INFORMATION TECHNOLOGY SUB-COMMITTEEAGENDA 821 JUNE 2010 SOUS-COMITÉ DE LA TECHNOLOGIE DE L’INFORMATIONORDRE DU JOUR 8LE 21 JUIN 2010



Board of Health Corporate Seal

Ottawa Board of Health
MINUTES 22
Monday, February 28, 2022, 5:00 PM
By Electronic Participation
Contact for the Ottawa Board of Health:
Diane Blais, Board of Health Secretary
613-580-2424, ext. 21544
Diane.Blais@Ottawa.ca

Board Members:
Chair: K. Egli
Vice-Chair: T. DeGiovanni
Members: E. Banham, J. Cloutier, E. El-Chantiry, G. Gower, T. Kavanagh, L. Leikin, S. Menard, S. Pinel, P. Tilley

The Ottawa Board of Health met via Zoom on Monday, February 28, 2022, beginning at 5:00 PM.

Councillor Keith Egli, Chair of the Board of Health, presided over the meeting.


 

 

ROLL CALL

All members participated.

 

REGRETS

No regrets were filed.

 

DECLARATIONS OF PECUNIARY INTEREST (INCLUDING THOSE ORIGINALLY ARISING FROM PRIOR MEETINGS)

No declarations of interest were filed.

 

CONFIRMATION OF MINUTES

Confirmation of minutes of the meeting of November 29, 2021.

CONFIRMED

Confirmation of minutes of the meeting of January 24, 2022.

CONFIRMED

 

COMMUNICATIONS

Three communication items have been received (held on file with the Board of Health Secretary).

 

MOTION TO INTRODUCE REPORTS

Motion 22/1

Moved by Member Cloutier

BE IT RESOLVED THAT the Chair of the Board of Health Verbal Report, the Medical Officer of Health Verbal Report, and the reports titled Delegation of Authority – Contracts Awarded for the Period of January 1 to June 30, 2021 and Attendance at the Association of Local Public Health Agencies’ (alPHa) Board of Health Section Meeting, be received and considered.

CARRIED

 

Following a ‘Consent Agenda’ process, the Board considered the held items in the order in which they appear on the Agenda.

 

1.

CHAIR OF THE BOARD OF HEALTH VERBAL REPORT

 

ACS2022-OPH-BOH-0002

 

That the Board of Health for the City of Ottawa Health Unit receive this verbal report for information.

 

RECEIVED

 

Chair Egli began his Verbal Report by thanking his Board colleagues for their flexibility and willingness to postpone the meeting, which had been scheduled for February 14th, due to the protests and State of Emergency in Ottawa. He then asked Members to join him in a moment of reflection in solidarity with the brave Ukrainian citizens fighting against the current threat in their country.

He talked about: Black History Month and the importance of reflecting upon and honouring the legacy of Black Canadians who have played a tremendous part in shaping our shared history; and the recent discovery of more unmarked graves – this time on the grounds of a former residential school in Williams Lake First Nation and of how important it is that we continue to recognize the impacts of colonization and that we keep working to raise awareness and to advance Reconciliation.

Chair Egli reported on a meeting held on January 31, 2022, with Michael Tibollo, Ontario’s Associate Minister of Mental Health and Addictions, and on the Association of Local Public Health Agencies (alPHa) Winter Symposium and Board of Health Section meeting, held on Friday, February 25th.

He took the opportunity to congratulate Dr. Etches and the entire OPH team further to Mayor Watson’s announcement that this year he would be giving the Key to the City to Dr. Etches and the team.

In closing, Chair Egli referenced the Province’s accelerated timelines for their reopening plans, noting that this would be a time of change and that not everyone would have the same level of comfort. He asked that people exercise patience and kindness during this transition.

In the context of the Chair’s verbal report, Vice-Chair DeGiovanni and Member Gower also provided their reflections on the alPHa Winter Symposium.

The discussion on this item lasted approximately 14 minutes. The report was then received by the Board. The attached memo includes the Chair’s Verbal Update.

 

At approximately 6:44 p.m., during discussions on Agenda item 2, the Board approved a motion to extend the time of the meeting beyond 7:00 p.m.

Motion 22/2

Moved by Member Cloutier

BE IT RESOLVED THAT the Board of Health approve that the meeting time continue to be extended past 7:00 p.m. pursuant to Subsection 8(1)(c) of the Procedural By-law.

CARRIED

 

2.

MEDICAL OFFICER OF HEALTH VERBAL REPORT

 

ACS2022-OPH-MOH-0002

 

That the Board of Health for the City of Ottawa Health Unit receive this verbal report for information.

 

RECEIVED

 

Dr. Etches began her verbal report by acknowledging the common stressor that the pandemic has been for people in Ottawa and the fact that people have various losses to grieve – loved ones, employment, social celebrations, educational achievements – and that some have been harder hit than others. She called on Ottawans to be compassionate and kind towards each other as we transition to fewer restrictions and turn to recovering our well-being.

