TABLE OF CONTENTS

REPORTS OF THE STANDING COMMITTEES

AND OTHER COMMITTEES

As Considered by

The Council of the City of Toronto

on July 27, 28, 29 and 30, 1999

BOARD OF HEALTH

REPORT No. 6

1 Hot Weather Response Plan

2 1999 Drug Abuse Prevention Grants

3 1999 AIDS Prevention Grants

4 1999 Community Services Grants - Recommended Allocations to AIDS Service Organizations

City of Toronto

REPORT No. 6

OF THE BOARD OF HEALTH

(from its meeting on July 22, 1999,

submitted by Councillor John Filion, Chair)

As Considered by

The Council of the City of Toronto

on July 27, 28, 29 and 30, 1999

Hot Weather Response Plan

(City Council on July 27, 28, 29 and 30, 1999, adopted this Clause, without amendment.)

The Board of Health recommends:

(1) the adoption of the report dated July 22, 1999, from the Medical Officer of Health;

(2) that the Public Health Unit, in seeking to establish Hot Weather Alert indices, incorporate air quality (smog) criteria as well as appropriate Humidex and heat stress criteria, to together form a Toronto Heat and Smog Index appropriate to the City's local conditions; and

(3) that every Councillor be requested to identify in their wards potential cooling sites, both public and private, and areas where there are large numbers of seniors.

The Board of Health reports, for the information of Council, having forwarded the Medical Officer of Health's interim report on the Hot Weather Response Plan to the Seniors' Task Force and the Advisory Committee on Homeless and Socially Isolated Persons for their information and comment.

The Board of Health submits the following report (July 22, 1999) from the Medical Officer of Health:

Purpose:

To outline for the Board of Health and City Council an interim plan to lessen the impact of hot weather on at-risk populations in Toronto. The interim plan applies to the remainder of 1999 and is accompanied by longer term recommendations for 2000 and beyond.

Financial Implications and Source of Funds:

For 1999, up to $150,000.00 be set aside within the Community and Neighbourhood Services Department through internal reallocations from Toronto Public Health and the Shelter, Housing and Support Division. These funds will be used to cover the following expenses:

(1) distribution of TTC tokens to homeless and low-income persons who are at risk of heat stress;

(2) additional staffing to provide extended hours of service in libraries, community centres, drop-in centres, and recreation facilities that are designated as places for people to cool off;

(3) a purchase of service agreement with Environment Canada for ongoing predictions and timely notification of Humidex levels in Toronto;

(4) first aid training by the Canadian Red Cross of designated staff from the City of Toronto and community organizations to enable them to detect and respond appropriately to heat-related illness;

(5) extended operating hours of Anishnawbe Health Toronto's Street Patrol;

(6) co-ordination and communication activities to ensure effective implementation of weather-related advisories; and

(7) further research on the feasibility of developing Toronto-specific temperature and humidity thresholds for the Hot Weather Response Plan.

The financial implications arising from the annualized implementation of the Hot Weather Response Plan and the remaining longer term recommendations will be submitted by Toronto Public Health and respective departments involved to City Council, through the Board of Health and the applicable standing committees, during the 2000 budget process.

Recommendations:

(1) That the Board of Health recommend that City Council adopt the interim Hot Weather Response Plan as outlined in Appendix A;

(2) that up to $150,000.00 be set aside within the Community and Neighbourhood Services Department through internal reallocations from Toronto Public Health and the Shelter, Housing and Support Division to cover the expenses in 1999 of the Hot Weather Response Plan;

(3) that the Medical Officer of Health (MOH) continue to consult with other city agencies, volunteer organizations and community groups to determine how they can best contribute to the Plan;

(4) that Toronto Public Health contract with Environment Canada to provide ongoing forecast and timely notifications of Humidex levels for Toronto;

(5) that the MOH co-ordinate the development of a comprehensive, city-wide response and its potential costs for consideration during the 2000 budget process. This comprehensive plan may include specific actions by other city agencies, volunteer groups and community organizations co-ordinated by Toronto Public Health and an evaluation component to ensure that the goals of the Plan are being met;

(6) that the MOH expand the yearly public health education campaign directed towards hot weather to increase the public's knowledge of the appropriate responses. This should include an emphasis, where possible, on community development strategies including the creation of neighbourhood partner programs for vulnerable residents, along with the provision of information to organizations that serve members of vulnerable populations;

(7) that the Commissioner of Economic Development, Culture and Tourism be requested to improve access to permanent sources of potable water (e.g., drinking fountains) along with bathing and washroom facilities in drop-in centres and community centres, in consultation with local businesses and community organizations that serve Toronto's homeless and underhoused populations;

(8) that the Commissioner of Community and Neighbourhood Services and the Commissioner of Economic Development, Culture and Tourism assess the present state of community centres, drop-in centres and other publicly owned/operated gathering places that could be used as places for people to cool off and as places to bathe. The response should identify resources needed to up-grade and expand these facilities, including installing air conditioning and bathing/washroom facilities where necessary and extending their hours of operation;

(9) that the Toronto Housing Company, as part of its Tenant Support Program, develop responses for when a heat warning is issued by the summer of 2000;

(10) that the Commissioner of Community and Neighbourhood Services conduct research to better quantify the extent to which Toronto residents are at increased risk for heat related illness as a result of poor ventilation, inadequate air conditioning or other conditions in their homes;

(11) that the MOH further investigate the health effects of hot weather and consult with Environment Canada and other agencies to gain a better understanding of the weather systems that have a substantial impact on health;

(12) that the MOH consult with area hospitals, physicians, Toronto Ambulance Services and other interested parties on the feasibility of establishing an active surveillance system focusing on the health impacts of heat stress caused by hot weather, such as emergency room visits and increased mortality;

(13) that Toronto Public Health participate in research into the relationship between hot weather and local health effects using data from the surveillance system and other sources and use the results to establish a scientific basis for heat response thresholds;

(14) that the Toronto Atmospheric Fund be requested to collaborate with Toronto Public Health to develop a workshop in the fall of 1999 on hot weather responses involving experts from Canada and from American cities that have successfully implemented heat emergency plans;

(15) that the Toronto Atmospheric Fund be requested to analyze the Toronto heat island effect and identify methods to mitigate summer heat over the long term, such as enhancing the urban forest, promoting green rooftops and gardens, and encouraging the use of lighter coloured construction material for rooftops that minimize energy use, thereby reducing the impact on air pollution and climate change;

(16) that Toronto Public Health consult with the Toronto Atmospheric Fund on the development of policy options and proposed programs to mitigate the summer heat over the long term from a global warming perspective; and

(17) that City Council authorize and direct the Chief Administrative Officer to incorporate into the City's Emergency Plan a response to extremely hot weather conditions (Humidex over 45 degrees Celsius), should they arise.

