Board of Health – September 23, 2019 – Part 1 of 2

Board of Health – September 23, 2019 – Part 1 of 2


Ladies and gentlemen, I’d ask if folks can
— ladies and gentlemen, sorry to use a gavel
there just needed to get people’s attention. Welcome to meeting 9 of the Board of Health.
To members of the board, to other members of council, and to members of the public,
you can follow the agenda on your computer, your tablet or your smart phone. The Board
of Health acknowledges the land we’re meeting on the land we are meeting on is the traditional
territory of many nations including the Mississauga of the Credit, the Anishnabeg, the Chippewa,
the Haudenosaunee and the Wendat peoples and is now home to many diverse First Nations,
Inuit and Métis peoples. We also acknowledge that Toronto is covered by Treaty 13 with
the Mississauga of the Credit . We have a very packed room and busy house here today.
For people who are watching online, there is an overflow room in the rotunda of city
hall. For people who can’t get in here there is seating and the ability to watch under
the rotunda. For those who haven’t been here before just to note at the outset this is
a safe space. We’re here to hear everybody’s perspective
and we ask for members of the public who are here there is no as much as people like to
cheering or clapping and waving and all the rest. So if you see something you like or
you don’t like make your jazz hands but we try to keep this a quiet and safe space. I’m
going to begin by seeing if there are any declarations of interest under the Municipal
Conflict of Interest Act. To the board any declaration of interest? Seeing none. May
I have a confirmation of the minutes from the July 8th meeting 2019 moved by director
Lai all those in favour? Opposed? That is carried.
We’re at this point now going to move through the agenda to see which items are held and
I’ll begin item 9.1 to health check and overview of Toronto’s population health status. We’re
going to hold that for a presentation and a speaker.
Item hl 9.2 moving to acceptance Toronto Public Health strategy to address vaccine — I understand
that’s unanimous. We have a few deputants on that.
Just make sure people are paying attention. Item hl 9.3, Canada’s new food guide implications
and opportunities for action, would anybody like to hold that? Seeing none, director Donaldson,
would you like to move the recommendation? Moved by director Donaldson, all those in
favour? Opposed? That’s carried. Indigenous review panel that
is being held for a speaker. Item hl 9.5 Toronto Public Health operating budget variance for
6-month end of June 30th, 2019, would anybody like to hold that?
Seeing none, director McKelvie are you comfortable moving that?
All those in favour opposed? That is carried. Hl 9.6, Toronto Public Health,
ended June 30th, 2019, again would anybody like to hold that?
Seeing none I’m happy to move the recommendations. All those in favour. Opposed if any?
Carried. Thank you. Item hl 9.7 enhancement to Toronto’s public health 2019 operating
budget for the Ontario seniors dental care program. Would anybody like to hold that?
Seeing none, I’m happy to move the recommendations. All those in favour? Opposed if any?
Carried. Item hl 9.8, Toronto Public Health 2020-2019 capital budget and plan requests,
this is the capital budget. Would anybody like to hold that item?
All right seeing none, I’m happy to move the recommendations.
All those in favour? Opposed if any? Carried. Item hl 9.9 Toronto Public Health 2020 operating
budget request. There’s a confidential attachment that’s being
circulated I’d like to hold that. And then to the clerks, do we have a new business item
to be introduced here? We have 2 new business items to introduce. The first is health concerns
associated with vapour products, this is being circulated. There will be a presentation from
the medical officer of health. I need a motion to add that to the agenda. Moved by director
jonsson, all those in favour? Opposed if any? Carried. And then also a new
business item submitted from staff by the medical officer of health institutes of health
research healthy cities research initiative planning grant for healthy urban policy. Could
I have a possession motion to introduce that. Okay. We’re now going to move into the meat
of the agenda of the before we begin, I have a motion, we have more than deputants, so
in order to accommodate everybody and to ensure we don’t lose quorum for this agenda I will
be moving a motion as we often move with this many deputants that speaker not preregistered
be allowed to register until 10:00 a.m. You can still register until 10 after which we
will close registration and that the length of public presentations be limited to 3 minutes.
That will also be limited for us as members of the board. I’ve moved that. All those in
favour? Opposed, if any? Seeing none.
Thank you, carried. Okay. We will now begin with the agenda.
Our first item is hl 9.1, to health check, an overview of Toronto’s population health
status. And we have a registered speaker that’s Andy pringle chair of the Toronto police services
board. Andy, please come on up. Oh you know what, Andy, forgive me we’re actually going
to do the presentation, my apologies. Sorry to do that. You’re welcome to take that
chair there. [Off Mic].
Okay. So we have a presentation.
First my apologies I’ll turn it over to the doctor.
Thank you, Mr. Chair. We’ve — while we’re getting the appropriate
presentation up on the screen for you, I’ll just offer some words of introduction. You
have before you in this report to health check an overview of the health of Toronto’s population.
And I’m just making — there we go. The presentation is up there.
There are 3 major objectives that we have as your local public health department to
include the health status of the population to reduce disparities in the population and
ensure that we prepare for and able to respond effectively to outbreaks and emergencies.
And our ability to actually achieve on those objectives means that we have to understand
what is the health status of our population, and what drives it? And what drives disparity.
With that in mind I’m going to turn it over to my colleagues at the back of the room there,
Sarah acting manager in our surveillance section at Toronto Public Health they’re going to
take you through a quick presentation of this report.
Hello I am acting manager. It is my pleasure to present to you today
Toronto Public Health’s report to health check an overview of the health of Toronto’s population.
Good health is a key contributor to quality of life. In order to meet the vision of the
city, and of Toronto Public Health a clear and comprehensive picture of the health of
Torontonians is needed. One role of public health is to assess and report on the health
status of the local population. Similar to how a clinician use a diagnosis to deal of
a treatment plan a health assessment contributes to a body of information that Toronto Public
Health uses to deal of strategic goals that support its mandate to improve the health
of our community and reduce health disparities. To health check provides an overview of the
key population health issues currently facing Toronto. The report is intended to guide discussion
on emerging health issues and priorities for Toronto Public Health as well as stakeholders
who have the potential to impact the health of the city. To tell the story of the health
status of Torontonians, selected indicators have been grouped into 11 sections. The suite
of indicators presented together in this report provide a point in time picture of our population’s
health and the context in which people live that directly and indirectly affect it. The
following slides present a small selection of the many indicators presented in the report.
In order to give you an idea of the range of topics covered, to or event you to the
types of analysis that were completed and to give examples of some of the more pressing
health issues facing Torontonians today. Collectively Toronto is doing relatively well
in terms of health and wellness. Over half of Toronto adults rate their health as excellent
or very good and life expectancy has improved. However, living longer does not mean that
everyone has optimal health. It is becoming more common for people to live with some chronic
diseases. Diabetes, heart disease and dementia are increasing in part due to the ageing population.
While chronic diseases such as cancer and cardiovascular disease are the leading contributors
to death and disability, Toronto is in the throws of an emerging health issue some refer
to as the diseases of despair. These health concerns include problematic alcohol and other
drug use, mental health issues and self harm. Rates of emergency department visits for self
harm have increased and suicide is the leading cause of death for people 18 to 39.
Toronto adults are more likely to be hospitalized for conditions entirely caused by alcohol
than for heart attacks. And the opioid poisoning crisis has become
a critical public health issue for Toronto and continues to have devastating impacts
on our community. Health is also not the same for everyone.
Health inequities are the symptomatic unjust and avoidable differences in the direction
of health status between different populations. To health check reports on inequities by income,
immigrant status, sexual orientation and indigenous identity. For example, in Toronto people with
lower incomes are at greater risk for chronic diseases and higher rates for unfavorable
health outcomes and higher rates of premature mortality.
Indigenous and LGBTQ are among those known to have poor health and many new comers arrive
in Toronto with good health and improve the overall health of the city this optimal health
is not always long lasting. These findings play a key role in informing priority areas
for action and intervention going forward. We have only begun our analysis on these differences.
Using the health status report as a sprang board — should be used to explore more complex
interactions, however to do this requires access to robust data.
While this report provides an overview of the health of the city, it is also an opportunity
for Toronto Public Health to take inventory on the data sources that are available, the
quality of these data and were gaps may exist. Quality data is key to quality decision making.
Throughout the report a number of data gaps are identified.
For example, data on many health outcomes and risk factors cannot be broken down by
some important determinants of health like immigrant status and sexual orientation. There
are topics and issues that have limited data such as children’s health.
There are instances where the data we do have is not consistently collected or consistently
available. For example, for youth we conducted our own student survey, but these data are
becoming old and cannot be compared over time or across jurisdictions. Finally age or timeliness
conditions to be — continues to be a certain. Yet there are other sources reporting on life
expectancy in 2017 and other areas of Canada. Often these gaps in data are due to information
being collected through uncoordinated systems and held in silos, opportunities exist for
greater efficiencies in the way data is collect and shared and we continue to explore these
opportunities. The to health check report provides a broad
array of population health indicators that reflect health determinants risk factors and
outcomes for the 3 million residents of Toronto. However, we recognize that even during the
time of writing the health status has changed in the city. This report is intended to compliment
ongoing population health assessment reporting, additional demographic and health status information
is available on the City of Toronto and Toronto Public Health web sites including the population
health status indicators dashboard where ongoing routine reporting for key population health
indicators are update as data becomes available. The to health check report is intended to
be a tool to drive the conversation across the city about the key health concerns that
are affecting us, and lead to the development of a coordinated solution in an effort to
improve health and reduce disparities for the residents of our city.
Thank you very much. We’ll now go to deputants. And then we’ll come back to any questions
of staff. Thank you. Andy, sorry to bring up twice there.
So you’ll have 3 minutes when you’re ready. I know that’s going to be tough, but you know,
we have faith and there is a clock up on the wall to my right if you’re wondering and whenever
you’re ready, sir. Thank you, Mr. Chairman and good morning.
I have sent you an electronic copy of the report so I will try to briefly review some
of the highlights. On behalf of the Toronto police services board I want to thank you
for the opportunity to be here today. As part of your discussion of the Toronto health status
report. I cannot emphasize enough the importance of the Toronto police service and our board
collaborating with Toronto Public Health and other stakeholders so that we can more effectively
deal with the challenges that we’re all facing including individuals experiencing mental
health and addictions issues and challenges specific to indigenous community amongst many
others. We understand in many of these areas the problems are complex and multi facetted.
There is no simple solution or quick fix. There are resource shortages, barriers and
long-standing cultural and social stereo types and assumptions all of which make overcoming
these challenges all the more difficult. But it’s not always about doing better with more.
It’s about being more innovative, more collaborative, and more creative. And it’s about building
new and stronger strategic partnerships that more effectively utilize what we have in smarter
and more resourceful ways. It’s about joining forces at the start of our problem solving
process rather than at the end making partnership a regular and critical component of all that
we do. The services dynamic community centered neighbourhood officer program is an outstanding
illustration of how collaboration can prevent the upstream issues ending up downstream challenges.
These officers work collaboratively to mobilize community members that deal with issues before
they become crises. In February, 2019, the board approved the establishment of a new
mental health and addictions advisory panel and the purpose of is to review and make recommendations
to the board on an ongoing basis relate to monitoring and evaluating and implementation
of a new forth coming organizational mental health and addiction strategy and other matters
related to policy involving mental health and addictions issues. As your report notes
the number of opioid poisonings as increased dramatically over the past five years and
in policing we have most certainly seen the effects of this dramatic increase.
Recognizing the need to confront the opioid crisis collaboratively and within the context
of our broader approach the mental health and addictions the board approved a motion
to invite dr. [indiscernible] to be a member as well as to invite her to present quarterly
public report to the Toronto police services board on relevant public health issues including
the opioid overdose crisis. Further the board direct the chief to work
with the doctor to identify a Toronto police service representative to sit on relevant
Toronto Public Health committees. Andy I’m so sorry. I’m going to have to ask
you to try and wrap up into a sentence and there may be questions.
So in essence we strongly support what’s being done and look forward to working with public
health in the future. As I said off written copy of what would take 12 minutes to read.
Well, thank you. And thank you for the abridged version. I suspect there may be some questions
in which case you can get in some of the other content you had. I see questions from director
perks. Thank you very much for coming here today.
It’s always helpful when Toronto Public Health and the police service work in partnership.
When I was chair of the drug strategy several years ago we had tremendous participation
from a fella who was then the head of the drug squad Randy franks and it helped us to
design the safe injection services we have in place now. I see that in your written remarks
you’ve recommitted to participating in that — in that process, and I’m glad to hear it.
I just wanted to give you a chance to expand on that in any way or — well, thank you,
Councillor Perks, first of all. The bottom line is the way forward, the Toronto modernization
police which was pub — published in January 2017 really embraces the fact that we need
to re commit to work with communities and a recognition that one size doesn’t fit all.
So different communities have different needs, different 250i78 schedules, but we want to
make sure that we’re working much more broadly in partnership with everybody, Toronto Public
Health, the various communities and community agencies that’s where particularly the neighbourhood
officers program comes into play where they will be embedded within the communities for
a much longer period of time and able to work with community agencies to identify and work
together really to prevent problems before they happen.
Thank you for that. I guess I was looking at something a little different which is a
formal table which includes representatives from Toronto Public Service some of the community
organizations you’ve spoken about. I’m hoping what I’m hearing today is that Toronto police
service is committing to participating in the Toronto drug strategy implementation table.
Yes. Thank you.
Thank you, director perks. Director Wong, you have 3 minutes.
Nice to see you again. In your short presentation this morning you focused on mental health
opioid crisis and indicated to the board the [inaudible] to Toronto police services board
but in this report, there’s significant concerns with the ageing population you have not touched
on. I haven’t seen your written submission yet. Is the Toronto police services board,
Toronto police is going to be tackling the issue of elder abuse. I’m seeing on page 32
of the report talk about elder abuse intimate partner violence. These are preventable and
this is what our board’s mandate is. I want to address you as a chair of the board what
is police services, these preventable abuse boards [inaudible].
First of all, I think that’s a very good point even the longer written presentation I think
only makes very brief reference to elderly. But I think it’s fair to say that it’s always
an ongoing issue for Toronto police anytime there is violence against the elderly and
we recognize it’s a problem and often a silent problem. And again, I think that’s why the
Toronto — the neighbourhood community officers engagement and focus table are so important
because otherwise we’re just responding to an issue as reported. Where the neighbourhood
officers should be in the communities and therefore, part of those community solutions
and discussions. So that I think is really the number one way in which we would look
to deal with it but certainly one that we’re very strongly aware of.
