Not the best news to start a week with - it seems to be what we are going to have to cope with

News 100 blueBy Staff

April 20th, 2020

BURLINGTON, ON

 

This is not what we wanted to hear at the start of a new week.

“Humanity will have to live with the threat of coronavirus “for the foreseeable future” and adapt accordingly because there is no guarantee that a vaccine can be successfully developed, one of the world’s leading experts on the disease has warned.”

David Nabarro

David Nabarro

In an interview with The Observer, David Nabarro, professor of global health at Imperial College, London, and an envoy for the World Health Organization, said the public should not assume that a vaccine would definitely be developed soon – and would have to adapt to the ongoing threat.

“You don’t necessarily develop a vaccine that is safe and effective against every virus. Some viruses are very, very difficult when it comes to vaccine development – so for the foreseeable future, we are going to have to find ways to go about our lives with this virus as a constant threat.

Imperial college

Imperial College, London

“That means isolating those who show signs of the disease and also their contacts. Older people will have to be protected. In addition hospital capacity for dealing with cases will have to be ensured. That is going to be the new normal for us all.”

When it comes to credibility the Observer, a British newspaper, is as good as it gets and the Imperial College, London has a sterling reputation in these matters

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81 people infected at Mountainview Retirement facility; 8 dead.

Newsflash 100By Staff

April 18th, 2020

BURLINGTON, ON

 

On a Saturday afternoon when the news world is usually quiet the Region of Halton advised that the Mountainview Retirement Residence had:

63 residents and 18 staff confirmed as COVID-19 cases, with some lab results still pending.

8 deaths

The Public Health unit became aware of problems at Mountainview on March 31st – 16 days ago.

Mountainview

The Mountainview Retirement residence in Georgetown – 8 Covid19 related deaths.

Fig 3

Data made public on the 15th did not indicate what was behind the Halton Hills number.

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Councillor Stolte suggests the city 'expand the sidewalk”.

News 100 blueBy Pepper Parr

April 18th, 2020

BURLINGTON, ON

 

The height of a building, the architecture and design are both important and for the people of Burlington they are, at this point, a major focus.

Shawna Stolte hand to mouthBut more important than the two is the street.

Streets are where we live – yes, your home is on a street but a lousy street ruins the most impressive home.

Ward 4 Councillor Shawna Stolte will be putting a motion before Council on Monday – she wants to change the way streets are used during this COVID-19.

Stolte wants to direct the Director of Transportation Services to assess, create and implement as soon as possible, and with input from other city departments and members of the Cycling and ITAC Committees, a “Shared Streets Burlington” Pilot Project with the goal of temporarily closing portions of roadways to allow for safer physical distancing for pedestrians and cyclists for the duration of the COVID-19 pandemic.

Streetscape Alton Village

Under normal conditions – this is more then enough sidewalk – but these are not normal times

The residents of Burlington, along with City Council and City Staff, are all committed to the goal of stopping the spread of COVID-19 in our community.

Stolte accepts that the role of City Council and staff, is to amplify the message of medical experts in regard to adhering to physical distancing requirements while also considering a longer term plan that acknowledges residents need for physical exercise and fresh air in order to effectively manage their mental health and well-being.

She points to recent Angus Reid Poll that asked, “if there is anything residents are doing more of than normal since being isolated” and 53% reported “going for more walks” and 26% reported “taking up extra exercise”.

City streets and sidewalks are places residents are permitted to travel outside their homes but sidewalks are simply not wide enough to ensure the physical distancing requirements recommended by medical experts and the informal use of grass boulevards does not provide a safe nor viable alternative for wheelchairs, strollers or bicycles.

The streets weren't crowded but the turnout was worth holding the event again nest year. Next car free day will be downton July 15th.

Is shutting down a street and opening it up to people who can just walk and ride bikes a solution?

These sidewalks and multi-use paths are becoming more congested as the seasons change, temperatures are rising, and residents seek outlets to support their mental health and well-being.

The space to expand outdoor physical distancing is available.

Roadways are underutilized due to reduced traffic volumes and represent a clear and simple alternative to “expand the sidewalk”.

There are many resources already available, as well as an established work group comprised of dedicated residents from the ITAC and Cycling Committee who have been meeting to research strategies and suggestions for implementation.

Some suggestions are as follows:

  • begin with a Pilot Project to measure, monitor and learn as well as to assess the willingness of the community to participate in a safe manner;
  • consider a phased approach that can adapt/expand as needed;
Carpentr House - walking the trail

Community walks like this are not on – the Beachway Trail can’t handle the traffic – can part of the roadway be opened to pedestrians?

  • offer multiple, local, widespread, “very ordinary” locations to create the opposite of a destination to avoid gathering crowds
  • to network streets and coordinate with park locations;
  • ensure strong signage and communication;
  • consider a variety of options such as closing off curb lanes on thoroughfares (ex. Maple, Palladium Way, Prospect -east of Guelph) or installing strong “Shared Streets” signage on key neighbourhood streets (ex. Spruce, Townsend, Palmer, Millcroft Park)
Shawana Stolte 1

Ward 4 Councillor Shawna Stolte has put a good idea on the table – now the community has to join in and flesh this out. The bureaucrats need to lighten up a little and get creative as well.

Stolte points out that the “motion is intended to encourage a realistic, longer term plan that will ensure safe “physical distancing” as well as strive for the balance that is needed to support physical exercise and mental health initiatives, by literally creating more space for people to get outside and breathe.

It’s an interesting idea – Stolte has done her part. Now it is up to the people who live on those streets to think about how they would change their streets.

Talk to your neighbours – write up your ideas and send them to the Councillor – at ward4@burlington.ca

Let’s see if this idea has any traction.

And let’s see how creative the folks in the Transportation Department can be.

 

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Three month work plan goes before council on Monday - it could prove to be very expensive

News 100 redBy Pepper Parr

April 17th, 2020

BURLINGTON, ON

 

City Council will learn from city staff what they expect the financial impacts of COVID-19 will be and seek Council’s endorsement of a three-month strategy that prioritizes which City services will be provided through to the end of June 2020.

Out of those deliberations will come a three-month work plan for the strategic management of the City budget and finances.

A statement from the administration seeks to assure City Council that staff remain committed to fiscal responsibility and accountability and are focused on offsetting all of the COVID-19 related City revenue losses to June 30, 2020 and are looking ahead past July 2020 to mitigate a shortfall at 2020 year-end.

A report detailing the impacts of the COVID-19 pandemic on the City’s budget will be presented. This report will include:

• estimated revenue impacts of $7.6 million to June 30, 2020
• estimated expenditure savings of $5.2 million to June 30, 2020
• cash flow projections to June 30, 2020
• future financial modelling to identify pressures, dependent on the length of the pandemic, and recovery scenarios.