Background:

In 1998, the Seniors Task Force and the Advisory Committee on Homeless and Socially Isolated Persons requested the MOH to develop a comprehensive hot weather emergency response plan. This would be based on the health impacts of hot weather on the city's population and include possible responses to mitigate these effects.

This report provides an interim response to these requests. It outlines the current understanding of the relationship between hot weather and health effects, including the increased risk of vulnerable populations and an explanation of some terms that are often used to describe hot weather. It also contains Toronto Public Health's interim recommendations on the magnitude of heat that should prompt a city-wide response and some of the components of that response that will help reduce the likelihood of health consequences from heat exposure.

Comments:

Definitions:

There are a number of terms used to describe summer heat and its impact on people.

"Humidex" is a number that describes how hot the average person feels, or their degree of comfort or discomfort during hot, humid weather. It combines the humidity and temperature to reflect perceived temperature. The term Humidex is used by Environment Canada and thus by all Canadian media and weather reports. It has meaning to the general public.

The "Heat Stress Index" is used to predict/measure the overall physiological effect of excessive heat on the body. This is known as heat stress and is used by the United States National Weather Service. Its calculations involves many factors, such as air temperature, humidity, air movement, radiant heat, and atmospheric pressure. A simpler version using temperature and humidity (similar to Humidex but more complex to calculate) is now being used. Although it may be a better indicator than Humidex as it is more closely correlated with health outcomes, it is not used in Canada and therefore lacks meaning to the public. Also, its interpretation is complex, as is its calculation.

Unfortunately, there is no mathematical relationship between the heat index and Humidex. At different temperatures, the effect of relative humidity is different for the two scales and therefore they can not be used interchangeably. Therefore, simply converting one to the other and using it to initiate a response is not possible. Since the public is familiar with the Humidex scale, it will be used to determine the heat thresholds at which different responses in the Plan will be initiated.

Health Effects of Hot Weather:

All residents feel the health effects of hot weather. They include increased sweating, increased thirst, fatigue and weakness. If a person fails to take adequate precautions such as increasing water intake and seeking shade, these symptoms can worsen and become heat exhaustion. This is characterized by profuse sweating, nausea, dizziness and worsening fatigue.

The most severe health effect of heat is heat stroke, which is defined as a body temperature greater than 40.6 degrees Celsius with lack of sweating and altered consciousness, coma or seizures. Other symptoms of heat stroke include sudden onset, low blood pressure, increased heart rate and increased breathing. Other manifestations include metabolic abnormalities such as changes in blood sugar and chemistry and uncontrolled blood coagulation. Of those presenting to hospital with this diagnosis, approximately 10 percent die even with vigorous treatment.

Long term sequelae of heat stroke are just now being investigated. The loss of activities of daily living like bathing and meal preparation that accompany heat stroke can remain for one year or more. Those individuals found to have functional impairments at least one year after suffering from heat related illness are at an increased risk of dying from their illness. Also, the loss of independence that accompanies this functional impairment is usually permanent, increasing their need for community and/or institutional support.

Relationship Between Health Effects and Temperature:

As the temperature increases so does the risk of heat stroke in all residents. However, there is little local information on the exact temperature or Humidex level when the health effects of hot weather, such as death or increased hospital admissions, become evident or above which certain populations become particularly vulnerable. This makes it difficult to establish a level that can be used to initiate the city's response to hot weather. To better quantify the relationship between Humidex and adverse health effects in Toronto, surveillance of health effects of hot weather would be required.

This would need to take the form of an active surveillance system that becomes operative when a heat alert of any type occurs. It would consist of communication between Toronto Public Health, local hospital emergency departments and Toronto Ambulance Services. Information on the number of heat related emergency visits, admissions and deaths would need to be collected to provide Toronto Public Health with data on the impact of hot weather on the health of the city's residents.

Another difficulty in determining when to initiate a heat alert is the difference between temperature and Humidex. While some studies have shown a clear relationship between temperature and health outcomes such as death, little work has been published relating the Humidex to specific health outcomes. This makes it difficult to determine the Humidex level that results in significant health effects. This is further complicated by a lack of clarity in the assignment of cause of death by physicians on death certificates. Using body temperature as the sole method of determining cause of death has been shown to underestimate the number of heat-related deaths. Therefore, physician education will be important during any attempt to collect accurate data on the health impact of hot weather.

Smog is frequently associated with hot weather. Most periods of hot weather in Toronto are due to air masses that have originated in the American mid-west. This same area is also a substantial source of air pollution that arrives in Toronto by long range transport. Therefore, during hot weather there is often poor air quality. Many studies have shown the substantial health effects of smog, including increased deaths, emergency visits and hospital admissions. Also, intense sunlight that increases the temperature also increases air conditioning use in buildings and motor vehicles, thereby creating more smog precursors from coal fired generating stations and vehicle emissions. Therefore, separating the health effects of temperature and smog is difficult and little work has been published on this topic. Toronto often experiences air quality advisories on days when heat alerts are anticipated, making the integration of these two weather based alerts a long-term goal.

The scientific literature does not give a well demarcated Humidex level at which health effects become manifest. Therefore, the selection of a Humidex level that will initiate a public health response to hot weather must balance the health risks of society's most vulnerable against the risk of over taxing those needed to respond to hot weather desensitize the public to hot weather health warnings. If the Humidex chosen to activate a substantial city response to hot weather is set too high, vulnerable residents will be placed at substantial risk prior to the initiation of city's response. Conversely, too low a level of Humidex will lead to frequent initiation of the plan, diluting its uniqueness and increasing the burden on community and city agencies.

As indicated above, local data on the relationship between health impacts on weather is not available. Even if a hot weather surveillance system was in place in Toronto, systems already in place in some American cities have shown a substantial proportion of misclassification of deaths and hospital admissions that fail to mention heat stress. Therefore, even current data likely underestimates the impact of hot weather, though the extent is difficult to quantify. Also, even with reliable information on deaths due to hot weather a decision must then be made on the number of excess deaths that are "acceptable" before city action occurs. In some American cities where this data is available, different levels of excess mortality are used to initiate heat emergencies. Therefore, the Humidex levels selected for the Plan are, of necessity, chosen to balance these competing considerations.

