1 00:00:00,000 --> 00:00:10,140 I'm honored to be joining the board. I'm born and raised in Thunder Bay area. My background is all nursing. We have done some traveling and 2 00:00:10,140 --> 00:00:25,380 lived and worked in the states for a period of time and then out in BC. So worked in various health care settings and different jurisdictions. So, you know, right currently I'm working for the 3 00:00:25,380 --> 00:00:30,240 I'm here at Greenstone District School Board as the disability and wellness administrator. 4 00:00:31,220 --> 00:00:40,340 So I've had a lot of work to do and done with the health unit this winter and through the spring in 5 00:00:40,340 --> 00:00:47,520 terms of COVID. So I'm excited to be sitting on the board and learning more about the board and the 6 00:00:47,520 --> 00:00:50,940 work that is done with the health unit. So thank you. 7 00:00:52,660 --> 00:00:53,660 Thank you very much. 8 00:00:56,260 --> 00:00:59,380 So going around the room, again, with the interference 9 00:00:59,380 --> 00:01:03,300 we're getting on the microphones, please just put your mic on as you speak. 10 00:01:03,580 --> 00:01:06,780 So we'll go through the same as we'll call it, say, who you are, 11 00:01:06,980 --> 00:01:08,660 and the area that you're representing. 12 00:01:08,940 --> 00:01:12,980 So Stevenson gets an idea of who we are and where we're from. 13 00:01:13,260 --> 00:01:14,240 So starting with Bishop. 14 00:01:15,560 --> 00:01:16,040 Yes. 15 00:01:16,340 --> 00:01:17,060 Hello and welcome. 16 00:01:17,440 --> 00:01:21,040 My name is Elena Bishop, and I represent all over Papung on council. 17 00:01:21,040 --> 00:01:21,940 Thank 18 00:01:24,760 --> 00:01:31,060 you Ms. Bishop Mr. Gail who's not with us is the CEO for the City of Thunder Bay. Miss 19 00:01:31,060 --> 00:01:39,640 Herashello. Hello Sonja. I know her quite well. I represent the municipality of Dorian, 20 00:01:40,320 --> 00:01:41,560 Redrock and Nippigan. 21 00:01:43,980 --> 00:01:49,860 Thank you Ms. Johnson. Thank you. Welcome Ms. Stevenson. I'm sure that you will 22 00:01:49,860 --> 00:01:52,100 I was in my, I think, third and fourth meeting. 23 00:01:52,100 --> 00:01:54,180 I have just come onto the board myself. 24 00:01:54,720 --> 00:01:57,720 I am a city councilor with the city of Thunder Bay 25 00:01:57,720 --> 00:02:00,500 and I represent council on the health board. 26 00:02:02,570 --> 00:02:04,410 Thank you, Mr. McEckron. 27 00:02:08,770 --> 00:02:09,730 You're on mute, sir. 28 00:02:14,260 --> 00:02:15,520 I'm having our time with, okay. 29 00:02:15,800 --> 00:02:17,920 My name is John McEckron, I'm the mayor of Manage-wise. 30 00:02:18,300 --> 00:02:18,880 I'd like to see you. 31 00:02:20,880 --> 00:02:21,700 And so on your journey, 32 00:02:21,940 --> 00:02:23,600 first and we have had the opportunity to speak. 33 00:02:23,980 --> 00:02:26,540 For me, I'm a councilor for the long-lack war, 34 00:02:26,660 --> 00:02:27,980 the municipality of Greenstone. 35 00:02:28,880 --> 00:02:30,040 Mr. Mullins. 36 00:02:32,040 --> 00:02:33,020 Aye, welcome. 37 00:02:33,820 --> 00:02:35,280 My name is Mayor Mullins. 38 00:02:35,640 --> 00:02:40,060 I represent a Scriber, Township Scriber and Township Therese Bay. 39 00:02:41,220 --> 00:02:44,760 I'm really enjoying my term on here. 40 00:02:45,040 --> 00:02:47,760 It's very enlightening to say the least. 41 00:02:48,040 --> 00:02:48,720 Thank you. 42 00:02:49,960 --> 00:02:51,000 Mr. Gorman. 43 00:02:51,760 --> 00:02:52,880 Hi, Sonia. 44 00:02:53,060 --> 00:02:55,780 I'm a Councillor with the Township of Gillies. 45 00:02:55,780 --> 00:03:00,320 and I'm also representing the township of Leigh being on this board. 46 00:03:00,800 --> 00:03:01,000 Do 47 00:03:03,180 --> 00:03:04,700 we have Mr. Smith on yet? 48 00:03:07,700 --> 00:03:09,920 Seeing him, Mr. Valance. 49 00:03:14,210 --> 00:03:17,490 Hello, my name is Greg Valance and I am a councillor for the town of 50 00:03:17,490 --> 00:03:19,270 Marathon. Welcome aboard. 51 00:03:23,050 --> 00:03:24,370 Thank you. We don't have Mr. 52 00:03:24,450 --> 00:03:29,710 Vesna with us. Newswear water. Welcome, Sanya. My name is Michelle 53 00:03:29,710 --> 00:03:33,470 Werboda and I'm with the City of Thunder Bay. I'm a director for the 54 00:03:33,470 --> 00:03:37,170 environment, environment division, so I'm looking forward to working with you. 55 00:03:40,940 --> 00:03:48,020 So there we go Ms. Stevenson, a few faces. Unfortunately this is as close as we've got to see each 56 00:03:48,020 --> 00:03:53,000 other in over a year. So at some point we will get face to face and we have a better understanding 57 00:03:53,000 --> 00:03:55,600 of some of the personalities of everybody. 58 00:03:58,290 --> 00:04:01,190 Voting, voting for today's meeting. Special thanks 59 00:04:01,190 --> 00:04:07,070 to Mr. Smith for keeping on my case while fighting another way to vote at the meetings. And we've 60 00:04:07,070 --> 00:04:12,970 gone through Roberts rules, we've gone through our by-law, so because we don't have in 61 00:04:12,970 --> 00:04:20,370 our procedural by-laws something saying otherwise, what I can do is ask instead of four people 62 00:04:20,370 --> 00:04:26,350 in favor, I can ask if there are any objections. And if I hear of no objections, then I can 63 00:04:26,350 --> 00:04:32,890 announce the motion is carried. Should someone wish to make an objection, then I will revert 64 00:04:32,890 --> 00:04:36,010 to our previous role called form of vote process. 65 00:04:37,650 --> 00:04:41,350 And unanimous consent, if there is no objective, 66 00:04:41,510 --> 00:04:42,910 it doesn't mean that someone may disagree. 67 00:04:43,330 --> 00:04:45,070 It may feel that they understand 68 00:04:45,070 --> 00:04:46,410 that the motion may be carried 69 00:04:46,410 --> 00:04:48,710 and to save the process of a vote. 70 00:04:49,210 --> 00:04:50,930 So please, all if you do have an objection, 71 00:04:51,570 --> 00:04:53,270 let me know, and we'll go through the process. 72 00:04:53,910 --> 00:04:56,590 Otherwise, I will ask if there are any, if none, 73 00:04:56,870 --> 00:04:58,810 that will certainly speed us up, so thank you. 74 00:05:00,150 --> 00:05:04,030 Second item is follow-up from the chair evaluations. 75 00:05:04,390 --> 00:05:08,910 I really appreciate the time people put in to evaluate my performance and how I can 76 00:05:08,910 --> 00:05:09,970 do better as your chair. 77 00:05:11,390 --> 00:05:14,710 One of the common threads was the process of questions. 