[{"text": "e", "start": 28.96, "end": 31.96}, {"text": "e", "start": 58.92, "end": 61.92}, {"text": "e", "start": 88.92, "end": 91.92}, {"text": "e", "start": 118.84, "end": 121.84}, {"text": "e", "start": 148.84, "end": 151.84}, {"text": "e", "start": 178.84, "end": 181.84}, {"text": "e", "start": 208.76, "end": 211.76}, {"text": "e e", "start": 238.72, "end": 242.76}, {"text": "I think we do have Corum before I start I just want to uh mention that the city", "start": 284.52, "end": 290.32}, {"text": "manager Paul Johnson's here joining us today with his", "start": 290.32, "end": 295.96}, {"text": "scarf yes you can't prepare it okay so good", "start": 295.96, "end": 302.919}, {"text": "morning uh my name is councelor Chris Moes I'm the chair of the Board of Health the board secretary has confirmed", "start": 302.919, "end": 308.88}, {"text": "that we have Quorum so I'll call meeting 18 of the Board of Health to order and", "start": 308.88, "end": 314.36}, {"text": "again welcome to everyone today's meeting is being held by video conference and in person at City Hall in", "start": 314.36, "end": 320.52}, {"text": "committee room one because we are meeting in person and remotely we ask everyone to for their patience with any", "start": 320.52, "end": 327.12}, {"text": "delays and technical issues if you are registered to speak at today's meeting please listen for me to call your name I", "start": 327.12, "end": 334.84}, {"text": "will call speakers in the order they appear on the list the list of speakers can be viewed online by visiting the", "start": 334.84, "end": 340.72}, {"text": "Board of Health page at toronto.ca counil and clicking the speakers box for", "start": 340.72, "end": 345.88}, {"text": "today's meeting the board secretary has provided all agenda materials on", "start": 345.88, "end": 351.44}, {"text": "toronto.ca counil and VMP the clerk's meeting portal directors please keep", "start": 351.44, "end": 357.16}, {"text": "your mic muted unless you wish to question St staff or speak to an item and ensure that your video is turned on", "start": 357.16, "end": 365.16}, {"text": "as part of each agenda item I will ask directors to raise their hand or unmute", "start": 365.16, "end": 370.199}, {"text": "their mics if they wish to speak or ask a question I will then create a speaker", "start": 370.199, "end": 376.16}, {"text": "list and we'll all we'll call on directors when it is their turn to speak", "start": 376.16, "end": 381.24}, {"text": "when voting on an item or a motion I ask directors ensure that they turn on their video to raise their hand to indicate", "start": 381.24, "end": 388.479}, {"text": "their vote directors I want to remind you that you must submit and approve", "start": 388.479, "end": 393.599}, {"text": "your motion by email staff available at BO at R.C to help with", "start": 393.599, "end": 401.319}, {"text": "motions the Board of Health acknowledges the land we are meeting on is the traditional territories of many nations", "start": 401.319, "end": 408.08}, {"text": "including the Miss sagas of the credit the anos shc the chipa the honi and the wind peoples and is now home to many", "start": 408.08, "end": 415.16}, {"text": "divers Nations Inuit and matey peoples we also acknowledge that Toronto is covered by treaty 13 with the missas of", "start": 415.16, "end": 421.919}, {"text": "the credit the city of Toronto acknowledges all treaty peoples including those who", "start": 421.919, "end": 429.68}, {"text": "came here as settlers as migrants either in this generation or in Generations past and those of us who came here", "start": 429.68, "end": 437.28}, {"text": "involuntarily particularly those brought to these lands as a result of the transatlantic slave trade and slavery we", "start": 437.28, "end": 443.84}, {"text": "pay tribute to those ancestors of African origin and descent", "start": 443.84, "end": 449.72}, {"text": "are there any Declarations of Interest under the municipal conflict interest act if you have an interest please raise", "start": 449.72, "end": 456.44}, {"text": "your hand or mute your mic and indicate the item on number the nature of the", "start": 456.44, "end": 462.919}, {"text": "interest seeing none next we will need a motion to confirm the minutes from our", "start": 462.919, "end": 468.52}, {"text": "last Board of on October 21st 2024 Council", "start": 468.52, "end": 474.52}, {"text": "Thompson all those in favor oppos carried", "start": 474.52, "end": 480.479}, {"text": "all righty so let's get to the good stuff so again good morning uh we've got", "start": 481.159, "end": 487.56}, {"text": "a full agenda today for our final meeting of 2024 can you believe it I", "start": 487.56, "end": 495.28}, {"text": "can't uh this time last year we launched our health our city a new mental health and substance use strategy for Toronto", "start": 495.28, "end": 502.759}, {"text": "we have since assembled the our health our city implementation panel uh", "start": 502.759, "end": 508.56}, {"text": "developed an expanded initiatives to enhance accessible safe support and continued to address inequities in", "start": 508.56, "end": 516.159}, {"text": "mental health and substance use response today we will receive a a progress report that dives deeper into what we've", "start": 516.159, "end": 524.519}, {"text": "achieved in the past year at the center of this work and at", "start": 524.519, "end": 530.68}, {"text": "the heart of Public Health is UPA Chandra Sakara", "start": 530.68, "end": 536}, {"text": "I who has been the director of tph for the past two and a half years and has", "start": 536, "end": 542.079}, {"text": "made an incredible impact on the organization in that time in addition to", "start": 542.079, "end": 548.399}, {"text": "her contributions to mental health and substance use programming including overseeing operations that the works OA", "start": 548.399, "end": 555}, {"text": "has also played a crucial role in developing our new strategic plan and the implementation of countless", "start": 555, "end": 561.72}, {"text": "initiatives across the scope of Toronto Public Health mandate it is with mixed emotions that I", "start": 561.72, "end": 568.6}, {"text": "announce her departure at the end of this month as she will be taking on a", "start": 568.6, "end": 573.959}, {"text": "new role with the onar College of social workers and Social Services Workers thank you OA for all of your", "start": 573.959, "end": 581.92}, {"text": "dedicated work we wish you nothing but the best as you begin your next chapter", "start": 581.92, "end": 587.399}, {"text": "you're [Applause]", "start": 587.399, "end": 595.248}, {"text": "awesome and today we must also say good by to director anaja she's not online", "start": 596.8, "end": 602.72}, {"text": "but she's here in Spirit uh whose term on the board comes to a close at the end", "start": 602.72, "end": 607.8}, {"text": "of this year her perspective as a Schoolboard trustee and expertise in Children and Youth have been invaluable", "start": 607.8, "end": 616.24}, {"text": "as we've addressed critical public health issues including childhood vaccinations and student", "start": 616.24, "end": 622.48}, {"text": "nutrition thank you enu for your time and contributions you have been an", "start": 622.48, "end": 627.839}, {"text": "incredibly insightful member of the board and we wish you well on your other end of", "start": 627.839, "end": 634.959}, {"text": "ours and as if two goodbyes weren't enough today is also our last Board of", "start": 634.959, "end": 642.519}, {"text": "Health meeting with our amazing Dr Dilla as our medical officer of health and I'm", "start": 642.519, "end": 649.04}, {"text": "trying not to get emotional I have been anticipating this", "start": 649.04, "end": 654.2}, {"text": "day with a heavy heart since she has announced her retirement back in May", "start": 654.2, "end": 660.16}, {"text": "my relationship with Dr Dilla started the same way as many of us here in Toronto seeing her on my TV daily as she", "start": 660.16, "end": 669.399}, {"text": "led us confidently through some of the most challenging times we have faced as", "start": 669.399, "end": 674.72}, {"text": "a city little did I know that I would soon find a de dear colleague and friend in", "start": 674.72, "end": 682.44}, {"text": "that familiar face Eileen since I stepped into the role of chair of the", "start": 682.44, "end": 687.76}, {"text": "Board of Health I alen has met me with a willingness to work collaboratively and", "start": 687.76, "end": 694.079}, {"text": "deep understanding of our residents needs that keeps me certain that things will be okay even when challenges arise", "start": 694.079, "end": 701.76}, {"text": "and circumstances are uncertain she has proven time and time", "start": 701.76, "end": 707.6}, {"text": "again that she is capable of navigating us through the most complex of situations with her leadership and", "start": 707.6, "end": 714.88}, {"text": "knowledge from the covid-19 pandemic to its aftermath and ensuring regular tph", "start": 714.88, "end": 720.24}, {"text": "programming got back on track to addressing the ongoing drug toxicity", "start": 720.24, "end": 725.32}, {"text": "crisis and managing relationships across all levels of government these", "start": 725.32, "end": 730.519}, {"text": "accomplishments are just a few of the many Dr Dilla has achieved during her nearly eight years of", "start": 730.519, "end": 737.44}, {"text": "service while we will all miss you here at the city your retirement could not be", "start": 737.44, "end": 743.48}, {"text": "more welld deserved and we wish you the best for all that is to come please join", "start": 743.48, "end": 750.12}, {"text": "me in showing our appreciation for Dr [Applause]", "start": 750.12, "end": 775.8}, {"text": "Drilla and with that I'm going to pass it over to Villa to say a few", "start": 775.8, "end": 781.56}, {"text": "words oh sure", "start": 781.56, "end": 788.519}, {"text": "tisot thank you thank you chair Moy and good morning everybody you", "start": 788.519, "end": 795.04}, {"text": "know the recent us election has brought Global attention to", "start": 795.04, "end": 800.88}, {"text": "critical public health issues raising concerns about potential policy", "start": 800.88, "end": 806.48}, {"text": "shifts the main streaming of misinformation and uncertainty around future", "start": 806.48, "end": 813.76}, {"text": "resources these emerging challenges underscore the importance of strong Health leadership and strong Public", "start": 813.839, "end": 820.92}, {"text": "Health leadership especially now as we navigate a landscape where misinformation", "start": 820.92, "end": 827.199}, {"text": "increasingly blurs the line between facts and", "start": 827.199, "end": 832.24}, {"text": "falsehoods so on this you know my last meeting here in front of you uh I hope", "start": 832.24, "end": 837.639}, {"text": "you'll indulge me for a brief moment as I just speak a little bit about uh public health and what it has meant to", "start": 837.639, "end": 843.72}, {"text": "me and what my time here has meant as well as I think about things I know that", "start": 843.72, "end": 849.16}, {"text": "public health must remain grounded in its core principles our commitment to", "start": 849.16, "end": 854.639}, {"text": "connecting with communities our commitment to communicating with empathy listening", "start": 854.639, "end": 861.399}, {"text": "actively and making Missi driven decisions is more important now than", "start": 861.399, "end": 868.56}, {"text": "ever and at the heart of this Mission lies our dedication to protecting and empowering communities a guiding", "start": 868.56, "end": 876.199}, {"text": "principle that remains our North Star as we pursue this Mission Public", "start": 876.199, "end": 882.519}, {"text": "Health aims to bring the best available science and data to the table and I hope you appreciate that that's what we have", "start": 882.519, "end": 888.16}, {"text": "tried to do here that's what I've tried to do here these last eight years again not to advocate for any partisan", "start": 888.16, "end": 895.44}, {"text": "position but to serve as you know a source of what is closest to truth that", "start": 895.44, "end": 901.16}, {"text": "advances health and reduces inequities I truly believe that public", "start": 901.16, "end": 906.839}, {"text": "health efforts are strengthened when diverse perspectives are welcomed as I know we have appreciated", "start": 906.839, "end": 914.079}, {"text": "many times at this table and at tables all around this city even difficult or", "start": 914.079, "end": 919.639}, {"text": "opposing views can sharpen our understanding and improve our approaches moving public debate forward in", "start": 919.639, "end": 926.48}, {"text": "meaningful ways it's ALS Al important to remember that behind every number or", "start": 926.48, "end": 931.88}, {"text": "Trend in our Public Health Data are real people and real", "start": 931.88, "end": 938.04}, {"text": "communities this human aspect drives our commitment to Equitable outcomes as we address complex Health needs across our", "start": 938.04, "end": 946.079}, {"text": "city so as you will see on today's agenda we do cover a number of key Health topics in Toronto including", "start": 946.079, "end": 953.36}, {"text": "mental health and harm reduction through the our health our city annual progress report and strategies to boost", "start": 953.36, "end": 960.12}, {"text": "vaccination rates amongst schoolage children and the youth in our city as you heard from the chair last", "start": 960.12, "end": 966.68}, {"text": "year the Board of Health adopted our health our city a five-year Citywide", "start": 966.68, "end": 971.759}, {"text": "plan to address mental health substance use harm reduction and treatment and as", "start": 971.759, "end": 977.639}, {"text": "I hope you'll hear shortly and see for yourself we've made significant progress on our first year priorities and we're", "start": 977.639, "end": 984.48}, {"text": "going to hear about those again today we'll also today discuss public Health's", "start": 984.48, "end": 989.72}, {"text": "work to improve routine immunization rates amongst our youth we know that", "start": 989.72, "end": 995.199}, {"text": "high vaccination rates help prevent disease outbreaks they protect against a", "start": 995.199, "end": 1000.279}, {"text": "number of diseases and certain Cancers and they do reduce infection spread", "start": 1000.279, "end": 1005.72}, {"text": "amongst our families and in our communities you know over the course of", "start": 1005.72, "end": 1011.12}, {"text": "my career and I know for many of you around this table who've served the public for many years we know that", "start": 1011.12, "end": 1017.36}, {"text": "public health change rarely happens overnight educating and shifting public", "start": 1017.36, "end": 1024.199}, {"text": "perception requires time and it requires persistence I would dare say and", "start": 1024.199, "end": 1030}, {"text": "strategic action as well I recognize the profound responsibility we carry as public health", "start": 1030, "end": 1037.199}, {"text": "professionals and as public health leaders and today's agenda reflects our", "start": 1037.199, "end": 1043.038}, {"text": "professional commitment to using the best available science to fostering", "start": 1043.039, "end": 1048.4}, {"text": "inclusive ity and to centering our work around the people and communities we", "start": 1048.4, "end": 1055}, {"text": "serve as this is my final Board of Health meeting as your medical officer", "start": 1055, "end": 1060.32}, {"text": "of Health I do want to take this opportunity to express my deep deep", "start": 1060.32, "end": 1067.72}, {"text": "gratitude to each of the members of this board it has truly been the honor and", "start": 1067.72, "end": 1075.4}, {"text": "privilege of a lifetime to work alongside such dedicated and passionate", "start": 1075.4, "end": 1082.52}, {"text": "individuals each of whom brings unique insights bring strong commitment and", "start": 1082.52, "end": 1089.36}, {"text": "compassion to the vital work that is done in this building and throughout this city every single", "start": 1089.36, "end": 1098.48}, {"text": "day together we have faced some extraordinary challenges I think you can", "start": 1098.52, "end": 1103.6}, {"text": "agree it has been a heck of an eight years we've made tough decis decisions", "start": 1103.6, "end": 1109.799}, {"text": "and we've worked together to protect and promote our community's", "start": 1109.799, "end": 1115.159}, {"text": "health I'm grateful for your trust for your collaborative", "start": 1115.159, "end": 1120.76}, {"text": "spirit and for your shared commitment to improving Health outcomes and reducing", "start": 1120.76, "end": 1126.08}, {"text": "inequities across the city thank you to all of you for your", "start": 1126.08, "end": 1132.08}, {"text": "commitment to this essential work and for allowing me to be a part of", "start": 1132.08, "end": 1137.72}, {"text": "it I will look forward to observing the positive impact", "start": 1137.72, "end": 1142.919}, {"text": "this board will continue to have on the health my scarf of all", "start": 1142.919, "end": 1149.88}, {"text": "torontonians and of course as mentioned by the chair I would be remiss if I did", "start": 1149.88, "end": 1155.84}, {"text": "not also acknowledge uh the upcoming departure of our colleague UPA Chandra seura who has", "start": 1155.84, "end": 1163.32}, {"text": "served as the Director of Public Health and strategy and Clinical Services uh at", "start": 1163.32, "end": 1168.44}, {"text": "the end of the month uh the chair has already described the amazing", "start": 1168.44, "end": 1173.799}, {"text": "accomplishments achieved by this very remarkable professional in the last two and a half years it's hard to believe", "start": 1173.799, "end": 1179.76}, {"text": "how much has been done in a relatively short period of time so again if I may I", "start": 1179.76, "end": 1186.88}, {"text": "just would ask you to briefly join me again in expressing our gratitude to opula for her dedication to public", "start": 1186.88, "end": 1193.799}, {"text": "service and wishing her all the very very best as she takes on her new role", "start": 1193.799, "end": 1199.159}, {"text": "with the Ontario College of social workers and Social Service workers [Applause]", "start": 1199.159, "end": 1208.609}, {"text": "[Applause]", "start": 1212.26, "end": 1216.44}, {"text": "congratulations so with that chair Morris I will now turn the microphone back to you thank you Dr Dilla um just a", "start": 1225.88, "end": 1233.799}, {"text": "reminder we do have a reception for Dr Dilla in committee room 3 after our meeting so all the directors and staff", "start": 1233.799, "end": 1241.4}, {"text": "here are more than welcome to join us and I hope you", "start": 1241.4, "end": 1246.6}, {"text": "do um so we will now review the agenda so item hl1 18.1 appointment of", "start": 1246.6, "end": 1254.919}, {"text": "medical office of Health uh this item is going to be Def referred um in the", "start": 1254.919, "end": 1261.159}, {"text": "next maybe a week or two uh we will canvas the uh the board as to what times", "start": 1261.159, "end": 1268.64}, {"text": "work for everybody yeah a motion", "start": 1268.64, "end": 1275.12}, {"text": "now okay I'll move this item all those in favor oppos carried thank", "start": 1286.24, "end": 1291.799}, {"text": "you item HL 18.2 our health our city uh also for item 18.1 I see there's two", "start": 1291.799, "end": 1299.039}, {"text": "speakers on here so um you may choose to come back at a special meeting and", "start": 1299.039, "end": 1307.52}, {"text": "and depute if you like item 18 HL 18.2 our health our", "start": 1307.52, "end": 1314.2}, {"text": "city annual progress report 2024 we have presentations so we will I", "start": 1314.2, "end": 1320.76}, {"text": "will hold this item down item HL 18.3 addressing routine", "start": 1320.76, "end": 1326.12}, {"text": "immunization rates among School aged children is a staff presentation so I will also hold this item", "start": 1326.12, "end": 1332.84}, {"text": "down hl1 18.4 authority to receive grants to support in support of Public", "start": 1332.84, "end": 1339.6}, {"text": "Health initiatives um any speakers on this item", "start": 1339.6, "end": 1344.84}, {"text": "we have no one number three number four yes we have speakers", "start": 1344.84, "end": 1350.12}, {"text": "dear speakers number four okay we'll hold that item down there speakers check my list in front of", "start": 1350.12, "end": 1357.88}, {"text": "me okay item HL 18.5 strengthening and expanding the into kids health program", "start": 1357.88, "end": 1365.76}, {"text": "there are speakers on this item so I will hold this item down and HL 18.6", "start": 1365.76, "end": 1371.52}, {"text": "proposed 2025 scheduled the Board of Health meetings there are no speakers on this", "start": 1371.52, "end": 1376.88}, {"text": "item anyone like to move item councelor director tendra Balon all", "start": 1376.88, "end": 1382.44}, {"text": "those in favor oppos carried thank you all righty so we will start off on", "start": 1382.44, "end": 1388.679}, {"text": "item 18.2 you want introduce the speakers", "start": 1388.679, "end": 1396}, {"text": "chair Moes we do have a presentation for this and I will give my colleagues a brief moment to get to the presentation", "start": 1396, "end": 1402.679}, {"text": "table and perhaps as they get themselves settled in uh I will start off make some", "start": 1402.679, "end": 1409}, {"text": "opening remarks as you heard in my opening remarks we are bringing forward the", "start": 1409, "end": 1415}, {"text": "first our health our city annual progress report for the board's consideration as you mentioned uh Mr", "start": 1415, "end": 1421.76}, {"text": "chair this is uh the um you know we've been one year since we actually uh", "start": 1421.76, "end": 1427.88}, {"text": "launched this strategy it was adopted by the board in November of 20123 and here we are with our first", "start": 1427.88, "end": 1435.12}, {"text": "annual update uh as our colleagues get settled there at the table I do want to take this opportunity to thank the", "start": 1435.12, "end": 1442.12}, {"text": "amazing teams that have been involved uh in the development of this strategy and", "start": 1442.12, "end": 1447.48}, {"text": "in the progression of this strategy over the course of the last year I also would like to take this opportunity to thank", "start": 1447.48, "end": 1454}, {"text": "my colleagues at The Works uh they do provide incredible client facing", "start": 1454, "end": 1460.96}, {"text": "life-saving service every single day they engage in heroic efforts that are", "start": 1460.96, "end": 1468.72}, {"text": "certainly worthy of acknowledgement not just today but I would suggest uh for", "start": 1468.72, "end": 1474.2}, {"text": "you know many days and weeks months and years to", "start": 1474.2, "end": 1480}, {"text": "come they are doing their best to respond to a very complex situation the", "start": 1480, "end": 1485.399}, {"text": "drug toxicity epidemic that exists here in the city and exists in many jurisdictions around the world and again", "start": 1485.399, "end": 1492.279}, {"text": "it is an incredibly uh challenging task that they face and one that they do with professionalism and great and for that I", "start": 1492.279, "end": 1499.559}, {"text": "thank them I also want to take a brief moment to thank the mental health and substance use strategy team uh they", "start": 1499.559, "end": 1506.559}, {"text": "continue to amaze and uh do incredible work uh and for that I am incredibly", "start": 1506.559, "end": 1512.96}, {"text": "grateful and as well how could I not thank our remarkable Community", "start": 1512.96, "end": 1518.679}, {"text": "Partners um they uh keep us ground us", "start": 1518.679, "end": 1523.88}, {"text": "constantly work to provide the best available knowledge that they have as to what's happen happening to so many", "start": 1523.88, "end": 1529.96}, {"text": "people uh here in our city what's happening on the ground their collaboration and partnership is you", "start": 1529.96, "end": 1537.48}, {"text": "know par excellence and truly we would not be able to do what we do without those amazing Community Partners so", "start": 1537.48, "end": 1546}, {"text": "we're going to move into this uh presentation you see at the presentation table uh certainly some Toronto Public", "start": 1546, "end": 1553.559}, {"text": "Health colleagues opach Chandra seura who we've heard quite a bit about this morning is there at the presentation", "start": 1553.559, "end": 1559.72}, {"text": "table she's going to walk through the presentation she's also joined uh by our", "start": 1559.72, "end": 1564.76}, {"text": "colleague Katie Millan our new associate director of strategic initiatives you'll hear her talk about the progress that's", "start": 1564.76, "end": 1571.52}, {"text": "been made thus far on the strategy and we have some guest speakers joining us", "start": 1571.52, "end": 1576.919}, {"text": "as well I see my friend Colin Johnson a member of our health our city implementation panel and co-chair of the", "start": 1576.919, "end": 1584.08}, {"text": "Toronto harm reduction Alliance uh he will be speaking about the import of supervised consumption services and the", "start": 1584.08, "end": 1590.96}, {"text": "anticipated impacts of upcoming provincial policy changes and I believe as well we're joined by my colleague", "start": 1590.96, "end": 1597.44}, {"text": "Denise Andrea Campbell uh familiar to many there she is familiar to many", "start": 1597.44, "end": 1603.799}, {"text": "around this room executive director of Social Development finance and administration she'll be providing us", "start": 1603.799, "end": 1610.399}, {"text": "with an update on one of the priorities under the r Health R City plan the expansion of the Toronto Community", "start": 1610.399, "end": 1617.36}, {"text": "crisis service so with that OA over to you thank you so much Dr Dilla uh next", "start": 1617.36, "end": 1625.919}, {"text": "slide please I'll begin today's presentation with an overview of the current uh context of mental health and", "start": 1625.919, "end": 1632.24}, {"text": "substance use in Toronto next slide please mental health is a critical component of overall", "start": 1632.24, "end": 1638.799}, {"text": "health and well-being and has become an increasing concern in recent years the percent of adults in Toronto who rated", "start": 1638.799, "end": 1646.279}, {"text": "their mental health as very good or excellent decreased from 73.4% in 2015 down to 55%", "start": 1646.279, "end": 1654.48}, {"text": "in 2021 in 2019 only 44.3% of Toronto youth grades 7 to 12", "start": 1654.48, "end": 1662.039}, {"text": "reported very good or excellent mental health while 16.7% of Toronto youth", "start": 1662.039, "end": 1667.399}, {"text": "reported seriously contemplating suicide in the past year the percent of adults", "start": 1667.399, "end": 1673.48}, {"text": "in Toronto who reported being very satisfied with their life in general decreased inreased from 39.5% in 2015 to", "start": 1673.48, "end": 1682.399}, {"text": "29.8% in 2020 many of us also experience our own personal challenges with mental health", "start": 1682.399, "end": 1689.76}, {"text": "it's important to acknowledge this and to recognize its widespread impact next slide", "start": 1689.76, "end": 1696.799}, {"text": "please we also have data that shows there are significant harms from regulated substances such as Alcohol", "start": 1696.799, "end": 1704.279}, {"text": "Tobacco and cannabis in Toronto in 2023 there were", "start": 1704.279, "end": 1709.36}, {"text": "19,6 53 emergency department visits and", "start": 1709.36, "end": 1714.48}, {"text": "6,981 hospitalizations attributed to alcohol in", "start": 1714.48, "end": 1719.559}, {"text": "Toronto in 2022 22 there were 3,50 emergency department visits and", "start": 1719.559, "end": 1726.799}, {"text": "1,234 hospitalizations for cannabis related Harms in Toronto in an average", "start": 1726.799, "end": 1732.76}, {"text": "year in Toronto approximately 11,160 hospitalizations", "start": 1732.76, "end": 1738.24}, {"text": "and 15,840 emergency department visits were attributed to smoking among people 35", "start": 1738.24, "end": 1745.96}, {"text": "years and older ongoing action for regulated substances is needed to", "start": 1745.96, "end": 1751.039}, {"text": "prevent and reduce harmful Health outcomes and additional pressures on the", "start": 1751.039, "end": 1756.279}, {"text": "Health Care System next slide please and as we've been talking about for many many months", "start": 1756.279, "end": 1763.08}, {"text": "here at the Board of Health Toronto continues to be in the midst of a drug toxicity epidemic", "start": 1763.08, "end": 1768.76}, {"text": "beginning in 2016 the number of deaths due to opioid toxicity started to increase in Toronto", "start": 1768.76, "end": 1775.12}, {"text": "a further escalation was seen in 2020 in 2023 there were", "start": 1775.12, "end": 1781.96}, {"text": "4514 non-fatal calls for suspected opioid overdoses attended by Toronto Paramedic Services based on preliminary", "start": 1781.96, "end": 1789.919}, {"text": "data there were 525 confirmed and probable opioid toxicity deaths among", "start": 1789.919, "end": 1795.84}, {"text": "Toronto residents in 2023 the number of opioid toxicity deaths", "start": 1795.84, "end": 1801.32}, {"text": "remained high with over 500 deaths recorded per year for the last four", "start": 1801.32, "end": 1806.48}, {"text": "years and we have not seen these numbers return to pre-pandemic", "start": 1806.48, "end": 1811.64}, {"text": "levels these deaths are driven by a toxic unregulated Dr drug Supply which", "start": 1811.64, "end": 1817.24}, {"text": "is now predominantly fentanyl the unregulated drug supply has become increasingly unpredictable and", "start": 1817.24, "end": 1823.96}, {"text": "contaminated with other substances these contaminants complicate the overdose", "start": 1823.96, "end": 1829.399}, {"text": "response and increase risk of Overdose these deaths can be prevented", "start": 1829.399, "end": 1835.799}, {"text": "which is why at Toronto Public Health we continue to call for increased access to a full Continuum of evidence-based", "start": 1835.799, "end": 1842.76}, {"text": "Health Care supports including prevention harm reduction and treatment", "start": 1842.76, "end": 1848.679}, {"text": "services next slide", "start": 1848.679, "end": 1852.24}, {"text": "please on Tuesday August 2024 the government of Ontario announced changes", "start": 1853.76, "end": 1859.919}, {"text": "to supervise consumption and harm reduction services in Ontario The Province announced that they", "start": 1859.919, "end": 1866.2}, {"text": "will be introducing legislation that will prohibit supervised consumption sites located within 200 meters of", "start": 1866.2, "end": 1872.88}, {"text": "schools and licensed child care centers in Toronto this will result in", "start": 1872.88, "end": 1879.12}, {"text": "the closure of five supervised consumption sites by March 31st 2025 including the site that is", "start": 1879.12, "end": 1886.159}, {"text": "currently operated by us at Toronto Public Health the five sites anticipated to", "start": 1886.159, "end": 1892.2}, {"text": "close due to the provincial policy changes include Parkdale Queen M Community Health Center their Queens", "start": 1892.2, "end": 1897.799}, {"text": "West site at 168 ba Street region Park Community Health Center their site at", "start": 1897.799, "end": 1903.2}, {"text": "465 dund Street East South Riverdale Community Health Center their site at", "start": 1903.2, "end": 