Vulnerable Populations:

While all city residents feel the effects of hot weather, certain groups are at increased risk of the more severe forms of heat related illness, namely heat exhaustion and heat stroke. The very old and young are at particular risk because of their lack of mobility, as are those confined to bed with debilitating illness and dependence on care from others. It is this population that suffered the most severe health effects such as death and hospital admission during the Chicago heat wave in 1995. The homeless are at increased risk particularly if they lack access to cool buildings or potable water. Residents taking a variety of certain medications are at increased risk for heat stroke including many drugs prescribed for mental health problems, movement disorders, depression, heart or circulatory problems. The urban poor seem to be at particularly high risk for severe hot weather related illness because they often lack access to air conditioning and/or live in substandard housing that worsens their exposure to heat. Members of these vulnerable populations are often the first to come to medical attention during hot weather. Outdoor workers who are required to exert considerable effort in hot weather are also at risk. However, their protection falls under the mandate of the Ontario Ministry of Labour.

These vulnerable populations are often difficult to quantify. The census reveals that Toronto had over 300,000 residents who were 65 years and older and 65,000 babies one year old or less in 1996. The Golden Report suggested that over 3,000 people use shelters on any night and a substantial proportion of these are mentally ill. However, these may not reflect those residents at increased risk of heat illness.

Many elderly live in newer seniors' buildings with air-conditioning and good ventilation, making them far less vulnerable to the effects of hot weather. Likewise, many individuals taking medications that put them at increased risk for heat stress heed the warnings of their physician and take precautions to avoid heat related illness. However, a large proportion of these populations live in substandard housing or are unable to take precautions while taking their medication because they are homeless. Therefore, determining the number of individuals actually at increased risk for heat related illness is difficult, making the planning of any response to hot weather more challenging.

Those residents already at increased medical risk for heat related illnesses are placed at added hazard if they also experience inadequate housing, lack of air-conditioning or proper ventilation. Research needs to be done to assess the type and prevalence of conditions in the residential sector which create added, severe health risks for people during hot weather. This information is not currently available, making it difficult to accurately determine the number of residents in need of an alternative place to cool off.

Initiating a City-Wide Response to Hot Weather:

Experience in American Cities:

In 1995, Chicago experienced a sustained heat wave of eight days during which the daily temperature ranged from 33.9 to 40.0 degrees Celsius and the heat index (note, not humidex) peaked at 48.3 degrees Celsius. During this time the city experienced over 600 excess deaths and over 3,300 emergency room visits due to heat related illness. After this event Chicago established a heat emergency protocol that is used to co-ordinate the city's response to hot weather. It includes the establishment of cooling centres in city controlled buildings, increased surveillance of heat-related illness by emergency health services and expansion of hours at recreation facilities.

Several other cities in the United States have also developed well-defined protocols that they use in response to hot weather. Washington, St. Louis and other cities have two and three stage programs based on the Heat Index issued by the U.S. National Weather Service that provide for gradually increasing resources to help vulnerable populations in these cities. Philadelphia, with the help of one of the foremost experts on hot weather, has developed its own city-specific system that identifies "oppressive" air masses based on historical correlations between weather conditions and increased deaths.

There is great variation among these cities' hot weather protocols. They begin to open cooling centres at different levels of heat index and even use different heat indices to initiate different levels of their protocols. Some cities have found it difficult to garner co-operation from other city departments while others use the power of the mayor's office to ensure city-wide compliance.

The unique circumstances of each city make it difficult for Toronto to simply adopt a protocol from one of these American cities. Also, all of the protocols in use in the United States are based on the Heat Stress Index which is difficult to translate into Humidex. To introduce another measure of heat such as the "heat index" or "heat stress index" would create confusion. Therefore, Toronto Public Health consulted with various city and community organizations to create a local plan for hot weather.

Toronto's Proposed Hot Weather Response Plan:

Introduction to Summer:

In the spring of each year, Toronto Public Health will collect and disseminate information on the health effects of hot weather and on strategies to decrease the risk of heat related illness. This information will be widely distributed to organizations dealing with vulnerable populations such as the homeless and seniors and to pharmacies and health care organizations to alert them to the interaction between some medications and hot weather. It will also be sent to city agencies involved in the implementation of the Plan. The media will be notified so they can help to increase the public's awareness of the danger of hot weather. Information will also be available through the City's web site. Fact sheets have been developed and widely distributed this summer (see Appendix B).

Partnership:

Preliminary discussions with the Toronto Atmospheric Fund have indicated interest in collaborating with Toronto Public Health in further development of the Hot Weather Response Plan. Other city agencies that have many locations engaged in front line service delivery such as libraries and community centres will be important locations for people to cool off should they become needed. Agencies with many vulnerable clients such as the Community Care Access Centre are also important to provide increased surveillance for their clients during hot weather. Other professional organizations such as pharmacies are necessary to remind their patients that certain medications make people vulnerable to heat- related illness. Physician organizations will also be important points of information dissemination. Toronto Public Health will also investigate the potential for added participation by other community agencies, such as the Salvation Army and the area utilities (e.g., to not disconnect power due to failure to meet payments).

Community Development:

Toronto Public Health's response to hot weather will also include community development strategies. Many American cities have successfully created neighbourhood partner programs that stimulate people in the community to 'look in' on nearby residents who are at increased risk of heat related illness because of pre-existing medical conditions or a lack of air conditioning. With the large and uncertain number of vulnerable people in Toronto, this would be a very effective way of preventing severe heat illness such as heat stroke in those unwilling or unable to move to a cooler place. Community agencies that already visit these vulnerable people would be an obvious ally in this program.

Hot Weather Response Plan:

Environment Canada uses the Humidex ranges in the following table to describe the degree of comfort in summer and to inform the public when conditions of heat and humidity are potentially uncomfortable or dangerous. In Toronto, Humidex levels are available on a day-to-day basis but are generally not predicted more than half a day in advance due to uncertainty surrounding the relative humidity. The notice period can be increased at Toronto's request through a purchase of service agreement with Environment Canada. At Humidex of 40 degrees Celsius (and temperature of at least 30 degrees Celsius), Environment Canada issues a Humidex advisory.

Humidex Range

(In Celsius)
Degrees of Comfort Comment

Less than 29 Degrees Celsius No discomfort

30 to 39 Degrees Celsius Some discomfort:

Varying degrees of discomfort
If mid to high 30's: certain types of outdoor exercise should be toned down or modified depending on age and health of the individual, physical shape, the type of clothes worn and other weather conditions

40 to 45 Degrees Celsius Great discomfort; avoid exertion; almost everyone is uncomfortable All unnecessary activity should be curtailed

Above 45 Degrees Celsius Dangerous

Above 54 Degrees Celsius Heat stroke imminent

When Environment Canada predicts that the Humidex will reach between 40 and 45 degrees Celsius, the Medical Officer of Health will issue a heat warning and the protocol as outlined in Appendix A will be activated.