78 00:05:16,130 --> 00:05:25,430 And to address the concerns and the suggestions that came out of the evaluations, process 79 00:05:25,430 --> 00:05:33,330 for questions will be that put your hands up electronically so I can see who has raised 80 00:05:33,330 --> 00:05:37,550 your hands. I will mark it down on the speaker's list. I will do my best to get it in order 81 00:05:37,550 --> 00:05:46,750 of hands going up. Ask your one specific question. If the response doesn't clarify your question, 82 00:05:46,930 --> 00:05:52,130 you can ask for an additional or supplemental to that question. Then I will go down to the next 83 00:05:52,130 --> 00:05:57,650 person on the list for their first questions. And the purpose of that is it was strongly 84 00:05:57,650 --> 00:06:02,990 suggested that I need to involve more people in asking of questions. So this will allow 85 00:06:02,990 --> 00:06:08,290 more people to take the opportunity to ask a question. And if you do think of a question 86 00:06:08,290 --> 00:06:15,750 as the process goes, raise your hand electronically, pick it up, and then maybe into the second 87 00:06:15,750 --> 00:06:19,750 round before I get to you, I will not get to everybody. And then if you have other questions, 88 00:06:19,750 --> 00:06:25,510 not tied to your first question. Let me know by keeping your hand up and I will 89 00:06:25,510 --> 00:06:29,030 add you into the second or third or fourth whatever number of questions that we do need. 90 00:06:30,050 --> 00:06:34,650 So hopefully that process will allow us to encourage people to ask questions 91 00:06:34,650 --> 00:06:40,910 and to ensure that everyone gets through their questions that they have. 92 00:06:44,250 --> 00:06:45,610 Item three on 93 00:06:45,610 --> 00:06:50,210 our agenda is decorations of conflict of interest. Are there any decorations of 94 00:06:50,210 --> 00:06:52,390 conflict, either personal or pecuniary. 95 00:06:57,820 --> 00:07:01,780 Non-mention will go to approval of the agenda 96 00:07:01,780 --> 00:07:10,300 and Ms. Stevens, do I need to amend the agenda for an item coming out of in-camera? 97 00:07:11,640 --> 00:07:14,380 I know sir, you do not. Okay. 98 00:07:17,510 --> 00:07:19,290 So it has been moved by Mr. Gorman, 99 00:07:19,570 --> 00:07:23,610 second by Mr. Mullins, that the agenda for the regular Board of Health, 100 00:07:23,610 --> 00:07:28,370 need to be held in June 16th, 2021 be approved. Are there any errors or 101 00:07:28,370 --> 00:07:29,510 emissions to the agenda? 102 00:07:33,940 --> 00:07:38,200 Are there being non-skated? Are there any objections to 103 00:07:38,200 --> 00:07:39,900 the carrying of this motion? 104 00:07:44,960 --> 00:07:46,580 There being none, the motion is carried. 105 00:07:53,470 --> 00:07:53,950 Information 106 00:07:55,670 --> 00:07:59,390 session, Ms. Ravichak, you have the floor for the I-PAC hub. 107 00:08:00,170 --> 00:08:04,410 Thank you, Mr. Chair. So I'd like to introduce the manager of our infectious disease 108 00:08:04,410 --> 00:08:09,610 program Diana Galemlock and Anita Ella who is the coordinator of our 109 00:08:09,610 --> 00:08:13,550 infection prevention and control team hopefully they both keep up their 110 00:08:13,550 --> 00:08:18,890 camera glass so you can see them. During the pandemic the Ministry of Health 111 00:08:18,890 --> 00:08:24,530 identified gaps in eye-pack measures and how they get settings and in order to 112 00:08:24,530 --> 00:08:28,830 address this funding was provided. To organizations broke the 113 00:08:28,830 --> 00:08:31,270 province to create high-packed programs. 114 00:08:31,930 --> 00:08:36,790 More than public health units receive funding to create these programs for education and 115 00:08:36,790 --> 00:08:42,670 support for car sharing services, particularly ones that don't have internal programs such 116 00:08:42,670 --> 00:08:43,410 as shelter. 117 00:08:43,810 --> 00:08:48,890 So, at this point, I'll hand it over to Anita so she can provide more information on this 118 00:08:48,890 --> 00:08:49,190 program. 119 00:08:52,670 --> 00:08:53,350 Thank you, Danielle. 120 00:08:53,930 --> 00:08:59,490 So I did put together a quick PowerPoint presentation, so I'm going to go ahead and share 121 00:08:59,490 --> 00:09:00,350 my screen here. 122 00:09:00,350 --> 00:09:02,110 Just let me know if you can see it. 123 00:09:11,080 --> 00:09:12,100 Can everybody see that? 124 00:09:12,660 --> 00:09:13,200 We have it. 125 00:09:13,920 --> 00:09:14,240 Wonderful. 126 00:09:15,020 --> 00:09:17,840 So thank you for the opportunity to present today. 127 00:09:18,720 --> 00:09:23,200 I just want to provide you a little bit of a background on why IPAC hubs were developed. 128 00:09:23,860 --> 00:09:25,740 I'd like to Neil had it alluded to. 129 00:09:26,140 --> 00:09:30,740 Explain the concept of the hub and spoke model that our program is based on. 130 00:09:31,220 --> 00:09:35,300 Let you know who we serve and what supports we do provide here at the hub. 131 00:09:35,300 --> 00:09:36,340 So 132 00:09:39,060 --> 00:09:45,200 back in March of last year, who declared the novel coronavirus outbreak a global pandemic, 133 00:09:45,800 --> 00:09:49,800 the health unit realized at that time that there was a great deal of work to be done, 134 00:09:50,220 --> 00:09:54,160 to ensure that congregate settings were prepared for COVID outbreak response. 135 00:09:54,900 --> 00:09:58,000 So congregate setting working groups were quickly formed, 136 00:09:58,240 --> 00:10:00,380 and we were able to support those settings. 137 00:10:01,000 --> 00:10:04,420 And this is truly where the planning and the important work began, 138 00:10:04,420 --> 00:10:09,840 ensuring that all settings were prepared for any type of outbreak response that was needed. 139 00:10:11,300 --> 00:10:16,580 In the spring of 2020, a majority of the settings were visited by our environmental health 140 00:10:16,580 --> 00:10:21,860 teams, and at that time our checklists for preparedness were completed with each setting. 141 00:10:22,680 --> 00:10:27,740 In the fall, when we saw our local cases increase, settings were visited once again, 142 00:10:28,000 --> 00:10:30,900 to ensure that they were prepared, and that checklists were reviewed, 143 00:10:33,120 --> 00:10:34,160 and of course, 144 00:10:34,160 --> 00:10:40,360 we all saw as time went on that the pandemic was evolving. It was evident that those individuals 145 00:10:40,360 --> 00:10:46,820 either working or living within congregate settings were at most risk of COVID-19. And within 146 00:10:46,820 --> 00:10:52,280 Ontario, we all saw the devastating effects that COVID was having on those individual settings. 147 00:10:52,920 --> 00:10:56,080 And when we're talking about congregate living settings, we're talking about those settings 148 00:10:57,000 --> 00:11:04,020 where individuals are not related, who live within the same home. And they share common areas 149 00:11:04,020 --> 00:11:10,040 or spaces such as washrooms, kitchens, living areas, so long-term care homes, retirement homes, 150 00:11:10,360 --> 00:11:15,400 corrections, jails, a lot of the shelters, group homes that we have in our community. 151 00:11:16,440 --> 00:11:21,720 So as part of the planning to keep Ontario safe and preparing for future waves, 152 00:11:22,300 --> 00:11:27,360 the need was identified at that time for COVID, IPAC preparedness with prevention as a goal 153 00:11:27,360 --> 00:11:31,480 within these settings, so hence iPAC hubs were developed. 154 00:11:34,310 --> 00:11:40,590 So all hubs within the province of Ontario are based on this hub and spoke model or concept that you see there. 155 00:11:40,850 --> 00:11:48,470 And the premise is that through these new province-wide networks, congregate living settings will be able to access iPAC expertise 156 00:11:48,470 --> 00:11:55,970 and just in time advice or guidance and direct support on iPAC practices through this collaborative one window approach. 157 00:11:55,970 --> 00:12:02,890 So in the north of health units were chose most likely to be the leads in the south hospitals are the leads. 