Municipalities are required to approve a budget that is balanced, however, the City can have a shortfall or surplus in a given year. A shortfall can be offset by:

• using reserve funds
• increasing taxes in the next year; or
• reducing expenditures during the year of the anticipated shortfall.

Burlington is attempting to mitigate a shortfall at year-end.

Meed Ward H&S

Mayor Marianne Meed Ward

Mayor Marianne Meed Ward said: “Our City is currently in a good position thanks to savings we’ve acquired through our winter maintenance budget, the result of a light winter, and major tenders that came in under budget.

Ford on gapping

Joan Ford, Chief Financial Officer

Joan Ford, Chief Financial Officer is the one who has to do the numbers juggling. Ms Ford and her team have always been conservative and cautious. She explains that: “In recognition of significant revenue losses such as transit fares, recreation programming and property tax deferrals, an expenditure restraint program was immediately implemented across the City to assist in mitigating the financial impacts.”

Will council listen or will they scour the reserve funds and look for ways to make up the shortfall from that source?

Monday is going to be a long day for city council – how deep their hands go into your pockets in the years ahead will be determined then.

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Monday council meeting to start at 9:30 am - a change from the traditional evening schedule

News 100 blueBy Pepper Parr

April 17th, 2020

BURLINGTON, ON

 

The April 20 City Council meeting will begin at 9:30 a.m. instead of 6:30 p.m.

The media release said the early start was to provide residents with the opportunity to watch a live stream of the meeting at a more convenient time.

The agenda is very heavy – they couldn’t possibly get through it all during an evening session.

The public can view virtual Council meetings remotely using the City’s existing web streaming tool at www.burlington.ca/calendar.

Council Adopted the op changes

It will be the Mayor, the Clerk and the audio/visual technician only in the Council Chamber – the rest will be at home wearing headsets and participating virtually.

While no delegations are currently permitted, written comments may be submitted to the City Clerk by email at clerks@burlington.ca.

Received written submissions will form part of the public record and will be distributed to members of Burlington City Council.

Will they be read?

Live delegation presentations give Councillors an opportunity to ask questions and to follow up – that vital part of the delegater being in the room is lost.

Council will consider a recommendation to allow virtual delegations from members of the public at Council meetings, beginning in May 2020. 

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The weak link turned out to be at the nursing homes where more than half the COVID19 deaths in Ontario took place

Rivers 100x100By Ray Rivers

April 17th, 2020

BURLINGTON, ON

 

It’s a mess.

Long term care homes are host to about half of all of Canada’s COVID-19 fatalities. Ontario has 626 nursing homes, a little over half are privately operated, a quarter non-profit, and the rest municipal. There are close to 80,000 beds in use and there is a waiting list almost half as long again.

The costs of long term care are co-funded between the province and the patient. In 2018 provincial funding totalled $4.28 billion, less that a tenth of the provincial health budget, which amounts to about $150 per resident a day. That is board, room, cleaning and care for a little over $50,000 per patient per year plus the patient’s co-fund.

There was this idea once that for that kind of money, one could book a year-long ocean cruise, and get everything except the medical care. But nobody ever thought that they might also get stuck, like the 4000 Canadians on some 70 cruise ships, as of late March this year, who can’t get off because of COVID 19.

Star quote For seniorsQuebec has called on the federal government to bring in the army’s medical corps to help with their lack of health care at long term facilities But Ontario is putting an ‘iron ring’ around its institutions according to its premier, who has promised to leave no stone unturned, spare no expense.…

Next week he finally will ban support staff from working in more than one long term facility, thereby eliminating a potential source of spread. But B.C. had brought in a similar regulation almost a month ago and Ontario had enacted a similar rule back during the SARS crisis. So why has it taken this long for Ford to act? Perhaps he empathized with the long term support staff, having to take on extra employment to make up for their miserable pay levels.

It’s not Ford’s fault that COVID 19 came to Canada and Ontario. The virus arrived here with travellers arriving first from China, then from other places. As the contagion got a foothold and spread, we remained calm on the advice of Canada’s chief medical officer.

Tam Teresa

Dr. Teresa Tam: Chief Medical Officer of Health

Dr. Tam told us that the risk to Canadians was minimal and there was no need for travel restrictions, quarantine or protective masks to reduce the risk of exposure. So today Ontario has had over 500 deaths and over half of those are in long term care.

But Ford’s record in this is anything but spotty clean. Jurisdictions, like South Korea, which have minimized the coronavirus casualties, have used extensive testing to identify, isolate and treat the infected. Ontario has the lowest record of testing in Canada, and that may explain why its infection numbers appear lower than they actually are – and why our death rate is so high.

Following the SARS crisis masks and other personal protection equipment (PPE) were stockpiled, but they got stale dated and eventually junked. But nobody, even in the previous administration, thought to rebuild the stockpile. So now Ford and his health minister are promising to fix this, even if late and too little.

Ford changed the labour laws in the province reducing sick leave days for employees and allowing employers to demand a medical certificate. In the early days of the epidemic this may have contributed to the virus spread, since sick employees would need to still go to their jobs to get paid, and those who didn’t needed to visit their doctor’s crowded offices for their medical certificate.

Bobcagen nursing home

A nursing home in Bobcaygen where 29 patients in a 65 bed facility died of COVID19

But perhaps worst of all, when it comes to long term care the Ford government had stopped inspecting health and safety conditions in nursing homes as a matter of policy. These annual inspections are the only way the province had to ensure that a nursing establishment was meeting it’s health, safety and licensing requirements.

Inspections went from 100% in 2017, under the previous Liberal government, to almost zero last year. Is it any wonder infection has spread so rapidly?

Instead of an annual snap Inspection for all homes conducted during the previous government only 9 of 626 were inspected in 2019.

Unfortunately this brings back memories of another Conservative premier who rolled the dice, deregulating water safety. That ended up with 7 people dying and half of a town’s people sickened. That policy, like Ford’s decision on inspections, was ideological, about cost cutting, eliminating red tape and promoting deregulation.

Australia has a different take on long term care. Their system is national and publicly run under strict rules and inspections. Australians saw where this virus might be heading before anyone called it a pandemic and responded much faster and more effectively than Canada, even though their first case arrived two days after ours.

And their long term deaths have been low, making them a model for us to emulate in this country. In fact there have been twice as many COVID 19 deaths in Ontario’s long term care homes than among Australia’s entire population of 25 million. Clearly they are doing something right.

Walkerton

The government of the day – Mike \Harries Tory’s failed the people of Walkerton.

Doug Ford has told us that his wife’s mother is a patient at a Toronto nursing home. One has to wonder what she thinks. After all, his is the kind of subtle negligence which eventually came back to haunt former PC premier Mike Harris. We’ll see eventually if this is really an iron ring or just Mr. Ford’s Walkerton.