Humidex 45 degrees Celsius and Over: Heat Emergency:

When the Humidex is predicted to be above 45 degrees Celsius or actually exceeds 45 degrees Celsius (i.e., is considered "dangerous" by Environment Canada), a city-wide emergency response strategy is needed. Only once since 1953 (in 1995) has the Humidex peaked above 45 degrees Celsius. During the next year, the Chief Administrative Officer should consult with Toronto Public Health and other city agencies and develop a response to be implemented if this Humidex level is reached and build this response into the city's emergency plan.

Conclusion:

This report outlines an interim hot weather response plan for the balance of 1999 that can be funded through internal reallocations within the Community and Neighbourhood Services Department. The Plan will include the use of local community centres and libraries as places for people to cool off, increased access to public pools, and additional outreach and support for vulnerable populations including seniors and the homeless and underhoused. The Plan will be implemented if the Humidex is predicted to be 40 degrees Celsius to 45 degrees Celsius, beyond which a declared emergency is recommended.

The proposed Plan will complement the basic public education program being instituted by Toronto Public Health at the start of each summer. It should also be accompanied by longer term measures to increase public access to drinking water and bathing facilities, environmentally sustainable measures to mitigate summer heat over the long term, and further research to assess the magnitude of weather-related health risks.

The financial implications arising from the annualized implementation of the proposed Plan and the longer term recommendations will be submitted by Toronto Public Health and respective departments involved to City Council, through the Board of Health and the applicable standing committees, as part of the 2000 budget process.

Contact Name:

Liz Janzen

Regional Director

Tel: (416) 392-7458; Fax: (416) 392-0713

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Appendix A

Hot Weather Response Plan

Humidex 40 to 45 degrees Celsius: Heat Warning:

Environment Canada will notify Toronto Public Health in the morning of its predicted Humidex levels for that day and the following day. If the Humidex is predicted to reach between 40 degrees Celsius and 45 degrees Celsius, the Medical Officer of Health will declare a Heat Warning and activate the following protocol.

(1) Using phone, fax or other communication modalities, area drop-in centres, seniors' agencies (such as community care access centre) and other community groups working with vulnerable populations will be advised of the heat warning. Information will include ways of avoiding heat, the increased vulnerability of elderly populations especially those who rarely go out and are reliant on outside agencies for support, and the increased risk of heat stress faced by people taking certain medications.

(2) Media releases will be used to encourage residents to call or visit friends, relatives, and/or neighbours who are at increased risk of suffering health consequences of hot weather. This includes seniors in poorly ventilated buildings or those lacking air conditioning.

(3) City-wide communication organizations such as Community Information Toronto and its Street Help Line will be available to provide a source of information for residents to call and determine what services are available.

(4) Toronto Public Health nursing staff will contact those clients who may be at high risk of severe health impacts due to the hot weather.

(5) Agencies that regularly visit frail seniors or other populations at increased risk of heat related illness (e.g., Community Care Access Centres) will be encouraged to look in on or call their clients during the hot weather, even those that they would normally not visit that day.

(6) Community Health Centres will be encouraged to contact the clients they feel are at risk for heat-related illness.

(7) The Toronto Housing Company will communicate with tenants to ensure that they have access to cool places such as air-conditioned common rooms in facilities where they exist.

(8) Hostel facilities are 80 percent fully or partially air-conditioned. Hostel Services are adding air conditioning in three shelters this summer, and are investigating requirement in the remaining facilities as part of the Division's multi-year business plan to upgrade facilities. Hostel Services will request that four of the shelters, which are normally closed from noon to 5:00 p.m., permit vulnerable clients to occupy air-conditioned space.

(9) Parks and Recreation will extend the operating hours of public pools and encourage people to go to community centres and city pools to cool off or use the shade in parks.

(10) Library branches normally closed during a week day will be opened, and those already opened will extend their hours from at least 12:00 p.m. to 8:00 p.m. Monday to Saturday to be available as places for people to cool off.

(11) The Red Cross will provide volunteers for public facilities that may lack adequate staff during these Heat Warnings. They will help transport those in need of assistance to places for people to cool off and provide these centres with supplies such as water, food etc. These services can be available seven days a week, 24 hours a day.

(12) Street patrol hours will be extended to communicate the danger of heat illness to the homeless, and TTC tokens will be made available for the homeless to go to places for people to cool off.

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Appendix B

Fact Sheet

Summer Safety: How to Beat the Heat

In the summer, the combination of high heat and high humidity can be very dangerous. Those especially at risk during these weather conditions include:

- The elderly.

- People with certain chronic illnesses, such as heart conditions or people unable to move or change position by themselves.

- Infants and preschool children.

- People who exercise vigorously or are involved in strenuous work outdoors for prolonged periods.

- People taking certain medications, for example, for mental health conditions. (Please consult your doctor or pharmacist.)

How to avoid heat-related illness:

- Drink lots of water and natural juices even if you do not feel very thirsty. Avoid alcohol beverages, coffee and cola.

- Avoid going out in the blazing sun or heat when possible. If you must go outside, stay in the shades as much as possible and plan to go out early in the morning or evening when it is cooler and smog levels may not be as high as in the afternoon. Wear a hat.

- Take advantage of air conditioned or cool places such as shopping malls, libraries, community centres or a friend's place.

- If you do not have air conditioning, keep shades or drapes drawn and blinds closed on the sunny side of your home, but keep windows slightly open.

- Keep electric lights off or turned down low.

- Take a cool bath or shower periodically or cool down with cool, wet towels.

- Wear loose fitting, light clothing.

- Avoid heavy meals and using your oven.

- Avoid intense or moderately intense physical activity.

- Never leave a child in a parked car or sleeping outside in direct sunlight.

- Fans alone may not provide enough cooling when the temperature is high.

- Consult your doctor or pharmacist regarding side effects of your medications.

Get help from a friend, relative, or a doctor if you have the following symptoms of heat illness:

- Rapid breathing.

- Weakness or fainting.

- More tiredness than usual.

- Headache.

- Confusion.

Friends are relatives can help someone with heat illness by doing the following:

- Call for help.

- Remove excess clothing from the person.

- Cool the person with lukewarm water, by sponging or bathing.