158 00:12:03,090 --> 00:12:14,630 So I just put up a diagram of us being the hub of this model were in the middle and then we have all of our partners that we have on the outside as our spokes. 159 00:12:16,810 --> 00:12:24,050 So here at the health unit our team was created and we all came together in the beginning of February in 2021. 160 00:12:24,050 --> 00:12:27,110 and our team consists of myself, a coordinator, 161 00:12:27,870 --> 00:12:30,050 we have a public health inspector, Amanda, 162 00:12:30,490 --> 00:12:32,590 on our team as well as a public health nurse, 163 00:12:32,870 --> 00:12:35,330 a Courtney, and we're under the direction and guidance 164 00:12:35,330 --> 00:12:38,130 of our manager, Diana, that you all know. 165 00:12:39,550 --> 00:12:41,350 So the Health Unit's IPAC hub, 166 00:12:41,490 --> 00:12:43,410 it was created to support and enhance 167 00:12:43,410 --> 00:12:46,090 those IPAC practices within community-based, 168 00:12:46,230 --> 00:12:48,490 congregate-living organizations or settings 169 00:12:48,490 --> 00:12:51,450 within the city as well as the District of Thunder Bay. 170 00:12:51,450 --> 00:12:56,270 and our primary goal is to improve IPAC preparedness with that prevention mind. 171 00:12:56,890 --> 00:13:01,910 We want to prevent COVID from entering those settings, but if it were identified within those settings, 172 00:13:01,930 --> 00:13:07,030 we want those settings to be able to be prepared to implement IPAC measures that they need 173 00:13:07,030 --> 00:13:09,710 to further reduce spread within their setting. 174 00:13:11,250 --> 00:13:15,290 Our aim is just to strengthen our partners' IPAC knowledge and abilities 175 00:13:15,290 --> 00:13:20,790 and to implement IPAC measures that will decrease the impact of outbreaks within their settings. 176 00:13:20,790 --> 00:13:26,110 And this, of course, increases the quality of life for their staff, residents, and families, 177 00:13:26,110 --> 00:13:31,430 and ultimately improves overall eye-packed preparedness within these settings, which we know 178 00:13:31,430 --> 00:13:32,050 was lacking. 179 00:13:33,890 --> 00:13:40,430 So here at the hub, we support long-term care and retirement homes, residential settings, 180 00:13:40,650 --> 00:13:45,170 assisted living support of housing, shelters, youth residential settings. 181 00:13:45,410 --> 00:13:50,090 So examples of some organizations we've been involved with since the beginning. 182 00:13:50,090 --> 00:13:53,590 of our program, or the Shelter House Salvation Army, 183 00:13:53,870 --> 00:13:57,310 Liquid on Lodge, Corrections, Options Northwest, 184 00:13:57,790 --> 00:14:00,450 Crossroads, John Howard Society, just to name a few. 185 00:14:03,720 --> 00:14:06,660 So what we support, or what kind of support we do 186 00:14:06,660 --> 00:14:10,500 to provide those organizations, I-PAC education and training. 187 00:14:10,800 --> 00:14:14,120 So we support ongoing education and training by increasing 188 00:14:14,120 --> 00:14:17,960 and expanding those settings that I-PAC knowledge. 189 00:14:18,600 --> 00:14:21,640 We conduct site visits and consult to assist settings 190 00:14:21,640 --> 00:14:26,860 and open preparedness so we provide support for completing and reviewing the checklist that 191 00:14:26,860 --> 00:14:32,140 is applicable to those homes and we know as the pandemic has evolved those plans as well 192 00:14:32,140 --> 00:14:38,160 have evolved and changed so we've been auditing those those checklists that they have in place 193 00:14:38,160 --> 00:14:44,040 and plans and we also provide best practice recommendations to strengthen and enhance any 194 00:14:44,040 --> 00:14:50,400 curtain practices and policies and procedures that they have in place. Of course when we make 195 00:14:50,400 --> 00:14:55,840 those best practice recommendations were able to provide support to ensure that organizations 196 00:14:55,840 --> 00:14:58,480 are able to implement them, so we're able to do that. 197 00:14:59,120 --> 00:14:59,960 React as a resource. 198 00:15:00,000 --> 00:15:06,460 So, we share and direct settings on where to find current best practices, up to gate, regulations, 199 00:15:06,800 --> 00:15:13,040 directive, guidance documents, resources, through that one window approach model. And we know 200 00:15:13,040 --> 00:15:27,780 that things change all the time. So, we're really trying to ensure that our organizations are up to date. And then the last thing is we're facilitating a community of practice. So, what we've done is we've created and developed a community of practice. 201 00:15:27,780 --> 00:15:36,720 And what that just means is it's a platform, it's a dedicated time and space that we all meet once a month the partners and our settings as a group. 202 00:15:36,960 --> 00:15:43,540 And we just connect and it's an opportunity to learn, share, and support one another within our roles of infection control. 203 00:15:44,020 --> 00:15:47,820 And prior to this, no platform existed where we were able to do that. 204 00:15:49,100 --> 00:15:57,620 So it's been a fantastic group, it's been growing, and a unique way that we're able to support each other and navigate these unprecedented times. 205 00:15:59,540 --> 00:16:08,020 And our eye-packed team will continue certainly to work closely with Health Unit staff and our partners to show that any enhanced eye-pack needs identified, 206 00:16:08,020 --> 00:16:12,980 either through routine inspections or other activities, will be supported through the hub. 207 00:16:12,980 --> 00:16:18,460 So, ensuring we're not duplicating services that the Health Unit and other partners already have in place, 208 00:16:18,920 --> 00:16:23,340 but just support and enhancing what is already there through that collaborative approach. 209 00:16:25,120 --> 00:16:30,800 And moving forward, we've developed an email address for our partners, Health Unit staff, 210 00:16:31,000 --> 00:16:33,520 and everyone to be able to connect with us. 211 00:16:33,900 --> 00:16:41,240 So, any type of needs, requests, consultations, assistance, questions related to congregate living settings 212 00:16:41,240 --> 00:16:46,000 come to one email address to all of our members, so we're able to ask 213 00:16:46,000 --> 00:16:47,760 to our partners. 214 00:16:52,620 --> 00:16:53,060 Thank you. 215 00:17:00,770 --> 00:17:02,990 Thank you Miss Allen. We're just getting ourselves 216 00:17:02,990 --> 00:17:04,330 back to 217 00:17:07,180 --> 00:17:08,840 the screen and 218 00:17:17,700 --> 00:17:22,540 I'm going through a little question list. So starting with 219 00:17:22,540 --> 00:17:24,620 Miss Bishop, you're first on the list. 220 00:17:28,510 --> 00:17:31,030 Yes, thank you very much. I do have a 221 00:17:31,030 --> 00:17:37,390 question. Is it your group that or who would it be that makes the signs that 222 00:17:37,390 --> 00:17:40,870 that tell people working in these institutions, 223 00:17:41,170 --> 00:17:43,390 how to dawn and doth, how to put on a takeoff, 224 00:17:43,790 --> 00:17:45,790 contaminated gloves and gowns. 225 00:17:46,330 --> 00:17:48,570 Who would be responsible for those little signs? 226 00:17:49,910 --> 00:17:52,150 So there's several organizations 227 00:17:52,150 --> 00:17:55,590 who create those signs for proper dawning and doffing. 