Although it’s not specifically identified in this. The only one I didn’t have a chance
to get that’s identified in this is the indigenous population where there are some really indigenous
populations where we have considerable challenges in that community. And so we have really gone
out of our way to ensure that we have representatives from indigenous communities on the advisory
committee which is presented the other day at our board meeting.
So we want to make sure that in all groups that have some challenges we don’t want to
wait to be reactive, we want to be out in front of it and proactive.
Thank you, director Wong. I have director Wong-Tam and then director Lai.
Thank you very much. Thank you very much for your deputation. I recognize that it was — it
was brief. And I wanted to just ask you to expand on the mobile crisis intervention team
which is a highly effective strategy deployed by Toronto police often in conjunction with
mental health nurses. In your letter it states that the coverage is now available throughout
the city. Is it adequately coverage throughout the city, and are there some neighbourhoods
that are experiencing higher volumes of calls and are you — is your team able adequately
provide that service? I think so the answer is that there’s always
more that can be done, Councillor. This has been a highly effective program over a number
of years. The constraints to it, I think, are really on the medical health side in that
we can provide more officers if there were more health officers available. And yes there
are areas such as 51 division which obviously you know very well. I think we can identify
where the challenging areas are and those are adequately covered. You know, there is
an issue around how do you deal with a 24/7 as opposed to during the hours which the meanly
health officers work. So yes, there’s much more to be done and it’s an issue on our agenda
going forward as to how we expand that program. We know it’s highly effective, but we know
we could do more if we had more [inaudible]. And so recognizing that you would like to
have more resources, and I understand in 51 division which is the division that covers
Toronto street center what I hear is the biggest concern is there is not adequate mental health
nurses to go out. So my question is: How — your request going to the province
for adequate funding for these mental health nurses, how short are you with respect to
what you’ve asked the province for and what they’ve actually provided funding for?
The crisis is — the issues around mental health particularly in some of those downtown
areas is growing. I mean I think last year Toronto police had 29,500 calls for people
in mental distress, about 10,000 of those we handle on the phone which means we have
to attend the balance of them. It’s a real draw and to the degree we can
have more resources in terms of [inaudible] units the better.
There has not been as much focus on the mental health side, I think in some ways as there
could be. And as I said earlier, Councillor, it is on our agenda in the very near future
to look at how we can beef up these units and ask for more resources.
Thank you. Those are your — thank you.
Thank you. Director Lai.
Thank you, Mr. Chair. Thank you very much — excuse me, Mr. Pringle for your deputation.
On page 2 of your speech, you mentioned something about the dynamic community based centre neighbourhood
office of program. And you know, this program will be dealing
with issues before they become crisis partnership just wonder whether you can just give us an
update, this program has been around for a few years and a little bit of a quick update
and planning the new funding — request some funding whether it’s being invested in this
program. Now, the — like everything it’s complex.
This program has been around, I think for about 10 years. It really took off though
or got recommitted to as part of the transformation task force in 2016. Because as part of that,
we recognize as I said in my remarks, that we want to be policing with the community
and be centered. So it was identified that this program which has always been kind of
a side line program would be central to working more closely with communities. So we started
with a pilot project a year or so ago. And it’s fair to say that we need about $16 million
more. How much?
$16 million more. 16 in order to roll out the program properly
across the city. Now, last — two weeks ago the chief recently announced an increase in
the number of officers committed to the program. So this will get us further down the line.
But, again, if not in all communities and if not widely used as we would like. Part
of that is a timing issue in that it takes time to train up the officers specifically
as community officers but part of it is that resource issue.
Actually I think [inaudible] officer program I think the federal government and the provincial
government you know they have a job to actually do these things too, are there any plans to
ask for funding? Yes.
[Multiple Speakers]. We’re constantly asking Mayor Tory who is
very supportive of this program and been asking both levels of government for further support.
Thank you. Thank you, any other questions for the deputant?
Seeing none, thank you very much. Thank you. We’re now going to take this inside
committee. Any questions of staff?
On page — I’m just reading the report page 21 of the report, I was totally shocked, Mr.
Chair, to read the data that I’m going to quote mere according to the report racialized
people were more likely not to have completed high school but what was more astonishing
in this report, Mr. Chair, that this is coming before this board, for example, Southeast
Asian students were 4 times more likely, that’s like almost 30% not completing high school.
What I want to ask you through you Mr. Chair, to the staff, has this data been shared with
the board, and what other data in terms of comparison with this board’s data? Because
this is huge concern for me. So through you, Mr. Chair, this is the first
public for ray, if you will for this health status report, we have been having some preliminary
conversations with other partners in the city and I do meet regularly with our colleagues
at the school boards. This certainly will be part that have agenda,
and I suspect will be part of our ongoing conversation for quite some time to come.
I’m going to turn it over to my colleagues over at the back desk to see if they have
anything further to add. I think you’ve covered it, thank you.
Okay. . My second question, Mr. Chair dealing with
— I just asked Mr. Pringle about the elder abuse. Given recently that murder in Scarborough
of that young woman with a machete this is about an intimate partner piece, what are
we doing more? Because this is what the board’s mandate is
because this is absolutely unacceptable when I heard from the community and they saw this
man chasing this woman they didn’t call the police until after the fact.
Well, wait a minute here, what do we need to do more? And what sources do we need to
get to. I think there are many action that need to
be taken some which are in the purview and responsibility of Toronto Public Health many
of which are also going to be actions that have been taken in partnership with other
city divisions and certainly with external partners of which the Toronto police services
would be one. I can tell you that what we have here at the city is a pretty coordinated
effort in respect of intimate partner violence. We’ve participated along with our colleagues.
Most notably it’s social development finance and administration on a program in and around
interpersonal violence and we have public campaigns actively engaging with members our
public to suggest that they do have a role, so that we don’t see the kind of thing that
you just described happen over and over again. Is there more work to do?
Absolutely. Are we continuing? Yes, we are. And I think it is not exclusively
in the purview of Toronto Public Health. We’re taking on our role in that regard both on
education fronts and we’re also trying to figure out what are the evidence informed
interventions that actually prevent. We rely on our police partners as you heard Mr. Pringle
say to manage the downstream consequences. But from a public health perspective we’d
like to keep it as upstream as possible and look for those public health intervention
that actually prevent those situations from arising in the first place. This is complex
stuff, no a lot of research unfortunately on population level intervention, but I think
that’s where we have to go to the spirit of innovation creativity and partnership.
[inaudible]. Any other questions?
Director McKelvie. Thank you, Mr. Chair. My question is about
use of data. And in particular is it mapped, is it available
mapped showing [inaudible] how is that being used [inaudible]?
Where the data is available we’ll look at it by neighbourhoods. We Toronto Public Health
operates within service delivery areas as well.
Oftentimes the data is not robust enough there’s not enough of a sample size for to us look
at it by neighbourhood but where possible we do try to map.
And how is it used to guide the resources between
[inaudible]. This kind of overall health status report
is actually relatively new to us. It hasn’t been done in the last 20 years in fact. So
this is precisely the reason why we wanted to put this report together and I think you
can appreciate as an audience here both as a board and those of you that are gathered
around the room it’s been interesting times, challenging times some would even say in respect
to finances and the future of public health. I think this is exactly where we pull these
things together to understand what is driving the health status of Toronto, what is driving
disparities in health data. And how do we then use our resources to the greatest effect
to the greatest number of people so that we can improve health status while reducing disparity
simultaneous. I think striking the balance between that which the provincial government
prescribes for us, and understanding what is pressing on health status and what drives
disparities is exactly the challenge that’s before us.
What are next steps in terms of like data mining? Because right now your variables are
all siloed but not really looked at, is that something that would going forward start to
be brought out more? Recognizing that this new and fantastic — [inaudible].
Some of the next steps are looking at how to reduce those silos. So we’ve partnered
with an organization called ices which house as number of different data sources to look
at how we might do more as I mentioned in the presentation crosscutting or analytics
so we’re partnering with different data holder I guess to say to look at where we can improve
that type of thing. We’re also looking at opportunities for data collection, so can
we advocate to different organizations who do major data collection to ask them to include
certainly variables. So we continue to explore those opportunities but it does take time
and challenges in policies and procedures in order to for that to happen.
Sorry we’re just over 3 minutes. We can come back to a second round if people want one.
Sorry about that. I have director Peter Wong and then — and Kristyn Wong-Tam.
Thank you very much for this excellent report which I spent all day yesterday reading.
Being a pediatrician that all these social determinants adversely affect children and
that children I think are the most vulnerable population as a group. So as we move forward
with our innovative approach to programming I just want to make sure and highlight we
keep in mind that children are most adversely affected and that we — we continue to program
with this in mind. Thank you. Thank you.
I’ll treat that as a question and a statement. Okay.
Thank you. I have director Donaldson. Thanks so much for this report I’m looking
forward to bringing it back to [inaudible]. So first of all, the — one of the items that I found shocking was the 7%
of Toronto youth that are meeting the day-to-day physical activity requirements.
So my question is: How do we compare to other jurisdictions on that point?
There are different surveys that look at youth physical activity in Ontario or across Canada
and we would see similar — as the doctor mentioned similar trends, but that is a major
data gap that we actually can’t compare that student survey that we did to other jurisdictions.
Which brings me to my next question. Thanks for this slide about what the actual — what
the major data gaps are. So you’ve given an example child health data and youth health
data not being collected or not consistently available, so what do we have now in terms
of child [inaudible] data? That’s a great question. I could probably
go on for well past 3 minutes but I’ll keep it limited. For child health we have information
where children interact with the system. So if they see — if they go to the ed, hospitalized,
we have access to that information. We have some information from the early development
instrument which is kindergarten students looking at developmental milestones in sk
students. We have bits and pieces from other places with children, but it is very limited.
We have addressed that gap statistics canned is doing a child and youth survey, they’re
in the field right now. That data should be available in 2021, but I should note that
in order to get a robust sample size we are required to purchase an over sample of that.
In terms of youth data there is the Ontario student drug use and health survey which has
been ongoing since the’70s. And that looks at Ontario students and again, we have looked
at purchasing a larger sample so that we can look at Toronto students. That data should
be available in early 2020. Thanks.
Sorry. We’re just past 3 minutes. Sorry, director. Thank you.
I next have director Wong-Tam. Thank you very much, Mr. Chair. Through you
to the medical officer of health. In the report there’s a specific section of page 79 that
talks about mental health and the addiction — and the relationship to those living with
addictions. It also states that you don’t have enough information but you have enough
there to draw the conclusions that you have. What is it you need in order for you to make
that a much clearer distinction? So through the chair I may pass that over
to my colleagues for [inaudible] in the data front. [inaudible].
So it would be great to have prevalence of mental health issues. Like mentioned for children
there is great information on people who interact with the system.
Emergency department visits, hospitalization we don’t have a lot of good information on
prevalence of anxiety disorders, prevalence of depression and prevalence of other mental
health issues. And because you don’t have that information,
are you stipulating that people are just not getting diagnosed and not being diagnosed
properly and early on? There’s definitely an under-diagnosis of many
mental health issues we know that for sure but even for those people who rvenlt diagnosed
there aren’t necessarily the best algorithms [inaudible] so again we need to work a little
bit harder on our partnerships with ices as Sara mentioned to deal of better ways to capture
the prevalence of those [inaudible]. This is probably not a new area of research.
The largest mental health hospital in Ontario is situated right in the City of Toronto.
Hundreds of millions of dollars in research isn’t there enough money out there to do this
research and reflect this better? Like why are we still short on information here?
Through the chair, perhaps I can speak to that. There is still stigma surrounding mental
health and coming forward [inaudible] seeking help and attention for what may be mental
health conditions. I also think as part that have stigma you get people misunderstanding
or not actually even recognizing that the symptoms that they experience may be related
[inaudible] may not [inaudible]. So it’s a matter the people are not necessarily
knowing that they are living with some type of — one form of mental health or another
not necessarily because this isn’t enough money out there in the research world everyone
is circling that particular pot of cash and still not producing the data.
So through the chair, I think that’s part of it. I don’t know that that’s a comprehensive
picture. It’s a complicated web of [inaudible] and then finally just because I know we don’t
have a lot time, the citied of Toronto has adopted the zero strategy trying to get to
zero collisions and deaths through enhanced road safety. In the report it specifically
talks about the fact that we’ve seen an alarming trend going the other way, more collisions,
more incidents in the road, more road violence. This report was obviously generated before
the city’s enhanced road safety policy and there have been those who have called the
crisis on city streets around road violence once that needs to have a public health lens.
Do you think that we’ve done enough through the city’s vision 0 strategy, have we deployed
that public health lens. That was your last question.
Thank you. So through the chair, there is more that needs
to be done, absolutely. I think it’s fair to say that we’re an active partnership with
our transportation services colleagues. You should expect to hear more from using to on
that front. Thank you.
Thank you. Director Lai. Any other questions of staff in okay. Seeing
none, thank you very much. We’ll move this in committee for speakers and I have director
McKelvie first. I was going to ask for another round of questions.
Oh. That’s fine. I can actually say it by speaking,
I think as well. If you can’t measure it — if you can’t measure it you can’t manage it.
So this is a huge step in the right direction looking at all the pickly available sources
of information out there, and I can only assume that it was a huge undertaking that involved
a lot of work. So staff are to be highly commended in that. That said, I’m really interested
in the next steps and where we go with this. We need to have strong recommendations on
what data is missing, how that data can be collected and we do need to work with many
partners to gather that information. But most importantly what I want to see with all of
these — all of this data that was collected is strong metrics, right. So this is where
we are and this is what our target needs to be next year five years, 10 years, going forward.
Because that’s the only way we can truly measure the success of our programs.
And given especially intense budget scrutiny that we’re going under, it’s so important
that we’re able to show that these programs are working. And if they’re not working that
we’re able to adopt the way we’re managing them to be more successful. So I am very excited
by this report but I appreciate that I probably love data [inaudible] really want to thank
staff for this amazing effort and good bedside reading.
Thank you. Thank you, director McKelvie. I have director
mulligan. [inaudible] thank you, Mr. Chair. And thank
you to the staff and the medical office for this really important report.
There’s a lot in here. And it does feel rushed. I know we have time pressures this morning
in particular. I don’t think we can let this sit as something that the board receives.
If you — sorry, if you have a motion you have to move that first.
Okay. First I have some comments. Okay.
Sure, all right I’ll star with my motion move the motion and then comments.
