Item - 2021.HL25.3

Tracking Status

  • City Council adopted this item on February 2, 2021 with amendments.
  • This item was considered by Board of Health on January 18, 2021 and was adopted with amendments. It will be considered by City Council on February 2, 2021.
  • See also By-law 58-2021

HL25.3 - Response to COVID-19 - January 2021 Update

Decision Type:
ACTION
Status:
Amended
Wards:
All

City Council Decision

City Council on February 2, 3 and 5, 2021, adopted the following:

 

1.  City Council request the Federal Government to provide funding to the City of Toronto to support the City of Toronto's COVID-19 Immunization Task Force's plan for a broad-based community engagement, education, and mobilization campaign to raise awareness and build support for the COVID-19 vaccine.

 

2.  City Council request the Federal Government to ensure that ethnic media is utilized in any Federal COVID-19 awareness and education campaign.

 

3.  City Council request the Governments of Canada and Ontario to consider enhanced and extended paid sick leave options, over and above the recommended 10 days, for employees with long-term COVID-19 complications.

 

4.  City Council urge the Government of Ontario to take immediate action to address the rising rate of new COVID-19 cases, hospitalizations and patients in intensive care units, including the following:

 

a.  provide additional supports to essential frontline workers, including paid sick leave, targeted support for temporary workers and enhanced proactive workplace inspections;

 

b.  continue efforts to expand test, trace and isolate systems;

 

c.  provide additional financial relief to ensure that affected businesses and workers are fully supported through the lockdown period;

 

d.  continue to carefully monitor the Provincial circumstances and other evidence in order to adjust public health measures accordingly; and

 

e.  proactively plan to reopen schools and other sectors safely.

 

5.  City Council request the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000, or through a different mechanism;

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

 

6.  City Council request the Ontario Ministry of Labour, Training and Skills Development to provide resources and funding to support workplaces that hire temporary workers to appropriately train staff in the use of Personal Protective Equipment and infection prevention and control measures.

 

7.  City Council authorize the Medical Officer of Health, in collaboration with the Executive Director, Social Development, Finance and Administration, to implement the Immunization Roll Out program, including entering into agreements or other suitable arrangements to provide funding to community agencies to partner with the City of Toronto on the Community Engagement and Mobilization component of the Immunization Roll Out program until the end of 2021, to be funded by the Province of Ontario as a component of the COVID-19 Immunization Plan in Toronto.

 

8.  City Council extend By-laws 322-2020 and 323-2020 that regulate physical distancing in public spaces in Toronto, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

9.  City Council extend By-law 541-2020, as amended by By-law 664-2020, that requires businesses, apartments and condominiums to have policies to ensure people wear masks or face coverings in common areas, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

10.  City Council extend the COVID-19 amendments to Toronto Municipal Code Chapter 354, Apartment Buildings (Section 354-3.11) that require landlords to provide hand washing/sanitizing in common areas, close non-essential common areas consistent with Provincial Orders, increase cleaning and post Toronto Public Health signage, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

11.  City Council extend the COVID-19 amendments to Toronto Municipal Code Chapter 545, Licensing (Section 545-8.4.1) that require establishments serving food and drink to implement enhanced measures to mitigate the spread of COVID-19, including screening staff, limiting patrons, maintaining customer logs and limiting the number of people sitting at a table until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.

 
12.  City Council request the Medical Officer of Health review the necessity of each By-law on a monthly basis and report if any changes or extensions are required before or at City Council's June 8 and 9, 2021 meeting.

 
13.  City Council authorize the City Solicitor to introduce the necessary Bills and apply set fines to give effect to City Council's decision; and, City Council authorize the City Solicitor to make any necessary clarifications, refinements, minor modifications, or technical amendments as may be identified by the City Solicitor, in consultation with the Medical Officer of Health, in order to give best effect to the Medical Officer of Health's recommendations for the protection of the public as described in the supplementary report (January 25, 2021) from the Medical Officer of Health.