228 00:17:55,890 --> 00:17:59,870 Most often the ministry public health Ontario 229 00:17:59,870 --> 00:18:02,510 has those signs, but we have developed some as well, 230 00:18:02,930 --> 00:18:04,530 specific to congregate settings. 231 00:18:04,770 --> 00:18:06,430 A lot of the signage that you do see 232 00:18:06,430 --> 00:18:12,770 is long-term care retirement home-directed, so we have created a few as well internally here at the hub. 233 00:18:14,150 --> 00:18:21,270 All right. Well, I won't bring this up right now, but I do have a question for you later. 234 00:18:21,570 --> 00:18:28,950 Do you want me to ask you now? Okay, I'm going to go ahead. I visit long-term care every second day 235 00:18:28,950 --> 00:18:35,390 because I have a family member there, and I did read the instructions and they're not right, 236 00:18:35,390 --> 00:18:42,550 They're not correct as far as I know. I just like you to look into it. In any setting of contamination, you should take off 237 00:18:42,550 --> 00:18:50,310 Your gown and then remove your gloves and they have it the opposite way around and I've been questioned by staff 238 00:18:50,310 --> 00:18:57,890 They're actually so maybe you could let me know about that privately 239 00:18:58,430 --> 00:19:03,710 For sure. Thank you. Thank you, Miss Bishop. Next question. This is Miss O'Glorment 240 00:19:04,670 --> 00:19:10,350 My question is around the knowledge and training piece and I'm wondering whether it includes 241 00:19:11,110 --> 00:19:18,530 information or concerns related to the COVID vaccine that staff may have because yes, so 242 00:19:18,530 --> 00:19:19,370 that's my question. 243 00:19:24,590 --> 00:19:24,930 Sorry. 244 00:19:25,310 --> 00:19:29,250 Sorry, what was that if I didn't get the question, sorry. 245 00:19:29,910 --> 00:19:31,870 Okay, I can repeat it. 246 00:19:31,870 --> 00:19:39,390 I'm wondering whether in your knowledge and training that you do in the congregate living settings, 247 00:19:39,390 --> 00:19:47,670 if it includes information and a chance for discussion with staff around the COVID vaccine. 248 00:19:49,740 --> 00:19:55,560 So our habit doesn't necessarily advise on vaccine. So whether it be 249 00:19:55,560 --> 00:20:01,760 priority lists or how vaccine is distributed, that would be our vaccine preventable disease program. 250 00:20:03,380 --> 00:20:04,820 here at the health unit. 251 00:20:06,620 --> 00:20:07,200 Supplemental? 252 00:20:07,200 --> 00:20:08,260 Go ahead, Mr. Gromit. 253 00:20:08,900 --> 00:20:15,960 Just to clarify, I wanted to know whether you provide information about the vaccine as 254 00:20:15,960 --> 00:20:17,840 one of the ways of handling an outbreak. 255 00:20:20,670 --> 00:20:21,850 I can answer that question. 256 00:20:22,010 --> 00:20:22,110 Yes. 257 00:20:22,370 --> 00:20:30,410 If there's any type of an outbreak question, we definitely bring up immunization and we will provide 258 00:20:30,410 --> 00:20:37,270 them with additional information on the importance of the immunization as well in over the course 259 00:20:37,270 --> 00:20:43,290 of the pandemic when there has been outbreaks we have facilitated getting them access to vaccine 260 00:20:43,290 --> 00:20:47,230 quicker. Thank you. Welcome. 261 00:20:49,240 --> 00:20:51,820 Thank you, Mr. Gordon, for the questions. I miss Bishop, 262 00:20:52,260 --> 00:20:59,920 and to Ms. Allen, I much appreciate the presentation and a final question for you. As you've worked with 263 00:20:59,920 --> 00:21:02,320 have there been some key learnings? 264 00:21:03,400 --> 00:21:03,960 Absolutely. 265 00:21:04,780 --> 00:21:11,020 Yes, we've definitely learned a lot with infection prevention and control and with COVID 266 00:21:11,020 --> 00:21:14,960 things are rapidly changing so you always have to keep up to date on the information. 267 00:21:15,260 --> 00:21:19,300 So we're constantly learning and involving our program to reflect those changes 268 00:21:19,300 --> 00:21:22,500 and keeping on top of everything that's evolving. 269 00:21:25,350 --> 00:21:26,950 Thank you very much, ma'am. I appreciate it. 270 00:21:27,050 --> 00:21:27,570 Thank you. 271 00:21:28,250 --> 00:21:31,250 Good luck for having your staff present to us. 272 00:21:31,250 --> 00:21:32,230 Thank you. 273 00:21:32,530 --> 00:21:33,090 Thank you. 274 00:21:35,460 --> 00:21:40,300 Next item on the agenda, minutes of the previous meeting, it has been moved by Ms. 275 00:21:40,420 --> 00:21:43,940 O'Gorman, seconded by Ms. Ware-Water, that the minutes of the Thunderbury District 276 00:21:43,940 --> 00:21:48,560 Board of Health, regular and closed session meeting, held on May 19th, be approved. 277 00:21:49,280 --> 00:21:51,340 Discussion comments on the minutes, 278 00:21:56,840 --> 00:22:01,400 there being none, are there any objections to the caring 279 00:22:01,400 --> 00:22:02,160 of this motion? 280 00:22:05,480 --> 00:22:07,640 Ms. Johnson, you have a question. 281 00:22:07,640 --> 00:22:14,720 Yeah, it's just that I think it's important to identify it comes up later in the in the meeting that 282 00:22:14,720 --> 00:22:23,500 the request that we had made to the have the providing anticipated date for the annual services plan has 283 00:22:23,500 --> 00:22:27,660 not been received at least that's what we get later on in the agenda. So I just wanted to make sure 284 00:22:27,660 --> 00:22:33,440 that we were aware that that had not occurred. Okay, thank you. Thank you, Mr. Oson. 285 00:22:39,720 --> 00:22:40,940 Are there any 286 00:22:41,980 --> 00:22:44,640 objections to the motion being carried. 287 00:22:48,540 --> 00:22:52,080 39, that motion is carried. 288 00:22:57,680 --> 00:23:00,320 6.2, the Executive Committee, 289 00:23:02,980 --> 00:23:06,720 minutes that were just sent out for people's information. 290 00:23:06,720 --> 00:23:08,920 If you didn't have a chance to read the email, 291 00:23:09,200 --> 00:23:10,820 then the minutes are there. 292 00:23:11,300 --> 00:23:12,540 We'll be in your email box. 293 00:23:12,940 --> 00:23:14,020 Miss Johnson, 294 00:23:17,060 --> 00:23:18,060 you're on mute, ma'am. 295 00:23:20,720 --> 00:23:21,480 Everything is off. 296 00:23:21,600 --> 00:23:22,540 Okay, I apologize for that. 297 00:23:22,540 --> 00:23:33,520 The on page 23 of the February minutes, I'm assuming that the word pre-performs should be pre-formed. 298 00:23:34,160 --> 00:23:44,420 It should be pre-performed, like P-E-R. I think that's just a little error, but I know we can't change these minutes because we're not on the executive. 299 00:23:44,900 --> 00:23:49,400 But I just think that's the wrong word. So I just want to identify that. Thank you. 300 00:23:49,400 --> 00:23:53,200 Yes, the very last word on page 23. 301 00:23:53,620 --> 00:23:53,960 Correct. 302 00:23:54,520 --> 00:23:55,480 Perform this. 303 00:23:55,860 --> 00:23:56,180 Yes. 304 00:23:57,000 --> 00:23:58,200 Ms. Stevens, we so note. 305 00:23:59,220 --> 00:24:00,200 Yes, sir. 306 00:24:00,880 --> 00:24:02,080 Thank you. 307 00:24:10,620 --> 00:24:14,420 You exist to items seven. 308 00:24:15,260 --> 00:24:18,420 I don't see any matters arising from the minutes. 309 00:24:19,160 --> 00:24:22,640 And then we're to go into closed session. 310 00:24:23,200 --> 00:24:26,060 So it has been moved by Ms. Bishop, 311 00:24:26,060 --> 00:24:31,080 second by Ms. Wearwoda, that the Board of Health was in the closed session to receive information 312 00:24:31,080 --> 00:24:37,120 relative to identified individuals and information relative to labor relations or negotiations. 