you
gail
and
gourd,
you
guys
are
the
best.
I
will
just
make
our
managing
this
a
little
bit
easier.
Virtually.
A
A
B
Thank
you,
mr
chair
and
good
morning,
everybody
to
not
waste
any
further
time.
We
have
a
presentation
for
you
here
on
our
response
to
covid19.
First
half
of
the
presentation
is
going
to
be
conducted
by
my
colleagues
from
our
data
team.
I'm
going
to
hand
it
over
to
them
and
I'll
do
the
last
half
of
the
presentation.
C
C
Thank
you,
okay!
So
I'm
just
going
to
start
us
off
again
bringing
us
back
to
our
current
counts
and
totals
this
is
the
infographic
that
we've
shared
before
that
shares
the
most
current
numbers
for
our
key
metrics
and,
as
you
can
see,
as
of
yesterday
at
2pm,
when
we
learned
of
an
additional
538
new
cases,
our
total
reported
case
count
has
now
reached
35
130
cases
since
the
beginning
of
the
pandemic.
C
C
C
This
particular
epidemic
curve
also
shows
the
outbreak
cases
which
are
the
gray
parts
of
the
bar
and
the
more
community
are
sprouted
cases.
The
blue
parts
of
the
bar
since
january
highlighting
some
key
time
points
where
public
health
measures
were
introduced
along
the
way
you
can
see.
Also,
the
recent
highs
and
case
counts
that
we've
been
aware
of,
and
a
distinct.
Second,
wave
are
also
quite
evident
in
this
view
of
our
epidemic
curve.
C
So,
looking
more
closely
at
the
overlay
dates,
we
do
want
that.
We
see
throughout
the
course
the
pandemic.
You
can
see
that
changes
have
been
made
at
different
times
to
respond
to
disease
activity,
whether
it's
increases
or
decreases.
What
is
apparent
from
overlaying.
These
key
dates
on
this
particular
version
of
our
ethnic
curve
is
that
it
takes
approximately
three
to
four
weeks
to
see
the
impacts
of
interventions.
C
For
example,
we
can
see
at
the
beginning
of
august
when
toronto
had
just
moved
into
stage
three,
and
things
were
more
fully
opening.
Approximately
four
weeks
later,
the
beginning
of
september,
we
started
to
see
an
increase,
significant
increase
in
our
reproductive
number,
which
again
captures
how
many
people
each
case
is
in
fact
had
started
to
increase
to
1.3
and
our
pieces
started
to
climb
not
about.
C
Fourth,
later
at
the
beginning
of
october,
we
began
to
see
a
concerning
enough
surge
in
cases
being
reported
to
toronto
public
health
that
we
on
october
10th
moved
into
a
modified
stage
too,
with
additional
restrictions,
you'll
see
also
at
the
beginning
of
november.
Here
that
we've
estimated
our
reproductive
number
now
to
hover
around
one
and
has
been
hovering
around
since
that
time.
However,
with
daily
weekly
cases
so
high,
any
decline
of
reports
over
time
will
be
very
slow.
C
What
is
more,
concerning
and
is
being
seen
also
in
this
graph
and
touch
upon
a
little
bit
of
the
other
slides
is
the
cases
related
to
outbreaks
are
starting
to
creep
up,
and
we
will
see
that
these
are
primarily
driven
by
activity
in
long-term
care
homes.
So
I
just
want
to
remind
us
every
time
we
see
the
two
waves
together
on
one
graph,
that
any
differences
in
criteria
for
lab
testing
and
case
binding
or
the
ability
to
detect
cases
does
impact
how
we
interpret
the
data.
C
So
let's
go
to
the
next
slide,
please,
okay!
So
this
slide
here
is
one
that
uses
modeling.
We
introduced
the
watercolors
to
that
a
couple
of
meetings
ago
and
excuse
me,
was
developed
by
a
research
colleague
at
york,
university's
lab
for
industrial
and
applied
mathematics,
dr
wu
and
his
team,
and
thank
them
for
this,
and
this
model
and
the
output
of
it
shows
the
up
to
october
25th
2020.
So
uses
case
data
until
that
time
and
what
is
called
a
transmission
dynamics
model
for
coving.
C
So
in
simple
terms,
it
it
looks
at
different
states
of
illness
and
how
population
moves
between
these
different
buckets
of
states
from
from
not
being
from
being
fully
susceptible
all
the
way
to
being
ill.
I
won't
go
into
the
specifics,
but
I
will
draw
your
attention
to
what
it
is
showing
us
about
changes
of
the
average
number
of
contacts
each
person
has
had
per
day
in
toronto
over
time
and
that's
the
main
takeaway.
We
wanted
to
use
this
figure
to
share.
C
So
really
the
takeaway
here
for
us
is
that
there
is
evidence
that
we
have
been
adapting
our
behavior
since
the
october
10th
measures
were
put
into
place,
resulting
in
a
drop
in
the
average
number
of
cases,
and,
while
we've
had
some
high
case,
count
dates
in
the
last.
While
we
can
look
at
this
model
to
understand
how
it
is
that,
despite
these
counts,
in
recent
periods,
we've
not
seen
the
explosive
and
exponential
votes
that
has
been
recorded
from
other
jurisdictions
in
their
second
raids,
especially
parts
of
europe.
C
C
So
here
we're
switching
to
a
view,
that's
familiar
to
this
group,
and
this
is
the
neighborhood
view
again,
and
this
map
shows
the
data
that
was
introduced
to
the
board
of
health
last
meeting
by
my
colleague,
sarah,
and
this
shows
the
percent
positivity
and
captures
the
week.
Excuse
me
with
the
most
recent
complete
data
that
we
have,
which
is
the
week
ending
october.
The
31st
excuse
me.
C
If
we
look
at
thorncliffe
park,
in
contrast,
we
can
see
that
the
percent
positivity
is
high.
Almost
12
case
rates
are
high.
However,
the
testing
rates
are
low
when
you
compare
them
to
the
rest
of
toronto,
this
would
suggest
that
for
florida
park
they
could
benefit
from
increased
testing
in
order
to
quickly
detect
cases
and
notify
close
contacts
just
end
up
to
further
promote
self-isolation
for
disease
production
and
transmission
reduction.
C
The
next
slide,
please,
okay,
so
we're
switching
our
view
to
another
way
to
look
at
our
virus,
and
this
is
a
heat
map
of
age
groups
and
their
specific
positivity
rates
across
time.
These
are
fairly
recent
data
for
us
and
we
wanted
to
share
them
with
you
today,
and
so
what
this
shows
is
that,
where
the
color
is
darker,
the
percent
positivity
is
higher
and
just
quickly
to
make
sure
we're.
Reading
this
all
the
same
way
from
left
to
right
horizontally
is
time.
C
They're
not
provided
here,
but
I
can
let
I
can
confirm
that
when
those
are
considered
this
age,
these
age
groups,
the
14
to
17
specifically,
is
an
increasing
age
group
and
is
starting
to
see
increased
virus
activity
or
case
reports.
Certainly,
and
so,
as
this
age
group
does
provide
support
for
some
of
our
frontline
jobs
that
may
be
exceedingly
exposed
to
virus
circulating
in
the
community.
This
is
not
entirely
unexpected.
C
C
C
That
percolates
back
up
in
terms
of
rate
is
the
20
to
29
year
old
age
group,
who
has
really
been
the
highest
who's,
had
the
highest
rates
through
most
of
the
second
week
or
pretty
much
since
the
stage
three
reopening,
I'm
just
gonna,
go
to
the
next
line.
Please
thank
you.
So
this
is
my
last
slide,
which
is
trying
to
just
bring
back
a
few
of
the
points
together
that
I've
made
so
far,
and
this
particular
one
summarizes
what
we
know
related
to
settings
that
are
contributing
to
our
outbreak
cases.
C
C
C
So
for
us,
this
further
suggests
that
infection
control
measures
are
working
in
schools
and
the
and
the
increase
in
case
reports
in
our
communities
would
certainly
increase
the
probability
that
an
infectious
child
or
a
staff
member
could
arrive
at
school
at
any
time.
However,
this
looks
like
this
has
been
successfully
contained
so
far.
C
We
do
believe
this
is
a
part.
This
isn't
part
of
reflection
of
our
close
partnership
with
the
schools
and
school
boards.
It
also
reflects
our
outbreak
response
teams
and
their
work
with
each
school
to
investigate
each
and
every
case,
and
we
certainly
have
benefited
from
the
provincially
funded
temporary
tph
nurses
to
support
schools.
C
C
D
Thank
you,
effie.
I'm
going
to
take
a
few
minutes
today
to
take
you
through
some
of
the
updates
and
findings
from
our
work
on
coping
19
and
the
social
determinants
of
health,
mental
health
and
well-being.
So
if
you
could
just
move
to
the
next
slide,
please
on
may
20th
toronto
public
health
started
asking
those
with
reported
copa19
infections
about
their
indigenous
identity,
ethno-racial
group
income
and
household
size.
D
D
You
can
find
more
details
on
data
collection,
the
limitations,
the
findings
on
our
website,
and
so
I
would
encourage
you
to
look
on
our
website
for
the
full
list
of
updates,
but
I
just
wanted
to
highlight
a
few
key
results
here.
So
79
of
people
with
reported
coven
19
infection
identify
with
a
racialized
group,
while
racialized
groups
comprise
52
percent
of
the
population.
D
D
D
D
D
D
As
you
heard
in
the
report,
we
presented
at
the
last
board
of
health
meeting
a
key
message
from
our
community
consultations,
with
the
importance
of
engaging
with
community
on
how
best
to
communicate
and
share
data.
So
developing
equity
indicators
is
a
great
opportunity
to
ensure
that
our
equity
related
covert
measures
are
supportive
and
reflect
community
experiences
that
they
can
inform
constructive
action
that
they
do
not
stigmatize
or
cause
harm.
D
D
D
D
So
in
the
poll,
respondents
were
asked
how
their
current
mental
health
and
well-being
compares
to
mid-march
at
which
is
the
height
of
the
first
lockdown,
when
non-essential,
businesses
and
schools
were
closed,
and
so,
if
we
look
at
the
graph
on
the
left-hand
side
here,
we
can
see
that
toronto
residents
are
now
more
likely
to
say
that
things
have
gotten
worse.
That's
the
33
percent
in
orange,
then
better,
which
is
the
blue
section,
and
just
under
half
are
saying
that
there's
been
no
change
in
their
mental
health.
D
I
would
like
to
draw
your
attention
to
the
box
on
the
right,
so,
if
we're
looking
at
this
table,
the
left-hand
side
is
the
response
to
the
question
about
how
people
would
rate
their
mental
health
compared
to
mid-march.
So
we
see
here
as
much
and
slightly
better
about
the
same
and
slightly
and
much
better.
B
Thank
you,
sarah,
and
thank
you
effie,
very,
very
much
for
that
excellent
presentation,
both
of
you
on
all
the
data.
I
will
take
us
through
the
final
stretch
of
the
presentation,
and
this
is
to
tell
you
a
little
bit
about
the
context
within
which
all
these
circumstances
are
happening
and
where
the
data
occurs.
So,
as
we
know,
the
ministry
of
health
recently
released
an
updated
version
of
a
now.
I
think
well-publicized
19
response
framework.
B
B
B
Also
all
aim
towards
reducing
covid19
spread,
whether
it's
working
from
home
wherever
possible,
looking
at
heating
and
ventilation
systems
to
ensure
that
they're
in
good
working
order
and
ensuring
that
measures
are
in
place
to
optimize
occupational
health
and
safety
measures
and
infection
prevention
and
control
measures
in
order
to
really
mitigate
the
risk
that's
presented
by
covid19.
So
these
are
the
kinds
of
strong
recommendations
and
instructions
that
were
provided
for
over
and
above
the
what's
articulated
in
the
red
zone
of
the
framework.
B
Turning
to
the
next
slide,
though,
there
were
some
other
measures
that
needed
to
be
taken,
in
our
estimation,
to
control
risk
and
to
mitigate
risk,
and
these
additional
measures
required
the
issuance
of
orders
under
section
22
of
the
health
protection
and
promotion
act.
So
in
particular
those
orders
were
issued
in
order
to
restrict
dining
and
to
continue
the
prohibition
on
indoor
dining,
a
known
area
of
risk,
given
that
it
fits
the
three
seas
that
closed
space,
close
contact
and
crowds,
particularly
without
a
mask.
B
Hence
it's
an
environment
that
gives
rise
to
risk
as
well.
The
order
moved
to
ensure
that
meeting
and
event
spaces
remain
closed
and
casinos,
bingo
halls
and
other
gaming
establishments,
and
it
also
extended
a
prohibition
on
indoor
group,
fitness
and
exercise
classes
again,
through
our
experience
and
through
the
literature
known
risks
for
covid19
transmission.
B
B
Turning
to
the
next
slide,
just
a
little
focus
on
long-term
care
homes.
You'll
have
seen
through
the
data
that
effie
presented
so
clearly
that
there
are
challenges
there
were
challenges
in
wave
one.
There
continue
to
be
challenges
in
this
resurgence
period
within
long-term
care
homes.
The
province
did
launch
a
commission
to
investigate
the
spread
of
covet-19
within
these
environments,
and
we
at
toronto.
B
The
next
slide
just
brief,
a
brief
summary
and
a
little
bit
of
a
highlight
on
what's
happening
with
respect
to
covet.
19
vaccine
you'll
have
heard
that
the
city
has
established
a
covet,
19
immunization
task
force
co-led
by
us
at
toronto,
public
health
and,
in
particular,
under
the
leadership
of
dr
michael
finkelstein,
one
of
my
colleagues
and
associate
medical
officers
of
health
as
well.
B
We
have
representation
from
and
leadership
from
toronto
fire
services,
in
particular
chief
jim
jessup,
acting
chief
jim
jessup
who's,
covering
now
for
chief
pegg
and
chief
gord
mckechn
as
well
from
toronto
paramedic
services
and
our
colleagues
at
the
emergency
operations
center.
This
is
a
herculean
effort.
It
is
a
massive
massive
undertaking.
B
There
are
roles
for
all
three
levels
of
government
to
play.
Those
are
articulated
on
the
slide
here
in
the
interest
of
time.
I
will
not
belabor
the
point,
but
suffice
it
to
say
that
I
believe
we're
in
good
hands
with
our
immunization
task
force
here
at
the
city
there
are
components
and
significant
components
that
need
to
be
managed
at
the
federal
level
and
at
the
provincial
level
we
are
certainly
seeking
to
be
as
influential
as
we
can
be
at
with
respect
to
those
orders
of
government.
But
from
a
city
perspective.
B
I
would
assure
members
of
the
board
that
we
are
working
very
hard
with
our
partners
to
make
sure
that
everything
that
we
can
do
and
all
that's
under
our
control
is
as
well
managed
and
as
prepared
as
we
can
be
for
when
a
covid19
vaccine
is
available
for
use
and
deployment
a
little
bit
more
on
the
vaccine
is
on
the
next
slide.
We
know
that
there
are
over
200
vaccines
in
development
worldwide.
B
This
was
as
of
october,
our
expectation,
and
certainly
there's
lots
of
you
know
hope
on
the
horizon-
that
the
first
doses
of
vaccine
could
be
delivered
in
that
first
quarter
of
next
year.
We
know
that
there
are
many
conversations
happening.
The
expectation
is
that
the
earliest
supplies
of
vaccine
would
be
administered
to
highest
risk.
You
know
population
specific
sub-populations
identified
by
the
province,
and
it
will
take
time
before
broader
public
access
will
be
available.
B
Pfizer
in
particular,
announced
just
a
few
days
ago
that
their
vaccine
appears
to
show
good
effectiveness,
high
level
effectiveness,
90
percent,
in
particular,
seven
days
after
the
second
dose
of
vaccine,
and
today
in
the
news,
our
moderna
is
reporting
a
95
effectiveness,
two
weeks
after
the
second
dose
of
vaccine,
so
certainly
lots
of
hope
on
the
horizon,
and
we
are
looking
forward
to
that.
