On November 3, 2020, Ontario announced a new COVID-19 Response Framework, Keeping Ontario Safe and Open (New Framework) that will be approved by Cabinet on November 6, 2020. Public health units will be transitioned to the New Framework on November 7, 2020.
Ontario describes the New Framework as "an early warning system allowing us to scale up and scale back public health restrictions on a regional or community basis in response to surges and waves of COVID-19." The New Framework avoids "broader closures across the province" in favour of "targeted, incremental and responsive" graduated public health measures informed by regional circumstances.
The New Framework categorizes public health unit regions into the following five levels:
- Green – Prevent (Standard Measures)
- Yellow – Protect (Strengthened Measures)
- Orange – Restrict (Intermediate Measures)
- Red – Control (Stringent Measures)
- Lockdown (Maximum Measures)
Public health units will be assigned to one of these levels based on the following:
- Epidemiology, i.e., weekly incidence rate, % positivity, Ro,1 outbreak trends/observations, and level of community transmission/non-epi linked cases stable);
- Health System Capacity (hospital and ICU capacity adequate); and
- PH System Capacity (case and contact follow up within 24 hours adequate)
Requirements for gathering limits, workplace screening, and face coverings apply at all levels. Each level sets out public health and safety measures for the following:
- Restaurants, Bars and food or drink establishments;
- Sports and recreational fitness;
- Meeting and event spaces;
- Personal care services;
- Casinos, bingo halls, and gaming establishments;
- Cinemas; and
- Performing arts facilities
Proposed public health unit region classifications based on data for the week of October 26, 2020, are set out below. (Updated data will be used for final review by the Chief Medical Officer of Health and approved by Cabinet on November 6, 2020.)
- No public health unit regions
- No public health unit regions
- Eastern Ontario Health Unit;
- Ottawa Public Health;
- Peel Public Health;
- Toronto Public Health (may be delayed in entering Orange-Restrict level until November 14, 2020); and
- York Region Public Health.
- Brant County Health Unit;
- City of Hamilton Public Health Services;
- Durham Region Health Department; and
- Halton Region Public Health.
- Algoma Public Health;
- Chatham-Kent Public Health;
- Grey Bruce Health Unit;
- Kingston, Frontenac and Lennox & Addington Public Health;
- Haliburton, Kawartha, Pine Ridge District Health Unit;
- Haldimand-Norfolk Health Unit;
- Hastings Prince Edward Public Health;
- Huron Perth Public Health;
- Lambton Public Health;
- Leeds, Grenville & Lanark District Health Unit;
- Middlesex-London Health Unit;
- Niagara Region Public Health;
- North Bay Parry Sound District;
- Northwestern Health Unit;
- Peterborough Public Health;
- Porcupine Health Unit;
- Public Health Sudbury & Districts;
- Region of Waterloo Public Health and Emergency Services;
- Renfrew County and District Health Unit;
- Simcoe Muskoka District Health Unit;
- Southwestern Public Health;
- Thunder Bay District Health Unit;
- Timiskaming Health Unit;
- Wellington-Dufferin-Guelph Public Health; and
- Windsor-Essex County Health Unit.
The government will review final decisions about the levels assigned to public health unit regions weekly, and continually assess the impact of public health measures applied to public health unit regions for 28 days, or two COVID-19 incubation periods.
Bottom Line for Employers
Employers are encouraged to seek up-to-date information regarding the levels in which their particular businesses operate based on geographic location. This includes those businesses such as restaurants, retail, fitness, cinemas and gaming establishments as these restrictions may differ and be changed on a periodic and sometimes, rapid basis.
1 "Ro" specifies the average number of secondary infections caused by one infected individual during their entire infectious period at the start of an outbreak.
Originally Published By Littler Mendelson, November 2020
The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.