1908.36}, {"text": "955 Queen East the neighborhood Group kenson market site at 260 Augusta Street", "start": 1908.36, "end": 1915.48}, {"text": "and our Toronto Public Health site at 27 77 Victoria Street we're also aware that", "start": 1915.48, "end": 1921.039}, {"text": "a sixth site in Mars Park operated by South Community Health Center will likely close due to the expiry of a", "start": 1921.039, "end": 1927.48}, {"text": "lease agreement and the subsequent prohibition on relocation of that", "start": 1927.48, "end": 1932.519}, {"text": "site the provin also announced an opportunity to create new Health Service hubs called homelessness and addictions", "start": 1932.519, "end": 1940.279}, {"text": "recovery treatment hubs known as heart hubs the province is expected to invest", "start": 1940.279, "end": 1946.48}, {"text": "378 million for 19 heart hubs across Ontario supervised consumption sites", "start": 1946.48, "end": 1953.519}, {"text": "impacted by the provincially directed closures are being given the opportunity to transition to become these heart hubs", "start": 1953.519, "end": 1961.76}, {"text": "the city of Toronto Toronto public health and our Community Partners have applied to operate a hard", "start": 1961.76, "end": 1967.36}, {"text": "Hub hard Hub applicants have been informed that we can expect to hear", "start": 1967.36, "end": 1973.12}, {"text": "about the status of our applications before the end of the calendar year", "start": 1973.12, "end": 1978.519}, {"text": "while we greatly welcome these investments in the hubs there is still", "start": 1978.519, "end": 1983.76}, {"text": "critical need for more evidence-based Services across the system including prevention harm reduction and", "start": 1983.76, "end": 1990.639}, {"text": "treatment we need a range of evidence-based options to meet the diverse needs of people who are looking", "start": 1990.639, "end": 1995.88}, {"text": "for support however these hubs are not a replacement for the services that will", "start": 1995.88, "end": 2001.519}, {"text": "be lost with the closure of supervised consumption sites in Toronto next slide please", "start": 2001.519, "end": 2009.399}, {"text": "the next few slides we're going to share with you maps of suspected opioid overdose calls by neighborhood attended", "start": 2009.399, "end": 2016}, {"text": "by Toronto Paramedic Services since 2019 and you will see that year", "start": 2016, "end": 2021.159}, {"text": "over-year the highest number of calls for suspected opioid overdoses are consistently in the downtown area so", "start": 2021.159, "end": 2028.12}, {"text": "this is the map for 2019 you can see that the downtown core is lit up next", "start": 2028.12, "end": 2033.84}, {"text": "slide please this is the map for 2020 so again", "start": 2033.84, "end": 2038.96}, {"text": "the downtown core is the highest era of need next slide 2021 now you can start to see that", "start": 2038.96, "end": 2047.36}, {"text": "other areas of the city are starting to light up Jane and Wilson Steels and bayew but again downtown continues to be", "start": 2047.36, "end": 2055.118}, {"text": "the highest area of need next slide please this is", "start": 2055.119, "end": 2060.56}, {"text": "2022 again highest concentration in the downtown and 2023 is the final slide", "start": 2060.56, "end": 2068.079}, {"text": "with the maps this is the last year for which we have full", "start": 2068.079, "end": 2073.28}, {"text": "data the Stars pinned on this map represent the locations of the six", "start": 2073.28, "end": 2078.56}, {"text": "supervised consumption sites that are expected to close by March 31st of next", "start": 2078.56, "end": 2084.679}, {"text": "year as you can see on the map supervised consumption services are located in areas where there are high", "start": 2084.679, "end": 2091.158}, {"text": "high levels of need supervised consumption sites are clinical spaces for people to bring their own drugs to", "start": 2091.159, "end": 2098.4}, {"text": "use in the presence of trained health professionals Canadian and international", "start": 2098.4, "end": 2103.44}, {"text": "evidence and our own experience in Toronto shows that supervised consumption sites save lives they", "start": 2103.44, "end": 2109.24}, {"text": "connect people to Social Services and are Pathways to treatment there are currently 10 of these sites in Toronto", "start": 2109.24, "end": 2117.119}, {"text": "in 2023 across our 10 sites we served a total of", "start": 2117.119, "end": 2123.44}, {"text": "94,3 72 client visits in 2023 our staff across the 10", "start": 2123.44, "end": 2129.92}, {"text": "sites responded to 2,296 overdoses I want you to think about that", "start": 2129.92, "end": 2136.72}, {"text": "because that means over 2,000 calls that didn't get made to 911 in 2023 we collected a total of", "start": 2136.72, "end": 2146.44}, {"text": "500,000 over 500,000 needles across eight of our sites and again in 2023 we provided", "start": 2146.44, "end": 2156}, {"text": "9,867 referrals to Health and Social Services across nine of our", "start": 2156, "end": 2161.88}, {"text": "sites I want to thank each of our partners across the 10 sites many of whom are here with us today thank you", "start": 2161.88, "end": 2169.56}, {"text": "for your service to our community we are grateful for all your work providing life-saving medically necessary services", "start": 2169.56, "end": 2176.64}, {"text": "for our community members on April 1st 2025 it's anticipated that Toronto will", "start": 2176.64, "end": 2184.119}, {"text": "go from 10 supervised consumption sites down to just four sites located in the downtown", "start": 2184.119, "end": 2189.68}, {"text": "Corp not only will the proposed restrictions and closures of these Services increase harms and worsen the", "start": 2189.68, "end": 2195.68}, {"text": "drug toxicity epidemic it will also put additional pressures on the Health Care", "start": 2195.68, "end": 2201.04}, {"text": "System including First Responders Paramedic Services and hospital", "start": 2201.04, "end": 2206.24}, {"text": "emergency departments supervised consumption sites are life-saving healthare Clinical", "start": 2206.24, "end": 2214.319}, {"text": "Services I want to take a moment to talk about Toronto public Health supervised consumption site The Works which we have", "start": 2214.319, "end": 2220.48}, {"text": "been operating since 2017 in 2023 we supported", "start": 2220.48, "end": 2228.56}, {"text": "18,572 client visits to our Clinic we responded to 464 overdoses and provided", "start": 2228.56, "end": 2237.48}, {"text": "3,750 referrals to other health and social services to our", "start": 2237.48, "end": 2242.72}, {"text": "clients I want to share with you an incredible experience of one of our clients", "start": 2242.72, "end": 2248.2}, {"text": "I will call her Sarah which is not her real name when Sarah came to us she was", "start": 2248.2, "end": 2254}, {"text": "pregnant and homeless and she asked for our help to recover from injection drug", "start": 2254, "end": 2259.76}, {"text": "use we were able to enroll her in our injectable opioid egis Therapy Program I", "start": 2259.76, "end": 2264.92}, {"text": "program and she began with prescribed small doses of hydromorphone we do not permit carries", "start": 2264.92, "end": 2271.56}, {"text": "in our program all prescription Administration is observed by our nurses on site at our Clinic", "start": 2271.56, "end": 2278.839}, {"text": "over the weeks of Sarah's pregnancy we were able to provide smaller and smaller Doses and she was able to wean off the", "start": 2278.839, "end": 2287}, {"text": "medication our amazing team was able to help her find stable housing and connect", "start": 2287, "end": 2292.44}, {"text": "her with primary care and obstetrics through our partnership with our partner", "start": 2292.44, "end": 2297.56}, {"text": "St Michael's Hospital by the time she was ready to deliver her baby she was housed safely", "start": 2297.56, "end": 2305.24}, {"text": "and her partner was housed too she delivered a healthy baby and now", "start": 2305.24, "end": 2311}, {"text": "Sarah has regained custody of her other two children and she and her family are", "start": 2311, "end": 2316.2}, {"text": "doing really really well and our whole team is just so thrilled for", "start": 2316.2, "end": 2322.8}, {"text": "her I want to take a moment to thank our incredible staff team at the works for", "start": 2323.88, "end": 2330.2}, {"text": "their dedication and commitment to this important", "start": 2330.2, "end": 2335.319}, {"text": "work you are the heart and soul of our our program and you are Frontline", "start": 2335.319, "end": 2340.359}, {"text": "support to so many in need your actions are", "start": 2340.359, "end": 2345.64}, {"text": "heroic my sincere gratitude to our amazing clinical leadership team", "start": 2345.64, "end": 2350.88}, {"text": "associate director Sana Imran and Associate medical officer of Health Dr shab", "start": 2350.88, "end": 2357.52}, {"text": "Patty our managers Samira walji and elpa aritos and a team of incredible", "start": 2357.52, "end": 2364.72}, {"text": "supervisors at the works tinan Javon bumba Nick", "start": 2364.72, "end": 2372.44}, {"text": "scrio buma buo Patrick Livingston and Steph dur thank you for", "start": 2372.44, "end": 2379.52}, {"text": "your leadership through our challenging circumstances I want to thank our Public", "start": 2379.52, "end": 2386.28}, {"text": "Health strategy team associate directors Vanessa Fletcher Dominic papovich and", "start": 2386.28, "end": 2392.28}, {"text": "Katie Milan and team members Kelly Crow Suzanne fish K and I lankaran and CLA", "start": 2392.28, "end": 2399.44}, {"text": "Harvey this small M But Mighty strategy team is responsible for all of the", "start": 2399.44, "end": 2404.72}, {"text": "behind the scenes work supporting our health our city implementation panel and the interd dival table and our Community", "start": 2404.72, "end": 2412.64}, {"text": "Partners table special thanks to Mark Gaspar senior policy and strategic issues", "start": 2412.64, "end": 2420.56}, {"text": "adviser Mark held the pen on the our health our city strategy and helped us", "start": 2420.56, "end": 2426.04}, {"text": "to complete the city City's application to become a heart Hub thank you so much", "start": 2426.04, "end": 2432}, {"text": "Mark and many thanks to our Communications colleagues acting director Michael Blackburn and Mich", "start": 2432, "end": 2437.96}, {"text": "Michelle Simpson manager and their incredible media team who provide so much support across our", "start": 2437.96, "end": 2445.079}, {"text": "portfolio I would also like to thank our epidemiology team led by the amazing Dr", "start": 2445.079, "end": 2450.44}, {"text": "nakashi lampy it's Dr lant's team that consistently brings the current evidence", "start": 2450.44, "end": 2456.92}, {"text": "to the Forefront on the drug toxicity epidemic her team includes associate", "start": 2456.92, "end": 2462.16}, {"text": "director feie gornes and team members Caroline way s blot and shash Rahman who", "start": 2462.16, "end": 2468.96}, {"text": "all work closely with our partners at Toronto parent medic services and together we keep the Toronto overdose", "start": 2468.96, "end": 2475.88}, {"text": "information system updated every month with near real time data and finally but most importantly I", "start": 2475.88, "end": 2484.44}, {"text": "want to thank you Dr Dilla thank you for your courage Your strength", "start": 2484.44, "end": 2489.88}, {"text": "and your leadership and for pushing all of us to be better in our response to the drug", "start": 2489.88, "end": 2495.52}, {"text": "toxicity epidemic you are a hero thank you for everything that you have done to help", "start": 2495.52, "end": 2501.2}, {"text": "save", "start": 2501.2, "end": 2503.56}, {"text": "lives Mr chair I think it is now over to me again thank you OA for providing us", "start": 2508.079, "end": 2514.48}, {"text": "the context and for your kind words and acknowledg ing the many people on the team who contribute to this very", "start": 2514.48, "end": 2520.8}, {"text": "important work if I can I think we should continue on with the presentation", "start": 2520.8, "end": 2526.28}, {"text": "and if we can go to the next slide we'll go through a bit of an overview of the", "start": 2526.28, "end": 2531.56}, {"text": "progress made thus far in 2024 towards the implementation of our", "start": 2531.56, "end": 2537}, {"text": "health our city the strategy that has been developed next", "start": 2537, "end": 2542.68}, {"text": "slide as directed by the board we have established an implementation panel to", "start": 2542.68, "end": 2547.72}, {"text": "guide the actions over the 5-year course of this strategy and if we can continue", "start": 2547.72, "end": 2553.559}, {"text": "the acknowledgements and thanks I would like to acknowledge and thank deputy mayor mik for chairing this panel and", "start": 2553.559, "end": 2560.119}, {"text": "for convening this important group of community stakeholders uh just by way of reminder", "start": 2560.119, "end": 2565.839}, {"text": "to the board the implementation panel does consist of six individuals with lived and living experience six experts", "start": 2565.839, "end": 2573.44}, {"text": "from mental health and or the substance use sectors and six representatives from", "start": 2573.44, "end": 2579.2}, {"text": "City divisions and other key City stakeholders including such Partners as the Toronto District School Board", "start": 2579.2, "end": 2586}, {"text": "Toronto Community Housing Corporation and the Toronto Police Service I should", "start": 2586, "end": 2591.16}, {"text": "also note for the board that membership does include as well uh those from and", "start": 2591.16, "end": 2596.4}, {"text": "working with priority communities facing mental health and substance use inequities including people experiencing", "start": 2596.4, "end": 2603.8}, {"text": "homelessness seniors African Caribbean and black communities women Youth and 2s", "start": 2603.8, "end": 2611.44}, {"text": "lgbtq plus communities the panel was first established this September and had its", "start": 2611.44, "end": 2618.599}, {"text": "first meeting last month October 2024 and this first meeting uh in addition to", "start": 2618.599, "end": 2625.76}, {"text": "you know organizing ourselves as a panel uh we did focus on making sure that", "start": 2625.76, "end": 2631.72}, {"text": "members were provided with an update in respect of what the mental health and substance use landscape", "start": 2631.72, "end": 2637.599}, {"text": "looks like in the city at this time and with an overview of implementation efforts on the strategy to date the", "start": 2637.599, "end": 2644.76}, {"text": "panel will continue to meet every two months and their role they will play a", "start": 2644.76, "end": 2650.8}, {"text": "very key role in providing substantive input on priorities and direction for", "start": 2650.8, "end": 2656.4}, {"text": "the strategy as it proceeds uh over the next few years so with that I'm very pleased to", "start": 2656.4, "end": 2664.319}, {"text": "take this opportunity to introduce Colin Johnson one of the members of the our health our", "start": 2664.319, "end": 2670.319}, {"text": "city implementation panel co-chair of the Toronto harm reduction Alliance and", "start": 2670.319, "end": 2676.359}, {"text": "friend to Public Health and community champion as well so I'm going to hand it", "start": 2676.359, "end": 2682.24}, {"text": "over to you Colin and thank you again for being here today thank you so much Mr chair Dr DEA", "start": 2682.24, "end": 2689.92}, {"text": "my name is Colin Johnson as you've heard and I'm as youve also heard the one of the co-directors of the Toronto har", "start": 2689.92, "end": 2696.359}, {"text": "reduction Alliance I also also want to identify as someone who's been living with HIV for 40 years", "start": 2696.359, "end": 2703}, {"text": "and somebody who does drugs I think the latter is quite important because as you can see I take a number of boxes I'm", "start": 2703, "end": 2710.16}, {"text": "just going to start by saying that you know all supervised consumption sites play a key role in collecting clients", "start": 2710.16, "end": 2715.92}, {"text": "with Health and Social Services but they do far more than that they also offer people their Hood this is where they", "start": 2715.92, "end": 2723.24}, {"text": "come this is where they live this is where they interact with others this is where they get updated on information", "start": 2723.24, "end": 2728.839}, {"text": "but it's also where they do their laundry where they catch lunch and eat meals this is so important and I want", "start": 2728.839, "end": 2734.599}, {"text": "everybody to understand that by closing these things these people are not going to move so let's understand that what", "start": 2734.599, "end": 2743.079}, {"text": "we're going to see overall when it comes to wraparound Services apart from being a safe place to use drugs there's also", "start": 2743.079, "end": 2749.76}, {"text": "the drug checking housing Addiction Services safe Supply Outreach workers peer supports", "start": 2749.76, "end": 2757.88}, {"text": "which includes empowerment for people who use drugs so they can get jobs the various other support groups that come", "start": 2757.88, "end": 2764.04}, {"text": "with these institutions testing for HIV hepc in fact at one of the CTS sites uh", "start": 2764.04, "end": 2771.72}, {"text": "South River half of the users there tested positive for hepi they were", "start": 2771.72, "end": 2777.68}, {"text": "placed on treatment 84% of them are now cured harm reduction supplies all of", "start": 2777.68, "end": 2784.359}, {"text": "these things come with this place and of course of course wound care what's going to happen when these", "start": 2784.359, "end": 2790.079}, {"text": "places close well sadly all of that is going to go in many players but more", "start": 2790.079, "end": 2796.319}, {"text": "than that you're going to see more public use of drugs unsanctioned Ops sites in steer Wells Subways on the", "start": 2796.319, "end": 2804.28}, {"text": "TTC everybody's going to say instead of going to timis for a coffee let's go to timis for some", "start": 2804.28, "end": 2811.68}, {"text": "drugs reduced collection of drug paraphernalia for examp example South", "start": 2811.68, "end": 2818.119}, {"text": "Riverdale collects needles three times a day three times a day that will", "start": 2818.119, "end": 2826.92}, {"text": "go but more importantly we're also going to see people having to reuse their drugs and reuse their", "start": 2826.92, "end": 2833.52}, {"text": "supplies this is going to mean that there's going to be a spread of infections viral and bacterial hepsi HIV", "start": 2833.52, "end": 2840.88}, {"text": "he B HIV has a life of 42 days in a syringe HEC 63 days in a syringe I just", "start": 2840.88, "end": 2849.079}, {"text": "want you to keep that in the back of your heads everyone homemade pipes will explode Brillo will slide on people's", "start": 2849.079, "end": 2855.72}, {"text": "throats it's because they can't get the proper screens abscesses cellulitis skin", "start": 2855.72, "end": 2862.599}, {"text": "cancers endocarditis plus several felet medical terms that I'm not going to", "start": 2862.599, "end": 2867.64}, {"text": "touch for fear of Mis mispronouncing increase risk in sexual activities increase ambulance calls", "start": 2867.64, "end": 2877.079}, {"text": "the unavailability of ambulance for re for other emergencies this could be heart", "start": 2877.079, "end": 2882.72}, {"text": "attacks head agent accidents I do not think we understand the vast cope of", "start": 2882.72, "end": 2888.559}, {"text": "what the impact that this will have there are shelters that will be impacted by three shelters be impacted", "start": 2888.559, "end": 2895.04}, {"text": "by these closures so we'll find more substance used in the showers toilets people nodding off which", "start": 2895.04, "end": 2901.92}, {"text": "will lead to altercations that will lead to more violence", "start": 2901.92, "end": 2907.319}, {"text": "and of course I'm not I cannot I cannot begin to tell you how this will affect the staff of the places where people now", "start": 2907.319, "end": 2914.76}, {"text": "go more burnout people leaving the jobs exoduses and then of course there's the", "start": 2914.76, "end": 2921.44}, {"text": "impact to clients to sta when the clients die I'm not I'm leaving that for last", "start": 2921.44, "end": 2928.559}, {"text": "because I think everybody needs to understand how and the fact that people will die from this", "start": 2928.559, "end": 2935.72}, {"text": "action 47% of the people who use drugs presently access an Ops they will lose", "start": 2935.72, "end": 2941.96}, {"text": "access even if the other sites take on the extra work", "start": 2941.96, "end": 2948.839}, {"text": "47% 1,366 individuals each month use an Ops", "start": 2949.68, "end": 2954.92}, {"text": "site 37,1 144 people use who use stimulant or", "start": 2954.92, "end": 2960.599}, {"text": "opers have had Encounters in the Healthcare System since 2023 over mortality rate prior to the", "start": 2960.599, "end": 2969.319}, {"text": "introduction of Ops sites was at 7.8 deaths per 100,000 people in the city of", "start": 2969.319, "end": 2974.92}, {"text": "Toronto with the introduction of Ops sites it fell to 2.7 deaths that is a remarkable", "start": 2974.92, "end": 2984.16}, {"text": "decrease Dr Dilla has touched on the possibilities and how it will affect the marginalized", "start": 2984.96, "end": 2991.04}, {"text": "communities there's no words I can actually use to try to explain how much this will affect afria Caribbean and", "start": 2991.04, "end": 2997.48}, {"text": "black indigenous TOS lgbtiq women youth because they already", "start": 2997.48, "end": 3005.2}, {"text": "have issues in addressing mental mental health assets or Health Care due to the", "start": 3005.2, "end": 3012.76}, {"text": "stigma the lack of funding the lack of training all this well and there's no", "start": 3012.76, "end": 3020.2}, {"text": "other word to put it will just get worse when we look at the figures that", "start": 3020.2, "end": 3026.839}, {"text": "the onterio government put out to call them lies would be minimizing it in so", "start": 3026.839, "end": 3033.52}, {"text": "many ways there has been no significant increase in violent crimes near Ops", "start": 3033.52, "end": 3039.72}, {"text": "sites there's actually been a decrease in assault and Robbie rates and this is according to the Toronto police services", "start": 3039.72, "end": 3046.48}, {"text": "reports themselves when we begin to look and", "start": 3046.48, "end": 3053.76}, {"text": "think about what the this all means and how", "start": 3053.76, "end": 3058.96}, {"text": "this will actually affect us the only thing that that comes to mind for me as somebody who's been living with HIV for", "start": 3058.96, "end": 3065.96}, {"text": "40 years is if the governments have decided not to allow the existence of", "start": 3065.96, "end": 3071.599}, {"text": "Aid Service organizations or the hospices that dealt with the AIDS crisis way back in the", "start": 3071.599, "end": 3078.359}, {"text": "80s that is the only thing that I think can come to mind the actions of this government of", "start": 3078.359, "end": 3085.559}, {"text": "the Ford government are are unconscionable to say the least and going forward one of the", "start": 3085.559, "end": 3092.24}, {"text": "things that we know is going to count on the members of all the teams list sitting here city council the city of", "start": 3092.24, "end": 3100.599}, {"text": "Toronto the staff working hand inand with the other groups", "start": 3100.599, "end": 3108}, {"text": "Asos the marginalized communities and their representatives but more importantly than that and this is the", "start": 3108, "end": 3115.72}, {"text": "key you need to introduce and bring people who use drugs to the", "start": 3115.72, "end": 3122.04}, {"text": "table regardless of what you might think and I know many of us here are agreed you don't know", "start": 3122.04, "end": 3127.96}, {"text": "anything you really don't when it comes to substance use I hate to tell you this", "start": 3127.96, "end": 3133.319}, {"text": "okay so yeah back in University you smoke that thinger pot wonderful here here let's slap you on the back but when", "start": 3133.319, "end": 3140.44}, {"text": "it comes to the drugs that are presently available you are as ignorant as a newborn babe", "start": 3140.44, "end": 3147.68}, {"text": "all of the things that have been created that you see and we're speaking about today came from drug user people the", "start": 3147.68, "end": 3154.52}, {"text": "government did not sit back one day and say oh my god let's go out and give away needles no sorry that's not quite the", "start": 3154.52, "end": 3160.24}, {"text": "way it happened okay it was drug user organizations like the one I represent", "start": 3160.24, "end": 3165.559}, {"text": "Toronto harm reduction Alliance that started to do this stuff", "start": 3165.559, "end": 3171.319}, {"text": "eally before everybody got on board and of course once you got on board in many cases made a mess of", "start": 3171.319, "end": 3178.28}, {"text": "it but sitting back and looking back at the serious nature of what is going to", "start": 3178.28, "end": 3184.28}, {"text": "happen you really need us now there is no doubt of that and we are more than", "start": 3184.28, "end": 3190.88}, {"text": "willing to work with you of course for pay we're not cheap let's add that okay I would be remissed to Advocate that", "start": 3190.88, "end": 3197.359}, {"text": "we're going to do this stuff for free we did that already and you didn't listen to us okay so it's going to take us working", "start": 3197.359, "end": 3204.68}, {"text": "with the Toronto Police Service and I'm I'm going to ask them to really look in going forward not to arrest people who", "start": 3204.68, "end": 3211.52}, {"text": "they see doing drugs in public where El you want them to go putting them in jail is not going to help the situation okay", "start": 3211.52, "end": 3218.24}, {"text": "it's only going to make it worse the committee the our health our city we're talking about mental health", "start": 3218.24, "end": 3224.96}, {"text": "we're talking about substance use they interact so closely and it's really", "start": 3224.96, "end": 3230.319}, {"text": "critical important I think that we all work together but that also means that", "start": 3230.319, "end": 3236.16}, {"text": "in instead of some of the situations we have seen where we have a board or a body that's above another that has to", "start": 3236.16, "end": 3243.88}, {"text": "change I don't care what that body is you need to have somebody or some representation from somebody who does", "start": 3243.88, "end": 3250.24}, {"text": "drugs on that body or else it will be a useless body I'm going to end up by finishing by", "start": 3250.24, "end": 3257.24}, {"text": "saying because I don't want I could go on for the rest of my days seriously I mean you know when I touch on the loss", "start": 3257.24, "end": 3264.559}, {"text": "and loss of friends that I have had had because of this drug crisis I'm tired I you know I've given", "start": 3264.559, "end": 3271.359}, {"text": "up with tears I I cried enough doing you know AIDS and you know they brought me", "start": 3271.359, "end": 3277}, {"text": "back to cry again I don't have any more tears I really don't I think I'm going to end with one of the quotes from our", "start": 3277, "end": 3284.76}, {"text": "revered Premiere where he says uh in speaking about onor growing", "start": 3284.76, "end": 3290.2}, {"text": "over period crisis that doesn't work I know I have dealt within our family I", "start": 3290.2, "end": 3295.839}, {"text": "have dealt with it within our community what works is rehab detox beds", "start": 3295.839, "end": 3302.24}, {"text": "supporting these people with good paying jobs housing is absolutely critical and there's a whole row of things not just", "start": 3302.24, "end": 3309.079}, {"text": "ignoring that's my personal opinion and we're putting our money where our mouth is Mr Ford in response that is your", "start": 3309.079, "end": 3317.52}, {"text": "opinion my opinion is packed by fact we know people are going to die if we continue down this", "start": 3317.52, "end": 3325}, {"text": "road we definitely know that things are not going to get better if you continue", "start": 3325, "end": 3330.16}, {"text": "to implement these plans to close Ops sites but lastly", "start": 3330.16, "end": 3337.2}, {"text": "sir you're not putting your mouth money where your mouth is you're in fact", "start": 3337.2, "end": 3342.28}, {"text": "removing money that could help save lives thank", "start": 3342.28, "end": 3347.24}, {"text": "[Applause] you so Colin thank you as always for", "start": 3348.55, "end": 3356.88}, {"text": "your cander for your collaboration and for reminding the", "start": 3356.88, "end": 3362.4}, {"text": "board of the importance of the work that lies ahead of all of", "start": 3362.4, "end": 3367.52}, {"text": "us so with that Mr chair we still have a little more presentation board members I", "start": 3367.52, "end": 3372.559}, {"text": "beg your Indulgence for a little bit more if I can I'll turn it over to Katie Millan who will provide us a more", "start": 3372.559, "end": 3378.48}, {"text": "substantive update on the progress in the last year on the strategy thank you Dr Dilla and thank", "start": 3378.48, "end": 3384.48}, {"text": "you Colin you so as we know our health our city is a 5-year city-wide strategy", "start": 3384.48, "end": 3389.96}, {"text": "which includes a number of recommended actions across seven strategic goals part of our work in the first year was", "start": 3389.96, "end": 3396.079}, {"text": "to develop a comprehensive picture of actions being taken across multiple City divisions that align with the goals of", "start": 3396.079, "end": 3401.96}, {"text": "the strategy so a full view of this work is included in the attachment of the report but I'll just share a few", "start": 3401.96, "end": 3407.92}, {"text": "specific examples with the board today so Toronto next slide please Toronto Paramedic Services have expanded the", "start": 3407.92, "end": 3414.88}, {"text": "community paramedic Le Clinic where paramedics offer Wellness clinics and subsidized housing buildings naturally", "start": 3414.88, "end": 3420.28}, {"text": "occurring retirement communities as well as shelters the Toronto Transit Commission the TTC has also improved", "start": 3420.28, "end": 3426.96}, {"text": "access to nooc Zone to help prevent and respond to drug overdoses in the transit system so effective January 17th of this", "start": 3426.96, "end": 3434.28}, {"text": "year Fair inspectors are now carrying nxone and the administration of nxone by TTC employees was expanded to operation", "start": 3434.28, "end": 3441.28}, {"text": "supervisors there are a number of initiatives between uh sdfa tsss and the TPS to partner with the ministry of the", "start": 3441.28, "end": 3448.079}, {"text": "Attorney General and the Ontario court of justice to implement two Justice Center programs in", "start": 3448.079, "end": 3453.76}, {"text": "Toronto and a few other initiatives that are aligned with the seven strategic goals that you see on the screen", "start": 3453.76, "end": 3460.92}, {"text": "there next slide please as part uh of this report back we", "start": 3460.92, "end": 3467}, {"text": "also received direction from the Board of Health to review the existing and planned actions to reduce harm", "start": 3467, "end": 3472.64}, {"text": "associated