Even
though
we
recognize
that
the
administration
of
the
vaccine
is
a
significant
undertaking,
the
next
few
slides
I
won't
linger
on.
They
are
all
about
the
recommendations
in
the
report.
B
My
hope
is
that
the
report
itself
and
the
presentation
gives
you
a
sense
as
to
why
these
recommendations
are
being
put
in
front
of
you
for
your
consideration
and
your
deliberation.
So
I
won't
go
over
each
of
the
recommendations
here
in
the
interest
of
time.
There's
one
more
slide
of
recommendations
there.
I
will.
B
You
know
the
the
teleconferences
that
I
participate
on.
I
look
at
my
email.
That's
going
all
the
time,
and
I
see
that
my
colleagues
all
throughout
public
health,
toronto,
public
health
are
really
doing
heroic
work
every
single
day
and
there
is
not
a
break.
It
doesn't
matter
whether
it's
saturday
or
sunday,
they
are
just
at
it
all
the
time.
B
B
Everybody
is
really
just
working
flat
out
doing
their
very
very
best
to
manage
what
is
truly
an
unprecedented
challenge,
and
I,
I
simply
cannot
say
thank
you
enough
times
for
all
the
work
that
the
team
at
toronto
public
health,
the
incredible
team
at
toronto,
public
health
is
doing,
and
I
just
would
hope
that
you
join
me
in
that
thanks.
I
I
do
think
that
they
face
no
shortage
of
challenge,
but
I
continue
to
be
inspired
and
amazed
at
the
ability
of
our
team
to
meet
whatever
challenge
is
placed
in
front
of
them.
B
They
continue
to
just
keep
digging
deep,
no
matter
what
and
and
providing
the
best
service
available
so
to
the
team
at
toronto,
public
health,
to
all
of
you,
regardless
of
what
role
you're
in
you
know,
what
position
you
hold,
what
directorate
you
hail
from,
normally
whether
you're
working
on
the
ground
at
home
in
front
of
a
computer
in
front
of
a
client
whatever
it
is
that
you
do.
Thank
you
for
all
that
you
do
so
with
that.
Mr
chair,
I'm
going
to
turn
it
back
to
you
and
we'll
continue
on.
A
Well,
listen
and
before
we
we
do
carry
on.
Let
me,
on
behalf
of
the
board,
thank
you,
dr
davila,
along
with
your
entire
2000
plus
strong
tph
team,
for
the
determination
for
the
tireless
work
and,
most
importantly,
for
the
compassion
in
which
you
and
your
team
do
this
every
single
day.
It's
that
compassion
that
will
get
us
through
this.
So
thank
you.
A
A
A
E
E
You
people
were
unwilling
to
spend
even
five
seconds
addressing
any
of
the
questions
that
I
raised
and
I
I
couldn't
believe
it.
This
was
after
I
listened
to
people
congratulating
themselves
for
their
so-called
data
driven
and
transparent
process.
This
is
not
transparency.
This
is
not
accountability
to
the
public.
E
E
E
In
three
sets
of
testing
data
compiled
by
officials
in
massachusetts,
new
york
and
nevada,
up
to
90
of
people,
testing
positive
carried,
barely
any
virus,
a
review
by
the
times
found,
and
they
go
on
to
explain
that
this
means
up
to
90
percent
of
those
tests.
At
least
these
were
so-called
positive
results.
E
E
Even
if
the
pcr
test
only
detects
true
positives,
it
remains
to
be
seen
whether
the
person
can
infect
others
or
even
if
the
virus
is
still
infecting
the
very
person
carrying
the
virus.
Insufficient
attention
may
have
been
paid
to
how
pcr
results
relate
to
disease.
The
relation
with
infectiousness
is
unclear,
and
more
data
are
needed
on
this.
E
E
A
A
A
Thank
you
very
much,
I'm
afraid
in
the
way
this
works
is.
We
have
questions
for
you
and
we
we
saw
none.
Thank
you,
mr
clerk.
I'm
gonna
have
to
ask
move
to
the
next
speaker
now.
This
is
the
opportunity
again
for
public
members
of
the
public
to
speak
to
the
board
and
if
we
have
questions
for
you,
our
next
speaker
is
the
member
of
provincial
parliament
for
humber
river
black
creek.
That
is
mpp
tom
rakosovic
tom.
Do
we
have
you
on
the
line?
A
F
F
The
latest
modeling
data
released
by
the
province
of
ontario
shows
that
by
the
end
of
december,
without
immediate
intervention,
the
province
of
ontario
will
see
more
than
6
500
new
covet
19
cases
per
day.
According
to
the
modeling
data,
we
could
see
more
than
400
people
in
intensive
care
units
across
ontario.
F
Based
on
these
numbers,
it
is
clear
that
the
ontario
government
must
take
action.
Doing
nothing
is
not
an
option.
People's
lives
are
depending
on
it.
The
one-size-fits-all
approach
that
the
ontario
government
has
employed
so
far
to
stop
the
spread
of
coven
19
in
some
of
the
hardest
hit.
Neighborhoods
like
many
in
my
riding,
simply
will
not
work.
F
If
we
want
to
have
any
hope
of
reversing
this
trend,
then
the
ontario
government
needs
to
provide
direct
funding
to
public
health
units
like
toronto,
public
health
for
targeted
resources
to
fight
the
pandemic
in
the
communities
that
have
been
hardest
hit
by
covet
19..
These
calls
are
not
new.
They
are
something
that
I,
my
ontario
ndp.
Colleagues
and
local
community
health
organizations
have
been
urging
the
ontario
government
to
commit
to
for
months.
F
Despite
these
calls,
the
ontario
government
did
not
include
any
new
funding
for
public
health
units
in
their
2020
budget,
which
they
just
released
over
a
week
ago.
According
to
toronto,
public
health
data
neighborhoods
in
northwest
toronto,
like
in
my
community
of
humber
river
black
creek,
have
been
hardest
hit.
Many
neighborhoods
in
my
community
have
had
a
positivity
rate
of
more
than
10
percent
amongst
those
who
have
been
tested.
This
is
due
to
the
socio-economic
determinants
of
health
and
the
very
structure
of
our
communities.
F
Data
from
toronto,
public
health
also
shows
that
nearly
80
percent
of
covet
19
cases
in
toronto
up
to
september
30th,
were
amongst
individuals
who
are
racially
marginalized.
I
want
to
thank
toronto
public
health
for
their
leadership
in
releasing
this
data.
Many
residents
in
northwest
toronto
again
come
from
racially
marginalized
communities
and
are
low
income
and
essential
workers
or
front
line
health
workers.
They
work
the
kind
of
jobs
where
they
simply
cannot
work
from
home.
The
very
nature
of
their
jobs
put
these
residents
more
at
risk
of
contracting
kovid
19.
F
many
live
in
small
multi-generational
homes,
where
many
different
languages
are
spoken.
If
any
of
these
residents
were
to
be
infected
with
kova
19,
it
can
very
easily
spread
to
the
rest
of
their
household.
This
is
why
one
important
item
that
for
months,
community
health
organizations
and
I
have
been
asking
for
is
to
fund
and
establish
community
liaisons
to
fight
covet
19
on
the
ground.
These
individuals
would
ensure
that
their
information
reaches
everyone
in
a
timely
way
in
their
mother
tongue.
The
more
that
people
are
able
to
receive
and
understand
the
information.
F
The
more
people
will
be
able
to
take
the
necessary
action
to
slow
down
the
spread.
Last
month.
I
asked
the
government
this
at
the
select
committee
for
emergency
management
oversight
and
in
fact
the
solicitor
general
said
that
the
suggestion
was
in
fact
reasonable,
but
we
have
yet
to
see
a
single
dollar
put
towards
community
liaisons
by
the
provincial
government.
As
I
said
earlier
just
over
a
week
ago,
they
had
an
opportunity
to
do
so
in
the
budget,
but
they
simply
chose
not
to.
F
I
came
here
today
to
once
again
repeat
my
call
to
the
provincial
government
to
provide
the
direct
funding
to
public
health
for
the
targeted
resources
like
community
liaisons
that
are
needed
to
help
flatten
the
curve
and
the
communities
that
have
been
hardest
hit
by
the
pandemic.
The
provincial
modeling
data
shows
that
we
can
no
longer
wait.
The
ontario
government
needs
to
step
up
now.
Our
communities
are
counting
on
us.
Thank
you.
A
G
Thank
you
very
much
chair
and
thank
you
mpp
for
your
deputation.
I
could
hear
the
the
frustration
in
your
voice
and
I'm
sorry
that
this
has
been
such
a
difficult
process
for
for
yourself
and
the
community
that
I
know
you
represent.
You
know
I
know
you
work
very
hard
to
represent.
Obviously
the
board
of
health
is
has
to
make
appeals
to
the
province.
G
This
is
not
something
we
can
do
without
the
provincial
participation
as
well
as
cooperation,
but
I
I
find
it
a
little
bit
troubling
that
you're
here
at
the
toronto
board
of
health,
hoping
to
reach
the
province
is
there
anything
specifically.
You
would
like
us
to
table
at
this
new
meeting
to
support
your
work
at
queen's
park.
F
Thank
you
so
much
councillor
well.
First
of
all,
I
think
toronto
public
health
are
doing
an
excellent
job
in
fighting
this,
and
you
know
the
official
opposition
to
myself
we're
taking
every
opportunity
to
push
for
more
direct
funding
to
toronto.
Public
health,
as
we
know,
over
a
billion
dollars,
was
cut
in
a
recent
budget
prior
to
this
one
from
your
unit
in
public
health
units
across
the
province.
G
F
F
They
have
said
that
it's
reasonable,
but
they
have
not
put
any
dollar
figure
to
supporting
it.
So
it
seems
that
in
principle,
people
will
agree
with
this,
but
but
the
government
is
not
moving
to
make
it
a
reality.
We've
seen
some
form
of
that
with
local
health
groups
like
blackbeard
community
health
center
that
are
doing
an
excellent
job
locally
to
in
fighting
covet
19,
but
what
they
need
is
more
direct
funding.
F
A
Okay,
seeing
none!
Thank
you
very
much
tom.
Our
third
speaker
on
this
item
and
as
a
heads
up
for
after
words
will
is
our
third
speaker.
Excuse
me
is
faisal
hassan,
the
member
of
provincial
parliament
for
york,
southwestern,
and
so
that
you're
aware
the
speaker
after
is
josh
fullen
from
maximum
city
mpp
hassan.
Do
we
have
you
there.
H
Thank
you.
Thank
you
for
the
opportunity
to
speak
this
morning
to
the
covet
19
response
and
how,
in
particular
it
affected
and
continues
to
affect
my
riding
of
york
southwestern.
It
has
been
said
that
you
are
postal
code
matters
as
much
as
your
genetic
code
when
it
comes
to
being
hit
by
coveted
19.
dresses.
H
Tom
suggested
that,
where
you
live
or
where
you
don't
have
a
home
is
a
critical
factor
affecting
health.
That
terms
of
report
on
covet
pointed
out
that
communities
like
mine,
where
lower
income
and
racialized
workers,
often
don't
have
the
luxury
of
working
from
home
or
at
a
much
higher
risk.
Yorkshire
boston,
is
harm
to
many
frontline
essential
workers,
bsw's
nurses,
cleaners,
service
and
transit
workers
are
those
who
have
relied
on
to
continue
working
throughout
the
pandemic.
H
Those
workers,
along
with
socially
and
economically
disadvantaged
groups,
seniors
women
and
disabled
people
are
bearing
the
full
brand
of
the
dandamic.
It
takes
all
three
levels
of
government
working
in
coordination
with
each
other
to
effective,
effectively
protect
citizens
and
deal
safely
with
this
pandemic.
I
thank
toronto
public
health
for
the
facing
the
challenges
task
of
navigating
this
crisis
and
trying
to
work
with
provincial
and
federal
levels
to
meet
the
needs
of
communities.
As
member
provincial
parliament,
my
office
has
been
hearing
the
troubling
stories
of
community
members
and
businesses
struggling
through
the
covered
bengal.
H
Our
offices
try
to
assist
the
best
we
can
and
as
an
np
as
a
mpt.
I
have
been
advocating
for
the
chat
for
the
changes
I
believe
have
been
needed.
That
requires
communicating
concerns
with
the
federal
provincial
and
municipal
levels
of
government.
Many
lessons
have
been
learned
and
the
work
continues
as
clearly.
We
are
in
the
middle
of
a
devastating
second
wave,
with
record
covet
case
numbers
being
recorded.
I
would
like
to
touch
some
of
the
difficulties
my
community
has
faced.
H
The
return
to
school
planned
by
the
provincial
government
was
very
poorly
planned
out
in
september
since
to
arrive
as
a
surprise
to
them.
Despite
community
and
official
opposition
calls
for
small
class
sizes
were
ignored,
we
have
classes
with
25
and
30
children
cramped
into
all
the
schools
with
improper
ventilations.
H
They
said
of
many
schools
were
already
in
this
repair.
From
years
of
neglect
in
the
funding
by
these
amphibious
governments
case,
numbers
are
high
high
enough
nonetheless,
and
york
southwestern
had
the
unfortunate
starters
of
having
one
of
the
first
covered
breaks
in
the
gta.
Schools
continue
to
be
a
source
of
outbreak
with
the
staff
and
students
affected.
H
H
A
Just
over
three
minutes,
and
so
if
you
have
a
final
sentence,
you'd
like
to
wrap
up,
please
go
ahead
with
that.
Thank
you.
Thank
you.
Thank
you
very
much,
mpp
hassan.
Are
there
members
of
the
board,
who
have
any
questions
for
mpp
hassan,
seeing
none.
Thank
you
very
much
for
joining
us
here
today.
Faisal,
our
next
speaker.
If
we
have
him
on
the
line,
is
josh
fullen
from
maximum
city
josh.
Do
we
have
you
on
the
line?
A
E
Thank
you,
mr
chair,
and
thank
you
to
the
board
for
this
opportunity
to
speak
on
a
very
busy
agenda.
As
most
of
you
know,
my
organization
has
been
leading
a
pan-canadian
and
toronto-based
study
of
the
behaviors
school
experiences
and
well-being
of
children
and
youth
since
march,
and
the
goal
of
the
study
is
to
measure
the
downstream
impacts
of
covert
19
conditions
on
secondary
health
and
well-being.
What's
unique
about
our
study
is
that
it
listens
directly
to
kids
and
teens.
E
So
they
are
the
respondents
in
our
survey
work
and
they
tell
us
sort
of
what
their
experiences
have
been
like.
We've
had
two
waves
of
data
collection,
one
in
the
spring,
which
we've
reported
on
here
and
then
other
bodies,
one
in
the
fall,
which
I'm
going
to
give
you
a
quick
update
on
very
shortly
and
then
another
one
in
spring
of
2021
and
the
main
healthy
movement
behaviors,
which
I'll
speak
to
in
a
moment
that
we
measured
are
physical
activity
screen
time,
sleep,
quality
and
duration
and
time
outdoors.
E
So
since
I
last
spoke
to
this
board,
there's
one
notable
new
finding
from
the
spring
data
set,
and
that
is
that
spring
data
shows
strong
correlation
between
not
maintaining
physical
activity
levels
and
declines
in
subjective
well-being
tied
to
negative
emotions
during
the
during
the
first
lockdown.
So
what
that
means
is,
if
you
kept
up
or
increased
your
physical
activity
during
the
lockdown,
your
self-reported
mood
was
better
and
there
is
an
academic
paper
in
progress
that
speaks
to
those
findings.
