Covid-19, Parkdale - High Park, Public health, vaccines

Vaccination is a personal decision with public and financial consequences

There are many great reasons to live in the riding of Parkdale – High Park. One of them is accessibility to vaccines. Such as the Healing Source Pharmacy on Bloor West near Runnymede which now has Covid-19 vaccine walk-ins. Another one is responsible businesses such as my favourite Korean restaurant Ka Chi on Bloor West near Windermere which advertises that all their employees are fully vaccinated.


I say responsible because a vaccinated person is far less likely to contract Covid and spread it. So, while vaccination is a personal decision, not vaccinating can have serious consequences resulting in hospitalization, long-term illness and death. Therefore, it makes sense to encourage vaccination to protect the public.


Unfortunately, in T.O. not everyone has easy access to vaccines. Some people work long hours, cannot afford to take time off, or have small children to take care of. Consequently, both employers and governments could do more to promote vaccination. For example, the US is already providing tax credits to encourage people to get vaccinated. It would be great if similar policies were to be adopted here in Canada. We are in the middle of an election campaign, so, if you meet your local candidates it might be a good idea to ask them, what is your party going to do to encourage vaccination if elected?


Insurance companies are already providing discounts to those that get vaccinated. It is only fair since those that choose not to get vaccinated pose a higher public risk and therefore a higher insurance risk. Consequently, anyone getting a vaccine may receive financial remuneration, while anyone deciding to not get vaccinated will not receive this economic benefit. Furthermore, anyone not getting a vaccine will have to pay for expensive Covid tests to attend public gatherings such as a concert, sporting event, or to travel by plane or train. While those fully vaccinated will not require tests. So, it will become very expensive to not get vaccinated soon.


Those claiming that using financial incentives to encourage vaccination is somehow tyrannical should note that tyrannies take arbitrary measures, and these incentives are not arbitrary. These are fair and reasonable incentives made with the sole purpose to protect the public. It only makes sense that anyone taking an unreasonable risk should be held at a minimum financially accountable for that risk. While those getting vaccinated should receive compensation for spending their valuable time to help protect our community.

Covid-19, Parkdale - High Park, Public health, vaccines

Finding a Vaccine Appointment in Parkdale – High Park

Vaccine pop-up in Woodbine Racetrack, Rexdale

Update: It’s happening, more pop-ups are opening up to people from all T.O. postal codes e.g. https://twitter.com/HRHospital/status/1392520751744524301 please visit https://twitter.com/TOVaccineFinder and https://vaccinehunters.ca/ for information on upcoming vaccine pop-up clinics.

Parkdale – High Park includes four postal codes: M6P, M6R, M6S, and part of M6K. Only M6K is a provincially designated hot zone. Consequently, many people living in Parkdale – High Park might not qualify yet for an appointment at a City of Toronto operated vaccine clinic. However, when vaccine pop-up locations and pharmacies have extra doses and not enough appointments, they sometimes open their doors to anyone living in T.O. This means that even if you live in a non-hot zone such as M6P, M6R, and M6S you may be able to get a vaccine. Naturally, people living in any zone and are at greater risk for contagion due to their living arrangements, health condition, or work, for example, are already a priority to receive a vaccine. For more information visit the St. Joseph’s vaccine booking site or your local hospital’s site: https://unityhealth.to/how-to-book-covid-appointment/

Pop-ups

Vaccine pop-ups are meant to ensure that those living in hot zones have an opportunity to get vaccinated easily and conveniently right in their community without traveling far. Last weekend there was a pop-up in the Woodbine Racetrack for the Rexdale community from Saturday until Monday. Not many people from Rexdale showed up on Monday. So, the wonderful volunteers running this event opened the clinic to anyone living or working in a T.O. hot zone.  After those living or working in a T.O. hot zone were vaccinated, the volunteers opened the doors to anyone living in a T.O. postal code, including non-hot zones, such as M6P, M6R, and M6S. No doses went to waste. I found this out thanks to a very helpful Twitter account named @TOVaccineFinder. You could use this account to find a vaccine location for you.

Update: some pop-ups are for people living or working in specific hot zones. So, if you live in M6P, M6R, and M6S but work in a hot zone you may qualify for a vaccine appointment in specific pop-ups. Furthermore, the Twitter account https://twitter.com/VaxHuntersCan is also very helpful in helping find pop-ups. The situation is rapidly evolving and some pop-ups now accept anyone 40+ living in T.O., here is an example: https://twitter.com/TOVaccineFinder/status/1392463526388772869

For over twenty years I have been living in Parkdale – High Park. However, I grew up in Scarborough in what is now one of the Covid hot zones in GTA. So, I have great sympathy for anyone living in a hot zone and completely agree that their vaccination and that of those facing higher risks should be a priority.