She then provided an update on the local COVID-19 situation, noting that some of the trends OPH monitors had been slowly declining since early January but that we are seeing the decline begin to plateau. She indicated that OPH continues to promote vaccination and currently, 84% of Ottawa’s population has at received two (2) doses of a COVID-19 vaccine and 52% have received three (3) doses.

She advised that, though OPH is not currently planning to recommend further public health measures as provincial restrictions are lifted, we will continue to promote individual behaviours that deter transmission - vaccination, personal risk assessment, and mitigation strategies such as daily screening, monitoring for symptoms, staying home when ill, frequent hand washing, physical distancing and reducing close contacts, increased ventilation and avoiding closed, crowded settings, and especially masking in indoor public settings. OPH will also continue monitoring key indicators, monitoring internationally for new variants, and working with community partners to support people at higher risk of serious COVID-19 illness.

Dr. Etches then provided updates on: a Board direction from the previous meeting with respect to proof of vaccination requirements and a commitment she had made to follow-up with the Province on new isolation requirements – 5 days versus 7 days; the OPH budget and Provincial commitments to fund all COVID-19 related work; and the recent signing of the Collaborative Decision-Making Agreement with the Kids Come First Health Team.

Looking ahead, Dr. Etches talked about OPH’s recovery planning work, describing the Recovery Roadmap (attached), which includes five (5) steps to reach a point where COVID-19 related work is embedded in our routine work and where we have returned to capacity to serve the community with more of our typical health protection and health promotion programs and services. She indicated we are now in Step 2 and gathering input from staff, partners and stakeholders. Step 3 is when the senior leadership team will begin to make decisions about potentially shifting resource allocation, noting that while the plan is to scale back the COVID response step-by-step, the health unit must remain flexible and be ready to respond to pressures created by the virus when needed.

She added that, as part of OPH’s recovery planning, we are also examining how we can support the community recovery. She went on to describe various initiatives already underway or under development to support the community’s recovery relating to economic, health and social well-being. This includes the development of the Working Towards Recovery: Workplace Health and Wellness Guide to help support the mental health and wellness of both employers and employees in the workplace, working through the Human Needs Taskforce structure and partnerships to collaborate with City partners and various key community partners to connect and assist residents with a range of needs, including but not limited to food security, housing, social services and employment supports, safety and mental health, and promoting mental health directly in our communities by implementing several pilot Wellness Hubs in the locations of the neighbourhood vaccination hubs, among other things.

She concluded with two (2) key messages, which may sound contradictory but that we must learn to do:

1.    The decrease in Omicron in our community may be stalling and, as provincial guidance changes, a shift to individual risk assessment and risk mitigation is key. This means that you can still decrease the chances of infection by being vaccinated with a booster dose, wearing a mask in indoor spaces, practicing physical distancing and being careful about the number of close contacts, time in crowds and in closed spaces - especially if you or someone you live with is at risk for severe COVID-19 illness if infected.

2.    Social connections and engagement in workplaces are an important part of recovery from the pandemic. This means reconnecting with friends and family, returning to in-person meetings and supporting local businesses - keeping in mind the first point about individual risk assessment and risk mitigation.

In closing, Dr. Etches informed the Board of Ashley Brambles’ recent departure from OPH. She provided highlights of Ashley’s achievements while at OPH and thanked her for her dedication and passion. She advised that Jessica Breckenridge has agreed to serve as Acting Director of Communications and Community Engagement until the position can be filled via a formal recruitment process.

The Board heard from one (1) public delegation:

·         Mark Cerullo, resident

Dr. Etches then responded to questions from Board Members. The discussion on this item lasted approximately an hour and 45 minutes. The report was then received by the Board. The attached memo includes the Medical Officer of Health’s Verbal Update.

 

3.

DELEGATION OF AUTHORITY – CONTRACTS AWARDED FOR THE PERIOD OF JANUARY 1 TO JUNE 30, 2021

 

ACS2022-OPH-PCS-0001

 

That the Board of Health for the City of Ottawa Health Unit receive this report for information.

 

RECEIVED

 

4.

ATTENDANCE AT THE ASSOCIATION OF LOCAL PUBLIC HEALTH AGENCIES’ (alPHa) BOARD OF HEALTH SECTION MEETING

 

ACS2022-OPH-MOH-0003

 

That the Board of Health for the City of Ottawa Health Unit approve the participation of Chair Egli, Vice-Chair DeGiovanni and Member Gower at the Association of Local Public Health Agencies’ (alPHa) Winter Symposium and Board of Health Section Meeting, to be held virtually on Friday, February 25, 2022.