E
I
want
to
speak
today
mostly
to
the
four
notable
findings
from
the
new
data
set,
and
this
is
early
analysis
of
a
survey
we
conducted
across
canada
and
within
the
toronto
cma
in
october.
So
number
one
is
that
compared
to
the
spring,
children
and
youth
are
reporting
moderate
improvements
in
their
healthy
movement.
Behaviors,
there's
still
a
significant
proportion
reporting
decline
in
those
four
healthy
movement
behaviors.
E
A
A
Josh
I
have,
I
have
won
as
as
we're
sitting
in
a
moment
where
there
are
lots
of
conversations
about
enhanced
measures
that
may
be
taken
to
contain
the
second
wave.
I
recall
in
your
first
data
set
in
the
spring
one
of
the
downstream
impacts
you
looked
at
was
household
income
and
the
different
effect
on
racialized
and
non-racialized
torontonians.
Do
you
have
that
data
handy?
Could
you
remind
us
of
what
that
was.
E
Sure,
yes,
so
the
the
impact
of
on
household
incomes
lower
than
fifty
thousand
dollars
of
the
pandemic
condition,
was
much
more
severe
than
above
fifty
thousand
dollars
annually
and
the
ability
of
those
households
to
meet
daily
needs.
So
things
like
rents
and
groceries
was
also
proportionately
higher
on
lower
income
households
as
well,
and
that
is
from
the
spring
data
set.
A
And
so
the
would
it
be
fair
to
say
in
terms
of
your
analysis
and
recommendations
for
us
from
that
data
set,
it
would
be
if
additional
measures
are
required.
Over
and
above
where
we
are
today
and
perhaps
even
where
we
are
today,
that
financial
support
recognizing
that
disproportionate
impact
must
come
alongside
the
public
health
restrictions.
A
E
Yes,
so
we
are
going
to
work
very
hard
this
week
to
publish
something
for
november
20th,
which
is
national
childhood,
which
will
include
more
findings.
I
can't
promise
that
it
will
include
all
the
desegregated
data
that
you've
seen
from
the
first
round
of
data,
but
at
your
next
board
meeting
I
can.
I
can
certainly
bring
all
of
the
disaggregated
data
to
the
board
to
see
what
the
different
impacts
are
on
on
different
kinds
of
families
within
toronto
and
also
across
canada.
A
E
I
just
want
to
say
about
me
speaking
at
this
meeting.
This
shall
not
be
deemed
to
be
in
any
way
my
consent
expressed
or
implied
in
doing
so
as
fraud.
God
bless
your
majesty.
The
queen
and
long
live
her
majesty
the
queen,
and
I
object
to
the
three-minute
time
limit,
as
I
would
have
liked
to
have
listened
to
julian
bayard
for
another
two
minutes
and
let
the
record
show
nowhere.
Does
it
say
that
we
can't
ask
questions
at
these
meetings,
so
I
provide
a
youtube
link
for
this.
E
Dr
yidan,
a
former
chief
scientist
with
the
pharmaceutical
giant
pfizer
has
stated-
and
I
quote
most-
if
not
all-
of
the
pcr
tests
result
in
false
positives
due
to
high
ct
thresholds.
Juliet
morrison,
a
virologist
at
the
university
of
california
states-
and
I
quote
any
test
with
a
cycle
threshold
above
35-
is
too
sensitive.
E
The
public
health
agency
of
canada
reported
in
may
of
this
year
that
testing
over
25
cycles
provides
dubious
results.
The
prestigious
oxford
professor,
dr
carl
hennigan,
has
stated
a
pcr
test.
Does
not
equal
covet
19.,
we
know
high
false
positive
rates
are
due
to
high
ct's
and
canadian
and
world
experts
agree.
It
should
not
be
more
than
25
cycles.
Yet,
according
to
the
journal
of
virology
ontario
labs
are
testing
samples
at
38
to
45
cycles.
Remember
it's
not
supposed
to
be
over
25
cycles.
Speaker.
E
My
question
to
the
premier:
is
your
testing
creating
both
a
false
understanding
of
the
risk,
as
well
as
false
positives
and
another
question
he
had
was?
When
did
the
premier
become
aware
of
these
faulty
tests?
Minister,
christine
elliott
responded,
but
I'm
not
quite
sure
what
the
member
is
suggesting.
Are
you
suggesting
we
don't
do
any
testing?
We
just
stop
testing.
Is
that
the
reaction
we
should
be
taking
with
this?
What
else
would
you
suggest?
So
I
just
want
to
point
out
that
she
never
did
answer
his
question.
E
She
just
skated
around
it
in
my
written
presentation.
I
have
a
graphic
and
I
provide
the
pdf
from
something
from
the
public
health
of
england
describing
pcr
tests.
They
mentioned
that
pcr
tests
detect
presence
of
viral
genetic
material
in
a
sample
but
is
not
able
to
distinguish
whether
infectious
virus
is
present.
Oh
that's
interesting.
E
So
this
is
from
ontario
medical
officer
of
health.
I
have
the
youtube
link
provided.
Dr
david
williams
admits
in
the
clip
in
a
written
presence
in
my
written
presentation
that
rob
ferguson
from
the
toronto
star
where
he
compares
the
first
wave
of
cobia,
the
second
wave
that
compared
to
the
first
wave
of
cove.
A
A
I
Good
morning,
everybody
it's
nice
to
see
everybody
this
morning
after
a
horrible
storm
this
weekend.
I
do
want
to
start
by
saying
thank
you
to
our
medical
officer
of
health,
dr
davila,
and
the
whole
team
at
tph
for
your
ongoing
efforts
with
this
resurgence
and
pretty
alarming
time
for
our
city,
I'm
diverting
a
little
bit
away
from
the
covered
stuff
that
we've
talked
about
today
and
I
have
a
question
regarding
recommendation
number
two
which
focuses
on
the
current
flu
vaccination
strategy.
I
So,
as
many
of
you
know,
I'm
a
huge
advocate
of
all
vaccines
and
and
definitely
a
champion
for
our
annual
flu
vaccine
campaign,
and
this
year
I
have
seen
an
unprecedented
interest
from
the
community
to
receive
their
flu
shots
and
that's
largely
driven
by
the
media
campaigns.
Messages
from
toronto,
public
health
as
health
care
professionals,
I've
seen
patients
have
been
proactive,
they've
called
pharmacies,
they've
booked
appointments
with
their
clinics
only
to
be
told
that
there
is
a
shortage
of
vaccines
and
their
appointments
are
being
cancelled.
I
I
So
my
concern
is
when
we
have
such
roadblocks
like
vaccine,
you
know
supply
issues
within
our
city
with
a
very
well.
I
think
publicized
campaign
for
flu,
our
community
lose
faith
in
our
vaccination
campaigns,
and
I
really
worry
about
how
these
issues
will
undermine
the
covert
vaccine
strategy
when
we
roll
it
out
in
the
future.
I
So
my
question
to
the
team
is-
and
I
recognize
all
the
different
levels.
Having
done
you
know,
large
mass
vaccination
campaigns
internationally
at
the
toronto
public
health
level?
What
can
be
done
to
address
the
current
fluva
vaccine
supply
issues,
and
this
might
be
a
rhetorical
question?
But
how
can
we
acknowledge
these
issues
and
prepare
the
public
for
the
potential
roadblocks
that
we
may
face
to
ensure
that
there's
an
effective
plan
to
roll
out
the
kovi
vaccine
strategy
when
it
is
available
next
spring?
B
So
thank
you
for
the
question
and
for
you,
mr
chair
I'll,
just
ask
dr
finkelstein
to
be
ready
as
well
in
case
he
has
something
further
to
add,
but
with
respect
to
flu
vaccine
efforts
here
in
toronto,
certainly
for
our
own
clinics
at
toronto,
public
health,
recognizing
that
this
was
going
to
be
a
year
with
increased
demand.
We
actually
ordered
additional
vaccine
for
our
own
clinics,
particularly
because
we
provide
vaccine
to
those
who
have,
and
we
focus
our
efforts
on
those
who
have
challenges
to
access
shelter,
populations,
drop-in,
centers,
etc.
B
So
we
really
went
out
of
our
way
to
make
sure
we
had
additional
supply
available
and
as
well
for
our
public
clinics.
But,
as
you
know,
vaccine
supply
and
ordering
is
something
that
happens
at
the
provincial
level.
We
know
that
they
were
aware
of
the
demand
and
an
increased
demand.
They
were
certainly
preparing
for
that.
My
understanding
is
that
they
did
order
more
vaccine
and
I
believe
they
are
continuing
to
try
to
get
more
vaccine,
and
I
believe
michael
may
have
more
information
on
that.
J
Oh
yes,
thank
you
eileen!
Yes,
last
week
I
was
speaking
to
our
influenza,
lead
and
and
you're
right.
Our
role
here
is
to
coordinate
the
vaccine
orders
and
move
them
to
the
province
and
try
to
balance
the
the
needs
of
our
community
and
to
ensure
high-risk
individuals
certainly
have
access
to.
The
vaccine
is
a
very
important
part
of
the
strategy.
J
I
think
from
a
standpoint
of
the
second
part
of
the
question
is
that
my
response
to
to
having
this
great
demand
is
that
people
need
to
be
patient.
Everybody
cannot
be
vaccinated
at
once
and
that
will
be
a
key
part
of
our
communications
for
the
covet
19
vaccine
is
that
when
it
arrives
not
everybody
is
going
to
be
able
to
get
it
at
once,
because
we
are
expecting
to
have
some
issues
around
supply.
A
A
A
Okay,
I
will
put
myself
on
the
list
we'll
go
counselor,
perks
and
myself
and
then
we'll
see
if
there's
a
request
for
a
second
round,
counselor
perks,
oh
and
before
you
counselor
sorry,
can
I
welcome
visiting
counselor
counselor
john
phillian,
who
has
joined
us
here
today.
John
is
a
long
time
former
chair
of
this
board,
and
so
thank
you,
councillor
phillian,
for
joining
us
and
for
your
your
counsel.
Throughout
this
experience.
Sorry
counselor
perks
over
to
you
sure.
K
K
B
K
K
B
K
A
B
B
G
Okay,
thank
you.
I'm
coming
back
to
the
the
presentation.
If
I
can
the
focus
around
the
data
around
individuals
who
are
racialized,
who
are
low
income
again,
the
message
reinforced
for
us
is
that
they
are
being
disproportionately
impacted
and,
and
some
of
those
challenges
have
to
do
with
living
in
poverty
or
some
state
of
of
impoverishment.
B
Pandemic,
so
through
the
chair,
my
sense
is
that
you
know
that
the
most
accurate
answer
to
the
question
would
come
from
those
individuals
themselves.
I
think
they're
best
positioned
to
speak
to
that.
However,
you
know
from
what
we
can
observe
you
know
from
our
seats
in
public
health
and
from
what
we
hear
from
community
partners,
particularly
those
who
are
on
the
ground
and
have
closer
relationships
to
those
who
are
impacted
most
disproportionately.
B
There
continue
to
be
significant
challenges.
A
number
of
challenges
around
sufficient
income
supports
sick
leave
provisions,
concerns
around
security
of
home
and
food,
etc.
So,
to
my
mind,
there
are
more
supports
that
would
be
beneficial,
but
the
specifics
of
the
supports,
my
yeah,
I
think,
should
be
best
be
left
to
asking
the
individuals
who
are
most
directly
impacted.
A
B
L
B
B
L
B
So
through
the
chair,
I
you
know,
I
have
to
think
through
how
best
to
answer
your
question.
The
way
it
works
is
that
there
are
other
public
health
representatives
from
local
public
health
and
they
are
asked
to
offer
their
best
advice
in
respect
of
a
number
of
issues
related
to
public
health
measures,
in
particular,
and
the
response
to
cobit
19..
B
So
the
discussion
is
held,
questions
are
asked.
There
are
opportunities
for
the
members
to
comment
on
you
know
various
public
health
measures
and
from
there
advice
is,
is
packaged
up
and
provided
to
the
chief
medical
officer
of
health,
but
I
don't
pretend
to
be
deeply
involved
in
all
the
details
of
how
that
actually
happens.
B
L
B
Well,
you
know
through
the
chair.
I
think
that
the
notion
is
to
try
to
come
to
some
reasonable
consensus
to
understand
what
local
public
health
practitioners
are
witnessing
on
the
ground.
I
think
it's
to
inform
that
which
the
chief
medical
officer
of
health
may
need
to
put
forward
to
provincial
government.
To
the
you
know
the
government
representatives
there.
I
don't
know
that
consensus
is
always
possible,
but
where
it
is
possible
clearly
it
is
thought.
L
B
You
know
through
the
chair.
I
don't
know
that
I
can
say
that
on
every
single
account,
but
I
would
say
that
there
is
a
fair
amount
of
agreement
that
is
expressed
by
local
medical
officers
of
health,
and
you
know
there
will
always
be
some
areas
of
difference,
because
we
each
have
our
own
unique
circumstances,
but
this
is
not
exclusive
to
the
public
health
measures
table
any
table
where
we
have
the
various
local
medical
officers
of
health.
L
And
my
my
last
question:
none
of
this
is
none
of
the
information
you're
discussing
is
proprietary
or
would
reveal
individuals
names
the
advice
that
you're
giving,
but
I'm
just
trying
to
I'm
trying
to
understand
why
on
earth
we
none
of
this
information
would
be
public.
Could
you
see?
Can
you
see
any
legal
reason
why
there
would
need
to
be
a
confidentiality
agreement.
B
So
through
the
chair
counselor,
you
know
I'm
not
sure
that
I'm
the
best
source
of
legal
advice,
but
you
know
that
might
be
a
question
better
asked
of
our
provincial
counterparts.
You
know,
I
think
I
might
just
leave
it
at
that.
I
I
the
this
is
their
table.
We
seek
to
participate
in,
as
you
know,
helpful
and
fruitful
a
way
as
is
possible.
A
Thank
you.
Thank
you
very
much,
councillor
layton.
Thank
you.
Let
me
just
check
to
see
if
there
are
count
members
of
the
board
who
wish
a
second
round.
I
would
just
note
we're
just
after
11
and
I've
been
advised
by
a
number
of
citizen
board
members
that
they
will
have
to
leave
at
one
and
so,
and
we
do
have
another
critical
report
in
front
of
us
just
as
by
way
of
a
time
check
but
again
not
to
discourage
anybody
just
a
time
check.
A
So
are
there
any
other
members
of
the
board
with
questions
on
this
item?
Okay,
seeing
none.
I
have
a
few
very
brief
questions
doctor.
So
dr
davila,
based
on
the
data
in
front
of
us
and
in
the
state
of
the
second
wave
in
our
city
and
province,
do
you
feel
that
further
measures
are
required
to
reduce
contacts
and
and
drop
case
counts
at
this
time?.
B
A
B
A
A
B
A
And
then,
I
suppose
my
final
question
is
assuming
with
additional
measures
and
enhanced
supports
that
we
do
indeed
beat
the
second
wave.
As
I
have
full
confidence,
we
will
collectively
be
able
to
what
measures
what
enhancements
are
required
to
sustain
low,
if
not
zero
case
counts.
In
other
words,
how
do
we
stop
an
endless
cycle
of
reopenings,
followed
by
closures.
B
A
So
and
the
vaccine,
of
course,
but
to
your
point
if
we
are
to
spike
this
second
wave
and
maintain
low
and
perhaps
even
zero
cases,
I
heard
you
stronger
public
health
systems
test
trace,
isolate,
I
assume
and
then
specific
targeted
measures
to
address
health
inequities.
You
spoke
to
to
income
supports
sick
days
and
you've
spoken
to
housing
in
the
past.
Would
those
be
the
two
buckets
test
trace,
isolate
and
addressing
health
inequities.
