April 29, 2019

The Honourable Premier of Legislative Building Queen's Park ON M7A 1A1

Dear Premier Ford,

Recently, the Province of Ontario announced changes to the funding formula for Toronto Public Health.

These changes were enacted without consultation, and are retroactive, beginning April 1, 2019 – two weeks before the City was informed of the cuts.

Based on the information our staff have received to date, the Medical Officer of Health and the City Manager have informed Council that the proposed cuts will result in a $64 Million reduction in funding for the already approved 2019 budget and nearly $1 billion over ten years. The first written communication we have received on these changes came on Friday, April 26th and that letter does not spell out the magnitude of these proposed cuts, nor does it explain why the City's position is not accurate.

Equally troublesome is the fact that the City of Toronto has been singled out for discriminatory treatment – while all other local public health units’ budgets will be cost- shared 60% Province/40% City or 70% Province/30% City, the City of Toronto will be cost-shared at 50% Province/50% City. There has been no good reason provided as to why the country’s largest city and economic engine will be expected to pay proportionally more for public health services largely mandated by the Province, especially when we know that a healthy city is a prosperous city.

If we want to end hallway healthcare, investing in public health – not cutting it back – will help us do that. Toronto’s Medical Officer of Health has said that the best outcome of public health is often nothing – no outbreaks of communicable diseases, fewer people in hospitals

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with preventable illnesses, and kids growing up better educated and better prepared for the labour market as a result of breakfast programs. This also often means that the true value of public health is difficult to measure or identify – I myself have learned more about its importance over the course of my time at City Hall.

A cut retroactive to April 1 of the Province's share of funding to Toronto Public Health's budget puts all services provided, or funded, by Toronto Public Health at risk, which is ultimately not in the best interests of a healthy and prosperous city.

Given the scale and retroactive nature of the cuts proposed by the Province, and the City’s inability to make changes this year, I wanted to inform you of the front-line programs Toronto Public Health delivers in your riding – all of which are now under review and at risk of being severely curtailed or cancelled.

I have attached a preliminary list that includes most of the programs Public Health delivers in your riding of North, which in summary consists of:

 32 child care programs which are inspected to reduce the risk of infectious diseases and other health risks;  36 breakfast programs;  18 school immunization programs;  2 dental clinics; and,  4 long term care centres with food inspections and infection control.

I know the residents of depend on these services and that they keep our entire community healthy. As a result, I am asking you to reverse this decision, and restore funding to vital, front-line public health services in your ward.

I would be happy to discuss this issue at any time.