Nobody wants to criticize a political leader during a time of an unprecedented health crisis. Doug Ford rose up in everyone’s expectations with his early daily briefings, closing the schools, declaring a state of emergency and gradually locking down the province’s economy. It was comforting to see someone in charge.

He could have moved faster and shut down more non-essential workplaces earlier, like construction. And public transit across the province should have been shut down as it has been in other places where social distancing is impossible. Ford’s people should have embraced masks earlier, instead of simply regurgitating the mis-truths from the World Health Organization and Canada’s own Dr. Tam.

And he could have left the provincial parks open. After a month of lockdown people need to get out for some exercise and fresh air. It would be easier to social distance on a park trail or open field than a crowded sidewalk, wouldn’t it?

Lately Ford has pretty much run out of ‘breaking news’ for his daily press conferences. They’ve started to morph into poorly staged political rallies, as the Premier and his beleaguer health minister tell us how they are there for us and doing all they can. And watching the two of them in action confirms for me that the PC’s did the right thing in nominating Ford for the top job.

Ford staring

Ontario Premier Doug Ford

Ford recently got angry complaining about Ontario’s pathetic rate of COVID 19 testing. But then seriously, isn’t he the premier? We want Ford to succeed in fighting this epidemic. It’s in all of our interests regardless of any political stripe.

But we need to have faith and believe in our premier. And that means some straight talk instead of hype and empty promises. Ford could begin by recognizing what has gone wrong and assuring us that he has learned from his mistakes.

Rivers hand to face

Ray Rivers writes weekly on both federal and provincial politics, applying his more than 25 years as a federal bureaucrat to his thinking.  Rivers was a candidate for provincial office in Burlington where he ran against Cam Jackson in 1995, the year Mike Harris and the Common Sense Revolution swept the province.

 

Background links:
Long Term Care in Ontario –    Ford Didn’t Protect Them –    COVID 19 Spread in Ontario Nursing Homes

Masks Destroyed –   Long Term in Australia

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Halton Regional Health Data up to end of day on April 15, 2020

News 100 redBy Staff

April 17th, 2020

BURLINGTON, ON

The Regional Public Health Unit releases updates on COVID-19 crisis up to and including Wednesday end of day on April 15, 2020:

Cases over time

34  COVID-19 cases reported to Halton Region Public Health since the last update (24 confirmed + 10 probable)

393  COVID-19 cases reported to Halton Region Public Health to date (350 confirmed + 43 probable)

Fig 1 fixed

COVID-19 cases, by reported date, Halton Region, Mar. 1-Apr. 15, 2020

 

Figure shows the 393 COVID-19 cases that had been reported to Halton Region Public Health by end of the day on April 15. All cases have been graphed according to the date they were reported, which is often several days after the onset of symptoms. Among the cases in this figure, 34 were reported since the last update (meaning they were reported between April 13 and April 15, 2020).

Individuals who are lab-confirmed cases are shown in green. Individuals who are probable cases are shown in orange. Probable cases are epi-linked cases, which means they are presumed to have COVID-19 because they are symptomatic close contacts of cases or returning travelers who have COVID-19 symptoms.

Case demographics

67  cases live in an institution (17% of all cases)

55  cases work in health care (14% of all cases)

Fig 2

COVID-19 cases, by age and sex, Halton Region, 2020

Figure shows that by end of the day on April 15, the most COVID-19 cases were among Halton residents aged 40-59 (with 136 cases, or 35%). 232 of the 393 cases (59%) were female.

Fig 3

COVID-19 cases, by municipality of residence, Halton Region, 2020

Figure shows that by end of the day on April 15, the greatest number of COVID-19 cases were among residents of Oakville (with 131 cases, or 33%). Please note this figure shows counts, and therefore does not take into account the different population sizes or age structures of the four municipalities. Counts in municipalities can also be inflated by outbreaks that have occurred within institutions in their boundaries.

Case exposure source

Fig 4

Percentage of COVID-19 cases, by exposure source, Halton Region, 2020

Figure shows that by end of the day on April 15, 175 of Halton Region’s COVID-19 cases (45%) had no known travel or contact history, and therefore were believed to have acquired the virus within Ontario, making them community cases. 118 cases (30%) had contact with a confirmed case that was believed to be the source of their infection. 88 cases (22%) had a history of travel that was believed to have been the source of their infection. Information on exposure source was pending for the remaining 12 cases (3%).

Case outcomes

52 cases who have ever been hospitalized to date (27 listed as currently in hospital)

146 cases who have recovered to date

12 cases who have died to date (7 of the deceased were institutional residents)

Institutional outbreaks

0 confirmed institutional outbreaks of COVID-19 reported to Halton Region Public Health since the last update

7 confirmed institutional outbreaks of COVID-19 reported to Halton Region Public Health to date

Among the seven confirmed institutional outbreaks reported to date, four (57%) have been in retirement homes, while two occurred in long-term care homes and one occurred in a hospital. None of the confirmed outbreaks were reported since the last update. None of the confirmed outbreaks have yet been declared over. Please note these counts do not include any suspected outbreaks that remain under investigation.

Lab testing

6,000 Halton residents are known to have been tested for COVID-19 to date

Comparison to Ontario

8,961 total confirmed COVID-19 cases reported in Ontario to date

Fig 5

Age-specific rates of COVID-19 (per 10,000 population), Halton Region and Ontario, 2020

Figure 5 shows age-specific rates of COVID-19 for Halton and Ontario. Rates take into account the population size of each age group to make it possible to compare between different areas. Halton’s age-specific rates are similar to the provincial rates for all age groups (for example, while Halton has 27.4 cases per 10,000 residents aged 80+, this is not statistically significantly different from the 24.1 cases per 10,000 residents aged 80+ in Ontario). It is important to note that these rates will fluctuate as numbers increase throughout the pandemic, and that differences between age groups may reflect differences in the likelihood of developing symptoms and being tested.

Data limitations and data sources
Halton case data: integrated Public Health Information System (iPHIS), extracted at 7:00 AM on April 16, 2020, to reflect data entered by the end of the day on April 15, 2020

Halton lab data: COVID Data Information System, extracted on April 16, 2020.

Ontario case data: Public Health Ontario, Epidemiologic Summary, COVID-19 in Ontario: January 15, 2020 to April 15, 2020, posted on April 16, 2020 to https://www.ontario.ca/page/2019-novel-coronavirus

Denominators for Halton and Ontario age-specific rates: Population projections [2020], IntelliHEALTH Ontario, extracted on April 8, 2020.

Data notes
All cases of diseases of public health significance diagnosed in Ontario are entered into iPHIS by local public health units. iPHIS is the Integrated Public Health Information System. It is a dynamic disease reporting system which allows ongoing updates to data previously entered. As a result, data extracted from iPHIS represent a snapshot at the time of extraction and may differ from previous or subsequent reports as data are updated.