Background Information (Board)

(January 5, 2021) Report from the Medical Officer of Health on Response to COVID-19 - January 2021 Update
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-159740.pdf
Attachment 1 - Sick Leave Provisions by Province
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-159741.pdf
(January 18, 2021) Presentation from the Medical Officer of Health, the Fire Chief and General Manager, Emergency Management, and Toronto's COVID-19 Incident Commander, and the Director, Community Resources, Social Development, Finance and Administration on Response to COVID-19: Update Presentation to the Board of Health
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-160096.pdf

Background Information (City Council)

(January 25, 2021) Supplementary report from the Medical Officer of Health on Further Extensions for By-laws Necessary for COVID-19 Response (HL25.3a)
https://www.toronto.ca/legdocs/mmis/2021/cc/bgrd/backgroundfile-162949.pdf

Communications (Board)

(January 5, 2021) Submission from Christine Massey (HL.Main)
(January 5, 2021) E-mail from Christine Massey (HL.Main)
(January 6, 2021) E-mail from Christine Massey (HL.Main)
(January 14, 2021) Letter from Susan McMurray, Toronto and York Region Labour Council (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125752.pdf
(January 14, 2021) Letter from Naureen Rizvi, Unifor Ontario (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125753.pdf
(January 15, 2021) E-mail from John Maxwell, AIDS Committee of Toronto (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125754.pdf
(January 15, 2021) Submission from Josh Fullan, Maximum City (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125756.pdf
(January 15, 2021) Letter from Paul M. Taylor and Crystal Sinclair, FoodShare (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125777.pdf
(January 15, 2021) Letter from Nation Cheong, United Way Greater Toronto (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125796.pdf
(January 17, 2021) Submission from Derek Moran (HL.New)

Communications (City Council)

(January 31, 2021) E-mail from Christine Massey (CC.Supp)
(February 2, 2021) E-mail from Christine Massey (CC.New)

Motions (City Council)

1a - Motion to Amend Item (Additional) moved by Mayor John Tory (Carried)

That City Council authorize the Medical Officer of Health, in collaboration with the Executive Director, Social Development, Finance and Administration, to implement the Immunization Roll Out program, including entering into agreements or other suitable arrangements to provide funding to community agencies to partner with the City of Toronto on the Community Engagement and Mobilization component of the Immunization program until the end of 2021, to be funded by the Province of Ontario as a component of the COVID-19 Immunization Plan in Toronto.


1b - Motion to Amend Item (Additional) moved by Mayor John Tory (Carried)

That City Council adopt the following recommendations in the supplementary report (January 25, 2021) from the Medical Officer of Health [HL25.3a]: 

 

1.  City Council extend Bylaws 322-2020 and 323-2020 that regulate physical distancing in public spaces in Toronto, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

2.  City Council extend Bylaws 541-2020 as amended by 664-2020, that requires businesses, apartments and condominiums to have policies to ensure people wear masks or face coverings in common areas, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

3.  City Council extend the COVID-19 amendments to Toronto Municipal Code Chapter 354, Apartment Buildings (s.354-3.11), that require landlords to provide hand washing/sanitizing in common areas, close non-essential common areas consistent with Provincial orders, increase cleaning and post Toronto Public Health signage, until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.
 

4.  City Council extend the COVID-19 amendments to Toronto Municipal Code Chapter 545, Licensing (s.545-8.4.1) that requires establishments serving food and drink to implement enhanced measures to mitigate the spread of COVID-19, including: screening staff, limiting patrons, maintaining customer logs and limiting the number of people sitting at a table until 12:01 a.m. on the first day after the City Council meeting currently scheduled for June 8 and 9, 2021 or, if that City Council meeting does not take place as scheduled, until 12:01 a.m. on the first day after the first City Council meeting that next occurs.

 
5.  City Council request the Medical Officer of Health review the necessity of each bylaw on a monthly basis, and report if any changes or extensions are required before or at City Council’s June 8 and 9, 2021 meeting.

 
6.  City Council authorize the City Solicitor to introduce the necessary Bills and apply set fines to give effect to City Council's decision; and, City Council authorize the City Solicitor to make any necessary clarifications, refinements, minor modifications, or technical amendments as may be identified by the City Solicitor, in consultation with the Medical Officer of Health, in order to give best effect to the Medical Officer of Health's recommendations for the protection of the public as described in this report.


2 - Motion to Amend Item (Additional) moved by Councillor Nick Mantas (Carried)

That City Council request the Federal Government to ensure that ethnic media be utilized in any Federal COVID-19 awareness and education campaign.


3 - Motion to Amend Item (Additional) moved by Councillor Michael Thompson (Carried)

That City Council request the Governments of Ontario and Canada to consider enhanced and extended paid sick leave options, over and above the recommended 10 days, for employees with long-term COVID complications.