Sincerely,

Mayor John Tory City of Toronto

Etobicoke North

PROGRAM LOCATION ADDRESS CHILD CARE CENTRE INSPECTION PROGRAM BRAEBURN WOODS DAY CARE 15 TANDRIDGE CRES CHILD CARE CENTRE INSPECTION PROGRAM ALBION BOYS & GIRLS CLUB 2533 KIPLING AVE CHILD CARE CENTRE ALBION BOYS & GIRLS CLUB (AFTER INSPECTION PROGRAM SCHOOL PROGRAM) 85 MOUNT OLIVE DR CHILD CARE CENTRE INSPECTION PROGRAM ALBION CHILD CARE CENTRE 1545 ALBION RD CHILD CARE CENTRE ALBION HEIGHTS SCHOOL AGE INSPECTION PROGRAM PROGRAM 45 LYNMONT RD CHILD CARE CENTRE INSPECTION PROGRAM CAREFREE PRE-SCHOOL 380 DIXON RD CHILD CARE CENTRE CENTRE FOR EARLY CHILDHOOD INSPECTION PROGRAM EDUCATION 45 GOLFDOWN DR CHILD CARE CENTRE INSPECTION PROGRAM CLAIREVILLE CHILD CARE CNETRE 350 SILVERSTONE DR CHILD CARE CENTRE INSPECTION PROGRAM FIRST STAGE CHILD CARE CENTRE 85 MOUNT OLIVE DR CHILD CARE CENTRE FIRST STAGE CHILD CARE CENTRE INSPECTION PROGRAM (ALBION BRANCH ) 2580 KIPLING AVE CHILD CARE CENTRE FIRST STAGE CHILD CARE CENTRE INSPECTION PROGRAM (WEST HUMBER BRANCH) 1675 MARTIN GROVE RD CHILD CARE CENTRE GREENHOLME ALBION SATELLITE TEL INSPECTION PROGRAM CCC 10 JAMESTOWN CRES CHILD CARE CENTRE GREENHOLME JUNIOR MIDDLE SCHOOL INSPECTION PROGRAM (BEFORE & AFTER) 10 JAMESTOWN CRES CHILD CARE CENTRE HUMBER CHILD DEVELOPMENT 205 HUMBER COLLEGE INSPECTION PROGRAM CENTRE BLVD CHILD CARE CENTRE INSPECTION PROGRAM KINGSVIEW CHILD CARE 340 DIXON RD CHILD CARE CENTRE KIPLING EARLY LEARNING CHILD CARE INSPECTION PROGRAM CENTRE 2233 KIPLING AVE CHILD CARE CENTRE INSPECTION PROGRAM LE CERCLE DE L'AMITIE 30 THISTLE DOWN BLVD CHILD CARE CENTRE MACAULAY CHILD DEVELOPMENT INSPECTION PROGRAM CENTRE 850 HUMBERWOOD BLVD CHILD CARE CENTRE INSPECTION PROGRAM MANDI DAY CARE 30 BARRHEAD CRES CHILD CARE CENTRE INSPECTION PROGRAM MARTINGROVE CHILD CARE CENTRE 256 JOHN GARLAND BLVD CHILD CARE CENTRE NORTH ETOBICOKE YMCA CHILDCARE INSPECTION PROGRAM CENTRE 88 HUMBER COLLEGE BLVD CHILD CARE CENTRE INSPECTION PROGRAM DAY NURSERY 925 ALBION RD CHILD CARE CENTRE INSPECTION PROGRAM REXDALE WOMEN'S CENTRE NURSERY 925 ALBION RD CHILD CARE CENTRE ROWNTREE EARLY LEARNING CHILD INSPECTION PROGRAM CARE CENTRE 2765 ISLINGTON AVE CHILD CARE CENTRE INSPECTION PROGRAM SILVERSTONE LEARNING CENTRE 520 SILVERSTONE DR CHILD CARE CENTRE INSPECTION PROGRAM SILVERSTONE MONTESSORI DAY CARE 350 SILVERSTONE DR CHILD CARE CENTRE INSPECTION PROGRAM ST ANDREW CHILD CARE CENTRE 2533 KIPLING AVE CHILD CARE CENTRE INSPECTION PROGRAM ST. DOROTHY CHILD CARE CENTRE 155 JOHN GARLAND BLVD CHILD CARE CENTRE SUNNY FACES DAY CARE - ST. INSPECTION PROGRAM BENEDICTS SITE 2202 KIPLING AVE CHILD CARE CENTRE INSPECTION PROGRAM SUNNY FACES DAY CARE CENTRE 30 HAREFIELD DR CHILD CARE CENTRE INSPECTION PROGRAM WILLOWRIDGE CHILD CARE CENTRE 30 EARLDOWN DR CHILD CARE CENTRE YWCA BERGAMOT EARLY LEARNING INSPECTION PROGRAM CENTRE 66 BERGAMOT AVE REXDALE COMMUNITY HEALTH DENTAL CLINIC CENTRE 8 TABER ROAD REXDALE COMMUNITY HEALTH DENTAL CLINIC CENTRE 21 PANORAMA COURT ETOBICOKE SERVICES FOR SENIORS DIABETES PREVENTION SUPPORT SERVICES 320 DIXON HEALTHY EATING FOR VULNERABLE AND AT RISK POPULATIONS DELTA FAMILY RESOURCE CENTRE 2291 KIPLING INFANT HEARING REXDALE COMMUNITY HEALTH SCREENING CLINIC CENTRE 8 TABER ROAD LONG-TERM CARE (FOOD INSPECTIONS, INFECTION PREVENTION AND CONTROL, OUTBREAK RESPONSE) DEERWOOD CREEK CARE COMMUNITY 70 HUMBERLINE DR. LONG-TERM CARE (FOOD INSPECTIONS, INFECTION PREVENTION AND CONTROL, OUTBREAK RESPONSE) HUMBER VALLEY TERRACE 95 HUMBER COLLEGE BLVD. LONG-TERM CARE (FOOD INSPECTIONS, INFECTION PREVENTION AND KIPLING ACRES 2233 KIPLINE AVE CONTROL, OUTBREAK RESPONSE)