B
Well,
it's
the
combination
of
all
the
public
health
measures
appropriately
applied
at
the
right
time,
so
that
speaks
to
the
public
health
system
and
then
supports
to
ensure
that
social
determinants
of
health
are
are
rightfully
and
appropriately
addressed
so
as
to
mitigate
and
minimize
health
inequities.
Okay,.
A
A
A
And
then
we
have
four
additional
amendments
very
specifically
here,
calling
on
the
provincial
and
federal
governments
to
increase
and
accelerate
the
availability
of
the
flu
vaccine
for
the
provincial
government
to
provide,
as
we
have
called
for
for
too
long
sick
days
and
income
supports
for
those
who
need
to
isolate
and
cannot
afford
to
do
so,
and
for
the
provincial
and
federal
governments
to
provide
resources
to
support
increased
community
outreach
in
our
hard
hit.
Neighborhoods
boots
on
the
ground.
A
Everybody
in
our
city
has
sacrificed
over
the
past
10
months,
some
far
more
than
others
to
to
the
family
members
of
those
who
have
lost
lives
into
the
individuals,
the
marginalized,
far
too
many
marginalized
communities
who
bore
the
brunt
of
inequality
before
covid
and
in
turn,
have
borne
the
brunt
of
kova.
Today
we
want
to
thank
them
and
acknowledge
their
sacrifice.
A
So
where
are
we
today?
Our
objective
today
is
the
same
as
it
has
always
been
to
save
lives,
to
protect
the
capacity
of
the
healthcare
sector
and
to
minimize
the
social,
health
and
economic
effects
associated
with
measures.
That's
our
overarching
objective.
It
has
been
consistently
throughout
and
it
is
today,
but
where
are
we
in
terms
of
our
next
steps
and
our
objective
right
now
today,
in
the
second
wave,
I
think
very
clearly,
it
needs
to
be
said.
A
A
You
know
I
we
can
do
this.
Other
jurisdictions
have
shown
us
the
way
this
is.
This
doesn't
have
to
be
a
false
choice
between
the
health
and
the
economy.
You
financially
support
those
people
and
businesses
who
are
being
affected
in
order
to
protect
us
all.
That
is
the
common
good
now
does
this
work
require
public
trust
and
confidence
in
government's
response.
A
G
Yes,
thank
you
very,
very
much
chair
and
thank
you
for
tabling
that
motion
and
also,
first
taking
the
time
to
canvas
the
board
of
health
members
in
advance.
We
certainly
apprec,
and
I
certainly
appreciate
that
type
of
leadership,
of
bringing
everyone
in,
and
I
think
that's
that
actually
speaks
to
the
point
of
what's
not
happening
at
the
province.
G
Is
that
we're
not
seeing
that
level
of
openness
and
certainly
the
lack
of
transparency
is
of
concern,
but
I
think
also
what
it's
doing
is
it's
creating
confusion
and
distrust
in
the
public,
and
these
are
difficult
times.
I
don't
think
any
of
us
will
be
able
to
deny
this,
and
quite
honestly,
none
of
us
have
have
lived
through
this
before
so
in
order
for
us
to
get
in
front
of
it,
we're
going
to
have
to
be
as
open
and
transparent
and
share
as
as
collaboratively
as
possible.
G
G
If
they're
not
able
to
make
ends
meet
pay
their
rent
because
they
don't
have
support
of
a
coveted
eviction.
Moratorium
in
place.
The
fact
that
they
are
working
in
those
essential
work
and
not
getting
a
pandemic
pay
to
help
them
make
the
the
requirements
to
to
keep
food
on
the
table
to
keep
their
children
in
school,
not
having
adequate
child
care
and
a
whole
host
of
other
supports
that
must
be
in
place
in
order
for
people
to
make
it
to.
The
other
side
we
know
is,
is
going
to
be
devastating.
G
That
means
that
the
province
is
only
chipping
in
a
meager
three
percent
of
financial
supports,
and
yet
we
found
out
recently
that
they're
sitting
on
ninety
three
point:
nine
nine
point:
three
billion
dollars
of
unallocated
unspent
money,
all
the
while
families
are
struggling
to
make
ends
meet
to
pay
their
rent
to
pay
their
mortgages.
To
put
food
on
the
table.
I
cannot
understand
how
it
is
that
the
provincial
government
has
failed
so
spectacularly
when
it
comes
to
providing
financial
supports
for
ontarians
in
need,
and
I'm
hoping
that
we
can
accelerate.
A
K
K
We're
telling
some
people
that
they've
lost
their
livelihoods,
we're
also
experiencing
deep
inequities
in
the
impacts
of
the
coveted
19
pandemic,
and
yet
we
discover
here
today
that
for
no
reason
that
I
can
think
of
expert
public
health
advice
is
being
kept
secret.
The
decision-making
process
at
the
province
of
ontario
is
being
kept
secret.
K
K
What
what?
What
evidence?
What
what?
What
what
sits
on
the
scales
and
the
decision-making
who's
talking
to
the
cabinet
ministers?
Why
are
they
making
the
decisions
they're
making?
How
is
it
that
torontonians
and
ontarians
can't
know
what's
going
on
in
the
management
of
the
most
important
thing?
Any
of
us
will
ever
deal
with
in
our
lives?
K
K
A
A
A
M
M
Slide
so
I
would
like
to
start
by
providing
an
overview
of
what
the
opioid
poisoning
crisis
has
looked
like
in
toronto,
and
you
can
see
data
up
until
2019
and
while
I'll
be
focusing
on
numbers.
We
of
course
need
to
remember
that
each
number
represents
an
individual
person
who
may
have
been
someone's
colleague,
family
member
or
a
loved
one,
and
sadly,
we
have
seen
an
alarming
rise
in
the
number
of
deaths,
particularly
since
2017
and
a
high
number
of
people
dying
from
opioid
poisonings.
M
M
M
M
M
On
my
screen,
this
it's
in
portrait
mode
and
it
should
be
in
lance
landscape
mode,
but
what
this
is
is
a
graph
of
suspected
opioid
overdoses
and
fatalities
attended
by
paramedics,
and
we
have
also
been
noting
concerning
trends
in
the
data
about
suspected
opioid
overdoses
by
toronto.
Paramedic
services-
and
this
is
about
the
concerning
trends-
are
particularly
about
fatal
calls
that
have
occurred
during
covet
19..
M
M
What
is
difficult
to
see-
and
this
is
the
gold
line
of
the
draft
of
the
graph-
is
that
the
number
of
suspected
fatal,
opioid
overdose
calls
attended
by
paramedics
has
been
noticeably
higher
than
in
previous
years.
So
it's
noticeable
in
two
ways.
First,
the
average
number
of
fatal
overdose
calls
attended
by
paramedics
has
increased
in
2019
the
average
was
12
per
month,
but
in
the
first
10
months
of
2020
it
has
written
risen
to
21
fatal
calls
per
month.
M
M
M
If
you
could
also
rotate
that,
thank
you,
so
I'm
going
to
draw
your
attention
to
what
else
we
know
about
covet
19
about
how
covert
19
has
adversely
impacted
the
opioid
poisoning
crisis
and
people
who
use
drugs,
while
the
full
impacts
are
not
yet
known.
Anecdotally
and
initial
reports
show
that
there
is
a
decrease
in
the
availability
of
harm
reduction,
treatment
and
treatment,
services,
shelter,
outreach
and
other
related
services.
M
People
who
use
drugs
are
reporting
an
increased
fear
of
criminalization
due
to
increased
police
street
presence.
There
is
a
change
in
the
availability
of
drugs
and
drug
checking.
Services
have
detected
unexpected
substances
of
concern
in
the
illicit
supply
and
the
need
for
safer
supply
options
are
more
urgent.
M
M
This
is
included
issuing
a
number
of
drug
alerts
during
the
pandemic
on
the
slide
it
mentions
11,
but
we
issued
another
12th
one
last
week
as
well.
These
alerts
identify
increases
in
suspected
opioid
overdose
deaths,
as
well
as
when
potent
contaminants
detected
in
toronto's,
unregulated
drug
supply
are
detected,
the
works
at
toronto.
Public
health
continues
to
deliver
a
range
of
harm
reduction
services,
including
supervised
consumption
services.
M
They
also
provide
support
to
harm
reduction
programs
and
other
city
divisions
on
safe
and
effective
delivery
of
their
services
during
the
pandemic.
However,
it
is
important
to
note
that
some
services
are
operating
at
a
reduced
capacity
due
to
public
health
measures
required
during
the
pandemic,
an
example
of
how
the
works
has
pivoted.
During
the
pandemic,
they
recently
created
an
online
version
of
their
overdose,
recognition
and
response
training.
M
M
As
you
may
recall,
in
june,
the
board
of
health
called
on
the
federal
minister
of
health
to
permit
the
simple
possession
of
all
drugs
for
personal
use.
The
need
for
decriminalization
has
become
more
critical,
as
the
opioid
poisoning
crisis
continues
to
worsen
during
the
pandemic,
and
so
we
are
recommending
that
the
board
reiterate
its
support
for
this
action.
M
Another
key
action
needed
now
is
the
expansion
of
safer
supply
programs.
We
have
a
few
safer
supply
programs
operating
in
toronto,
but
they
need
long-term
funding
and
we
need
to
expand
the
types
of
safer
supply
programs
available
to
include,
for
example,
injectable
medications
and
options
for
people
who
use
stimulants
again.
The
board
has
supported
safer
supply
in
the
past
and
as
the
opioid
crisis
escalates,
the
need
for
these
initiatives
has
intensified
next
slide.
Please.
M
M
We
are
recommending
that
the
province
create
an
urgent
public
health
needs
site
program,
so
these
sites
are
also
known
as
overdose
prevention
sites,
as
more
of
these
life-saving
services
are
urgently
needed.
The
federal
government
has
set
the
policy
foundation
for
this
and
we
need
the
province
to
act.
M
We
also
need
an
expansion
of
the
program
options
for
supervised
consumption
services,
so
these
would
include
things
such
as
peer
witnessing
and
virtual
services
next
slide.
Please
further
recommendations
directed
to
the
provincial
minister
of
health
include
the
need
for
some
of
the
recently
announced
funding
for
mental
health
and
addictions
to
come
to
toronto
for
evidence-based,
on-demand
treatment
services.
M
In
addition,
the
need
for
grief
and
trauma
supports
is
more
urgent
than
ever.
The
impact
of
the
rising
number
of
people
dying
from
opioid
poisonings
is
continuing
to
have
a
devastating
impact
on
their
friends,
families
and
the
people
who
work
with
them.
Currently,
there
are
very
few
supports
available
next
slide.
Please.
M
The
last
recommendation
I
will
highlight
recommends
that
the
medical
officer
of
health
work
with
the
executive
director
of
social
development,
finance
and
administration
to
include
the
decriminalization
of
the
simple
possession
of
all
drugs
for
personal
use
as
a
key
plank
in
the
city's
community
safety
and
well-being
plan.
This
is
in
recognition
of
the
differential
and
negative
impacts
that
the
criminal
law
has
on
equity,
seeking
groups
in
toronto,
such
as
black
and
indigenous
peoples,.
M
M
A
A
Welcome
all
you'll
each
have
three
minutes
followed
by
questions
from
the
board,
and
I
will
read
out
the
next
three
speakers,
so
you
can
be
aware
we're
going
to
start
with
sandra
kaho,
followed
by
jillian
cola,
followed
by
angela
robertson,
so
we
will
begin
sandra
khan,
chew
from
the
hiv
legal
network
sandra.
Do
we
have
you
on
the
line.
A
N
N
N
In
the
meantime,
people
in
toronto
continue
to
face
a
threat
of
arrest
and
the
harms
of
criminalization
persist
in
2018
alone.
We
note
that
there
are
6712
arrests
that
were
made
for
drug
offenses
and,
as
nicole
earlier
mentioned,
the
brunt
of
these
arrests
fall
disproportionately
on
racialized,
black
and
indigenous
communities.
N
As
canada's
chief
public
health
officer
stated
succinctly
in
august
2020,
you
cannot
arrest
your
way
out
of
an
opioid
crisis.
So
therefore,
in
the
interim,
we
urge
the
board
of
health
to
communicate
directly
to
the
federal
health
minister
and
to
also
request
a
section
56
exemption
that
applies
to
the
city
of
toronto.
N
N
N
So,
on
behalf
of
a
municipality
authorities
such
as
a
board
of
health
or
a
local
medical
health
officer,
could
request
a
federal
exemption
to
protect
people
within
its
jurisdiction
from
criminal
prosecution
for
simple
drug
possession
so
requesting
a
local
section.
56
exemption
from
the
federal
health
minister
is
entirely
in
keeping
with
the
toronto
board
of
health's
role
and
responsibility.
N
Now,
more
than
ever,
this
policy
change
will
save
lives
and
promote
public
health,
as
well
as
save
public
funds,
and
it
will
be
an
opportunity
for
toronto
to
also
adopt
a
bold
and
meaningful
response
to
the
drug
poisoning
crisis
that
has
swept
our
city.
Thank
you.
That's
the
extent
of
my
comments
today.
A
Thank
you
very
much
sandra
I'm
just
going
to
caucus
the
board.
Are
the
members
of
the
board
with
questions
for
sandra
okay,
seeing
none?
Thank
you
very
much
sandra
next.
We
have
jillian
cola
from
the
canadian
institute
for
substance,
use
research
university
of
victoria,
who
will
be
followed
by
angela
robertson
and
then
jason
altenberg
julian.
Do
we
have
you
on
the
line.
O
Thank
you
for
having
me
so,
as
you
mentioned,
I'm
a
post,
doctoral
research
fellow
at
the
canadian
institute
for
substance
use
research
at
the
university
of
victoria
and
also
at
the
center
for
drug
policy
evaluation
at
st
michael's
hospital.
I
live
and
do
the
majority
of
my
research
here
in
toronto
as
a
public
health
and
drug
policy
researcher,
I
read
with
interest
the
recommendations
from
the
medical
officer
of
health
on
the
overdose
crisis
and
I
support
them
completely,
but
I'm
here
today
to
tell
you
that
these
recommendations
do
not
go
far
enough.
O
We're
facing
an
absolute
crisis
of
overdose
deaths
in
toronto,
particularly
among
people
experiencing
homelessness
and
using
the
shelter
respite
and
physical
distancing
hotel
system.
I'm
going
to
speak
today
to
one
thing
that
the
city
of
toronto
can
do
immediately
to
save
lives.
Quite
simply,
the
city
needs
to
immediately
open
overdose
prevention
sites
within
these
sheltering
settings
across
the
city
and
enhance
on-site
harm
reduction
services
available.
O
I
won't
go
through
the
evidence
on
how
overdose
prevention
and
supervised
consumption
sites
save
lives,
as
this
group
has
seen
this
evidence
multiple
times.
But
I
will
note
that,
in
the
midst
of
a
devastating
overdose
crisis
for
years
now,
the
response
to
the
overdose
crisis
within
the
city's
sheltering
system
has
unfortunately
lagged
behind.
O
Despite
the
challenges
that
covet
has
introduced,
it's
necessary
for
the
city
to
move
ahead
on
this
issue
immediately.
Newly
released
data
demonstrates
that
covet
has
worsened
the
overdose
crisis
in
ontario.
Just
last
week,
an
absolutely
devastating
report
was
released
using
data
from
the
chief
coroner's
office
of
ontario.
O
O
The
most
shocking
part
of
this
report
is
that
it
also
predicts
that
ontario
will
see
almost
2
300
deaths
from
overdose
in
2020.
now
just
to
contextualize.
This
ontario
saw
1500
deaths
in
2019
when
it
became
the
province
with
the
highest
number
of
overdose
deaths
in
canada.
I'm
having
trouble
comprehending
2
300
deaths
in
ontario
in
one
year,
because
I
thought
last
year
was
bad.
O
Now
the
silence
from
the
provincial
government
from
our
premier
from
the
minister
of
health
is
notable
they've
not
mentioned
this
report.