313 00:24:38,140 --> 00:24:45,320 Are there any objections to us moving forward? And for the notes Ms. Stevens, I see that Mr. Smith 314 00:24:45,320 --> 00:24:46,360 has now joined us. 315 00:24:49,400 --> 00:24:51,260 You have an end on 316 00:24:53,500 --> 00:24:54,100 27. 317 00:24:59,900 --> 00:25:04,160 Objections, then we can go into closed session Dr. DeMille 318 00:25:04,160 --> 00:25:08,200 and Mr. Dill, who do we need to be meaning on the call? 319 00:25:12,500 --> 00:25:17,520 Through the share, Dan, her eye check will also be remaining on the call, as well as 320 00:25:17,520 --> 00:25:20,320 Tenio and Bradbich at the Director of Health Protection. 321 00:25:20,680 --> 00:25:25,420 I went into closed session, it's now a commodity closed session, and where we've received 322 00:25:25,420 --> 00:25:31,200 information relative to identify individuals and information related to labor relations 323 00:25:31,200 --> 00:25:32,740 or employee negotiations. 324 00:25:33,000 --> 00:25:35,580 Those items were covered in our closed session. 325 00:25:36,800 --> 00:25:41,680 Decisions of the board, we have a new resolution that came out of closed session. 326 00:25:42,520 --> 00:25:45,940 I will read the resolution, then I will need a mover and a seconder. 327 00:25:46,400 --> 00:25:52,300 Is that with respect to report number 252021, medical officer health and to CEO, the board 328 00:25:52,300 --> 00:25:58,500 health ratifies the changes tentatively agreed to by both parties in May 19, 2021, to the 329 00:25:58,500 --> 00:26:04,520 Canadian Union, a public employees members collective agreement, effective January 2021, to December 330 00:26:04,520 --> 00:26:06,020 Number 31st, 2022. 331 00:26:06,840 --> 00:26:09,120 Can I have a mover and a seconder, please? 332 00:26:10,180 --> 00:26:11,040 Mr. McKecran? 333 00:26:15,550 --> 00:26:20,470 And seconded, Ms. Bishop. 334 00:26:24,880 --> 00:26:27,180 So moved by Mr. McKecran, seconded by Ms. Bishop. 335 00:26:28,120 --> 00:26:30,120 Any discussion on the motion? 336 00:26:34,110 --> 00:26:36,810 There being none, then, are there any objections 337 00:26:36,810 --> 00:26:38,310 to this motion being carried? 338 00:26:41,720 --> 00:26:42,900 Motion is then carried. 339 00:26:56,100 --> 00:26:58,960 I have to leave this meeting at 3 o'clock. 340 00:26:59,360 --> 00:27:00,620 I have another meeting. 341 00:27:00,920 --> 00:27:03,060 Would there be anything wrong with that? 342 00:27:03,260 --> 00:27:05,700 How about signed any resolutions that would need to be changed? 343 00:27:09,260 --> 00:27:14,140 The policy committee to down. 344 00:27:15,680 --> 00:27:17,980 If you're gone, thank you for the heads up. 345 00:27:18,200 --> 00:27:20,400 Then I will ask for another person. 346 00:27:20,780 --> 00:27:21,000 All right. 347 00:27:21,000 --> 00:27:21,860 Thank you very much. 348 00:27:23,380 --> 00:27:27,900 9.2 user fee Ms. Rabichuk for yours again. 349 00:27:29,260 --> 00:27:30,760 Thank you, Ms. McPherson. 350 00:27:31,080 --> 00:27:38,920 As stated in the issue report, we are discussing that the Board of Health approved the user fees for next run on, 351 00:27:39,000 --> 00:27:42,620 which is the former birth control recently approved by Health Canada. 352 00:27:42,920 --> 00:27:47,580 And this product will be used in our sexual health clinic as well as on our street outreach program. 353 00:27:47,580 --> 00:27:53,360 and the Ontario Public Health Standards Act helped us provide a mechanism for 354 00:27:53,360 --> 00:27:56,810 the public at cost and rates of growth. 355 00:27:57,440 --> 00:27:59,440 So, I think we need to have a small audience. 356 00:27:59,980 --> 00:28:00,880 So, I think that's how that failed. 357 00:28:00,960 --> 00:28:04,580 Perhaps we need to be for Roger, who is the manager of the electrical health program, 358 00:28:05,040 --> 00:28:07,760 here to answer any questions in the public. 359 00:28:10,770 --> 00:28:12,050 Thank you, Mr. Rabbitchuk. 360 00:28:16,550 --> 00:28:18,570 I'm not seeing any questions. 361 00:28:18,950 --> 00:28:22,830 So, I'll go to the resolution, which is sponsored by Ms. Johnson's Secretary, 362 00:28:22,830 --> 00:28:29,410 by Mr. Smith. We'll use your fee next plan on that with respect to report number 2421, 363 00:28:29,610 --> 00:28:34,270 sexual health, we recommend that the addition of next plan on to the user fee schedule be approved 364 00:28:34,270 --> 00:28:38,510 and that the director of corporate services and manager of finance be authorized to complete 365 00:28:38,510 --> 00:28:45,950 any administrative matters relative to implementing these changes. Are there any objections to 366 00:28:45,950 --> 00:28:47,590 this motion being carried? 367 00:28:50,720 --> 00:28:54,480 Seeing none, the motion is carried. Thank you very much, Ms. Robert 368 00:28:54,480 --> 00:28:55,320 Next 369 00:29:01,850 --> 00:29:04,790 item is the Board of Health Policy Committee. 370 00:29:06,570 --> 00:29:08,990 Before the shutdown, we're moving along very well. 371 00:29:09,310 --> 00:29:10,970 We're working on our by-law policies. 372 00:29:11,290 --> 00:29:13,130 We've had about a year and a half gap. 373 00:29:13,690 --> 00:29:15,950 And during that time, we have lost one of our members 374 00:29:15,950 --> 00:29:18,130 to coming off of the board. 375 00:29:19,110 --> 00:29:23,430 So we're looking for someone to join us for the Board of Health 376 00:29:23,430 --> 00:29:25,470 ad hoc policy committee. 377 00:29:25,710 --> 00:29:29,130 Our goal is that late summer, we may be able to get back to work. 378 00:29:29,130 --> 00:29:35,110 So is there someone who has an interest if so put up your hand in joining us? 379 00:29:40,100 --> 00:29:40,700 Ms. Johnson, 380 00:29:45,340 --> 00:29:52,960 seeing no other hands, can I put your name down as the new rep to our committee? 381 00:29:56,360 --> 00:29:59,900 I would be pleased to do that. I enter our policies, so yes. 382 00:30:00,000 --> 00:30:18,040 Thank you. Thank you, ma'am. So therefore, moved by Mr. Smith, seconded by Mr. Bishop, that the following member, we appointed to the Board of Health, ad hoc policy committee, and that's Ms. Johnson. Thank you. Are there any objections to the motion being carried? 383 00:30:20,390 --> 00:30:30,810 Seeing none, it is carried. Thank you, Ms. Johnson. Welcome to our group. I'm looking forward to your input, because we identified we have opportunities for improvement. 384 00:30:31,790 --> 00:30:36,290 Okay, I'm happy to do that. I really enjoyed doing policies, so thank you. 385 00:30:38,280 --> 00:30:44,500 Now, communications for information. The park that I believe everybody wants to hear Dr. 386 00:30:44,700 --> 00:30:46,820 Demille speak about. The floor is yours now. 387 00:30:49,430 --> 00:30:54,410 Well, then I guess it's a thank you, Mr. Chair. I guess it's a good thing that I have overall pretty good news. 388 00:30:55,710 --> 00:30:58,830 Thank you. Thank you. It's been a tough run for all of us, yes. 389 00:30:59,090 --> 00:31:03,290 Yeah, so I will share my screen. 390 00:31:24,260 --> 00:31:30,060 So, I'm going to provide an update on both COVID-19 and a vaccine for the Thunder Ravens 391 00:31:30,060 --> 00:31:30,780 like County and Atlanta. 