Pharmacies

Similarly, if you register to receive a vaccine at a pharmacy you will notice their website has wording indicating that those living in hot zones and facing higher risks are a priority. However, sometimes a pharmacy may have many doses and not enough appointments. So, like pop-ups, sometimes they open their doors to those living in non-hot zones and are not considered high risk. For example, I registered to receive my first dose with Shoppers Drug Mart and they contacted me last minute for an appointment noting that not enough people had booked at that location and they needed to use up all their doses before they expired. Consequently, I was fortunate to receive my first dose last Sunday. You might want to register with a pharmacy for a first dose appointment in case they have an opening for you. Here is the list of pharmacies offering Covid vaccines in Ontario: https://covid-19.ontario.ca/vaccine-locations

Update: you may have heard that 1st doses of AstraZeneca are being paused in Ontario. However, Pfizer 1st doses are available in specific pharmacies. Please check the above link for more information

If you get an opportunity to get vaccinated, you should take it. Likely, you are not taking away a vaccine from someone who needs it more, you might be receiving a dose that could have been thrown away. And you are helping the community put an end to this pandemic that has cost the lives of so many people.

On a happier note, I was very proud to see so many people of my generation X line up to get their AstraZeneca vaccines in pharmacies. It was also inspiring to see so many people in their 20’s get their vaccine now that the limit has been changed to 18+ for Pfizer. Many people of my generation wore the t-shirts of their favourite 80’s rock or New Wave bands as they lined up. I wore my favourite t-shirt, the jersey of the Peruvian national soccer team. Peru is the country where I was born, and as Eduardo Galeano, I am a “beggar for good soccer”. I am also a fan of volunteers running vaccine clinics, health care workers, and pharmacists who have given so much during these difficult times.

Years have gone by and I’ve finally learned to accept myself for who I am: a beggar for good soccer. ~ Eduardo Galeano

covid testing, Covid-19, Ontario, Parkdale - High Park, Public health, Public safety

More indoor workplace closures, less outdoor restrictions

Section 22 of Ontario’s Health Protection and Promotion Act gives medical officers of health the authority to close a workplace for a specified period:

https://www.ontario.ca/laws/statute/90h07#BK27

The region of Peel has recently used this power to close workplaces where they have been Covid outbreaks affecting five or more employees:

https://www.cbc.ca/news/canada/toronto/peel-covid-businesses-closed-section-22-1.5994257

The evidence is clear that transmission is mostly occurring in indoor workplaces. Consequently, these new orders should help decelerate the spread of Covid.

Physically distant outdoor activities, on the other hand, should be encouraged not restricted, since they are relatively low risk. Furthermore, the rest of Ontario including T.O. needs to follow the lead of the region of Peel and close immediately workplaces where there have been Covid outbreaks. This action combined with other effective measures, such as paid sick leave, workplace health inspections, more testing and vaccinations will put an end to Ontario’s third wave. As always take care and stay safe.

Focus on indoor workplace transmissions

Update:

First the bad news, the public tennis courts in High Park are closed. The good news is that T.O. Public Health today announced it will close workplaces to manage Covid 19 outbreaks.

https://www.toronto.ca/news/toronto-public-health-issues-section-22-class-order-to-close-workplaces-to-manage-covid-19-outbreaks/

No description available.
The public tennis courts in High Park are closed.
Affordable Housing, Covid-19, Healthy Homes, Mental health, Public health, Public safety, Toronto

German city supports tiny shelters while T.O. takes legal action against them

The City of Ulm has embraced an innovation created by its residents: sleep pods for the homeless.

https://www.bbc.co.uk/newsround/55778733

Meanwhile in T.O. a similar project “Toronto Tiny Shelters” is facing legal action from the City.

https://www.cbc.ca/news/canada/toronto/ont-homeless-encampments-1.5920822

In both Ulm and T.O. these projects originated thanks to very creative people who have a passion to assist others. The key difference is that the City of Ulm supported this project while our Mayor and Council not only did not support this visionary solution, they believe that taking to court someone who has made a positive difference in people’s lives during this pandemic is a good idea.