 

CARRIED

 

MOTION TO ADOPT REPORTS

Motion 22/3

Moved by Member Cloutier

BE IT RESOLVED THAT the Chair of the Board of Health Verbal Report, the Medical Officer of Health Verbal Report, and the reports titled Delegation of Authority – Contracts Awarded for the Period of January 1 to June 30, 2021 and Attendance at the Association of Local Public Health Agencies’ (alPHa) Board of Health Section Meeting, be received and adopted.

CARRIED

 

MOTIONS REQUIRING SUSPENSION OF THE RULES OF PROCEDURE

There were no Motions requiring suspension of the rules.

 

NOTICES OF MOTION (FOR CONSIDERATION AT SUBSEQUENT MEETING)

There were no Notices of Motion (for consideration at a subsequent meeting).

 

CONFIRMATION BY-LAW

Motion 22/4

Moved by Member Cloutier

BE IT RESOLVED THAT Confirmation By-law no. 2022-2, a by-law of the Board of Health for the City of Ottawa Health Unit to confirm the proceedings of the Ottawa Board of Health at its meeting of February 28, 2022, be read and passed.

CARRIED

 

INQUIRIES

There were no inquiries filed.

 

ADJOURNMENT

The Board adjourned the meeting at 7:13 p.m.

 

NEXT MEETING

Regular Meeting

Monday, April 25, 2022 - 5:00 PM

_____________________________                    _____________________________

BOARD SECRETARY                                           BOARD CHAIR


Chair’s Speaking Notes
February 28, 2022 Board of Health Meeting

Good evening, Bonsoir, Kwey,

I want to take this opportunity to thank all the Board Members for their willingness to reschedule the February 14th meeting due to the protests and state of emergency in the city. It allowed everyone a little breathing room and time to address the occupation of our downtown. Thank you for your flexibility and your understanding that some Members of the Board were engaged actively on that file, many city staff were actively engaged on that file and the postponement was of assistance in dealing with that situation in our city.

It seems, these days, we are inundated with one emergency or crisis after another. The pandemic, protests and now the war on Ukraine. I would ask, if you could join me, in a moment of reflection in solidarity with the brave Ukrainian citizens fighting against the current threat in their country against both their way of life and their well-being.

(Board Members and staff observed a moment of silence)

Black History Month

February is Black History Month, where each day serves as a reminder to reflect upon and honour the legacy of Black Canadians who have played a tremendous part in shaping our shared history, and to uplift the ongoing contributions of Black Canadians whose efforts and identities continue to enrich our communities.

This is also an opportunity to reinforce our commitment to confronting anti-Black racism in our community and in our workplaces by fostering a culture of inclusion and removing barriers for Black employees through workplace policies and hiring and retention practices.

Nationally, this year’s theme for Black History Month is February and Forever: Celebrating Black History today and every day, which challenges us to take our commitment to celebrating Black history and Black Canadians beyond February and into our everyday efforts throughout the year.

Locally, Ottawa’s theme is Our Canadian Story: Claiming Our Space - a call to action for allies to help create safe spaces for Black community members, while encouraging Black residents to claim their space in our city.

This theme really resonates, particularly given recent events in our city that resulted in some people from racialized communities being subjected to hate speech and harassment. It is unfortunate that those events marred what should have been a time of celebration and recognition for members of Ottawa’s Black community.

Notwithstanding the unlawful demonstrations and occupation in downtown Ottawa, I hope everyone had the opportunity, at some point over this past month, to explore this year’s Claiming Our Space theme by finding meaningful ways to engage with Black history and culture.

Earlier today, I had the opportunity to stop in at the Centrepointe Library and I want to thank the library. There was an extensive display there – a variety of fiction and non-fiction books for people to access and to get a better sense and understanding of the contributions of the black community to Canada.

Discovery of Unmarked Graves

Last month we learned of the discovery of more unmarked graves, this time on the grounds of a former residential school in Williams Lake First Nation. This is yet another reminder of our tragic shared history. I encourage everyone to take the time to acknowledge and honour all of the Indigenous children who never made it home, their families and their communities.

It is important that we continue to recognize the impacts of colonization and actively keep working to raise awareness of the residential school system and its multi-generational impacts, which continue to be felt. We must also continue to commit ourselves to our Reconciliation journey.

Meeting with Minister Tibollo

I also want to report on a meeting that was held with Minister Tibollo.

Working as a member of the Association of Municipalities of Ontario’s Health Task Force, last month I was able to arrange for a meeting between myself, Dr. Etches and Minister Tibollo, Ontario’s Associate Minister of Mental Health and Addictions.

We met on January 31 to discuss mental health and substance use health concerns in our community and how OPH could share its experiences around programs like safer supply and partner with the Province going forward on projects such as meaningful data collection.

This work aligns with the Mental Health and Substance Use Health report considered by this Board last September and the recommendations we approved at that time.

OPH will continue to pursue these aims with the Province.