Okay. I’ll move my motion. And it’s really just
— okay, well here it is, do I read it? Who reads it?
You read it. All right. So I request that the Board of
Health requests the federal and provincial ministries of health and Toronto based parties
deal offing Ontario health teams to prioritize the collection and use of socio demographic
and race bait data and commit to deal offing and sharing anti-depression strays geese.
And now I’d like to speak to this motion. I want to — say it’s just one of the many,
many motions that we could and probably should be making out of a report like this. And so
I would like to see perhaps a follow-up report from staff that lists what are the links to
the current practices and the operating plan, what’s already underway and what are some
recommendations that we need to be making around taking action?
I think each of the directors around this table has been struck by different elements
of these data but or agenda for moving forward can’t be what we happen to be struck by in
this given moment. So I would like to see a more fulsome conversation at a future board
meeting about these. In the interim given that we’ve had important conversations [inaudible]
over the last few days and few weeks and you know, given the work that’s been undertaken
by the Toronto police service for example, I think this is very important. The Ontario
health teams and health systems transformation that’s underway in Ontario right now mentioned
some components of equity but doesn’t set out specific accountabilities for the collection
and use of these data. And I think it’s something that is quite achievable for parties in those
teams and I would it would show leadership on behalf of this board to recommend that
you know, the kinds of strategies that are being undertaken here in Toronto should be
taken throughout the health care system in addition to the public health system where
we are. Thank you.
Thank you. I now have director Wong. [inaudible] I’ve been around long enough to
know on this board at the province that we cannot allow data to sit at another desk come
back. These — the nvgs that’s been shared with
us this morning should be the backbone, Mr. Chair, but more important to council because
at the end of the day we’re supposed to be driven by data evidence, right, evidence.
So how do we ensure that 2020 budget lens is based on this health check. Because at
the end of the day it means nothing to my community to every citizen in this great city
because at the end of the day, Mr. Chair, I am very, very concerned what Councillor
Kristyn Wong-Tam just talked about that vision zero. These are preventable deaths that we
just experienced in this city. And the fact of the matter here is how do
we ensure through the motion just presented to the board not just about Ontario health
care team, this council has to take some responsibility because we cannot allow another death of a
young woman on our streets that is preventable. So how do we ensure that when we pass our
2020 budget we weren’t starting that conversation, but more importantly how do we push out to
educate all the communities? We are such a diversity. And I want to make sure the staff
sharing with the Toronto police services, but other agencies that is not so prominent
as Mr. Pringle before us this morning. There are so many small little communities that
can be a partner with us whether it’s the Toronto school board, Toronto Catholic School
Board how do we make down to the smallest community that they learn about this? It may
not be involving money. Because oftentimes we talk about money, how do we educate people
to be more aware? Right. So thank you. Thank you. Other speakers?
Director Lai. Actually I wasn’t going to speak, but I think
most of the — of my comments have been addressed. And I just wanted to first of all thank staff
for such a comprehensive report and such a good report. If we don’t put it to use and
establish some next steps and how are we going to use this data to make sure that we’re being
proactive in doing things that we’re doing in Toronto, I just wanted to actually — I
don’t have a motion but I’m hoping that these reports are being shared with some of these
more important agencies. And so that we can go to the next steps. I just wanted — [inaudible]
I think we do really need to do a lot of — everybody else, you know, everybody has mentioned about
something different — maybe the children and I think I like to zoom into the senior
population that is growing and this is a reality that we are, you know — we wanted to put
some strategy based on the senior as well. So that’s what I want. Thank you, Mr. Chair.
Thank you very much. Any other speakers? Okay. I have few remarks. First of all, I want to
thank staff and Toronto Public Health for pulling this together. This is as the doctor
mentioned the first comprehensive report that’s been untaken on a complete overview of health
status in the City of Toronto. The first one that’s been done. I think at an overarching
level, it demonstrates that old saying that in Toronto an individual’s postal code is
a better predictor of their health than their genetic code. It is the social determinants
of health more than anything else, your access to housing and affordable housing, the safety
of your streets, your access to services and opportunities. That is the biggest driver
of health status. And as this report has deputant straights
in our city there are 2 cities that have emerged. You have one a city that is the most livable
in the world according to the economist, the city that has most construction with — towers
in the sky than any other city in North America a city that has become one of the tech capitols
of the world. Then we have another city where we’re the child poverty, 29% of kids in the
city are living in poverty. As this report demonstrated where those children are concentrated
in neighbourhoods and rationalized neighbourhoods. And so if the postal code is a bigger driver
than the genetic code of health status then we can tackle it. I think that’s — when we
talk about prevention and upstream interventions being at the crux of this it demonstrates
the importance not only of services we deliver as public health but of policy. It demonstrates
the importance of a locally rooted public health unit being engaged in working with
our partners at Toronto police services and engaged in working with our partners in transportation
services or safety of our streets being engaged in working with our partners in Shelter Support
and Housing. And so this is a critical report that’s cannot be buried on a shelf or lost
on a shelf. I think being able to track and measure where we’re succeeding and where we’re
failing has to guide us going forward. And I want to thank director mulligan for moving
her recommendation which I’ll be supporting her amendment because I think that’s critical
that we also share this with our partners at the other levels of government. With that,
we have an amendment that’s on the screen from director mulligan.
All those in favour? Opposed, if any? That has been carried.
Thank you. We do not need to move anything else on this item.
Moving to item hl 9.2 moving to acceptance Toronto Public Health strategy to address
vaccine hesitancy. We’re going to move to staff presentation and deputants, I’m going
to turn it over to the doctor for presentation and just before that and with deputations
just a reminder to all because I know we have many people in the room and many in an overflow
outside, that this is a safe space. [inaudible] nobody is a allowed to make noise.
We’re going to listen and respect everybody as we ask members of public to do so as well.
I’ll turn it over to you, doctor. Thank you, Mr. Chair. I believe we’re just
trying to call up the presentation on the screen. And in fact, that presentation will
be delivered by one of my colleagues our associate medical officer. So I think we’ve just found
the presentation we’re just managing a few technical issues and able to take you through
this presentation. While I have the microphone I will thank the doctor if advance for delivering
this presentation. Thank you to the board for allowing this presentation.
For — I do want to start by saying I have no conflicts of interest to report. I get
no payment from any pharmaceutical industries, I am an employee of the City of Toronto. I
think that’s important to state for this talk. Next slide, please.
So just to reiterate what vaccines — despite the availability of vaccines. And it is identified
as one of the top 10 global health threats by the world health organization for 2019.
In Canada we estimate about 20% of Canadian parents are hesitant meaning that they’re
unsure about the safety and effectiveness of vaccines.
I want to reiterate that this is distinct from those who are truly opposed to and against
vaccinations which make up less than 5% of the population. And right now our vaccination
rates in Toronto schools are good. So this year 94% of students, 7 to 17 years of age
are up to date with their vaccinations. But if our vaccination rates decrease, it will
result in pockets of unvaccinated individuals in our city, and that can result in outbreaks.
And so what we’re going to present in this report is a comprehensive multi prong strategy
to address this. Next slide, please. So there are means activities that we propose to address
vaccine hesitancy at the local level. We first want to empower all of the stakeholders, this
includes health care providers, parents and adults, student and educators and the public
at large. We’ve already begun working with our health care provider stakeholders to tackle
this issue because the health care provider can address the patient in a very individual
trusted and confidential manner. And can relate the importance of vaccines
in a confident and knowledgeable way. In November Toronto Public Health will be hosting an event
on vaccinations for physicians in the city. We’re also working with the Ontario medical
association to deal of a tool kit for front line providers on vaccine hesitancy and we
have recently worked with the University of Toronto to enhance for medical school and
nursing programs. We also think it’s important to put vaccine science information into the
curriculum of elementary students to provide them with solid scientific information about
the importance of vaccines and prepare them as they one day will become our future parents.
We’ve also addressed restricting, advertising and false messages and addressing the misinformation
on social media through search engines in the report. We’ve also made recommendation
to enhance electronic record keeping and digital health solutions. This is to work with our
ministry partners so that we can one day achieve electronic immunization registry. We would
also recommend including vaccine coverage rates as an accountability measure for health
care providers in the newly established Ontario health teams, again, working with our ministry
colleagues. To the Ministry of Health we’ve also made a recommendation to consider philosophical
and religious exemptions [inaudible] rate in Toronto was .8%. And it currently is 1.7%.
There has been a slow but steady increase in non-medical exemptions in Toronto and this
has been observed in Ontario as well. At what point will the rate be so high that we’ll
have pockets of unvaccinated individuals leading to outbreaks of measles in the city. We need
to start having a conversation about this now.
Another recommendation is for provincial or national vaccine injury compensation program.
While vaccines are safe in rare instances serious reactions can occur. And a vaccine
injury compensation program is a no fault compensation program funded by governments
that compensate individuals who are potentially harmed by vaccines.
It would compensate for services such as rehab, and not for unfounded claims of vaccine injury.
Finally, the last recommendation I’ll touch on is about increasing federal transparency
regarding the safety of vaccines. We know that vaccines continue to go ongoing testing
and scrutiny through surveillance to ensure that vaccines continue to remain safe. All
serious adverse venting following immunization are investigated locally by Toronto Public
Health. We then report these provincially and then they’re reported nationally. If a
safety signal is detected about a vaccine a vaccine is taken off the market and this
has happened making these investigations more transparent will further show that vaccines
continue to be safe. Next slide, please. So in conclusion, a multi prong strategy to address
concerns from local and international bodies is required to address vaccine hesitancy.
We need to address the misinformation about vaccines that are spread on multiple platforms.
We also need to enhance scientific and evidence based facts about vaccines. And through health
care providers we need — we need to work together to support the public, parents, teachers,
students to make choices to promote the health of themselves an their community. Thank you.
Thank you very much. We’re going to move to deputations.
And then we’ll bring it back into committee for questions.
We have 13 deputants and the first is Christine colvach, Christine here? Please come you know
up. You can take a seat there. When you’re ready you’ll have 3 minutes there’s a clock
you’ll see on my right and I’ll give you a heads up if you’re just passing.
Okay. [inaudible] adverse reaction to her vaccine. My 5th child Carter also suffered
a severe adverse reaction to a vaccine that resulted in life altering neurological impediments.
I stand before put here today as a mother and also a former nurse to tell you that serious
vaccine reactions are not just one in a million as many people are led to believe.
There are thousands of other families in Ontario who are equally devastated living experiences
as mine. Our stories are not convenient but they are real and they are true and they must
be heard. I took my daughter Laura for her first vaccine appointment at the age of 3
months and she was — after she was injected her leg became very swollen. She developed
a fever and had a high pitched scream that we were later told was an — cry. Less than
24 hours after receiving her vaccines my life was shattered, when my perfectly healthy daughter
died. No adverse reaction report was ever filed.
After Laura’s death we were very concerned vaccines were not safe for our family but
followed our doctor’s advise and gave her next 4 children vaccines. At 3 and a half
my son also suffered a similar adverse reaction. Carter’s screamed in pain for hours and leg
became extremely suffered. He suffered neurological impairment that impeded his ability — he
died a few months ago at the age of 23. We do not yet have any official cause of death.
After 2 of my children have been severely adversely — had adverse reactions within
hours of their vaccines I completely stopped vaccinating my children. I was obviously pro
vaccine and pro science as I was also a nurse. Despite this I am now labelled the derogatory
determine anti-vaxer. My strong speaks 3 languages, he loves school, has many friends and would
be devastated if he had to leave the school system but he can never be vaccinated. My
son does not qualify for a medical exemption because he’s never had an adverse reaction
himself. I will be forced to decide if I should risk losing yet another child or if my son
will lose his right to education. This is a decision no parent should ever have to make.
It’s unacceptable, unconstitutional and I am moral to force families to choose between
their family’s education — I will appeal to every parent in Ontario and every level
of government to support me in defeating any attempt to make vaccines mandatory for school
attendance I will fight this like I am fighting for my child’s life because I am.
Thank you very much. [Applause].
So I’m going to see if there are any questions but to members in the gallery there is no
clapping. [Off Mic].
Sorry. [Off Mic].
Excuse me, sir. [Off Mic].
Sir, sir, I’m afraid under the procedures bylaw just to members of the public under
the Board of Health procedures cannot disrupt a meeting. I ask that you respect the board’s
proceedings and act respectfully. [Off Mic].
Sir. Excuse me, sir, if people proceed they will be removed I’m afraid. We’re here to
hear from everybody. Are there any questions of Christine? Seeing none, thank you very
much. Thanks for those who took the time to listened
to. Thank you. Our next speaker. Shannon you’ll
have 3 minutes when you’re ready. Thank you.
I would like to address my concern and disappointment in the changes proposed to tackle vaccine
hesitancy. I feel that in order to speak one must have an honest conversation about by
a person would be vaccine hesitant one does not assume they’re ignorant — and fake news
on social media. Some of us have either been harmed by a vaccine or have taken the initiative
to make an informed decision after having thoroughly re searched the subject and weighing
both the pros and the cons. As far as I have seen in experience there are no pros and only
cons people explain with my own personal experience. I was vaccinated at 2, 4 and 6 months, I suffered
seizures after each dose and muscle spasms that would last for hours. After my 6 months
appointment the spasms never left. I was never vaccinated beyond 6 months.
When I entered school the — I was delayed, I couldn’t focus and I was always spaced out.
At the same time as the developmental issues were happening other physical issues were
also occurring. I was having what could be described as arthritic symptoms in my hand.
I got my hands stuck in a pair of scissors because they froze. Our doctor was of no help
and we discovered a private medical facility where I had a number of tests done. Aluminum
were detected in soft issue joints of my hands the rest of my body was scanned for these
particular substances and also in my reflex arc which is the processing centre of the
brain my thyroid and liver. All of these substances are in the dpt vaccine which I received 6
and a half years earlier. I have lasting side effects 35 years later. I understand there
are people that have experienced lasting effects from contracting certain illnesses and I’m
not here to say their pain isn’t worth hearing however why is there life valid more than
us who have experienced injury or death from the vaccine, why is my right to choose for
my family being sacrificed for someone else’s. If someone else wants to get vaccinated they
should have that right partnership know not everyone has a noticeable reaction but I believe
they are far more common just not reported or acknowledged. I consider myself lucky to
have only have seizures, neurological and nervous system damage partnership still wasn’t
afforded — this is because move injury at the time when it was recognized there was
too large of a gap. My family doctor knows my medical history and knows my son is at
high risk but he will not right a medical exemption. Am I supposed to roll the dice
with his life and just be careless. Every individual is equal before and under the law
and has the right to equal protection and equal benefit that have law without discrimination
the Canadian charter freedom section 15. Thank you.