with cannabis vaping and smoking for youth through Outreach and education initiatives for and with", "start": 3472.64, "end": 3478.72}, {"text": "schools so preventing and reducing the harms associated with substance use across the lifespan is one of our seven", "start": 3478.72, "end": 3484.68}, {"text": "priority goals in the strategy and this of course includes taking action to reduce the harms associated with vaping", "start": 3484.68, "end": 3490.68}, {"text": "smoking and cannabis use so there are more details on this in the report but tph is mandated by The", "start": 3490.68, "end": 3497}, {"text": "Province to enforce the smokefree Ontario act which regulates the Sal Supply display and promotion of tobacco", "start": 3497, "end": 3502.88}, {"text": "and Vapor Products at retail and prohibits the smoking of tobacco cannabis and vaping uh in of any", "start": 3502.88, "end": 3509.16}, {"text": "substance in enclosed workplaces and public places and at designated outdoor places in Ontario so in addition to the", "start": 3509.16, "end": 3515.839}, {"text": "health protection uh efforts that we have at tph through inspections and enforcement we are also responsible for", "start": 3515.839, "end": 3521.68}, {"text": "providing health promotion and education services to reduce the harms associated with vaping and substance use so again", "start": 3521.68, "end": 3528.68}, {"text": "there's more details in the report however the highlights include launching an online vaping Hub on the tph school", "start": 3528.68, "end": 3534.599}, {"text": "health web page with which provides culturally responsive resources and programming on vaping prevention", "start": 3534.599, "end": 3540.44}, {"text": "reduction and cessation um as well as providing a significant education for", "start": 3540.44, "end": 3545.52}, {"text": "students in grades seven and eight as well as over the last 12 months Toronto", "start": 3545.52, "end": 3550.92}, {"text": "Public Health has made over 14 recommendations in response to health candidates requests for feedback on the federal tobacco and vaping products act", "start": 3550.92, "end": 3558.72}, {"text": "so these are some of the examples of the actions planned and uh you know executed actions that we've taken in the last", "start": 3558.72, "end": 3565.079}, {"text": "year next slide please so in April of 2023 uh the board", "start": 3565.079, "end": 3572.72}, {"text": "has also recommended that we work with indigenous service providers to co-develop an indigenous mental health substance use and addiction strategy in", "start": 3572.72, "end": 3580.48}, {"text": "response to this recommendation we have worked with Toronto Aboriginal Support Services Council to co-host a two-day", "start": 3580.48, "end": 3586.76}, {"text": "Roundtable on indigenous Wellness so there were several recommendations that emerged from this this initiative", "start": 3586.76, "end": 3592.48}, {"text": "including a request for tph to establish an indigenous Wellness committee that includes all indigenous-led service", "start": 3592.48, "end": 3599.4}, {"text": "providers in the city with the goal of co-developing an action plan to advance indigenous Wellness we have begun this", "start": 3599.4, "end": 3606.28}, {"text": "work and we have held six meetings of this committee uh and this committee is also being Guided by an indigenous", "start": 3606.28, "end": 3613}, {"text": "facilitator I would also just like to mention that parallel work related to indigenous harm reduction is also", "start": 3613, "end": 3619.72}, {"text": "underway so in partnership with the Ontario Aboriginal HIV AIDS strategy an", "start": 3619.72, "end": 3625.119}, {"text": "indigenous harmor ction Circle was officially formed in February of 2023 so this is indigenous Le Circle", "start": 3625.119, "end": 3632.039}, {"text": "that is action oriented and its core mandate includes co-developing culturally appropriate solutions for", "start": 3632.039, "end": 3638.039}, {"text": "indigenous harm reduction and identifying strategies to address the health and willness needs of indigenous", "start": 3638.039, "end": 3643.24}, {"text": "people who use substances I'd like to just take a moment to thank the members of our", "start": 3643.24, "end": 3648.48}, {"text": "indigenous health Team at Toronto Public Health manique diabo Josh Swain and also", "start": 3648.48, "end": 3653.559}, {"text": "Emma Tucker for their work advancing these initiatives next slide", "start": 3653.559, "end": 3659.44}, {"text": "please finally I'll provide a very brief update on progress across the four priorities of year one in the", "start": 3659.44, "end": 3665.88}, {"text": "strategy so the priorities are up on the screen and uh for advancing shelter", "start": 3665.88, "end": 3671.28}, {"text": "Services supportive and affordable housing there were significant advocacy efforts to both the provincial and", "start": 3671.28, "end": 3676.599}, {"text": "federal governments which led to Toronto's New Deal which provides 600 million across 3 years in additional", "start": 3676.599, "end": 3682.319}, {"text": "operating support for shelters and homelessness the city has has also seen advances on affordable and Supportive", "start": 3682.319, "end": 3688.599}, {"text": "Housing um although we know that there's much more to be done in these areas to establish a 24-hour crisis", "start": 3688.599, "end": 3696.039}, {"text": "center this is one of the priorities that is still ongoing the gersen crisis center has also shared a proposal with", "start": 3696.039, "end": 3701.88}, {"text": "Ontario health for 247 crisis stabilization Center for people who use drugs this is a very Innovative model", "start": 3701.88, "end": 3708.44}, {"text": "that would include 247 rest bite and stabilization Crisis Intervention short-term crisis beds peer supports and", "start": 3708.44, "end": 3714.76}, {"text": "follow-up services including linkages to addiction medicine treatment mental health supports and Primary Care the", "start": 3714.76, "end": 3721}, {"text": "report before you for consideration recommends that we reiterate the request to the government of Ontario to fund", "start": 3721, "end": 3727.079}, {"text": "this proposal for police Hospital transfers um I'm pleased to share that on", "start": 3727.079, "end": 3733.279}, {"text": "September 14th 2024 the Toronto Police Service launched a one-year pilot project in collaboration with the", "start": 3733.279, "end": 3739.039}, {"text": "university health network Unity Health Toronto and Humber River Health to expedite the transfer of care of", "start": 3739.039, "end": 3744.839}, {"text": "patients to emergency room staff and reduce the wait times for Frontline police officers so this is a new program", "start": 3744.839, "end": 3750.48}, {"text": "that operates 18 hours a day 7 days a week and we look forward to reviewing an an evaluation of this effort next year I", "start": 3750.48, "end": 3759}, {"text": "will now hand it over to Andrea Campbell the executive director of sfna to provide an update on the expansion of", "start": 3759, "end": 3764.839}, {"text": "the Toronto Community crisis service next slide please", "start": 3764.839, "end": 3771.68}, {"text": "uh good morning chair Moy counselors uh directors and Dr Dilla um it's an honor", "start": 3791.76, "end": 3799.559}, {"text": "to be here and I know there's been a lot of conversation on this important topic", "start": 3799.559, "end": 3805.799}, {"text": "so we'll just take just a few more minutes to walk you through an update on the community crisis service beside me", "start": 3805.799, "end": 3813.4}, {"text": "is one of my colleagues Nicole Watson manager of the policing reform unit that", "start": 3813.4, "end": 3819.359}, {"text": "leads the work to develop and operate the Toronto Community crisis", "start": 3819.359, "end": 3824.76}, {"text": "service before beginning this part of the presentation I want to start by", "start": 3824.76, "end": 3830.52}, {"text": "acknowledging the P passing of Elder Wanda whitebird she was a traditional Elder", "start": 3830.52, "end": 3837.48}, {"text": "and strong Advocate from one of our partners two spirited peoples of the First Nations Elder whitebird uh", "start": 3837.48, "end": 3845.68}, {"text": "provided traditional openings at both the launch of the indigenous Le Toronto", "start": 3845.68, "end": 3851.119}, {"text": "Community crisis service over the summer and at our Citywide um expansion event", "start": 3851.119, "end": 3857.72}, {"text": "this past September Elder whitebird was a strong advocate for missing and murdered indigenous women and girls and", "start": 3857.72, "end": 3865.279}, {"text": "members of of the 2s lgbtq Community Elder whitebird embraced", "start": 3865.279, "end": 3870.92}, {"text": "the philosophy of harm reduction and was a fierce social justice", "start": 3870.92, "end": 3876.48}, {"text": "Advocate if you wouldn't mind could you just join me for a moment of silence in honor of Elder", "start": 3876.48, "end": 3884.558}, {"text": "whitebird thank you next slide", "start": 3893.88, "end": 3900.319}, {"text": "please the Toronto Community crisis uh service is one of the first priority", "start": 3902.76, "end": 3908.279}, {"text": "actions of safo Toronto's comprehensive 10-year Community safety and well-being", "start": 3908.279, "end": 3913.92}, {"text": "plan this work calls on the city to reimagine core elements of community", "start": 3913.92, "end": 3918.96}, {"text": "safety and wellbe in order to shift our Paradigm from a Reliance on reactive", "start": 3918.96, "end": 3925.119}, {"text": "emergenc response to a culture of proactive uh prevention expanding the", "start": 3925.119, "end": 3932.16}, {"text": "Toronto Community crisis service Citywide as Toronto's fourth emergency service is one of our first year", "start": 3932.16, "end": 3939.52}, {"text": "priority actions of our city our health a mental health substance use harm", "start": 3939.52, "end": 3944.72}, {"text": "reduction and treatment strategy for Toronto as you know the strategy focuses", "start": 3944.72, "end": 3950.119}, {"text": "on promoting health and well-being across the lifespan and it is our honor", "start": 3950.119, "end": 3955.68}, {"text": "for this service to be one of the key priorities next slide", "start": 3955.68, "end": 3961.839}, {"text": "please as a reminder the Toronto Community crisis service was developed after the tragic deaths um of Regis", "start": 3961.839, "end": 3969.76}, {"text": "Kinski pette Shantel Moore George Floyd and many others in the spring of", "start": 3969.76, "end": 3975.72}, {"text": "2020 and the resulting calls to reform uh to reform police accompanied by a", "start": 3975.72, "end": 3983.44}, {"text": "global movement calling for critical reforms following these calls city", "start": 3983.44, "end": 3989.64}, {"text": "council adopted a set of 36 recommendations in June 2020 intended to", "start": 3989.64, "end": 3995.68}, {"text": "reform policing in Toronto these reforms touch on several areas including", "start": 3995.68, "end": 4001.88}, {"text": "policing Public Safety and crisis response my division Social Development", "start": 4001.88, "end": 4008.2}, {"text": "finance and administration was charged with driving policing reform and building an alternative response for", "start": 4008.2, "end": 4015.2}, {"text": "person in crisis without police involvement we undertook a jurisdictional research and extensive", "start": 4015.2, "end": 4022.76}, {"text": "Community engagement process to develop a community-based maen Toronto Community", "start": 4022.76, "end": 4028.279}, {"text": "crisis service and that is how the Toronto Community crisis service was born and we", "start": 4028.279, "end": 4034.24}, {"text": "begun the service in Pilot areas um at the end of March", "start": 4034.24, "end": 4040.2}, {"text": "20122 last year in November 2023 city council approved the city-wide expansion", "start": 4040.2, "end": 4046.24}, {"text": "of the service by the end of this year and I'm proud to say that we soft launch", "start": 4046.24, "end": 4052.2}, {"text": "this Citywide expansion on July 8th six months ahead of", "start": 4052.2, "end": 4057.68}, {"text": "schedule next slide please the current map of Citywide", "start": 4057.68, "end": 4064.52}, {"text": "service after uh this is the current map of Citywide service after piloting in", "start": 4064.52, "end": 4069.72}, {"text": "60% of the city for uh 15 months you'll see here are incredible Partners in the", "start": 4069.72, "end": 4078.119}, {"text": "north at toico and North York CMHA Toronto Branch leads the mobile teams in", "start": 4078.119, "end": 4085.52}, {"text": "central Toronto and South at toico gersin crisis center tyu community health center leads", "start": 4085.52, "end": 4094.16}, {"text": "the mobile teams in all of Scaro and two spirited peoples of the First Nation leads indigenous Pacific", "start": 4094.16, "end": 4102.719}, {"text": "Citywide uh service", "start": 4102.719, "end": 4106.92}, {"text": "next slide please when we were building our model for the crisis service the importance of", "start": 4108.08, "end": 4114.08}, {"text": "building Community Trust was affirmed over and over this guided our hand in", "start": 4114.08, "end": 4119.318}, {"text": "developing a Toronto Community crisis Service as a collaborative model where the city serves as backbone for the", "start": 4119.319, "end": 4126.08}, {"text": "service and Four Strong trusted Community Partners serve as anchors who", "start": 4126.08, "end": 4132}, {"text": "deploy the the mobile crisis teams across commity communities one of the", "start": 4132, "end": 4137.12}, {"text": "special features of the tronic Community crisis service is that each anchor partner brings with them an extensive", "start": 4137.12, "end": 4144.48}, {"text": "network of partners that serve as referral Pathways to additional services", "start": 4144.48, "end": 4150.238}, {"text": "and supports the slide outlines some of those key Partners this is not an", "start": 4150.239, "end": 4156.4}, {"text": "extensive list however you can still see a number of Community Health centers and", "start": 4156.4, "end": 4161.838}, {"text": "culturally specific supports um noted here such as the Rexdale Community Health", "start": 4161.839, "end": 4167.88}, {"text": "Center Hong fuk Mental Health Association the Regent Park Community", "start": 4167.88, "end": 4173.159}, {"text": "Health Center the weaving Wellness Center and thunder women's healing", "start": 4173.159, "end": 4178.798}, {"text": "Lodge next slide", "start": 4178.799, "end": 4182.44}, {"text": "please thank you very much Denise uh I'm going to jump in here to discuss a little bit about what is the tccs so as", "start": 4183.839, "end": 4191.318}, {"text": "mentioned this was developed with intensive Community input and what we heard strongly from Community was the", "start": 4191.319, "end": 4196.64}, {"text": "service itself needed to be available 247 it needed to take a no wrongo approach that leveraged multiple intake", "start": 4196.64, "end": 4203.199}, {"text": "channels our main intake partner is find help 211 but we also are able the service is also accessible through 911", "start": 4203.199, "end": 4210.719}, {"text": "the service itself is voluntary and consent based and serves tronan tonian", "start": 4210.719, "end": 4216.12}, {"text": "16 plus with the trauma informed and harm reduction approach mobile crisis teams are deployed and able to meet", "start": 4216.12, "end": 4222.84}, {"text": "individuals where they are at to offer on seen Crisis Support but also followup crisis case management and service", "start": 4222.84, "end": 4229.84}, {"text": "navigation and we do have a focus on culturally relevant services and referral networks especially for those", "start": 4229.84, "end": 4235.28}, {"text": "who identify as indigenous black and the 2s lgbtq plus Community if I could have", "start": 4235.28, "end": 4240.92}, {"text": "the next slide please this is to show a high level uh service map in terms of how one might", "start": 4240.92, "end": 4247.44}, {"text": "access the tronic Community crisis service so a call comes in either through 911 or directly to 211 211 call", "start": 4247.44, "end": 4255.28}, {"text": "speakers then assess the call assuming it's eligible for tccs the teams are", "start": 4255.28, "end": 4260.52}, {"text": "dispatched and the mobile teams are able to arrive on scene currently our arrival time is within about 25 minutes they", "start": 4260.52, "end": 4267.52}, {"text": "then offer on scene supports and help to deescalate a crisis situation that may be occurring the teams then offer offer", "start": 4267.52, "end": 4274.96}, {"text": "follow-up support within 48 hours and ongoing crisis uh case management support for up to 90", "start": 4274.96, "end": 4282.159}, {"text": "days pass it back over to you now Denise thank thank you next slide please so", "start": 4282.159, "end": 4288.04}, {"text": "from the outset of creating the new this new service we engaged a third-party evaluator camh's provincial system", "start": 4288.04, "end": 4296}, {"text": "support program and Shak May Maka to work with us to Monitor and evaluate the", "start": 4296, "end": 4302.04}, {"text": "results of the service transparency is a guiding principle in our operation of", "start": 4302.04, "end": 4308.239}, {"text": "the service so we publish our evaluation reports our six Monon and one-year evaluations are on the city's website uh", "start": 4308.239, "end": 4316.4}, {"text": "for the service before you are our service outcomes since the start of the", "start": 4316.4, "end": 4322.159}, {"text": "service in March 2022 until the end of this summer The", "start": 4322.159, "end": 4327.56}, {"text": "Crisis service has now responded to almost 16,000 calls since its launch by", "start": 4327.56, "end": 4334.04}, {"text": "comparison at this time last year when Council approved the Citywide expansion", "start": 4334.04, "end": 4339.36}, {"text": "this crisis service has um had only responded to 16,000 calls s so that's an", "start": 4339.36, "end": 4346.32}, {"text": "increase in 10,000 in the year 211 is now the dominant window into the service", "start": 4346.32, "end": 4353.52}, {"text": "for torontonians with 58% of calls coming in through 211 and our Community", "start": 4353.52, "end": 4360.639}, {"text": "Partners our public education is working as a result of the crisis", "start": 4360.639, "end": 4366.28}, {"text": "service Toronto police service has experienced a 4.5% reduction in person in crisis calls", "start": 4366.28, "end": 4374.44}, {"text": "in 20 23 so we were not yet Citywide as compared uh to previous years before the", "start": 4374.44, "end": 4382.12}, {"text": "service was created now that the Toronto Community crisis service is Citywide we", "start": 4382.12, "end": 4388.76}, {"text": "expect um continued decreases in person crisis calls attended by Police", "start": 4388.76, "end": 4395.52}, {"text": "Service although I have to acknowledge that this point was um noted before the", "start": 4395.52, "end": 4402.56}, {"text": "real harms um and uh challenges that um", "start": 4402.56, "end": 4407.88}, {"text": "Colin and others have been speaking about this morning so we expect continue", "start": 4407.88, "end": 4413.96}, {"text": "uh demand uh on this service next slide please almost 6,000", "start": 4413.96, "end": 4420.6}, {"text": "referrals have been made on site and during follow-up visits and 1,200", "start": 4420.6, "end": 4426.32}, {"text": "service users have been connected to case management following the emergency", "start": 4426.32, "end": 4431.76}, {"text": "response I need to reiterate an important part of this service isn't just about responding to people in their", "start": 4431.76, "end": 4438.56}, {"text": "most um vulnerable moment with the right response it is about trying to reduce", "start": 4438.56, "end": 4445.08}, {"text": "person in crisis calls um over time the provision of culturally re uh relevant", "start": 4445.08, "end": 4452.12}, {"text": "supports and an is an important aspect of the service between October 1st 2022", "start": 4452.12, "end": 4458.639}, {"text": "and July 31st of this year 471 culturally relevant supports were", "start": 4458.639, "end": 4465.12}, {"text": "provided to our service users 47% of those supports are indigenous specific", "start": 4465.12, "end": 4471.639}, {"text": "and 16% are Afrocentric and West Indian Caribbean Centric uh", "start": 4471.639, "end": 4478.8}, {"text": "supports and the next and final slide please so our evaluation to date is", "start": 4478.8, "end": 4485.84}, {"text": "showing that the Toronto Community crisis service is positively impacting the lives of torontonians in the ways", "start": 4485.84, "end": 4492.719}, {"text": "that communities activists and academic have called for 95% of service users", "start": 4492.719, "end": 4499.199}, {"text": "have said they were satisfied or very satisfied with the service they received 90% said uh the crisis service has", "start": 4499.199, "end": 4507.32}, {"text": "increased their feeling of safety and well-being and 95% uh said they were connected to the", "start": 4507.32, "end": 4514.76}, {"text": "supports that they wanted so let me close using their", "start": 4514.76, "end": 4520.52}, {"text": "words one user said they helped me understand that I am worthy and that", "start": 4520.52, "end": 4527.08}, {"text": "they wanted to see me go forward they uplifted me and made me feel like I am", "start": 4527.08, "end": 4534.12}, {"text": "worthy another shared it is just such a feeling of comfort and with that the", "start": 4534.12, "end": 4540.8}, {"text": "element of safety is present present knowing that the services is there and", "start": 4540.8, "end": 4546.6}, {"text": "it is safe and finally another service user shared the Toronto Community crisis", "start": 4546.6, "end": 4553.44}, {"text": "service talked to to me and they talk to my son and they talk to all of us and", "start": 4553.44, "end": 4560.04}, {"text": "I'm still used to I'm still used to people saying we're going to do X Y and", "start": 4560.04, "end": 4565.52}, {"text": "Z and then nothing really happens but oh my gosh they went Above", "start": 4565.52, "end": 4571.84}, {"text": "and Beyond in closing I want to thank the incredible team in Social Development", "start": 4571.84, "end": 4579.719}, {"text": "and our partners that bring such wisdom expertise compassion and commitment to", "start": 4579.719, "end": 4586.4}, {"text": "creating this effective Community Care model thank you for the opportunity to share our", "start": 4586.4, "end": 4593.84}, {"text": "progress so if I may I will Echo your note of thanks Denise and extend one to", "start": 4593.84, "end": 4599.56}, {"text": "you and Nicole for being here today for sharing this presentation with us and for your collaboration and partnership", "start": 4599.56, "end": 4607}, {"text": "as always Mr chair I realize this has been a long presentation I will just", "start": 4607, "end": 4612.04}, {"text": "thank all the presenters that have come here today again our collaborators and partners all around the city uh some of", "start": 4612.04, "end": 4618.679}, {"text": "whom are not here today this is an incredible um body of work as I hope you", "start": 4618.679, "end": 4624.56}, {"text": "see uh there is much ahead of us uh it is not something we can do alone but I", "start": 4624.56, "end": 4630.239}, {"text": "hope that the board is heartened by the many Partnerships that we have out there the professionalism of the team that is", "start": 4630.239, "end": 4638.08}, {"text": "working on these important and complex issues and uh you know I look forward to", "start": 4638.08, "end": 4644.08}, {"text": "hearing about the progress that continues um you know from here on in so", "start": 4644.08, "end": 4649.28}, {"text": "thank you Mr chair uh thank you Dr Villa um I've been chair for two years of this", "start": 4649.28, "end": 4656.159}, {"text": "uh board and I've never received such", "start": 4656.159, "end": 4661.6}, {"text": "a well-informed progress report it it was it was it was uh heartfelt I'm happy", "start": 4662.639, "end": 4669.28}, {"text": "that uh you took the time to actually go through it as you did so and I also appreciate how how many thank yous there", "start": 4669.28, "end": 4676.04}, {"text": "were you can never say thank you often enough so thank you to all of you for all that you do each and every", "start": 4676.04, "end": 4683.199}, {"text": "day especially those on the front lines um we do have speakers in this", "start": 4683.199, "end": 4688.639}, {"text": "item uh several uh the first person here is Haley Thompson Toronto drug checking", "start": 4688.639, "end": 4694.36}, {"text": "service are you", "start": 4694.36, "end": 4697.44}, {"text": "here online online", "start": 4701.76, "end": 4706.44}, {"text": "haey can you hear me", "start": 4717.76, "end": 4721.32}, {"text": "Haley there you go hi everyone double checking that you can hear me yes we can you have five minutes go ahead great", "start": 4725.76, "end": 4732.96}, {"text": "good morning chair Moyes Dr Dil other board members City staff and my fellow community members and colleagues my name", "start": 4732.96, "end": 4739.08}, {"text": "is Haley Thompson and I'm the manager of Toronto's drug testing service a community- based Public Health Service", "start": 4739.08, "end": 4744.32}, {"text": "that is coordinated out of St Michael's Hospital a site of Unity Health Toronto since launching in 2019 our service has", "start": 4744.32, "end": 4751.44}, {"text": "checked over 15,000 drug samples from the city's unregulated drug Supply and identified over 450 unique drugs many of", "start": 4751.44, "end": 4759.719}, {"text": "which can be directly linked to our service allows people to anonymously", "start": 4759.719, "end": 4764.92}, {"text": "submit a sample of their drug to be tested and receive results about what is in it along with tailored strategies to", "start": 4764.92, "end": 4770.6}, {"text": "reduce harm referrals to drug Health and Social Services approximately half of", "start": 4770.6, "end": 4775.88}, {"text": "the samples submitted to our service are expected to be fentanyl which is as the contamination of the unregulated", "start": 4775.88, "end": 4782.32}, {"text": "Sentinel Supply is really what is driving the drug toxicity crisis our program has proven drug checking has POS", "start": 4782.32, "end": 4789.48}, {"text": "quantifiable impact on responding to the local drug Supply crisis including the", "start": 4789.48, "end": 4795.48}, {"text": "to behavior change reduces the risk of Overdose a new gateway to accessing harm", "start": 4795.48, "end": 4800.679}, {"text": "reduction services and empowers people who use drugs to advocate for themselves and contribute to solutions that", "start": 4800.679, "end": 4807.32}, {"text": "impact Beyond engaging and educating individual service users our program combines results from all samples", "start": 4807.32, "end": 4813.679}, {"text": "checked to perform unregulated drug Market monitoring and publicly dis theet information every other week through our", "start": 4813.679, "end": 4820.719}, {"text": "monitoring efforts we have continued to confirm worsening contamination and then the UN predictability of the", "start": 4820.719, "end": 4826.12}, {"text": "unregulated as is explicitly mentioned in the our city our health annual progress report for", "start": 4826.12, "end": 4831.679}, {"text": "2024 our timely public and accessible unregulated drug Market monitor equips people use drugs community health", "start": 4831.679, "end": 4837.96}, {"text": "workers public and public health units to educate their about local and regulated supplies clinicians to engage", "start": 4837.96, "end": 4845.48}, {"text": "who use drugs in meaningful and informed care and treatment First Responders to best attend to overdose and drug related", "start": 4845.48, "end": 4852.44}, {"text": "incidents coroners to understand emerging substances and contextualized Trends in drug related death", "start": 4852.44, "end": 4858.88}, {"text": "investigations as well as policy makers and administrators to support investment in evidence-based policies programming", "start": 4858.88, "end": 4865.88}, {"text": "our service currently collects samples at nine of the city's 10 supervised consumption sites as well as one of the", "start": 4865.88, "end": 4871.199}, {"text": "city's urgent public health for a total of 10 collection sites in Toronto The Works of Toronto public health is", "start": 4871.199, "end": 4877.44}, {"text": "actually the collection site with the highest drug checking sample volumes in the city collecting well over 6,000", "start": 4877.44, "end": 4883.199}, {"text": "samples to date you can imagine the Ontario government's proposed zoning requirements which would see the closure", "start": 4883.199, "end": 4889.52}, {"text": "of six of our 10 collection sites in Toronto would have profound implications for individual service users and the", "start": 4889.52, "end": 4895.96}, {"text": "many other stakeholders some of which I've mentioned that rely on our services findings for example close to 80% of the", "start": 4895.96, "end": 4902.12}, {"text": "samples we've checked since 2019 were collected by the six sites at risk of closure our service was North America's", "start": 4902.12, "end": 4909.239}, {"text": "first community-based off-site drug checking program in response to the toxic drug Supply crisis and we the only", "start": 4909.239, "end": 4915}, {"text": "comprehensive drug checking program in Canada outside of BC we were the first in Canada to inform the public of", "start": 4915, "end": 4921}, {"text": "Veterinary tranquilizer zyline and metodine as well as high potency uh niine opioids circulating in the", "start": 4921, "end": 4927.56}, {"text": "unregulated opioid Supply we've been recognized internationally as leaders in drug checking Service delivery and", "start": 4927.56, "end": 4934.08}, {"text": "regulated drug Market monitoring and are regularly consulted by organizations across Canada the US and Europe locally", "start": 4934.08, "end": 4941.32}, {"text": "the city of Toronto and Toronto Public Health have greatly benefited from our program and regularly used findings to", "start": 4941.32, "end": 4947.32}, {"text": "inform key Public Health Resources such as drug alerts the Toronto overdose information system dashboard and even", "start": 4947.32, "end": 4953.28}, {"text": "the city's 2022 application to decriminalize drugs in the Strategic goals and recommended action section of", "start": 4953.28, "end": 4959.96}, {"text": "the our health our city strategy the funding of drug checking Services is explicitly mentioned under 2A stating", "start": 4959.96, "end": 4966.56}, {"text": "drug checking Services should be permanently funded and options to increase drug checking access should be", "start": 4966.56, "end": 4972.04}, {"text": "explored to date our program has been prominently funded federally by Health candidate substance use and addictions", "start": 4972.04, "end": 4978.08}, {"text": "program but is set to end at uh at the end of June 2025 and despite the fact", "start": 4978.08, "end": 4983.44}, {"text": "that we are Health Service delivery in the province of Ontario uh we have yet to receive any substantial long-term", "start": 4983.44, "end": 4989}, {"text": "funding commitment from The Province uh directly or through affiliate organizations should we not receive a", "start": 4989, "end": 4994.36}, {"text": "long-term funding commitment by June 2025 we will be forced to close our program uh we conclude with a few", "start": 4994.36, "end": 5000.84}, {"text": "critical requests from uh Toronto's Board of Health City