Key to the City

As many of you know, on January 26th, as part of his State of the City address, Mayor Watson announced that this year, in recognition of her outstanding efforts and leadership, he will be giving the Key to the City to Dr. Vera Etches, our Medical Officer of Health, who has been an incredible leader to an incredible team since the start of COVID-19.

In making this announcement, Mayor Watson noted that Dr. Etches has inspired control, confidence and calm to our residents in the darkest days of the pandemic – and as a result of her efforts, Ottawa has been a leader in the fight against COVID-19.

Moreover, because Dr. Etches could not have delivered such a professional and coordinated response without the help of others, Mayor Watson indicated he would also be giving the Key to the City to the entire team at Ottawa Public Health – who have been instrumental in these efforts all along.

For those of you who may not be familiar with this award, the Key to the City is the highest and most prestigious honour, bestowed upon distinguished persons and honoured guests of the City of Ottawa.

I’d like to take this opportunity to congratulate Dr. Etches and the entire OPH team for this well-deserved recognition.

alPHa Winter Symposium

This past Friday, Vice-Chair DeGiovanni, Member Gower and I participated in the virtual alPHa Winter Symposium and Board of Health Section meeting.

The morning included opening remarks by The Honourable Christine Elliott, Ontario Minister of Health and Jamie McGarvey, President of the Association of Municipalities of Ontario, an update from Dr. Kieran Moore, Ontario’s Chief Medical Officer of Health. We also heard presentations by Dr. Theresa Tam, Chief Public Health Officer of Canada, by several representatives from Public Health Ontario, by Ontario Health, by the Institute of Health Policy, Management and Evaluation, and by the Council of Ontario Medical Officers of Health. The focus was very much on post-pandemic recovery and working towards a stronger, more resilient public health system.

The lunch break featured a keynote speaker on leadership success through resilience and emotional intelligence.

The afternoon saw separate section meetings – one for Members of Boards of Health, the other for the Council of Medical Officers of Health. The Board of Health Section Meeting included an update from the Association of Municipalities of Ontario and a discussion on how we can support human, environmental and economic fitness in municipalities, cities and provinces through improvements to our built physical and social environments.  

It was an informative and productive day, with opportunities to hear not only from experts, but also from our peers in other jurisdictions across the province. As I have said before, I encourage all Board Members to participate in future alPHa meetings and events if they can.

I would now like to invite Vice-Chair DeGiovanni and Member Gower to also share their perspectives on the day.

(Vice-Chair DeGiovanni and Member Gower spoke)

Thank you Vice-Chair DeGiovanni and Member Gower.

In closing, I wanted to note that, with the provincial announcement earlier this month about accelerated timelines for their reopening plans, we are entering a time of change with regard to COVID-19 restrictions. It’s important for people to get back to seeing each other and being together, but we also need to be cognizant that for many, this may need to be a gradual process. Not everyone will have the same comfort level in getting back to in-person gatherings, meetings or other events. As we move through this next phase, we need to exercise patience and kindness.

That concludes my verbal report. I would be happy to take any questions.


Board of Health Meeting
Dr. Vera Etches – Verbal report
February 28, 2022

Good afternoon, Kwey, Ulaakut, Taanishi, Bonjour,

I want to start by considering the common stressor that the pandemic has been for people in Ottawa. Earlier in the pandemic, in calling on everyone to protect each other against COVID-19 transmission, we launched a campaign called, “1 million reasons”. Some people were being cautious to limit transmission in order to protect a grandparent, others to keep a business open or to keep healthy to continue going to their work as a health care worker. Today, I want to acknowledge that there may be “1 million reasons to grieve” different losses from the last two years. Many have lost loved ones, employment, social celebrations of milestones, educational achievements - the losses are unique, and some have been harder hit than others. In acknowledging this common sense of loss, I would like to now call on Ottawans to be compassionate and kind to one another as we make the transition to fewer restrictions and we turn to recovering our well-being. / Plusieurs ont perdu des êtres chers, leur emploi, des célébrations sociales d'étapes importantes, et des réussites scolaires. Les pertes sont uniques et certaines personnes ont été plus durement touchés que d'autres. En reconnaissant ce sentiment commun de perte, je voudrais maintenant appeler les Ottaviens à faire preuve de compassion et de gentillesse les uns envers les autres alors que nous faisons la transition vers moins de restrictions et nous nous tournons vers la récupération de notre bien-être.

Particular individuals and communities may require additional supports at this time – such as people impacted by the war in Ukraine and people recovering from traumatic experiences with the unlawful protests and trucks in their neighbourhoods. OPH will continue to work on the ground with partners to address concerns raised by people most affected, while we share information and resources on how to address harms caused by crises and emergencies that affect people across the city. I am thankful for the OPH team members who have been scheduled 24/7 to support this work.

Current COVID-19 Situation (including vaccination)

As I reported at the last Board meeting, the Omicron wave peaked in early January after a rapid rise. This was followed by a somewhat slower decline in wastewater signal, test positivity and new hospitalizations due to COVID-19. However, more recently, we are seeing that decline begin to plateau in some of the trends we are monitoring.