Any questions of the deputant? Seeing none, thank you.
Next up we have Joel susman. Thank you, Joel, you’ll have 3 minutes.
Before I begin I would ask the chair in the previous motion before this committee — sorry
you’ll have 3 minutes, thank you. Several of the speakers exceeded 3 minutes
and you let them go beyond I would ask you to apply your justice equally, sir.
You have your 3 minutes, thank you. [Off Mic].
I have not begun to speak and the clock — thank you for resetting the clock, sir. I am here
to defend our right to informed consent, a parent’s right to make medical decisions for
our children. My wife and I do this in the name of our vaccine injured Monday Mark who
received 3 vaccines in grade 7. A policy of denial. In 1984, the federal registrar
the official journal of the U.S. Government containing agency rules an public
notices stated the following about the poll I don’t vaccine. Any possible doubts whether
or not well founded cannot be allowed to exist. Here’s a quote: It has become increasingly
clear [indiscernible] by this I mean the manipulation of historical facts in order to drive a specific
agenda. The agenda is about inflating the auto fear about childhood decisions while
denying vaccine risks and failure. [indiscernible] the annual number of deaths from me sells
in Canada highways either been 0 or 1. This means that [indiscernible] is either 0 or
1 in 3 — 1 in 33 million. The risk is actually much lower than the risk of serious damage
from mmr vaccines. A summary of this agenda item stated: Vaccines hesitancy [indiscernible]
that spreads on social media platforms. And the internet.
In April I addressed this committee. Everything I said was scientifically verifiable information.
It was not misinformation. It was missed information that you so routinely sensor and desperately
wish would never see the light of day. Toronto’s chief medical officer in the summary of her
list of recommendations stated to respond to this growing threat, doctor, there is no
threat unless you wish to claim that the statistics mortality table I just held up and quoted
from is also misinformation. Vaccination is not evidence based medicine.
We insist on science being done as the basis for our medicine. Let’s be clear, the work
of science is nothing to do with consensus, consensus is the business of politics. My
family and I will not consent to the loss of rights and freedoms. Thank you.
Thank you. Are there any questions of the deputant?
Seeing none, thank you very much. Our next speaker is — welcome. You’ll have 3 minutes.
And you know how to use the projector, excellent. So you can begin whenever you’re ready.
Good morning. I’m here representing vaccine choice Canada. We represent thousands of families
across Canada. My name is — I’m one of the 7 directors of vaccine choice Canada. We all
vaccinated our children. But I am the only one who does not have a vaccine injured child
and two of my colleagues lost their children as a result of their vaccine injuries. It
is much to discussion in your recommendations but I will just address the issue of mandating
vaccines. On this issue the science is a mile high, a mile wide and a mile deep and hardly
settled. I have four quick points. Mandates are not necessary. There’s no health emergency
here. We have — we’ve had 111 measles cases report to date in this country of 37 million
people. Pun intend issed but it’s — [inaudible] short-term viral infection and 99.99% of measles
cases fully recover. The real health care crisis you just heard it in your first agenda
item. Focus your time and money on that. Second point mandates won’t work. Artificial immunity
is a failed theory row. Explaining this is much more complicated.
Read the science. Third point the vaccine schedule has not been
proven safe. And pay attention here because some of you may not know this.
Vaccines is buy logics. The result is that no childhood vaccine product licensed for
use in Canada has been safety tested using the same standards required of other medical
products. The medical industry uses the monitoring of adverse events following vaccination as
a primary method to evaluate safety. Our passive injury reporting system or checking data is
utterly inadequate. The U.S. System is somewhat better and their own commission study concluded
fewer than 1% of adverse vents are reported. Jennifer left I will quote her if you can’t
measure it you can’t manage it. Point number 4, mandates are a violation of fundamental
hue rights. We don’t need exemptions. If we don’t have the most basic of rights, and the
right to protect our children from known harm what meaningful rights do we have? A few of
you are even looking me in the eye. In summary my challenge to you is 3 fold think long and
hard about bringing disdisthis will come back on you personally on your children and on
your grandchildren. Second if you want to truly reduce vaccine hesitancy talk to us.
We have produced a 16 point brochure on what will and what won’t work it’s right up there
and I will leave copies for you. Third point be careful what you wish for. [indiscernible]
witness what you see here. There is a reason that this is the fastest growing movement
internationally. Thank you for your time. Thank you. Are there any questions for the
deputant? Seeing none, thank you very much.
Our next speaker is skyler hill Jackson. [inaudible] thank you, skyler, and you’ll have 3 minutes
when you’re ready. Thank you.
It would be nice if the Councillors on the soft — sofas could pay attention and give
us the respect — the main [inaudible] the idea is that the more people that are vaccinated
the more protection there will be for the whole. The public health establishment borrowed
the immunity concept from the pre vaccine observations of natural disease outbreaks
then without any apparent supporting science officials applied the concept to vaccinations
using it not only to justify mass vaccination but to guilt trip anyone objecting to the
nation’s increasingly onerous vaccine mandates. However immunity is undermined by vaccine
failures hence the growing call for more and more booster shot. It does not equal lifelong
immunity which is acquired after natural exposure the measles outbreak demonstrates even a vaccine
rate over 90% didn’t prevent an outbreak. The reason that 50% of measles cases occurred
in vaccinated children is primary or secondary vaccine failure which means the vaccine never
produced immunity or the immunity was lost over time.
For most vaccines primary and secondary failures go unnoticed because children are not being
exposed to most of these infections any more. The infections children do get exposed to
is flu. [indiscernible] occur in fully vaccinated
children in fact, health compromised children are at more risk from the shedding of live
viruses in vaccines by other children who were recently vaccinated. Studies show that
the fully vaccinated majority are as likely to be infected with and can transmit diseases
as the unvaccinated minority. [indiscernible] [inaudible] [indiscernible].
Thank you. [Multiple Speakers].
You can never say again that you did not know. I will not consent.
Thank you very much. Are there any speakers — questions for the deputant? Seeing none,
thank you. Our next speaker is Janet mcneal. And I believe one of the previous deputants
left some photos there. Christine I believe your photos are still there if you want to
collect them, please so other deputants are not using them.
I’m happy to have them here while I’m speaking I don’t have a problem with that.
Thank you, Janet you can start when you’re ready.
[inaudible]. Lease don’t give me a warning because of the
time so carefully and distract me if I give me a warning ahead that I’m running under
time. I spoke to you in April about some things I learned about vaccines since becoming a
grandmother. The board is health is being encouraged to join and amplify what’s become
a movement [indiscernible] on access to information about possible downsides to vaccination actual
risks and side effects. Google is restricting searches for this information. The censorship
pace has really picked up this year. You may not know google has a pharmaceutical division.
Gsk is one of the big 4 companies along with [indiscernible]. It’s pretty surprising how
deeply vaccine — continues to be accepted among us when you consider that the very industry
that brought us the opioid crisis and many other drug scandals is the exact one we put
our trust in to make vaccines and released by U.S.
Congress in 1986. Seems like some pretty serious cognitive [indiscernible] as it were here.
You do know the Toronto library system is already deliberately restricting books about
vaccines available to its reading public. Earlier this year I and others ask the library
to buy some books one of them the best seller. I was told by MDs would be favored which doesn’t
really make sense given that anyone can do deep research and publish a compelling book.
I put in a request for five books two of them by MDs no dice, not one has been added to
the library collection. I can read [indiscernible] at the Toronto library but not [indiscernible]
dissolving illusions disease vaccines and the forgotten history or the book vaccines
reappraisal or [indiscernible] safety manual for concerned families and health practitioners.
About a week later I put in a request for a book about the 1986 nuclear accident, that
one came in lickety split. Our library system in Toronto practicing censorship and restricting
information. Are you really okay with that? Seems to me like a pretty slippery slope.
Those that have done our research — risks and harms associated with vaccines. Hey just
read a vaccine insert before they start trimming information out of them that is.
When you follow the money in modern health care what do you find a hugely profitable
industry profits skyrocketing. Measles scares are very good for murk and
no incentive to make vaccines safer or more effective given that 19 86 release from liability.
Please do some research into the industry lobbying that took place this year. I provide
add link in my letter of 20 questions sent to you last week.
I’d ask you to wrap up in a sentence. We’re all entitled to bodily integrity and
the right to refuse medical procedures [indiscernible] cause us or our children harm this must never
interfere with our children’s right to receive a public education. We’re also entitled to
the free and open circulation of information these are our rights in a free and democratic
society. Thank you very much. Are there any questions
for the deputant? Thank you. Seeing none our next speaker is Linda — but could I just
ask, it’s a public table so I’d just ask if you check them, please because — [Off Mic].
Thank you. Thank you very much. Don’t want to forget Christine.
So our next speaker is Linda — thank you. Welcome Linda. I’m sure you know the drill
now having heard it from folks. You have 3 minutes.
About 1% of books available on injury. Okay. I began my vaccine research 36 years ago.
I went to hear dr. Robert — speak on mmr. After 30 years of giving shots he noticed
the same number of kids got measles whether vaccinated or not and the vaccinated kids
were sicker. He said there were no benefits only risks.
We were injecting retro viruses into our children to emerge later as diseases like cancer. I
determined never to give the mmr shot to my baby partnership bought his book how to raise
a healthy child in spite of your doctor but didn’t read it right away but he didn’t read
[inaudible] my daughter got those shots she screamed for 4 hours straight staring with
dilated eyes. Everyone said that’s normal so I took her back for more. When I finally
read the doctor’s book I learned the dpt shot was as bad as the mmr.
Screaming and seizures were caused by the vaccine affecting nervous system. My next
child did not get dpt shots, did catch whooping cough from 2 vaccinated children that came
to our house. Not knowing dr. Inspect had changed his stance
I took my son to get a tetanus shot at 4-year old. Within an hour neighbours carried him
home because he couldn’t walk. He look at me with reapproach and said mommy why did
you let that man do this to me. For a week he dragged his leg trying to bend it. The
effect gradually wore off but recently told me he thought he would never run again. New
scenario my daughter’s 7th birthday eating and painting faces [indiscernible] same thing,
third day [indiscernible] gets measles [inaudible] I thought she might miss
the whole year. [indiscernible] I got a hearing. I lectured for 2 hours and gave out 16 pages
on vaccine injury. The court reporter sent me she had never heard any of this and had
a new baby. A Toronto star was reporter was there and the next day the CBC interviewed
me, and the phone rang off the hook. I called [indiscernible] and support group was started.
The grass-roots beginning of vaccine choice Canada. Facts are presented along with heartbreaking
stories. I met a lady whose baby died the day he received his 6 week shot. The stass
are definitely flawed. Immunization of children does more harm than
good dr. [indiscernible] to vaccinate or not — I’ll just ask you to finish in a sentence.
That’s all I have left. [indiscernible] and I hope no one ever has
to hear the words I will never forget. Mommy, why did you let that man do this to me?
Thank you very much. Are there any other questions, are there any questions? Seeing none our next
speaker –. My apologies if I mispronounced that.
[Off Mic]. Okay, thank you. Please have a seat. I think
you probably know the drill now. Yes.
Thank you. Good morning. I have 3 unvaccinated children
I’m here to defend our right to informed consent and a parents’ right to not have their child
drugged in order to go to school. I have read manufacturer inserts, the mmr has listed under
adverse reactions type 1 diabetes. The insert states sudden infant death syndrome has occurred
in infants following administration of dtp vaccines. Worst of all is section 13.1 that
states this product has not been evaluated for the potential to call — or impairment
or fertility. I am not willing to subject this type of harm other benign childhood illnesses.
Would these be better than the chicken pox my children lived through. They’ve competed
in high school sports getting — [indiscernible] they won awards, scholarships and all look
forward to a very front future. They are productive healthy happy people that give more than they
take. Their teachers tell me constantly how blessed I am to have them, some even asking
me what makes them so. What is my parenting secret? I tell you this today not because
I want to brag, trust me although I do, but because these are the very students Toronto
Board of Health is wanting to remove from our schools. My freedoms were endowed to me
by my creator. The Charter of Rights and Freedoms is there
to remind elected and non-elected officials should you breach that scope but you already
have by requiring written and notarized exemptions you have already overstepped your boundaries.
As per the code, the voluntary consent of the human subject is absolutely essential.
I applaud you wanting to remove the religious exemptions. Simple [indiscernible] no thank
you is all that is required. I always tell my kids to say no to drugs because we all
have the freedom to refuse to have our skin broken, our bodies assaulted with an injection
against our will. We do not want wi 38 aborted fetuses, aluminum, [indiscernible] into our
bodies. In 2017 Robert f Kennedy junior offered a
hundred thousand to anyone could provide proof vaccines are safe. Currently dr. [indiscernible]
a 4 time MIT graduate has offered $10 million willing in Massachusetts to anyone who can
show him a risk assessment model for vaccine safety allowing any parent to the risk of
giving the current mandated schedule vaccines, will you accept that challenge?
Just going to ask you to wrap up. [Multiple Speakers].
Then I do not consent to having myself more my children force vaccinated drugged and medically
induced in order to attend public schools. Thank you very much. Any questions of the
deputant? Seeing none, thank you. Our next speaker is
Darlene Owen. Darlene. Darlene’s coming.
Great. Welcome, Darlene. I think you know the drill.
You’ll have 3 minutes. Thank you. I’m here today I’m a registered nurse and
I’m here as a Canadian citizen who believes and supports bodily autonomy and the right
to informed consent. I am here to speak to the removing of the
exemptions. Vaccination is an invasive medical procedure
which carries risks. Any evident to make vases mandatory contravenes the Canada Charter of
Rights and Freedoms. We’re permitted to question or opt out of any medical procedure that a
health care provider recommends so why should the choice to not vaccine be any different?
