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Sars and Public Health in Ontario
THE SARS COMMISSION INTERIM REPORT SARS AND PUBLIC HEALTH IN ONTARIO The Honourable Mr. Justice Archie Campbell Commissioner April 15, 2004 INTERIM REPORT ♦ SARS AND PUBLIC HEALTH IN ONTARIO Table of Contents Table of Contents Dedication Letter of Transmittal EXECUTIVE SUMMARY................................................................................................................1 1. A Broken System .....................................................................................................................24 2. Reason for Interim Report .....................................................................................................25 3. Hindsight...................................................................................................................................26 4. What Went Right?....................................................................................................................28 5. A Constellation of Problems..................................................................................................30 Problem 1: The Decline of Public Health ...............................................................................32 Problem 2: Lack of Preparedness: The Pandemic Flu Example..........................................37 Problem 3: Lack of Transparency.............................................................................................47 Problem 4: Lack of Provincial Public Health Leadership .....................................................51 Problem 5: Lack of Perceived -
COVID-19: Recovery and Re-Opening Tracker By: Trevor Lawson, Lara
COVID-19: Recovery and Re-opening Tracker By: Trevor Lawson, Lara Nathans, Meghan Hillstrom, Marco Fimiani, Nicole Naglie As Governments and businesses turn their minds toward the recovery and re-opening of the economy, our team is closely monitoring updates from governments across Canada. The following summarizes the recovery and re-opening measures which have been announced to date in each jurisdiction. We will continue to update this summary as further measures are introduced across the country. This roundup was last updated on May 8,10, 2020. To see what has changed since our last update, please download our blackline, here. Federal May 8, 2020: The Canadian Department of Justice established an Action Committee on Court Operation in Response to COVID-19 which will focus on developing court-specific health and safety guidelines (link). May 4, 2020: The Government of Canada created the COVID-19 Supply Council to advise the government on the procurement of critical goods and services required as part of Canada’s COVID-19 response and recovery (link). April 24, 2020: The Government of Canada released a backgrounder on the fundamentals of return to work plans (link). British Columbia May 7, 2020: The Government of British Columbia announced that Phase 2 of the Restart Plan is scheduled to begin after the May long weekend (link). May 7, 2020: The Government of British Columbia launched a renewal plan for surgeries that were postponed due to the COVID-19 pandemic (link). May 6, 2020: The Government of British Columbia announced the province’s Restart Plan, which will begin mid-May (link). -
April 9, 2021 Via Email
In Ontario, the staff at both the central and regional public health laboratories have been called upon repeatedly in crises over the past decade to perform massive test volumes rapidly for Public Health Units and health care providers. SARS, West Nile, and tuberculosis in Toronto’s hostel system are but a few examples. The ability to rise to these challenges reflects the tremendous effort and dedication of the professional and technical staff within the public health laboratory, not withstanding the chronic and increasingly urgent need to stabilize and strengthen these facilities. Dr. Sheela Basrur, Chief Medical Officer of Health, 20051 April 9, 2021 Via email: [email protected] Hon. Peter Bethlenfalvy President Treasury Board Secretariat Whitney Block, Room 4320, 4th Floor 99 Wellesley St. W Toronto, ON M7A 1W3 Dear Hon. Bethlenfalvy, Re: Exemption under the Protecting a Sustainable Public Sector for Future Generations Act, 2019 for the bargaining unit at Public Health Ontario We write today to respectfully request an exemption for Public Health Ontario (PHO) and OPSEU in accordance with s. 27 of the Protecting a Sustainable Public Sector for Future Generations Act, 2019 (the “Act” or “Bill 124”). 