The data only represent cases reported to public health and recorded in iPHIS. As a result, all counts will be subject to varying degrees of underreporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours.

Cases are included if their “diagnosing health unit” in iPHIS is Halton Region, which means counts include only individuals whose primary residence is in Halton Region. The case may not necessarily have been managed by Halton Region, if they were temporarily residing elsewhere during their case management period. Cases managed by Halton Region who normally live elsewhere but who were managed by Halton Region staff because they were temporarily residing in Halton during their case management period have not been included.

Cases for which the Disposition Status in iPHIS was reported as ENTERED IN ERROR, DOES NOT MEET DEFINITION, DUPLICATE-DO NOT USE, or any variation on these values have been excluded.

Figure 1 distinguishes between lab-confirmed and probable cases. Since April 7, probable cases are defined as epi-linked cases, meaning they are symptomatic close contacts of cases or returning travelers who have COVID-19 symptoms and therefore are presumed to have COVID-19. All other figures and numbers include both confirmed and probable cases combined.

In subsequent reports, counts in Figure 1 may increase as cases are added from past dates due to delayed data entry or new arrival of lab results. To minimize such retrospective changes, cases have been graphed according to case reported date, which does not reflect onset of illness.

Cases are considered to live in an institution if the name of a facility (e.g. a long-term care home, retirement home, prison) has been entered for their address in iPHIS.

Cases are considered to work in health care if they are known to have an occupation that involves caring for patients, e.g. physician, nurse, occupational therapist, recreational therapist, chiropractor, paramedic, midwife, orderly, etc.

Exposure type is determined by examining the exposure and risk factor fields from iPHIS to determine whether a case travelled, was a contact of a case or neither. A hierarchy has been applied as follows: Travel-related > Close contact of a confirmed case > Neither (indicating community acquisition) > Information pending.

Case outcomes (hospitalizations, recovery, deaths) reflect the latest available information reported to Halton Region Public Health and recorded in iPHIS by the extraction time.

Institutional outbreaks include outbreaks of COVID-19 in settings such as long-term care homes, retirement homes, hospitals, and prisons.

Lab testing data reflects only lab tests that have been reported to Halton Region Public Health and entered into CDIS. There may be more residents who have been tested but not reported to Public Health.

Related Regional Health reports

April 9th data

April 12th data

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City Planning was in Crisis before the Crisis Struck

opinionred 100x100By Jim Young

April 16, 2020

BURLINGTON, ON

I have lived on Silwell Court, which backs on to the controversial 2100 Brant Street Development, for 28 years. I know the neighbourhood and the people involved, they were my neighbours. I also know John Calvert; a quiet, capable former Mississauga city planner. He and I share notes on planning issues and I am always the wiser for his thoughts.

Like John, I worked for change at the last municipal election, hopeful that those changes would bring greater local resident input on city plans. Also, like John, while happy with much of our new council’s work on Transit, Climate Change and the recent Covid-19 crisis response, I am equally disappointed in their approach to land planning issues. His Op-ed piece on 2100 Brant Street and the Gazette picture juxtaposing the proposed 233 units with the 236 surrounding homes says all that needs to be said about over-intensification, poor planning and design.

National-Homes-766- 233

The blue area denotes the Havendale community with 236 homes. The orange area is the proposed National Homes development where 233 homes would be built.

But greater than any objection to that development is my fear that the process to approve it indicates how future planning applications will be handled and resolved by the city. A process that not only limits the public input electors demanded in the 2018 council rout, but leaves us wondering whether it is an unfortunate confluence of conflicting provincial / municipal planning ideologies or intentional city planning policy; forsaking local input for expediency.

First it is only fair to point out that, even with the best of intentions, municipal planners are severely limited by The Ontario Planning Act. Developer amendments to zoning bylaws and official plans, are assessed, not necessarily on the local impact or wishes but more on how they comply with provincial planning legislation and guidelines. Also, the time for city planners to assess those amendments is severely limited by the Planning Act. Even the much debated Official Plan, still in the works after so many years, must comply with The Act and subsequent provincial guidelines on density, transit and mobility.

The land use planning, amendment and appeals process was already complex and changes by two successive provincial governments and an ongoing Official Plan review by the city have made the whole process so complex as to be un-navigable by planners and unintelligible to us mere citizens.

The old process was: The city’s Official Plan regulates what may be built. Developers who wanted to deviate from that submitted amendment applications to the city are approved or disapproved. Prior to submitting the application, developers held a statutory public meeting to inform residents of the proposed changes. Cities had 120 days to respond to applications. Developers could appeal unfavourable planning decisions to the OMB (Ontario Municipal Board). Failure by the city to respond in time was also grounds for an appeal by the developer.

The first change, in early 2018, saw the OMB replaced by LPAT (Local Planning Appeals Tribunal), a supposedly more municipal and resident friendly body. It allowed 180 to 210 days for cities to respond to amendment applications and made it, theoretically, easier for local residents to contest developer proposals. Before any of this could be tested, the Provincial election that year changed the government.

Ground break - Oct Suz Hammel, +

Burlington MPP Jane McKenna at the ground breaking of The Gallery, the 23 storey tower going up opposite city hall. The provincial government delivered regulatory changes that kept developers smiling.

With that change, a more development friendly government cut amendment application response times to 90 or 110 days and changed much of the amending criteria in favour of development. In a city which still had no official plan in place and a large number of pending applications, this was an impossibly tight deadline to meet. Throwing further confusion into this was the Review of the Official Plan, demanded by the electorate and concentrating on the downtown.

In a bid to allow planners time to develop the new official plan free from ongoing amendment applications the city froze the planning process using an Interim Control Bylaw. (ICBL)

We can argue whether this was undertaken properly, if the (ICBL) was successful? If the Downtown Transit Hub should have been addressed first? If the revised downtown plan is any better? But those are arguments for another column.

The outcome has been that on top of all the in-process amendments, frozen by the ICBL, developers lodged a further thirty one appeals to LPAT opposing the new plan and the ICBL. Add to this a city and a province beset by a Covid 19 lockdown and the whole process has simply seized up. Applications are frozen again, LPAT appeals are suspended and there seems to be confusion about whether the application deadline clock is still ticking or not. An email from Heather MacDonald, Executive Director, Community Planning Regulation and Mobility suggests to me the clock is frozen too, an article in the Gazette, April 14 suggests the issue is being debated at the province but there is no decision as yet.

The debate now becomes: Is the city a victim of powerful and shifting provincial planning whims? Or is the city happy to hide behind a land planning regime it cannot win against and capitulates to quietly while still disingenuously proclaiming its defence of resident interests?