On April 8th, 2019, our associate medical office of health apprehend that 70% of parents
are concerned about the side effects of vaccines, 20% are vaccine hesitant. So I have to ask
you: Where are the studies to call the concerns
that the vaccine hesitant parents have? Where are the studies that show that vaccines are
safe and effective? Many parents have written to health Canada
requesting evidence of these studies and we have been repeatedly given standard responses
that do not disclose any safety studies. The only safety studies that seem to exist
are those who are fully funded by the pharmaceutical companies how is that not considered a conflict
of interest? How can the issue of addressing vaccine highways taint see possibly be taken
serious when you’re recommending financial incentives to health care providers. You can
not continue to repeat the slogan safe and effective when there are thousands of studies
within the medical literature done by independent researchers that demonstrates there are serious
detective re mental side effect that result directly from vaccines one which includes
death. As for the question pertaining to vaccine hesitant parents obtain their information,
I know that I as well as many other parents refer to studies that are published in peer
reviewed medical journals. We do not refer to dr. Google as people like
to keep perpetuating. Sorry I’ve lost my spot here. Many parents I have met who choose to
opt out of vaccinating their children are highly educated, many are also health care
professionals and I’m just curious how many of you are aware that the [indiscernible]
have not been tested for toxicity or long-term adverse reactions and that information is
not misinformation it is found in the manufacturer’s inserts. The safety of the cdc’s childhood
vaccination schedule has never been affirmed in any clinical studies to be safe. So how
can you truly believe that you’re acting in every child’s best interest by mandating vaccines.
Just since 19 88, the national vaccine injury compensation has paid out approximately $4.2
billion to victims of vaccine injury and their families. Sorry I’m completely lost here.
I had a five minute speech prepared. You’re just over 3 minutes.
I’ll ask you if maybe you want to wrap up in a sentence yep. All I’m saying is vaccines
become mandatory and a program is imposed than the manufacturer will have zero product
liability and no incentive to improve product safety. I want to close with stating that
the Canada public through our constitution has the right to informed consented and that
includes the right of refusal to any medical procedures of any kind including vaccination.
Thank you very much. Are this any questions for the speaker? Seeing none, our next speaker
is Alexandra Harrison. Welcome.
Hi. You’ll have 3 minutes when you’re ready.
Okay. My five year old son is a veer injured from vaccines.
[indiscernible] [indiscernible] everybody’s thinking the same thing yet no one is thinking
at all. Parents do this because everybody else is doing it, have you seen everybody
else’s children, 1986, 12.8% of children had a chronic disease, 2019, 54% of children have
a chronic disease. If this is truly about public health [indiscernible] mandating organic
food. I will spend the rest of my life trying to fix what people like yourselves indirectly
[indiscernible] informed consent at doctor’s office [indiscernible] trusting parents like
myself. That was naive of me. If you think you can do it again in front of our faces
now that we know the truth [indiscernible] what happened to our children is unshake believe
and would be a mistake to think that we won’t protect that part of our children with vaccines
[indiscernible] with everything we have every step of the way.
Ask to wrap up. Last sentence the price of their safety suspected
going on sale and screaming at the top move voice inside for you to please not do this
and allow us to spend that time fighting to get back our babies
as opposed to fighting you and taking what’s left of them.
Thank you very much. Thank you. [Applause].
Any questions of the deputant? Okay. Seeing none our next speaker is jill — jill, you
can come up, please. You’ll have 3 minutes. I think you probably
know the drill. All three of our children were born at Sunnybrook
hospital. We lost our son, I received a call from my
daughter’s kindergarten teacher telling me that she suddenly developed a fever. It was
at that point I learned there has been a nasty bug going through the class for self weeks.
Less than 24 hours we kept her home until Thursday to make sure we wouldn’t further
spread infection. One of my 2-year old twins woke up with a low-grade fever. He died that
afternoon. The cause of — [indiscernible] including the annual flu shot. He had received
his flu shot 6 months earlier. We know vaccination is our best first defence against preventable
illnesses we also know that a certain percentage of people will fail to development immunity.
We can’t predict who those people will be. 3 years ago it was Jude and he’s gone now.
We can see how quickly illness in the classroom can impact not only the other students in
the class, but also their families they may take it home to and also others in the community.
When we make a decision about whether or not to vaccinate our children re aren’t only deciding
whether we’re willing to risk our own kids we’re making a decision for other families
that will either increase or decrease the level of risk we’re posing on them.
Vaccination isn’t certainly a personal choice but a public one. We aren’t vaccinating children
against these diseases because they’re inconvenient but because when we don’t people die. Vaccine
hesitancy is a growing problem today. A great deal of misinformation and often the loudest
voices in the conversation are the most extreme. We all want what’s best for our kids. Many
parents feel unsure about what that is. We can’t be come place sanity in the face
of this trend. [indiscernible] we all know that kids are
wonderful but let’s be honest sometimes they’re disgusting, they wipe their noses with their
hands, lick things, touch each other, and classroom full of young ones doing this sets
up an environment where disease can spread easily that’s why we need to do a better job
together vaccinating. This is particularly important for kids in our schools who are
at higher risk for underlying health issues. While children are already more susceptible
to the more serious effects of preventable disease because of their age there are kids
who carry an extra vulnerability whose right to receive an education should not be diminished.
Every child has the right to a safe and healthy learning environment.
Just over 3 minutes. Thank you.
Close in a sentence. Okay. Let’s see. We know how to keep our families
safe. It’s time to put that knowledge into practice.
Thank you. Any questions for jill, the deputant? Seeing none, thank you very much. Our next
speaker is trina thornhill. Trina is here. Welcome, trina.
When you’re ready. Thanks, you have 3 minutes. So thank you for opportunity to come to speak
with you today. The topic of vaccines
and [inaudible] media attention. [inaudible] unfortunately by careful manipulation
of media they’re trying to successfully divide a population against itself. I’m here to defend
our right to informed consent a parents right to make medical decisions for the children.
In 2009 I was pregnant with our first child being fully vaccinated according to government
standards at that time. I never questioned vaccines or safety. So when I was told I needed
flu shot to protect my child I trusted and took that shot. [inaudible] I was [inaudible]
room to do arthritis things got worse, food intolerances developed, vomiting, I developed
allergy to pencil Lynn so I can’t use them any more. I was informed by a Canadian medical
doctor that [indiscernible] are actually in that flu vaccine. What I did not know was
this vaccine was not approved for us, not approved for use during pregnancy. Myself
and other women were the test subjects. I was not provided at all informed consent.
Fast forward to this year to Washington, D.C. The FDA has admitted for the first time [indiscernible]
pregnant women and licensed for pregnant mothers nor tested for Lynn — nor tested for safety
and clinical trials. The manufacturers of the vaccines warn against their use for pregnant
mothers since their safety has not been established. It is not known whether the vaccines will
harm the unborn baby and significant data onto these — the use of using this for pregnant
women to information vaccine associated risks. Long-term safety studies have not been designed
to detect vaccine related fetal injuries but a study of over 45,000 women showed us elevated
risks of birth defects and 20% higher risk of autism. When did I get mine first semester.
Now I will address the Toronto Board of Health. Eve one of you have a mat form each you are
to support. [inaudible] support and fight for quality, children the environment [inaudible]
same rights for all. You want that for everybody. What are we doing here trying to remove exemptions
for those who actually did what was required of us and then had an adverse event to that
vaccine. No one right now is actually up to date not one of you we’re not all up to our
children’s schedule, do you understand what that means?
You’re asking for our children to have your vaccine that was given to them that we ourselves
were never given. So my question to you is: Doctors need consent, nurses need consent,
a pharmacist needs consent we do not need consent to say no, who is going it write your
exemptions. Just over 3 minutes.
One more and I’m done. Thank you very much. Either stand behind your
recommendation and take personal responsibility for the consequences of vaccination or stand
down. I do not consent. Thank you, trina. Any questions? Seeing none
our next speaker is Tamara [indiscernible] is Tamara here my apologies if I mispronounced
that. You’ll have 3 minutes whenever you’re ready. Thank you.
Good morning. My name is Tamara and I am here to defend our right to informed consent a
parents’ right to make medical choices for their children and bodily sovereignty. For
several years public health has been unlawfully suspended children under the ispa in Ontario
legally only a principal can suspend a child under the education act and nowhere under
this act is it noted that entirely separate ministry has the ability to do this when the
medical officer of health’s authority is in question we have seen public health across
Ontario pressure principles into calling cis, withholding bussing and restricting them to
the office and withholding their recess. This is bullying and coercion and it is wrong.
We don’t send our children to public health to learn their a, b, cs or 1, 2, 3s just as
we don’t send children to public schools so they can receive medical procedures or have
one sided vaccine data pushed on them. As a Canadian citizen it is my fundamental right
to exercise freedom of medical choice. It is an infringement on said right that I require
an affidavit to opt out of the questionable medical procedure with horribly inadequate
safety data. The exemption process violates our charter rights.
Public health’s agenda today provides no research into why parents may be hesitant, it makes
no attempt to answer any of the questions requested in November of 2018, to provide
concerned parents with vaccine safety data including the safety of injected aluminum,
long-term clinical trials and the lack of true saline placebos. This is about giving
information. Consent forms were sent out the last few weeks
to schools across Ontario. Nowhere in these consent forms do they mention informed consent,
or that there’s an exemption process in place. Strategy section e you note clearly the Canadian
code of advertising standard responsible for prohibiting inaccurate misleading advertisements.
Who holds you accountable for these misleading statement and inaccurate verbiage. Furthermore
public health — propose censorship, and search engines stating that they’re confusing and
not required for informed consent the first element of informed consent is that it is
volume material tear — voluntary. I have to just continue on, is it any wonder there’s
mounting distress of — distrust of public health. [indiscernible] and yet simultaneously
removes freedom of speech infringes on your fundamental rights and censors informed consent.
[Multiple Speakers]. Ask you to wrap up.
Directly influencing what our medical professionals — as per your agenda here today I do not
consent. Thank you very much. Thank you. Are there
any questions of the deputant? Seeing none our next speaker is Sandra wang. Is Sandra
here? Welcome, sand dray. You’ll have 3 minutes. Thank you.
My name is Sandra and I’m concerned parents but today I am here to share a letter written
by an Ontario lawyer and mother. Dear board members, 25 years ago my husband
and I watched helplessly agency our 4-month old baby suffered a severe vaccine injury.
He had seizures following his dtp vaccine. We are not given information about adverse
events or how to identify or report them. My son’s special care costs tens of thousands
of dollars every year. He is 25, lives at home, needs support workers
and 24/7 supervision. You can not cross the road on his own. He is taken to parks or the
library where he reads Thomas the tank engine books. He’s very sensitive to sounds sometimes
hearing running tap water is painful. He has obsessions and listens to the same songs over
and over again. This should have the prime of his life, college, work, friendships instead
he sits alone blowing soap bubbles like a 3-year old.
We spend hours researching therapies, traveled across North America to specialists left careers
behind. We’re the full-time caregivers of a severely disabled son. Ours is not a one
in a million story. Vaccine injuries are rarely reported. Are
you aware that Ontario and Toronto Public Health have a history of underreporting vaccine
adverse events. According to the 2014 auditor general’s report, Ontario’s 2012, adverse
event rate was half the national average rate. And how is it in 2013 Toronto Public Health
with 21% of Ontario’s population reported only 9% of Ontario’s adverse events? In the
U.S. $4 billion have been paid to thousands injured
by the vaccines that you want to mandate. You will not win parents’ trust by pushing
for compulsory vaccines, you will not win trust by pretending that vaccines have no
safety and efficacy problems. You will not win trust by saying that reports of vaccine
injury are misinformation. It is — to sensor the speech of someone injured by a pharmaceutical
product. To silence the victims. That is before you is not a public health policy, it is a
travesty. As a lawyer I believe the recommendations before you directly or indirectly violate
rights protected by federal provincial and international legislation including the Charter
of Rights and Freedoms and the Ontario health care consent act. It is reminisce sanity of
dark regimes that had no respect for individual freedoms. As per your agenda I do not consent
and urge you to vote against this strategy. Thank you.
Thank you very much. Thank you. Any questions of the deputant? Seeing none, our next speaker
is [indiscernible]. If you could come up. You’ll have 3 minutes when you’re ready.
Thank you. Good morning. Members of the board, my name
is [indiscernible] and as a survivor [inaudible] Canada special representative and mother of
3 children who live in the city strongly support access to vaccination. I know and live with
the impacts of that rights being taken away. Through my support of inicef I see the effect
of this basic yet crucial public health intervention and the lives of children that are saved each
year. This is why vaccine hesitancy is altering children’s life and lives.
Hesitancy risked my life. It is concerning to me to hear that there are 5 times the me
sell cases in Canada than this time last year when you have a vaccine to prevent this unnecessary
illness. Vaccines don’t just protect people getting vaccinated. They protect everyone
else as well. More people in the community who are vaccinated
the harder it is for our disease to spread. If a person is affected with a disease comes
in contact with only people [inaudible] little opportunity to spread. And the type of protection
created when [inaudible] it means that many of us are protected each other especially
the most vulnerable among us. Knowing this fact that is based on size of research it
can help but worry when I receive a notice in the — when I receive the notice in the
first week of school who brought in a child with a serious illness in my son’s second
grade class. It read dear parents of the second grade class I would like to inform you that
there’s a student in the class who has a serious illness.
In order to protect it at best it is our expectation in your child has chicken pox or measles you
will and should report it immediately to the school.
Likewise any [inaudible] also be reported to the teachers. I think that you understand
the importance of this message and I know I could count on you for your corporation
on this. [inaudible] the principal. I am not only concerned
for this child but the parents as well. As a mother I could only imagine the fear
they experience whenever their child goes out into the community whether it’s to school
or the playground. Vaccines have saved more lives in Canada than
any other medical intervention in the past 50 years. Before vaccines were available many
communities died from diseases that we can now prevent. Vaccines also prevent diseases
that are deadly and that can cause pain and disability. I understand parents of today
haven’t seen how [inaudible] can destroy a family and alter a child’s life.
One immunizations drop in the community [inaudible]. You’re just over 3 minutes I’m going to have
to ask you to wrap up’ last sentence, thank you.
Thank you, Toronto Public Health council and members of the board for allowing me to speak
to be apart of this important conversation. Thank you, very much. Any questions of the
deputant? Seeing none, thank you. Our next weaker is
Amanda Moses. Amanda here? Welcome Amanda, you’ll have 3
minutes when you’re ready. All right. I am Amanda Moses and I left at
3:00 in the morning to drive five hours to come and speak with you guys here today. When
I first became a parent I never questioned safety or efficacy of vaccines so I vaccinated
my 3 children. After each set within a day or two each of
my children would become ill and hospitalized. My oldest started having several developmental
delays and constantly sick and has asthma. My second oldest child went to losing all
speech and eye contact directly after a set of vaccines a the 17 months old.