Council in the office named collectively as the city of", "start": 5000.84, "end": 5006.36}, {"text": "Toronto first we request the city of Toronto commits to ensuring drug checking at our collection sites within", "start": 5006.36, "end": 5012.04}, {"text": "their perview remain accessible and without interruption up to and Beyond March 31st 2025 with or without", "start": 5012.04, "end": 5018.84}, {"text": "supervised consumption service second we request the city of Toronto take a more active role in sustaining our essenti", "start": 5018.84, "end": 5025.6}, {"text": "essential and internationally recognized public health program by way of advocacy efforts to the provincial and federal", "start": 5025.6, "end": 5031.639}, {"text": "governments thinking creatively about how existing mun ipal resources could be leveraged and partnering with our team", "start": 5031.639, "end": 5037.48}, {"text": "on eligible funding opportunities lastly we request the city commits to collaborating with our team on efforts", "start": 5037.48, "end": 5043.56}, {"text": "to educate policy makers clinicians First Responders and others from across Toronto and Ontario about our program", "start": 5043.56, "end": 5050.159}, {"text": "and its findings and facilitate evidence-based responses to the crisis by those groups thank you for your time", "start": 5050.159, "end": 5056.199}, {"text": "thank you any questions for deput say none thank you um Jeffrey Dale are you", "start": 5056.199, "end": 5062.36}, {"text": "here good", "start": 5062.36, "end": 5069.28}, {"text": "morning okay you have five minutes thank you for allowing me to", "start": 5069.719, "end": 5076.719}, {"text": "speak today and good morning uh chair Moyes members of council City staff and", "start": 5076.719, "end": 5081.76}, {"text": "members of the public I'm Reverend Jeffrey Dale and I'm the minister at College Street United Church at the", "start": 5081.76, "end": 5087.679}, {"text": "corner of college in Bathurst I live near the church and as such my home and church are situated between two safe", "start": 5087.679, "end": 5094.8}, {"text": "consumption sites consumption and treatment services Parkdale Queen West and Kensington Market both slated to", "start": 5094.8, "end": 5102.44}, {"text": "close since the province's announcement in August 2024 College Street United", "start": 5102.44, "end": 5107.88}, {"text": "Church's electric sign has proclaimed that harm reduction is spiritual save", "start": 5107.88, "end": 5113.84}, {"text": "SCS as a community of faith we are training ourselves in the lockone use", "start": 5113.84, "end": 5118.92}, {"text": "and have no lockone kits in every bathroom and office in our building I come to you today as a minister but also", "start": 5118.92, "end": 5126.56}, {"text": "as a former user of elicit substances to appeal for your support to uphold the", "start": 5126.56, "end": 5133.48}, {"text": "potentiality of your our health our city substance use strategy just over 10", "start": 5133.48, "end": 5139.76}, {"text": "years ago I was addicted to oxycotton in many ways I was fortunate I", "start": 5139.76, "end": 5147.239}, {"text": "bought my pills on the street and at those time those pills were real", "start": 5147.239, "end": 5152.56}, {"text": "oxycotton I lived in a relative comfort that is not the same for others", "start": 5152.56, "end": 5159.32}, {"text": "today since then I have watched this country Province and City's realities", "start": 5159.32, "end": 5166.679}, {"text": "relating to substance use change and evolve and not for the better each of us", "start": 5166.679, "end": 5173.88}, {"text": "in this room know the realities and statistics of how harm reduction saves lives we know that safe consumption", "start": 5173.88, "end": 5180.88}, {"text": "sites and services save lives and yet here we are are again asking that our", "start": 5180.88, "end": 5187.76}, {"text": "friends our neighbors and our community be afforded the opportunity to", "start": 5187.76, "end": 5193.719}, {"text": "live we at College Street are extremely fortunate to host the winter meetings of", "start": 5193.719, "end": 5199.239}, {"text": "the harm reduction advocacy Collective this advocacy Collective comes together", "start": 5199.239, "end": 5204.76}, {"text": "to Proclaim one another's worth and dignity protect one another's Agency for", "start": 5204.76, "end": 5210.28}, {"text": "an opportunity for life since coming to College Street in May I've experienced", "start": 5210.28, "end": 5216.32}, {"text": "people in need and most often these people engage in substance use it", "start": 5216.32, "end": 5222.36}, {"text": "exhausts me that our fights in the past which brought us further to building a community of care are unraveling right", "start": 5222.36, "end": 5229.56}, {"text": "before our very eyes it aggravates me that we must continue to protest and call upon our", "start": 5229.56, "end": 5236.88}, {"text": "levels of the government to assist us in seeking ways to reduce harm most of all", "start": 5236.88, "end": 5242.119}, {"text": "though as a citizen of the city which I so dearly love I am grieving that the most", "start": 5242.119, "end": 5248.88}, {"text": "marginalized citizens are being pushed further into the corners in the shadows our neighbors are crying out in", "start": 5248.88, "end": 5257.04}, {"text": "pain and so often I wonder will we ever hear their laments in the den of a city", "start": 5257.04, "end": 5262.119}, {"text": "progressing along we need you more than we ever have before to", "start": 5262.119, "end": 5270.44}, {"text": "join us beyond the walls of City Hall and out into the trenches of this war war that has been waged against people", "start": 5270.44, "end": 5276.119}, {"text": "who need harm reduction the province's decrees once again have called many of us to action", "start": 5276.119, "end": 5282.88}, {"text": "and in doing so it brings up our pain and our fear and so I implore you to", "start": 5282.88, "end": 5288.44}, {"text": "ensure that harm reduction and consumption and treatment services are not wiped away with the provincial", "start": 5288.44, "end": 5294.32}, {"text": "announcement and pending legislation in our neighborhood and throughout this city this is truly our opportunity to", "start": 5294.32, "end": 5301.96}, {"text": "Envision a Toronto the good that is is good for all her citizens especially those who will and", "start": 5301.96, "end": 5309.28}, {"text": "are dying in the shadow of the Sean Tower hoping against hope that", "start": 5309.28, "end": 5315.199}, {"text": "someone anyone is listening at the end of every harm", "start": 5315.199, "end": 5321.8}, {"text": "reduction advocacy Collective meeting we join together in a circle and vocalize the names of those we've lost due to", "start": 5321.8, "end": 5328.88}, {"text": "toxic drugs every time names flood out", "start": 5328.88, "end": 5334.119}, {"text": "and I recognize just how large our Circle would be if we are all afforded the same dignity and privilege others", "start": 5334.119, "end": 5341.639}, {"text": "are gifted with by those in power our leaders will then say we mourn", "start": 5341.639, "end": 5348.36}, {"text": "the dead and we fight like hell for the living now is the time for us all to", "start": 5348.36, "end": 5355.48}, {"text": "fight I can only hope that you will all be with us on the front lines once more", "start": 5355.48, "end": 5362.56}, {"text": "thank you for your time thank you Jeffrey any questions for the deput", "start": 5362.56, "end": 5368.32}, {"text": "seeing none thank you for coming in today uh Kevin", "start": 5368.32, "end": 5373.56}, {"text": "Wilson Kevin Wilson are you", "start": 5374.199, "end": 5378.119}, {"text": "here you have five minutes thank", "start": 5382.84, "end": 5387.52}, {"text": "you good morning and thank you for the opportunity chairman W and members of the board and counselors and members of", "start": 5392.04, "end": 5398.52}, {"text": "the public my name is Kevin Wilson and for just over a year I have been a client of Parkdale Queen West Community", "start": 5398.52, "end": 5404.56}, {"text": "Health Center my first visit was to supervise consumption site at 169", "start": 5404.56, "end": 5409.92}, {"text": "Bist I would like to share with you how my life has transformed since that visit when I was first buzzed through", "start": 5409.92, "end": 5416.04}, {"text": "those doors that day I was homeless I was struggling under the weight of multiple traumatic experiences I was", "start": 5416.04, "end": 5422.04}, {"text": "dealing with a number of secondary issues that frequently are Companions of Ivy drug usage I felt very alone", "start": 5422.04, "end": 5428.44}, {"text": "isolated and trapped inside a deep pit of depression and isolation today I am no longer homeless", "start": 5428.44, "end": 5436.04}, {"text": "my housing situation is far from ideal but I am not looking at the prospect of spending Christmas on the street that", "start": 5436.04, "end": 5442.08}, {"text": "was what I faced last year I'm receiving treatment and counseling", "start": 5442.08, "end": 5449.04}, {"text": "for my secondary conditions I've had to deal with most importantly I no longer", "start": 5449.04, "end": 5454.84}, {"text": "feel alone and trapped in a deep pit of despair that was my reality last year I", "start": 5454.84, "end": 5460.8}, {"text": "have not climbed out of that pit yet but I feel like I have a toll hold all of these things have occurred", "start": 5460.8, "end": 5467.28}, {"text": "because I was buzzed through those doors at 169 baths last year to the staff I encountered there I was more than just", "start": 5467.28, "end": 5473.119}, {"text": "an addict a homeless person mentally ill the staff saw me as fully human and", "start": 5473.119, "end": 5479.08}, {"text": "treated me accordingly when I was hungry they provided food when I was thirsty water", "start": 5479.08, "end": 5484.48}, {"text": "and juice when I was sick they provided Medical Care most important of all when I despaired they provided a sympathetic", "start": 5484.48, "end": 5491.6}, {"text": "year a supportive word of encouragement a shoulder to cry upon and a", "start": 5491.6, "end": 5497.158}, {"text": "hug and amid all of this the knowledge that I was not alone there were people", "start": 5500.28, "end": 5505.52}, {"text": "who cared for me and had my back they believed in me and wouldn't give up on me even in those moments where I had", "start": 5505.52, "end": 5511.88}, {"text": "given up on myself thanks to those workers I was assigned to a case manager who became my greatest", "start": 5511.88, "end": 5517.48}, {"text": "advocate my case manager helped me in countless ways thanks to them the idea I", "start": 5517.48, "end": 5523.4}, {"text": "had lost was replaced I moved first from homelessness to respit care into the shelter system and now into support of", "start": 5523.4, "end": 5530.52}, {"text": "housing thanks to my case manager I have hope for the future for the first time", "start": 5530.52, "end": 5535.56}, {"text": "in years none of this wouldn't would have happened had I not visited that supervised consumption site just over a", "start": 5535.56, "end": 5541.44}, {"text": "year ago I cannot emphasize to you strongly enough the profound negative impact", "start": 5541.44, "end": 5547.199}, {"text": "shuttering five supervised consumption sites in Toronto will have people will die if this ill-considered plan", "start": 5547.199, "end": 5554.8}, {"text": "proceedes the province's rationale for taking these steps has no grounding an objective fact rather it", "start": 5554.8, "end": 5562.159}, {"text": "smacks of an electioneering strategy which seeks to turn people like me into convenient Straw Men ahead of a rip", "start": 5562.159, "end": 5568.639}, {"text": "period playing fast and loose with the lives of vulnerable people who have", "start": 5568.639, "end": 5573.96}, {"text": "virtually no resources to fight back can only be described as shameful disgusting and", "start": 5573.96, "end": 5579.679}, {"text": "unconscionable I cannot and will not in good conscience remain silent while any level of government seeks to", "start": 5579.679, "end": 5586.56}, {"text": "dismantle the modest improvements to our well-being that have been made in the past few years I will fight this with", "start": 5586.56, "end": 5592.92}, {"text": "every fiber of my being and I urge the board to make every possible effort to prevent the province's plan from going", "start": 5592.92, "end": 5599.4}, {"text": "through thank you okay thank you Kevin any questions for the the", "start": 5599.4, "end": 5604.48}, {"text": "deput seeing none thank you for coming in today thank you uh Haley buin client", "start": 5604.48, "end": 5610.52}, {"text": "Support Services parkd Queen West Community Health", "start": 5610.52, "end": 5615}, {"text": "Center Haley", "start": 5616.32, "end": 5619.88}, {"text": "bom online okay hello hi we can hear you five minutes go", "start": 5622.56, "end": 5628}, {"text": "ahead thank you so much um my name is Kaye bomman here today is both a front rank", "start": 5628, "end": 5634.84}, {"text": "client support worker working in one of the downtown core safe consumption", "start": 5634.84, "end": 5640.92}, {"text": "sites but as a member of the community I'm here to express my several", "start": 5640.92, "end": 5647.28}, {"text": "concern over the government's proposed closures defunding safe consumption Services the", "start": 5647.28, "end": 5654.56}, {"text": "distribution network of needle exchange and harm reduction services at large in my five years", "start": 5654.56, "end": 5660.679}, {"text": "working arm production I have seen the Direct effects of this toxic drug Supply", "start": 5660.679, "end": 5666.119}, {"text": "and how it WS havoc on our community I've seen death in our streets", "start": 5666.119, "end": 5671.6}, {"text": "pain in the eyes of my colleagues and the strain on our nurses practitioners and Emergency", "start": 5671.6, "end": 5678.639}, {"text": "Services fear that we are not going far enough we are falling short due to lack", "start": 5678.76, "end": 5684.159}, {"text": "of resources restrictions on how we are allowed to care and the fear of closures", "start": 5684.159, "end": 5689.36}, {"text": "of these services and the implications but the iy does not stop at", "start": 5689.36, "end": 5695.04}, {"text": "the hardworking Frontline workers nurses and doctors it is fed most intensely by", "start": 5695.04, "end": 5700.32}, {"text": "the clients that access these service daily they are terrified and we are terrified for them the announced closure", "start": 5700.32, "end": 5708.48}, {"text": "of 10 of 17 of our province's safe consumption site is nothing short of a", "start": 5708.48, "end": 5713.6}, {"text": "death sentence for these services and they are starkly aware that our", "start": 5713.6, "end": 5718.639}, {"text": "government is the one handing down that sentence these restrictions are going to", "start": 5718.639, "end": 5724.159}, {"text": "lead to a Public Health crisis unlike we've seen in both number of deaths increased numbers of communicable", "start": 5724.159, "end": 5730.44}, {"text": "diseases and the strain in our health system these proposed changes to the", "start": 5730.44, "end": 5736.48}, {"text": "legislations are not only contrary to evidence-based studies and recommendations but they are also", "start": 5736.48, "end": 5743.36}, {"text": "cruel between 2023 and 2024 the site alone will RSE", "start": 5743.36, "end": 5751}, {"text": "747 overdoses in our SCS there were", "start": 5751, "end": 5757.48}, {"text": "1,991 unique doors this", "start": 5757.679, "end": 5762.88}, {"text": "210% from the 2022 year where we only saw 231", "start": 5762.88, "end": 5769.36}, {"text": "overdoses and 1814 clients according to the government of", "start": 5769.36, "end": 5775.08}, {"text": "Canada website just between January and March of 2024 Canada saw 19,000 1,96", "start": 5775.08, "end": 5781.6}, {"text": "apparent opioid toxicity deaths that is 1,96 living breathing human", "start": 5781.6, "end": 5790.28}, {"text": "beings these numbers to rise and are showing no sign of stopping becomes more", "start": 5790.28, "end": 5796.88}, {"text": "and more toxic and the government shows less and less Goodwill to address it", "start": 5796.88, "end": 5801.92}, {"text": "with evidence-based measures the province's plan to implement these proposed not go far", "start": 5801.92, "end": 5808.08}, {"text": "enough to address the increased death and ignores recommendations of even their own representative findings", "start": 5808.08, "end": 5814.56}, {"text": "this includes that's surrounding one of the local CTS sites where the direct recommendation was and I quote the", "start": 5814.56, "end": 5821.96}, {"text": "review team found a clear need for services at s site based on the number of clients being served and broad range", "start": 5821.96, "end": 5827.76}, {"text": "of Health Services via referrals and integrated services in the community", "start": 5827.76, "end": 5834.44}, {"text": "H this is only one of 48 recommendations made in that individual", "start": 5834.44, "end": 5840.76}, {"text": "inquiry all of which point to one clear conclusion these sites are vital they", "start": 5840.76, "end": 5847.8}, {"text": "are working and to close them would not be shortsighted but catastrophic to", "start": 5847.8, "end": 5854.08}, {"text": "Public Health the experts in this field the people who have boots on the ground day", "start": 5854.08, "end": 5859.96}, {"text": "in and day out are agreement that these heart hubs will not be successful in", "start": 5859.96, "end": 5866}, {"text": "combating drug toxicity deaths not unless they are able to with the continuing operation of all", "start": 5866, "end": 5873.52}, {"text": "17 current safe consumption sites at bare", "start": 5873.52, "end": 5879.44}, {"text": "minimum the answer is never going to be less Services it's always going to be", "start": 5879.44, "end": 5886.119}, {"text": "more I experienced an immense am loss since the beginning of this drug", "start": 5886.119, "end": 5891.639}, {"text": "toxicity epidemic both professionally and in my personal life but now I embracing", "start": 5891.639, "end": 5898.36}, {"text": "myself the compound grief is so heavy and the anxiety is unrelenting", "start": 5898.36, "end": 5904.96}, {"text": "until you have seen firsthand the lifeless body of someone who has died in", "start": 5904.96, "end": 5910.199}, {"text": "an Alleyway the shade of blue on the lips of a person who is slipping away or", "start": 5910.199, "end": 5916.239}, {"text": "the look in the eyes of someone who is brought back from the verge of death after receiving life-saving", "start": 5916.239, "end": 5922.639}, {"text": "overdose you will never understand I'm here with a very firm", "start": 5922.639, "end": 5928.599}, {"text": "message do not let these already marginalized and struggling community", "start": 5928.599, "end": 5933.88}, {"text": "members down even further these living breathing human", "start": 5933.88, "end": 5939.599}, {"text": "beings these friends and MERS thank you thank you", "start": 5939.599, "end": 5945.239}, {"text": "Kaye any questions for deput I seeing none thank you for coming in today", "start": 5945.239, "end": 5952.599}, {"text": "Fiona zels", "start": 5952.599, "end": 5956.84}, {"text": "eels how do you pronounce your name properly ezekiel's Ezekiel thank you you", "start": 5961, "end": 5966.199}, {"text": "have five minutes good morning thank you for allowing me to speak today my name is", "start": 5966.199, "end": 5971.8}, {"text": "Fiona Ezekiel I'm a member of the harm reduction advocacy Collective I'm a master of Social Work student at York", "start": 5971.8, "end": 5978.56}, {"text": "University and I am an overdose prevention support worker at a supervised consumption site that is set", "start": 5978.56, "end": 5984.4}, {"text": "to close on March 31st 2025 I'm here today to express my", "start": 5984.4, "end": 5990.52}, {"text": "support for the recommendations outlined in the our health our city annual progress", "start": 5990.52, "end": 5997.639}, {"text": "report I come to you not just as a Frontline worker but as someone who carries the weight of this crisis in a", "start": 5997.639, "end": 6003.48}, {"text": "very personal way for over 2 years I have worked at a supervised consumption site and in that", "start": 6003.48, "end": 6011.239}, {"text": "time I have witnessed the devastating toll of the toxic drug Supply crisis", "start": 6011.239, "end": 6016.84}, {"text": "sorry this crisis is compounded by an inadequate Public Health response which", "start": 6016.84, "end": 6022.239}, {"text": "has failed to meet the needs of the people who use drugs people I have cared about thank", "start": 6022.239, "end": 6028.639}, {"text": "you friends clients and community members have died responding to and reversing", "start": 6028.639, "end": 6035.239}, {"text": "overdoses while critical is the easiest part of my job the hardest part is the", "start": 6035.239, "end": 6041.119}, {"text": "vicarious and secondary trauma of witnessing people fall through the cracks of a broken", "start": 6041.119, "end": 6047.52}, {"text": "system being displaced relocated redirected and repeated", "start": 6047.52, "end": 6053.76}, {"text": "let down by the very system that is meant to support them for example having to relay to", "start": 6053.76, "end": 6061.52}, {"text": "service Caesar that Central intake once again does not have a shelter bed", "start": 6061.52, "end": 6066.679}, {"text": "available that there are no detox beds that weightless are months long and that", "start": 6066.679, "end": 6071.76}, {"text": "there are no other options available this is the unfortunate reality for many precariously and unhoused people who use", "start": 6071.76, "end": 6078.8}, {"text": "drugs who are seeking help I am terrified of the repercussions", "start": 6078.8, "end": 6084.52}, {"text": "of the potential closure of five supervised consumption sites in", "start": 6084.52, "end": 6089.88}, {"text": "Toronto this decision by the provincial government is nothing short of social murder if these closures happen people", "start": 6089.88, "end": 6097.719}, {"text": "will die instead of needles and paraphernalia people will find bodies", "start": 6097.719, "end": 6103.32}, {"text": "lifeless reminders of our Collective failure paramedics police officers", "start": 6103.32, "end": 6109.48}, {"text": "Librarians gas station attendants shelter workers social workers community members friends", "start": 6109.48, "end": 6116.679}, {"text": "families and parents will all be at risk of experiencing the trauma of preventable", "start": 6116.679, "end": 6121.92}, {"text": "loss I am haunted by the memories of people who have died due to the toxic drug Supply crisis each person was a", "start": 6121.92, "end": 6129.88}, {"text": "life full of Hope dreams love care generosity and each person deserved to", "start": 6129.88, "end": 6135.719}, {"text": "be here today I will replay the last moments that I saw them and wonder what", "start": 6135.719, "end": 6140.96}, {"text": "I could have done differently I have come to realize that this is not an individual failure it is", "start": 6140.96, "end": 6147.88}, {"text": "not about what I or my co-workers could have done differently in any one moment it is about a failing system A system", "start": 6147.88, "end": 6155.32}, {"text": "that doesn't provide enough support and leaves people vulnerable to preventable harm internalizing that failure will not", "start": 6155.32, "end": 6162.08}, {"text": "help anyone what will help is action investing in proven life-saving", "start": 6162.08, "end": 6167.92}, {"text": "interventions like supervised consumption sites harm reduction services and safe Supply", "start": 6167.92, "end": 6174.239}, {"text": "every day that we delay or underfund these Services we risk more lives every person lost there are Ripple", "start": 6174.239, "end": 6181.159}, {"text": "effects grieving families shattered communities and Frontline workers like me who bear the emotional scars of", "start": 6181.159, "end": 6187.8}, {"text": "losing yet another person who deserve to live I know that you all understand this", "start": 6187.8, "end": 6194}, {"text": "and I am begging you to continue to recognize that the drug toxicity epidemic as a Public Health crisis", "start": 6194, "end": 6200.76}, {"text": "commit to actions that are evidence-based reiterate the request of the government", "start": 6200.76, "end": 6206.119}, {"text": "of Ontario to protect Community Health well-being and safety to continuing to", "start": 6206.119, "end": 6211.44}, {"text": "fund and permit the operation of all currently operating supervised consumption Services consumption and", "start": 6211.44, "end": 6218.239}, {"text": "treatment services sites Beyond March 31st 2025 permit the collocation of heart", "start": 6218.239, "end": 6225.199}, {"text": "hubs supervise consumption services and consumption and treatment services sites to provide life-saving medical services", "start": 6225.199, "end": 6232.56}, {"text": "primary care and increase Pathways to treatment services and to reiterate City", "start": 6232.56, "end": 6238.52}, {"text": "council's request to the government of Ontario to consider the inclusion of supervised consumption services in their", "start": 6238.52, "end": 6244.239}, {"text": "new heart program proposals I am begging each and every one of you to please do", "start": 6244.239, "end": 6250.719}, {"text": "this thank you thank you f any questions for the", "start": 6250.719, "end": 6257}, {"text": "deput I see none thank you for coming in today uh Callum Houston harm reduction", "start": 6257, "end": 6264.199}, {"text": "advocacy", "start": 6264.199, "end": 6266.76}, {"text": "Collective good morning morning you have five minutes I won't take long um I'm", "start": 6274.56, "end": 6282.28}, {"text": "just I'm an organizer uh with harm reduction advocacy Collective um and we're just here to", "start": 6282.28, "end": 6290.199}, {"text": "urge the city the public health to support uh safe consumption sites and", "start": 6290.199, "end": 6297.8}, {"text": "these other services and programs that help uh people who use drugs and people", "start": 6297.8, "end": 6303.84}, {"text": "struggling with uh addictions there's a need for I I really", "start": 6303.84, "end": 6310.92}, {"text": "do respect um the work that's been done right now um and by the people here I", "start": 6310.92, "end": 6317.84}, {"text": "know that you guys get a lot of flak for uh from from the public for not", "start": 6317.84, "end": 6325.52}, {"text": "doing from their perspective enough but it's a very complicated and I respect", "start": 6325.52, "end": 6331.88}, {"text": "how complicated this is and how many uh compromises you have to make even", "start": 6331.88, "end": 6339.679}, {"text": "um but as Dr Dillis has said uh and I'm glad that she says this", "start": 6339.679, "end": 6345.96}, {"text": "that public health is about following the facts and the data not", "start": 6345.96, "end": 6351.719}, {"text": "ideology and this province is only operating on ideology there's not a a", "start": 6351.719, "end": 6357.719}, {"text": "shred of evidence that supports what they're saying and I know all of you know this but you need to be saying this", "start": 6357.719, "end": 6365.52}, {"text": "to the public they need to hear you saying this this not just one conference", "start": 6365.52, "end": 6372.48}, {"text": "after or every every six months when people have forgotten about it we need", "start": 6372.48, "end": 6377.679}, {"text": "people out with with nurses talking spreading awareness telling people that", "start": 6377.679, "end": 6384.76}, {"text": "you know what is happening is is not right and it's not", "start": 6384.76, "end": 6390.84}, {"text": "science-based and that this report I understand is is meant to um tackle this issue but there needs", "start": 6390.84, "end": 6398.719}, {"text": "to be done more done you know colins said a lot of uh great pieces there on", "start": 6398.719, "end": 6404.56}, {"text": "what could be done as well as a few other speakers I really do urge you to listen to what they have to say", "start": 6404.56, "end": 6410.639}, {"text": "especially including people who use drugs including them in the conversation in the decision- making process in as on", "start": 6410.639, "end": 6418.08}, {"text": "part of committees because I mean we can go back 10 20 30 years whatever committees", "start": 6418.08, "end": 6426.28}, {"text": "are that that are for any civil group for any any marginalized group you always include them in the Comm in the", "start": 6426.28, "end": 6431.88}, {"text": "conversation you don't make decisions that affect them and and exclude them so", "start": 6431.88, "end": 6438.679}, {"text": "I just urge you all to to really listen to what has been said and what will be said um by a few more speakers and that", "start": 6438.679, "end": 6446.56}, {"text": "we want to you know everyone wants wants I think the same thing thank you so that's that's", "start": 6446.56, "end": 6453.719}, {"text": "everything thanks thank you Callum any questions for the deput sing none thank", "start": 6453.719, "end": 6459.84}, {"text": "you for coming in today uh Ruby", "start": 6459.84, "end": 6465}, {"text": "La Ruby yes hello hi you have five minutes go ahead okay um hi everyone thank you for", "start": 6471.159, "end": 6479.76}, {"text": "letting me speak my name is Ruby I'm here on behalf of the Toronto harm reduction Collective", "start": 6479.76, "end": 6485.44}, {"text": "um so for the past few years I've worked as an Outreach worker and a case manager in both Toronto and Vancouver I've", "start": 6485.44, "end": 6492.52}, {"text": "worked closely with unhoused people many of them struggling with addictions along with mental and physical health", "start": 6492.52, "end": 6499.159}, {"text": "issues I've witnessed firsthand how these individuals continue to be stigmatized and thought of as less Human", "start": 6499.159, "end": 6505.84}, {"text": "by various Health legal and social institutions this stigma permeates throughout our systems and is shown", "start": 6505.84, "end": 6512.28}, {"text": "through a lack of investment in vital services including Addiction Services such as safe consumption sites and", "start": 6512.28, "end": 6518.76}, {"text": "accessible treatment housing with mental health support and shelters when people are treated as", "start": 6518.76, "end": 6525.239}, {"text": "though their struggles with addiction or a Moral Moral failure they are less likely to seek help this creates a", "start": 6525.239, "end": 6532.199}, {"text": "devastating cycle where individuals fall through the cracks system homelessness poverty and addiction do not", "start": 6532.199, "end": 6539.44}, {"text": "discriminate this brings me to a story about a young woman I worked with a couple of years ago she had suddenly", "start": 6539.44, "end": 6545}, {"text": "lost her housing after her apartment was destroyed in a fire on top of this she", "start": 6545, "end": 6550.32}, {"text": "was in a wheelchair with two broken feet living on limited dis as we got to know", "start": 6550.32, "end": 6556.8}, {"text": "each other she shared pieces of her life story immigrating to Canada from Korea as a child falling into to an AB", "start": 6556.8, "end": 6563.36}, {"text": "relationship struggling with addiction and enduring a devastating accident that left her with permanent nerve damage she", "start": 6563.36, "end": 6569.679}, {"text": "no longer had a relationship with her family and was left to navigate navigate the care system on her own when I met", "start": 6569.679, "end": 6576.84}, {"text": "her