If you do not believe that, ask yourselves which Councillor right now is tweeting their support for Khaleel Seivwright the brilliant person behind this wonderful design? Also, which Councillor is going on record stating that this legal action should stop and instead the City should collaborate with the Toronto Tiny Shelters project? No one is and that is very disappointing.

The argument that Tiny Shelters are unsafe because they are made of wood is weak, since they are equipped with flame resistant materials, smoke detectors and fire extinguishers. Also, many homes in T.O. are made of wood. And Ulm’s sleep pods are also made of wood.  Furthermore, the contention that Toronto Tiny Shelters is not following requirements is just as feeble. Governments can always make exemptions to bylaws and regulations when it is in the interest of the public, such as providing emergency shelter for the homeless during a pandemic. To those that argue that Tiny Shelters are not the answer to the complicated problem of homelessness take note that there is no one answer to this issue and Tiny Shelters as an emergency measure can save lives. The actual problem is we do not have leaders in Council who accept that often the best solutions to our problems come from members of the public, like Khaleel Seivwright.

To manage a crisis such as a pandemic both leadership and vision are required. By not supporting Toronto Tiny Shelters this Council has shown a lack of both. However, to end on a positive note Khaleel Seivwright and his team deserve our support. Please visit their website, thank you, and stay safe.

https://www.torontotinyshelter.org/

Ask Mayor Tory and your Councillor to support Toronto Tiny Shelters

Covid-19, Ontario, Public health, Public safety, Toronto

Blaming international travelers

Not every Canadian who gets on a plane is like Rod Phillips, the minister who went on a Caribbean vacation to only find himself upon his return like Luca Brasi in The Godfather: “swimming with the fishes”. The reality is that few countries are currently allowing international travelers into their borders. Several countries around the globe are only allowing their citizens to return or visit family. Consequently, airports around the world look like ghost towns, flights are rescheduled or cancelled daily. Pearson airport has never looked lonelier.

Some countries were starting to reopen their borders when suddenly the “it’s mutated” scene from the 2011 film Contagion became reality, and new more contagious strains of Covid started appearing around the globe. The new strains will likely put a stop to these reopening plans.

Yet, Premier Ford created a fictional enemy “the irresponsible partying international traveler” that is bringing new Covid strains to Canada. Several airlines already required all passengers to provide negative Covid test results before boarding, even before Minister Garneau announced requirements to provide negative tests. And several countries either test and or quarantine passengers upon arrival. And unlike Canada, they send people to quarantine facilities for three weeks with a tracking wristband, not their homes for two weeks with the ArriveCAN app. And now with the new strains, there probably will be more stringent testing requirements and longer quarantine periods for travelers worldwide. It seems that one of the only “partying international travelers” was his former Finance Minister.

While it makes sense to test passengers upon arrival and perhaps even consider longer quarantine periods for travelers, let’s not lose sight of the fact, that the main problem we have in Ontario is still local transmission. Shutting down Pearson will not address the root cause. Pearson is a ghost town these days anyway.

Hardly anyone is flying, so why blame international travelers?

Covid Alert, Covid-19, Ontario, Public health, Toronto

Moving from aspirational to effective contact tracing

How many times have we heard the tune “Shoppers Drug Mart employee test positive for Covid-19 in the Junction”? What are we supposed to do with this information other than sharing it on Facebook hoping your friends who shop at that location are notified. But even if they are informed questions are raised. Which employee tested positive? Because if it was an employee solely moving boxes in storage the clients may not have much to worry about, but if it was someone working as cashier many clients would have been exposed. In summary, the problem with this scenario is that it is aspirational contact tracing. And it fails to answer a key question: how did that employee contract the virus?

https://dailyhive.com/toronto/shoppers-drug-mart-covid-19-december-18

Ideally, everyone who was in the building between the hours the employee worked should be notified of potential exposure. The Covid Alert app could help, but it would require that the employee who tested positive and those exposed have the app running on their smartphones. And since its adoption is voluntary and requires a newer smartphone not everyone has it. Hence this remarkable app should be seen as one of many ways to combat the pandemic and not a silver bullet.

As a Canadian who grew up abroad and has backpacked around our beautiful globe, I tend to ask myself: what else are other countries doing to solve this problem, which by now has affected every corner of the earth. 