I am beginning to believe the latter. Reading John Calvert’s plea to our mayor, one might reasonably conclude that the city’s new approach to planning amendments is: Receive the application. Sit on it until the response time runs out. Let the developer appeal to LPAT, then negotiate a settlement agreement with the developer with almost no input from local residents.

I worry that, with the city’s planning in an unresolvable mess and aware that municipalities are virtually powerless anyway, our elected council has found a way to live with a pro developer provincial planning regime while shrugging off responsibility for the outcomes.

I further worry that in a “Covid Shutdown” political environment, what little resident or municipal input exists in the planning process will be further eroded by meetings in camera, with no traditional citizen delegation.

Related news articles:

Calvert letter to the Mayor on trust

The pain Calvert carries

Marianne Meed Ward on trust.

Jim Young 2Jim Young is an Aldershot resident who delegates at city council on transit and local development.  He is consistent in his mission to ensure local government is transparent and accountable to the people who elected them.

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Council will meet Monday evening - all via Zoom. Heavy reports scheduled

News 100 blueBy Pepper Parr

April 16th, 2020

BURLINGTON, ON

 

The City Council meeting on Monday will be a much different presentation.

First – it will be delivered via Zoom which should take out a lot of the glitches that were encountered during the two previous virtual city council meetings.

The Clerk’s office still does not appear to have come up with a way to permit delegations – and given the agenda we have been led to believe they will be working from – it is going to be a whopper of an event.

Each of the departments is reported to have prepared a report on what they have been up against and what the closure of many programs is going to do to their budgets.

The reports are said to be lengthy.

The decision to use Zoom apparently didn’t come from the city’s techy people – a Councillor who had experience with Zoom during her time on the Library Board managed to convince the city manager that it was worth a try.

There is nothing all that elegant about Zoom – but it is functional. Councillor Galbraith reports that they have been given headsets which should make it easier to communicate to each other.

The most important part of the COVID-19 crisis is sound communication with a central point where the decisions are made.

Burlington is basically run today by the Emergency Control Group that is made up of every level of bureaucracy, the police, fire, ambulance – and the people who deliver the essential services.

They meet at least twice a day every day and manage the issues that crop up.

The bylaw they work under has the Mayor representing the voice of city council. The Mayor seems to have interpreted that to mean she is THE voice of council and much of her behaviour leaves the impression that she is not only leading the parade – but IS the parade.

There is thought to be some turmoil between the 7th and 8th floors of city hall. The Councillors are all on the 7th floor with the Mayor and her team on the 8th.

Mayor hospital clap

Mayor Marianne Meed Ward in front of the hospital convey the public’s gratitude for the service they are giving and the risks they are taking.

The Mayor has taken to holding Front Line Claps to support the people who are not ill but put themselves at considerable risk taking care of those who need care.

Last Friday, instead of clapping from the veranda of her house the Mayor took to her car and was part of a caravan of vehicles that drove down Maple and onto the hospital grounds where she lead at least 15 first responder vehicles.

They pulled up in front of the hospital where the Mayor hopped out with a megaphone in her hand and addressed whoever in the hospital could hear her. The Mayor was alone – no members of council with her.  It would have been a very simple matter to invite the other members of council to take part.

Didn’t happen.

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Halton Region COVID-19 data suggests that long term care facilities account for 17% of the infections

News 100 redBy Pepper Parr

April 16th, 2020

BURLINGTON, ON

 

It’s a bit of a numbers game – with each level of government using their own data.

The public would love to see a single point where all the data resides.  Not likely to see that any day soon.

The Region provides the local data.  This afternoon they released the following:

April 16th

It is pretty clear now that the danger point is the long term care centres and the nursing homes – where in Halton Region 17% of the cases are from those locales.

Based on what we are getting from the Regional Public Health people – there have not been any deaths in the homes.

Hopefully that is due to the quality of the care being given and the very strict adherence to the rules and not luck.  The Long term care facilities are run by the Region where staff would be full time.

The data indicates that the really high at risk demographic is not taking the hit that other parts of the province are experiencing.

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Telephone service that will allow people isolated to talk to groups in a conference type call.

News 100 blueBy Staff

April 16th,2020

BURLINGTON, ON

Burlington Recreational Services team is piloting TelePALS – Telephone Partners in Accessing Leisure Services.

senior on the phone

Connecting those that are isolated 15 people at a time.

It is a service that allows people who may not know each other to connect and communicate by telephone. The Seniors’ Centre Without Walls (SCWW) is as simple as just picking up your telephone!

Through the use of multi-person phone calls, SCWW provides the opportunity for participants to join in on health and wellness seminars, educational lectures, brain-stimulating activities, listen to live musical entertainment, join in on general conversations, and make new and meaningful friendships – all from the comfort of home! It works just the same as attending a class or a lecture at the centre, but instead it is facilitated over the telephone.

Seniors’ Centre Without Walls Basics:

Completely free program.
You do not need to be a member of any association.
Programs are multi-person phone conversations (or conference calls).
No special equipment needed – just your average phone!
Call yourself in to the program, or we can call you – it’s your choice!
Each phone session lasts between 30-60 minutes on the phone.
Each phone session averages 10-15 people on the call.
You are able to hear each other, talk to one another, learn, and/or just have fun!

The first phase of the pilot involves people referred to Parks and Recreation; phase two will have broader participation.

Since the closure of City programs the team doing the pilot has conducted a Caring Calls program reaching over 2500 participants. They heard that many of our community valued these calls very much and the point of connection they provided.

“Many also indicated a desire to be contacted again. Because we became aware of so many people experiencing a sense of isolation, we thought we would start TelePALS with these folks first, and then increase the service by promoting it more broadly to the City in coming weeks.

“At this time if you know of friends, families, clients or other individuals that are not on-line, or not comfortable with computers but would like to hear more about Telephone Recreation programs via TelePALS, could you contact Mandy Newnham (mandy.newnham@burlington.ca) for  more information.”

The first priority would be to reach older adults or individuals who may be more home-bound due to a disability; they expect to expand very quickly to enroll any older adults interested in the programs.

The city has yet to go public with this program – we stumbled across what they were working on. We will do our best to keep you posted – the Parks and Recreation are not known for their ability to communicate all that well.

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Joseph Brant Hospital has a sign it wants to put on your front lawn.

News 100 redBy Staff

April 16th, 2020

BURLINGTON, ON

 

The men and women who enter the Joseph Brant hospital every day deserve every scrap of support that can be found.

People bang pots and pan and clap for two minutes on Friday evenings – some people are providing meals and other levels of support for those workers who are doing 12 hour shifts.

Unfortunately, earlier this week the hospital announced that 12 staff members and three patients were identified as having contracted the COVID19 virus – the staff members are at home – self isolating. No word on the patients, one of which was in the surgical unit.