LONG-TERM CARE (FOOD INSPECTIONS, INFECTION PREVENTION AND CONTROL, OUTBREAK WESTSIDE (FORMERLY WESTSIDE RESPONSE) CENTRAL PARK LODGE) 1145 ALBION RD REXDALE COMMUNITY HEALTH SEXUAL HEALTH CLINIC CENTRE 8 TABER ROAD STUDENT NUTRITION PROGRAM ALTERNATIVE - BARRHEAD PROGRAM 30 BARRHEAD CRESCENT STUDENT NUTRITION ALTERNATIVE - CARING AND SAFE PROGRAM SCHOOL AND BARRHEAD 30 BARRHEAD CRESCENT STUDENT NUTRITION ALTERNATIVE - WEST REGION PROGRAM ATTENDANCE PROGRAM STUDENT NUTRITION BEAUMONDE HEIGHTS JUNIOR MIDDLE PROGRAM SCHOOL 70 MONTERREY DRIVE STUDENT NUTRITION PROGRAM BOYS LEADERSHIP ACADEMY 45 GOLFDOWN STUDENT NUTRITION PROGRAM BRAEBURN JUNIOR SCHOOL 15 TANDRIDGE CRESCENT STUDENT NUTRITION PROGRAM CLAIREVILLE JUNIOR SCHOOL 350 SILVERSTONE DRIVE STUDENT NUTRITION ECOLE ELEMENTAIRE CATHOLIQUE PROGRAM SAINT-NOEL-CHABANEL 30 THISTLE DOWN BLVD STUDENT NUTRITION PROGRAM ELMBANK JUNIOR MIDDLE ACADEMY 10 PITTSBORO DR. STUDENT NUTRITION PROGRAM ELMLEA JUNIOR SCHOOL 50 HADRIAN DR. STUDENT NUTRITION FATHER HENRY CARR CATHOLIC PROGRAM SECONDARY SCHOOL 1760 MARTIN GROVE RD STUDENT NUTRITION PROGRAM GREENHOLME JUNIOR MIDDLE SCHOOL 10 JAMESTOWN CRESCENT STUDENT NUTRITION PROGRAM HIGHFIELD JUNIOR SCHOOL 85 MOUNT OLIVE DR STUDENT NUTRITION PROGRAM HOLY CHILD CATHOLIC SCHOOL 850 HUMBERWOOD BLVD. STUDENT NUTRITION HUMBERWOOD DOWNS JUNIOR PROGRAM MIDDLE ACADEMY 850 HUMBERWOOD BLVD STUDENT NUTRITION PROGRAM JOHN D. PARKER JUNIOR SCHOOL 202 MOUNT OLIVE DR STUDENT NUTRITION PROGRAM JUNIOR SCHOOL 1 YORK RD STUDENT NUTRITION PROGRAM MELODY VILLAGE JUNIOR SCHOOL 520 SILVERSTONE DR STUDENT NUTRITION MONSIGNOR JOHN CORRIGAN PROGRAM CATHOLIC SCHOOL 100 ROYALCREST RD STUDENT NUTRITION MONSIGNOR PERCY JOHNSON PROGRAM CATHOLIC HIGH SCHOOL 2170 KIPLING AVE STUDENT NUTRITION NORTH ALBION COLLEGIATE PROGRAM INSTITUTE 2580 KIPLING AVE STUDENT NUTRITION NORTH KIPLING JUNIOR MIDDLE PROGRAM SCHOOL 2 ROWNTREE RD STUDENT NUTRITION PROGRAM PARKFIELD JUNIOR SCHOOL 31 REDGRAVE DR STUDENT NUTRITION PROGRAM RIVERCREST JUNIOR SCHOOL 30 HAREFIELD DR STUDENT NUTRITION SCHOOL OF EXPERIMENTAL PROGRAM EDUCATION 40 MCARTHUR ST. STUDENT NUTRITION PROGRAM SMITHFIELD MIDDLE SCHOOL 175 MOUNT OLIVE DR STUDENT NUTRITION PROGRAM ST. ANDREW CATHOLIC SCHOOL 2533 KIPLING AVE STUDENT NUTRITION PROGRAM ST. ANGELA CATHOLIC SCHOOL 220 MOUNT OLIVE DR STUDENT NUTRITION