Following my tenure as Chief Medical Officer of Health of Manitoba, I have undertaken a number of relevant roles and responsibilities including that of scientific director of the Public Health Agency of Canada’s National Collaborating Centre for Infectious Diseases, medical director of the International Centre for Infectious Diseases in Winnipeg, board director of the Canadian Public Health Associ. [...] In your opinion, has the Government of Ontario provided sufficient data, information, evidence, analysis, and rationale to explain and justify the necessity and appropriateness of the restrictions of outdoor gatherings? • I have been unable to find sufficient data, information, evidence, analysis, and rationale to explain and justify the necessity and appropriateness of the restrictions of outdoor. [...] Identification and considerations of the burden of the hazard, the effectiveness and harms of intervention options, and their impact on autonomy and rights and freedoms are at the core of good and ethical public health practice16. [...] Step four of the guidelines section of the Ontario Hazard and Identification Risk Assessment Program19 states that considerations of extraordinary public health interventions require clear descriptions of quantitative estimates of likelihoods (probabilities) of events and the level of severity of the consequences of those events. [...] The interventions should be expected to significantly contribute to achieving one or more of the goals of the strategy and one or more of the objectives of the strategy.
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