1 Basrur SV. Building the foundation of a strong public health system for Ontarians: 2005 annual report of the Chief Medical Officer of Health to the Ontario Legislative Assembly. Toronto, Ont.: Ministry of Health and Long-Term Care; 2005. Without an exemption, PHO, as an agency under the Crown, is subject to the compensation limits dictated by the Act. An exemption would allow the parties to bargain above 1% total compensation in each year—something that is absolutely vital to maintaining the PHO workforce relative to other major employers of laboratory professionals in the province. -
Canadian Tuberculosis Standards 7 Th Edition Appendix E: Contributors
Canadian Tuberculosis Standards 7 th Edition Appendix E: Contributors To promote and protect the health of Canadians through leadership, partnership, innovation and action in public health. — Public Health Agency of Canada Canadian Tuberculosis Standard, 7th edition Également disponible en français sous le titre : Normes canadiennes pour la lutte antituberculeuse, 7ième édition To obtain copy of the report, send your request to: Centre for Communicable Diseases and Infection Control Public Health Agency of Canada E-mail: [email protected] This publication can be made available in alternative formats upon request © Her Majesty the Queen in Right of Canada, 2014 This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged. However, multiple copy reproduction of this publication in whole or in part for purposes of resale or redistribution requires the prior written permission from the Minister of Public Works and Government Services Canada, Ottawa, Ontario K1A 0S5 or [email protected] PDF Cat.: HP40-18/2014E-PDF ISBN: 978-1-100-23171-6 Pub.: 140216 1 | CANADIAN TUBERCULOSIS STANDARDS – 7TH EDITION TABLE OF CONTENTS Contributors ............................................................................................................................................ 2 Editor….. .................................................................................................................................................. 2 Associate Editors ................................................................................................................................... -
British Columbia's COVID-19 Experience
CLINICAL Sonny Thiara, MD, Bonnie Henry, MD, David Patrick, MD, MHSc, Hussein Kanji, MD, MSc, MPH British Columbia’s COVID-19 experience BC’s success in managing COVID-19 to date can be attributed, in part, to a timely and comprehensive public health response. ABSTRACT: Since the emergence of COVID-19 in than described in initial reports from China, Italy, and an 88.1% mortality rate for patients who late 2019, health care systems around the world and New York. This is likely due, in part, to a timely required mechanical ventilation.6 have been dealing with the pandemic. Mortality public health response that included broad early The experience with COVID-19 in BC rates of patients admitted to ICUs and placed on testing and case and contact management, travel has been different than in other jurisdictions. mechanical ventilators were a concern initially. We and mass gathering restrictions, physical distanc- Although BC has approximately 13.4% of the sought to compare the burden of disease that BC ing measures, and prevention of “superspreader” Canadian population,7 on 20 March 2020, the has experienced with that of other Canadian prov- events. BC has also benefited from decisive action province recorded 29.0% (n = 271) of Canada’s inces and other countries. In March 2020, 66.7% by hospital administrators, and the sharing of data COVID-19 cases and 66.7% (n = 8) of the of the COVID-19 deaths in Canada had occurred and resources such as ventilators and personal country’s COVID-19 deaths.8 However, by 11 in BC, but by 11 July 2020, the proportion had protective equipment. -
Hang in There