This sudden and extreme change was seen by our family doctor and documented in family
videos and pictures. She has been diagnosed with autism worse than 68% of children on
the spectrum and never live independently. I delayed my third child’s vaccines to see
if it would lessen his chance of a reaction. After vaccines within hours he had a seizure
and his face was partially and permanently paralyzed. He talks out of the side of his
mouth. He went from never being sick to being chronically ill. This is why 70% of parents
are concerned about side effects and 20% are vaccine hesitant. [inaudible] shared on social
media the majority of us are not anti-vaxxers we are xvaxers.
When you hold your child in your hand or find your baby’s lifeless body in their crib a
few hours after their vaccines there is no 20-minute video that can scare us into wanting
to risk another reaction. In all hopes of possibly preventing a weeks of the me sell
or chicken pox which many of our parents and grandparents all had and survived unscathed.
Infectious diseases are treatable, brain damage and death are not. It is clear to me now that
my family has a genetic dispossession making us more susceptible. So I choose not to vaccinate
my last 2. They are now 6 and 7 and have 0 developmental delays they are the perfect
picture of health, no asthma, allergies or physical or mental disabilities of any kind
of the there are risk with vaccinating. Any doctor who has read a vaccine insert will
tell you this. They will say the risk is rare but it is a risk and it is not rare, my kids
are living proof that have. No one has the right to force somebody to
do something that carries along with it risks. Vaccination is not a social issue. It is a
personal choice, and must remain as such in a free country. What is the reason and need
for this rash and disgraceful decision to try to directly defy our human and constitutional
rights. Where are these supposed epidemics of children dying from infectious diseases
here in Canada. If the number of people choosing to opt out in vaccinations is growing shouldn’t
we be seeing epidemics. Just over 3 minutes I’ll ask you to wrap up
in a sentence, please. I just have a question real quick. Since this
community — committee is bringing this motion forward I’m assuming you all happily comply
and make public your updated vaccination status like I have to. Can I get a commitment that
you’ll do this within the next 2 weeks to prove that you really are an integrity to
what you’re proposing to families across the city.
Going to ask you to wrap up. That was just a question.
Thank you. Any questions of the deputant.
No replies? Thank you.
Our next speaker is dr. Allison — doctor mcgere, please come forward you’ll have 3
minutes whenever you’re ready. Welcome, doctor. When you’re ready.
Thank you. Mr. Chairman, members of the Board of Health, ladies and gentlemen, my name is
— I’m an infectious disease physician and a member of the newly formed centre for vaccine
preventable disease University of Toronto. I want to declare my conflict of interesting
[inaudible] research studies from a number of other companies that make vaccines. [inaudible]
[inaudible]. Thank you this morning for the opportunity
to support the recommendations of this Toronto Public Health on the strategy to address vaccine
hesitancy. As you likely know vaccines [inaudible] safe food and water.
Over the last century give you a sense of the benefit primarily of vaccines but everyone
year that your parents delayed getting pregnant with you your life expectancy increased by
the 3 months. The world health organization estimates that between 2 and 3 million lives
of children are saved every year by vaccination. But vaccines have risks and vaccine hesitancy
is a new and growing problem. The extent that the world health organization declared in
2019, that was that it was one of the top 10 public health conflicts.
[inaudible] vaccination programs the erosion of trust in our public systems, social media
and the consolidation of vaccine production by the pharmaceutical industry. I want to
commend the Toronto Public Health and Board of Health today for taking a leadership role
in addressing the challenge of vaccine hesitate tainted see. I strongly support — [inaudible]
making changes noted. I would thus encourage the board [inaudible] recommendation going
forward. This is particularly important today in light
of the repeat loss of the applied evaluation program senior immunization scientist and
the chief science officer at public health Ontario. Leadership and coordination in vaccination
programs in from our local public health units in Ontario is going to be critical to our
progress in maintaining safe vaccine programs in the next few years. In the body of the
report Toronto pub health lifts a number of projects these programs are all commendable
and need to be both continued and evaluated. We encourage the board to support continued
Toronto Public Health planning and ongoing reporting of goals and progress over the coming
years. I would also can request that Toronto Public Health and the board must consider
— I’m afraid you’re just over 3 minutes I’m going to ask you to wrap up in a sentence.
In particular is Ontario’s largest and most diverse public health unit [indiscernible]
partners and stakeholders and innovation development of programs to ensure the success of our vaccination
programs in the future. Thank you. Thank you. Are this any questions for the
deputant? I see one. Director perks. Thank you very much. You said in your remarks
that many of the recommendations we have before us have been made many times and that we should
take further steps, could you talk a little bit more about what kinds of further action
you would like to see from the Board of Health? I think — I’m no expert in how to move forward
but I think the — the evaluation of programs is one critical area.
So if you look at the written submissions to this board this is a submission from [inaudible]
pub public health looking at vaccine compensation they took advantages of University of Toronto’s
public health students to do the research for those reports. So I think there’s a responsibility
of working with a variety of different universities to build the evidence case for making changes.
I think it’s probably not enough to make a single recommendation to a number of groups
about what to do but to try to make sure that there’s ongoing recommendations and you start
a discussion going forward that the — with the province and federal government about
what can be done. I think it’s helpful to ask Toronto Public Health what they would
like to do that they don’t have a budget for and on their vaccine hesitancy programs you
know what their priorities are. Obviously budget’s difficult for everybody, but I think
if Toronto Public Health has a list of the things they want to do and we know how much
they cost there’s some practical possibility of looking for funding for those programs.
. Thank you very much.
Thank you. Any other questions? Okay. Thank you very much. Our next speaker is Michelle
James. If Michelle, if you’re here. Is Michelle here?
I don’t see Michelle. I’ll call one last time, Michelle James.
Okay. After that our next speaker is dr. Samantha hill.
[Multiple Speakers]. Oh, sorry. You guys are watching. Number 19
Rosemary — dr. Hill you’ll be next. Rosemary you’ll have 3 minutes when you’re
ready. I’m a retired medical journalist. I was masters
in [indiscernible] medical free lance medical journalist for 22 years and I want to point
out to you that dozens of people here who have come to speak about the clear and present
dangers of vaccines anybody who had vaccine injury or vaccine to your child can you please
raise your hand. So but yet we all know I know we’re going to be ignored. Nothing we
say will make a difference. You often didn’t ask us a single question just like last time
we came you didn’t have a single question to us and Councillor Cressy you compared us
basically to [indiscernible] and said vaccines are safe and effective and other people on
this committee made fun of us, Councillor McKelvie read out a [indiscernible] water
saying well water can be unsafe so just like a product monograph of vaccines that anything
can be unsafe. People who are just trying to say maybe do your job and don’t just be
trained seals. I don’t expect even though it should happen
it’s a — it’s just unbelievable what’s happened so far. It’s a travesty. And by the way in
the press conference before, in several speakers that were [inaudible] mandatory, you know,
[inaudible] there are dozens of people who who could have spoken. Where was any voice
from that. Definitely a little bit of censoring of information and saphia spoke about how
we’re going to have a vaccine compensation program and that should be done and she said
well that way the pharma companies will have a [indiscernible] because they have to pay.
As you heard from the presentation from the medical people from the department of health,
no, we use taxpayers’ pay. Pharma companies are off the hook.
This information is so deep and thick, the resolutions you’re talking about a lot of
misinformation. I’ve looked into vaccines and indeed I discovered a ton of misinformation
about vaccines and almost all of that misinformation comes from public health officials, politicians
and the government with a heavy hand of big pharma behind it to white wash vaccines just
look [indiscernible] other places pressing hard we as taxpayers pay for those vaccines
also. Just in the formularies. Huge money maker.
This book stonewalled by a former journalist at cbs news when she did a piece a few years
ago about autism vaccines the push back was immediate. First a group that promotes childhood
vaccines was protesting and then pharmaceutical companies flooded cbs et cetera. This is what
we see now. Now — you’re just after 3 minutes. I’d ask if you could wrap up in a sentence.
So your proposed ban who benefits it’s big pharma. It’s sad [inaudible].
Thank you very much. [Multiple Speakers].
What you’re doing is opposite of protecting public health and you know it.
Thank you. Thank you. Are there any questions for the deputant? Okay. Seeing none, our next
speaker is dr. Samantha hill. Thank you Samantha, you’ll have 3 minutes when you’re ready.
My name is dr. Samantha hill an the president elect of the Ontario medical association.
I’m here today on behalf of Ontario’s 31,500 doctors to say that vaccines work. Vaccines
are safe. Sorry I’m just putting your time on hold.
Ladies and gentlemen in the gallery we’ve all been respectful of everybody’s time and
I’d ask you to respect the deputant. Thank you. Thank you.
Vaccines work. Vaccines are safe. And vaccines are vital to our community’s well-being.
People should not be swayed by the misinformation they hear to the contrary. Vaccines work.
Vaccination is one of the most successful public health interventions in the history
of mankind. It’s led to the elimination and control of dangerous infectious diseases such
as small pox, polio, and measles. Not so long ago Canadian children were becoming severely
ill and dying from these illnesses. Measles can cause severe pneumonia, brain swelling
even years after the initial infection. Children are more vulnerable and can become very sick
very quickly sometimes within hours. Vaccines are safe. All vaccines used in Canada are
rigorously tested through multiple phases of through. Once approved for use they’re
carefully monitored to ensure their safety and effectiveness. In fact, it’s more likely
that an individual will get sick from a vaccine preventable disease than from the vaccine
itself. Vaccines are vital. In Canada childhood immunization rates are generally high however
vaccine coverage remains below the immunity target of 95% for many diseases and this has
led to the recent outbreaks of measles, mumps and pertusis. There’s a lot of misinformation
circulating online. Because of this doctors have been hearing more from patients questioning
the need to get their kids vaccinated and some are opting out. We know that parents
wanted to make the best decisions for their children. 63% of parents admit to looking
for immunization information on the internet. That’s concerning because information circulating
about vaccination on web sites and social networks is mostly inaccurate. When it comes
to the safety of our children, decisions should be made based on science, on evidence, and
on advice from our family doctors not the size of someone’s fan base or a google search.
Ontario’s doctors are invested in your health and in the health of our communities, that’s
why beginning this week the Ontario medical association is launching a multi channel social
media campaign to help targeted the spread of the anti-vaccine myths. I encourage you
to look for the hashtag ask Ontario docs. Thank you very much. Are there any speakers
of the deputant? — or any questions, sorry. Did I say speakers?
Okay. [Off Mic].
Our next speaker is Mike Jackson. Is Mike here? Come on up, Mike. Welcome, Mike.
You’ll have 3 minutes whenever you’re ready. There’s a clock off to my right if you’re
wondering. Thank you. Good morning. My name is Mike Jackson.
I work as an English language instructor to new immigrants and every day I proudly sing
our national anthem with our students our anthem o Canada. It expresses who we are the
true north strong and free. I am deeply concerned because if this proposal is made law [indiscernible]
no longer free. Canadians will be oppressed because we’ve lost the right to informed consent
and medical treatment and won’t need any outsider to oppress us any more. I believe in god and
I believe that all human beings have rights one is the right to informed consent involving
all risks to any medical procedure. To violate this right [indiscernible] I submit
that this recommendation to abolish religious exemptions and force mandatory vaccines upon
our children as a condition can have receiving education is a direct assault on our fundamental
freedoms guaranteed under section 2 ab, section 7, section 151. Section 7 of the charter states
and I quote everyone not the majority, everyone has the right to life, liberty and security
of the person and the right not to be deprived there of accept in accordance with the principles
of fundamental justice. The Supreme Court of Canada has held in previous judgments that
security of the person includes and I quote: Personal aton know me at least with respect
to right to makes choices [indiscernible] so what are those principles.
Now, the vaccine lobby and supporters will say that these recommendation are an example
of fundamental justice. The unvaccinated are going to jeopardize the lives of all of us.
Do they really w stand real scientific scrutiny. So I ask youfully are there serious sides
effects prints on every product insert? Yes. If you — if I ask you this: Is this information
on the insert quote false and misleading or misinformation? No. When I sit down and read
the vaccine manufacturers inserts like most of the people here have done and on that basis
I refuse to vaccinate my child is that now hallway medicine? No. When I — what I find
really astonishing and disturbing this misinformation is in fact any scientific evidence that actually
confirms the litany of side effects already printed on the manufacturer’s insert.
Mr. Jackson I’m going to have to get you to sum up in one sentence, please. You’re about
time this is not hallway medicine. I ask you very, very clearly, keep the true
north strong and fee, do not accept this recommendation. If you do, we will stand on guard for this
he. Thank you.
Thank you, any questions of the deputant?
[inaudible]. Tonya rockham I’m a lawyer, a wife and a mother
of 2 young boys age 3 and 5. My older son has an extremely rare disorder and being treated
and monitored at sick kids by the head of oncology. When ms. [indiscernible] stated
that she can only imagine what a mother feels like worrying about their child’s health I
am that mother. I would never ask or expect another mother or father to put this child
at risk for my son’s benefit. It is my job to protect him and nobody else’s.
As a parent and lawyer I strongly oppose the recommendation set forth in the report. You
have my submissions in heart and copies and I ask you to rely on them and please read
them. The staff report is supposed to recommend a strategy to address vaccine hesitancy and
completely misses the Mark. The recommendation to provide financial incentives to health
care providers for promoting vaccines will increase vaccine hesitancy. A serious conflict
of interest that will only erode trust between doctors and this patients. This board should
be promoting the exact opposite recommendation that health care providers should be absolutely
prevented from receiving financial incentives for promoting or administering vaccines or
any other drug. That would give people confidence that the
medical advice given to them by doctors what is in their best interest not for the doctor’s
personal financial gain. Removing non-medical exemptions under the immunization of school
people’s acts also does not address vaccine hesitancy. Forcing vaccines is a direct violation
to life liberty and security of the person that cannot be seen under section 1. This
is no urgent or important objective that can be achieved by this immunization to justify
the infringement on body autonomy. Kids make up only a small part of the herd
but should be — that should be obvious to everyone. I turn you to my written materials
where pro vaccine doctor studies vaccine response and calls on public health to accept that
the measles vaccine has so many drawbacks it is unworkable.
Consent to immediately treatment [inaudible] voluntary to be valid under the health care
consent act. Removing of a none medical exception is a violation of law and disproportions naturally
— you have a mandate to produce health inequities. Rather than strip of freedoms [indiscernible]
[indiscernible]. Thank you very much.