392 00:31:32,540 --> 00:31:39,180 So I have this collective screen shots from our website, actually, which show you how 393 00:31:39,180 --> 00:31:46,520 we're doing right now with COVID-19 and the top part, I think you could see, I don't know. 394 00:31:49,500 --> 00:31:56,380 The first, the curve with episode dates goes back to the fall and up until June 15th and 395 00:31:56,380 --> 00:31:59,660 it shows just the number of cases by episode date. 396 00:31:59,820 --> 00:32:05,580 It's not the reported date, but so you can see the large search that we had back in February 397 00:32:05,580 --> 00:32:13,820 in March and then the lower numbers that we did in the training and a little cluster, unfortunately, 398 00:32:13,820 --> 00:32:17,440 of some cases that seem to be falling down now though. 399 00:32:18,520 --> 00:32:20,400 And that's the status of this morning, 400 00:32:20,580 --> 00:32:21,980 so 35 active cases. 401 00:32:22,860 --> 00:32:25,420 Unfortunately, there are a number of individuals 402 00:32:25,420 --> 00:32:27,400 in hospital, including an ICU. 403 00:32:28,000 --> 00:32:31,660 So that just reflects the significance of COVID-19 404 00:32:31,660 --> 00:32:34,120 and the impact that it can have on residents 405 00:32:34,120 --> 00:32:36,140 in the top-fendered registered health unit area. 406 00:32:36,880 --> 00:32:39,300 The other curve is the incident rate over time. 407 00:32:39,300 --> 00:32:41,400 So it is the seven-day incident rate. 408 00:32:41,400 --> 00:32:46,300 the number of new cases per 100,000 of the population over time. 409 00:32:46,520 --> 00:32:51,480 This used to be one of the measures used by the government to go through the color-coded 410 00:32:51,480 --> 00:33:00,220 framework, and we are fairly low at this time, which is a good sign in terms of recovery. 411 00:33:01,720 --> 00:33:06,680 In terms of COVID-19, we continue to have some risks for the population. 412 00:33:06,680 --> 00:33:12,260 There can be clusters and outbreaks, and these might be related, for example, to a workplace. 413 00:33:13,480 --> 00:33:18,920 Often we see spread in the household. There could be a cluster related to a gathering, for example. 414 00:33:20,420 --> 00:33:28,280 And, you know, unfortunately, especially with the variance of concern, that we could end up experiencing spread. 415 00:33:28,280 --> 00:33:35,340 And what we often see as we have since the beginning of the pandemic is there there's that ongoing transmission so there's one 416 00:33:35,960 --> 00:33:41,800 setting where the virus has spread and then it may go to households of individuals that 417 00:33:42,400 --> 00:33:45,560 the virus spread to in that setting and 418 00:33:46,100 --> 00:33:52,580 Then other members of the household may may take the virus into their workplaces or other other situations that they're at so 419 00:33:53,600 --> 00:33:55,140 That's the kind of thing we've seen 420 00:33:55,140 --> 00:33:58,040 in since the beginning of this pandemic, 421 00:33:58,040 --> 00:34:01,220 and unfortunately, that's something that we could still see. 422 00:34:02,060 --> 00:34:04,540 And it is happening in other health units, 423 00:34:04,800 --> 00:34:08,320 even though that the number of cases is overall 424 00:34:08,320 --> 00:34:11,100 going down provincially, we do see still some 425 00:34:11,100 --> 00:34:12,760 significant situations happening, 426 00:34:13,880 --> 00:34:15,420 including into the health unit 427 00:34:15,420 --> 00:34:16,860 in the east of us, 428 00:34:17,060 --> 00:34:19,120 porcupine health unit, continues to move 429 00:34:19,120 --> 00:34:20,780 the food and vibrate of COVID-19. 430 00:34:23,220 --> 00:34:26,380 The other risk is related to the variance of concern. 431 00:34:26,580 --> 00:34:29,180 All of our cases right now are variants of concern. 432 00:34:29,340 --> 00:34:30,600 That's really not surprising. 433 00:34:31,580 --> 00:34:33,360 They're just variants of coronavirus, 434 00:34:33,800 --> 00:34:34,600 and they happen to be here. 435 00:34:35,380 --> 00:34:38,120 But a particular concern is the Delta variant, 436 00:34:38,120 --> 00:34:42,640 which is a variant initially described in India 437 00:34:43,580 --> 00:34:47,320 that does seem to be more infectious overall than the other 438 00:34:47,320 --> 00:34:50,800 and likely results in greater hospitalization, 439 00:34:50,820 --> 00:34:52,880 or greater risk of social exclusion. 440 00:34:54,080 --> 00:34:56,680 It's a good news about the, and it is the one, 441 00:34:56,840 --> 00:35:00,980 we do following that one closely 442 00:35:00,980 --> 00:35:03,600 because it is the one that is slowly taking over 443 00:35:03,600 --> 00:35:05,960 in terms of the cases. 444 00:35:06,860 --> 00:35:10,280 We do have the benefit of our understanding 445 00:35:10,280 --> 00:35:12,700 of that around the Delta variant is still evolving. 446 00:35:12,920 --> 00:35:14,980 We do have the benefit that other jurisdictions 447 00:35:14,980 --> 00:35:16,320 are sort of ahead of us. 448 00:35:17,320 --> 00:35:23,100 Notably the United Kingdom where the Delta variant has taken over really as the main circulating 449 00:35:23,100 --> 00:35:25,420 strain of COVID-19 in that country. 450 00:35:26,580 --> 00:35:33,200 On the good news side though is that the vaccines work against the Delta variant as per as like 451 00:35:33,200 --> 00:35:41,500 other variants and although two doses work much better than one dose so it does have a lower 452 00:35:41,500 --> 00:35:47,020 effectiveness against the Delta variant with only one dose and two doses work 453 00:35:48,640 --> 00:35:54,400 though very well. And I said should note and I'll get on to talking about the 454 00:35:54,400 --> 00:36:00,640 vaccine but there's still possibility of getting breakthrough cases in other 455 00:36:00,640 --> 00:36:06,520 words COVID-19 even in somebody who's fully immunized. It does tend to be fairly 456 00:36:06,520 --> 00:36:15,680 It makes my even asymptomatic and still less likely to result in hospitalization or death. 457 00:36:16,640 --> 00:36:22,220 My message is the same as it's always been COVID-19 is still here and it can be anywhere. 458 00:36:22,540 --> 00:36:28,040 It can seemingly appear out of the blue people are quite ordered or surprised and it can spread 459 00:36:28,040 --> 00:36:32,660 quickly and it's very good that our numbers are as low as they are. 460 00:36:33,100 --> 00:36:34,900 It does help protect us. 461 00:36:35,520 --> 00:36:42,200 I'll tell you the other thing that helps protect us when the residents of the Thunder Bay 462 00:36:42,200 --> 00:36:47,540 District are certainly stepping up to really help this cause. 463 00:36:47,940 --> 00:36:55,340 So this just represents the numbers that we measure and monitor and again this is comparing 464 00:36:55,340 --> 00:37:02,600 last week to this week, well we consider the week Sunday to Saturday and so ending Saturday 465 00:37:02,600 --> 00:37:07,620 So four days ago, you could see the numbers of doses that have been administered in our area 466 00:37:08,560 --> 00:37:17,000 and the number of people who have received at least one dose. So that's about 63.5% of the population 467 00:37:18,560 --> 00:37:26,340 and that's 74% in how we calculated of those who are 18 plus in the Thunder Raid District Health Unit area. 468 00:37:27,100 --> 00:37:33,940 Of course, the two doses required for full immunization were now at 16.5 percent of the 469 00:37:33,940 --> 00:37:39,540 population or 19.6 for those who are adult, 18 and over. 470 00:37:42,060 --> 00:37:49,660 And I'll note, you'll see the difference in the doses administered went up by about 15,000. 