While hospital admissions, deaths and wastewater signal have continued to slowly decline since about mid-January, last week we saw a plateau in the percentage of people testing positive for COVID-19 and a plateau in the number of new outbreaks in congregate living settings which, like other indicators, had previously been declining.

We continue to promote vaccination and to work at increasing vaccination coverage. We are still offering on-site vaccination for businesses, faith-based and community settings that request this service for people experiencing barriers to access. As of last night, we have reached 88% of residents aged 5 and up with 2 doses, that’s 84% of our total population, and 63% of residents aged 18 and up with 3 doses, which represents 52% of our total population.

My great thanks go to Kim Ayotte, Beth Gooding, Amanda Mullins, and the City and OPH leaders who mounted the emergency effort to provide people with booster doses and continue the 5 to 11-year-old COVID-19 vaccination work. / Je remercie chaleureusement Kim Ayotte, Beth Gooding, Amanda Mullins et les responsables de la ville et de SPO qui ont mobilisé l'effort d'urgence pour fournir aux gens des doses de rappel et poursuivre le travail de vacciner les 5-11 ans contre la COVID-19. The City’s Emergency Operations Centre has now moved to a “Monitoring” status, as the vaccination operations, planning, communications and logistics are led from within OPH. City staff continue to assist with facilities and information technology aspects of the work.

We continue to recommend that all eligible residents get their third dose booster as soon as possible, as it provides protection against both symptomatic infection and serious illness. The mortality rate during the Omicron wave was nearly as high as in the spring of 2020. There are still 25,000 people over age 60 who do not have their booster doses in the context of Omicron still present in our community. People over 60, especially, will have a lower risk of hospitalization and death with a booster shot.

As the Chair noted, on February 14th, the Province announced changes to the timelines for its reopening plans, including increases in social gathering and capacity limits effective February 17 and the lifting of all remaining capacity limits and proof-of-vaccination requirements effective tomorrow, March 1.

Current indicators show that the Omicron wave has not ended and that its descent may be stalling. Further, federal modelling released on February 18th shows different projected trajectories of rates of infection and hospitalizations, depending upon the impact of re-openings on the level of transmission. 

Though we are not currently planning to recommend further public health measures as provincial restrictions are lifted, it is clear that individual behaviours can either drive or deter transmission. Our objective continues to be reducing morbidity and mortality from COVID-19. In order to achieve this goal, we will continue to promote vaccination, personal risk assessment, and mitigation strategies such as daily screening, monitoring for symptoms, staying home when ill, frequent hand washing, physical distancing and reducing close contacts, increased ventilation and avoiding closed, crowded settings, and especially masking in indoor public settings.

I want to state this as plainly and clearly as possible. Just because some public health measures are being lifted does not mean that we are giving up on limiting the impact of COVID-19 on our community. We are still here to inform and to support Ottawa residents. / Je veux exprimer ceci aussi simplement et clairement que possible. Ce n'est pas parce que certaines mesures de santé publique sont levées que nous renonçons à limiter l'impact de COVID-19 sur notre communauté. Nous sommes toujours là pour informer et soutenir les résidents d'Ottawa. We'll be monitoring key indicators, monitoring internationally for new variants, and continuing to work with community partners to support people at higher risk of serious COVID-19 illness. Learning to live with COVID doesn't mean moving on and pretending the pandemic is over. It means being mindful of the virus' presence in our day-to-day lives.

I am confident that residents of our city have gained new skills over the last two years to assess their own levels of risk, day to day. We drive based on road conditions, we wear helmets when doing activities that might cause a head injury, we change our shoveling tempo based on how heavy the snow is. The one key difference, though, is that usually we base decisions about benefits versus risks on what it means for ourselves...but now, we know that while the benefit of going to a restaurant, a gym or concert is ours, the risks are shared by those around us.

Things are changing. It's going to take time for all of us to find our comfort zone and it's important that we respect each other's feelings during this time. Just because you're comfortable doing an activity doesn't mean your friends or family members will also be comfortable with it.

We know these are difficult times. Some of you welcome these changes, some of you are worried about them, while others continue to face uncertainty. OPH will work to give residents the information they need to help make informed decisions regarding their own personal levels of risk in the current environment and tips and strategies to mitigate those risks.

Residents of congregate living settings, such as group homes, shelters, independent living and correctional facilities, are at a higher risk of exposure to COVID-19 due to the use of shared spaces, overpopulation, and exposure to staff with asymptomatic or pre-symptomatic COVID-19 infection. OPH engages with community partners to prevent, identify, and manage outbreaks. Prevention activities include pre-emptive site visits and infection prevention and control (IPAC) education.

Applying a health equity approach is integral in addressing gaps and, going forward, will be imperative in supporting congregate settings and the high-risk populations they serve.