4a - Motion to Amend Item moved by Councillor Stephen Holyday (Lost)

That City Council amend the Board of Health Recommendation 2.a. by adding the words "until such time as a vaccine is made available to the worker" after the words "paid sick leave" so that it now reads as follows:

 

2.a.  provide additional supports to essential frontline workers, including paid sick leave until such time as a vaccine is made available to the worker, targeted support for temporary workers, and enhanced proactive workplace inspections;

Vote (Amend Item) Feb-03-2021 2:07 PM

Result: Lost Majority Required - HL25.3 - Holyday - motion 4a
Total members that voted Yes: 5 Members that voted Yes are Michael Ford, Stephen Holyday, Nick Mantas, Denzil Minnan-Wong, Jaye Robinson
Total members that voted No: 19 Members that voted No are Paul Ainslie, Ana Bailão, Shelley Carroll, Gary Crawford, Joe Cressy, John Filion, Paula Fletcher, Mark Grimes, Cynthia Lai, Mike Layton, Josh Matlow, Jennifer McKelvie, Frances Nunziata (Chair), James Pasternak, Gord Perks, Anthony Perruzza, Michael Thompson, John Tory, Kristyn Wong-Tam
Total members that were Absent: 2 Members that were absent are Brad Bradford, Mike Colle

4b - Motion to Amend Item moved by Councillor Stephen Holyday (Lost)

That City Council delete Board of Health Recommendation 3:

 

Recommendation to be deleted

 

3.  City Council request the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000 or through a different mechanism;

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

 

and adopt instead the following new recommendation:

 

City Council request the Government of Ontario to update its Provincial Emergency Response Plan and the Ontario Health Plan for an Influenza Pandemic 2013 to include consideration of mechanisms, including financial supports, for workers who must isolate or care for others who are sick as a result of a pandemic.

Vote (Amend Item) Feb-03-2021 2:12 PM

Result: Lost Majority Required - HL25.3 - Holyday - motion 4b
Total members that voted Yes: 2 Members that voted Yes are Michael Ford, Stephen Holyday
Total members that voted No: 22 Members that voted No are Paul Ainslie, Ana Bailão, Shelley Carroll, Gary Crawford, Joe Cressy, John Filion, Paula Fletcher, Mark Grimes, Cynthia Lai, Mike Layton, Nick Mantas, Josh Matlow, Jennifer McKelvie, Denzil Minnan-Wong, Frances Nunziata (Chair), James Pasternak, Gord Perks, Anthony Perruzza, Jaye Robinson, Michael Thompson, John Tory, Kristyn Wong-Tam
Total members that were Absent: 2 Members that were absent are Brad Bradford, Mike Colle

Motion to Adopt Item as Amended (Carried)

Adoption of Board of Health Recommendation 3 only:

 

3.  City Council request the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000 or through a different mechanism;

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

Vote (Adopt Item as Amended) Feb-03-2021 2:15 PM

Result: Carried Majority Required - HL25.3 - Adoption of Board of Health Recommendation 3 only
Total members that voted Yes: 24 Members that voted Yes are Paul Ainslie, Ana Bailão, Brad Bradford, Shelley Carroll, Gary Crawford, Joe Cressy, John Filion, Paula Fletcher, Michael Ford, Mark Grimes, Cynthia Lai, Mike Layton, Nick Mantas, Josh Matlow, Jennifer McKelvie, Denzil Minnan-Wong, Frances Nunziata (Chair), James Pasternak, Gord Perks, Anthony Perruzza, Jaye Robinson, Michael Thompson, John Tory, Kristyn Wong-Tam
Total members that voted No: 2 Members that voted No are Mike Colle, Stephen Holyday
Total members that were Absent: 0 Members that were absent are

Motion to Adopt Item as Amended (Carried)

Adoption of the balance of the Item as amended.

Vote (Adopt Item as Amended) Feb-03-2021 2:16 PM

Result: Carried Majority Required - HL25.3 - Adoption of the balance of the Item as amended
Total members that voted Yes: 26 Members that voted Yes are Paul Ainslie, Ana Bailão, Brad Bradford, Shelley Carroll, Mike Colle, Gary Crawford, Joe Cressy, John Filion, Paula Fletcher, Michael Ford, Mark Grimes, Stephen Holyday, Cynthia Lai, Mike Layton, Nick Mantas, Josh Matlow, Jennifer McKelvie, Denzil Minnan-Wong, Frances Nunziata (Chair), James Pasternak, Gord Perks, Anthony Perruzza, Jaye Robinson, Michael Thompson, John Tory, Kristyn Wong-Tam
Total members that voted No: 0 Members that voted No are
Total members that were Absent: 0 Members that were absent are

Point of Order by Mayor John Tory

Mayor Tory, on a Point of Order, stated that if Councillor Perruzza was unable to see the motion on the screen that he might be asking to reconsider the vote and that the Member should be able to see the motion he is voting on.