Prairie Piecemakers Quilters' Guild Inside the Guild Website: www.prairiepiecemaker.com Issue 2020-11 WIND COVID Hang COLD in there - together ! Captain & the Crew Guild Officers and Directors President: Vice President: Secretary: Treasurer: Sharon G Tannis F Shelley K Marlene SC Guild Committees with Directors* Guild Committees Library Committee: Bonnie R* Linda W; 2 pending 50/50 Draw Committee: Sheree S; Betty U Newsletter/Advertising: [email protected] Retreats: Deena A* Shannon B* Frances L Jacquie B. Proofreading: Frances L & Mary F UFO’s: Program Committee: Too soon?? Renee B Shelby L* Connecting Threads: Website/Promotions Committee: Marlene SC Jymmi Kaye D [email protected] Facebook Page: Jymmi Kaye D Workshop Committee: Heather I* Meeting Dates Membership Committee: 2020-2021 January 5, 2021 Cheryl A* February 2, 2021 Aline M September 1, 2020 March 2, 2021 October 6, 2020 April 6, 2021 November 3, 2020 May 4, 2021 December 1, 2020 June 1, 2021 Want to join the Guild? Information on last page. Currently meeting online only. Monthly Meetings Website: www.prairiepiecemaker.com First Tuesday of month: Facebook: Prairie Piecemaker Quilters' Guild September to June, 7 to 9 pm Newsletter: [email protected] Email: [email protected] Good Shepherd Lutheran Church 3825 Hillsdale Street Copyright: Prairie Piecemakers Quilters' Guild Inc. Regina SK S4S 3Y5 Prairie Piecemakers Quilters' Guild, Box 33043, Cathedral P.O. Regina, SK S4T 7X2 2 Issue 2017-11 Copyright: Prairie Piecemakers Quilters' Guild Inc. President's Pearls President's Message October 2020 5JCTQP) Sometimes my brain is a bit like a quilt-of-the-month calendar.Depending on the month, I find myself thinking about what kind of quilt I’d like to make that particular month. -
Contraception and Abortion in BC Experience Guiding Research Guiding Care
Contraception and Abortion in BC Experience guiding research guiding care Report of Proceedings, March 9th, 2018 Acknowledgements The Contraception and Abortion in BC: Experience Guiding Research, Guiding Care Conference was made possible by the efforts of numerous individuals and organizations. The conference organizers, British Columbia Women’s Hospital and Health Centre, the Contraception & Abortion Research Team (CART), and Options for Sexual Health BC, would like to thank the following organizations for their sponsorship and support of this conference: The Michael Smith Foundation for Health Research The Rural Coordination Centre of BC (RCCbc) The National Abortion Federation (NAF) Women’s Health Research Institute (WHRI) The conference would not have been possible without the diligent efforts of the Organizing Committee, including conference chair, Cheryl Davis, Chief Operating Officer of BC Women’s Hospital and Health Centre, CART leads Dr. Wendy Norman and Dr. Bonnie Henry, BC’s Chief Provincial Health Officer, Dr. Tamil Kendall – Interim Provincial Executive Director, Perinatal Services BC; Michelle Fortin, Executive Director, Options for Sexual Health BC; Kim Campbell, Midwifery faculty member, Department of Family Practice, University of British Columbia (UBC); Dr. Natasha Prodan-Bhalla, Nurse Practitioner lead, Provincial Health Services Authority and BC Ministry of Health, and Dr. Sarah Munro, Post-doctoral Fellow, Department of Family Practice, UBC. Thank you to graphic facilitator and recorder, Lisa Edwards. Above all, CART wishes to thank the 94 policy makers, government strategists, health care providers, front-line health care staff, hospital administrators, health authority leaders, students, patients, community organization representatives, and researchers who attended the conference and provided critical input into the contraception and abortion health system gaps and opportunities in British Columbia. -
PANDEMIC LEADERS: Dr. Theresa Tam and Dr. Bonnie Henry