OPH will continue to maintain staff capacity to support all congregate settings in our city, while ensuring ongoing work is done in partnership with key internal stakeholders, namely the City’s Community and Social Services Department, Ottawa Inner City Health, the Ministry of Children, Community and Social Services, and the regional infection prevention and control team. Ongoing engagement and collaboration with these stakeholders will be instrumental in re-imagining how we do business and will be important for future-state planning to further address the health needs of this high-risk, and often isolated sector.

Last month, the team published a report highlighting lessons learned in managing COVID-19 outbreaks in congregate settings.  This report is available on our website and a link will be shared with Board Members via e-mail.

Update on Board Direction

At the last meeting, the Board requested I work with the Province to emphasize a cautious approach to reopening while the healthcare system is still under pressure. The Board also asked that I work with the Province to identify the best approach for its proof of vaccination requirements, in particular whether to include the requirement for people 18 years of age or older (eligible population) to show proof of a third, or booster dose in addition to proof of their first and second doses, to access businesses and community settings where patrons are required to provide proof of vaccination prior to entry, and report back.

I can report that I did reach out to the Province to seek a review of the evidence to guide the approach to vaccine policies, and otherwise increase vaccine uptake in our current context.

At this time, our provincial partners recommend focusing on targeted approaches to reach those segments of the population that are unvaccinated or under-vaccinated. Examples include: scaling up efforts with primary care physicians, pharmacies and mobile vaccination clinics; school-based vaccination, healthcare provider recommendations, reminders and recall systems, and public health communication campaigns; as well as community and public health leaders working to increase vaccine uptake in identified communities.

As previously noted, earlier this month the Province announced that effective March 1st they would be lifting proof of vaccination requirements for all settings, though businesses and other settings may choose to continue to require proof of vaccination. Given the language in the regulations released on February 25, last Friday, local Medical Officers of Health no longer have the ability to issue Letters of Instruction to require vaccination in any setting and, our Letter of Instruction requiring immunization of coaches, volunteers and officials who support organized sports in indoor settings has been rescinded.

At the last meeting, I also committed to seeking clarification from the Province with respect to the new isolation requirements – 5 days versus 7 days. We followed up on that and can advise that Public Health Ontario has noted that Omicron has displaced Delta as the dominant SARS-CoV-2 lineage in many jurisdictions, including Ontario. While we know that Omicron is more transmissible than other lineages, the period of communicability for Omicron peaks at an estimated 3–6 days post symptom onset, which is slightly shorter than that of previous variants, which were an estimated 3–8 days post system onset.

Shortening the isolation period for cases and the quarantine period for contacts aims to balance the risk of residual transmission after five days versus the burden of homestay on individuals, households and the workforce - particularly essential workers. With the risk of further transmission if a case leaves isolation while still infectious, PHO identifies a number of considerations, some of which have been incorporated into provincial guidance – for example, differences relating to vaccine status, and considerations for specific settings where risk tolerance is lower due to vulnerability of certain populations.

It’s important to note that the Province is the lead for establishing case and contact management guidance. This is important for consistency across the province. Local deviation from this guidance, and the confusion it would create, would need to be justified by local circumstances. As previously mentioned, we have been observing decreasing trends in transmission across the city by monitoring our usual local indicators: wastewater, hospitalizations, test positivity rate and number of outbreaks in highest risk settings.

Budget Update

To date, the Ministry of Health has provided a total of $84 million of one-time funding for the 2021 COVID-19 general and vaccine program expenses based on our preliminary projections. This includes a reimbursement for the costs incurred by partners such as the City of Ottawa for the delivery of the vaccine campaign. However additional expenses were incurred in the latter part of 2021 due to the surge of Delta cases, continued community outreach to increase vaccination rates, the rollout of the 5-11 vaccines and the need to administer boosters. 

OPH is submitting an additional request of $4.3 million to cover the extraordinary expenses as part of the fourth Quarter Standards Activity Report. It is anticipated that Provincial funding will fully offset the above noted costs, therefore balancing the budget. 

For 2022, the Ministry of Health has renewed the $3.1M of funding to mitigate the reduction in the cost shared formula to 70/30. Also, in an effort to address increasing public health program costs and demands, the Ministry of Health will be reviewing 2022 grant requests for mandatory public health programs within a provincial base funding envelope that provides up to 1% growth funding. As part of our Annual Service Plan submission to the Ministry, we are requesting one-time funding in line with the board-approved budget. Our expectation is that the Province will continue to fund all COVID-19 related expenses through 2022.  

Ontario Health Teams

A brief update on Ontario Health Teams, or OHTs – in January, OPH reaffirmed its commitment to the Kids Come First Health Team by signing their Collaborative Decision-Making Agreement as an Organizational Partner. This formalizes our current processes for working together and aligns with OPH’s involvement in other local OHTs. We also learned recently that Kids Come First have been awarded a one-year Canadian Institutes of Health Research (CIHR) Grant. The funds will support the ongoing work of 1Call1Click.ca, which is providing one-stop access to mental health and addictions support for children and youth.