There
have
been
no
announcements
of
emergency
funding,
no
condolences
to
families.
They
have
not
talked
about
the
enormous
loss
and
collective
trauma
that
these
numbers
represent
for
families
and
communities
across
ontario.
O
All
of
our
indications
are
that
the
situation
on
the
front
lines
is
getting
worse.
As
nicole
mentioned,
we
learned
that
october
was
the
deadliest
month
for
overdose
deaths
ever
recorded
in
toronto.
Now
there
are
models
that
we
can
draw
on
to
help
us
respond
to
the
dual
crises
of
coven
and
overdose.
In
the
early
days
of
the
pandemic
in
april,
I
was
part
of
a
team
in
toronto
that
quickly
led
a
consultation
on
how
to
provide
a
coveted
isolation
and
recovery
site
for
people
experiencing
homelessness
and
diagnosed
with
covid.
O
A
O
Thank
you
very
much
so
last
week,
dr
davila,
the
city
breathed
a
sigh
of
relief
when
you
decided
to
move
forward
ahead
of
the
province
to
put
in
place
measures
to
protect
the
safety
of
the
people
of
toronto
from
coven.
I
call
on
you
to
do
the
same
right
now
within
our
shelter
system
and
open
overdose
prevention
sites
across
the
city
to
save
people's
lives,
this
winter,
who
are
staying
within
the
shelters,
respites
and
physical,
distancing
hotels.
Thank
you
very
much.
A
P
A
P
One
of
the
community
partners
providing
services
at
the
coffee
recovery
site,
folks
who
are
homeless
and
unsheltered.
I
given
my
three
minutes
now
from
five.
I
will
just
go
over
the
other
pieces
that
I
think
jillian
and
nicole,
has
amplified
and
really
begin
by
saying.
This
moment
calls
for
immediate
action
and
implementation
of
strategies
that
will
change
the
trajectory
that
the
chief
coroner
identified
in
his
report
and
that
jillian
and
nicole
just
spoke
to
and
that
this
is
not
a
moment.
P
I
think
for
more
dialogue
for
intergovernmental
game
playing
of
the
hot
potato,
passing
that
this
is
a
moment
for,
I
believe,
toronto,
public
health
and
the
board
of
health
to
declare
a
public
health
overdose
emergency
and
to
resource
that
call.
Accordingly,
jillian
identified
the
number
of
deaths
that
we
have
seen
and
that
is
projected
when
there
was
1200
deaths
in
2017.
P
This
board
and
public
health
leadership
in
2018
was
bowled
in
the
face
of
provincial
government
slippers,
dragging
and
denial
of
a
crisis.
This
toronto
medical
officer
of
health,
dr
eileen
davila,
described
the
public
health
emergency
of
opiate
overdose,
related
deaths
as
the
defining
health
crisis
of
our
time.
P
This
leadership
then
affirmed
the
research
and
scientific
evidence
that
harm
reduction
interventions
saves
lives
and
must
be
resources
responded
to
the
opiate
crisis
and
as
doing
so
as
a
public
health
emergency
that
it
is,
we
are
in
a
pandemic
and
toronto's
public
health
leadership
in
the
face
of
provincial
government.
Mixed
messages
as
jillian
spoke
to
have
stepped
forward
in
dealing
with
the
science
in
calling
for
activities
and
strategies
to
reduce
coverage,
spread
deaths
and
to
keep
us
safe.
P
We
must
use
that
same
stride
and
call
now
to
prevent
preventable
opiate
deaths
in
this
moment
partner,
queen
west
center,
and
our
work
at
the
recovery
site,
as
julian
identified,
saw
it
important
to
embed
with
our
partners
each
tng
uhn
ssha
to
embed
harm
reduction
strategies
at
the
covet
recovery
site
because
we
see
it
as
important
so
at
that
site.
As
julia
noted,
we
have
overdose
prevention
services
peer,
witnessing
safer
opiate
supply
management,
alcohol
program
and
safer
supply
distribution.
P
P
I
would
suggest
to
you
that
we
need
to
take
the
policing
out
of
overdose
response,
that
we
need
a
community-based
harm
reduction
strategy.
It
is
not
okay
for
a
police
officer
responding
to
an
overdose
death
in
a
supervised
consumption
service,
to
ask
the
client
and
service
providers.
If
the
individual
was
attempting
suicide.
This
is
not
appropriate.
P
A
Thank
you,
angela
angela.
I
have
one
question
the
the
model
of
embedding
harm
reduction
supports
within
the
the
shelter,
the
homelessness,
recovery
and
isolation
sites.
That
was
a
model.
I
know
that
your
organization
is
helping
to
offer
is,
is
operating.
Was
that
developed
in
partnership
with
ssha
and
tph.
P
Yes,
I
believe
it
is
a
model
that
can
be
replicated,
and
I
know
that
currently
there
are
efforts
being
advanced
by
ssha
to
bring
and
embed
more
harm
reduction
services
through
community
collaboration
and
community
partnerships
to
the
some
of
the
physical
distancing
site
or
sites.
I
would
say
that,
additionally,
what
is
needed,
however,
is
some
leaning
in
on
the
province
to
have
them
activate
their
ability
to
lift
up
overdose
prevention
services,
so
they
can
use
their
class
exemption
to
expedite
on
the
lifting
up
of
ops's
in
these
physical
distancing
sites.
Okay,.
K
Thank
you
thank
you,
mr
chair,
and,
and
thank
you
angela
for
both
the
work
you
do
and
the
advice
you
give
us.
I
just
want
to
make
sure
I
understood
clearly
that
the
piece
around
harm
reduction
services
and
overdose
prevention
work
in
in
our
shelters,
so
so
currently
you're
consulting
on
a
conversation
or
have
consulted
on
a
conversation
about
those
measures
the
city
can
take.
K
P
Yes,
yes,
we
are
currently
in
a
collaboration
with
ssha,
where
community
partners
have
been
resourced
to
bring
additional
harm
reduction
services
to
some
of
the
priority
physical
distancing
sites
where
they
have
been
high
incidences
of
overdose
and
deaths.
So
we
are
currently
working
on
that
strategy
and
implementing
that
strategy.
P
A
Thank
you,
okay.
I
thank
you
very
much.
Angela.
Our
next
speaker
is
jason
altenberg
from
the
south
riverdale
community
health
center,
followed
by
juno
zavitz,
followed
by
melody
alterton
balak
from
street
health
jason.
Do
we
have
you
on
the
line
you
do?
Can
you
hear
me
mr
chair,
I
like
like
angela.
We
can
always
hear
you.
L
There
we
go
thank
you
for
the
opportunity
to
give
the
deputation.
I
want
to
begin
by
voicing
my
strong
support
to
the
recommendations
that
are
before
you
this
morning
and
command
dr
davila,
the
drug
strategy
secretariat.
These
are
vitally
important
recommendations
to
help
us
address
this
drug
poisoning
crisis.
In
the
past
six
months,
the
staff
teams
at
our
two
consumption
services
at
south
riverdale
at
moss
park,
responded
to
over
400
overdoses
and
we've
seen
an
increase
in
demand
for
our
core
harm
reduction
services
across
the
southeast
of
the
city.
L
This
is
an
exponential
increase
from
the
same
time.
The
year
before,
through
the
pandemic,
we've
also
been
able
to
lift
up
safer,
opioid
supply
programming
until
funded
by
the
feds
until
march,
as
well
as
covet
testing
and
many
other
programs.
We
joined
the
board
of
health
and
appealing
to
the
federal
government
for
decriminalization
and
echo
the
need
for
implementation
and
echo
the
need
for
the
city
to
look
at
policies
that
will
mirror
decriminalization
in
the
absence
of
federal
action.
L
I'd
like
to
use
the
rest
of
my
time
to
talk
about
some
specific
details
that
I
would
like
to
see
flush
out.
Some
of
these
recommendations
with
respect
to
decriminalization
it's
essential
to
further
remove
and
minimize
police
from
our
overdose
responses.
Police
officers
who
do
encounter
overdose
or
are
asked
to
attend,
must
universally
stop
using
these
incidents
as
opportunities
to
criminalize
people
on
the
scene.
L
If
we're
going
to
see
a
change
regarding
the
request
for
ongoing
federal
and
provincial
funding
for
our
safer
opioid
supply
programs,
we
couldn't
agree
more
that
these
programs
need
something
other
than
short-term
federal
grants
and
funding
for
drug
user
health
services
to
community
health
partners
like
the
chcs,
should
be
global
in
nature
and
allow
for
a
continuum
of
outreach,
harm
reduction,
overdose
prevention,
inclusive
of
supervised
consumption
and
safer
supply
and
treatment.
We
need
an
end
to
inflexible
and
piecemeal
funding
of
these
services.
L
The
current
lack
of
stable
funding
and
a
high
degree
of
local
variability
in
these
services
is
contributing
to
the
overdose
crisis
regarding
injectable
formulations
and
safer
supply.
While
we
do
need
injectable
formulations
covered
by
the
drug
benefits
program
as
recommended,
we
must
act
now
with
available
resources
to
provide
safer
supply.
We
have
seen
that
safer
supply
programs
can
be
offered
successfully
with
prescription
opioids
currently
available
on
the
odb
formulary.
L
And
while
we
continue
to
advocate
for
the
addition
of
injectable
formulations,
we
must
also
actively
support
the
scale
and
spread
of
low
barrier
safer
supply
options
that
can
be
offered
to
people
who
use
drugs.
Today,
iot
programs
are
necessary,
but
where
they
exist
in
canada,
they
are
not
offered
as
the
first
line
option
for
care
or
treatment.
L
A
harm
reduction
based,
safer
supply
framework
is
necessary
and,
given
the
toxicity
of
the
unregulated
supply
you
heard
about
the
burden
on
the
community
health
centers
currently
offering
safer
supply
requires
the
support
of
public
health
and
other
health
partners.
I
strongly
encourage
tbh
to
further
partner
with
us
to
scale
up
the
provision
of
safer
supply
options
within
tph
programs
and
to
help
us
advocate
for
the
inclusion
of
these
in
hospital-based
programs
like
rapid
access,
addiction,
medicine
and
rapid
access
clinics.
L
If
the
province
does
not
reconvene
I'll
finish
here,
I
I
would
suggest
that
the
renewal
of
such
a
table
we
would
the
community
would
be
willing
to
work
with
leadership
like
the
medical
office
of
health
of
toronto
and
others
across
the
province
to
reconvene
and
lead
a
provincial
task
force.
Without
that
leadership-
and
I
know
I'm
over,
and
so
I
will
stop
there.
A
A
Q
Thank
you
good
morning,
members
of
the
board,
I'd
first
like
to
start
by
saying
thank
you
for
the
opportunity
to
give
a
deputation
today.
My
name
is
junoz
abbotts,
my
pronouns.
Are
they
them
I'm
coming
to
you
today
in
representation
of
breakaway,
which
is
a
harm
reduction
based
substance
use,
support
agency
in
parkdale.
Some
of
you
may
be
familiar
with
us.
Q
I
am
breakaway's
lead
on
grief
and
loss
work
within
the
opioid
crisis.
So
that's
what
I'm
here
to
speak
about
today,
which
is
the
urgent
need
for
grief,
support
in
the
middle
of
this
opioid
crisis,
which
we
know
has
been
direly
exacerbated
by
copen19,
I'm
coming
to
you
today,
not
just
as
a
harm
reduction
worker,
but
as
someone
who
has
additionally
worked
in
the
non-profit
bereavement
sector
in
toronto,
traditional
grief
and
loss
supports
in
toronto.
Q
Do
not
work
from
the
harm
reduction
frameworks
we
champion
and
are
not
equipped
with
the
expertise
found
within
the
harm
reduction
sector.
During
this
crisis,
there
has
never
existed
free
and
accessible
supports
for
deaths,
resulting
from
substance
use
and,
more
importantly,
harm
reduction.
Informed
grief,
support
for
those
people
who
are
actively
using
drugs.
In
brief
processes,
we
are
living
in
a
four-fold
crisis,
the
opioid
crisis,
the
housing
crisis
covid19
and
as
well,
an
epidemic
of
traumatic
grief.
Q
Brief
support
has
been
provided
on
an
ad
hoc
basis
every
day
by
workers,
peers
community
members
and
those
providing
support
have
very
few
places
to
turn
that
don't
judge
and
shame
drug
use,
especially
in
periods
of
grief.
Much
like
the
lagging
years
it
took
to
instate
safe
consumption
sites
we
are
years
and
years
behind
in
addressing
the
epidemic
of
traumatic
briefer
communities
are
living
with.
Q
It
is
well
overdue
that
there
exists
a
strategy
to
relieve
this
pressure
from
frontline
workers
at
safe
consumption
sites,
addiction,
support
agencies
and
shelters
and
address
the
mass
trauma
that
has
been
placed
in
the
lapse
of
people
who
have
lost
partners,
children,
friends
and
co-workers
to
overdose
and
substance
related
deaths.
In
my
role,
I
regularly
talk
with
managers
and
frontline
workers
who
have
had
funding
for
these
types
of
programs
turned
down.
Q
Frontline
workers
are
then
left
scrambling
to
support
their
clients,
while
also
attending
to
their
own
grief
and
that
of
their
co-workers
in
my
personal
life
in
community.
As
a
peer,
I
regularly
receive
requests
for
local
and
accessible
resources
following
overdose
deaths
that
are
non-stigmatizing
and
harm
reduction,
informed
that
I
can
send
my
friends
and
peers
to-
and
I
have
nowhere
to
send
them
breakaway
and
other
agencies
are
well
positioned
to
provide
this
support
and
during
coven
19
we
have
written
two
funding
proposals
for
a
brief
support
program.
Q
Q
This
is
the
stalemate
we
are
currently
faced
with
from
funders
and
social
services.
We
are
continuously
told
we
must
provide
more
evidence
that
there
is
a
link
between
the
grief
of
overdose
deaths
and
increased
rates
of
substance
use,
as
if
the
number
of
deaths
and
increasing
overdose
rate
rates
are
not
evidence
enough.
This
has
massively
deplayed
our
ability
to
provide
direct
services
and
will
continue
to
do
so,
as
deaths
occur
at
exponential
rates
during
coven
19,
and
the
grief
continues
to
compound
just.
Q
What
we're
dreaming
of
is
a
program
hub
and
sector
one
network
that
includes
immediate
support
following
a
death
within
our
sector,
as
well
as
support
groups,
individual
counseling
funding
for
memorial
events
and
trainings
for
other
workers
in
bereavement
agencies.
So
my
ask
today
is
for
this
board
to
endorse
that.
There
is
a
fourth
epidemic
that
we
are
living
with,
which
is
traumatic
grief
and
to
trust.
What
we
know
to
be
true
in
our
sector.
Grief
begets
increased
overdoses
and
therefore
additional
grief.
So
I
want
to
thank
you
for
your
time
today.
A
G
Yes,
thank
you
very
much
juno
for
your
deputation.
I
want
to.
I
want
to
understand
the
requests
a
little
bit
further,
so
a
number
of
a
number
of
the
things
that
that
we
need,
nicole
at
the
beginning
of
her
presentation,
has
cited
that
we
have
to
to
get
support
and
permissions
from
the
federal
and
provincial
government.
Q
Q
I
don't
know
whether
that
would
come
from
the
city,
but
part
of
the
ask
is
to
really
I
know
this
was
part
of
the
recommendation
today,
but
we
didn't
spend
a
lot
of
time
talking
about
what
it
means
to
address
the
traumatic
grief.
I
know
that
we
are
really
caught
up
in
preventing
further
overdoses,
but
I
want
to
speak
to
the
other,
the
other
epidemic,
that
we
are
really
living
with.
G
Q
So
the
tough,
the
tough
committee
really
only
grants
75
000
per
year.
This
is
for
the
one
year
funding
stream.