Quite how this happened has yet to be explained – what the public would also like to hear is how the hospital doubled down to ensure that staff were taught to be even more careful. The virus was brought into the hospital.

Leadership at the hospital is grateful for the incredible support received from the community. The support for staff through donations of Personal Protective Equipment, technology and in-kind support speaks to the level and depth of community support.

Hospital support signThe Hospital Foundation is inviting people to show their support for the hospital and staff by displaying a We Love Our Hospital lawn sign.

Their goal is to remind our healthcare heroes that the entire city is behind them and appreciates what they are doing every day. Signs can be requested online at www.jointhej.ca

The sign will be delivered and installed by Foundation staff while ensuring physical distancing.

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Ontario has a Premier that is delivering

SwP thumbnail graphicBy Pepper Parr

April 15th, 2020

BURLINGTON, ON

 

You have to give credit where credit is due.

For the past month Ontario has had a Premier who has delivered.  Surprising to many, is the level of empathy we are seeing from the man.

Doug Ford - habd to head

Ontario Premier Doug Ford – being pressed at every level yet keeping it all together.

Doug Ford is there before the cameras every day of the week; answering the tough, but necessary, questions.

Yesterday he stepped away from the camera, took a handkerchief from his pocket to wipe his brow.  He was sweating it literally.

There is nothing smooth or slick about Doug Ford; his oratory doesn’t soar but when he says he will “look into it” – he does.

Hearing a politician say that they will do whatever it takes and then having them deliver on that statement is certainly refreshing.

His response to the desperate situation in the long term care homes hit home for this man; his Mother-in-law is a resident in one.

He moved swiftly to make changes across the system – long term care and the people who provide the service will benefit from his ability to see the problem, accept the advice he was given and get the wheels moving.

There will come a time when the spending being done today will have to be recovered from the tax base and we will watch with interest on how the current government pulls that off.

But right now Doug Ford is leading in a way this writer didn’t expect.

Does anyone happen to know where the leader of the provincial Liberals is.  Has the New Democrat leader lost her tongue?

Many of us laughed when Doug Ford was basically hidden during the last federal election for fear that he would embarrass Andrew Scheer.

I may have issues with underlying philosophy that the Progressive Conservatives bring to the table but the man leading the government today is doing the job and I’m not embarrassed.

Listening to him say that he is a politician and he listens to the experts – and that it is his job to step aside and let the experts do their jobs is refreshing.

We didn’t see that from the federal Liberals during the SNC mess that occupied the minds of many trying to figure out just what the full story was behind the demotion of the then Minister of Justice Jodie Wilson Raybould.

Ford for the people

Doug Ford is likely to be a two term Premier.

Every political leader has people who do the longer term political thinking.  Were I Doug Ford, I would be asking my team to think about when to go back to the electorate.

When the COVID-19 crisis is behind us and things are getting back to, or close to, normal I would call a snap election – because when this is all over there is going to be a huge economic mess that may take as much as a decade to recover from and some very painful financial decision are going to have to be made.

Salt with Pepper is the musings, reflections and opinions of the publisher of the Burlington Gazette, an online newspaper that was formed in 2010 and is a member of the National Newsmedia Council.

 

 

 

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Food Bank is delighted - people are getting used to the idea that the Bank delivers.

News 100 blueBy Staff

April 15th, 2020

BURLINGTON, ON

 

The Burlington Food Bank reported that there were just a few people at their door after the long weekend.  Their transition to delivery rather than pick up is working. .

The Food Bank is asking people who need food or know of someone who could use their help to have them email us at info@burlingtonfoodbank.ca or call 905-637-2273 to make arrangements to have food dropped at the door. If you live in Burlington, we are here to help.

Angelo - not getting it -deferal

Councillor Angelo Bentivegna worked his connections and found some needed storage space for the Burlington Food Bank – Kudos to the Councillor.

The long weekend gave the Food Bank a chance to get caught up – the now have about 45 food hampers ready to go out this morning.

For those who wonder what our City Councillors are able to do during the State of Emergency there was some news from Councillor Angelo Bentivegna who was able to locate and provide some storage space for us.

Good timing as Feed Ontario will be delivering some pre-made hampers to us expected sometime this week.

Food Bank Update today

 

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Police Make Arrest in Steroid Trafficking Investigation

Crime 100By Staff

April 15th, 2020

BURLINGTON, ON

Police Make Arrest in Steroid Trafficking Investigation in Burlington.

The Halton Regional Police Service has made an arrest in relation to a Steroid Trafficking investigation in Burlington which began in March, 2020.

police Steroids apr 15

The evidence.

Investigation by the Burlington Street Crime Unit on April 14th, 2020 has led to charges against the following individual;

Shane JOORIS (35 Years of Burlington)

  • Trafficking in a Controlled Substance (Steroids) – 2 counts
  • Possession for the Purpose of Trafficking a Controlled Substance (Steroids)

A search warrant was executed at a Burlington residence and the following items were seized:

  • 31 various steroids and medications used for bodybuilding

$20,230 worth of drugs were seized as a result of the search warrant.

The accused was released on an Undertaking.

Tips can also be submitted anonymously to Crime Stoppers.  “See something? Hear something? Know something? Contact Crime Stoppers” at 1-800-222-8477 (TIPS) or through the web at www.haltoncrimestoppers.ca.

Please be reminded that all persons charged are presumed innocent until proven guilty in a court of law.

 

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Government considering 'making it possible to suspend certain municipal planning decision timelines during the state of emergency'

News 100 blueBy Pepper Parr

April 14th, 2020

BURLINGTON, ON

 

Queens PArk bannerA breath of fresh air ?  Included in the debate in the Legislature today was a decision “making it possible to suspend certain municipal planning decision timelines during the state of emergency, and change the Development Charges Act to ensure municipalities can continue to count on a vital source of revenue that helps pay for local growth-related infrastructure, such as roads, water and sewers as well as fire and police services.”

The announcement was made in the Legislature – we now have to wait for the specifics that will be released by the Minister of Municipalities and Housing.

Many will wait to see what reference is made, if any, on the processes and procedures that apply to Local Planing Act Tribunal.

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I heard a very distraught man who was deeply hurt

SwP thumbnail graphicBy Pepper Parr

April 14th, 2020

BURLINGTON, ON

 

I didn’t know John Calvert. I knew of him. He was Director of Planning in Mississauga at a time when Hazel McCallion was Mayor – and he survived – Hazel was one tough cookie.

I was sent a copy of the letter Calvert wrote to Mayor Marianne Meed Ward expressing his profound disappointment on how the National Homes development on Brant was proceeding.

John Calvert has lived in Burlington for more than 30 years.  Watching the shape, look, and feel of the city disintegrate has bothered him for some time.