Quick Response (QR) codes are effectively being used for contact tracing by businesses in Asia, Europe, and Oceania:

https://esnetwork.ca/briefings/qr-codes-as-an-approach-to-contact-tracing-for-covid-19/

On the local scene, a Canadian company has developed a QR code contact tracing solution to help businesses:

Based on the above study, QR code contact tracing solutions work best when managed by service providers for a specific transaction, for example, a movie night. So when you enter the theatre you would present your tickets and scan a QR code with your smartphone. Cineplex will not get your contact details, all they will see is a randomly generated identification code e.g. UserElVez has entered the theatre. Employees would scan the QR code when their shift begins. So, If Employee007 who later tests positive was working when UserElVez was in the theatre UserElVez would be automatically and confidentially notified of potential exposure. Naturally, all clients and employees who were in the theatre at the same time as Employee007 would also be notified. Since the movie is 2 hours long the system would automatically know when UserElVez left the building. 

Finding out how Employee007 contracted Covid might be best left to contact tracing professionals working for local public health units. However, notifying who may have been exposed by Employee007 at work to Covid can be automatically done by QR code systems, thus allowing contact tracers who are already overworked to focus on other critical matters.

QR code contact tracing is far superior to pen and paper which restaurants in T.O. were using in the summer for contact tracing since pen and paper can easily lead to privacy breaches. It is positive to see many local businesses adopt QR code solutions, but to be truly effective widespread adoption is needed. Here is a situation where local governments can take the lead and encourage the use of QR code contact tracing.

QR code contact tracing is more effective and secure than pen and pencil.
Covid-19, Ontario, Public health, Toronto

Close schools to end the second wave

In T.O. 70% of Covid cases cannot be traced. Ultimately, it is our governments who will be held accountable for this disastrous situation. 

Reference: https://www.theglobeandmail.com/canada/article-tam-calls-for-stricter-covid-19-lockdown-measures-in-hard-hit/

Without adequate testing, tracing, and hospitals in crisis we are left with no alternative but stronger restrictions. However, before pondering what additional restrictions must be implemented, we have to step back and ask ourselves, why didn’t the current restrictions mitigate the second wave?

This is a complicated question to answer since we do not have all the data on how contagion spreads in Toronto. Nonetheless, we do know that several businesses have either:

  • Potentially broken the law by remaining open, or
  • Have bent the law by finding creative ways to brand themselves as essential.

Reference: https://www.theglobeandmail.com/canada/toronto/article-cities-crack-down-on-businesses-breaking-covid-rules-in-ontario/

The law of unintended consequences teaches us that if we close all stores, except those that sell food, hardware, and PPE, eventually every store in T.O. will be selling bananas, hammers, and face masks in an effort to stay in business. So there must be more effective ways to encourage people to stay home than the 50 shades of grey “lockdown”.

Voluntary measures, such as encouraging people to work from home were not particularly effective in the first wave. Mandatory restrictions did not stop a second wave. But what did work well were the school closures that helped put an end to the first wave. Not only because having people spend significant time indoors in classrooms presents a Covid outbreak risk, but because closing schools also force parents to stay home. The moment children don’t go to school, parents are forced to have a conversation with their employers to either work from home or go on leave to take care of them, especially if they have younger children. I realize that some unethical employers will simply lay-off their workers, but frankly, maybe these employers should not be receiving government assistance and the focus of governments should be to bail out our workers.

Closing schools may be the most effective way to encourage people to stay home. So, close schools to make parents stay home, keep our children and educators safe, and potentially put an end to this deadly second wave. Let’s buy some time and save lives now that vaccines are on their way.

Thank you, to all essential workers
Covid-19, Ontario, Public health, Public safety, Toronto

Tolerate anti-maskers and anti-vaxxers?

Taxicab in Makati


Sometimes it seems like we all have that neighbour that despite all evidence showing face masks reduce contagion refuses to wear a mask in indoor public spaces citing individual rights, but conveniently ignoring everyone else’s right to live in a secure and safe community. 

Canadian case law is clear: governments are allowed to place reasonable limits on individual rights to protect public health. Furthermore, it is abundantly clear that current restrictions, such as the mandatory wearing of face masks are only temporary measures in consequence of a pandemic. Thus the argument that governments in Canada are trampling over individual rights is a weak one.

This argument becomes even weaker when we compare ourselves to other countries, which require both face masks and face shields to be worn as double protection in public places. In the Philippines, for example, if you don’t wear a face mask together with a face shield you will not get a taxi, it’s that simple. Temperature checks are mandatory before entering a restaurant or shopping mall in its capital Manila. Furthermore, all international travellers must undergo a Covid test at the airport upon arrival to the Philippines. While travellers to Taiwan are required to take a test before departure. By comparison to these two countries, Canadian health measures are both lenient and very reasonable.