Looking ahead

As we look ahead, OPH has been and continues to advance recovery planning for the organization to return to more of its mandate. Some principles that guide our recovery planning include:

Ø  Being proactive and defining our work in reference to the Ontario Public Health Standards, and based on community need, capacity, and evidence for impact

Ø  Seeking to align with City, Ontario Health, and other provincial plans

Ø  Prevention, the unique role of Public Health

Ø  Working to engage provincial public health partners.

OPH’s Recovery Roadmap shown on this slide is the approach that OPH will take to transition from our current to future steady state where addressing COVID-19 is part of our routine operations. The Roadmap depicts different streams of work, including:

Ø  Recovery planning

Ø  Strategy implementation

Ø  Increasing key operational programs and services, and

Ø  Maintaining and adjusting the COVID-19 Response

Our recovery plan includes a five-step roadmap to reach a point where COVID-19 related work is embedded in our routine work and where we have returned capacity to serve the community with more of our typical health protection and health promotion programs and services. We are now in Step 2 of this roadmap, working to gather input from diverse groups to inform recovery planning and to identify community and population health needs now and into the future. Internal consultations with OPH leaders have begun and in the coming weeks and months we will be engaging employees, City of Ottawa partners and other key local partners and stakeholders. A facilitated planning session with the Board of Health is upcoming to receive your input. We will benefit from your strategic perspective during this step of OPH’s recovery roadmap.

We will begin to make decisions about potentially shifting resource allocation in Step 3 when we have more input and consensus on our proposed new areas of work, and have assessed what will have the most impact to address needs in our community. While the plan is to scale back our COVID response step-by-step, we must remain flexible and be ready to respond to pressures created by the virus when needed. We have also identified key mindsets that we want to cultivate throughout our recovery planning - to inspire and set the stage for how we will do our work and reimagine our post-pandemic future. As we go forward, we will remain focused on collaboration, equity & community involvement, and feasibility & sustainability.  

As part of OPH’s recovery planning, we are also examining how we can support the community to recover. Many Ottawa residents will need time, space and supports to meaningfully recover. The pandemic has disproportionately affected Ottawa residents who faced health inequalities prior to the pandemic. / Dans le cadre de la planification du rétablissement de SPO, on examine aussi comment on peut aider la communauté à se rétablir. De nombreux résidents d'Ottawa auront besoin de temps, d'espace et de soutien pour se rétablir convenablement. La pandémie a touché de façon disproportionnée les résidents d'Ottawa qui étaient confrontés à des inégalités en matière de santé avant la pandémie.

Community recovery is an opportunity for economic, social and health stakeholders - in collaboration with partners, communities and individuals - to come together to assess how community needs have changed and to shape new or adapted services together. Restored and reimagined services, programs and processes will help advance community recovery, and this work includes broad, cross-sector collaboration. Community Recovery is bigger than OPH and considers the interconnectedness of partners’ and City services and the complexity of community needs.  We are envisioning a day when many diverse partners and stakeholders will share in a coordinated effort to help all Ottawa residents recover economic, health and social well-being. Each of us can play a role in re-building social connections and opportunities to thrive. 

With respect to economic recovery, we acknowledge and understand that public health measures and provincial restrictions have affected the business community in many ways. Workplaces have had to adapt to various work models – with some employees working on-site, some working from home and planning for an eventual return to work in-person, while others have had to close due to restrictions. In every situation, employers and employees have been affected by these changes.  

Our team has developed the Working Towards Recovery: Workplace Health and Wellness Guide. This guide was developed to help support the mental health and wellness of both employers and employees in the workplace. The strategies and tips in this guide will be helpful to workplaces providing services virtually and workplaces providing in-person services and activities.  It has been shared with some partners from Ottawa’s business community and will be shared and promoted more broadly in the days and weeks ahead.

Improving the mental health and substance use health of Ottawa residents is a priority for OPH. Mental health and wellness impact our interactions with family and friends, our work, and most importantly our quality of life. Mental health is an important part of our overall health and positive mental health is the core for a person's well-being. Although many of our residents have shown resilience, we know that everyone’s coping strategies are being challenged.  OPH has worked with partners to address the increased demand for mental health supports, applying the public health roles of collecting data, facilitating collaboration, promoting well-being and raising awareness of existing services.  It is completely natural for situations like COVID-19 and the recent unlawful protests and occupation of our city to affect our mental health, and that of our loved ones and community.  