John Calvert with model

John Calvert: Deeply hurt and disappointed

I had to ask a friend for contact information and see if Calvert would take a call from me.

He said he would and we had a ten minute talk.

I heard a very distraught man who was deeply hurt talk about the Due Process that he did not feel had taken place and the need for public input on planning decisions.

He agreed with me that people were excited when Marianne was elected Mayor – many believed that the development proposals on the table were going to ruin the city.

Calvert said he “likes Marianne” he just didn’t seem to like what she was doing.

“It took me some time to write the letter” said Calvert. “I showed it to my neighbour Ed Doer who was heavily involved in the opposition to the National Homes development; he said I had written what needed to be said.”

When Mayor Meed Ward went to France to take part in the 75th WWII anniversary she went with Calvert’s wife who was one of the Burlington residents who made the Juno Beach reception centre possible. Calvert told me that the two women travelled together and got along very well.

Calvert said he was asked to speak at one of Meed Ward’s campaign funding events. “I did so willingly” said Calvert
Calvert knows the ins and out of the planning profession. He told me that the communities we build today will determine the kind of society we will have a couple of decades later.

He talked about the lack of amenities in a community that was to have 233 homes – which may have been chiselled down to 215.

“The traffic problems will be horrendous.”

Calvert hopes that this Council decides to take a sober second look at what is being proposed.

The issue for Calvert is trust and quality in developments. By quality he doesn’t mean quartz counter tops and shiny high end stoves. He means space for people to live, back yards where there is room for one of those large Italian families and parks where children can play and enough room for a child to learn to ride a bicycle.

Calvert said he was excited when Meed Ward came along – mistakes that had been made were going to be corrected. Now it doesn’t look that way.

“Someone has to stop this” he said

Related news item:

The Calvert letter

Salt with Pepper is the musings, reflections and opinions of the publisher of the Burlington Gazette, an online newspaper that was formed in 2010 and is a member of the National Newsmedia Council.

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Schools will not open on the 4th of May - 'year is not lost' adds the Premier

Newsflash 100By Pepper Parr

April 14th, 2020

BURLINGTON, ON

 

Doug Ford - habd to head

Premier Doug Ford – sweating out a very tough situation.

During a media conference call hours ago, Ontario Premier Doug Ford said that Ontario Schools would not be re-opening on May 4th and that the Minster of Education will be making an announcement on that matter in a few days.

The Premier added that the decision to not open the schools on the 4th “does not mean that the school year is lost”.

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Mayor loses a major fan: Planner 'profoundly disappointed and personally offended' over expected LPAT settlement on the 2100 Brant development.

opinionred 100x100By Pepper Parr

April 14th, 2020

BURLINGTON, ON

 

She broke his heart – he truly believed that after working his buns off to get her elected that she would not sell him out – the Mayor has lost a fan.

John Calvert with model

John Calvert

John Calvert, former Chief Planner for the City of Mississauga when Hazel McCallion was Mayor wrote Marianne Meed Ward saying:

Madam Mayor

Trust, Honesty and Commitment are the qualities I value most in family, friends and colleagues.

It appears that Council is considering a settlement agreement with National Homes on their application for a townhouse development at 2100 Brant Street.

Nationa; homes - Brant Master landscape

A planned 233 homes for the property on Brant Street

It pains me to write this letter after all you did on the file, as a Councillor and Mayor, and the extensive work by Vision 2100 Brant, in addition to the commitment I made to your campaign. I am so profoundly disappointed and personally offended in this process and possible outcome.

Aerial-of-2100 brant site

It has been a farm field for decades – owned by the Catholic Church. Then a developer saw an opportunity.

This file is a critical example of where you could demonstrate keeping your campaign promises which all residents expected.

I regret having believed that you would actually fulfill your two main campaign promises – to oppose over-development and improve public engagement. The proposal for 2100 Brant is probably the worst case of over-development the City will experience (except the mess being made of our downtown) and yet you appear to support it.

 The current planning process in Burlington, which is not practiced by other municipalities, consists of ….file an application…no decision….appeal to LPAT…settlement hearing. This not only denies Due Process but takes away residents’ rights.No public input into the settlement.  It is not what we were told after this Council rescinded the 2018 settlement.  We were told no more settlement hearings. Tell that to the residents along Townsend Ave after settlement hearings at 92 and 484 Plains Road. You supported these two settlement hearings.Why are the majority of development applications decided by LPAT and not Council?

You agreed that staff were compromised on the 2100 Brant file and the City would retain an outside planner to review the file, and if required, would be the expert witness at the LPAT hearing. The planner would be retained by the City and for the City. The planner was not for Vision 2100 Brant. It was your decision and now, at the last minute, there is a change of mind.

 At the second LPAT Pre-hearing (April 3. 2019), Legal staff told the LPAT Chair that the City would have two Expert Witnesses, a land use planner and a traffic engineer. The Chair gave us permission to “umbrella” or use the City’s witnesses, and made no mention that each Party needs to provide their own independent witnesses.  Check the minutes of the Pre-hearing. Once again, the residents are disappointed.

National Homes image

The intensification is obscene. The blue area denotes the Havendale community with 236 homes. The orange area is the proposed National Homes development where 233 homes would be built.

Have you challenged staff on why 2100 Brant is not compliant with the Official Plan policies on Compatibility based on the Intensification Strategy? Why have an Official Plan if the residents cannot count on Council to address the policies in their decisions? In addition, how can you support the need for 26 variances to the zoning development standards to allow National Homes to overdevelop the site?

Do you really think this is Good Planning? What impact will it have on the rest of the City? If you support it here, what does that say to all residents? This will be a precedent established by this Council. This is exactly what residents expected you, and the new Council, to oppose on our behalf.

I feel you did not keep your promise for the Downtown. How could you not remove the MTSA designation for the John Street bus stop and why hasn’t the City filed a motion with the Province to review the location for the Urban Growth Centre following MPP McKenna’s letter? The numerous delegations were counting on you to protect the Downtown by avoiding developers using these elements to ask for increased height and density as in the Adi application. Again I feel let down and unfortunately I am not alone.

I commend your leadership and time commitment in dealing with the COVID-19 pandemic, but feel compelled at this time to make my feelings known prior to the next Council meeting where the apparent settlement agreement might be dealt with. All of us are counting on you, and our elected councillors, to support us and the City at large will expect the same when this is all brought to light.

Related news stories.

Meed Ward’s view on September 2018

New council gets the development – what do they do?

Council gets another chance to debate the development

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On April 12th - the population % of Halton's COVID19 cases is higher than the province when ranked by age

News 100 redBy Staff

April 14th, 2020

BURLINGTON, ON

 

The Regional Public Health office released COVID-19 data up to end of day on April 12, 2020

The population % of Halton’s COVID-19 cases is higher than the province when ranked by age.  This is because Halton has more seniors than any other part of the province.