That
is
not
enough
to
cover
a
program
that
includes
direct
services
like
group
support
like
emergency
support,
following
deaths
on
site.
So
what
it
covers
is
a
needs
assessment
which
would
really
be
a
1.5
person
team,
so
it
doesn't
even
include
direct
services.
Q
G
A
D
Wonderful,
thank
you
so
much
for
this
opportunity
to
to
speak
today.
I'm
melody
I'm
my
pronouns.
Are
she
her?
I'm
a
registered
nurse
representing
street
health?
I'd
just
like
to
say
that
I
want
to
acknowledge
the
difficulty.
It
is
to
get
all
this
through
in
three
minutes
and
thank
you
for
so
much
support
from
the
rest
of
the
community
partners.
It
feels
feels
wonderful
not
to
be
the
only
one
here.
D
D
Then
it
was
october
and
and
20
people
died
last
month
from
back
to
the
overdose
in
toronto
alone,
but
we're
breaking
records
in
the
worst
possible
ways:
we're
losing
daughters,
mothers,
aunts
and
uncles,
we're
losing
friends,
brothers,
community
members
and
as
a
front-line
worker.
You
know
we're
standing
with
those
who
are
left
behind
witnessing
this
tragedy
and
there's
this
increased
feeling
of
hopelessness.
D
So
we
know
that
most,
if
not
all
the
opioid
overdose
and
the
deaths
are
accidental
and
a
direct
result
of
criminal
disa
criminalization
of
drugs
and
drug
users.
We
also
know
that
it's
a
fact
not
an
opinion
that
the
current
drug
supply
is
poisoned.
People
are
obtaining
street
drugs
that
are
tainted
with
benzodiazepines
that
do
not
respond
to
naloxone
and
also,
and
even
additionally,
painted
with
extremely
powerful
opiates,
like
our
fentanyl,
which
are
leading
to
increased
complexities
during
an
overdose
response.
D
So
I'm
calling
here
today
saying
that
we
do
need
to
decriminalize,
but
until
that
happens
we
need
more
support
for
our
safer
supply
programs.
Our
prescribers
right
now
need
expanded
access
to
a
wider
range
of
medications,
so
those
are
the
injectables
and
stimulants
in
order
to
provide
effective
services.
I'm
also
here
as
part
of
my
job
as
outreach,
and
I
I've
been
out
to
the
camps.
D
I've
been
out
to
the
hotels
and
part
of
the
one
of
the
immediate
action
from
the
encampment
support
network
is
that
all
shelter
and
supportive
housing
sites
must
be
user-friendly
and
include
robust
overdose
prevention
and
harm
reduction
services.
So
rops
here
at
street
health
lost
funding
in
2019.
We
operate
100
on
private
donors
and
I
have
to
say
the
reason
I'm
here
today.
D
That
really
shook
me
is
that
I
realized
that
as
a
nurse
working
in
a
homelessness
crisis,
an
opioid
poisoning,
crisis
and
now
a
pandemic,
I
actually
don't
want
to
work
anywhere
that
doesn't
have,
and
I
need
the
trained
expertise
of
our
ops
staff
to
help
support
me.
So
I
can
actually
do
my
job
and
I
started
this
before.
Naloxone
was
a
household
name.
D
I've
been
to
overdoses
in
alleyways
in
bars
and
homes
in
hospital
settings
everywhere
in
the
community
and-
and
I
have
to
say,
like
I
feel,
the
most
confident
when
I'm
here
with
my
obs
team.
So
as
a
nurse
working
through
these.
That's
what
I'm
asking,
and
I
think
that
that
has
something
to
wait-
that
some
other
nurses,
though
pretty
much
so
again.
D
I
see
my
three
minutes
they're
up
and
I
wanted
to
ask
what
my
colleagues
were
saying
and
that
would
be
to
we
need
to
get
these
ops
they've
been
inside
our
hotel
programs
immediately,
because
I
know
nurses,
there
are
responding
with
9-1-1
and
hydro
naloxone,
which
is
not
necessarily
putting
additional
strain
on
the
health
care
system
and
that's
preventable.
Thank
you.
So
much.
A
Melody,
thank
you
so
much
and
for
your
work.
Let
me
open
it
up.
Are
there
members
of
the
board,
who
have
any
questions
for
melody,
seeing
none
melody?
Thank
you
again
and
thank
you
for
your
work.
Next
up,
we
have
tesla
forsyth
from
the
regent
park.
Community
health
center,
followed
by
daniel
bingham,
followed
by
angie
hamilton
from
families
for
addiction,
recovery
tesla.
Do
we
have
you
on
the
phone?
A
A
H
Great
good
day
board
members.
I
want
to
thank
you
very
much
for
this
opportunity
to
speak.
My
academic.
My
name
is
daniel
bingham,
I'm
a
member
of
mac
and
the
neighborhood
group
community
center
in
kensington
market.
I
have
over
50
years,
lived
experience
connected
with
drug
use
and
homelessness
and
depression.
I've
spent
time
in
many
detox,
centers
and
sober
house
residences
with
the
help
of
social
support
agencies
and
community
mpos.
H
H
We
must
do
everything
possible
to
fix
this
now
when
reading
for
today's
agenda
meeting,
I
found
in
this
offices
something
interesting
now,
while
of
course,
I
applaud
all
the
measures
stated
and
certainly
hope
they
all
get
approved
quickly.
I've
noticed
at
the
bottom
of
the
recommendations
that
they're
that
is
stated
that
there
will
be
no
financial
impact
resulting
from
the
adoption
of
these
recommendations.
H
I
don't
believe
this
to
be
exactly
true.
While
support
services
that
have
been
provided
have
been
done
in
emergency
response
style
method,
we
believe
that
an
established,
reliable
drug
use
response
infrastructure
would
reduce
the
cost
to
the
overall
tax
base,
because
the
cost
of
active
working
infrastructure
is
far
cheaper
in
the
long
run
than
a
constant,
never-ending
emergency
response
style
would
be,
and
that's
the
way
I
see
the
situation
at
this
time.
Thank
you
board
members
to
wrap
it
up.
I'd
like
time
take
the
time
to
address
the
works.
H
Work
of
counselors,
joe
cressey
and
gore
perks.
Who've
been
arduous
in
their
efforts
to
make
sure
these
desperately
needed
measure
measures
will
be
implemented.
It's
my
sincere
hope
that
many
other
members
and
counselors
will
take
inspirations
from
these
gentlemen
and
do
everything
possible
to
help
them
achieve
these
goals.
Thank
you
very
much
for
your
time.
Today,
yours
and
service
danielle
r,
bingham.
A
N
N
Thank
you
for
for
the
opportunity.
I
want
to
support,
actually
all
the
previous
speakers
and
their
recommendations
and
support
the
recommendations
of
dr
davila.
I
was
before
the
board
in
june
and
I'm
not
going
to
reiterate
all
the
reasons
for
decrim
and
everything
else
that
I
put
forth
at
that
time.
What
I
would
like
to
do
is
maybe
provide
a
little
bit
of
a
deeper
understanding
of
what
families
with
minor
children
are
going
through
right
now
in
the
province
of
ontario,
trying
to
actually
save
the
lives.
N
So
there
are
two
problems
here.
The
first
is
a
lack
of
treatment
on
demand,
which
I
would
say
is
the
primary
enabler
of
addiction.
Everybody
knows
often
people
don't
want
help,
and
so
when
they
want
help,
you
need
to
strike
while
the
iron
is
hot
and
we
have
real
capacity
to
do
that
and
for
miners,
it's
even
worse.
So
we
have
two
long-term
treatment:
centers
cortage
and
pine
river.
N
When
I
started
this
work
five
years
ago,
the
wait
list
of
pine
river
institute
was
14
months
long
and
there
were
over
200
kids
on
the
waitlist.
It
hasn't
changed
in
five
years,
not
standing
all
the
announcements
of
all
the
money.
I
don't
see
any
of
it
actually
going
to
treatment.
I
don't
see
any
commitment
to
reduce
the
weight,
so
that's
number
one.
N
The
second
problem
is
kids.
Don't
want
help.
This
is
just
a
fact.
It's
often
the
case,
for
various
reasons
and
in
canada.
You
know,
there's
a
view
that
it's
terrible
for
people
to
be
on
a
waitlist
there's
a
widespread
recognition
that
that
could
be
a
death
sentence,
the
fraud
fees
and,
if
they're,
waiting
for
treatment
because
they
aren't
seeking
treatment.
Well,
that's
just
fine
from
a
family
perspective.
N
So
the
truth
of
the
matter
is
pre-co
fed.
Every
year
canadian
parents
take
to
their
kid
their
kids,
some
canadian
parents
are
taking
their
kids
to
the
states
for
treatment
against
their
will.
So
fact
we
have
a
two-tiered
treatment
system
in
canada,
those
who
have
the
know-how
and
the
financial
means
to
take
their
kids
to
these
states
for
treatment
and
those
who
do
not
and
contrary
to
popular
belief.
I
do
not
think
that
that
is
a
violation
of
their
rights.
I
think
that
is
protecting
their
rights
and
it's
odd.
N
N
If
we
had
the
ability
to
mandate
treatment
the
14
month,
wait
list
at
pine,
river
institute
will
probably
go
to
14
years.
So
the
fact
that
matter
is,
we
have
absolutely
no
capacity
in
the
province
of
ontario
to
treat
our
way
outfits,
but
even
if
we
wanted
to
and
if
we
started
to
ramp,
that
up
right
away,
it's
not
available
for
the
kids
who
are
overdosing
now,
but
one
in
six
deaths
in
2018.
N
By
the
way,
if
kids
15
to
24
was
opioid
related,
we
have
a
duty
to
protect
youth,
whether
they
want
treatment
or
not
and
the
ways
we
do.
That
is
we
decriminalize
drug
possession
to
ensure
that
they're
more
likely
to
reach
out
for
help
and
to
ensure
that
they
don't
get
a
criminal
record.
While
they
are
waiting
for
treatment,
we
need
treatment
on
demand
clearly,
but
also
we
need
a
safer
supply,
regardless
of
how
young.
A
N
A
A
Okay,
seeing
none!
Thank
you
just
before
we
go
to
our
next
speaker.
We
have
eight
speakers
remaining
before
we
move
it
into
committee
and
I
would
suggest
if
it's
the
will
of
the
board
that
we
move
a
motion
to
complete
this
item.
As
it
is
our
final
item
that
way,
we
do
not
risk
losing
quorum,
and
so
I
would
move
that
the
board
extend
its
meeting
past
the
schedule.
12
30
lunch
recess
to
complete
the
agenda,
which
is
this
item,
so
that
is
on
the
table.
A
Let
me
ask
all
those
in
favor,
okay,
any
opposed
that
carries
so
we'll
move
to
complete.
So
our
next
speaker
is
zoe
dodd
from
the
south
riverdale
community
health
center,
who
will
be
followed
by
sarah
greg
from
the
south
riverdale
community
health
center,
who
I
understand
will
be
speaking
alongside
roderick
maine,
who
is
listed
further
down
the
list,
who
will
be
speaking
alongside
sarah,
so
zoe
welcome,
thank
you
for
being
here
and
when
you're
ready
do
we
have
you
on
the
line.
D
D
It
isn't
happening
to
them.
They're
walking
the
streets
as
though
we
weren't
living
through
some
sort
of
nightmare,
and
only
you
can
hear
the
screams
of
the
people
who
are
dying
and
their
cries
for
help.
No
one
seems
to
be
noticing,
and
this
is
how
it
feels
in
the
overdose
crisis,
people
finding
dead
people
in
beds,
port-a-potties
doorways
homes,
responding
to
thousands
of
overdoses,
losing
loved
ones.
Friends,
colleagues,
family
members,
the
ripple
of
death
is
grim
and
will
take
decades
for
people
impacted
by
this
loss
to
heal.
D
Instead,
I'm
going
to
use
the
rest
of
my
time
here
for
a
moment
of
silence
to
think
about
the
hundreds
of
people
who
have
died
this
year
in
toronto.
I'm
going
to
use
this
moment
to
think
about
those
who
I
knew,
who
passed
and
those
who
didn't
and
I'm
going
to
ask
you
to
reflect
on
what
more
the
city
could
be
doing
to
think
about
all
the
preventable
death
and
to
ask
yourselves
if
you
truly
believe
that
you
have
done
enough.
A
A
Okay,
seeing
none
thank
you
very
much
zoe.
Our
next
speaker,
I
have
is
sarah
greg
from
the
south
riverdale
community
health
center,
and
I
understand
that
sarah
is
being
joined
on
the
phone
by
roderick
maine,
who
is
also
listed
further
on
the
list
and
christy
jewell.
Who
was
the
the
final
deputy
who
registered
to
speak
on
this
item?
So
sarah
roderick
and
christy?
Do
we
have
all
three
of
you
on
the
phone.
R
A
A
R
R
That's
that's
a
really
big
number
guys.
I've
responded
to
and
reversed
almost
2
000
overdoses.
In
the
last
three
years,
the
majority
of
them
have
occurred
on
site
where
there's
access
to
the
tools
and
the
equipment
that
we
need
to
successfully
save
lives
other
times.
I
have
responded
to
overdoses
and
parking
garages,
alleyways
and
bathrooms
in
the
middle
of
city
streets
with
traffic.
R
R
But
everything
else
is
gone,
it
fades
and
it's
just
it's
just
a
tunnel
and
time
slows
down
and
it
speeds
up
all
at
the
same
time
and
if
it
weren't
for
the
second
hands
on
a
clock,
it's
like
time
itself
is
all
an
illusion
and
I
become
really
zeroed
in
and
working
in
autopilot,
and
it
happens
this
way
until
the
person
starts
breathing
again
or
becomes
responsive.
Then
it's
like
the
world
takes
shape
again
around
me.
R
And
then
afterwards,
there's
always
the
crash
right.
There's
always
this
adrenaline
crash
and
it
doesn't
happen
until
it's
safe
to
do
so
so
sometimes
I'm
operating
with
this
height
and
adrenaline
for
such
a
long
time
and
then,
when
the
crash
comes,
it's
like
sometimes
really
really
pleasant
and
other
times.
It's
really
sad.
A
R
A
S
S
We
should
look
into
providing
safe
supply
with
medical
grade
injection
heroin
like
they
have
in
bc,
and
I
also
think
there
should
be
24-hour
safe
injection
sites
to
be
available
as
there's
a
large
stress
on
all
the
injection
sites.
That's
hard,
it's
hard
to
get
everybody
in
and
keep
people
off
the
streets.
S
S
S
S
I
think
that
the
drug
coverage
program,
so
they
can
cover
the
the
injectable
heroin
or
injectable
dilaudids,
because,
yes,
there
are
tons
of
people
who
are
killing.
We
need
safe
supply
to
stay
alive
when
people
don't
get
what
they
need.
They
just
go
back
to
the
streets
and
the
drugs
and
overdose
I
just
needed
something
safe
to
use.
S
The
the
the
pandemic
is
all
about
statistics,
and
every
day
we
hear
about
the
stage
we're
in
and
how
many
cases
there
are,
but
no
one
is
talking
that
way
about
overdoses
and
the
number
of
overdoses
and
deaths
keep
getting
worse.
We
need
to
take
action
now
to
save
lives,
and
I
just
like
to
again
thank
everyone
for
listening
to
me
and
but
I
hope
you
guys
can
take
this
in
real
life
time
action,
because
something
needs
to
happen
now.
A
A
S
S
Eventually,
my
health
card
had
expired.
I
was
clean
at
the
time,
had
a
job
had
a
house
and
because
my
husband
had
expired,
I
was
instantly
kicked
off
my
methadone,
and
so
what
do
you
do
when
you
are
sick?
You
get
unsick
and
how
do
you
get
on
sick?