PROGRAM ST. BENEDICT CATHOLIC SCHOOL 2202 KIPLING AVE STUDENT NUTRITION PROGRAM ST. DOROTHY CATHOLIC SCHOOL 155 JOHN GARLAND BLVD. STUDENT NUTRITION PROGRAM ST. JOHN VIANNEY CATHOLIC SCHOOL 105 THISTLE DOWN BLVD. STUDENT NUTRITION PROGRAM ST. MAURICE CATHOLIC SCHOOL 45 KINGSVIEW BLVD. STUDENT NUTRITION PROGRAM ST. STEPHEN CATHOLIC SCHOOL 55 GOLFDOWN DR STUDENT NUTRITION PROGRAM THE ELMS JUNIOR MIDDLE SCHOOL 45 GOLFDOWN DR STUDENT NUTRITION PROGRAM COLLEGIATE INSTITUTE 20 FORDWICH CRESCENT STUDENT NUTRITION PROGRAM WEST HUMBER COLLEGIATE INSTITUTE 1675 MARTIN GROVE RD TORONTO PUBLIC HEALTH SCHOOL ALBION HEIGHTS JUNIOR MIDDLE IMMUNIZATION SCHOOL 45 LYNMONT ROAD TORONTO PUBLIC HEALTH SCHOOL BEAUMONDE HEIGHTS JUNIOR MIDDLE IMMUNIZATION SCHOOL 70 MONTERREY DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION BOYS LEADERSHIP ACADEMY 45 GOLFDOWN DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ELMBANK JUNIOR MIDDLE ACADEMY 10 PITTSBORO DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ELMS JUNIOR MIDDLE SCHOOL 45 GOLFDOWN DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION GREENHOLME JUNIOR MIDDLE SCHOOL 10 JAMESTOWN CRESCENT TORONTO PUBLIC HEALTH SCHOOL 850 HUMBERWOOD IMMUNIZATION HOLY CHILD CATHOLIC SCHOOL BOULEVARD TORONTO PUBLIC HEALTH SCHOOL HUMBERWOOD DOWNS JUNIOR 850 HUMBERWOOD IMMUNIZATION MIDDLE ACADEMY BOULEVARD TORONTO PUBLIC HEALTH SCHOOL MONSIGNOR JOHN CORRIGAN IMMUNIZATION CATHOLIC SCHOOL 100 ROYALCREST ROAD TORONTO PUBLIC HEALTH SCHOOL NORTH KIPLING JUNIOR MIDDLE IMMUNIZATION SCHOOL 2 ROWNTREE ROAD TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ST. ANDREW CATHOLIC SCHOOL 2533 KIPLING AVENUE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ST. ANGELA CATHOLIC SCHOOL 220 MUONT OLIVE DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ST. BENEDICT CATHOLIC SCHOOL 2202 KIPLING AVENUE TORONTO PUBLIC HEALTH SCHOOL 155 JOHN GARLAND IMMUNIZATION ST. DOROTHY CATHOLIC SCHOOL BOULEVARD TORONTO PUBLIC HEALTH SCHOOL 105 THISTLEDOWN IMMUNIZATION ST. JOHN VIANNEY CATHOLIC SCHOOL BOULEVARD TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ST. MAURICE CATHOLIC SCHOOL 45 KINGSVIEW BOULEVARD TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION ST. STEPHEN CATHOLIC SCHOOL 55 GOLFDOWN DRIVE TORONTO PUBLIC HEALTH SCHOOL IMMUNIZATION WEST HUMBER JUNIOR 15 DELSING DRIVE