Point of Privilege by Councillor Anthony Perruzza

Councillor Perruzza, on a Point of Privilege, stated that the motion Members are voting on should be displayed or read aloud.


Point of Order by Councillor Stephen Holyday

Councillor Holyday, on a Point of Order, stated that the Speaker should limit Member dialogue during the vote as it may be seen to be influencing the vote.

Ruling by Speaker Frances Nunziata
Speaker Nunziata accepted the Points of Order and Privilege and ruled that she had asked Members to keep it down.


Point of Privilege by Mayor John Tory

Mayor Tory, on a Point of Privilege, stated that his earlier comments regarding Councillor Perruzza's vote were not an attempt to influence the vote, but out of concern that that the Member could not see the motion and would potentially vote the wrong way and ask for a revote.  Mayor Tory further stated that Council should not vote if Members can't see the motion.  


Point of Privilege by Councillor Stephen Holyday

Councillor Holyday, on a Point of Privilege, stated that he believed that Members have only acted honourably.

Ruling by Speaker Frances Nunziata
Speaker Nunziata accepted the Points of Privilege and ruled that it was difficult to hear when four or five Members are raising Points of Order or Privilege while the Clerk is trying to conduct a recorded vote and apologized to the Members.

HL25.3 - Response to COVID-19 - January 2021 Update

Decision Type:
ACTION
Status:
Amended
Wards:
All

Board Recommendations

The Board of Health recommends that:

 

1.  City Council request the Federal Government to provide funding to the City of Toronto to support the City of Toronto's COVID-19 Immunization Task Force's plan for a broad-based community engagement, education, and mobilization campaign to raise awareness and build support for the COVID-19 vaccine.

 

2.  City Council urge the Government of Ontario to take immediate action to address the rising rate of new COVID-19 cases, hospitalizations, and patients in intensive care units, including the following:

 

a.  provide additional supports to essential frontline workers, including paid sick leave, targeted support for temporary workers, and enhanced proactive workplace inspections;

 

b.  continue efforts to expand test, trace, and isolate systems;

 

c.  provide additional financial relief to ensure that affected businesses and workers are fully supported through the lockdown period;

 

d.  continue to carefully monitor the Provincial circumstances and other evidence in order to adjust public health measures accordingly; and

 

e.  proactively plan to reopen schools and other sectors safely.

 

3.  City Council request the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000 or through a different mechanism;

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

 

4.  City Council request the Ontario Ministry of Labour, Training and Skills Development to provide resources and funding to support workplaces that hire temporary workers to appropriately train staff in the use of Personal Protective Equipment and infection prevention and control measures.

Decision Advice and Other Information

The Board of Health:

 

1.  Requested the Federal Government to provide funding to the City of Toronto to support the City of Toronto's COVID-19 Immunization Task Force's plan for a broad-based community engagement, education, and mobilization campaign to raise awareness and build support for the COVID-19 vaccine.

 

2.  Urged the Government of Ontario to take immediate action to address the rising rate of new COVID-19 cases, hospitalizations, and patients in intensive care units, including the following:

 

a.  provide additional supports to essential frontline workers, including paid sick leave, targeted support for temporary workers, and enhanced proactive workplace inspections;

 

b.  continue efforts to expand test, trace, and isolate systems;

 

c.  provide additional financial relief to ensure that affected businesses and workers are fully supported through the lockdown period;

 

d.  continue to carefully monitor the Provincial circumstances and other evidence in order to adjust public health measures accordingly; and

 

e.  proactively plan to reopen schools and other sectors safely.

 

3.  Requested the Government of Ontario to collect and share disaggregated data based on race, income, occupation, neighbourhood, and housing status as part of the Provincial COVID-19 immunization data system.