471 00:37:49,960 --> 00:37:56,300 Really, the doses administered last week was, and over those seven days was just shy of 472 00:37:56,300 --> 00:38:03,560 13,000 doses. We had actually done 13 more, we would have been at 13,000, but the rest 473 00:38:03,560 --> 00:38:11,380 of the 15,000 is that the numbers for operation remote immunity, round one, which happened 474 00:38:11,380 --> 00:38:18,180 back in February and March, are now being included for those communities in the Thunder 475 00:38:18,180 --> 00:38:23,360 Bay District Health Unit area are now being included. But they're not in, yeah, I know. 476 00:38:23,360 --> 00:38:28,940 So that did help, wow, that's the reason why that was so big, but mind you, the 13,000 477 00:38:28,940 --> 00:38:29,780 is still very good. 478 00:38:32,200 --> 00:38:41,320 I will note that the ministry calculates their numbers a bit differently than we do. 479 00:38:41,720 --> 00:38:51,680 And on Saturday June 12th, the ministry had us at a population level of 80.8% having had 480 00:38:51,680 --> 00:38:55,440 and Windows, and 21.2% having had two doses. 481 00:38:55,720 --> 00:38:57,560 So it is higher than what we report 482 00:38:57,560 --> 00:38:59,140 just the way we calculate things. 483 00:38:59,620 --> 00:39:01,560 I suspect the true amount is somewhere 484 00:39:01,560 --> 00:39:02,900 between those two numbers. 485 00:39:03,980 --> 00:39:06,500 So again, and by the way, 486 00:39:06,660 --> 00:39:10,040 we are on the Ministries dashboard, 487 00:39:10,380 --> 00:39:11,960 second highest in the province, 488 00:39:12,060 --> 00:39:14,200 among 34 health units. 489 00:39:14,680 --> 00:39:19,570 So thanks to all the work going on all over the place. 490 00:39:21,390 --> 00:39:26,770 here's the breakdown by age and by first dose and second doses are fully 491 00:39:26,770 --> 00:39:33,210 immunized in at least one so we monitor this every week and of course if you 492 00:39:33,210 --> 00:39:38,070 do want to do those at greatest risk being fully immunized at this time and 493 00:39:38,070 --> 00:39:44,150 even increasing the number that have even one dose so looking at the 80 plus years 494 00:39:45,030 --> 00:39:50,890 That's a really important indicator, and both those having received at least one dose 495 00:39:50,890 --> 00:39:58,470 went up and that more substantially those who have now received two doses is going up 496 00:39:58,470 --> 00:40:04,650 and we do expect that number to increase because we are focusing on the 70, 70 years and 497 00:40:04,650 --> 00:40:06,070 older right now primarily. 498 00:40:07,110 --> 00:40:12,190 So all of these, all of the age ranges do go up as well as those who have received second 499 00:40:12,190 --> 00:40:12,650 doses. 500 00:40:12,650 --> 00:40:18,670 and of course youth 12 to 17 now have access to the immunization and this 501 00:40:18,670 --> 00:40:25,470 represented the biggest job since last week. We were at 30.3% last week and 43.7% 502 00:40:25,470 --> 00:40:28,910 this week. So all everything going in the right direction. 503 00:40:30,350 --> 00:40:38,090 This is just a number of weekly doses administered by week, Sunday through 504 00:40:38,090 --> 00:40:44,890 Saturday and of course this is the entire Thunder Bay District health unit area and it includes 505 00:40:44,890 --> 00:40:52,610 pharmacies which are now contributing significantly to the number and this goes back right to the end 506 00:40:52,610 --> 00:40:57,890 of December when we first received vaccines. So you could certainly, you could see that sort of 507 00:40:57,890 --> 00:41:05,730 13,000, almost 13,000 administered last week and the ORI number is the Operation Remote Immunity 508 00:41:05,730 --> 00:41:08,350 or assigned to the week that they actually occurred. 509 00:41:09,170 --> 00:41:11,110 Of course, as you can see by this graph, 510 00:41:11,110 --> 00:41:13,330 it's also mostly Pfizer that we're delivering, 511 00:41:13,490 --> 00:41:16,930 but we are expecting more Moderna coming very shortly. 512 00:41:19,380 --> 00:41:20,920 This just reflects, sort of, 513 00:41:21,080 --> 00:41:23,480 we monitor for first and second doses. 514 00:41:23,780 --> 00:41:27,620 We, you know, at 80% according to the Ministry number 515 00:41:27,620 --> 00:41:28,660 where we're currently at, 516 00:41:28,800 --> 00:41:32,620 we do want to make sure we're still offering immunization 517 00:41:32,620 --> 00:41:35,160 to people for their first dose 518 00:41:35,160 --> 00:41:37,800 while at the same time wanting to see more fully, 519 00:41:38,120 --> 00:41:41,080 individuals fully immunized as reflected 520 00:41:41,080 --> 00:41:43,520 by the purple bar on that graph. 521 00:41:43,820 --> 00:41:46,880 So we will see that gradually, first doses. 522 00:41:47,500 --> 00:41:50,640 So it's very good to see still first doses being accessed 523 00:41:51,340 --> 00:41:54,320 as well as increasing numbers of second doses. 524 00:41:55,860 --> 00:41:59,980 So both going forward, and this is more broadly about COVID, 525 00:42:00,320 --> 00:42:02,300 there's a number of things that are happening 526 00:42:02,300 --> 00:42:03,480 or that have happened. 527 00:42:03,480 --> 00:42:08,840 So, as you know, we are following the roadmap to reopen and supporting the community and 528 00:42:08,840 --> 00:42:10,200 organizations in reopening. 529 00:42:13,610 --> 00:42:20,690 And we have updated our travel recommendations recently to be more permissive of travel 530 00:42:20,690 --> 00:42:25,630 and especially as numbers drop across the country and in Ontario. 531 00:42:26,430 --> 00:42:35,350 We are also actively planning around future sustainability, basically managing, you know, 532 00:42:35,370 --> 00:42:40,870 ongoing COVID-19 related issues over the summer and even preparing for what we might 533 00:42:40,870 --> 00:42:47,430 expect with like the reopening of schools in the fall or even as we enter respiratory 534 00:42:47,430 --> 00:42:53,410 virus season again in the fall, sort of actively planning what we need to have in place to 535 00:42:53,410 --> 00:42:55,830 be sustainable and managing COVID going forward. 536 00:42:57,530 --> 00:43:00,430 Related to our overall recovery, 537 00:43:00,870 --> 00:43:03,310 and I put all the, I called them the R's. 538 00:43:03,430 --> 00:43:06,390 I recover, restore, renew. 539 00:43:07,330 --> 00:43:09,490 Some people put response into that. 540 00:43:09,490 --> 00:43:13,470 It's really recovering from the pandemic 541 00:43:13,470 --> 00:43:17,170 and looking at our programming across the organization, 542 00:43:18,010 --> 00:43:20,390 looking at the other impacts of the pandemic, 543 00:43:20,390 --> 00:43:28,670 and the prioritizing the public health issues that we need to address and the resources being able to address them. 544 00:43:29,290 --> 00:43:35,150 As well, it's even recovering as an organization and as a workforce in terms of the response. 545 00:43:35,670 --> 00:43:41,490 So particularly these last five months have been very, very difficult. 