MARCH 2021 PANDEMIC LEADERS: Dr. Theresa Tam and Dr. Bonnie Henry TABLE OF CONTENTS Video Summary & Related Content 3 Video Review 4 Before Viewing 5 Talk Prompts 6 Digging Deeper 8 Activity: Knowledge Building 13 Sources 14 News in Review is produced by Visit www.curio.ca/newsinreview for an CBC NEWS and Curio.ca archive of all previous News In Review seasons. As a companion resource, go to GUIDE www.cbc.ca/news for additional articles. Writer: Jennifer Watt Editor: Sean Dolan CBC authorizes reproduction of material VIDEO contained in this guide for educational Host: Michael Serapio purposes. Please identify source. Senior Producer: Jordanna Lake News In Review is distributed by: Supervising Manager: Laraine Bone Curio.ca | CBC Media Solutions © 2021 Canadian Broadcasting Corporation PANDEMIC LEADERS: Dr. Theresa Tam and Dr. Bonnie Henry Video duration – 20:20 Throughout the coronavirus pandemic, Canadians have relied on the advice and knowledge of health officers, both provincial and federal. Of the 14 provincial and national health officers across the country, seven are women. Steering the federal response through this unprecedented time has been Dr. Theresa Tam, Canada’s chief public health officer. She provides advice to the Minister of Health, and her knowledge and experience helps decide policy for the response. Provincially, Dr. Bonnie Henry has led British Columbians with her quiet voice and compassion throughout the crisis, which has won her the hearts and minds of the public. Both women are considered to be Canada’s pandemic leaders. Related Content on curio.ca • News in Review, November 2020 – COVID-19: Social Inequities Exposed by the Pandemic • News in Review, October 2020 – COVID-19 Update: What Have We Learned? • The COVID-19 Pandemic in Canada (Curio.ca collection) • Luck and sound decisions helped B.C. -
Establishing Priorities Among Effective Clinical Prevention Services in British Columbia: Reference Document and Key Assumptions
Establishing Priorities among Effective Clinical Prevention Services in British Columbia Reference Document and Key Assumptions October 2019 Update Acknowledgments This project was completed under the guidance of the Lifetime Prevention Schedule Expert Committee. Current committee members are: • Stephen Smith (chair) - Director, Life Course Prevention, Population and Public Health Division, BC Ministry of Health • Ann Wang, Policy Analyst, Lifetime Prevention Schedule, Population and Public Health Division, BC Ministry of Health • Richard Birtwhistle - Director, Centre for Studies in Primary Care, Department of Family Medicine, Queen's University • Bruce Brady - Senior Economist, Health Sector Information, Analysis and Reporting Division, BC Ministry of Health • Jane Buxton - Public Health and Preventive Medicine Specialist, University of British Columbia • Diana Dawes - Clinical Associate Professor, Faculty of Medicine, Department of Physical Therapy, UBC • Martin Dawes - Professor of Family Practice, Department of Family Practice, Faculty of Medicine, UBC • Brian Emerson – A/Deputy Provincial Health Officer, Office of the Provincial Health Officer, BC Ministry of Health • Tijana Fazlagic – A/Executive Director, Pharmacare Benefits, Pharmaceutical Therapies & Pharmacare Division, BC Ministry of Health • Shannon Gibson – Manager, Guidelines and Protocols and Patients as Partners, Primary Care Division, BC Ministry of Health • Bonnie Henry – Provincial Health Officer, BC Ministry of Health • Zahra Hussein – Provincial Lead, Primary Care, -
Learning from SARS: Renewal of Public Health in Canada
Learningfrom SARS Renewal of Public Health in Canada . Learningfrom SARS Renewal of Public Health in Canada A report of the National Advisory Committee on SARS and Public Health October 2003 . i . The members* of the National Advisory Committee on SARS and Public Health were: • Dr. David Naylor, Dean of Medicine at the University of Toronto (Chair) • Dr. Sheela Basrur, Medical Officer of Health, City of Toronto • Dr. Michel G. Bergeron, Chairman of the Division of Microbiology and of the Infectious Diseases Research Centre of Laval University, Quebec City • Dr. Robert C. Brunham, Medical Director of the British Columbia Centre for Disease Control, Vancouver • Dr. David Butler-Jones, Medical Health Officer for Sun Country, and Consulting Medical Health Officer for Saskatoon Health Regions, Regina • Gerald Dafoe, Chief Executive Officer of the Canadian Public Health Association, Ottawa • Dr. Mary Ferguson-Paré, Vice-President, Professional Affairs and Chief Nurse Executive at University Health Network, Toronto • Frank Lussing, Past President and CEO of York Central Hospital, Richmond Hill • Dr. Allison McGeer, Director of Infection Control, Mount Sinai Hospital, Toronto • Kaaren R. Neufeld, Executive Director and Chief Nursing Officer at St. Boniface Hospital, Winnipeg • Dr. Frank Plummer, Scientific Director of the Health Canada National Microbiology Laboratory, Winnipeg (ex officio) * The Committee was materially assisted through corresponding members of the US Centers for Disease Control and Prevention and the World Health Organization. This publication can also be made available in/on computer diskette/large print/audio-cassette/Braille upon request. For further information or to obtain additional copies, please contact: Publications Health Canada Ottawa, Ontario K1A 0K9 SARS Tel.: (613) 954-5995 Fax: (613) 941-5366 ©Her Majesty the Queen in Right of Canada, 2003 Cat. -