You
go
on
the
streets
and
find
drugs,
because
opiate
addiction
is
more
of
a
dependent
thing
rather
than
a
mental
thing,
and
I
think
that's
something.
S
That's
very
misunderstood
by
many
people
who
haven't
experienced
or
spoken
to
people
who
are
have
suffer
opiod
addictions,
and
I
had
a
really
hard
time
with
this,
because
also
I
was
not
homeless
at
the
time.
I
was
renting
a
room.
I
had
a
rooming
house
and
I
couldn't
get
my
id
because
I
had
no
piece
of
email
with
my
name
on
it,
but
eventually
this
addiction
led
me
to
become
homeless
and
so
through
them.
S
S
I
think
it's
ridiculous
to
go
to
jail
when
you're
just
trying
to
get
through
the
day,
I'm
sick
without
withdrawals
the
overdose
crisis.
I
see
it
as
more
as
a
mental
health
crisis.
More
than
a
substance
use
crisis,
most
substance
use
in
my
experience
has
been
from
a
past
trauma.
If
you
have
a
history
addiction,
you
shouldn't
be
penalized
for
it.
I
think
you
should
be
helped.
S
S
S
A
S
S
So,
and
also
when
you
hear
that
people
die,
they
die
at
night,
so
we
need
a
24
hour
somewhere
site,
whether
it's
like
roderick
mentioned
event.
We
also
need
to
put
out
some
vending
machines
that
are
accessible,
24
hours,
a
night
where
we
can
get
some
clean
kits
and
some
clean
supplies
and
have
access
to
naloxone.
S
A
A
Just
I'm
afraid
you're
just
over
five
minutes,
and
so
I'm
gonna
have
to
to
conclude
it
there.
Thank
you
very
much.
Okay,
thank
you
so
to
to
christy.
Thank
you
as
well
as
roderick
and
sarah
all
three
spoke
there
at
request,
one
after
another,
and
so
I'd
open
it
up
to
the
board.
If
there
are
any
questions
for
sarah
or
roderick
or
christie,.
A
A
D
D
So
in
terms
of
the
space
supply
program,
the
goal
of
the
program
is
to
provide
safe,
opioid
supply
to
address
the
opioid
crisis
by
transitioning
people
away
from
toxic
and
contaminated
street
opiates
to
pharmaceutical
grades
such
as
canadian
and
dilated.
It's
not
perfect
if
we
could
have
a
larger
range,
we're
working
against
fentanyl
right
now
and
if
our
prescribers
could
have
a
vast
range
to
support
the
crisis.
That
would
be
great.
D
The
program
has
eligibility
criteria
that
select
people
who
are
at
the
highest
risk
for
medical
complications
related
to
street
opiates,
such
as
fentanyl
each
program
across
the
downtown
east
is
staffed
by
a
nurse
practitioner,
a
community
health
worker
and
a
nurse
we
collectively
see
250
people.
That
is
what
our
target
is
for
the
end
of
march
2021.
D
That's
about
83
people
per
site.
Since
july
2020
41
clients
have
been
accepted
to
the
program.
All
clients
require
ongoing
assistance
with
accessible
stable
housing,
intensive
case
management
and
primary
care
right
now,
in
terms
of
the
successes,
significant
reduction
and
use
of
street
opiates
prior
to
program,
self-reports
of
15,
sorry
10
to
15
points
a
day
down
in
some
cases
to
one
to
two
points
a
day.
In
some
cases
there
are
no
use
of
street
substances.
D
There's
a
significant
reduction
in
injecting
and
transition
to
oral
consumption
from
previous
injection
use.
There's
a
significant
reduction
in
illegal
activity,
significant
reduction
in
spending
money
on
street
drugs.
Since
the
safe
supply
program
medications
are
covered
through
insurance,
the
average
person
is
spending
one
to
two
hundred
dollars
a
day
on
street
supply,
which
is
three
thousand
to
six
thousand
dollars
a
month
prior
to
safe
supply.
D
D
Our
options
for
volunteering,
drop-ins
and
social
interactions,
as
well
as
food
programs,
are
almost
non-existent
due
to
covid
it's
difficult
to
follow
up
with
clients
who
lack
access
to
transportation,
phones
or
the
internet.
The
trauma
to
the
community,
peers
and
staff
and
families
is
huge.
There
is
a
large
gap
for
funding
for
trauma,
support,
we're
also
working
with
intergenerational
trauma,
primary
and
secondary
trauma.
D
A
S
Okay,
great
hi,
my
name
is
rob
wilson.
I
just
want
to
start
by
letting
my
team
and
all
the
people
work
in
the
front
line
in
the
overdose
crisis
that
I'm
so
proud
of
them.
Like
I
said
my
name
is
rob.
I've
worked
at
st
stevens
overdose
prevention
site
for
about
a
year
now.
What
I've
seen
during
the
covert
is
a
lot
of
more
friends,
family
and
community.
Passing
on
and
it's
so
sad
we
we
are
spread
so
thin,
especially
as
an
unfunded
site.
We
have.
S
We
have
to
run
our
overdice
prevention
site
with
very
little
money.
We
are
struggling
with
so
many
lost
clients.
It's
happening
almost
weekly.
Now
during
the
pandemic,
everyone
is
burnt
out
and
tired.
I
came
to
this
work
because
I've
been
deeply
affected
by
the
overdose
crisis.
Personally,
I
lost
my
son
to
fentanyl
overdose.
I
can't
even
begin
to
count
how
many
friends
I've
lost
over
the
years.
I
sit
and
wait
every
night
for
my
brother
to
call
worrying
that
he
might
have
overdosed
and
died
somewhere.
It's
so
stressful
cobit
has
made
everything
worse.
S
People
don't
have
access
to
their
community
or
their
spaces
that
keep
them
safe.
I
don't
want
to
sit
here
and
talk
about
death
for
five
minutes,
but
that's
all
there
is.
The
crisis
has
taken
too
many
innocent
people,
young
and
old,
to
heaven
way
too
fast
we're
waiting
far
too
long
and
lost
too
many
people.
We
need
safe
supply,
option
overdose
prevention
and
housing
and
shelters,
more
low
barrier,
24-hour
prevention
sites
and
grief
and
trauma,
support
for
frontline
workers
facing
death
and
loss
every
day.
S
Arm
reduction
has
come
a
long
way,
but
it
needs
to
go
further.
Overdose
deaths
were
a
pandemic
long
before
colgate
hit,
and
it's
only
going
to
get
much
worse.
However,
we
know
how
to
flatten
the
curve
with
the
overdose
pandemic.
It
takes
more
overdose
prevention
sites
and
better
access
to
safe
supply.
The
numbers
don't
lie,
I
really
hope
for
the
sake
of
my
friends,
my
family,
my
community,
my
co-workers
that
action
is
taken
today.
Thank
you.
A
A
A
K
A
Dane
kent,
followed
by
emmett,
o'reilly,
okay,
I'm
gonna
ask
our
recording
secretary
to
to
mute
that
mic
we're
going
to
try
coming
back
to
you
so
we're
now.
So
dr
withers,
we're
going
to
try
coming
back
to
you.
I'd
ask
you
to
turn
off
your
youtube.
While
when
we
come
back
to
you,
dane
kent
from
the
moss
park
overdose
prevention
site,
do
we
have
dane
on
the
phone
either?
Can
you
hear
me
we
can
welcome
to
the
board.
You'll
have
three
minutes
when
you're
ready.
J
J
Those
who
have
been
a
street-based
substance-dependent
reality
overwhelmingly
have
histories
of
severe
childhood
drama.
People
have
endured
experiences
that
are
too
dark
to
repeat
in
public
cases.
They
are
beaten
and
changed
stairs
forced
into
sexual
slavery
by
their
family.
They
witness
murder
and
violent
assaults
against
people
that
they
love
or
have
been
kicked
up,
houston
home
for
cutting
out
as
lgbtq
and
all
of
these
experiences
they're
the
victims,
not
the
perpetrators.
J
They
carry
these
memories
with
them
everywhere
they
go
in
the
life
will
weigh
down
backpack
of
trauma
and
suffering.
For
many
substance
use
becomes
the
only
fleeting
opportunity
committed
back
down.
In
my
experience
with
the
coordinator
program
at
moss
park,
I've
seen
apple.
We
have
submitted
over
100
I've
seen
fentanyl
levels,
ranging
from
1
to
97
percent,
which
makes
it
consi,
which
is
consistent,
dose
impossible,
drastically
increasing
the
risk
of
overdose
in
order
to
save
money
and
observe
the
sedating
effects
of
opiates.
You've
introduced
a
variety
of
adulterants
like
italian
and
novel
benzodiazepines.
J
These
drugs
have
long
lasting
effects
that
make
people
unconscious
for
hours.
At
a
time,
we
routinely
have
to
call
ems
to
hand
off
care
for
the
individuals
who
cannot
regain
consciousness,
no
matter
how
hard
or
we
try
to
rouse
them.
If
people
have
access
to
a
regulated,
safe
supply,
they
could
build
consistency
in
their
dosage
and
begin
to
stabilize
their
day-to-day
experience.
J
Our
folks
come
to
this
site
manager,
withdrawal
and
get
well
expecting
their
shot
to
last,
a
little
while
often
having
plans
to
head
off
afterwards
to
appointments
to
see
their
odsp
worker
to
meet
with
mental
health.
Counselors
outreach
workers,
but
these
plans
go
up
and
smoke
when
they
inadvertently
end
up
injecting
heavy
heavily
sedating.
J
J
The
war
on
drugs
and
drug
prohibition
just
failed
spectacularly
adopted
new
approach
and
the
impact
of
dependency
both
on
society
and
those
who
are
dying
preventable
different
overdoses,
because
what
we
have
done
today
has
not
worked.
Policy
makers
that
are
elected
officials
realize
that
there
will
always
be
a
segment
of
our
population
that
has
high
impact
excess
dependency
and
the
fact-
and
that
fact
will
never
change.
J
J
If
you
want
to
believe
you,
when
you
say
you
will
want
to
address
this
issue,
a
preventable
overdose
death
from
the
carnage
wrought
from
trying
to
enforce
archaic
prohibition
laws,
but
you
don't
advocate
for
safe
supply.
As
a
component
of
your
plan,
then
you're
not
interested
in
solutions
right
rather
you're
merely
playing
lip
service
to
this
issue.
So
you
can
add
it
to
your
policy
bullet
points
on
your
campaign.
A
T
A
T
Perhaps
someone
can
just
indicate
in
chat
if
you
can
hear
me,
because
I
can't
hear
anything
I
apologize
okay
great,
so
I
apologize
for
whatever
has
happened.
My
name
is
aj
withers.
I
have
a
phd
in
social
work
and
I
am
faculty
at
in
critical
disability
studies
at
york
university.
My
pronouns
are
they
them,
and
I
want
to
adopt
the
comments
of
many
of
the
prior
deputies,
and
I
also
want
to
commend
the
medical
officer
of
health,
for
several
of
the
recommendations
in
this
report
are
for
all
of
them.
T
Actually,
however,
it's
insufficient.
The
report
contained
no
financial
recommendations.
No
farm
financial
recommendations
says
the
city
spends
what
billions
on
covid19
with
coven
19.
We
have
seen
what
the
toronto
board
of
health
is
capable
of
when
something
is
considered:
an
emergency
for
the
full
population
for
non-marginalized
and
not
entirely
marginalized
population,
and
I'm
asking
you
today
for
six
emergency
public
health
motions
in
addition
to
those
in
the
report
and
these
cost
money
because
they
are
tangible
and
they're
meaningful
for
communities
immediately.
T
The
toronto
board
of
health
recognizes
that
criminalization
is
not
an
appropriate
way
to
deal
with
drug
use
and
addiction
issues,
and
these
are
health
issues.
At
the
same
time,
the
city
has
enacted
a
policy
of
displacement
and
encampment
which
multiple
homeless
people
who
live
in
encampments
and
and
the
scholarly
literature
all
identified
as
criminalization.
T
We
need
you
to
pass
an
additional
motion
for
at
least
2
000
shelter,
hotel
beds
added
into
the
system
immediately,
so
there's
sufficient
space
for
people
to
freely
leave
the
encampments
and
go
to
appropriate
locations.
So
this
is
necessary
emergency
public
health
measure
that
will
help
address
the
overdose
death
crisis
and
the
covid19
pandemic.
So
stop
using
a
hammer,
stop
criminalizing
people
and
help
actually
give
people
the
space
to
freely
choose.
T
T
A
A
J
Before
I
begin,
I
just
want
to.
I
just
want
to
associate
myself
with
the
previous
remarks
made,
particularly
the
one
from
the
previous
speaker
about
trauma.
Care
trauma
is
driving
the
overdose
crisis
and
being
driven
by
the
overdose
crisis,
and
for
almost
all
my
clients,
it
is
impossible
for
us
to
get
confident
ongoing
trauma
care.
J
It
is
also
very
difficult
for
us,
as
providers
who
are
experiencing
trauma
from
this
crisis,
to
get
any
help,
so
I
would
really
throw
my
support
behind
those
comments,
as
the
other
speakers
have
noted,
there's
a
significant
increase
in
overdose
responses
in
our
overdose
prevention
site.
This
accords
with
the
simultaneous
alarming
increase
in
overdoses,
deaths
that
we've
seen
across
the
city
and
the
province.
J
Overdose
prevention
sites
are
absolutely
essential
in
responding
to
the
overdose
crisis.
That
said,
the
model
essentially
requires
highly
skilled
teams
of
people
to
stand
by
as
people
from
their
communities
that
they
care
about
inject
substances
that
we
know
are
highly
likely
to
be
lethal,
and
then,
when
the
inevitable
happens,
only
then
can
they
act
by
pulling
them
back
from
the
brink
of
death,
and
I
think
we've
heard
very
compellingly
how
brutal
that
is
on
the
people,
providing
that
care
and
the
communities
of
the
people
to
whom
their
care
is
provided.
J
I
would
like
to
add
my
voice
to
the
voices
of
the
community
of
drug
users
and
calling
for
decisive
intervention
in
the
supply
of
drugs.
I
participate
in
the
delivery
of
one
such
intervention,
which
is
safer,
opioid
supply.
Under
this
program
we
prescribe
medications
of
pharmaceutical
quality
and
known
potency,
which
participants
can
use
as
they
see
fit
this
proving
to
be
a
highly
effective
intervention.
Again.
This
is
highly
limited
intervention
and
should
only
be
seen
as
part
of
the
solution.
J
We
join
our
community
in
calling
on
all
levels
of
government
to
make
space
available
for
community
to
leave
responses
to
this
crisis.
In
addition
to
innovative
medical
practices
like
safer
supply,
we
need
to
offer
the
community
de
facto
criminalized
spaces
to
access
safer
supply.
This
would
allow
the
community
to
care
for
itself,
buyers,
clubs,
satellite
harm
reduction
sites
and
supervised
injection
sites
and
toronto.
Community
housing
are
only
some
of
the
suggestions
being
put
forward.
Toronto
has
provided
de
facto
decriminalized
spaces
before
and
can
do
it
again.
J
A
Q
Okay,
wonderful,
so
I'm
going
to
try
to
be
as
fast
as
I
can,
and
I'm
just
grateful,
I'm
not
the
final
speaker
as
well.
I
do
want
to
thank
for
the
land
acknowledgement
and
I
would
also
like
to
point
out
as
a
proud,
strong
metis
woman
that
today
is
actually
louis
rielle
day
as
well.
So
you
can't
see
me,
but
I've
got
my
sash
on
right
now,
didn't
make
it
to
the
flag
raising
but
anyway,
so
I'm
gonna
start.
Q
I
really
did
redeploy
myself
with
the
support
of
my
supervisor,
as
I
anticipated
gaps
in
some
of
the
emergency
measures
that
were
going
to
be
implemented
fast,
like
the
hotel,
shelter
programs
and
serving
indigenous
community
members
in
a
good
way.