she was staying at an accessible shelter the stay was only temporary throughout the months I worked with her", "start": 6576.84, "end": 6582.92}, {"text": "she hopped from shelter to shelter all well being in a wheelchair with an extremely low income for transportation or anything to cover her basic needs", "start": 6582.92, "end": 6590.52}, {"text": "without adequate housing and access to genuine mental health care she fell deeper into her addiction and I began to", "start": 6590.52, "end": 6597.36}, {"text": "witness her mental health deteriorate after an emergency hospital say she was finally able to obtain a", "start": 6597.36, "end": 6603.679}, {"text": "longer term bed at a shelter attached to the hospital there multiple social workers", "start": 6603.679, "end": 6609.8}, {"text": "and a lot of strings she was able to find housing and finally stabilize which helped her to manage her addiction this", "start": 6609.8, "end": 6616.239}, {"text": "process was not easy and took almost a year this story is not new or unique and", "start": 6616.239, "end": 6621.88}, {"text": "begs for sister that adequately supports those who are unhoused those who are living with mental health issues addictions and disabilities what ask is", "start": 6621.88, "end": 6629.679}, {"text": "that the city advocates for an investment into vital services such as rapid Mental Health Care harm reduction", "start": 6629.679, "end": 6634.84}, {"text": "Services peer-led crisis teams and dignified and affordable housing for those that need it safe consumption", "start": 6634.84, "end": 6641.679}, {"text": "sites are a vital part of this strategy and must exist alongside heart hubs offering choice and accessibility thank", "start": 6641.679, "end": 6647.84}, {"text": "you for listening thank you so much any any", "start": 6647.84, "end": 6652.88}, {"text": "questions for the deput I see none thank you so much uh Dr Bruce kid campaign on", "start": 6652.88, "end": 6660.079}, {"text": "to ban ads for gambling five minutes thank you very", "start": 6660.079, "end": 6666.199}, {"text": "much chair Dr Diller members and staff of the Toronto", "start": 6666.199, "end": 6672.119}, {"text": "Board of Health while I'm here let me add my voice uh to the advocacy for uh", "start": 6672.119, "end": 6679.079}, {"text": "the preservation and strengthening of the safe consumption site uh here in Toronto and elsewhere in", "start": 6679.079, "end": 6686.4}, {"text": "Ontario today I speak on behalf of the campaign to ban ads for gambling a group", "start": 6686.4, "end": 6692.639}, {"text": "of torontonians and others deeply concerned about that aspect of the", "start": 6692.639, "end": 6697.84}, {"text": "Mental Health crisis created and exacerbated by the explosion of sports", "start": 6697.84, "end": 6703.159}, {"text": "betting especially among children youth and other vulnerable persons we are", "start": 6703.159, "end": 6708.96}, {"text": "Olympians Sports leaders health professionals Educators parents and", "start": 6708.96, "end": 6715.92}, {"text": "grandparents we strongly support the board's recommendations with respect to our health our city and councelor moy's", "start": 6715.92, "end": 6723.8}, {"text": "amendments endorsing Bill s269 an act respecting a national", "start": 6723.8, "end": 6729.88}, {"text": "framework for advertising in sports betting when Parliament amended the", "start": 6729.88, "end": 6735.599}, {"text": "criminal code in 2021 to legalize sports betting there was no debate of about the", "start": 6735.599, "end": 6743.04}, {"text": "consequences of advertising for sports betting despite the well documented", "start": 6743.04, "end": 6748.4}, {"text": "research about the harmful impacts and the public policy responses from other", "start": 6748.4, "end": 6754.04}, {"text": "countries this was a huge failure since legalization there has", "start": 6754.04, "end": 6760.28}, {"text": "been a virtual tsunami of ads for gambling during televised Sports on", "start": 6760.28, "end": 6767.4}, {"text": "social media in sports facilities and even Cinemas CBC Market Place recently", "start": 6767.4, "end": 6773.639}, {"text": "reported that 21% of the time of sports broadcasts is now devoted to gambling", "start": 6773.639, "end": 6779.639}, {"text": "ads and commentators discussions AB betting possibilities research shows that ads", "start": 6779.639, "end": 6786.88}, {"text": "significantly increase the amount of gambling and exacerbate addiction and", "start": 6786.88, "end": 6792.079}, {"text": "problem gambling while the governments Media Sports corporations and gambling", "start": 6792.079, "end": 6798}, {"text": "companies that profit from sports betting say that it is only harmless fun", "start": 6798, "end": 6804}, {"text": "betting can lead to Serious addiction mental health issues bankruptcy loss of", "start": 6804, "end": 6809.88}, {"text": "homes family breakup even suicide mental health research Canada", "start": 6809.88, "end": 6816.32}, {"text": "recently estimated that 7% of Canadians and 15% of persons aged 18 to 34 experience", "start": 6816.32, "end": 6826.239}, {"text": "problem gambling this means more than a million Canadians problem gambling", "start": 6826.239, "end": 6833.28}, {"text": "is classified by the American psych Psychiatric association as a", "start": 6833.28, "end": 6839.76}, {"text": "nonsubstance related addictive disorder camh reports that since", "start": 6839.76, "end": 6846.84}, {"text": "legalization calls to its helpl line for problem gambling have skyrocketed and the Canadian Safety", "start": 6846.84, "end": 6854.239}, {"text": "Council considers gambling addiction a community safety and crime prevention", "start": 6854.239, "end": 6860.44}, {"text": "issue the most effective strategy of harm", "start": 6860.44, "end": 6866.52}, {"text": "reduction is to ban the ads that's the unanimous consens consensus of research", "start": 6866.52, "end": 6873.84}, {"text": "from around the world we therefore urge Parliament to enact bill s269 as soon as", "start": 6873.84, "end": 6881.48}, {"text": "possible and the Toronto Board of Health to add your voice uh to encourage", "start": 6881.48, "end": 6888.56}, {"text": "Parliament to do that we Advocate a public health approach in this case a", "start": 6888.56, "end": 6894.44}, {"text": "series of coordinated steps starting with a banon ads rather than the blame", "start": 6894.44, "end": 6900.199}, {"text": "the victim responsible gambling approach currently taken by the provinces and the", "start": 6900.199, "end": 6906.88}, {"text": "gambling industry our campaign enjoys broad support from across Canada from school", "start": 6906.88, "end": 6913.92}, {"text": "boards and universities Health bodies religious organizations to MPS from all five political parties a survey", "start": 6913.92, "end": 6921.8}, {"text": "conducted by Maru public opinion last year found that 75% of Canadians said", "start": 6921.8, "end": 6928.36}, {"text": "that there's a need to protect Children and Youth from sports betting commercials Bill", "start": 6928.36, "end": 6935.4}, {"text": "269 starts the process of curtailing advertising for sports betting by", "start": 6935.4, "end": 6941.719}, {"text": "initiating a national framework your support for that bill would strengthen", "start": 6941.719, "end": 6947.639}, {"text": "the case in Parliament thank you very very much for your consideration", "start": 6947.639, "end": 6953.04}, {"text": "thank you any questions for the deputy none thanks for coming in today uh", "start": 6953.04, "end": 6959.88}, {"text": "Joseph aseno are you", "start": 6959.88, "end": 6964.48}, {"text": "here you have five", "start": 6966.639, "end": 6970.119}, {"text": "minutes good morning everyone thank you for having me", "start": 6971.76, "end": 6977.4}, {"text": "um my name is Joseph I'm here to talk to you about about save me saf from Sun", "start": 6979, "end": 6984.04}, {"text": "sites and home reduction Services I've been involved in home reduction for over 10 years um it's been", "start": 6984.04, "end": 6991.32}, {"text": "eight since I buried my wife", "start": 6991.32, "end": 6996.52}, {"text": "um du to overos while I was at", "start": 6996.8, "end": 7002.92}, {"text": "work if these sites were more available when my wife overdose she might still be", "start": 7002.92, "end": 7008.44}, {"text": "here with me today there is isn't a day that I don't think about her or even cry about her", "start": 7008.44, "end": 7016.159}, {"text": "they took the love of my life away from me and I will never see her", "start": 7016.159, "end": 7022.04}, {"text": "again we need these sites stay open because if they close them it will definitely lead to more deaths Alleyways", "start": 7026.76, "end": 7033.96}, {"text": "will be flooded with people who use drugs a lot of my friends and colleagues use these services and I've already lost", "start": 7033.96, "end": 7041.48}, {"text": "a lot of my tears to overdoses so when these SS close I'm going to lose a lot", "start": 7041.48, "end": 7049.84}, {"text": "more my brother was there for me when my wife passed and I was there for him when his wife died to an overdose as", "start": 7050.52, "end": 7058.119}, {"text": "well when I found out about his wife passing I posted on Facebook for him to", "start": 7058.119, "end": 7063.639}, {"text": "get a hold of me because I wanted to be there for him the government needs the government", "start": 7063.639, "end": 7069.8}, {"text": "needs to know that we take care of each other I also know that if and when these sites", "start": 7069.8, "end": 7075.56}, {"text": "close along with safe Supply program will affect a lot of people who have", "start": 7075.56, "end": 7081.079}, {"text": "become dependent on on it therefore I hope that Doug Ford and the Board of", "start": 7081.079, "end": 7086.199}, {"text": "Health has something put in place for those who rely on safe Supply as part of their", "start": 7086.199, "end": 7092.4}, {"text": "recovery these services are so important to our treatment so as I stand here", "start": 7092.4, "end": 7098.04}, {"text": "today I strongly urge the Board of Health to push Doug for and the conservative", "start": 7098.04, "end": 7105.199}, {"text": "government to overturn the decision to close all shfe consumption sites and", "start": 7107, "end": 7112.36}, {"text": "harm reduction Services because of they because they say lives every", "start": 7112.36, "end": 7117.678}, {"text": "day since the toxic crisis started there has been zero deaths in all provin S I", "start": 7117.92, "end": 7124.599}, {"text": "mean zero deaths not one has ever ever occurred this is a danger this is a", "start": 7124.599, "end": 7131.48}, {"text": "dangerous decision we know that there has been over 441,000", "start": 7131.48, "end": 7138.96}, {"text": "they will not help to the degree we need them to they", "start": 7163.52, "end": 7168.56}, {"text": "won't provide the support that people need to say life thank", "start": 7168.56, "end": 7173.76}, {"text": "you thank you Joseph any questions for the deput see none thank you for coming", "start": 7173.76, "end": 7180.159}, {"text": "in today and sharing with us uh Justin niera ARA har reduction advocacy", "start": 7180.159, "end": 7186.92}, {"text": "Collective I think you're online no", "start": 7186.92, "end": 7193.119}, {"text": "okay in the room she's here you have five minutes go", "start": 7193.119, "end": 7200.599}, {"text": "ahead thank you so to the Toronto Board of Health for allowing me to speak today my name is Justine Nisa I am a", "start": 7200.599, "end": 7207.44}, {"text": "healthcare provider Community member and constituent of the city in w n I'm here", "start": 7207.44, "end": 7212.599}, {"text": "to speak to in support of the board of Health's recommendation to protect Community Health wellbeing and safety by", "start": 7212.599, "end": 7219.239}, {"text": "continuing to fund and permit the operation of all currently operating safe consumption sites and Community", "start": 7219.239, "end": 7225.159}, {"text": "treatment Site Services sites Beyond March 31st 2025 I am also here to emphasize that it", "start": 7225.159, "end": 7232.119}, {"text": "is imperative that the Board of Health acknowledges the responsibility and continues to fight for and oppose the", "start": 7232.119, "end": 7239.079}, {"text": "provincial decision I insist you Board of Health to Advocate and fund the full", "start": 7239.079, "end": 7244.119}, {"text": "spectrum of harm reduction Services across the city of Toronto as a healthcare provider throughout the GTA I", "start": 7244.119, "end": 7251.04}, {"text": "understand and acknowledge and acknowledge how many life safe consumption sites have saved how access", "start": 7251.04, "end": 7256.92}, {"text": "to harm reduction supplies have prevented chronic health conditions and I have been a witness to the positive", "start": 7256.92, "end": 7263.56}, {"text": "changes for people receiving a safer Supply I am also here to paint you a", "start": 7263.56, "end": 7268.88}, {"text": "picture of what being on the front line of this work looks like I work within a team that provides Outreach and primary", "start": 7268.88, "end": 7275.4}, {"text": "care support to un shelter torontonians as the team's case manager I support community members with housing", "start": 7275.4, "end": 7281.36}, {"text": "applications that are years long system navigation accompaniment to appointments and", "start": 7281.36, "end": 7287.159}, {"text": "hospital visits I ensure they stay connected to registered nurses and a family physician for medical treatment", "start": 7287.159, "end": 7292.84}, {"text": "and interventions I referred them to additional services that are imperative to their health to access support for", "start": 7292.84, "end": 7299.239}, {"text": "addition further substance use on all spectrums from access to harm reduction", "start": 7299.239, "end": 7304.32}, {"text": "supplies saor supplies safe consumption sites to detox in andout patient", "start": 7304.32, "end": 7309.52}, {"text": "treatment to achieve whatever goals they desire in the recovery Journey all while", "start": 7309.52, "end": 7315.44}, {"text": "they try to simply survive our team is often called to emergency departments general medicine", "start": 7315.44, "end": 7321.88}, {"text": "wings and icus to meet with clients to in hopes to continue care when they get", "start": 7321.88, "end": 7327.88}, {"text": "turned back to the streets most of our clients get discharged from the hospitals back to the streets at times", "start": 7327.88, "end": 7335.52}, {"text": "medically okay and stable on paper but left to keep wounds and continue up all", "start": 7335.52, "end": 7342.079}, {"text": "up care in places that are not fit for such thing such as tents Alleyways bus", "start": 7342.079, "end": 7348.92}, {"text": "shelters trains healing without a home is almost impossible the announced heart hubs are", "start": 7348.92, "end": 7356.639}, {"text": "actually no different than many of the services that are already available they simply just can't replace life- saving", "start": 7356.639, "end": 7364.04}, {"text": "Services that's the only difference as a team we work collaboratively with the", "start": 7364.04, "end": 7369.239}, {"text": "lowest barrier of supporting of support including safe consumption sites droin and churches they're a vital", "start": 7369.239, "end": 7376.679}, {"text": "part of life-saving care they have opened their doors to a community that has been left behind by many services", "start": 7376.679, "end": 7383.079}, {"text": "they provide a break from being outdoors a space free of judgment a space where folks can feel safe and comfortable a", "start": 7383.079, "end": 7390.28}, {"text": "place many call home a place many turn to when there has been nowhere else left to", "start": 7390.28, "end": 7395.96}, {"text": "turn safe consumption sites and drop-ins often call us and say hey this person is", "start": 7395.96, "end": 7401.04}, {"text": "looking for you and we go to meet them or we chat over the phone they're not only vital to keeping them alive but", "start": 7401.04, "end": 7407.639}, {"text": "imperative in ensuring that they stay connected to those that they trust and want as a part of the Continuum of their", "start": 7407.639, "end": 7413.239}, {"text": "care closing safe consumption sites and banding the application Pathway to any future sites is a death sentence the", "start": 7413.239, "end": 7420.44}, {"text": "scale backback of harm reduction services including distribution of new and sterile kits and needle exchange programs will result in an increase of", "start": 7420.44, "end": 7427.559}, {"text": "chronic bloodborne infections for an already vulnerable community closing the door to safer Supply", "start": 7427.559, "end": 7434.52}, {"text": "programs mean that many will have not will not have access to evidence-based treatment in a nationwide toxic drug", "start": 7434.52, "end": 7441.079}, {"text": "Supply crisis people who use drugs are being used to scapegoats while all levels of", "start": 7441.079, "end": 7447.4}, {"text": "government abandon our communities the provincial government has made a fou dichotomy between treatment and harm", "start": 7447.4, "end": 7453.599}, {"text": "reduction when no such different actually exists the claims and plan of the province of the conservative", "start": 7453.599, "end": 7460.199}, {"text": "Province agenda are all about Community safety but there is no safety when when", "start": 7460.199, "end": 7465.719}, {"text": "we know the many critical implications this decision will bring do not use", "start": 7465.719, "end": 7472.119}, {"text": "Community safety in our name more than ever we need Justice and compassion and care not shame or a scaleb in spectrum", "start": 7472.119, "end": 7478.92}, {"text": "of services we need scaled up funding we need housing we need safe consumption sites we need harm reduction we need", "start": 7478.92, "end": 7484.4}, {"text": "safe safer Supply we need accessible voluntary treatment we need drug policy changes we cannot care for dead people", "start": 7484.4, "end": 7493.84}, {"text": "every accidental overdose is social murder every life lost is the life of a", "start": 7493.84, "end": 7499.679}, {"text": "child of a parent of a friend we urge you expand this sight", "start": 7499.679, "end": 7506.96}, {"text": "expand harm ruction programs abolish public treatment weight", "start": 7506.96, "end": 7513.559}, {"text": "lists they don't call it Frontline work for", "start": 7515, "end": 7520.28}, {"text": "anything we will will not stop fighting for community-based care we take care of", "start": 7520.28, "end": 7526.639}, {"text": "each other in ways none of you will ever understand because all levels of government have failed us covid-19", "start": 7526.639, "end": 7534.199}, {"text": "showed us that change at times of emergency can be done swiftly we have", "start": 7534.199, "end": 7539.52}, {"text": "been in an emergency for years and it's time to act like it too many lives have been lost people are burning out and we", "start": 7539.52, "end": 7547}, {"text": "are all traumatized thank you for your time you", "start": 7547, "end": 7552.239}, {"text": "uh any questions for depent seeing none thank you we will take it inous now to", "start": 7552.239, "end": 7558.28}, {"text": "uh board members uh Deputy Mayor um Malik go", "start": 7558.28, "end": 7564.04}, {"text": "ahead five minutes sorry questions of Staff what", "start": 7564.04, "end": 7569.199}, {"text": "did I say yes uh questions of staff", "start": 7569.199, "end": 7576.679}, {"text": "no hello can you yes says better go ahead thank you very much um first of", "start": 7603.239, "end": 7608.4}, {"text": "all just want to thank everyone who's come and spoken to us today in response to uh this progress report and also in", "start": 7608.4, "end": 7615.559}, {"text": "response to uh what we're seeing from the provincial announcements and and the", "start": 7615.559, "end": 7620.8}, {"text": "outcomes that are being anticipated and my first question uh is is about that", "start": 7620.8, "end": 7626.88}, {"text": "and I'd like to hear a little bit more about um how the changes being brought forward by the provincial government are", "start": 7626.88, "end": 7633.599}, {"text": "affecting both um our work residents health and well-being and the implications for the r Health our city", "start": 7633.599, "end": 7641.04}, {"text": "strategy uh given that when this was finalized and landed we had not anticipated uh", "start": 7641.04, "end": 7647.84}, {"text": "some of these uh significant uh changes to uh Service uh delivery and access in", "start": 7647.84, "end": 7656.079}, {"text": "the city of Toronto so through the through the chair thank you for the question um clearly", "start": 7656.079, "end": 7662.92}, {"text": "the announcement as you uh note Deputy Mayor mik um came after the establishment of the", "start": 7662.92, "end": 7670.239}, {"text": "strategy and 's no question that the announcement has had impact on us as an", "start": 7670.239, "end": 7675.36}, {"text": "organization uh particularly given that we do provide uh a supervised", "start": 7675.36, "end": 7680.52}, {"text": "consumption service ourselves and as well given that we understand what the nature of the evidence is in respect of", "start": 7680.52, "end": 7687.4}, {"text": "what's needed to address the drug toxicity epidemic that we face and that many other jurisdictions face I think at", "start": 7687.4, "end": 7694.52}, {"text": "this point in time we're speaking to other partners certainly to our with our Community Partners as well to try to", "start": 7694.52, "end": 7701.239}, {"text": "understand what the anticipated impact is we know that there will be challenges", "start": 7701.239, "end": 7706.679}, {"text": "no question uh we know that supervis consumption Services whether they come in that form or in the form of", "start": 7706.679, "end": 7714.36}, {"text": "consumption and treatment services have made a difference you heard my colleagues speak to the numbers of", "start": 7714.36, "end": 7720.159}, {"text": "client visits speak to the number of overdoses reversed and speak to the", "start": 7720.159, "end": 7725.48}, {"text": "nature of services and connections that are made at those sites uh given that they are important pathway ways and", "start": 7725.48, "end": 7731.84}, {"text": "connections to a wide range of services so we know that there will be negative", "start": 7731.84, "end": 7736.96}, {"text": "impacts to health no question certainly to those um in our community who use", "start": 7736.96, "end": 7742.92}, {"text": "drugs but I would argue when we look at Health when any of us in our city is", "start": 7742.92, "end": 7749.159}, {"text": "doing less well we all do worse overall from a health", "start": 7749.159, "end": 7755.8}, {"text": "perspective thank you very much and to that point I mean just here today but", "start": 7755.8, "end": 7761.44}, {"text": "we've been hearing about it uh since for a long time and especially um as these", "start": 7761.44, "end": 7767.079}, {"text": "changes were announced from experts Health experts and and folks who have", "start": 7767.079, "end": 7773.32}, {"text": "expertise in uh the well-being of tonians and delivery of services in you", "start": 7773.32, "end": 7778.84}, {"text": "know neighborhood cohesion uh we've heard from from folks here today really", "start": 7778.84, "end": 7784.599}, {"text": "powerfully who have lived in living experience who work with people um who", "start": 7784.599, "end": 7791.52}, {"text": "have been accessing supports around mental health and substance use and harm reduction and treatment and what data an", "start": 7791.52, "end": 7800}, {"text": "expert analysis are we seeing um and are we marshalling when it comes to the", "start": 7800, "end": 7805.96}, {"text": "impacts of these changes and um if you can speak to or summarize the steps that", "start": 7805.96, "end": 7812.48}, {"text": "we're taking uh as a city to make sure that we are gathering that information", "start": 7812.48, "end": 7817.679}, {"text": "from our emergency services from the uh divisions uh and agencies that we know will feel", "start": 7817.679, "end": 7824.719}, {"text": "the the Ripple effects of this and um and proactive uh step as proactive as", "start": 7824.719, "end": 7832.4}, {"text": "you can be in response to uh to these announcements that we are taking as a", "start": 7832.4, "end": 7837.48}, {"text": "board and and as a city so through the chair uh with respect to uh the announcement and what", "start": 7837.48, "end": 7844.719}, {"text": "we have specifically had to do on our services we certainly had to provide as", "start": 7844.719, "end": 7849.8}, {"text": "did other services that are impacted by this policy change uh a report to uh the", "start": 7849.8, "end": 7856.079}, {"text": "province and and an assessment around what we anticipate will be the challenges and how we will try to", "start": 7856.079, "end": 7862.04}, {"text": "support as much as possible clients who are no longer able to access a service", "start": 7862.04, "end": 7867.119}, {"text": "after March 31st we have also as you know uh Deputy Mayor mik through the uh", "start": 7867.119, "end": 7872.52}, {"text": "our health our city implementation panel started conversation with a wide range of Partners some of whom are City", "start": 7872.52, "end": 7878.719}, {"text": "partners and some of whom are more Community Partners to have the conversation around what is the", "start": 7878.719, "end": 7884.44}, {"text": "anticipated impact of these policy changes what might we expect to see in respect of first responder calls when in", "start": 7884.44, "end": 7891.639}, {"text": "fact there are no longer services available um whether they're supervised", "start": 7891.639, "end": 7897.159}, {"text": "consumption services or consumption and treatment services what might we anticipate by way of public drug use", "start": 7897.159, "end": 7904.32}, {"text": "what might we anticipate by way of calls to the various First Response agencies whether we're talking about paramedics", "start": 7904.32, "end": 7911.48}, {"text": "fire police or the Toronto Community crisis service I think they can all anticipate seeing more volume of service", "start": 7911.48, "end": 7919.28}, {"text": "more calls and the overdoses that would have been reversed within the context of", "start": 7919.28, "end": 7924.44}, {"text": "these Services now presumably will be happening in places outside no longer in", "start": 7924.44, "end": 7931.52}, {"text": "the presence of trained professional staff who are equipped and ready to", "start": 7931.52, "end": 7939.28}, {"text": "manage you know challenging Circ cumstances and as well to actually provide contacts and and referrals to", "start": 7939.28, "end": 7947.159}, {"text": "important and necessary Services everything from treatment to Housing", "start": 7947.159, "end": 7952.32}, {"text": "Connections to social support connections these are the kinds of service that will services that will no", "start": 7952.32, "end": 7958.36}, {"text": "longer be available or will be less readily available uh given the uh the", "start": 7958.36, "end": 7964.679}, {"text": "loss of these important Services thank you any further questions", "start": 7964.679, "end": 7970.28}, {"text": "uh Council perks five minutes sorry go ahead uh director", "start": 7970.28, "end": 7978.48}, {"text": "o well thanks so much for for the presentations to staff and for our deput", "start": 7978.48, "end": 7984.599}, {"text": "um your concerns are really heard my question is on the the", "start": 7984.599, "end": 7991.44}, {"text": "TCC expansion and I really want to congratulate the staff on taking step on", "start": 7991.44, "end": 7997.44}, {"text": "this uh our he our city our health um strategy uh what has been some of the", "start": 7997.44, "end": 8004.32}, {"text": "struggles that you've seen as you expanded the sit uh across the", "start": 8004.32, "end": 8011.638}, {"text": "city my apologies through the chair can you I didn't hear the question can you", "start": 8012.88, "end": 8018.4}, {"text": "just yeah so in the presentation uh I saw that the there's been an ex", "start": 8018.4, "end": 8023.719}, {"text": "expansion of the TCC TCS site so I'm just really curious uh what has been", "start": 8023.719, "end": 8029.199}, {"text": "some of the challenges I have experience in the expansion", "start": 8029.199, "end": 8035.28}, {"text": "Citywide to the chair uh my name is moham sh I'm the director of community safety and wellbeing and I'll start with", "start": 8036.44, "end": 8041.559}, {"text": "the answer um one of the challenges we faced was recruiting um 50 additional", "start": 8041.559, "end": 8046.639}, {"text": "crisis workers and case managers so we worked with our uh Partners to do an extensive public uh call for", "start": 8046.639, "end": 8053.52}, {"text": "applications and did a launch with uh mayor chow and attendance in April and then from there we have a a hiring", "start": 8053.52, "end": 8060.48}, {"text": "program where we uh spent close to almost 200 hours training our staff before hitting the road so that uh was a", "start": 8060.48, "end": 8067.719}, {"text": "was a bit of a small barrier um I would also add uh additional barriers that the teams are coming across or the Upstream", "start": 8067.719, "end": 8075.079}, {"text": "U supports that are needed so there's just simply Aren't Enough crisis beds and shelter beds in our city um so our", "start": 8075.079, "end": 8081}, {"text": "teams sometimes have no place to take people and if people are ready for um uh", "start": 8081, "end": 8086.199}, {"text": "post crisis uh case management or post crisis supports there are uh way too", "start": 8086.199, "end": 8091.679}, {"text": "long weight lless as some of the depants have already highlighted so those are some of the challenges we are seeing as", "start": 8091.679, "end": 8097.4}, {"text": "we have expanded our service Citywide um and the third one that I should add there is uh no surprise to everybody but", "start": 8097.4, "end": 8103.559}, {"text": "traffic is certainly a challenge for the mobile teams because they do arrive at people's you know locations to meet with", "start": 8103.559, "end": 8109.599}, {"text": "them so our teams do not have emergency assments they uh they go through the flow of traffic so there is sometimes", "start": 8109.599, "end": 8116.079}, {"text": "significant delays we are monitoring that but on average our response time is about 25 5 minutes so those are some", "start": 8116.079, "end": 8122.119}, {"text": "highle challenges to share so far all right thank", "start": 8122.119, "end": 8128.44}, {"text": "you okay any uh yeah go ahead uh Council", "start": 8128.44, "end": 8133.559}, {"text": "Pricks um during uh colins remarks uh he made a point that prior to the opening", "start": 8133.559, "end": 8140.4}, {"text": "of safe consumption Services the number of deaths from overdose per 100,000 was", "start": 8140.4, "end": 8146.239}, {"text": "seven something and after we opened them it was two something do you have more", "start": 8146.239, "end": 8151.679}, {"text": "information about that more specific information so through the chair I'm going to refer to our staff to see if", "start": 8151.679, "end": 8157.239}, {"text": "they have the specific information we do know though through research that as the", "start": 8157.239, "end": 8162.559}, {"text": "supervised consumption Services were established around the city we do did see an almost 70% reduction in overdose", "start": 8162.559, "end": 8168.96}, {"text": "related deaths within a 1 kilometer radius of each of those sites so I'm happy to get you the rates uh as they", "start": 