546 00:43:42,090 --> 00:43:46,670 But really the last 15 have been quite difficult for us as a public health organization. 547 00:43:46,670 --> 00:43:58,310 So, we've been just making sure our staff and management team have opportunity to have summer holidays, for example, and recover and restore themselves as well. 548 00:43:58,990 --> 00:44:15,490 And at the same time, looking at programming, looking at how we might restart some programming, how we might prioritize about those, and what, if any, do we have to look at differently just because of other impacts of the pandemic. 549 00:44:15,490 --> 00:44:22,250 So that's an ongoing process that we will have and of course as we talk to have more 550 00:44:22,250 --> 00:44:28,590 engagement, provincially about public health and public health capacity, contributing 551 00:44:28,590 --> 00:44:32,110 to any changes and any recovery provincially. 552 00:44:33,110 --> 00:44:39,230 As it relates to the vaccine rollout, we are implementing the accelerated second dose strategy 553 00:44:39,230 --> 00:44:48,090 which is really to get as many people as possible, fully immunized against COVID-19 receiving their second dose. 554 00:44:48,650 --> 00:44:53,170 We are expecting some ongoing supply to our area, and therefore, 555 00:44:53,170 --> 00:44:59,890 or effectively managing that and getting it out to all corners of the Thunder Meekestrick as well. 556 00:45:00,000 --> 00:45:28,560 Well, we know that pharmacies and primary care and such are also receiving that same. And of course, we do want to, I mean, the goal is 100%. We could be aspirational, but even trying to get those who haven't received a first dose and getting out to them. And although we have been very successful with our mass immunization clinic, as you get to higher and higher rates of immunization, 557 00:45:28,560 --> 00:45:35,160 and you have to kind of look at alternative ways of getting out there to people and first 558 00:45:35,160 --> 00:45:40,660 of strategies. So a couple of initiatives that we're undertaking actually this week and going 559 00:45:40,660 --> 00:45:48,240 forward. We have some neighborhood focused clinics here in the city of Thunder Bay and our first 560 00:45:48,240 --> 00:45:55,700 one which was on Monday was very successful. We're doing another one today as well. We do have a 561 00:45:55,700 --> 00:46:06,080 clinic, for example, for the rural municipalities to the west of us, centered out of the northwest 562 00:46:06,080 --> 00:46:11,840 arena in Stanley, which I'm working with Oliver to finish on that. So that will be tomorrow. 563 00:46:12,500 --> 00:46:18,060 And one of the reasons why we did that actually was because I didn't show you the data, but 564 00:46:18,060 --> 00:46:27,140 every week we do monitor coverage rates in different areas of the health unit, and just 565 00:46:27,140 --> 00:46:34,840 making sure everybody's moving forward. And one of the reasons why we have in that clinic 566 00:46:34,840 --> 00:46:42,420 is because those rural areas were falling a bit behind. So, again, it's targeted just a 567 00:46:42,420 --> 00:46:47,380 different approach to first dose strategy. So that is my update for you today. 568 00:46:49,260 --> 00:46:50,600 Happy to take any questions. 569 00:46:53,070 --> 00:46:55,550 Thank you, Dr. DeMille. I see on the question 570 00:46:55,550 --> 00:46:56,970 this will start with Mr. Smith. 571 00:47:02,210 --> 00:47:06,630 Thank you. Just a quick question with the reopening, the 572 00:47:06,630 --> 00:47:12,050 surgery opening this week, the modified reopening and whatever they're calling it. Are you 573 00:47:12,050 --> 00:47:20,870 anticipating any kind of increase in cases or contingency plan or any sort is in fact 574 00:47:20,870 --> 00:47:28,010 there are any issues in that respect because you know it's a whole new world for a lot 575 00:47:28,010 --> 00:47:33,930 of people here and out going out to outdoor like I've gotten in the garden outside of this 576 00:47:35,400 --> 00:47:35,820 moment. 577 00:47:36,760 --> 00:47:38,720 I just curious to see what your thoughts are on that. 578 00:47:38,720 --> 00:47:48,760 Well thank you for the question and through the chair. I mean it is a risk with the reopening 579 00:47:48,760 --> 00:47:54,960 as people gather together or numbers are low that people might be less compliant with public 580 00:47:54,960 --> 00:48:01,380 health measures and at the same time I think our numbers are low and we're seeing a drop across 581 00:48:01,380 --> 00:48:06,880 the province that our vaccination rate is high and I'm actually I am fairly comfortable with the 582 00:48:06,880 --> 00:48:13,360 road map for reopening that has been laid out by the province. Of course we will be 583 00:48:13,360 --> 00:48:19,060 still encouraging people and we do so every day through social media for example to still 584 00:48:19,060 --> 00:48:25,100 follow all public health measures to get vaccinated. And you know a big one is if they have any 585 00:48:25,100 --> 00:48:31,180 symptoms to please stay home and isolate and arrange to get tested because that's what that's what's 586 00:48:31,180 --> 00:48:37,140 and help us identify and quickly work to contain any COVID-19 that is in our area. 587 00:48:42,180 --> 00:48:42,940 Thank you, Dr. DeMille. 588 00:48:45,120 --> 00:48:49,900 Very positive report has been a long time since we can look and smile and see some of 589 00:48:49,900 --> 00:48:52,240 that success, and that is huge. 590 00:48:53,960 --> 00:48:58,140 And certainly a message in my part of the world, we are certainly talking to people about 591 00:48:58,140 --> 00:49:05,380 keeping their distance, public health measures, trying to minimize our gatherings because we 592 00:49:05,380 --> 00:49:06,660 of opportunities for improvement. 593 00:49:09,070 --> 00:49:14,270 Item 10.2, the last item on the agenda is the Alpha 594 00:49:14,270 --> 00:49:19,950 AGM in conference. I took the liberty of sending a summary out to everybody. Are there 595 00:49:19,950 --> 00:49:27,870 other thoughts from people who went or questions tied to that note? And one of the biggest 596 00:49:27,870 --> 00:49:33,730 things they kept talking about was partnerships, relationships, and we heard that earlier 597 00:49:33,730 --> 00:49:39,890 you're on in our information session with the IPA Cubs that this pandemic has caused 598 00:49:39,890 --> 00:49:44,130 us to have to actually have to talk to people even though it was remotely. So that was 599 00:49:44,130 --> 00:49:45,550 one of the biggest learnings from it. 600 00:49:54,540 --> 00:50:00,160 So that being the last item on the agenda, it has 601 00:50:00,160 --> 00:50:05,400 been moved by Mr. Mullins and seconded by Ms. Johnson that the regular board of health 602 00:50:05,400 --> 00:50:14,160 meeting held on the 16th of June 2021 be adjourned at 259 p.m. Are there any objections to carrying 603 00:50:14,160 --> 00:50:15,040 this resolution? 604 00:50:17,240 --> 00:50:22,580 Before everybody leaves, please from Sarah complete the meeting evaluation. 605 00:50:23,060 --> 00:50:29,320 I want to get a feel of how I did today and how I can continually improve on the chairing of the 606 00:50:29,320 --> 00:50:34,900 meeting. So thank you very much everyone and take care. Everybody stay safe. Thank you. 607 00:50:36,680 --> 00:50:37,020 Thank you. 608 00:50:37,760 --> 00:50:38,620 Thank you.