 

4.  Requested the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000 or through a different mechanism;

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

 

5.  Called on the Government of Ontario to recognize supportive housing as a public health measure to protect vulnerable and marginalized residents who are experiencing homelessness and provide $48 million in annual ongoing operating funding to create and maintain 2,000 new permanent supportive housing opportunities by mid-2022, with $12.24 million per year required immediately (and ongoing annually) to operationalize 510 supportive housing units and an additional $14.11 million per year starting in September 2021 (and ongoing annually) to operationalize an additional 588 supportive housing units in Toronto in 2021, as requested by Toronto City Council in December 2020 (Item 2020.PH19.11, Emergency Housing Action).


6.  Requested the Ontario Ministry of Health to publicly provide a detailed breakdown of the proposed phased vaccine prioritization framework, including a specific breakdown of the individuals and groups who will be prioritized in Phase 2 of the Ontario COVID-19 Vaccine Distribution Implementation Plan.

 

7.  Requested the Ontario Ministry of Labour, Training and Skills Development to require employers to ensure that existing and future sick leave provisions, including protections against repercussions by employers when workers access sick leave and follow public health guidelines, are clearly communicated to workers and management in multiple languages.

 

8.  Requested the Ontario Ministry of Labour, Training and Skills Development to provide resources and funding to support workplaces that hire temporary workers to appropriately train staff in the use of Personal Protective Equipment and infection prevention and control measures.

 

9.  Requested the Medical Officer of Health, in consultation with the Fire Chief and General Manager, Emergency Management, and Toronto's COVID-19 Incident Commander, and the Executive Director, Social Development, Finance and Administration, to report to the March 22, 2021 meeting of the Board of Health with detailed breakdowns of immunization plans for all priority populations and vulnerable groups, such as people experiencing homelessness, people living in congregate settings, and essential frontline workers, by the Government of Ontario, the City of Toronto, and Toronto Public Health, including overcoming vaccine hesitancy.

 

10.  Requested the Medical Officer of Health to report in 2021 on the status and trends in workplace COVID-19 outbreak data and any new Provincial safety measures for essential workplaces and essential workers.

 

11.  Requested the Medical Officer of Health to publicly post, on a weekly basis, the names of workplaces with COVID-19 outbreaks, as closely aligned with other summary reports as possible, in a manner that maintains and protects individual privacy and that is based on the Provincial outbreak definition of two or more cases over a 14-day period.

 

12.  Requested the Medical Officer of Health to engage Toronto's COVID-19 Community Cluster tables and other relevant stakeholders on the development of Toronto Public Health's equity indicators and include these indicators in the Toronto Public Health COVID-19 Monitoring Dashboard in February 2021.

 

13.  Requested the Medical Officer of Health to explore any opportunity to directly collect disaggregated data as part of Toronto Public Health's COVID-19 immunization campaign.

 

14.  Requested the Medical Officer of Health to consider and implement any additional measures or restrictions necessary to halt the spread of COVID-19, in partnership with Ontario's Public Health Units and the Government of Ontario or under their own powers under the Health Protection and Promotion Act.

 

15.  Directed that the report (January 5, 2021) from the Medical Officer of Health be forwarded for information to the Federal Government, the Federation of Canadian Municipalities, and the Association of Municipalities of Ontario, with a request that they review and consider Part 4 above.

 

The Medical Officer of Health, the Fire Chief and General Manager, Emergency Management, and Toronto's COVID-19 Incident Commander, and the Director, Community Resources, Social Development, Finance and Administration, gave a presentation on Response to COVID-19: Update Presentation to the Board of Health.

Origin

(January 5, 2021) Report from the Medical Officer of Health

Summary

This report provides an update on the COVID-19 pandemic locally and the City of Toronto's COVID-19 Immunization Task Force's (ITF) planning. It also outlines Toronto Public Health's (TPH) response to COVID-19 outbreaks in workplaces, provides an update on the launch of TPH equity indicators on the TPH COVID-19 Monitoring Dashboard, outlines supports intended to facilitate self-isolation for families due to COVID-19 infection in a household, and provides information on the importance of paid sick leave provisions, particularly for essential workers, in mitigating the spread of COVID-19.

 

On December 21, 2020, the Provincial Government announced that Ontario would be moving into the "Grey - Lockdown" level of the Province's Keeping Ontario Safe and Open Framework as of December 26, 2020. Toronto has been in the "Grey - Lockdown" level since November 24, 2020 and will remain at this level until at least January 23, 2021. These restrictions remain in place in response to the continuing significant rate of COVID-19 spread in Toronto.