- Move the person to a cooler location.

- Give the person sips or cool water, not ice cold water.

If you become ill, faint, have difficulty breathing or feel confused

and disoriented, call your doctor.

In an emergency, call 911.

For more information on heat-related illness, call the Toronto Public Health office nearest you:

East Region - East York (416) 397-4777

- Scarborough (416) 396-4228

North Region - North York (416) 395-7600

South Region - Toronto (416) 392-7401

West Region - Etobicoke (416) 394-8302

- York (416) 394-2891

June, 1999

(The development of this fact sheet has been a collaborative effort between Toronto Public Health, the Seniors' Task Force and the Community Health Network of West Toronto, Seniors Sub-group.)

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Fact Sheet

Medications and Heat-Related Illness

Some medications make it harder for your body to control its temperature. If you are taking any of the medications listed below, you are at higher risk for heat-related illness, especially if you are doing lots of exercise or heavy work and are not drinking enough water. This is even more true if you are on two or more medications.

The list below is based in part on information from the Office of the Chief Coroner. Please note it is not complete. Also, some drugs have different brand names, so check with your doctor, nurse or pharmacist to be sure:

Psychiatric drugs such as:

- chlorpromazine (Thorazine, Largactil) ***

- thioridazine (Mellaril) ***

- perphenazine (Trilafon) ***

- fluphenazine (Modecate, Moditen) ***

- thiothixene (Navane) ***

- trifluoperanize (Stelazine)

- prochloperazine (Stemetil)

- haloperidol (Haldol)

- clozapine (Clozaril)

- risperidone (Risperdal)

- loxapine (Loxapac, Loxitane)

- fluspirilene (IMAP)

- pimozide (Orap)

- olanzapine

- flupenthixol (Fluanxol)

- zuclopenthixol (Clopixol)

- reserpine (Serpasil, Serpalan)

- Lithium - heavy exercise in hot weather may also lower lithium levels, so that it will not work as well.

*** The medicines starred there may make it easier for your skin to burn. Many other medicines may also cause your skin to burn more easily. To be sure, ask your doctor, nurse or pharmacist. Try to stay out of the sun. If you cannot try to get sunscreen and wear a hat and long sleeves.

Antiparkinson Drugs such as:

- benztropine (Cogentin)

- biperiden (Akineton)

- ethopropazine (Parsitan, Parsidol)

- procyclidine (Kemardrin, Procyclid)

- trihexyphenidyl (Artane, Trihexane)

- levodopa (Dopar)

- selegiline (Elderpryl)

- amantadine (Symmetrel, Symadine)

Antidepressants such as:

- amitriptyline (Elavil)

- doxepine (Sinequan)

- clomipramine (Anafranil)

- protriptyline (Vivactil)

- imipramine (Tofranil)

- desipramine (Norpramin)

- nortriptyline (Pamelor)

- fluoxetine (Prozac)

- fluvoxetine (Luvox)

- sertraline (Zoloft)

- paroxetine (Paxil)

If you also take the medicines below, you further increase your risk for heat illness:

- some antihistamines (e.g., Benadryl, Chlortripolon)

- over-the-counter sleeping pills (e.g., Nytol)

- anti-diarrhea pills (e.g., Lomotil)

If you are taking any medications regularly, ask you doctor, nurse or pharmacist if you need to be extra careful during hot weather.

July, 1999

(The development of this fact sheet has been a collaborative effort between Toronto Public Health and Regent Park Community Health Centre.)

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Fact Sheet

Summer Safety: Heat, Drugs and Alcohol

In the summer, the combination of high heat, high humidity and smog can be very dangerous. You need to be extra careful if you:

- Drink heavily

- Use illicit drugs

- Take medications for mental health problems

- Are elderly

- Have heart or lung problems

Some medications make it harder for your body to control its temperature. If you are on two or more medications, you may be at even greater risk for heat-related illness. (See "Medications and Heat-Related Illness" Fact Sheet).

Here are some things you can do to keep from getting sick:

- Drink lots of water and juice, even if you do not feel thirsty.

- Try to stay out of the sun, especially in the middle of the day. If you have to be outside, stay in the shades as much as possible.

- If you can get a hat, wear it.

- Wear loose fitting, light clothing.

- Try to take it easy, and rest as much as possible.

- If you have to walk a long way, try to do it in the early morning or evening.

- Try to spend time in cool places with air conditioning like drop-ins and community centres.

- Take a cool shower from time to time. Some drops-ins and recreation centres have public showers.

- Try to spend some time near the lake or waterfront where it is cooler.

- If you sleep outside during the day, try to sleep in the shade. Remember the sun moves, so try to sleep in a spot that will be shady for a few hours.

Get help from a friend or a doctor if you have the following signs of heat illness:

- Rapid breathing.

- Weakness or fainting.

- More tiredness than usual.

- Headache.

- Confusion.

You can help someone with heat illness by doing these things:

- Call for help.

- Take extra clothing off the person.

- Cool the person with lukewarm water, by sponging or bathing.

- Move the person to a cooler place.

- Give the person sips of cool water, not ice cold water.

If you become ill, faint, have trouble breathing or feel confused,

call 911 or go to your doctor or nearest hospital right away.

July, 1999

(The development of this fact sheet has been a collaborative effort between Toronto Public Health and Regent Park Community Health Centre.)

--------

Dr. Sheela V. Basrur, Medical Officer of Health, gave a presentation to the Board of Health in connection with the foregoing matter.

1999 Drug Abuse Prevention Grants

(City Council on July 27, 28, 29 and 30, 1999, adopted this Clause, without amendment.)

The Board of Health recommends the adoption of the report dated June 21, 1999, from the Drug Abuse Prevention Grants Review Panel.

The Board of Health reports, for the information of Council, having requested the Medical Officer of Health to examine the funding level of the program, with a view to providing a more reasonable amount in the Year 2000 budget process.

The Board of Health submits the following report (June 21, 1999) from the Drug Abuse Prevention Grants Review Panel:

Purpose:

This report informs the Board of Health of final recommendations made by the Drug Abuse Prevention Grants Review Panel, appointed by the Board of Health at its meeting of February 22, 1999, with respect to the 1999 Drug Abuse Prevention Grants Program.

Funding Sources, Financial Implications and Impact Statement:

Funds are in the Toronto Consolidated Grants Program Budget, approved by Council on April 26 and 27, 1999.