Working through the Human Needs Taskforce structure and partnerships established early in the pandemic response, we have been and will continue to collaborate with our City partners and with various key community partners to connect and assist residents with a range of needs, including but not limited to food security, housing, social services and employment supports, safety and mental health.  OPH has been working closely with the Human Needs Task Force (HNTF) to ensure mental health resources were provided, and connections made with our partners who provide mental health and substance use health services for the community. Throughout the unlawful protest, through our communication channels and partner networks, OPH shared resources, and strategies on mental wellness and responding to stressful events, while acknowledging the impact of the demonstrations, and encouraging residents to reach out for supports when needed. OPH also helped coordinate resources to go out through The Walk In Counselling Clinic and acted as a bridge to connect partners.  For example, OPH connected the Somerset West Community Health Centre (SWCHC), Centretown Community Health Centre (CHC), and the Human Needs Task Force (HNTF) with the Chair of the Psychiatry Department at uOttawa, for them to explore what further mental health services or outreach might be helpful.

To further support community healing, working with our partners on the Ottawa Black Mental Health Coalition, a community conversation is taking place this evening at 6:30pm. This is an opportunity for residents who have been impacted by the images and acts of aggression to come together and share experiences. In addition, OPH has been working with the Ottawa Black Mental Health Coalition in preparation for Black Mental Health Week starting tomorrow March 1st to March 7th.  There will be a series of educational sessions highlighting leadership and innovative approaches for African Caribbean Black (ACB) mental health and wellness.

Internally, we have been promoting Black History month and I am encouraging our team to continue to access resources shared to counter anti-Black racism.

In terms of promoting mental health directly in our communities, OPH is implementing several pilot Wellness Hubs in the locations of the neighbourhood vaccination hubs. This pilot will begin at the end of March and will support residents’ questions on mental health and substance use health, provide tips and resources on wellness, and connect residents to social services through the Community and Social Services Department’s (CSSD) Employee and Social Services teams. These pilot hubs will operate in partnership with AccessMHA, Counselling Connect and 1Call1Click, and OPH team members will support residents with system navigation into services at these locations. 

Earlier this month, in partnership with Youth Net at CHEO, together we launched comprehensive e-learning modules for youth on Mental Health & Stigma, Stress & Coping, and Relationships & Peer Support. The e-modules include lesson plans for teachers on all three topics, and these were developed in collaboration with youth from across Ottawa through Youth Net’s advisory committee. These new e-tools and modules will help students develop skills and knowledge for mental health literacy, wellness habits, stress management, coping tools, positive peer support skills and help seeking behavior. On the last note of mental health and substance use health, it is important that we recognize that everyone will continue to experience things in their own way. We need to continue support each other to practise positive coping strategies such as taking time for yourself, and to seek help whenever it is needed.    

It's ok to not be ok. Asking for help is not a sign of weakness but rather a sign of courage.

I’ll conclude with two key messages that may sound contradictory but which we must learn to do:

3.    The decrease in Omicron in our community may be stalling and as provincial guidance changes, a shift to individual risk assessment and risk mitigation is key. / La diminution d'Omicron dans notre communauté est peut-être en train de ralentir et, comme les directives provinciales changent, il est essentiel de passer à l'évaluation et à l'atténuation des risques individuels. This means, especially if you or someone you live with is at risk for severe COVID-19 illness if infected, that you can still decrease the chances of infection by being vaccinated with a booster dose, wearing a mask in indoor spaces, practicing physical distancing and being careful about the number of close contacts, time in crowds and in closed spaces.

4.    Social connections and engagement in workplaces are an important part of recovery from the pandemic. / Les liens sociaux et l'engagement sur les lieux de travail sont un élément important du rétablissement après la pandémie. This means I do encourage people to connect with friends and family, to return to in-person meetings, to support local businesses…keeping in mind the first point. People of all ages have been affected by social isolation and we can each help re-establish health-promoting connections. Again, compassion and kindness towards people with different needs at this time are essential.

Before I take questions, I would like to recognize the work of Ashley Brambles. Ashley has made the difficult decision to move on from her position as Director, Communications and Community Engagement, to take on a new role in the City of Ottawa’s new Infrastructure and Water Services Department. I know you will join me in wishing her well and thanking her for her work with us through the toughest times of pandemic.

Ashley has served Ottawa Public Health with dedication and passion. OPH’s networks and partnerships have expanded under her leadership and her expertise in government and stakeholder relations will be missed. She has grown the CCE team significantly, adding in a new focus on priority populations and different sector engagement. The call centre has adopted new ways of working in an environment of unprecedented demands. She has provided strategic guidance to the communications team that has been recognized for stellar public health social media communications internationally. She has worked with the team to help maintain the confidence of our Board of Health. As the MOH, I have relied on her for strategic issues management on a large range of subjects.

Jessica Breckenridge has agreed to serve as the Acting Director, CCE, until an internal and external, national search can be completed for the role. Jessica has worked on strategic issues management with teams across the department and with elected officials.  She will work with the other strong leaders in CCE to continue to advance priority work.

I would be happy to take any questions. / Cela conclut mon rapport verbal. Il me fera plaisir de répondre à vos questions.