 

The COVID-19 ITF continues to plan for the roll-out of the vaccine to all Toronto residents in order to protect everyone against COVID-19 infection and end the pandemic. As of the end of 2020, over 50,000 doses have been received in Toronto and these are being administered to residents, essential care providers and staff of long-term care homes and retirement homes. In early 2021, it is expected that another 50,000 doses of the Pfizer/BioNTech and Moderna COVID-19 vaccines will be available for administration in Toronto.

 

On September 21, 2020, the Board of Health (BOH) requested TPH to publicly share details of workplace outbreaks while respecting privacy requirements. TPH has developed a process to share anonymized outbreak information related to community and workplace settings on its website. These details are expected to become publicly available early in 2021.

 

On October 19, 2020, the BOH requested TPH to expand the TPH COVID-19 Monitoring Dashboard to include equity indicators. In consultation with key equity-seeking stakeholders, TPH will be expanding the TPH COVID-19 Monitoring Dashboard in February 2021 to include three equity indicators on income, ethno-racial group and neighbourhoods. These indicators will provide insight into how well the response to the pandemic is contributing to a reduction in COVID-19 related socio-demographic inequities and will support TPH decision-making.

 

During the pandemic, it has become increasingly evident that paid sick leave provisions are essential to protect the health of individual workers, their workplaces, and the broader community. This report recommends that the Government of Ontario require employers in the province to provide no less than five paid sick days annually and provide necessary funding, fiscal relief and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually during a declared infectious disease emergency such as the COVID-19 pandemic.

Background Information

(January 5, 2021) Report from the Medical Officer of Health on Response to COVID-19 - January 2021 Update
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-159740.pdf
Attachment 1 - Sick Leave Provisions by Province
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-159741.pdf
(January 18, 2021) Presentation from the Medical Officer of Health, the Fire Chief and General Manager, Emergency Management, and Toronto's COVID-19 Incident Commander, and the Director, Community Resources, Social Development, Finance and Administration on Response to COVID-19: Update Presentation to the Board of Health
https://www.toronto.ca/legdocs/mmis/2021/hl/bgrd/backgroundfile-160096.pdf

Communications

(January 5, 2021) Submission from Christine Massey (HL.Main)
(January 5, 2021) E-mail from Christine Massey (HL.Main)
(January 6, 2021) E-mail from Christine Massey (HL.Main)
(January 14, 2021) Letter from Susan McMurray, Toronto and York Region Labour Council (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125752.pdf
(January 14, 2021) Letter from Naureen Rizvi, Unifor Ontario (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125753.pdf
(January 15, 2021) E-mail from John Maxwell, AIDS Committee of Toronto (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125754.pdf
(January 15, 2021) Submission from Josh Fullan, Maximum City (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125756.pdf
(January 15, 2021) Letter from Paul M. Taylor and Crystal Sinclair, FoodShare (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125777.pdf
(January 15, 2021) Letter from Nation Cheong, United Way Greater Toronto (HL.New)
https://www.toronto.ca/legdocs/mmis/2021/hl/comm/communicationfile-125796.pdf
(January 17, 2021) Submission from Derek Moran (HL.New)

Speakers

Josephine Petcher, Unifor National
Josh Fullan, Maximum City
Derek Moran

Motions

1 - Motion to Amend Item (Additional) moved by Councillor Joe Cressy (Carried)

That:

 

1.  City Council and the Board of Health urge the Government of Ontario to take immediate action to address the rising rate of new COVID-19 cases, hospitalizations, and patients in intensive care units, including the following:

 

a.  provide additional supports to essential frontline workers, including paid sick leave, targeted support for temporary workers, and enhanced proactive workplace inspections;

 

b.  continue efforts to expand test, trace, and isolate systems;

 

c.  provide additional financial relief to ensure that affected businesses and workers are fully supported through the lockdown period;

 

d.  continue to carefully monitor the Provincial circumstances and other evidence in order to adjust public health measures accordingly; and

 

e.  proactively plan to reopen schools and other sectors safely.

 

2.  The Board of Health call on the Government of Ontario to recognize supportive housing as a public health measure to protect vulnerable and marginalized residents who are experiencing homelessness and provide $48 million in annual ongoing operating funding to create and maintain 2,000 new permanent supportive housing opportunities by mid-2022, with $12.24 million per year required immediately (and ongoing annually) to operationalize 510 supportive housing units and an additional $14.11 million per year starting in September 2021 (and ongoing annually) to operationalize an additional 588 supportive housing units in Toronto in 2021, as requested by Toronto City Council in December 2020 (Item 2020.PH19.11, Emergency Housing Action).