Recommendations:

The 1999 Drug Abuse Prevention Grants Program Review Panel recommends that:

(a) Drug Abuse Prevention funding in the total amount of $626,100.00 be provided to 80 projects listed in Appendices A and B of this report. Funds are in the 1999 Toronto Consolidated Grants Program Budget;

(b) release of funds be subject to the satisfactory completion by the various grant applicants of the Declaration Form regarding the adoption of Toronto's Non-Discrimination Policy; and

(c) authority be granted to the Medical Officer of Health to take the necessary action to give effect thereto, including to execute the Letters of Understanding on behalf of the City, on the terms and conditions as outlined in this report (see Appendix C).

Council Reference/Background/History:

At its meeting on November 10, 1998, the Board of Health approved a governance structure for the 1999 Public Health Grants Programs, involving Review Panels working with staff to make recommendations to the Board of Health. The Board of Health, in turn, makes recommendations to City Council.

Comments and/or Discussion and/or Justification:

The Drug Abuse Prevention Grants Program was established by the former Toronto City Council in 1990 to build community capacity for local initiatives in drug prevention. Grants are now a policy-supported, integrated component of Public Health's Drug Abuse Prevention Program. The priorities for the program, determined by a community consultation in 1997, are to:

(a) focus on young people at risk, including their families;

(b) promote healthy, positive alternatives;

(d) build partnerships, networks, and coalitions with agencies/groups; and

(e) reduce drug related harm to individuals and communities.

In the current year, 62 projects are funded.

By the deadline of March 8, 1999, 97 applications had been received. There were three late applications. During this year's review process, requests totalling $1,511,488.00 were received from the 97 applicants. This is a 9.0 percent increase in the amount requested from last year. Twenty-three applications were received from outside the former City of Toronto representing 24 percent of the total number of applications received. The Review Panel met on May 7, 1999, and arrived at its preliminary recommendations. The preliminary recommendations for the grant allocations were communicated to the applicants, with an invitation to appeal the recommended award, if so desired.

The Review Panel had a total of 20 appeals on June 8, 1999.

Grants totalling $626,100.00 are being recommended to 80 applicants. Appendix A provides a list of grant applicants and recommended awards. Appendix B provides information on the services to be undertaken by the successful applicants.

Of the 38 new groups which applied this year, 29 received funding, 20 of which were groups from outside the former City of Toronto. The new applicants represent 39 percent of all applicants and 76 percent of the new applicants received funding.

Copies of the 1999 grant applications and supporting material are on file with the Secretary for the Board of Health.

List of Appendices:

Appendix A: List of Applicants, Amounts Requested, and Staff Suggestions.

Appendix B: List of Recommended Services for Each Applicant.

Appendix C: Sample Letter of Understanding with attached Terms and Conditions.

Conclusions:

This report details new community-based drug abuse prevention projects to begin in August, 1999, as part of Public Health's Drug Abuse Prevention Program. Staff will, as part of the review and development of a municipal grants policy, continue to assess existing practices. Following standard review procedures, funding is recommended for 80 projects with a total cost of $626,100.00.

Contact Name:

Mr. Michael Fay, Coordinator, Drug Abuse Prevention Program

Toronto Public Health

Tel: 392-0807; Fax: 392-0635

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Appendix A

List of Applicants

Amounts Requested

Staff Suggestions

Ward 1998

Award

($)
1999

Request

($)
1999

Recommended

Award ($)