Questions, not surprised disappointed. Our next speaker is David e:
[indiscernible]. David. Welcome, David. You’ll have 3 minutes. Whenever
you’re ready. Thank you. I have 3 healthy unvaccinated kids
and wish to challenge the Board of Health that parents who hesitate with childhood vaccines
have been hood winked. Have we forgotten that vaccines are a medical intervention? Parents
should not have their right to choose what’s best for their kids revoked by a false portrayal
of vaccine safety by public health officials. Why hasn’t the Board of Health acknowledged
that had vaccines carry very real risks and do sometimes cause serious lifelong injuries?
Please do not silence parents who make thoughtful and informed decisions to delay minimize or
even pass on childhood vaccines. Making vaccines mandatory would be a gross
violation of a parent’s natural right to decide what vaccine injury risk they’re willing to
accept for director Lai — for their kids. Thank you, very much, David.
Any questions for David? Seeing none next I have Brittany green, is Brittany here? Brittany
I’ll start the clock whenever you’re ready. A vaccine is a pharmaceutical product and
like majority of pharmaceutical products it comes with side effects some very debilitating
and even deadly as you just heard. As everyone is unique this product affects us all differently
we know that certain children are more susceptible to vaccine induced damage than others but
have to way to determine which children these are. So the vaccination procedure is a little
bit like — something that truly saves lives and causes no harm does not need to be mandated
but this is simply not the case with vaccines. We’re told the science is settled and the
slogan vaccines are safe and effective is repeated over and over again, but in is true
then why is there so much evidence to the contrary? Why is there an overwhelming numbers
of studies on the toxic ingredients in vaccines and how they damage the body? It doesn’t sound
like the science is settled at all. It is often stated that vaccination rarely leads
to serious adverse events but this statement is false. Our recent study done in Ontario
establishes that vaccination actually leads to an emergency room visit for 1 in 168 children
and for 1 in 730 children following their 18-month vaccination appointment. When risk
an adverse event is high vaccination must remain a choice for parents. If an individual
or parent wishes to prevent illness by strengthening the immune system regular consumption of could
clean water and good hygiene practices then they have ever right to do so.
I was under the impression that we lived in a free country but this is nothing free about
forcing medicine on those who do not want it especially one that contains toxic ingredients.
If we do not have the freedom to choose what goes into our bodies and into the bodies of
our children then we are not free in any useful or meaningful sense.
This is not moral and facism has no place here. This network of parents will never be
silenced. There are rallies all over the world and numbers
continue to grow every day. Legislation can never stop this movement.
Please open your eyes and hearts and do what’s right. You can look back and be proud that
you stood with the people on the right side of history. Thank you for your time.
Thank you very much, Brittany. Are there any questions of the speaker?
Seeing none next I have in this case deangelis, is nick here, nick deangelis. One last call,
is that nick coming forward? Yeah. Great. Welcome, nick.
If vaccines are so safe why does the U.S. Supreme Court classify vaccines as unavoidably
unsafe, why from pharmaceutical companies except from liability.
Why did the vaccine schedule triple [inaudible] rate increase from 12% to 54% after the scheduled
[indiscernible] vaccine injury and death so rare why has over $4 million been paid out
to victims and director Lai mainstream studies are terribly misleading to the general public
and funded by one of the most corrupt industries in world.
Thank you very much. Any questions for nick seeing none our next speaker Amanda Doyle.
Is Amanda here. Welcome Amanda. A previous health care professional and a
concerned mother. I applaud the recommendation to consider deal offing a national vaccine
injury compensation program to support those individuals who have had an injury from vaccine.
I have a family and a friend who have been seriously vaccine injured.
Without going into personal details, I’ll — I know others are more effective at sharing
this personal stories than I am. I will state that I truly value the freedom
to believe in a god of the bible. I live out my faith in this country. What is the sudden
emergency that makes you even consider removing these fundamental rights to religious freedom
and philosophical exemptions. These are our human rights to think and act upon those thoughts
to express what we deeply believe in. These mandates will certainly change our nation
for the worse. In this report there are many recommendation for action to address vaccine
hesitancy stated vaccine hesitancy stems in large part from misinformation about vaccines
spreading on social media platforms and internet. Here’s where your mistaken has a movement
as you call it. Information has not been trance part but hidden
from the public. Surprised when I learned that ingredients
in vaccines many serious side effects such as death, different auto immune diseases.
Fact that true scientific studies are not done without a proper placebo. The public
is demanding more transparency not less. Instead of stream lining information and limiting
the data why not give full disclosure for people to decide for themselves. You gather
all sort of information and data limited and out of date. Vaccines fail, vaccines are not
safe. There are other ways to boost the health of our community other than vaccines that
don’t carry serious risk of death or injury. It’s 2019 and time for public health to start
promoting other solutions. To promote real health care.
Recommendations — sorry. I’d ask — I know we can all agree on this, our children are
the future. And deserve this consideration and dedicated time. I’m praying for you to
maintain or freedoms in Ontario freedom to parents to choose what goes into our children’s
bodies freedom to protect our children from possible harm and freedom to give our children
an education. Please do not remove choice. Thank you.
Thank you very much, Amanda. Any questions for Amanda?
Seeing none, number 27 on the list has taken her name off the list. And then I had 3 more
additions before the 10:00 a.m. Cut off. So our next speaker is shanna Schmidt.
Welcome. Hello, I have 6 children ages 3 to 14 and
they’re all completely unvaccinated. I’m going to go off script at the start because what
I’ve heard in the proceedings this morning. What I heard this morning and during the first
agenda item was compassion, I heard compassion right here from the members of this committee
about a woman who was murdered recently. I heard compassion about elderly being mistreated
I heard compassion about children in substandard conditions and so I’m asking you if you can
find that same compassion for the stories you’ve heard today. There’s moms and dads
here who have lost children just like the woman that died. There are moms and dads here
whose childrens have been abused, if you will by taking on this injection that they didn’t
know could harm their child because everybody said to them vaccines are safe and effective,
it won’t happen to your child. I’m asking you, I know you have that compassion in you,
I’m asking you to bring it to the people here and hear our stories today. I’ve chosen not
to vaccinate my children because I kept reading and kept reading. I was waiting until I came
across the document that would convince me 100% that my children would not be harmed
and that has not happened to me yet and I will not do it until I know with 100% certainty
if I consent my child will not be injured in any way. What I’d like to do next is share
some quotations from some medical doctors who are concerned about vaccines. There’s
a lot of them and I’ll just share some quotations from a few of them.
Vaccines are profitable but neither safe nor effective, that’s dr. [indiscernible].
Vaccines are highly dangerous, have never been adequately studied or proven to be effective,
that’s dr. Allen greenburgm. Only after realizing immunizations were dangerous did I receive
a drop in infant death rates dr. [indiscernible] m.d.
7:without exception the vaccine program was begun after that disease had begun to disappear
dr. William Douglas m.d. I vaccinated my children with the mmr before I start my research.
Knowing what I now know I would not vaccinate my children. Many believe that the polio vaccines
made have been responsible for the increase in leukaemia. In my medical career I’ve treated
vaccinated and unvaccinated children and the unvaccinated children are far healthier. And
I would like to conclude by a quote from dr. Jay Anthony morris formally chief vaccine
control officer at the FDA, there is evidence to prove that the immunization of children
does more harm than good. Thank you. Thank you very much. Any questions for shanna?
Seeing none, our next speaker is Katherine [indiscernible].
Katherine, welcome. You have 3 minutes whenever you’re ready.
Good morning, I’m one of the unvaccinated students you’re looking to bully, discriminate
and remove from Toronto skills. I am not skill, ill or contagious, I am however,
an athlete, member of student council, and one of the most healthy and dedicated students
at my school. I don’t have the time or space to get sick because there’s so much I do or
involved in. In fact, the only time I take off school is it to go to different competitions,
school trips, training catches and now thanks to you when I have to defend my god given
freedoms to the overstepping Board of Health. How could I possibly be a danger to kids at
my school? Last year a girl at my school took her own life, wouldn’t it be better if Toronto
Board of Health worked to get my peers off antidepressants and anxiety medication? The
overwhelming majority of my generation is sick and tired of being sick and tired. And
you want to medicate all of us so we all have to experience the same drug induced diseases.
If heart drugs list heart attacks as a side effect and anti-depression drugs list suicide
as a side effect why do you think I should trust anyone that says vaccines are safe and
effective. — I do not consent to anyone taking my freedoms of conscious or religion and above
all I do not consented to mandating decisions about my body autonomy. As m.c.
Hammer once said you can’t touch this. [cheering].
Ladies and gentlemen, this is our second formal warning as it relates to noise and disturbance
in the room. After the third warning we do have to clear the room. Thank you. Our next
speaker is kristin owens. Is kristin here.
[Off Mic]. Sorry. Welcome, kristin.
My name is kristin I’m an education worker and I have a few concerns about the amendments.
First of all, I believe that they are unconstitutional. We’ve heard a lot of quotes sections of the
constitution, religion, creed, rights of body integrity, also the code and the medical consent
laws. Next I also believe that the amendments are based on fear rather than investigation.
I do not worry about students who are unvaccinated there is no risk.
Far more risk from people who have just had a live vaccine such as the current measles
vaccine, the nasal spray the flu nasal spray vaccine and the whooping cough vaccine. And
there are others that have got life viruses in them. Some blame the recent outbreaks on
children who have not been vaccinated. However the majority occurred in cases of vaccinated
people. [indiscernible] have not been released so
one can only assume that those people with fully vaccinated because if they weren’t vaccinated
everyone would know about it. What happens when vaccinations are mandated? In places
where students have been mandated — sorry — in places where students have been mandated
to have vaccinations the enrollment numbers go down. California saw the largest decline
in enrollment last year 34,135 students, New York just mandated vaccinations earlier this
year New York politicians as well as truarchs blamed the outbreak — it came as no surprise
there was an attack at synagogue at Passover? There’s been a vaccination [indiscernible]
since 2015 where they first mandated the education sessions or reeducation sessions. And then
since then they’ve removed all, um, exemptions. So Ontario has followed this same model with
similar outcomes. Since the reeducation catches no one has been converted. Now are we going
to follow the same model where we start to look at a religious group and wait for whatever
hate crime is going to happen? Would there be a hate crime in North York or is it going
to be in ford country to — a mosque. Okay. If you have mandate vaccination people are
going to need to home school or private school their children. Many people cannot afford
that. In Italy, sorry — in Italy, mandated vaccinations Italy has mandated vaccinations
in schools. Day cares an schools have closed down as a result and Australia — thank you
— mothers who have created this own networks. You’re just over 3 minutes.
I’m going to ask you to finish in a sentence. Okay, if, if they were mandated 3% of the
students would go, that’s 7,500 students that would be 930 education workers who would be
out of a job. Doug Ford’s cuts have only been less — have been 285.
This is far worse than — thank you. [Multiple Speakers].
Thank you very much. Any questions for kristin? Just before our next speaker it’s just before
12:20, we have 2 more speakers. Some members of the board I understand are going to have
to leave at 1. My proposal because I know people wanted to be here for this is we extend
to finish this item before breaking for lunch. Members of the board okay with that? Okay
so I have an amendment. Okay. That’s okay. We have some people who need to leave at 1.
So I think this will get us the most number of people to be able to stay for this. So
the motion is that — that one. And this is that the Board of Health extend its meeting
past the lunch break to allow the board to complete this item at which point we’ll take
a lunch break all those in favour? Opposed if any. Carried. If people do need
to step out either to make a call or use the washroom or anything, you’re more than welcome,
of course. Okay our next speaker is Natalie crummer,
is Natalie here? Welcome Natalie. Put it — face it towards
you. That’s it. There you go. You can have a seat an when
you’re ready I’ll start the clock. Okay. Can you hear me.
Yep. Okay. I’m going to go a little bit off script
as well. Just in the beginning my name is Natalie crummer,
I’m a mother, business owner also a mother of a vaccine injured child. I’m also — I’m
here to put my heart out like it’s — it was not — it was hard for me to — I came from
— which is not as far as other people to take here. No one here is getting any sort
of incentives to be here, no one is getting any sort of, you know, if anything we’re losing
money, losing stuff from our business to be here. I want to talk about as far as you know,
I’m not going to sit here and say a slogan over and over again that vaccines are safe.
It’s unfortunate to hear that it’s not even making it open for discussion when you hear
all these families and stories and someone comes up here they’re safe, they’re safe,
they’re safe. Say that to all the stories that came before. Let’s have a conversation
about this it’s really unfortunate that we can’t have this open conversation. It’s also
2019, there’s access to information, there’s no study that a doctor has access to that
I don’t also have access to. So to be like oh your google research. It’s 2019, there’s
no secret studies like there’s — everything’s peer reviewed, we have access to all of this
information. So it’s — that’s really unfortunate to try to be like oh, you know because you
found that on google yeah because we don’t walk around with like ten thousand books in
our trunks any more. It’s a pdf version of a book. Like let’s have these conversations
let’s not just say oh that’s misinformation because you got it off google, so did you.
That’s what’s frustrating. I’m going to talk about — thank you much
for the person talking about their experience of having polio as a child. I’m not a doctor
but I’m able to do research. I can read, I can decipher, like we — I’m a competent person.
So there’s no polio in Canada. The last wild natural polio case occurred in 1977. This
have been 3 reported cases in the U.S. Since 2005.
Worldwide there are more new cases due to strains than there are due to wild polio viruses.
Last year vaccine derived viruses paralyzed 105 children worldwide. The wild virus affected
just 33 children and more shockingly between 2000 and 2017 in India 490,000 cases of paralysis
were a direct result of the vaccine. The scare occurred during the 1940s, 1950s, it was a
summer disease and has been linked to ddt especially around apple orchards, fruit and
vegetable farms. The use of ddt began in 1945. You’re just over 3 minutes.
I’m going to ask you to wrap up. Sure I’m just going to say one of the biggest
problems that we face is the exaggerated one sided fault free history of vaccines. In 1956
the medical association instructed doctors to change the polio.
Thank you very much. I’m almost done.
Diagnosis to an acute parallel diagnosis. By changing the character.
Sorry, you’re at 3 and a half minutes. [Multiple Speakers] are there any questions
fortunate plea? Okay our final deputant today is Norma Jean — is Norma here. Welcome Norma.
[indiscernible] and Ontario used to track the spread of the virus. He was a statistician
an advocate for a well designed report facing inquiry on the evidence not what was assumed.
A report that considered all pertinent data was his ultimate resource.