 

3.  The Board of Health request the Government of Ontario to collect and share disaggregated data based on race, income, occupation, neighbourhood, and housing status as part of the Provincial COVID-19 immunization data system.

 

4.  The Board of Health request the Ontario Ministry of Health to publicly provide a detailed breakdown of the proposed phased vaccine prioritization framework, including a specific breakdown of the individuals and groups who will be prioritized in Phase 2 of the Ontario COVID-19 Vaccine Distribution Implementation Plan.

 

5.  The Board of Health request the Ontario Ministry of Labour, Training and Skills Development to require employers to ensure that existing and future sick leave provisions, including protections against repercussions by employers when workers access sick leave and follow public health guidelines, are clearly communicated to workers and management in multiple languages.

 

6.  The Board of Health request the Medical Officer of Health to report in 2021 on the status and trends in workplace COVID-19 outbreak data and any new Provincial safety measures for essential workplaces and essential workers.

 

7.  The Board of Health request the Medical Officer of Health to publicly post, on a weekly basis, the names of workplaces with COVID-19 outbreaks, as closely aligned with other summary reports as possible, in a manner that maintains and protects individual privacy and that is based on the Provincial outbreak definition of two or more cases over a 14-day period.

 

8.  The Board of Health request the Medical Officer of Health to consider and implement any additional measures or restrictions necessary to halt the spread of COVID-19, in partnership with Ontario's Public Health Units and the Government of Ontario or under their own powers under the Health Protection and Promotion Act.

 

9.  The Board of Health request the Medical Officer of Health, in consultation with the Fire Chief and General Manager, Emergency Management, and Toronto's COVID-19 Incident Commander, and the Executive Director, Social Development, Finance and Administration, to report to the March 22, 2021 meeting of the Board of Health with detailed breakdowns of immunization plans for all priority populations and vulnerable groups, such as people experiencing homelessness, people living in congregate settings, and essential frontline workers, by the Government of Ontario, the City of Toronto, and Toronto Public Health, including overcoming vaccine hesitancy.

 

10.  The Board of Health request the Medical Officer of Health to explore any opportunity to directly collect disaggregated data as part of Toronto Public Health's COVID-19 immunization campaign.

 

11.  The Board of Health amend Recommendation 4 by adding a new part so that it now reads as follows:

 

4.  City Council and the Board of Health request the Government of Ontario to:

 

a.  require employers in Ontario to provide no less than five paid sick days annually to workers, after three months of employment, through amendments to the Employment Standards Act, 2000 or through a different mechanism; and

 

b.  provide necessary funding, fiscal relief, and/or supports to employers so that all workers in Ontario have access to no less than 10 paid sick days annually in the event of a declared infectious disease emergency such as the COVID-19 pandemic; and

 

c.  ensure all workers in Ontario have access to protected and paid emergency leave so that care can be provided to children, parents, or other family members who may become ill.

Vote (Amend Item (Additional)) Jan-18-2021

Result: Carried Majority Required
Total members that voted Yes: 12 Members that voted Yes are Paul Ainslie, Ashna Bowry, Brad Bradford, Joe Cressy (Chair), Stephanie Donaldson, Mike Layton, Ida Li Preti, Kate Mulligan, Gord Perks, Peter Wong, Soo Wong, Kristyn Wong-Tam
Total members that voted No: 0 Members that voted No are
Total members that were Absent: 1 Members that were absent are Angela Jonsson

Motion to Adopt Item as Amended moved by Councillor Joe Cressy (Carried)

Vote (Adopt Item as Amended) Jan-18-2021

Result: Carried Majority Required
Total members that voted Yes: 12 Members that voted Yes are Paul Ainslie, Ashna Bowry, Brad Bradford, Joe Cressy (Chair), Stephanie Donaldson, Mike Layton, Ida Li Preti, Kate Mulligan, Gord Perks, Peter Wong, Soo Wong, Kristyn Wong-Tam
Total members that voted No: 0 Members that voted No are
Total members that were Absent: 1 Members that were absent are Angela Jonsson
Source: Toronto City Clerk at www.toronto.ca/council