8168.96, "end": 8175.599}, {"text": "were before and what they were after the implementation of supervised consumption surve services and or cts's but we do", "start": 8175.599, "end": 8183.48}, {"text": "know that for each of the services that are available that we have seen a significant reduction up to almost 70%", "start": 8183.48, "end": 8190.92}, {"text": "reduction in overdose deaths so there's a quantifiable number of people whose lives were have been saved by these", "start": 8190.92, "end": 8197.8}, {"text": "Services through the chair absolutely that might be helpful to know more about", "start": 8197.8, "end": 8203.08}, {"text": "thank you uh councelor Thompson yes thank you", "start": 8203.08, "end": 8210.478}, {"text": "very much Mr chair through you um with respect to the cost of ensuring that", "start": 8210.479, "end": 8218.2}, {"text": "these facilities are in place what is that number so through the chair I can't", "start": 8218.2, "end": 8224.439}, {"text": "speak to the exact cost of the other services or the funding that goes to the services other than the one that we run", "start": 8224.44, "end": 8231.558}, {"text": "but our service is uh a little over 1 and A5 million doll right so have we done no modeling though in terms of", "start": 8231.559, "end": 8238.8}, {"text": "replacing those particular service that would be obviously cancelled as of the", "start": 8238.8, "end": 8244.638}, {"text": "31st sorry through the chair modeling in respect of looking at City providing the", "start": 8244.639, "end": 8252.439}, {"text": "um the you know sort of being able to pick up the loss replace thank you", "start": 8252.44, "end": 8257.638}, {"text": "replacement of the services that the province is going to eliminate because I assume that they're going to", "start": 8257.639, "end": 8264.88}, {"text": "continue with respect to their decision and so somewhere somehow we have to pick", "start": 8264.88, "end": 8270.319}, {"text": "up the slot back so I'm just wondering what have we done in terms of looking at that as an option because this is a", "start": 8270.32, "end": 8276.399}, {"text": "service that is needed obviously we've heard from the speakers but also we know", "start": 8276.4, "end": 8281.719}, {"text": "that this has been going for many years you and I have been at this for um years", "start": 8281.719, "end": 8287.598}, {"text": "or even longer quite frankly right and so we are aware so I'm just wondering what are we doing in order to sort of", "start": 8287.599, "end": 8294.16}, {"text": "pick up the slack that we know will eventually come about so through the chair very briefly this board did put", "start": 8294.16, "end": 8300.518}, {"text": "for forward a motion when we discuss the budget uh and we know that we do have a city budget discussion and deliberation", "start": 8300.519, "end": 8306.84}, {"text": "that's upcoming in the next several weeks and months ahead so certainly that was a motion that was put forward from", "start": 8306.84, "end": 8313.678}, {"text": "the board uh to at least explore the possibility of funding for the service", "start": 8313.679, "end": 8319.558}, {"text": "such as it exists now looking specifically at the service that's operated by Toronto Public Health right", "start": 8319.559, "end": 8326.518}, {"text": "so there are two tranches what what we could potentially do to pick up the slack and the fact that the provincial", "start": 8326.519, "end": 8333.16}, {"text": "government has made their statement in terms of termination of their funding as of the 31st so through the chair what I", "start": 8333.16, "end": 8340.478}, {"text": "think I can say with respect to the other services is that we have put together a fact sheet that actually", "start": 8340.479, "end": 8345.638}, {"text": "speaks to the client visits and the impact that that has been provided like what is actually being um addressed by", "start": 8345.639, "end": 8354.558}, {"text": "the other supervised consumption services and consumption and treatment services so when you take that together", "start": 8354.559, "end": 8362.08}, {"text": "assuming that their funding would continue presumably they would see at least that level of volume of clients", "start": 8362.08, "end": 8367.96}, {"text": "and again depending on how much funding is provided um I I would imagine that the um service provision and the number", "start": 8367.96, "end": 8374.88}, {"text": "of clients seen by each of those Services would adjust relative to the funding and of course the hours of", "start": 8374.88, "end": 8381.92}, {"text": "provision of service we know that that's certainly one component certainly thank you very much for that um to miss Ander", "start": 8381.92, "end": 8388.16}, {"text": "Campbell through you Mr chair on the tccs um the program is going quite well", "start": 8388.16, "end": 8395.359}, {"text": "it's been expanded across the city you've accelerated the timelines and so", "start": 8395.359, "end": 8400.399}, {"text": "on and congratulations that's absolutely fantastic um what I wanted to understand though in terms of notification in terms", "start": 8400.399, "end": 8407.52}, {"text": "of broadly providing Communications to the general public how is that being", "start": 8407.52, "end": 8412.92}, {"text": "done I mean we've sent some information out through our newsletters for example", "start": 8412.92, "end": 8418.24}, {"text": "but still we find that a lot of people still don't know that the service", "start": 8418.24, "end": 8423.28}, {"text": "exists uh thank you for your question councelor Thompson um so certainly we", "start": 8423.28, "end": 8429.64}, {"text": "have so historically we were doing public education through um bus shelters", "start": 8429.64, "end": 8436.479}, {"text": "TTC um uh buses Etc um social media in", "start": 8436.479, "end": 8442.88}, {"text": "the 60% of the city where the service was operational we took a cautious", "start": 8442.88, "end": 8449.319}, {"text": "approach because we didn't want for the areas of the city where the service was not operational until this summer for", "start": 8449.319, "end": 8457.24}, {"text": "people to start to depend on it and then not have it available however um this", "start": 8457.24, "end": 8464.24}, {"text": "fall September um we launched our first Citywide um public education campaign", "start": 8464.24, "end": 8472.12}, {"text": "and so that has included uh similarly social media ads ads in bus shelters", "start": 8472.12, "end": 8477.72}, {"text": "using the TTC system Etc um we are now benefiting from the campaign that is on", "start": 8477.72, "end": 8485.88}, {"text": "um getting torontonians to make the right call and distinguish between 911 211 and 311 and we will continue to do", "start": 8485.88, "end": 8494.319}, {"text": "public education efforts our partners on the ground are also when they're not", "start": 8494.319, "end": 8499.439}, {"text": "responding to calls they're also door knocking going to festivals Etc um so", "start": 8499.439, "end": 8506.24}, {"text": "that we can build uh Community awareness it's going to be um an uphill battle I", "start": 8506.24, "end": 8511.88}, {"text": "would say uh to keep doing and reinforcing for every torontonian that", "start": 8511.88, "end": 8517.28}, {"text": "this service is available for their families themselves or someone that they", "start": 8517.28, "end": 8522.479}, {"text": "see a neighbor on the street and so we will keep doing public education um in", "start": 8522.479, "end": 8527.96}, {"text": "order for people to know they can call 211 um as the primary way to access the", "start": 8527.96, "end": 8533.319}, {"text": "service thank you thank you Mr chair okay thanks any further questions uh Deputy Mayor Morley go", "start": 8533.319, "end": 8540.76}, {"text": "ahead five minutes thank you Mr chair uh just a quick one uh for Dr Dilla around", "start": 8540.76, "end": 8547.359}, {"text": "the proposal of he hubs uh I think it might be helpful for members of the public and those of us uh concerned", "start": 8547.359, "end": 8554.52}, {"text": "about the go forward um from The Province to understand a little bit more", "start": 8554.52, "end": 8559.8}, {"text": "about what's being proposed with respect to the heart hubs um what services they will be providing how that will or will", "start": 8559.8, "end": 8567.479}, {"text": "not integrate with work we are doing and what gaps they will we anticipate they may", "start": 8567.479, "end": 8573.84}, {"text": "leave so through the chair uh Deputy Mayor Morley thank you very much for the question at a very high level uh as was", "start": 8573.84, "end": 8581.8}, {"text": "presented you know uh earlier this morning these are um this is the new", "start": 8581.8, "end": 8588.399}, {"text": "policy direction is as set out by the province and the notion is to provide funding uh more directed towards", "start": 8588.399, "end": 8596.2}, {"text": "treatment uh we heard a number of our presenters speak specifically to to the", "start": 8596.2, "end": 8602.04}, {"text": "um underlying rationale behind um you know this change um in the policy", "start": 8602.04, "end": 8609.12}, {"text": "Direction so with that uh you know there's no question I think when we look and as you've heard us speak many times", "start": 8609.12, "end": 8615.96}, {"text": "at this table over the many years uh there is certainly a role for treatment", "start": 8615.96, "end": 8621.279}, {"text": "there's no question but we all understand uh and when we look at the evidence that's out there in respect of", "start": 8621.279, "end": 8628.08}, {"text": "how best to support people through through to the best health and to reduce inequities in existing health status", "start": 8628.08, "end": 8635.12}, {"text": "when it comes to issues related to substance use what's needed is a fome", "start": 8635.12, "end": 8640.68}, {"text": "comprehensive Suite of options available certainly from a public health", "start": 8640.68, "end": 8646.08}, {"text": "perspective prevention is one of them we've heard a lot about harm reduction harm reduction is of course another core", "start": 8646.08, "end": 8653.24}, {"text": "component to that and yes treatment is part of that as well you've also heard", "start": 8653.24, "end": 8658.6}, {"text": "some of the deputat here today and you will have seen in our own reporting over the years that policy initiatives", "start": 8658.6, "end": 8665.8}, {"text": "creating an environment that actually supports Better Health and reduces inequities and health status it", "start": 8665.8, "end": 8671.84}, {"text": "certainly applies across the realm of health issues and absolutely it applies", "start": 8671.84, "end": 8677.04}, {"text": "here in respect of substance use so um these are the kinds of things that we", "start": 8677.04, "end": 8683.16}, {"text": "will promote so again as because they're informed by the evidence so there's no", "start": 8683.16, "end": 8689.16}, {"text": "question there is a role for treatment and there is no question we have seen uh", "start": 8689.16, "end": 8694.56}, {"text": "in our community that there is Need For Greater investment in treatment options", "start": 8694.56, "end": 8699.84}, {"text": "available uh optimally we should be looking at um you know making sure that", "start": 8699.84, "end": 8705.76}, {"text": "the broad range of treatment options that meet the needs of you know several", "start": 8705.76, "end": 8711.72}, {"text": "different uh members of our community are actually available and they should", "start": 8711.72, "end": 8717.52}, {"text": "be supported as well by prevention efforts by harm reduction efforts and a policy environment that actually", "start": 8717.52, "end": 8724.16}, {"text": "supports and promotes better health for everybody okay thank", "start": 8724.16, "end": 8729.76}, {"text": "you um I do have one question so Dr", "start": 8729.76, "end": 8735.92}, {"text": "director Oz mentioned the TC tccs program and then you mentioned that", "start": 8735.92, "end": 8742.16}, {"text": "there's a 25 minute to get to a client um can you", "start": 8742.16, "end": 8748.52}, {"text": "perhaps inform the board Board of the council decision this past week around", "start": 8748.52, "end": 8754.16}, {"text": "using the King Street Corridor um happy to update the board uh", "start": 8754.16, "end": 8761.2}, {"text": "through chair U this week at Council through a motion moved by you chair um the tal Community crisis service was", "start": 8761.2, "end": 8767.72}, {"text": "added to the exemption vehicles on the King Street uh route so they will be", "start": 8767.72, "end": 8773.16}, {"text": "able to go on that route to be able to uh reach clients uh in a faster way um", "start": 8773.16, "end": 8778.479}, {"text": "and I think this will help improve overall uh response times um it's I think it's also important for us to", "start": 8778.479, "end": 8784.56}, {"text": "reiterate that it isn't an emergency response um this uh service is intended", "start": 8784.56, "end": 8789.64}, {"text": "to meet people and provide supports who're going through a crisis uh but um", "start": 8789.64, "end": 8795.08}, {"text": "I think part of what we uh will will will monitor over time is our overall um", "start": 8795.08, "end": 8801.64}, {"text": "response times to make sure they are within a reasonable range and right now they are within that range of 25 to 30", "start": 8801.64, "end": 8808.88}, {"text": "minutes and thank thank you and Dr Dilla perhaps you could uh let the team know", "start": 8808.88, "end": 8817.84}, {"text": "any surprises based on this report I mean it was comprehensive but is there anything that in there that you found", "start": 8817.84, "end": 8824.24}, {"text": "surprising and maybe we should uh pay attention to perhaps sorry in", "start": 8824.24, "end": 8830.08}, {"text": "respect of the the progress report itself well you know actually thank you", "start": 8830.08, "end": 8836.319}, {"text": "chair that's a that's a great question um I'm actually impressed at how much", "start": 8836.319, "end": 8841.68}, {"text": "progress has been made in a relatively short period of time I'm not telling you that we have solved all the problems by", "start": 8841.68, "end": 8848.16}, {"text": "any stretch of the imagination but these are really heavy lifts that are called for under the", "start": 8848.16, "end": 8856.24}, {"text": "terms of this strategy um the and these are complex issues that we're dealing with with lots", "start": 8856.24, "end": 8863.279}, {"text": "of opinions as you can see around the room so perhaps I wouldn't characterize", "start": 8863.279, "end": 8868.52}, {"text": "it as surprise but but I might characterize it as um you know I do feel", "start": 8868.52, "end": 8874.84}, {"text": "a real sense of gratitude uh to our partners to our staff um and to all those engaged in", "start": 8874.84, "end": 8882.64}, {"text": "this work it is uh it's a very heavy lift um but I am", "start": 8882.64, "end": 8888.359}, {"text": "heartened by the uh commitment and the passion that people bring to this", "start": 8888.359, "end": 8893.439}, {"text": "important work thank you uh seeing no other speakers", "start": 8893.439, "end": 8901.84}, {"text": "questions uh speakers uh Council perks thank you Mr chair uh to begin with I", "start": 8902.64, "end": 8908.84}, {"text": "want to move a motion that the Board of Health requests the medical officer of Health in consultation with the city", "start": 8908.84, "end": 8915.52}, {"text": "solicitor to provide a summary for the January 2025 meeting of the board of he", "start": 8915.52, "end": 8921.08}, {"text": "of the Board of Health of any legal issues related to the provincial decision to close safe consumption", "start": 8921.08, "end": 8926.72}, {"text": "facilities in Toronto and two request the medical officer of Health in consultation with the chief of police", "start": 8926.72, "end": 8932.92}, {"text": "the Toronto Police Service the fire chief and general manager fire services and the chief Toronto Paramedic Services", "start": 8932.92, "end": 8939.96}, {"text": "to provide a summary for the January 20 2025 meeting of the Board of Health of", "start": 8939.96, "end": 8945.52}, {"text": "likely service impacts related to the provincial decision to close safe", "start": 8945.52, "end": 8950.68}, {"text": "consumption facilities in Toronto um also I'll talk to each of these and and", "start": 8950.68, "end": 8956.6}, {"text": "some additional comments first it is worth remembering that the Supreme Court of Canada ruled uh I think about 10", "start": 8956.6, "end": 8964.479}, {"text": "years ago when the federal government attempted to close safe consumption services in British Colombia that it", "start": 8964.479, "end": 8971.64}, {"text": "would be a violation of the rights to equal access to health", "start": 8971.64, "end": 8977.319}, {"text": "services to close safe consumption sites in British Columbia that governments are not allowed to arbitrarily remove health", "start": 8977.319, "end": 8986.08}, {"text": "services from a particular group which is exactly what Premier Ford is doing", "start": 8986.08, "end": 8991.76}, {"text": "here he may not have described it that way but that is the", "start": 8991.76, "end": 8997.24}, {"text": "point so I think getting a little bit of advice it may have to be in camera I don't know but getting a little bit of", "start": 8997.359, "end": 9003.439}, {"text": "advice about that might be helpful as to the others uh members of", "start": 9003.439, "end": 9008.96}, {"text": "the Board of Health might not know this but over the last couple of years the city of Toronto has been struggling with", "start": 9008.96, "end": 9014.72}, {"text": "response times to 911 calls we actually had work done by the city's auditor general showing that there were real", "start": 9014.72, "end": 9022.6}, {"text": "problems and and there are many different factors that played into that", "start": 9022.6, "end": 9027.96}, {"text": "one of them was the entanglement of all emergency services uh when an overdose call came", "start": 9027.96, "end": 9034.319}, {"text": "all services responded so there's been an effort to try to have that be a", "start": 9034.319, "end": 9039.8}, {"text": "health response rather than a police response or a fire response that disentanglement has", "start": 9039.8, "end": 9046.56}, {"text": "started to show some improvement in the in the response times of fire and", "start": 9046.56, "end": 9052.08}, {"text": "police that will be completely wiped out and we will be in a worse", "start": 9052.08, "end": 9057.56}, {"text": "position if the thousands of overdoses that have been re that are reversed", "start": 9057.56, "end": 9064.2}, {"text": "every year at safe consumption sites suddenly become the responsibility of", "start": 9064.2, "end": 9069.68}, {"text": "our First Responders now it shouldn't have to matter it should be sufficient just to", "start": 9069.68, "end": 9076.2}, {"text": "say that people uh who use drugs are at risk of dying that should be sufficient", "start": 9076.2, "end": 9082.76}, {"text": "but it isn't we have to explain to people how this impacts everyone's", "start": 9082.76, "end": 9088.64}, {"text": "health and access to Emergency Services the final thing I wanted to", "start": 9088.64, "end": 9094.439}, {"text": "talk about and that's not part of my motion is this idea that the heart services are somehow a replacement for", "start": 9094.439, "end": 9102.12}, {"text": "safe consumption Services uh as Dr dilla's predecessor said when we were", "start": 9102.12, "end": 9107.6}, {"text": "considering creating these services he hoped that if he had a family member", "start": 9107.6, "end": 9113.72}, {"text": "or a loved one who used drugs that they would seek", "start": 9113.72, "end": 9119}, {"text": "treatment but more importantly he would hope they stayed alive long enough to", "start": 9119, "end": 9124.08}, {"text": "get to that treatment it's awful to say but you can't treat someone who's", "start": 9124.08, "end": 9129.84}, {"text": "dead the fact of the matter is that for each person there will be a time when", "start": 9129.84, "end": 9136}, {"text": "they're ready to seek treat treatment and you have to have those", "start": 9136, "end": 9142.439}, {"text": "Services ready for when they're ready to seek treatment and we don't in Ontario that's", "start": 9142.439, "end": 9147.92}, {"text": "clear but to say that we're not going to help them stay alive until they reach", "start": 9147.92, "end": 9153.399}, {"text": "that decision is as members of the public said", "start": 9153.399, "end": 9159.399}, {"text": "murder it's as simple as that so as we've heard you we're going", "start": 9159.399, "end": 9166.439}, {"text": "to keep fighting the recommendations already in the report say that we should continue to fight I wanted to add a", "start": 9166.439, "end": 9173.64}, {"text": "little bit more so that we can reconvene in January perhaps with some advice from", "start": 9173.64, "end": 9178.68}, {"text": "some of the city departments that are going to be dealing with this to continue our fight this is a fight we", "start": 9178.68, "end": 9185.04}, {"text": "must win thank you Council perks uh any other", "start": 9185.04, "end": 9190.92}, {"text": "speakers on the item Deputy Mayor Malik thank you very much and um thank", "start": 9190.92, "end": 9197.04}, {"text": "you uh to councelor perks for bringing forward that motion um and it deserves our", "start": 9197.04, "end": 9203.399}, {"text": "support um as was mentioned earlier this month we had the first meeting of the", "start": 9203.399, "end": 9209.6}, {"text": "new our city our health implementation panel and as the medical officer of", "start": 9209.6, "end": 9216.56}, {"text": "Health described the composition of the panel and what I can share with you from", "start": 9216.56, "end": 9223.479}, {"text": "the degree of discussion and the level of expertise and Care around the table", "start": 9223.479, "end": 9228.76}, {"text": "is that that implementation panel is a group of dedicated caring uh and expert", "start": 9228.76, "end": 9235.399}, {"text": "individuals who are working to make a difference in the lives of people who", "start": 9235.399, "end": 9243.16}, {"text": "are impacted and connected to mental health substance use harm", "start": 9243.16, "end": 9249.84}, {"text": "reduction and treatment in our city and the depth of knowledge and experience at that table uh is astounding and we are", "start": 9249.84, "end": 9258.52}, {"text": "well served in the city and in this strategy by their engagement and their", "start": 9258.52, "end": 9264.04}, {"text": "expertise and the willingness to be in this work alongside us as um as", "start": 9264.04, "end": 9272}, {"text": "we grapple with some of the most challenging and the most important um", "start": 9272, "end": 9277.52}, {"text": "issues not just for our time in our city right now but for our future and what", "start": 9277.52, "end": 9282.64}, {"text": "the legacy of our work is as we move forward and following the recommendations before us the panel is", "start": 9282.64, "end": 9290.8}, {"text": "already preparing to prioritize the next steps necessary to implement the our", "start": 9290.8, "end": 9295.96}, {"text": "health our city recommendations and to take the concrete steps forward and to take that role around implementation and", "start": 9295.96, "end": 9302.92}, {"text": "guidance very seriously and when finalizing this report and appointing the panel the", "start": 9302.92, "end": 9309.76}, {"text": "latest actions by the provincial government to the sector were not known and that has been such an important", "start": 9309.76, "end": 9315.56}, {"text": "piece of our discussion here today and that's why this annual report and the", "start": 9315.56, "end": 9320.6}, {"text": "strategy as a whole is so important it's important because we need to continue to", "start": 9320.6, "end": 9326.399}, {"text": "protect services Toronto residents rely on for the well-being of our", "start": 9326.399, "end": 9331.96}, {"text": "neighborhoods and of individuals and for the work that we have to continue to do together to build safer communities and", "start": 9331.96, "end": 9338.8}, {"text": "to ensure that supports are available now more than ever and especially as", "start": 9338.8, "end": 9345.72}, {"text": "other levels of government take away and pull back on those light life saving supports and through expanding our", "start": 9345.72, "end": 9352.6}, {"text": "crisis supports and strengthening Community Partnerships and prioritizing indigenous Wellness important work has", "start": 9352.6, "end": 9359.96}, {"text": "been done and we still have so much more work to do ahead of us and we are not", "start": 9359.96, "end": 9365.64}, {"text": "alone in those efforts and this strategy keeps us and our partners on track and", "start": 9365.64, "end": 9373.76}, {"text": "it makes sure that we are on track regardless of what the circumstances are", "start": 9373.76, "end": 9379.64}, {"text": "and that is so important and so critical and as uh as we move forward in", "start": 9379.64, "end": 9387.2}, {"text": "approving this latest update and in strengthening our continued efforts I do", "start": 9387.2, "end": 9393.2}, {"text": "want to recognize um the important leadership of of course our medical", "start": 9393.2, "end": 9398.84}, {"text": "officer of Health um as uh as she wraps up her time in the role and particularly", "start": 9398.84, "end": 9405.479}, {"text": "to recognize uh the work of OA who I've had the the um honor of being able to", "start": 9405.479, "end": 9411.56}, {"text": "work alongside since the very start of my term and in this effort around the", "start": 9411.56, "end": 9416.92}, {"text": "development of this strategy and also the implementation panel and to thank her for her commitment and her care and", "start": 9416.92, "end": 9426.2}, {"text": "in that dedicated effort that wherever you are our shared alignment around", "start": 9426.2, "end": 9431.56}, {"text": "making Toronto a safer healthier and more Equitable place is unwavering and", "start": 9431.56, "end": 9437.12}, {"text": "to thank you uh in in your all your efforts that have brought us to this point and to wish you well as you take", "start": 9437.12, "end": 9445.399}, {"text": "uh this next step in your incredible efforts and to know that our work together is uh is not over uh it just", "start": 9445.399, "end": 9452.96}, {"text": "will take a different shape thank you very much thank you anyone else", "start": 9452.96, "end": 9459.88}, {"text": "speak okay I'll speak then I do have a motion let's pull it", "start": 9459.88, "end": 9466.279}, {"text": "up one of the deput uh mentioned this it's around the national framework on", "start": 9466.279, "end": 9472.16}, {"text": "Advertising for sports betting and supporting Bill", "start": 9472.16, "end": 9477.2}, {"text": "s269 and sending uh forwarding a letter to the minister for mental health and", "start": 9477.2, "end": 9483.279}, {"text": "addictions to express our support on this item um just want to go back to our", "start": 9483.279, "end": 9490.359}, {"text": "health our city and the progress report just want to thank staff a lot of work has gone into this as you can see you", "start": 9490.359, "end": 9497.319}, {"text": "know even the presentation took a long time but but the work itself is just so", "start": 9497.319, "end": 9502.88}, {"text": "encompassing and many City departments um have been involved in this to support", "start": 9502.88, "end": 9509.399}, {"text": "those who are most marginalized in our city and in our community and of course we must always uh support those who most", "start": 9509.399, "end": 9517.04}, {"text": "marginalized in our city because they need the support um I've been very vocal from the", "start": 9517.04, "end": 9524.2}, {"text": "very outset about the closure of safe consult sites I have done the media circuit I I've gone to various SCS", "start": 9524.2, "end": 9531.439}, {"text": "across the city supporting the staff the Frontline staff talking to the clients who are in the uh centers uh showing my", "start": 9531.439, "end": 9540.12}, {"text": "support to them and I will continue to do that this is a form of downloading of", "start": 9540.12, "end": 9547.04}, {"text": "healthcare services that's what it is um and I know that it's kind of sugarcoated", "start": 9547.04, "end": 9553.16}, {"text": "around the heart hubs and even that is underfunded as well before even comes to the table and we need to also see as", "start": 9553.16, "end": 9559.6}, {"text": "well we need to make sure that the the province is a partner with the city and", "start": 9559.6, "end": 9566.6}, {"text": "they have not been and so I know myself and everyone around this table and", "start": 9566.6, "end": 9572.479}, {"text": "Council and the mayor will continue to advocate for people because people's", "start": 9572.479, "end": 9578.399}, {"text": "lives depend on our advocacy and everyone needs to be seen", "start": 9578.399, "end": 9583.8}, {"text": "and heard as many of deput have mentioned so um we will continue to hold", "start": 9583.8, "end": 9589.64}, {"text": "your feet to the fire until you know this horrible um initiative is reversed", "start": 9589.64, "end": 9598.52}, {"text": "and based on what I've been hearing I have to say uh from various nonprofit", "start": 9598.52, "end": 9603.72}, {"text": "and Healthcare um uh agencies everyone's been on the same", "start": 9603.72, "end": 9609.56}, {"text": "page on this one issue and I feel that based on what I'm seeing so far I am hopeful that they will change their", "start": 9609.56, "end": 9616}, {"text": "minds maybe I'm being too optimistic here but I I believe in my heart that uh", "start": 9616, "end": 9621.12}, {"text": "they will have a reverse uh course on this so thank you to all those who uh deputed today thank you for all that you", "start": 9621.12, "end": 9628.319}, {"text": "do for community and uh we have your backs thank", "start": 9628.319, "end": 9633.68}, {"text": "you and with that we will put the first motion on the", "start": 9633.68, "end": 9640.881}, {"text": "screen okay", "start": 9643.8, "end": 9647.8}, {"text": "all this in favor of council perk's item oppos carried the second", "start": 9653.399, "end": 9661.681}, {"text": "item all those in favor my motion oppos carried and as amended all those in", "start": 9664.279, "end": 9670.359}, {"text": "favor oppos carried thank you we'll now go on to item number", "start": 9670.359, "end": 9677.56}, {"text": "two three sorry really off today honestly item HL 18.3", "start": 9677.56, "end": 9683.88}, {"text": "addressing routine immunization rates among School aged Children and Youth uh Dr Villa you want", "start": 9683.88, "end": 9689.72}, {"text": "to thank you Mr chair we do have a presentation associated with this report", "start": 9689.72, "end": 9695.08}, {"text": "and coming up to the presentation table are uh two of my Toronto Public Health", "start": 9695.08, "end": 9700.16}, {"text": "colleagues Dr Vanita dubet associate medical officer of health and I see she's joined as well by Dr nakosi lampy", "start": 9700.16, "end": 9707.2}, {"text": "Deputy medical officer of Health their slide deck is up on the screen now and I", "start": 9707.2, "end": 9712.96}, {"text": "will hand it over to Dr dubet to", "start": 9712.96, "end": 9717.438}, {"text": "present hello good afternoon or good afternoon thank you everyone um I'm going to just start with a introduction", "start": 9720.24, "end": 9727.52}, {"text": "of my colleague uh Dr debay to share an update on student immunization Tonto Public Health has", "start": 9727.52, "end": 9734.68}, {"text": "provided regular updates on routine immunization rates among School aged