Just over 3 minutes I’m going to ask you to
wrap up in a sentence, please. They will be heard, we will be heard. We all
stand together. Mothers are saying their children were harmed, believe women. Please ask yourself
before you dismiss, disrespect and discredit all of us your fellow citizens brave ordinary
people as ill informed and. [Multiple Speakers].
Thank you. [Applause].
We’re now going to — that’s the rest of our deputations list. At this point we’re moving
into committee and this is the chance for members of the board to ask questions of staff.
Do I have anybody with questions? Director Wong.
Thank you, chair. I have a question to the medical office of health. There was a recommendation
dealing with the college of physician and surgeon. Can you elaborate a little further,
because I’m not clear in that particular — I don’t have any — yellow sheet.
There was a section there that talked about the sharing of the email address. This is
the first time I’ve heard about this. So am I clear when I read your recommendation, that
the college is refusing to charge? I considered that as a public information.
So they’re refusing to chain their email addresses of physician working here in the City of Toronto
in this conversation about the vaccination piece?
So through the chair, the short answer is you know, what we’re trying to do is get the
email addresses of Toronto physicians so as to facilitate communications with them. I
will ask dr. [indiscernible] about previous attempts that we have made as a department
to access this information. Getting email addresses for physicians will
enable us to give timely information to physicians. We do currently get lists of physicians, fax
and address information but we don’t currently have access to email addresses and we want
to be able to have a way to communicate with physicians in an efficient and timely manner.
So my follow-up question is to chair: What’s the rational because this issue here the [inaudible]
sees this as a priced issue because at the end of the day this is public safety, right.
So I’m just not clear because if this is good for the City of Toronto let’s call our colleagues
across the province because this is not just the City of Toronto issue, this is the province
issue. So my question is through you, Mr. Chair to the medical officer of health, why
is the college of physicians surgeon not see this as public safety, public information
to share with a public board? So through the chair I’m not sure that it’s
appropriate for myself or the doctor to speak so to what the college of physicians and surgeons
of Ontario is thinking or what their rational might be. I’m happy or to have the conversation,
we see an importance to providing or having the email addresses and one might argue that
there would be benefit for other local public health units to get email addresses for their
own representative physicians to fill state the flow of information on matter of public
safety. Thank you.
Thank you. Any other questions. Thank you very much for the report that was
put together. The recommendation — one of the recommendation
talks about the functionality of panarama and a couple of ways of increasing the functionality.
I wondered if you could just give us a little bit of detail on what that would look like
because as a health care provider myself I think the reporting parted of this is currently
a barrier for a lot of families and health care providers.
Thank you for the question. So is the provincial system that we use electrically
to house immunization data and it’s a step up from where we were previously but still
has some limitations in its functions. Right now we cannot run coverage reports by
for example, post statistical code or for example certain demographic or social determinants
of health to be able to determine where we may have pockets of under vaccinated individuals
in the city where we may require more resources for example. Another way which we have continued
to be vocal on is right now parents who are required to report vaccinations directly to
public health in accordance with the immunization school people’s act and it’s the parents’
responsibility currently this is legislation that is on hold requiring physicians and other
health care providers to report directly to public health. That’s another one of the recommendation
that if we got the immunization information shortly after the immunization was provided
in the office directly to public health, well, then it would take the burden off parents
and also allow us for more real time data and analysis of immunization rates.
Thank you. Any other questions. Director McKelvie and then I have director Layton.
Thank you, Mr. Chair. My question is for the chief medical officer. Can you just outline
how your recommendations interface with those coming out of the world health organization
and in particular the statement on [inaudible]? The organization has recognized the role of
the social media sites on influencing some of the information that’s available, some
of the false information that’s available. We included the recommendation from the report
group because it was a comprehensive recommendations made at a number of different health specialists
and consistent with the information or recommendation that the world health organization is also
making and seem to play to specific interventions that these social media platforms and search
engines can actually do to improve the public’s health.
So your recommendations are consumed with what’s starting to be done internationally?
Right now the recommendation is for the search and social media platforms to make the changes
6 their own. And so it’s kind of a self regulation or a recommendation that they make the changes.
There currently is no for example legislation or anything beyond a recommendation coming
out forcing these platforms to make the changes. An then just — I just want the words that
are used throughout our request and consider and I see that over and over again. So it
looks like ultimate authority here is with the province and the federal government for
some of these recommendations that you have. That’s right. So the ones that say consider
or recommend it’s where the jurisdiction to make the decision does not lie with Toronto
Public Health, rather the Ministry of Health, federal government or internationally.
And the last is regarding the recommendation 1 b about removing exemptions, you aren’t
recommending to remove medical exemptions, right?
That’s right. First of all it’s considered the removely philosophical assumptions but
those who have a medical reason for not being vaccinated would continue to maintain their
medical exemption. [inaudible].
Yeah. Thank you.
Thank you very much. Next I have director Layton.
Yes, the report on page 9 demonstrates a doubling in the exemptions rates over the last dec
decade. Then it says we haven’t quite hit the rate of dangerous levels of exemptions.
Is there any idea of what that rate is? We know for different diseases what we called
[indiscernible] rates are required. Measles typically 95% of the population needs to be
considered immune. And so right now our rates in schools are 94% among vaccinated individuals.
So for something like measles, you know having 5% medical exemption rate might be too high
and could result in outbreaks. In places like California, there were instances
where medical exemption rates were for example, 10% and definitely resulted in outbreaks.
So it depends on the disease what that particular kind of worry some spot is. But for something
like measles you do not need a lot of medical exemptions in order to have pockets of unvaccinated
individuals leading to outbreaks. And we measure the exemption rates city-wide.
Those are Toronto rates, but the rates have also been shown this same pattern has also
been shown in Ontario in general. And as a response it says here that California
took action to remove their non-medical exemptions, when was that?
That was recently in the past year or two when California removed their non-medical
exemption and there haven’t been studies that have subsequently shown that the removal of
the non-medical exemption rates have sub subsequently resulted in higher immunization rates in the
schools. Now, can I just — and just one last of questioning
around compensation the injury compensation program, it’s existed in Québec for 40 years.
They have had an injury compensation program for that long and that was material included
in the report. No other province in Canada has gone ahead or has even I don’t know if
they’ve con temperature belated or has one anyways.
Is there a rational for why, why it hasn’t been established in other jurisdictions?
I believe Québec has a history for why they went ahead with it 40 years ago. And I’m not
clear on why other provinces have not — do not have one currently.
Through the chair, however — sorry. There has been active conversation and in
fact it’s been in the medical literature and amongst public health circles talking about
the notion of the compensation program for many, many years now.
Okay. [Multiple Speakers].
Ladies and gentlemen in the public this is the absolute final warning. We — we’ll have
to clear the gallery in order to carry on if there is another outburst. Thank you. Any
other questions? Trustee preti. Through you chair to staff I was wondering
if you could elaborate on recommendation number 4 provide financial incentives to promote
vaccinations for local health care providers. Absolutely. So the Ministry of Health the
Ontario government recently released an ending hallway medicine plan. And in there it included
a number of recommendations such as engaging health quality Ontario to provide physicians
with some of their metrics for some of the way they’re responding to their population
and meeting some of the health care needs. And in that report it said that another way
in which Ontario can move forward to achieve good health outcomes is to provide financial
incentive to physicians. And so that was something that was included in the ending hallway medicine
report. And so if the ministry is considering providing financial incentives for physicians
for example, who have high rates of x, y or zed this could be one area which they could
also consider providing financial incentives, so it was in that context that this recommendation
was made. Thank you.
Any other questions? I have 2 questions. To our medical officer of health, in your opinion
as our — as our medical officer of health, are vaccines safe?
So through you, Mr. Chair I don’t think I can say it any better than it’s stated in
the report. Vaccines are safe, effective and truly one of the most important contributors
to improving health worldwide. You’ll see also in the report that there are
rare instances where serious reactions can occur but that doesn’t take away from the
fact that they’re one of the most significant lifesaving interventions that has occurred
in medical history. My second question is:
Given the rise in vaccine hesitancy that we have documented, that you have documented
in the report, does that necessitate a scaled up approach and strategy from all levels of
government to tackle vaccine hesitancy. In short, yes, and that’s why we’ve put these
recommendation in front of the board for your consideration today.
Thank you. Those are all my questions. Going to move in towards speakers, speakers, I have
director perks. Thank you very much, Mr. Chair. As some of
you may know, for about 20 years before entering elected office I worked in the environmental
movement particularly in the area of human health and the environment. I taught that
subject at the University of Toronto. I studied it as an undergraduate student. In doing that
work I learned to think about topics like this requires great care. One of the things
that I’ve heard today several times is this notion of body autonomy. And I think it’s
very important that we interrogate that and understand that. First of all biologically
speaking there is no such thing every human being trades bacteria, viruses, if you live
in a society, that’s a fact. Another piece though that isn’t thought about as carefully
is that the results of human action are constantly interfering with our health. From moment of
conception we’re all exposed to persistent organic pollutants — every breathe that we
take contains emissions from the fossil fuel industry. It’s something that if you allow
to lead your thinking about how you look at issues like vaccination, you will be led to
a wrong conclusion. The problem we have in my view, is that we don’t make enough intentional
interventions in human impact on human health. Prior to the rise of public health, 40% of
all children born did not make it to adulthood, 40%. Some say 40, some say 50 but I’ll take
40, it’s the lower number. We are — we are sitting here in a moment of extraordinary
luck and privilege that we don’t have the epidemic of childhood mortality that everybody
prior to the rise of public health and intervention’s experienced thought the globe. Every family
lost a child. Many families lost all of their children. But interventions like treating
drinking water, vaccination, thinking about nutritious food, educating young girls in
sexual health, these public health interventions are the reason that we have the civilization
where we can sit and argue about vaccination. If anything, we need to be more aggressive
about having public discussions of what we can do collectively to protect health not
[indiscernible] if anything we must do more to dispel the myth that it is possible to
live with some kind of bodily autonomy. It’s not biologically practical or possible.
There is no human being alive whose health hasn’t been impacted by human intervention
and there never will be. We have to do it with intention instead of simply wishing we
could live in some — I salute the courage of the medical officer of health and the health
professionals that we’ve heard today for standing up for this important principle despite the
concerns that many have raised today. It’s hard to do but it’s necessary if we want to
have a healthy population. So I will be supporting the recommendations
in front of us. Thank you, director perks.
Others to speak? Director Wong. So this issue is very personal for me. As
some of you didn’t know I was a former public health nurse. I was also that I am granted
kid who experienced much many racism in the city and I still experience it before I came
here as your colleague on this board. I’m voting for these recommendations to chair
because of that little girl whose classmate in Hong Kong has suffered from polio, I remember
this little girl couldn’t climb in the playground. This issue that we’re confronted with today
no different than what we this board passed when I was here when council Layton’s father
and I debated on tobacco. This issue was also the similar issue when I was here on this
board when we debated on [indiscernible] right Councillor Perks, remember that. So if the
intent of this board our legislative responsibility, education awareness and prevention, we have
to do the right thing. This is no different than we did and this board led when it comes
to tobacco strategy this this board led on the issue because I was around back in the’80s
as a young public health nurse. When I vote on the motions I’m voting for that little
girl who couldn’t climb. She was my classmate when I was in Hong Kong. So we need to address
those issues. Thank you, Mr. Chair. Thank you, director. Any other speakers? Okay.
I’ll speak then and first of all I will be moving the staff recommendation and I have
an amendment as well if it can be placed on the screen which is to request health Canada
to introduce legislation to restrict inaccurate and misleading anti-vaccination that is targeted
to the public. Let me begin first of all and I have moved the staff recommendations by
thanking or staff for their tremendous hard work and proactive work as well to the deputants,
all the deputants for being here and talking and coming to speak to us. But if anybody
had any questions as to whether or not tackling vaccine hesitancy was an urgent issue and
one that the wh 40, has said is top 10 issues facing the globe I think is more demonstrated
that we have work to do. As our medical officer of health has stated vaccines work. [inaudible]
there is an abundance of scientifically proven evidence demonstrating just that. In fact
vaccines have saved more children’s life than any other health care severe preventions in
human history and have indeed eliminated once deadly diseases and drastically reduced the
risk of others. So why are we here? We’re here because in the 21-century vaccine
hesitancy is on the rise. We have measles outbreaks leading to deaths.
And in Canada where we have 20%, 20% in the city apparent — a parent who are vaccine
hesitant. The risk is clear. The risk is clear for immunity
but the risk is also clear today for kids, for pregnant women and for people who are
immino — I’m not prepared to wait for an outbreak. I’m not prepared to wait to act.
Rather based on the research and evidence and the trends we’re seeking to proactively
work to prevent that outbreak. That’s what this report is. In April when we asked our
staff to come forward with proposals for a comprehensive approach we did this because
we’ve already seen in California, in Washington, New York, states have been forced to respond
after the fact. What public health is fundamental about is prevention.
This is an upstream action that’s required and requires all levels of government at the
city for us to engage with more health care education. With the province implement an
improved online data system and consider removing the non-medical exemptions and for the example
government to look at the risk and advertising and for the private sector and the social
media companies to tree these the same they do with other misleading advertisements. Now,
some have said that vaccinations are an infringement on individual rights. Well, people have the
fundamental right to believe what they want but they do not have the right to endanger
others. At Toronto Public Health we will expedite our work to promote and defend vaccinations
and in 2019, in the 21st century we will once again work to not only defend science, but
to protect the health and being of our society. I’d like are people comfortable taking the
a vote on the package? Or do you want to separate them out.
[Off Mic] no. No, no, we can do the one separate it a school
board relate one. [Off Mic].
Number 4. So for the clerks so we’re — [Off Mic].
There is a — [Off Mic]. 1 a 4 provide financial incentives to promote
vaccinations for local health care providers you want to vote on that one separately. Okay.
So we’re going to vote on that and then we’re going to take the rest as a package if that’s
all right. Okay. So on recommendation 1 a 4, all right all those in favour? Opposed,
if any? Thank you. On the package as a whole then now, that we voted on that, I’d ask for
a recorded voted on this, please. All those in favour?
Director bowry, director Donaldson, director John — jonsson, director Wong-Tam, director
Joe Cressy, director — director McKelvie, director mulligan, director perks, director
Wong, director wong. [Multiple Speakers].
Members of the boards. [Multiple Speakers].
We will now adjourn until 1:30 for a lunch break. 1:30 for a lunch break.
[Multiple Speakers]. Thank you.

Daniel Yohans

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