The curve has not yet flattened.

The data tells us that there were:

87 COVID-19 cases reported to Halton Region Public Health since the last update (63 confirmed + 24 probable)

356  COVID-19 cases reported to Halton Region Public Health to date (316 confirmed + 40 probable)

Fig 1

COVID-19 cases, by reported date, Halton Region, Mar. 1-Apr. 12, 2020, shows the 356 COVID-19 cases that had been reported to Halton Region Public Health by end of the day on April 12. All cases have been graphed according to the date they were reported, which is often several days after the onset of symptoms. Among the cases in this figure, 87 were reported since the last update (meaning they were reported between April 9 and April 12, 2020).

 

Individuals who are lab-confirmed cases are shown in green. Individuals who are probable cases are shown in orange. Probable cases are epi-linked cases, which means they are presumed to have COVID-19 because they are symptomatic close contacts of cases or returning travelers who have COVID-19 symptoms.

Case demographics

48 Halton COVID-19 cases work in health care (13% of all cases)

Fig 2

Figure 2: COVID-19 cases, by age and sex, Halton Region, 2020 Figure shows that by end of the day on April 12, the most COVID-19 cases were among Halton residents aged 40-59 (with 129 cases, or 36%). 208 of the 356 cases (58%) were female.

Municipal level

COVID-19 cases, by municipality of residence, Halton Region, 2020

The figure 3 shows that by end of the day on April 12, the greatest number of COVID-19 cases were among residents of Oakville (with 122 cases, or 34%). Please note this figure shows counts, and therefore does not take into account the different population sizes or age structures of the four municipalities. Counts in municipalities can also be inflated by outbreaks that have occurred within institutions in their boundaries.

Fig 4

Percentage of COVID-19 cases, by exposure source, Halton Region, 2020

Case Exposure source
Figure shows that by end of the day on April 12, 154 of Halton Region’s COVID-19 cases (43%) had no known travel or contact history, and therefore were believed to have acquired the virus within Ontario, making them community cases. 96 cases (27%) had contact with a confirmed case that was believed to be the source of infection. 83 of the cases (23%) had a history of travel that was believed to have been the source of their infection. Information on exposure source was pending for 23 cases (6%).

Case outcomes

46 Halton cases of COVID-19 have ever been hospitalized to date

114 Halton cases of COVID-19 have recovered to date

11 Halton cases of COVID-19 have died to date

 

Institutional outbreaks

1 confirmed institutional outbreak of COVID-19 reported to Halton Region Public Health since the last update

7 confirmed institutional outbreaks of COVID-19 reported to Halton Region Public Health to date

Among the seven confirmed institutional outbreaks reported to date, four (57%) have been in retirement homes, while two occurred in long-term care homes and one occurred in a hospital. One of the confirmed outbreaks was reported since the last update (meaning they were reported between April 9 and April 12, 2020). None of the confirmed outbreaks have yet been declared over. Please note these counts do not include any suspected outbreaks that remain under investigation.

Comparison to Ontario

7,470 total confirmed COVID-19 cases reported in Ontario to date

Fig 5

Age-specific rates of COVID-19 (per 10,000 population), Halton Region and Ontario, 2020

Figure shows age-specific rates of COVID-19 for Halton and Ontario. Rates take into account the population size of each age group to make it possible to compare between different areas. Halton’s age-specific rates are now similar to the provincial rates for all age groups (for example, while Halton has 21.9 cases per 10,000 residents aged 80+, this is not statistically significantly different from the 17.0 cases per 10,000 residents aged 80+ in Ontario). It is important to note that these rates will fluctuate as numbers increase throughout the pandemic, and that differences between age groups may reflect differences in the likelihood of developing symptoms and being tested.

Data limitations and data sources:

All Halton case data: integrated Public Health Information System (iPHIS), extracted at 7:00 AM on April 13, 2020, to reflect data entered by the end of the day on April 12, 2020

Ontario case data: Public Health Ontario, Epidemiologic Summary, COVID-19 in Ontario: January 15, 2020 to April 12, 2020, posted on April 13, 2020 to https://www.ontario.ca/page/2019-novel-coronavirus

Denominators for Halton and Ontario age-specific rates: Population projections [2020], IntelliHEALTH Ontario, extracted on April 8, 2020.

Data notes

All cases of diseases of public health significance diagnosed in Ontario are entered into iPHIS by local public health units. iPHIS is the Integrated Public Health Information System. It is a dynamic disease reporting system which allows ongoing updates to data previously entered. As a result, data extracted from iPHIS represent a snapshot at the time of extraction and may differ from previous or subsequent reports as data are updated.

The data only represent cases reported to public health and recorded in iPHIS. As a result, all counts will be subject to varying degrees of under-reporting due to a variety of factors, such as disease awareness and medical care seeking behaviours, which may depend on severity of illness, clinical practice, changes in laboratory testing, and reporting behaviours.

Cases are included if their “diagnosing health unit” in iPHIS is Halton Region, which means counts include only individuals whose primary residence is in Halton Region. The case may not necessarily have been managed by Halton Region, if they were temporarily residing elsewhere during their case management period. Cases managed by Halton Region who normally live elsewhere but who were managed by Halton Region staff because they were temporarily residing in Halton during their case management period have not been included.

Cases for which the Disposition Status in iPHIS was reported as ENTERED IN ERROR, DOES NOT MEET DEFINITION, DUPLICATE-DO NOT USE, or any variation on these values have been excluded.

Figure 1 distinguishes between lab-confirmed and probable cases. Since April 7, probable cases are defined as epi-linked cases, meaning they are symptomatic close contacts of cases or returning travelers who have COVID-19 symptoms and therefore are presumed to have COVID-19. All other figures and numbers include both confirmed and probable cases combined.

In subsequent reports, counts in Figure 1 may increase as cases are added from past dates due to delayed data entry or new arrival of lab results. To minimize such retrospective changes, cases have been graphed according to case reported date, which does not reflect onset of illness.

Cases are considered to work in health care if they are known to have an occupation that involves caring for patients, e.g. physician, nurse, occupational therapist, recreational therapist, chiropractor, paramedic, midwife, orderly, etc.

Exposure type is determined by examining the exposure and risk factor fields from iPHIS to determine whether a case travelled, was a contact of a case or neither. A hierarchy has been applied as follows: Travel-related > Close contact of a confirmed case > Neither (indicating community acquisition) > Information pending.

Case outcomes (hospitalizations, recovery, deaths) reflect the latest available information reported to Halton Region Public Health and recorded in iPHIS by the extraction time.

Institutional outbreaks include outbreaks of COVID-19 in settings such as long-term care homes, retirement homes, hospitals, and prisons.

The story for the period ending April 8th.

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