children and youth in Toronto the last", "start": 9734.68, "end": 9741.64}, {"text": "update was one year ago at the November 2023 Board of Health meeting that Board of Health Report", "start": 9741.64, "end": 9748.399}, {"text": "included approved recommendations to address pandemic induced immunization gaps related to the student immunization", "start": 9748.399, "end": 9756}, {"text": "program and the immunization of school peoples act through clinics this year's", "start": 9756, "end": 9761.439}, {"text": "report highlights Toronto Public's Health efforts and progress made on this work since last year's update and", "start": 9761.439, "end": 9767.6}, {"text": "proposes next steps to continue increasing vaccination rates with that I'll turn over to my colleague Dr Deb", "start": 9767.6, "end": 9773.16}, {"text": "and next slide please okay great thank you uh so first let's just go through a", "start": 9773.16, "end": 9778.56}, {"text": "very quick background though I know that you're very familiar with the issue we know that vaccine preventable diseases", "start": 9778.56, "end": 9784.64}, {"text": "like polio and measles though they are rare um due to our high vaccination", "start": 9784.64, "end": 9789.96}, {"text": "rates in the city if we see a reduction in those vaccination rates we can absolutely see a Resurgence of these", "start": 9789.96, "end": 9796.6}, {"text": "serious infections recently students had less access to Clinical Services such as", "start": 9796.6, "end": 9803.24}, {"text": "vaccinations in clinics and schools due to the pandemic and as a result the", "start": 9803.24, "end": 9809.12}, {"text": "Toronto Public Health student population's iSpa compliance rate has", "start": 9809.12, "end": 9814.24}, {"text": "decreased following the pandemic and fewer students than before the pandemic have received their vaccinations that", "start": 9814.24, "end": 9821.64}, {"text": "they that are needed to attend school as part of Toronto public Health's role to", "start": 9821.64, "end": 9826.84}, {"text": "address vaccination gaps we organize targeted vaccination and Community initiatives in school AED populations to", "start": 9826.84, "end": 9834.76}, {"text": "prevent outbreaks next slide please here's a list of the diseases outlined", "start": 9834.76, "end": 9840.359}, {"text": "in the immunization scoop Hoops act you can see they are generally routine vaccinations offered through Primary", "start": 9840.359, "end": 9847.359}, {"text": "Care students without a valid exemption or vaccination record with Toronto", "start": 9847.359, "end": 9852.72}, {"text": "Public Health can face school suspension and the last time we assessed", "start": 9852.72, "end": 9858.359}, {"text": "wholeheartedly vaccination records was in 2018 2019 and beginning the last school year", "start": 9858.359, "end": 9865.319}, {"text": "we resumed the assessment for these vaccinations with a focus on grade two", "start": 9865.319, "end": 9870.6}, {"text": "and grade 12s next slide please so part of our efforts to", "start": 9870.6, "end": 9875.88}, {"text": "increase vaccination rates among students include school-based and Community clinics part of this ongoing", "start": 9875.88, "end": 9883.479}, {"text": "immunization includes the grade seven and 8 student school immunization", "start": 9883.479, "end": 9888.52}, {"text": "program where we provide Menin caual human papiloma virus and hepatitis B", "start": 9888.52, "end": 9894.04}, {"text": "vaccines in school clinics and during the pandemic we held many Community", "start": 9894.04, "end": 9899.68}, {"text": "clinics including at schools to get students caught up however without doing", "start": 9899.68, "end": 9905.319}, {"text": "that formal iSpa assessment process and without that threat for suspension what", "start": 9905.319, "end": 9912.12}, {"text": "we found was that those vaccination rates for those iSpa vaccines did not", "start": 9912.12, "end": 9917.2}, {"text": "get back to prepandemic level lels so we have resumed the IPA assessments this", "start": 9917.2, "end": 9923.2}, {"text": "year which includes verifying if students student records are in", "start": 9923.2, "end": 9928.24}, {"text": "compliance with the iSpa if they are not we send three", "start": 9928.24, "end": 9933.96}, {"text": "letters to families they're all spaced out through many weeks for students who", "start": 9933.96, "end": 9940.12}, {"text": "are not in compliance and we provide them with resources and instructions for how those students can get up to date", "start": 9940.12, "end": 9947.359}, {"text": "and be taken off non-compliance list now a student can be suspended from school", "start": 9947.359, "end": 9954.2}, {"text": "if they are not in compliance by a defined date and they are giving many many weeks to know what that date will", "start": 9954.2, "end": 9960.399}, {"text": "be for suspension now we work very closely with schools to get school", "start": 9960.399, "end": 9965.68}, {"text": "students compliant we do not want them to be suspended at the start of suspension but we do certainly need the", "start": 9965.68, "end": 9972.72}, {"text": "information the vaccination information or a valid exemption for them to be", "start": 9972.72, "end": 9978}, {"text": "considered compant Cent and we work very closely with school principes", "start": 9978, "end": 9983.8}, {"text": "administrators to facilitate this program next slide please now we have", "start": 9983.8, "end": 9989.319}, {"text": "had targeted efforts to uh support vaccination rates to help students be protected and stay in school they", "start": 9989.319, "end": 9996.92}, {"text": "include our Public Health nurses who collaborate directly with School principles to assess compliance needs", "start": 9996.92, "end": 10003.12}, {"text": "and tailor support activities the nurses also do presentations in school", "start": 10003.12, "end": 10009.399}, {"text": "they make informational calls to parents and guardians of students who are not", "start": 10009.399, "end": 10014.479}, {"text": "compliant and they provide resources on how parents can report these", "start": 10014.479, "end": 10019.52}, {"text": "vaccinations to us in addition we've had public education campaigns across the", "start": 10019.52, "end": 10025.52}, {"text": "city to inform parents and caregivers about routine vaccinations and the", "start": 10025.52, "end": 10031}, {"text": "process on how to report them to tph now School boards and principls also", "start": 10031, "end": 10037.24}, {"text": "receive regular updates and evidence-based resources to clarify the", "start": 10037.24, "end": 10042.439}, {"text": "iSpa requirements and promote vaccine uptake among students in fact I'm", "start": 10042.439, "end": 10047.52}, {"text": "presenting to principles at 1 pm which is why I'm a bit time constrained today now with the return of in school", "start": 10047.52, "end": 10055.279}, {"text": "immunization assessments for uh uh the school year we have intensified our", "start": 10055.279, "end": 10061.24}, {"text": "communication efforts and we work closely with school communities to support vaccine coverage next slide", "start": 10061.24, "end": 10068.08}, {"text": "please now we can see the impact of our efforts for vaccine uptake when we look", "start": 10068.08, "end": 10074.12}, {"text": "at the grade 2 students who were born in 2016 and they were assessed in the last", "start": 10074.12, "end": 10080.04}, {"text": "school year among three School boards now what we found was before the", "start": 10080.04, "end": 10085.64}, {"text": "pandemic when we assessed grade 2 students the vaccination rate was", "start": 10085.64, "end": 10090.76}, {"text": "78% but if we as we've noted coverage rates have reduced dramatically during", "start": 10090.76, "end": 10096.72}, {"text": "the pandemic so at the start of the last school year we assessed grade 2 students", "start": 10096.72, "end": 10102.88}, {"text": "from the Toronto castol District School Board the conel uh Catholic scholar", "start": 10102.88, "end": 10108.88}, {"text": "Catholic Mon avanir and as well viam and we found at the beginning of that school", "start": 10108.88, "end": 10114.88}, {"text": "year last year only 33% were compliant with the iSpa but after completing the", "start": 10114.88, "end": 10121.76}, {"text": "assessments at the end of the last school year that rate increased to a dramatic 99%", "start": 10121.76, "end": 10129.439}, {"text": "uh so this is just one example of how these assessments really are effective", "start": 10129.439, "end": 10134.68}, {"text": "now beginning uh at the end of the last school year into right now this fall we", "start": 10134.68, "end": 10140.319}, {"text": "are completing our assessments of the 2016 Birth Cohort among TDSB students", "start": 10140.319, "end": 10147.08}, {"text": "and expect to Ace achieve High compliance rates there as well next", "start": 10147.08, "end": 10152.96}, {"text": "slide please now our student immunization program which we have presented to the", "start": 10152.96, "end": 10158.479}, {"text": "board B on uh many times uh also has seen improvements since the pandemic if", "start": 10158.479, "end": 10164.84}, {"text": "you'll see on this chart there it compares the rates uh pre pandemic which", "start": 10164.84, "end": 10170.04}, {"text": "were uh some of our highest rates uh for the three vaccines there among great sevens and if you'll see that second uh", "start": 10170.04, "end": 10177.84}, {"text": "chart line uh post pandemic uh the last school year for grade eights we are", "start": 10177.84, "end": 10184.359}, {"text": "approaching prepandemic levels still not quite there but but really noticing a", "start": 10184.359, "end": 10190.2}, {"text": "dramatic Improvement compared to that third line which shows the rates in high", "start": 10190.2, "end": 10195.359}, {"text": "school students and you will recall that high school students many two corts in particular did not have those", "start": 10195.359, "end": 10202.08}, {"text": "school-based clinics and their uh vaccination rates for these vaccines are very difficult to increase so we are", "start": 10202.08, "end": 10209.08}, {"text": "seeing uh the effects of school-based clinics and Toronto public Health's role there next slide", "start": 10209.08, "end": 10215.68}, {"text": "please so as part of vaccine up take promotion we have worked with other", "start": 10215.68, "end": 10221.64}, {"text": "organizations including indigenous serving agencies to increase vaccine acceptability and uptake a nurse has", "start": 10221.64, "end": 10229.88}, {"text": "been designated to work specifically with anas focused schools using", "start": 10229.88, "end": 10235.439}, {"text": "culturally safe practices to engage indigenous students and family in school events provide immunization and update", "start": 10235.439, "end": 10243.56}, {"text": "records we have collaborated with the Toronto Community Health centers and Ontario health team to help enhance uh", "start": 10243.56, "end": 10251.04}, {"text": "these vaccination rates and this includes training Community ambassadors and sharing resources such as websites", "start": 10251.04, "end": 10258.479}, {"text": "fact sheets key messages and stepbystep guidance on how to report uh vaccination", "start": 10258.479, "end": 10264.76}, {"text": "records online using the icon tool next slide please now we prioritize", "start": 10264.76, "end": 10271.88}, {"text": "accessible vacine information for communities facing barriers with materials available in multiple languag", "start": 10271.88, "end": 10278.92}, {"text": "is and both using digital and physical uh physical formats for those who may", "start": 10278.92, "end": 10284.479}, {"text": "not have access to the internet we also rely on trusted spaces like schools and", "start": 10284.479, "end": 10290.399}, {"text": "Community Center centers for vaccine clinics and promotional activities", "start": 10290.399, "end": 10295.52}, {"text": "enhance accessibility for families across the city now collaborations with", "start": 10295.52, "end": 10300.84}, {"text": "Community Partners including those serving populations of African descent indigenous communities as I've mentioned", "start": 10300.84, "end": 10307.96}, {"text": "and newcom populations help increase vaccine Outreach to children without", "start": 10307.96, "end": 10313.2}, {"text": "access to Primary Care Toronto public health school liaison Public Health nurses are assigned to focus on schools", "start": 10313.2, "end": 10321.239}, {"text": "with lower compliance rates and schools that have greater needs needs in order to support iSpa compliance next slide", "start": 10321.239, "end": 10329.399}, {"text": "please now the iSpa assessments increase protection to vaccine preventable", "start": 10329.399, "end": 10335.56}, {"text": "diseases we've seen that I've shared some of of that data with you but if we had a streamlined tracking", "start": 10335.56, "end": 10343.72}, {"text": "of vaccinations among Toronto students this would allow for a more efficient and effective iSpa assessment process", "start": 10343.72, "end": 10352.64}, {"text": "and this could be accomplished if we had a realtime immunization registry the", "start": 10352.64, "end": 10358}, {"text": "resources that we could save from implementing a registry could be reallocated to high priority vaccination", "start": 10358, "end": 10365.359}, {"text": "Outreach efforts and further improve ISP compliance and avoid student suspensions", "start": 10365.359, "end": 10371.319}, {"text": "especially among Equity deserving communities next slide please so in some", "start": 10371.319, "end": 10378.2}, {"text": "in this report you will find the medical officer of health is proposing two", "start": 10378.2, "end": 10384.2}, {"text": "recommendations the first recommendation is that the Board of Health recommend to", "start": 10384.2, "end": 10389.439}, {"text": "the Ministry of Health implement the recommendation from the Ontario", "start": 10389.439, "end": 10394.68}, {"text": "immunization advisory committee very recently recommended creating a", "start": 10394.68, "end": 10399.72}, {"text": "provincial immunization registry that provides realtime information access to", "start": 10399.72, "end": 10405.12}, {"text": "individuals and their Healthcare Providers and includes socio demographic", "start": 10405.12, "end": 10410.16}, {"text": "data linkage capacities to support interventions to address inequalities in", "start": 10410.16, "end": 10415.439}, {"text": "vaccine access and the second recommendation is that the Board of Health request again the Ministry of", "start": 10415.439, "end": 10422}, {"text": "Health to increase eligibility for publicly funded vaccine and access to", "start": 10422, "end": 10427.16}, {"text": "human papiloma virus vaccination for all people under 26 years of age and as part", "start": 10427.16, "end": 10433.56}, {"text": "of expanded Public Funding for HPV vaccination to all people under 26 years of age the Ministry of Health requests", "start": 10433.56, "end": 10441.239}, {"text": "the Ontario Ministry of colleges and universities to promote this vaccine", "start": 10441.239, "end": 10446.8}, {"text": "access with postsecondary institutions and to develop a comprehensive campaign", "start": 10446.8, "end": 10452.96}, {"text": "to increase uptake of human papiloma virus Hepatitis B and menra Cal vaccination", "start": 10452.96, "end": 10459.279}, {"text": "especially among communities with lower coverage of these vaccines next slide", "start": 10459.279, "end": 10464.64}, {"text": "please and with that I'll close off this presentation just want to while I have the podium take this time to thank our", "start": 10464.64, "end": 10471.319}, {"text": "esteemed colleague uh Dr dlla for her a tremendous leadership dedication and", "start": 10471.319, "end": 10477.239}, {"text": "sacrifice over these many years thank you and over to you", "start": 10477.239, "end": 10482.358}, {"text": "chair thank you Dr J and Dr L Dr ly um we do have speakers", "start": 10482.72, "end": 10492.88}, {"text": "on the item uh Teresa thees", "start": 10492.88, "end": 10500.8}, {"text": "denin Mr chair I'm just wonder an extension yes yes before yes thank", "start": 10503.279, "end": 10510.2}, {"text": "you um before you begin um that you have", "start": 10510.2, "end": 10515.239}, {"text": "a motion motion to", "start": 10515.239, "end": 10520.68}, {"text": "extend", "start": 10520.68, "end": 10523.68}, {"text": "yes there you go all those in favor of extension complete agenda opposed", "start": 10525.8, "end": 10532}, {"text": "carried okay go ahead you have five minutes", "start": 10532, "end": 10537.279}, {"text": "at the November 2023 Board of Health meeting Dr lampy indicated that there are more than 250,000 students who are", "start": 10548.76, "end": 10556.84}, {"text": "missing doses of vaccines she indicated we know the pandemic experience has", "start": 10556.84, "end": 10561.92}, {"text": "changed people's perceptions of vaccination and it's probably going to take more considered slow effort to", "start": 10561.92, "end": 10567.92}, {"text": "build trust Dr dilla's report that highlights", "start": 10567.92, "end": 10573.279}, {"text": "student suspensions enforcement in relation to vaccine compliance indicated", "start": 10573.279, "end": 10578.84}, {"text": "that Toronto Public Health sends information to schools and parents to help them understand how to meet", "start": 10578.84, "end": 10584.56}, {"text": "Ontario's immunization of school pupils act requirements question do the resources", "start": 10584.56, "end": 10592.479}, {"text": "provided to schools and to parents include the ingredients and potential adverse effects associated with the 72", "start": 10592.479, "end": 10598.84}, {"text": "vaccine doses that are essentially mandated to Toronto children in the", "start": 10598.84, "end": 10604.12}, {"text": "student immunization program are parents aware that that mercury in the form of therasol", "start": 10604.12, "end": 10610.279}, {"text": "continues to be in vaccines that it is toxic and persistent in the brain a", "start": 10610.279, "end": 10615.479}, {"text": "comprehensive review from 1999 to February 2016 found 91 studies that", "start": 10615.479, "end": 10621.72}, {"text": "examine the potential relationship between Mercury and autism spectrum disorder our parents made aware of", "start": 10621.72, "end": 10629.12}, {"text": "aluminum adant used in vaccines including dap and hepatitis B vaccine", "start": 10629.12, "end": 10634.479}, {"text": "and that there is an association between aluminum adant and autism spect disorder our families made aware that", "start": 10634.479, "end": 10641.64}, {"text": "the prevalence of autism in Canada has increased by over 500% since", "start": 10641.64, "end": 10647.92}, {"text": "1990 are parents aware that food proteins and vaccines cause the development of food allergies more than", "start": 10647.92, "end": 10654.52}, {"text": "500,000 Canadian children suffer from severe food allergies more than 850,000", "start": 10654.52, "end": 10659.88}, {"text": "Canadian children suffer from asthma at the Board of Health meeting on", "start": 10659.88, "end": 10665}, {"text": "March 25th 2024 Dr Dilla indicated that there are very strict processes that", "start": 10665, "end": 10671.439}, {"text": "need to be followed at the federal level before vaccines are made available for use in the", "start": 10671.439, "end": 10677.04}, {"text": "public sorry is this board aware that in 2017 Dr Anthony foucher", "start": 10677.04, "end": 10684.2}, {"text": "fouchi in a US Government arranged meeting with Robert Kennedy Jr and his", "start": 10684.2, "end": 10689.399}, {"text": "colleagues from informed consent Action Network I can was asked to provide the records of the pre-licensing placebo", "start": 10689.399, "end": 10696.479}, {"text": "controlled safety trials for any of the 72 vaccines mandated for American", "start": 10696.479, "end": 10701.52}, {"text": "children Dr foui did not have this information available at the time of that meeting so I can filed a freedom of", "start": 10701.52, "end": 10708.479}, {"text": "information request to obtain these records and other files related to safety studies of these", "start": 10708.479, "end": 10713.84}, {"text": "vaccines in April of 2018 having heard Still heard nothing as a result of the", "start": 10713.84, "end": 10719.12}, {"text": "foyer request Kennedy and attorney Ain Siri filed a complaint on behalf of Ian", "start": 10719.12, "end": 10724.72}, {"text": "against the Department of Health and Human Services for the gen's failure to produce any of the", "start": 10724.72, "end": 10731.68}, {"text": "reports as a result of this complaint in June 2018 Health and Human Services", "start": 10731.68, "end": 10737.08}, {"text": "admitted that the agency had no records of any such reports it appears these zero liability", "start": 10737.08, "end": 10744.16}, {"text": "vaccines are exempt from pre- pre-licensing safety trials are Toronto parents aware that", "start": 10744.16, "end": 10751.399}, {"text": "the 72 doses of vaccines which Toronto's children are mandated to receive have", "start": 10751.399, "end": 10757.12}, {"text": "not gone through pre licensing safety trials probably not yet Toronto students", "start": 10757.12, "end": 10763}, {"text": "are threatened with suspension from school for not receiving these vaccines I request that the Board of", "start": 10763, "end": 10769.12}, {"text": "Health immediately stop the student immunization program until more can be", "start": 10769.12, "end": 10774.479}, {"text": "learned through an extensive review of the safety of all vaccines mandated in this", "start": 10774.479, "end": 10781.2}, {"text": "program on the city of Toronto's website there's an article titled an infectious idea prevention of communicable diseases", "start": 10781.2, "end": 10788.8}, {"text": "the article reads before antibiotics the only way to recover from tuberculosis was to try to strengthen the immune", "start": 10788.8, "end": 10794.64}, {"text": "system with plenty of rest nutritious food and fresh air the knowledge and guidance provided by the city recognizes", "start": 10794.64, "end": 10801.76}, {"text": "that supporting our natural immun immune system effectively supports good health", "start": 10801.76, "end": 10807.359}, {"text": "a practice that still makes sense", "start": 10807.359, "end": 10811.04}, {"text": "today okay you done thank you any questions for the deput see none thank you for coming in today", "start": 10814.04, "end": 10821.319}, {"text": "uh Skyler Hill Jackson you here okay five minutes may I have the", "start": 10821.319, "end": 10827.76}, {"text": "overhead just put it on I think", "start": 10827.76, "end": 10831.76}, {"text": "automatic just place your item on the", "start": 10835.359, "end": 10839.439}, {"text": "overhead okay", "start": 10846.56, "end": 10849.92}, {"text": "okay go ahead thank you are Toronto Board of Health board members aware of the declining health of", "start": 10853, "end": 10860.52}, {"text": "Toronto children one in six children has a learning disability one in five", "start": 10860.52, "end": 10865.92}, {"text": "children has eczema one in eight children has asthma and one in 36", "start": 10865.92, "end": 10871.319}, {"text": "children is on the autism spectrum Toronto children are experiencing a major epidemic of neur NE ological and", "start": 10871.319, "end": 10878.72}, {"text": "immune system disorders according to the current Ontario childhood vaccine schedule my", "start": 10878.72, "end": 10886.239}, {"text": "five grandchildren are scheduled to have 75 doses of 18 vaccines to protect their", "start": 10886.239, "end": 10893}, {"text": "health vaccines that have never been safety studied seriously not one Placebo", "start": 10893, "end": 10900.439}, {"text": "controlled safety study and there are no studies testing the safety of combining multiple", "start": 10900.439, "end": 10906.96}, {"text": "vaccines on the same day never in the natural world would a child catch", "start": 10906.96, "end": 10912.279}, {"text": "measles mums rebella and chickenpox all at the same time multiple vaccines that", "start": 10912.279, "end": 10919.76}, {"text": "contain aluminum antifreeze fahid antibiotics liquid fertilizer food", "start": 10919.76, "end": 10926.6}, {"text": "additives and much more by pushing routine immunization rates among healthy", "start": 10926.6, "end": 10933}, {"text": "school AED Children and Youth and denying the value of natural immunity", "start": 10933, "end": 10938.359}, {"text": "can the Toronto Board of Health members prove you are not creating even more", "start": 10938.359, "end": 10943.52}, {"text": "serious and chronic illnesses in healthy Toronto children vaccines are complex", "start": 10943.52, "end": 10950.12}, {"text": "biochemical substances that by definition are drugs once injected these", "start": 10950.12, "end": 10957.2}, {"text": "vaccines can cross the blood brain barrier and cannot be", "start": 10957.2, "end": 10962.279}, {"text": "deactivated or removed again multiple vaccines in one", "start": 10962.279, "end": 10968.12}, {"text": "shot have never been safety studied excessive vaccination has never been", "start": 10968.12, "end": 10974.12}, {"text": "safety studied this board does not know whether 72 vaccine doses overwhelms", "start": 10974.12, "end": 10980.64}, {"text": "children and their natural immune systems you also don't know how to identify the children most susceptible", "start": 10980.64, "end": 10987.8}, {"text": "to negative reactions after receiving so many vaccines will one of my five", "start": 10987.8, "end": 10994.08}, {"text": "grandchildren develop a chronic illness or will one of your children develop a lifelong debilitate debilitating illness", "start": 10994.08, "end": 11002.92}, {"text": "vaccine roulette anyone about vaccination American", "start": 11002.92, "end": 11008.319}, {"text": "cardiologist Dr Peter McCulla said quote I think there is essentially an", "start": 11008.319, "end": 11014.04}, {"text": "irrational ideology going on here it's gone on for 300 years it's not based on", "start": 11014.04, "end": 11021}, {"text": "science it's based in faith the doctors and nurses are completely enrolled in", "start": 11021, "end": 11028}, {"text": "this religion and if there is any side effect you have to take it for the team", "start": 11028, "end": 11035.16}, {"text": "and so there is really no compassion there is no outrage it's a religious", "start": 11035.16, "end": 11042.239}, {"text": "belief and in the words of Robert F Kennedy Jr quote my position on vaccines", "start": 11042.239, "end": 11048.68}, {"text": "is that vaccines should be tested like other medicines of the 72 vaccine doses", "start": 11048.68, "end": 11053.92}, {"text": "now mandated for children none of them not one has ever been subject to a", "start": 11053.92, "end": 11059.56}, {"text": "pre-licensing placebo control trial other medicines are required to do that", "start": 11059.56, "end": 11065.239}, {"text": "and we should have to do that for vaccines if I'm wrong show me the test", "start": 11065.239, "end": 11071.2}, {"text": "show me the study you won't be able to because there are none that means that", "start": 11071.2, "end": 11076.88}, {"text": "we don't know what the long-term risks are again I ask board members why are", "start": 11076.88, "end": 11083.56}, {"text": "our Toronto school children suffering from so many neurological and immune system", "start": 11083.56, "end": 11090.439}, {"text": "disorders Health experts were wrong about the lamide DDT tobacco asbest", "start": 11090.439, "end": 11096.92}, {"text": "Mercury Vio and opioids are they wrong about vaccine safety the Toronto Board", "start": 11096.92, "end": 11103.72}, {"text": "of Health members must always be willing to seriously consider evidence that contradicts your beliefs and admit the", "start": 11103.72, "end": 11111.12}, {"text": "possibility that you may be wrong intelligence isn't knowing everything it", "start": 11111.12, "end": 11116.16}, {"text": "is the ability to challenge everything you know and you may choose to look the", "start": 11116.16, "end": 11122.52}, {"text": "other way about the safety of vaccines but you can never say a again that you did not", "start": 11122.52, "end": 11128.279}, {"text": "know vaccines let us call our own", "start": 11128.279, "end": 11133.319}, {"text": "shots okay thank you any questions for the deput seeing none thank you uh to", "start": 11133.319, "end": 11140.319}, {"text": "the directors any questions for staff on this item uh", "start": 11140.319, "end": 11145.6}, {"text": "counselor Thompson go ahead um thank you very much through you Mr chair to", "start": 11145.6, "end": 11151.6}, {"text": "staff um the valid exemptions what are they I'm aware of religious exemptions", "start": 11151.6, "end": 11157.68}, {"text": "is is that one of the valid um exemptions so through the chair there", "start": 11157.68, "end": 11163.2}, {"text": "are uh reasons for exemptions some of them are philosophical objections and", "start": 11163.2, "end": 11168.68}, {"text": "some of course are medical exemptions there are some individuals for whom certain vaccines are not uh appropriate", "start": 11168.68, "end": 11176.12}, {"text": "given their own unique circum ances right I have been asked in the past to sign forms for", "start": 11176.12, "end": 11183.8}, {"text": "exemptions um none of those forms that I've signed in the past I no longer sign them because we've had some", "start": 11183.8, "end": 11189.68}, {"text": "conversations none of those um uh requests were made other than for", "start": 11189.68, "end": 11197.479}, {"text": "religious purposes um how is that defined in terms", "start": 11197.479, "end": 11203.16}, {"text": "of religious purposes is just someone says my religion says I shouldn't have these vaccine is there some way of", "start": 11203.16, "end": 11209.84}, {"text": "validating that at all so through the chair um let me be", "start": 11209.84, "end": 11214.92}, {"text": "clear and I think my colleague Dr dubet who's a little more directly involved in the program may also have some thoughts", "start": 11214.92, "end": 11221.04}, {"text": "to add but with respect to being asked to sign or to confirm um you know that", "start": 11221.04, "end": 11227.6}, {"text": "somebody has come to you as as a a public official uh uh to um request this", "start": 11227.6, "end": 11234.8}, {"text": "exemption it's actually just to certify that actually this person has come forward to you it's not necessarily that", "start": 11234.8, "end": 11240.68}, {"text": "you agree or disagree per se it's a question of actually ensuring that there is a process that the individual is", "start": 11240.68, "end": 11247.319}, {"text": "making the exemption and that they are duly making the exemption or the request for the exemption in front of you uh", "start": 11247.319, "end": 11253.88}, {"text": "with respect to the types of exemptions uh you characterize one as religious uh but generally it's actually seen as a", "start": 11253.88, "end": 11260.279}, {"text": "philosophical exemption um you know as I understand it and Dr dubet can correct", "start": 11260.279, "end": 11265.439}, {"text": "me if I'm wrong as I understand it there are not religious prescriptions per se I think we've had the opportunity to speak", "start": 11265.439, "end": 11271.6}, {"text": "to Faith leaders in the past however there are uh philosophical reasons uh", "start": 11271.6, "end": 11276.8}, {"text": "reasons of personal belief conscience exemptions uh that people are entitled to make and again um the issue uh is", "start": 11276.8, "end": 11285.64}, {"text": "such that uh there is the opportunity for people to make that declaration they do need to