99DNsm-001 ACCESS ALLIANCE MULTICULTURAL COMMUNITY HEALTH CENTRE 20 2,000 19,964 13,476

99DTlm-002 ALL SAINTS' CHURCH-COMMUNITY CENTRE 24 7,625 29,000 13,689

99DTlm-003 AMBASSADOR PARTNERSHIP 24 18,450 20,750 19,344

99DTsk-004 APPLEGROVE COMMUNITY COMPLEX 26 6,731 6,731 6,731

99DTsk-005 BIRCHMOUNT BLUFFS NEIGHBOURHOOD CENTRE 13 n/a 12,045 5,460

99DNps-006 BLACK CREEK ANTI-DRUG FOCUS COMMUNITY GROUP 7 n/a 10,000 5,421

99DTlm-007 BLACK SECRETARIAT (THE) 24 8,445 51,600 Nil

99DTsk-008 BLAKE BOULTBEE YOUTH OUTREACH SERVICE 25 10,435 15,000 10,402

99DNsm-009 BLOOR & LANSDOWNE COMMITTEE AGAINST DRUGS 21 3,825 3,860 3,860

99DTlm-010 CABBAGETOWN YOUTH CENTRE 25 20,000 33,000 19,635

99DNck-011 CECIL COMMUNITY CENTRE 24 8,575 13,249 12,487

99DNck-012 CENTRAL TORONTO COMMUNITY HEALTH CENTRES 20 4,400 20,182 12,449

99DNsm-013 CENTRE FOR ACTIVE RESOURCES (CFAR) 19 n/a 6,800 Nil

99DNck-014 CENTRE FOR SPANISH-SPEAKING PEOPLES 20 7,623 13,000 8,040

99DNsm-015 CHINESE FAMILY LIFE SERVICES OF METRO TORONTO 24 n/a 20,000 Nil

99DNps-016 CHRISTIE/OSSINGTON NEIGHBOURHOOD CENTRE 21 8,332 12,500 Nil

99DTps-017 CONCERNED KIDS CHARITY OF TORONTO (THE) 8 9,220 14,140 9,540

99DTsk-018 CONCERNS CANADA: ALCOHOL AND DRUG CONCERNS, INC. 18 n/a 96,000 Nil

99DTlm-019 COUNCIL FIRE NATIVE CULTURAL CENTRE 25 Nil 7,100 4,000

99DNps-020 DAVENPORT-PERTH NEIGHBOURHOOD CENTRE 21 11453 11,954 11,103

99DTps-021 DAVENPORT-PERTH NEIGHBOURHOOD CENTRE 21 10750 11,554 9,352

99DTps-022 DELISLE YOUTH SERVICES 22 13,150 14,390 12,990

99DTlm-023 DIXON HALL 25 9,000 17,076 11,203

99DNck-024 DOVERCOURT BOYS AND GIRLS CLUB 21 20,000 34,800 11,447

99DNsm-025 DUFFERIN MALL YOUTH SERVICES (DMYS) 20 2,400 35,500 7,850

99DTsk-026 EACH ONE, TEACH ONE 15 n/a 20,100 5,635

99DTsk-027 EAST METRO YOUTH SERVICES 16 n/a 9,944 5,649

99DTsk-028 EAST SCARBOROUGH BOYS & GIRLS CLUB 16 n/a 12,800 6,500

99DTsk-029 EAST TORONTO BASKETBALL ASSOCIATION 16 n/a 10,000 2,000

99DTsk-030 EAST YORK/EAST TORONTO FAMILY RESOURCES 1 n/a 8,300 5,200

99DTsk-031 EAST YORK PRIDE 1 n/a 3,700 2,700

99DTsk-032 EASTVIEW NEIGHBOURHOOD COMMUNITY CENTRE 25 8,900 7,800 6,950

99DTps-033 ELIZABETH FRY SOCIETY OF TORONTO 24 10,920 18,759 10,920

99DTps-034 ETHIOPIAN ASSOCIATION IN TORONTO 26 n/a 24,200 2,000

99DNsm-035 ETHNORACIAL COALITION: ACCESS TO ADDICTION SERVICES 15 n/a 6,250 4,745

99DNsm-036 ETOBICOKE BRIGHTER FUTURES COALITION, SOUTH TEAM 2 n/a 19,800 4,820

99DNps-037 FAMILY SERVICE ASSOCIATION OF TORONTO 24 1,200 12,000 2,000

99DTps-038 FEDERATION OF CANADIAN TURKISH ASSOCIATIONS 22 n/a 5,900 2,000

99DNck-039 FORT YORK FOOD BANK 20 n/a 8,300 Nil

99DTps-040 FRONTIER COLLEGE 23 8,800 9,000 7,384

99DNck-041 HARBOURFRONT COMMUNITY CENTRE 24 12,231 19,300 14,180

99DNck-042 HARBOURFRONT COMMUNITY CENTRE 24 3,183 5,500 4,100

99DNsm-043 HERITAGE SKILLS DEVELOPMENT CENTRE (HSDC) 20 n/a 5,000 Nil

99DTlm-044 HOME FOR CREATIVE OPPORTUNITY (A) (HFCO) 25 7,710 8,000 7,553

99DNps-045 JANE/FINCH COMMUNITY & FAMILY CENTRE 7 n/a 7,000 4,964

99DTlm-046 JESSIE'S CENTRE FOR TEENAGERS 25 8,830 9,650 8,900

99DTlm-047 JOHN HOWARD SOCIETY OF METROPOLITAN TORONTO 24 6,728 10,228 6,728

99DNck-048 KABABAYAN COMMUNITY CENTRE 19 9,680 13,240 10,656

99DNck-049 KENSINGTON YOUTH THEATRE & EMPLOYMENT SKILLS (KYTES) 24 9,000 9,000 9,000

99DNck-050 MIXED COMPANY 20 9,250 10,000 8,483

99DNsm-051 NA-ME-RES (NATIVE MEN'S RESIDENCE) 23 n/a 36,540 Nil

99DTlm-052 NATIVE AFRICAN INMATES & FAMILIES ASSOCIATION (NAIFA) 24 Nil 5,516 2,000

99DNsm-053 NATIVE CANADIAN CENTRE OF TORONTO 24 n/a 9,600 Nil

99DTlm-054 NATIVE CHILD AND FAMILY SERVICES OF TORONTO 24 2,800 4,000 3,100

99DTlm-055 NATIVE CHILD AND FAMILY SERVICES OF TORONTO 24 19,800 30,970 19,800

99DNsm-056 NAZARETH HOUSE INC. 20 n/a 47,160 Nil

99DTlm-057 NEIGHBOURHOOD/VERTICAL WATCH 25 3,895 4,295 3,895

99DNps-058 NORTHWOOD NEIGHBOURHOOD SERVICES 7 n/a 10,000 6,774

99DTps-059 O'CONNOR FOCUS COMMUNITY AGAINST SUBSTANCE ABUSE 11 n/a 16,000 6,121

99DNps-060 OGADEN SOMALI COMMUITY ASSOCIATION OF ONTARIO 8 n/a 20,000 6,476

99DTlm-061 ONE ON ONE MENTORING PARTNERSHIP 25 10,477 17,900 10,120

99DTsk-062 ONTARIO PHYSICAL AND HEALTH EDUCATION ASSOCIATION 11 n/a 20,000 Nil

99DTsk-063 PAPE ADOLESCENT RESOURCE CENTRE (PARC) 24 7,460 10,400 6,460

99DNsm-064 PARENTS AGAINST DRUGS 8 n/a 4,010 3,246

99DNck-065 PARKDALE COMMUNITY HEALTH CENTRE 19 12,233 30,763 10,254

99DNck-066 PARKDALE FOCUS COMMUNITY PROJECT 19 3,001 6,104 3,092

99DNsm-067 POLISH IMMIGRANT AND COMMUNITY SERVICES 19 6,604 11,935 7,336

99DTsk-068 RALPH THORNTON CENTRE 25 n/a 10,925 7,036

99DNsm-069 REXDALE COMMUNITY HEALTH CENTRE 4 n/a 27,590 6,834

99DNck-070 SCADDING COURT COMMUNITY CENTRE 24 11,484 17,728 13,708

99DTps-071 SKETCH 20 11,200 17,400 12,980

99DTsk-072 SOCIETY FOR THE AID OF CEYLON (SRI LANKA) MINORITIES - SACEM 15 Nil 14,865 5,173

99DTlm-073 SOUTH EAST ASIAN SERVICES CENTRE (SEAS) 25 3,336 20,000 5,950

99DNps-074 ST. ALBAN'S BOYS & GIRLS CLUB - JANE/FINCH 21 n/a 13,300 5,400

99DNck-075 ST. ALBAN'S BOYS & GIRLS CLUB 21 n/a 15,030 7,140

99DNck-076 ST. CHRISTOPHER HOUSE 20 17,450 21,500 17,225

99DNck-077 ST. STEPHEN'S COMMUNITY HOUSE 24 18,198 18,696 18,696

99DTps-078 STREET HEALTH 24 6,868 18,961 11,996

99DNsm-079 SYME WOOLNER NEIGHBOURHOOD AND FAMILY CENTRE 27 n/a 8,700 6,022

99DNsm-080 TIGRAYAN ASSOCIATION IN TORONTO 20 n/a 9,150 Nil

99DNsm-081 TORONTO DRUG AWARENESS COALITION 8 n/a 3,003 2,313