To
that
end,
I
do
outreach
when
needed
and
have
been
in
the
shelter
temporary
hotel
programs
as
well.
Q
I
can
only
say
that,
in
my
experience,
those
individuals
in
those
capacities
and
centers
are
the
most
committed
people
that
I
have
ever
met
with
and
I'm
humbled
to
be
in
their
company
today
I
use
the
term
community.
Member
is
that's
how
I'm
presenting
I
live
in
multiple
worlds,
as
many
people
do,
I'm
part
of
the
urban
indigenous
community,
also
a
service
user
who
has
been.
I
covered,
my
ancestors
walk
before
me
and
give
me
the
courage
to
be
able
to
speak
today.
Q
I
also
have
behind
me
the
support
of
the
ontario
aboriginal
hiv
aids
strategy,
two
spirited
people
of
the
first
nation,
the
toronto
aboriginal
services
sector,
council,
member
agencies,
as
well
as
my
hundreds
of
allied
non-indigenous
frontline
workers
to
present
this
group
statement.
I
am
here
today,
though,
while
my
colleagues
are
literally
outside
doing
the
absolute
necessary
work
that
they
need
to
create,
so
I'm
going
to
skip
over
some
parts,
because
people
did
already
speak
to
some
of
what
has
already
been
spoken
to.
I
do
support
the
recommendations
of
the
medical
officer
of
health.
Q
Q
We
created
mobile
testing
with
women's
college
hospital
in
the
encampments
anishinaabe
health
toronto
with
the
mobile
bus
that
is
going
out
delivering
testing
as
well
as
participating
in
the
creation
in
the
standalone
covid
site
center
at
nonpay
reds.
There
are
many
other
coordinated
activities
that
many
of
us
in
a
volunteer
capacity
since
march,
have
even
done
on
our
own
with
absolutely
zero
or
infrastructural
support
from
both
the
city,
the
province
and
the
federal
government
and
jessica.
Q
Q
It
is
convenient
to
talk
about
reconciliation
for
this
city
when
it
comes
up
and
the
trc
recommendations
have
been
accepted.
So
they're
not
recommendations
is
an
ethical,
a
moral
and
a
fiduciary
obligation
and
responsibility
to
make
sure
that
the
direct
capital
investments
to
actually
address
the
opioid
overdose
do
take
place.
So
there
is
a
need
for
funding
and
access
to
temporary
and
transitional
housing.
There's
an
absolute
urgent
need
for
dedicated
funding
for
indigenous
harm
reduction
agencies
and
approaches.
A
Q
Okay,
so
I'm
going
to
say
this:
we've
continued
to
work
within
the
systems
provided
to
us,
even
as
a
member
of
the
tough
advisory.
Nothing
is
done,
we
are
watching,
people
die
and
we
have
no
one
to
go
to
and
like
so
we
even
said:
what
more
can
we
do?
I
could
pretend
produce
evidence
and
dreams
of
it.
So
now.
A
Jessica
you're
at
six
minutes,
I'm
gonna
have
to
to
conclude.
You,
though,
all
right
thank
thank
you
very
much
deeply
appreciated.
Can
I
see
members
of
the
board
if
there's
any
questions?
Okay
and
our
final
speaker
who
we'll
come
to
thank
you
very
much
jessica
is
paula
tooky.
Do
we
have
paula
on
the
line.
D
A
Okay,
I'll
try
one
last
time
for
paula
paula.
Can
I,
okay
with
with
that
you're
trying
to
connect
again
I'll,
just
make
a
note
just
before
we
try
one
last
time
with
paula
members
of
the
board,
one
two,
three
four
five:
we
have.
We
have
seven
members
here
which
is
quorum,
but
this
is
quorum.
So
I'd
ask
for
the
seven
members
who
are
here:
councillor,
perks,
wong
tam,
leighton
trustees,
donaldson
and
lapretti,
and
director
wong.
If
you
could
keep
your
video
on
to
maintain
quorum,
I
would
be
most
grateful.
A
G
Thank
you
chair
and
for
you
to
staff
recognizing
that
there's
been
a
number
of
new
facilities
that
have
been
opened
largely
to
try
to
get
people
from
in
out
staying
outdoors
into
indoors.
So,
therefore,
it's
a
combination
of
shelter,
hotels,
as
well
as
respite
sites
and
then,
of
course,
they're
also
open
to
try
to
thin
out
the
congregate
settings
in
our
shelters
out
of
those
facilities
that
have
opened.
G
K
Hi
counselor
score
tanner
here
with
shelter,
support
and
housing.
Thanks
for
the
question
and
and
through
the
chair,
so
you're
right
I
mean
we've
opened
a
number
of
new
facilities
over
40
new
facilities,
25
of
them
still
open,
19
are
hotel
sites
and
and
as
we
moved,
you
know
upwards
of
2
000
people
into
these
settings.
K
We
have
committed
just
recently
over
seven
million
dollars
to
fund
enhanced
staffing
resources
to
do
that.
Outreach
work
both
with
the
works
and
our
colleagues
at
the
city,
but
also
also
with
parkville,
queen
west
and
a
group
of
of
of
harm
reduction
workers
there
and
really
it's
it's.
The
credit
and
hard
work
of
those
staff
that
have
been
going
out-
that's
really
been
informing.
You
know
the
kind
of
supports
we
need
to
build
at
those
locations,
so
we
are
pursuing
with
health,
canada
and
through
through
public
health,
to
understand
the
application
process
to
introduce.
K
G
K
Yes,
councillor,
that's
correct
and
this
funding
is
is
one
time
at
the
moment.
It
would
carry
us
through
until
december
31st
of
2021
so
all
of
next
year,
and-
and
I
think
that
through
this
collaborative
work
with
the
community
health
sector
and
harm
reduction
sector,
you
know
we
are
striving
to
make
that
change
throughout
the
shelter
system.
A
A
D
Thank
you
very
much.
My
name
is
paula
takiy
and
thank
you
for
your
time.
I'm
representing
the
keepsake
safe
consumption
site
at
south
riverdale
community
health
center.
I've
been
working
on
the
front
lines
for
the
past
30
years,
working
exclusively
with
people
who
are
homeless,
who
use
substances
and
experience
mental
health
challenges.
D
D
We
count
the
number
of
people
who
have
died
as
a
result
of
an
opioid
overdose,
and
that
number
is
atrocious
and
still
ever
growing,
but
we
have
no
way
to
measure
or
keep
track
of
the
damage
done
by
repeated
episodes
of
insufficient
oxygen
saturation
routinely
experienced
during
an
overdose
that
will
cause
brain
and
organ
damage.
We
are
knowingly
and
in
the
case
of
safe
consumption,
supervised
sites
under
observation,
subject,
substance
users
to
consume,
poisons
and
then
expect
workers
to
deal
with
the
poisoning.
D
The
scenes
in
a
safe
injection
site
are
unimaginable
to
those
who
are
not
witnessing
them
service
users
in
various
degrees
of
consciousness,
some
lifeless,
some
flailing
and
combatant
some
vomiting,
some
urinating
themselves.
Both
service
users
and
workers
are
experiencing
ongoing,
complex
trauma.
That
is,
for
the
large
part
avoidable.
D
We
have
all
the
tools
needed
to
put
a
stop
to
this
nightmare.
We
have
already
available
all
the
substances
people
use
a
pharmaceutical
grade
medication.
We
need
to
expand
what
is
being
offered
through
the
safer
supply
programs
to
include
fentanyl
and
heroin
as
well
as
stimulants.
We
need
to
expand
access
to
these
illnesses.
To
anyone
who
expresses
interest
during
alcohol
prohibition,
countless
people
died
or
were
permanently
disabled
by
ethanol
poisoning.
We
have
recognized
the
harm
and
ended
that
prohibition.
D
We
have
learned
nothing
from
that
experience
and
since
then
we
also
stopped
to
care
enough
to
appropriately
address
the
current
state
of
poisoning
in
our
communities.
We
need
to
end
drug
prohibition
now
and
we
need
to
start
offering
safe
alternatives
that
will
stop
the
onslaught
of
death
and
poisoning.
Inaction
is
immoral.
Thank
you
for
your
time.
A
A
G
Yes,
thank
you
very
much,
mr
chair.
It's,
it
seems
almost
impossible
to
sum
up
the
the
the
the
grief
and-
and
I
think
the
heartbreak
that
this
community
of
service
providers
that
that
came
before
us
to
share
their
stories
and
and
it's
it's
it's
very
difficult
not
just
to
hear,
but
also
to
understand
how
to
to
get
in
front
of
it.
G
Oh,
I
do
yes.
Thank
you
very
much.
My
apologies,
my
amendment.
If
I
can
ask
the
clerk
for
that
on,
the
screen
is
to
have
dr
davila
and
this
board
of
health,
to
recommend
that
dr
davila
work
with
the
city
manager
to
find
emergency
funding
to
fund
trauma
and
grief
support
as
as
needed
and
as
quickly
as
possible.
They
don't
need
to
come
back
to
council.
They
just
need
to
get
this
done.
G
I
think
what
we
need
to
do
is
to
provide
as
much
immediate
support
to
this
community
as
much
as
possible,
recognizing
that
we
are
not
able
to
influence
the
entire
sphere
of
of
all
the
different
policies
that
need
to
come
into
effect
to
deal
with
the
opiate
crisis,
and
this
is
probably
what's
been
so
challenging
for,
for
those
who
are
on
the
front
lines.
Is
that
they're
asking
everyone
and
anyone
who
will
listen
for
support?
G
G
There
are
other
things
that
we
can
do
and
I
believe
the
other
things
that
we
can
do
is
to
support
the
workers
that
are
on
the
ground
and
the
ad
on
the
ground,
with
the
things
that
they're
asking
for
and
although
in
the
staff's
presentation
that
perhaps
the
province
should
be
providing
grief
and
trauma
supports,
I
believe
that
this
is
something
that
we
can
easily
fund.
We
have
seen
the
city
manager,
as
well
as
city
council,
twist
themselves
into
petrol
during
a
cold
response.
G
K
Thank
you,
mr
chair,
and,
and
I
think
the
most
well,
an
important
thing
we
must
do
is
to
take
a
moment
and
acknowledge
the
the
the
loss
of
life,
the
trauma,
the
grief
that
is
being
experienced
in
in
the
city
of
toronto.
Today,
as
a
result
of
the
opioid
crisis,
it
it,
it
is
just
overwhelming
to
even
try
to
understand,
and
having
worked
for
many
years
now
with
this
community,
I
can
tell
you
they're,
not
exaggerating
it.
K
Do
everything
that's
possible
within
the
city
of
toronto
purview,
but
we
also
have
to
acknowledge
that
what
is
at
the
foundation
of
this
is
somehow
some
leaders
in
our
society-
and
I'm
thinking
here,
particularly
of
the
provincial
government,
refused
to
acknowledge
the
humanity
of
people
who
use
drugs
and
succumb
to
stigmatizing
them
as
somehow
deserving
less
than
the
fullest
care
that
we
can
provide.
So
they
can
live
their
best
lives,
just
as
we
try
to
make
sure
everyone
else
can
live
their
best
lives.
It's
horrifying.
It's
uncivilized
and
I'd
like
to
extend.
K
A
Thank
you,
councilor
perks.
Let
me
open
up
to
any
other
members
of
the
board
wishing
to
speak
on
this
item
and
I
just
note
welcome
councillor
lye,
who
has
just
joined
us
a
member
of
our
board
from
her
first
meeting
as
a
ttc
commissioner.
Welcome
counselor
lie
any
other
members
to
speak
on
this
item.
A
Okay,
seeing
none-
I
will
put
my
self
down
here
as
as
the
final
speaker.
Let
me
begin
by
placing
an
amendment
and
I'll
summarize
it
briefly.
First
and
I'll
speak
to
this
in
greater
detail
shortly
is
to
report
back
on
the
status
of
the
conversations
with
the
city
with
enforcement
agencies,
with
the
federal
and
provincial
governments
on
decriminalizing
the
simple
possession
of
drugs
for
personal
use.
A
Let
me
begin
by
thanking,
certainly
our
staff
in
the
toronto
public
health
drug
secretariat
we
heard
from
nicole
earlier
and
the
whole
team
for
their
continued
work
and
as
well
from
those
who
are
working
on
the
front
lines
in
the
harm
reduction
community
and
those
who
use
drugs,
and
we
heard
from
both
front
line
workers
and
and
people
who
use
drugs
here
today,
your
work
is
life.
Saving,
it's
trauma
trauma,
it's
life.
Saving
it's
trauma,
creating
it's
painful,
it's
necessary!
It
is.
It
is
it's
work
that
we
cannot.
A
Thank
you
enough
for
doing,
and
it's
work
that,
as
you
bear
the
burden
of
seeing
collective
intergovernmental
inaction
that
you
do
without
the
feeling
of
of
response,
as
is
required,
and
so
I
want
to
thank
you
every
month,
since
covit
has
begun
nearly
every
month.
The
overdose
crisis
has
been
worse
than
the
one
before
the
stats
were
presented
earlier,
and
it's
almost
it
almost
feels.
It
almost
feels,
like
you,
trivialize
the
the
gravity
of
the
situation.
A
When
you
talk
about
numbers
because
we're
talking
about
people,
colleagues
and
friends,
but
the
numbers
paint
a
devastating
picture,
132
deaths
that
we
know
of
due
to
overdoses
between
april
and
september.
That's
that
is
higher
85
higher
than
the
year
before
in
the
year
before
that,
until
we
know
that
this
crisis,
that
has
an
emergency
that
has
existed
for
years,
has
been
magnified
deeply
by
covet
and
to
the
question.
A
If
that's
what
it
takes,
that's
what
we
must
do,
and
we
must,
as
the
motion
here,
speaks
to
expand
that,
should
it
be
the
provincial
role?
Yes,
should
we
demand
that
they
do
it?
Yes,
should
we
fight
for
that
to
happen?
Yes,
should
we
ignore
it
and
wait
until
it
does
know,
and-
and
so
that
is,
that
is
the
work
and
and
we
have
we-
we
have
no
choice
but
to
act.
A
But
fundamental
to
this
is
a
new
legal
approach.
It
is
a
recognition
that
the
that
you
cannot
arresting
people
for
using
drugs
creates
more
harm
and
decriminalization
for
small
possession
will
come.
It
will
come
the
growing
call
across
this
country,
whether
it's
from
the
association
of
chiefs
of
police
or
prosecutors,
or
public
health
officials
or
politicians.
A
A
With
that
I'll
conclude
my
remarks
and
thank
you
once
again
to
our
staff
in
toronto,
public
health
and
in
the
drug
strategy
secretariat
and
all
of
the
frontline
workers.
Thank
you.
Okay.
We
have
an
amendment.
We
have
a
series
of
amendments
we'll.
First,
we
have
an
amendment
from
councillor.
Wong
tam,
on
expanding
grief
and
trauma
supports
all
all
those
in
favor
by
way
of
a
show
of
hands
opposed
if
any
that
carries.
Thank
you.
A
We
have
an
amendment
that
I
moved
and
can
I
note
I
should
have
that
this
was
moved
in
large
part
with
counselor
perks,
the
chair
of
our
toronto
drug
strategy
implementation
panel.
My
apologies
for
neglecting
to
mention
that,
as
these
recommendations
came
from
the
panel,
so
councillor
perks.
My
apologies
for
not
mentioning
that.
A
So
my
motion
being
moved
here,
recommendations
coming
from
the
toronto
drug
strategy
implementation
panel,
all
those
in
favor,
opposed
if
any
that
carries
unanimously
and
the
the
recommendations
from
our
medical
officer
of
health
once
again,
all
those
in
favor
opposed
if
any
that
carries
unanimously
members
of
the
board.
That
concludes
today's
meeting.