uh participate uh through a", "start": 11285.64, "end": 11293.64}, {"text": "process which includes getting it signed off by uh you know somebody and as well uh ensuring that they", "start": 11293.64, "end": 11300.399}, {"text": "participate in um an education process so that they're aware of the decision that's being taken and what the", "start": 11300.399, "end": 11306.84}, {"text": "implications are Dr debet I don't know if you have anything further to add I seem to have done all", "start": 11306.84, "end": 11315.12}, {"text": "right um there's been mentioned about the safety of um these substances and I'll", "start": 11315.12, "end": 11322.8}, {"text": "use the term substances um do you have concerns about the safety of any of these", "start": 11322.8, "end": 11331.68}, {"text": "vaccines so through the chair I think when we're asking people to take on substances particularly substances that", "start": 11331.68, "end": 11338.359}, {"text": "are meant to prevent diseases I think one always needs to be conscious of what people are are are being asked to", "start": 11338.359, "end": 11345.399}, {"text": "undertake what I can tell you is that there is evidence that shows that these are actually amongst the most", "start": 11345.399, "end": 11351}, {"text": "significant Public Health interventions of of the last 100 years we have", "start": 11351, "end": 11356.479}, {"text": "literally saved uh you know we've talked about uh we've been talking all morning actually about", "start": 11356.479, "end": 11361.64}, {"text": "interventions that make a difference from public health perspective that have saved lives and have reduced uh negative", "start": 11361.64, "end": 11368.92}, {"text": "health impact in our population certainly we've heard a lot about harm reduction today and the positive impact", "start": 11368.92, "end": 11374.96}, {"text": "that has had in terms of saving lives this intervention vaccination is another one of these interventions within the", "start": 11374.96, "end": 11382.08}, {"text": "public health toolkit that has no doubt saved countless lives and is a major", "start": 11382.08, "end": 11388.439}, {"text": "major um contribution to Better Health of the", "start": 11388.439, "end": 11393.52}, {"text": "population that's not just here in Toronto in fact it's Global right it was mentioned that no Studies have been done", "start": 11393.52, "end": 11401.479}, {"text": "is that an accurate", "start": 11401.479, "end": 11404.6}, {"text": "statement I think your mic's off oh okay", "start": 11411.64, "end": 11419.12}, {"text": "I'll try it again your colleague could speak to that so why don't I turn it over to either Dr dubet or Dr lampy but", "start": 11420.64, "end": 11426.72}, {"text": "certainly uh you know there are there is a process just if I can start with that there is a process as new vaccines come", "start": 11426.72, "end": 11433.64}, {"text": "to Market there is a process that happens at the federal level of government uh that um you know vaccine", "start": 11433.64, "end": 11440.68}, {"text": "products including other medical products have to go through before they become licensed for use in Canada", "start": 11440.68, "end": 11449}, {"text": "through you through you Mr chair I would add that um before Health Canada issues an approval for lure of vaccines which", "start": 11449, "end": 11456.12}, {"text": "are Medical Therapeutics and products they do review the evidence from clinical trials for both um whether it's", "start": 11456.12, "end": 11464.56}, {"text": "effective um how it's safe in terms of um side", "start": 11464.56, "end": 11470.56}, {"text": "effects and um also which groups it works in so before um vaccine are", "start": 11470.56, "end": 11477.56}, {"text": "licensed that evidence is reviewed by Health Canada and I would also add that once a vaccine is licensed part of the", "start": 11477.56, "end": 11484.68}, {"text": "safety system includes ongoing monitoring for Adverse Events following", "start": 11484.68, "end": 11490.52}, {"text": "immunization which of course local public health plays a role in collecting that information that is analyzed at the", "start": 11490.52, "end": 11497}, {"text": "provincial and National levels to assure ongoing safety of vaccines thank you thank you any further", "start": 11497, "end": 11504.76}, {"text": "questions seeing none speakers on the item seeing none okay uh let's pull up the uh", "start": 11504.76, "end": 11513.479}, {"text": "recommendations and thank you to", "start": 11513.479, "end": 11517.199}, {"text": "staff let's just adopt okay no worry okay all those in", "start": 11525.439, "end": 11531.239}, {"text": "favor oppos carried the next item is uh", "start": 11531.239, "end": 11538.84}, {"text": "18.4 um authority to receive grants in support of Public Health", "start": 11541, "end": 11547.16}, {"text": "initiatives uh we have two speakers on this item uh Maro UD please make sure", "start": 11547.16, "end": 11554.08}, {"text": "you speak on the grants only because that's what's before us", "start": 11554.08, "end": 11559.239}, {"text": "today go ahead can you hear me yep okay", "start": 11559.239, "end": 11567.76}, {"text": "um so thank you um so I'm speaking about the grants", "start": 11567.76, "end": 11574.76}, {"text": "$100,000 that is um up for discussion on whether we accept it for the HPV", "start": 11574.76, "end": 11580.96}, {"text": "vaccination promotion in high schools so while up to just a couple years ago I", "start": 11580.96, "end": 11586.12}, {"text": "didn't really think about vaccines and their safety based on what I've learned from the co9 MRNA vaccines I'm now much", "start": 11586.12, "end": 11593.64}, {"text": "more skeptical of other vaccines and so I would like to share what uh five things that I've learned about the HPV", "start": 11593.64, "end": 11600.8}, {"text": "vaccine gardol number one the HPV vaccine has a nickname help V help pay for Vio which", "start": 11600.8, "end": 11610.359}, {"text": "was coined not by me but uh some Merc um people in the boardroom board members", "start": 11610.359, "end": 11617.8}, {"text": "Vio uh NS drug produced by MC on the market", "start": 11617.8, "end": 11623.12}, {"text": "from 1999 to 2004 caused so many heart attacks that it had to be withdrawn and", "start": 11623.12, "end": 11629.68}, {"text": "MC had to pay5 billion for hiding the cardiovascular death uh risks it's", "start": 11629.68, "end": 11636.479}, {"text": "estimated over 40,000 people in the US died while it was in use okay you're not", "start": 11636.479, "end": 11641.6}, {"text": "talking about the grants you're talking about American study please stay on track okay okay so I'll go back so I'll", "start": 11641.6, "end": 11648.279}, {"text": "go back to I'm talking about gardol gardol um so we're trying to prevent HPV", "start": 11648.279, "end": 11654.56}, {"text": "so I learned that 85% of the population gets HPV infection but the rates of", "start": 11654.56, "end": 11661.6}, {"text": "cervical cancer are very low um in the US in 2007 the incidence was about eight", "start": 11661.6, "end": 11669.04}, {"text": "um instances of cervical cancer out of 100,000", "start": 11669.04, "end": 11674.2}, {"text": "females and the risk of mortality is lower um fourth point is it's", "start": 11674.2, "end": 11680.72}, {"text": "questionable if gardisil is effective in the UK in 2007 the death rate from Sur", "start": 11680.72, "end": 11687.04}, {"text": "cervical cancer was 3.1 in 100,000 females and after 10 years of gisell", "start": 11687.04, "end": 11693.239}, {"text": "being on the market in 2017 the death rate was 2.5 in 100,000 females so it", "start": 11693.239, "end": 11701.239}, {"text": "went down by 0.6 which is not a very significant amount according to a 2011", "start": 11701.239, "end": 11707.64}, {"text": "annals of medicine paper there's no data showing gter cell prevents any cervical", "start": 11707.64, "end": 11713.439}, {"text": "cancer to date the efficacy of HPV vacc in preventing cervical cancer has not", "start": 11713.439, "end": 11719.399}, {"text": "been demonstrated while vaccine risks remain to be fully evaluated Point number five um prior to", "start": 11719.399, "end": 11727.439}, {"text": "the covid-19 MRNA vaccines gardisil was considered the most dangerous vaccine on", "start": 11727.439, "end": 11732.76}, {"text": "the market cumulatively the list of serious adverse", "start": 11732.76, "end": 11738.319}, {"text": "reactions related to um HPV vaccination include deaths convulsions", "start": 11738.319, "end": 11745.239}, {"text": "paresthesia paralysis gonar syndrome transverse myelitis facial py chronic", "start": 11745.239, "end": 11751.76}, {"text": "fatigue syndrome anaphylaxis autoimmune disorders which were found in 2.3% of", "start": 11751.76, "end": 11758}, {"text": "clinical trial participants um deep vein thrombosis pulmonary embolisms and", "start": 11758, "end": 11763.6}, {"text": "cervical cancers um gardisil contains considerable aluminum which may be part", "start": 11763.6, "end": 11769.16}, {"text": "of the problem um and one thing you can all do is just Google gardol vaccine injuries", "start": 11769.16, "end": 11776.92}, {"text": "lawsuits and you can find like tons of lawsuits um currently in um happening to", "start": 11776.92, "end": 11784.479}, {"text": "close usually I'd say accept any money that you can get but in this case I", "start": 11784.479, "end": 11790.239}, {"text": "would say no without prior thorough objective um", "start": 11790.239, "end": 11796.319}, {"text": "analysis if you accept this money then you will be obligated to produce results", "start": 11796.319, "end": 11801.8}, {"text": "and to show that you have vaccinated more high school students when I believe the the risk is high and the benefit is", "start": 11801.8, "end": 11809.319}, {"text": "negligible thank you thank you any questions for depants seeing none thank you um Skyler Hill", "start": 11809.319, "end": 11818.84}, {"text": "Jackson on the grant", "start": 11820.319, "end": 11824.12}, {"text": "please overhead", "start": 11825.64, "end": 11829.198}, {"text": "please the Tona Board of Health is asking for funding to increase 8 HPV vaccination rates among high school", "start": 11832.84, "end": 11839.319}, {"text": "students for the 2024 to 2026 school years are you pushing something that is", "start": 11839.319, "end": 11847.399}, {"text": "safe for these children the HPV vaccine contains aluminum adant so-called small", "start": 11847.399, "end": 11854.239}, {"text": "amounts of aluminum are added to the HPV vaccine to help the body build stronger", "start": 11854.239, "end": 11859.279}, {"text": "immunity against the germ in the vaccine many studies show that additive aluminum", "start": 11859.279, "end": 11865.84}, {"text": "results in neurodevelopmental and neurod degenerative", "start": 11865.84, "end": 11871}, {"text": "disorders why did Merc more than double the amount of aluminum adant in gisel 9", "start": 11871, "end": 11877.76}, {"text": "what long-term Health consequences are associated with the injection of 1,500 micro micrograms of aluminum over", "start": 11877.76, "end": 11886.52}, {"text": "a period of less than a year via three doses of gell for these", "start": 11886.52, "end": 11892.88}, {"text": "children a 1996 position paper issued by the the American Academy of pediatric", "start": 11892.88, "end": 11899.08}, {"text": "States and I quote aluminum is now being implicated as interfering with a variety", "start": 11899.08, "end": 11904.92}, {"text": "of cellular and metabolic processes in the nervous system and other tissues the", "start": 11904.92, "end": 11911}, {"text": "growing number of children with diseases which involve such impairment may result in part from the growing number of", "start": 11911, "end": 11917.52}, {"text": "vaccines which contain aluminum finally it must be pointed out", "start": 11917.52, "end": 11923.319}, {"text": "that Pap tests have reduced the incidence of cervical cancer to less than half of what it was in 1970 for", "start": 11923.319, "end": 11930.279}, {"text": "those concerned about the possibility of requiring cervical cancer regular P testing is advisable and note that the", "start": 11930.279, "end": 11937.88}, {"text": "vaccination with HPV vaccine does not guarantee freedom from", "start": 11937.88, "end": 11943.479}, {"text": "HPV in the words of Dr Christopher Exley a British chemist and Professor known", "start": 11943.479, "end": 11949.16}, {"text": "for his research on the health effects of aluminum exposure quote I have", "start": 11949.16, "end": 11954.68}, {"text": "studied human exposure to aluminum for 40 years this is my advice to pregnant", "start": 11954.68, "end": 11960.239}, {"text": "women and parents about the safety vaccines that include an aluminum adant", "start": 11960.239, "end": 11967.08}, {"text": "these vaccines have never been shown to be safe these vaccines have never been", "start": 11967.08, "end": 11972.359}, {"text": "shown to be effective in preventing any disease these vaccines have never been", "start": 11972.359, "end": 11977.92}, {"text": "adequately regulated by any independent body such as the FDA and I assume Health", "start": 11977.92, "end": 11985.16}, {"text": "Canada quote until the time that all of this has been adequately addressed to", "start": 11985.16, "end": 11990.6}, {"text": "the full satisfaction of both science and the public it is my advice that you", "start": 11990.6, "end": 11995.8}, {"text": "should avoid all vaccines that include an aluminum adant it is my opinion that", "start": 11995.8, "end": 12001.8}, {"text": "neither your life or the life of your child will be endangered in any way by making this", "start": 12001.8, "end": 12008.239}, {"text": "decision he goes on to say I do not come to this conclusion lightly it is based", "start": 12008.239, "end": 12014.199}, {"text": "upon a lifetime of research and a genuine fear that aluminum adant underly", "start": 12014.199, "end": 12020.52}, {"text": "much of the chronic disease in children in developed Nations finally Dr", "start": 12020.52, "end": 12026.72}, {"text": "Christopher Exley States vaccine manufacturers prove me wrong I would be", "start": 12026.72, "end": 12032.88}, {"text": "happy to be wrong again the tonal Board of Health members must always be willing", "start": 12032.88, "end": 12038.52}, {"text": "to seriously consider evidence that contradicts your beliefs and admit the possibility that you may be wrong", "start": 12038.52, "end": 12045.439}, {"text": "intelligence isn't knowing KN everything it is the ability to challenge everything you know and you may choose", "start": 12045.439, "end": 12052.04}, {"text": "to look the other way about the safety of vaccines but you can never say again that you did not know vaccines let us", "start": 12052.04, "end": 12060.12}, {"text": "call our own shots okay thank you any questions for depent sing none", "start": 12060.12, "end": 12067.359}, {"text": "um any speakers I sorry questions of the staff on this item saying none speakers", "start": 12067.359, "end": 12075.56}, {"text": "saying none okay motion to adopt the recommendation all those in favor opposed carried next item is uh item hl1", "start": 12075.56, "end": 12083.479}, {"text": "18.5 strengthening and expanding the into kids health", "start": 12083.479, "end": 12090.279}, {"text": "program no presentation okay there are two speakers on the item", "start": 12090.279, "end": 12096.199}, {"text": "uh Heather pun are you here online online okay go ahead you", "start": 12096.199, "end": 12102.439}, {"text": "have five minutes", "start": 12102.439, "end": 12105.801}, {"text": "yes I am I just need to share my screen to do", "start": 12108.84, "end": 12116}, {"text": "that thank", "start": 12116.92, "end": 12120.16}, {"text": "you okay go", "start": 12122.239, "end": 12125.561}, {"text": "ahead I'm a resident of w 16 with four school age children I urge you to strengthen the into kids Health Plan by", "start": 12130.319, "end": 12137.199}, {"text": "including indoor air quality as a key component access to clean air is", "start": 12137.199, "end": 12143.88}, {"text": "inseparable from kids from kids health Children and Youth should be breathing the best indoor air possible wherever", "start": 12143.88, "end": 12149.6}, {"text": "they congregate which includes schools and buses dayc carees public transportation and Healthcare setting", "start": 12149.6, "end": 12155.359}, {"text": "giving kids clean air achieves multiple goals including the", "start": 12155.359, "end": 12160.199}, {"text": "following it reduces frequent and serious illnesses from Airborne diseases it improves AC academic performance it", "start": 12161.76, "end": 12168.92}, {"text": "improves the environment for people with asthma and allergies it helps to improve mental health and reduce aggressive", "start": 12168.92, "end": 12174.439}, {"text": "behaviors it you become prepared to deal with increase of fed or air quality issues like wildfire smoke and pollution", "start": 12174.439, "end": 12181.12}, {"text": "and reduces exposure to indoor air pollutions that are linked to long-term health issues and reducing cancers", "start": 12181.12, "end": 12186.76}, {"text": "related to occupational and environmental exposures many of Toronto's private schools have already upgraded their HVAC", "start": 12186.76, "end": 12193.6}, {"text": "systems and installed UV lights to address Indoor out quality issues these include Crescent school and St Michael's", "start": 12193.6, "end": 12199.199}, {"text": "College school these students have enjoyed clean air for multiple years now while Public School parents beg the", "start": 12199.199, "end": 12204.8}, {"text": "school board and Toronto Public Health to come up with standards and share information to maximize our existing", "start": 12204.8, "end": 12209.96}, {"text": "resources we have volunteered to pay for heas not unlike private school families that have funded the atack up rade but", "start": 12209.96, "end": 12216.12}, {"text": "we continue to be denied despite proven poor air quality in many schools clean air impacts the population Health which", "start": 12216.12, "end": 12222.439}, {"text": "Toronto Public Health has a duty to act upon clean air is not controversial and the reluctance of tph to communicate", "start": 12222.439, "end": 12229.04}, {"text": "this is extremely concerning here is a clip from the then current principal James McKinnon from St Michael's College", "start": 12229.04, "end": 12235.359}, {"text": "school this clip is from November 2020 he knew four years ago that clean air", "start": 12235.359, "end": 12241.8}, {"text": "matters most of what we know about the spread of uh of covid is that it comes", "start": 12241.8, "end": 12247}, {"text": "from times and places where people are too close together in too big of crowds for too long a time well that's a little", "start": 12247, "end": 12254.399}, {"text": "bit of school life right smaller spaces longer days um you know and so it", "start": 12254.399, "end": 12260.56}, {"text": "mattered to make sure that the air quality was addressed as best we", "start": 12260.56, "end": 12265.8}, {"text": "could our kids matter too the city of Toronto employees also benefit from indoor air quality standards of less", "start": 12270.92, "end": 12277.279}, {"text": "than 1,000 PPM the meeting room you're sitting in is included in that standard for context my child's classroom", "start": 12277.279, "end": 12284.239}, {"text": "exceeded 3,000 PPM regularly infrastructure Ontario has specific guidelines for their buildings and", "start": 12284.239, "end": 12290.08}, {"text": "monitoring systems that flag those out of compliance to correct so our elected officials also enjoy standards it's", "start": 12290.08, "end": 12296.04}, {"text": "clear our city and our governments know that clean air is better for the health and wellness of their employees it's", "start": 12296.04, "end": 12301.359}, {"text": "proven that implementing clean air is safe and feasible for adults and kids in private schools so I ask why clean air", "start": 12301.359, "end": 12307.439}, {"text": "isn't a priority for the children and youth attending public schools in Toronto and why there is such an inequitable access to clean air in our", "start": 12307.439, "end": 12314.6}, {"text": "city on Wednesday November 20th it is National child day a day to celebrate child's rights as part of the United", "start": 12314.6, "end": 12321.52}, {"text": "Nations convention on rights of the child adopted in 1989 of which Canada joined in 1991 the commitment includes", "start": 12321.52, "end": 12328.199}, {"text": "protecting children from harm three of the four Convent of the conventions four basic principles are the rights of all", "start": 12328.199, "end": 12334.84}, {"text": "children are to be respected without discrimination of any kind including whether they are rich or poor when", "start": 12334.84, "end": 12340.439}, {"text": "decisions are made that affect the lives of children it is very important to think about what is best for the child and that government should do their best", "start": 12340.439, "end": 12346.96}, {"text": "to help children live and grow to be the best they can be article 24 says that children have the right to the best", "start": 12346.96, "end": 12353.52}, {"text": "health care possible safe water to drink nutritious food a clean and safe environment and information to keep them", "start": 12353.52, "end": 12360.16}, {"text": "healthy By ignoring indoor air quality we are not following these guidelines clean air should not be just for the", "start": 12360.16, "end": 12366.08}, {"text": "rich or those schools that can afford it clean air is in the best interest of the child addressing indoor air quality for", "start": 12366.08, "end": 12373.239}, {"text": "Children and Youth aligns with the main priorities and many of the OB objectives outlined in tph's strategic plan one", "start": 12373.239, "end": 12379.399}, {"text": "specifically it is is advancing Health Equity by effectively communicating with the public about how they can protect", "start": 12379.399, "end": 12384.72}, {"text": "their health this includes giving people the information about the benefits of clean air and improving indoor air", "start": 12384.72, "end": 12390.479}, {"text": "quality in your messaging to the public and to schools which you advise currently the communications to schools", "start": 12390.479, "end": 12396.72}, {"text": "are focused mainly on hand and cough hygiene neither of which prevents an Airborne illness like Co there is a", "start": 12396.72, "end": 12403}, {"text": "deliberate emission of a recommending masking to prevent illness in your spaces I asked the board to ask tph why", "start": 12403, "end": 12409.6}, {"text": "this is the case why are they continuing to give incomplete information on the best way to protect ourselves a number", "start": 12409.6, "end": 12415.88}, {"text": "of examples are shown in this slide final finals pleas yep Public Health", "start": 12415.88, "end": 12422.199}, {"text": "agencies across the world have begun to acknowledge the central role that indoor air quality plays in Children's Health", "start": 12422.199, "end": 12427.359}, {"text": "as an example the California Department of Public Health has recently published detailed guidance improving indoor air", "start": 12427.359, "end": 12432.56}, {"text": "quality in schools I urge the Board of Health to direct of Public Health issue similar guidance I just have one last", "start": 12432.56, "end": 12439.04}, {"text": "sentence here or at the very least provide information so that people can act on it to expedite the Improvement of", "start": 12439.04, "end": 12444.279}, {"text": "air quality in our schools and start to prevent preventable illnesses and diseases thank you thank you any any uh", "start": 12444.279, "end": 12451.04}, {"text": "questions from deput saying none thank you so much uh Dr Louis hidinger are you", "start": 12451.04, "end": 12457}, {"text": "here okay five minutes go ahead", "start": 12457, "end": 12462.199}, {"text": "Dr hidinger is she", "start": 12466.279, "end": 12474.12}, {"text": "there you want to unmute yourself yep go ahead um could you pause my timer while", "start": 12477.72, "end": 12484.08}, {"text": "I try to share my um screen you need to do this quickly um okay I've already shared my", "start": 12484.08, "end": 12492.8}, {"text": "slides with you so um I if I cannot share I'm just going to read off of them", "start": 12492.8, "end": 12498}, {"text": "please do go ahead okay so um my name is Lis hinger thank you for the opportunity", "start": 12498, "end": 12503.92}, {"text": "to speak I'm a parent of two students attending TDSB schools I'm referring to", "start": 12503.92, "end": 12509.72}, {"text": "a Toronto Star article that was published recently uh was written by uh trustee Sarah aart in which she on noted", "start": 12509.72, "end": 12517.399}, {"text": "ongoing high levels of illness in schools that is translated into time loss from school and that's impacting", "start": 12517.399, "end": 12523.96}, {"text": "students learning outcomes and Ed Educator's abilities to teach effectively these infections are not", "start": 12523.96, "end": 12530.239}, {"text": "Mild they impact both mental and physical health and can result in chronic illness and disability and", "start": 12530.239, "end": 12536.239}, {"text": "mental health issues including depression covid-19 is currently circulating in the community at very", "start": 12536.239, "end": 12541.52}, {"text": "high levels it's estimated about 1 128 people are infected right now many", "start": 12541.52, "end": 12547.04}, {"text": "infectious diseases can be transmitted through the air whenever a person breathes or talks they exhale aerosols", "start": 12547.04, "end": 12552.359}, {"text": "which can be infectious that includes covid-19 but also RSV measles pressus", "start": 12552.359, "end": 12557.8}, {"text": "all influenzas chickenpox the list goes on and again these infections are not", "start": 12557.8, "end": 12563.04}, {"text": "Mild they can lead to health consequences months and years after the initial infection so poor indoor air quality has", "start": 12563.04, "end": 12571.12}, {"text": "an effect on on health it means not just increased risk of infection but also", "start": 12571.12, "end": 12576.8}, {"text": "exposure to harmful air pollutants now students are mandated to attend school", "start": 12576.8, "end": 12582.52}, {"text": "so this counts as an occupational environmental exposure to things like smoke microplastics volatile organic", "start": 12582.52, "end": 12589.96}, {"text": "compounds pollen mold and dust particulates it also means high levels of indoor CO2 which impact Health above", "start": 12589.96, "end": 12597.319}, {"text": "a th000 PPM you may see drowsiness above 2,000 PPM we may see headaches fatigue", "start": 12597.319, "end": 12603.239}, {"text": "and poor concentration again this is affecting students abilities to learn", "start": 12603.239, "end": 12608.56}, {"text": "and their health now we actually have the tools to quickly improve indoor air", "start": 12608.56, "end": 12613.64}, {"text": "quality that means ventilating to dilute air pollutants and filtering to remove particles from the", "start": 12613.64, "end": 12620.199}, {"text": "air ventilation rate can be assessed by measuring indoor CO2 concentration now current building code", "start": 12620.199, "end": 12627.399}, {"text": "adheres to ashery standard 62.1 the onar Society of Professional Engineers is", "start": 12627.399, "end": 12632.88}, {"text": "estimated based on that standard the upper limit should be around 1,000 PPM Health Canada and city of Toronto's own", "start": 12632.88, "end": 12640.439}, {"text": "IAQ policy for office employees also States the same upper limit of about 1,000 PPM", "start": 12640.439, "end": 12646.68}, {"text": "Health Canada has also stated that for pandemic conditions which I argue we are still in we should seek to keep indoor", "start": 12646.68, "end": 12653.359}, {"text": "air quality as close to outdoor conditions as possible in terms of CO2 concentration the Ontario ohsa has", "start": 12653.359, "end": 12660.16}, {"text": "stated a maximum exposure limit of 5,000 PPM but that's the level at which we see direct harm so it doesn't apply to the", "start": 12660.16, "end": 12666.72}, {"text": "current situation now this past Friday there was an article posted in the Kingston standard wig it was about a", "start": 12666.72, "end": 12673.64}, {"text": "grade 12 student attending Kingston secondary school who suspected and then", "start": 12673.64, "end": 12678.72}, {"text": "confirmed that the air quality in the building was poor she found indoor CO2", "start": 12678.72, "end": 12684.439}, {"text": "levels of around 1500 to up to 2600 PPM well above what standard 62.1 calls for", "start": 12684.439, "end": 12692.399}, {"text": "which is a maximum of 1150 PPM in a high school setting and this shows that we", "start": 12692.399, "end": 12697.76}, {"text": "can't assume that indoor air quality is good it has to be measured and we can assume that for a new building this high", "start": 12697.76, "end": 12704.88}, {"text": "school is only four years years old that the air quality is going to be in compliance with current building code", "start": 12704.88, "end": 12711.56}, {"text": "the TDSB does have an IQ policy published in 2016 based on the ohsa and", "start": 12711.56, "end": 12718.479}, {"text": "ashery and health Canada were applicable that's from 2016 ashery has recognized", "start": 12718.479, "end": 12724.16}, {"text": "that their standard 62.1 is not adequate for controlling infectious diseases indoors in 2023 they published standard", "start": 12724.16, "end": 12732.88}, {"text": "241 in which they posed a ventilation which is more than double of the current", "start": 12732.88, "end": 12738.239}, {"text": "building Cod calling for 42.4 cubic feet per minute of clean air per person the", "start": 12738.239, "end": 12744.64}, {"text": "California Department of Public Health has also recognized the central role of indoor air quality in schools because it", "start": 12744.64, "end": 12751.399}, {"text": "affects not just students and teachers but also the entire seric Community they have posted a recommended rate of 30", "start": 12751.399, "end": 12758.64}, {"text": "cubic feet per minute of clean air per person when in an occupied classroom environment so I urge to Toronto Public", "start": 12758.64, "end": 12766.6}, {"text": "Health to update the into kids health program to include Clean Indoor Air and", "start": 12766.6, "end": 12771.96}, {"text": "to provide these updated guidelines to building operators of schools dayc", "start": 12771.96, "end": 12777.239}, {"text": "carees ECE centers wherever Children and Youth congregate so that we can promote", "start": 12777.239, "end": 12783.199}, {"text": "and protect the health of our children thank you thank you questions", "start": 12783.199, "end": 12789}, {"text": "of uh this person nope okay questions of Staff seeing none speakers seeing none", "start": 12789, "end": 12797.359}, {"text": "uh motion to adopt the recommendations all those in favor oppose Carri and uh reminder we do have", "start": 12797.359, "end": 12804.399}, {"text": "reception for Dr Dilla in committee room C so I encourage all staff and directors to attend and this concludes our", "start": 12804.399, "end": 12811.92}, {"text": "business for the day our last meeting for 2024 congrats", "start": 12811.92, "end": 12817.75}, {"text": "[Applause]", "start": 12817.75, "end": 12820.889}, {"text": "everybody", "start": 12824.72, "end": 12827.72}, {"text": "e", "start": 12854.72, "end": 12857.72}, {"text": "e", "start": 12884.64, "end": 12887.64}, {"text": "e e", "start": 12914.64, "end": 12918.68}]