Addendum: Board of Health Meeting
Addendum: Board of Health Meeting Thursday, October 17, 2019 ADDENDUM – SIXTH MEETING BOARD OF HEALTH OCTOBER 17, 2019 7.0 ADDENDUM DECLARATIONS OF CONFLICT OF INTEREST i) Vaping and Vapour Products Letter from the Board of Health Chair, Kingston, Frontenac and Lennox & Addington Public Health to the Minister of Health dated October 11, 2019 Public Health Agency of Canada News Release Re Statement from the Council of Chief Medical Officers of Health on vaping in Canada dated October 11, 2019 ii) Expansion of Alcohol Retail Outlets Letter from the Board of Health Chair, Southwestern Public Health to the Minister of Health dated September 11, 2019 iii) Public Health Modernization – North East Public Health Transforamtion Initiative PUBLIC HEALTH MODERNIZATION – NORTH EAST PUBLIC HEALTH TRANSFORMATION INITIATIVE MOTION: WHEREAS in its April 2019 budget, the Government of Ontario announced transformations to the public health system; and WHEREAS on September 12 and on October 10, 2019, respectively, Deputy Minister Helen Angus announced the new roles of Executive Lead (Assistant Deputy Minister Alison Blair) and of Special Advisor (Mr. Jim Pine) for public health modernization; and WHEREAS it was communicated that the Special Advisor will play a key role in facilitating discussions between the Ministry of Health, municipal elected officials and administrative leadership on public health and on emergency health services; and WHEREAS the five Boards of Health in North East Ontario*, having been engaged since 2017 in identifying opportunities for collaboration and potential shared services, remain committed to continued collaboration; THEREFORE BE IT RESOLVED THAT the Board of Health for Public Health Sudbury & Districts support the request of the Chairs of the five Boards of Health in the North East, namely that the Ministry of Health hold public health consultation sessions that are separate and distinct from the emergency health services consultation sessions; AND FURTHER THAT the July 2019 submission to Deputy Helen Angus and Chief Medical Officer of Health Dr. -
A Time of Fear
A Time of Fear: How Canada Failed Our Health Care Workers and Mismanaged Covid‐19 By Mario Possamai Seniors Advisor to Ontario’s SARS Commission Page 1 of 187 Page 2 of 187 “Those who cannot remember the past are condemned to repeat it.” George Santayana The Life of Reason, 1905 Page 3 of 187 Table of Contents Executive Summary 6 Recommendations 19 Chapter 1: SARS: A “Dress Rehearsal” for COVID‐19 24 Chapter 2: The WHO, and How Canada Ignored the Lessons of SARS 42 Chapter 3: Pound‐Wise and Penny‐Foolish: Canada, and Why We Were So 63 Desperately Short of Personal Protective Equipment Chapter 4: Long‐Term Care in Canada and COVID‐19: “They Deserve Better” 86 Chapter 5: Health Care Unions and the Fight to Protect Health Care 105 Workers: The Consequences of Governments’ Failure to Act Chapter 6: Health Care Workers and the Pandemic Data “Black Hole” 127 Chapter 7: The Precautionary Principle, and Who Decides How Health Care 136 Workers Are Protected Conclusion 156 Recommendations 158 Page 4 of 187 Dedication and Acknowledgements This report is dedicated to the victims of COVID‐19, their families, friends, colleagues and communities. May their suffering and anguish lead to a Canada that is far better prepared to face future public health crises. This report is also dedicated to the memory of Mr. Justice Archie Campbell, whose SARS Commission provided a roadmap that could have averted many of the issues revealed by COVID‐19. Fourteen years ago, he wrote presciently: “SARS taught us that we must be ready for the unseen.