Yet some anti-maskers and anti-vaxxers are over-dramatically insisting that public health measures in Canada are authoritarian. As someone who grew up in the Dominican Republic during Balaguer’s civilian-authoritarianism before moving to Toronto, I sincerely doubt they understand what authoritarian measures look like. Seriously, who has been locked up in Canada for not wearing a face mask? Someone did get arrested for obstruction of justice only after receiving repeated warnings and blatantly ignoring public health measures while risking the safety of his customers and employees. The fact that this person didn’t even have a business licence before the pandemic began demonstrates that he is unwilling to follow even the most minimum requirements on a good day. Fortunately, he doesn’t represent the vast majority of small business owners who care about the well being of their clients and workers.

The irony is that both the anti-mask and anti-vaxx movements claim the mantle of freedom, yet by practicing disinformation and engaging in hateful conspiracy theories they have proven to be very intolerant. Caving to their demands will only prolong this pandemic and harm the common good. Thus we should heed Karl Popper’s advice on the limits of a tolerant society and under these special circumstances claim the right to not tolerate these two groups, when they break the law in a manner that compromises public safety. Furthermore, while we respect everyone’s freedom of expression rights; nonetheless, reasonable temporary face mask requirements, which are supported by scientific research, should not be a time-consuming debate in the middle of a pandemic that has cost lives.

On the other hand, we should have a healthy debate on how far do we as a society want to go with requiring proof of immunization, now that vaccines will be available soon. Certainly, mandatory vaccinations are out of the question in Canada thanks to the Charter of Rights and Freedoms. But just like I have to wear prescription eyeglasses to drive a car, shortly I may have to show proof that I have received a vaccine before being allowed to buy tickets to the next Rodriguez concert. In general terms, we have a right to a safe workplace and Covid is a hazard. So, how far should we go with requiring proof of vaccination to ensure workplace safety? Certainly, there might be workers who are unable to receive a vaccine due to valid health reasons e.g. an allergy. But what if a worker refuses vaccination under religious grounds? The answers might be case by case. Regardless, this is an important debate to have right now.

Covid-19, Ontario, Parkdale - High Park, Public health, Public safety, Toronto

Restaurant patio tents must have at least two full sides open

By now you likely know that “the data available so far indicate that indoor transmission of the virus far outstrips outdoor transmission.” Which is a key reason why outdoor dining is safer than indoor dining. As the weather has become colder in Toronto, we have seen patio tents in restaurants become ubiquitous. Which raises the question: at what point does dining in an enclosed tent become as risky as dining indoors?

What does the law say? First, let’s look at the CaféTo guidelines.  Which state:

A tent/structure may be permitted on private property if the following requirements are met:

  • An area that is covered by a roof, canopy, tent, awning or other element, must have at least two full sides open to the outdoors and cannot not be blocked by other walls or physical…

Some might argue that this requirement is just a guideline. However, Ontario Regulation 263/20 RULES FOR AREAS IN STAGE 2 mirrors the above guidelines and states in Schedule 2:

12.  If an outdoor dining area at the establishment is covered by a roof, canopy, tent, awning or other element, at least two full sides of the entire outdoor dining area must be open to the outdoors and must not be substantially blocked by any walls or other impermeable physical barriers.

13.  If an outdoor dining area at the establishment is equipped with a retractable roof and the roof is retracted, at least one full side of the outdoor dining area must be open to the outdoors and must not be substantially blocked by any walls or other impermeable physical barriers.

Based on the above it is a legal requirement for restaurant patio tents to have two full sides open to the outdoors. The purpose of this requirement is to increase outdoor airflow and thus reduce the risk of Covid transmission.

What happens if you see a restaurant that is not in compliance with this requirement e.g. a completely enclosed tent with customers inside? You may want to heed the purpose of this requirement and not dine there due to the risks. If you know the owner, you might want to inform them about these requirements. You also can contact 311 to inform the City of potential noncompliance.

Restaurant workers and owners have been hard hit during this pandemic. I admire their resolve in face of trouble and their use of patio tents to save their jobs and business. As the weather becomes colder there might be a temptation to close the tents i.e. not have at least two full sides open. However, these rules are there to protect us. While there is a case that all levels of government might not be doing enough to help the restaurant industry, that is still no excuse for not complying with regulations that protect safety.

Restaurant patio tents must have at least two full sides open