99DTsk-082 TORONTO FRIENDSHIP CENTRE (THE) 25 Nil 5,000 Nil

99DTlm-083 TORONTO KIWANIS BOYS AND GIRLS CLUBS (GERRARD) 25 6,250 8,550 6,250

99DNck-084 TORONTO KIWANIS BOYS AND GIRLS CLUB 25 6,000 6,725 6,725

99DTlm-085 TORONTO MAINLAND CHINESE COMMUNITY CENTRE (ONTARIO) 24 Nil 8,000 2,000

99DTsk-086 TORONTO TAMIL YOUTH SERVICES 24 Nil 17,820 Nil

99DNck-087 UNIVERSITY SETTLEMENT RECREATION CENTRE 24 7,128 17,089 12,289

99DNck-088 UNIVERSITY SETTLEMENT RECREATION CENTRE 24 n/a 6,215 4,100

99DTsk-089 WARDEN WOODS COMMUNITY CENTRE 13 n/a 4,678 4,078

99DTsk-090 WEST SCARBOROUGH NEIGHBOURHOOD COMMUNITY CENTRE 13 n/a 19,992 5,300

99DTsk-091 WOODGREEN COMMUNITY CENTRE OF TORONTO 25 8,200 19,087 8,095

99DNsm-092 YMCA FIRST STOP 24 6,200 25,000 Nil

99DTlm-093 YMCA YOUTH SUBSTANCE ABUSE PROGRAM 24 4,000 5,520 4,800

99DNsm-094 YOUTH CLINICAL SERVICES 7 n/a 8,000 6,570

99DTlm-095 YOUTHLINK INNER CITY 20 3,640 12,320 5,200

99DNps-L96 JAMAICAN CANADIAN ASSOCIATION 7 n/a 25,955 Nil

99DTsk-L97 WALPOLE WALLABIES YOUTH GROUP 26 4889 15530 Nil

TOTAL * $459,959 $1,511,488 $626,100

Legend:

n/a Did not apply in 1998

Nil No grant recommended

* This total does not represent the full amount granted in 1998 ($500,000)

because several groups who received awards in 1998 did not reapply in 1999,

and therefore do not appear on this list

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Appendix B

List of Recommended Services for Each Applicant

99DNsm-001 ($13,476)

ACCESS ALLIANCE MULTICULTURAL COMMUNITY HEALTH CENTRE

"Vietnamese Drug Prevention Project"

(a) Hire a Community Outreach & Training Coordinator for 14 hours per week for 52 weeks;

(b) Conduct outreach to target population in partnership with Parkdale Community Health Centre;

(d) Provide outreach and three workshops by volunteers.

99DTlm-002 ($13,689)

ALL SAINTS' CHURCH-COMMUNITY CENTRE

"All Saint's Harm Reduction Project"

(a) Hire a Harm Reduction Worker for one and a half days per week to reduce drug-related harm to both the individual and the community; and

(b) Provide outreach within the community to facilitate workshops and community events.

99DTlm-003 ($19,344)

AMBASSADOR PARTNERSHIP

"Peer Education"

(a) Hire a Coordinator for two and a half days per week; and

(b) Train and support Ambassadors to do "Speak Outs" in Toronto schools.

99DTsk-004 ($6,731)

APPLEGROVE COMMUNITY COMPLEX

"Applegrove Teen Drop-in"

(a) Hire a Youth Worker;

(b) Deliver a drop-in two nights per week; and

99DTsk-005 ($5,460)

BIRCHMOUNT BLUFFS NEIGHBOURHOOD CENTRE

"Peersuasion"

(a) Hire staff one day per week for 40 weeks; and

(b) Facilitate youth-driven presentations to younger youth.

99DNps-006 ($5,421)

BLACK CREEK ANTI-DRUG FOCUS COMMUNITY GROUP

"Radio Project"

(a) Hire a York University Student Coordinator for three and a half hours per week for 44 weeks;

(b) Hire a Jane/Finch Radio Show Coordinator for seven hours per week for 44 weeks; and

99DTlm-007 (Nil)

BLACK SECRETARIAT (THE)

"Youth in the New Millennium"

The Black Secretariat is not recommended for funding.

99DTsk-008 ($10,402)

BLAKE BOULTBEE YOUTH OUTREACH SERVICE

"Blake Boultbee Youth Outreach Service - DAPP"

(a) Provide counselling and support for youth and families; and

(b) Provide workshops on life-skills and healthy life choices.

99DNsm-009 ($3,860)

BLOOR & LANSDOWNE COMMITTEE AGAINST DRUGS

"Rebuilding Our Community"

(a) Facilitate monthly community meetings;

(b) Provide two local festivals; and

99DTlm-010 ($19,635)

CABBAGETOWN YOUTH CENTRE

"Drug Prevention Project"

(a) Hire a Coordinator for three days per week;

(b) Deliver various social/recreational programs; and

99DNck-011 ($12,487)

CECIL COMMUNITY CENTRE

"Cecil Youth Program"

(a) Hire a Youth Worker for 15 hours per week;

(b) Provide a minimum of 45 evening drop-ins;

(d) Deliver two workshops for youth; and

(e) Develop joint inter-agency projects/activities with other local programs.

99DNck-012 ($12,449)

CENTRAL TORONTO COMMUNITY HEALTH CENTRES

"Toronto Raver Info. Project (TRIP)"

(a) Hire a Project Worker for 11 hours per week;

(b) Deliver weekly forums for 25-30 peer volunteers;

(d) Provide inter-agency information sessions and promote the involvement of other agencies in local raves.

99DNsm-013 (Nil)

CENTRE FOR ACTIVE RESOURCES (CFAR)

"CFAR"

The Centre for Active Resources (CFAR) is not recommended for funding.

99DNck-014 ($8,040)

CENTRE FOR SPANISH-SPEAKING PEOPLES

"Drugs and Alcohol Prevention for Latino Youth at Risk"

(a) Hire a Coordinator five hours per week for 44 weeks;

(b) Hire and train three gang involved youth to be youth leaders; and

99DNsm-015 (Nil)

CHINESE FAMILY LIFE SERVICES OF METRO TORONTO

"Inward Searching and Outreach Reaching to the Chinese Community on the Drug Abuse Prevention"

The Chinese Family Life Services of Metro Toronto is not recommended for funding.

99DNps-016 (Nil)

CHRISTIE/OSSINGTON NEIGHBOURHOOD CENTRE

"CONC"

The Christie/Ossington Neighbourhood Centre is not recommended for funding.

99DTps-017 ($9,540)

CONCERNED KIDS CHARITY OF TORONTO (THE)

"Communicating Through Puppetry"

(a) Train youth to deliver 40 interactive puppet shows in schools, community centres and other DAPP funded organizations; and

(b) Provide promotional outreach to groups in the former municipalities to increase awareness of the Concerned Kids program.

99DTsk-018 (Nil)

CONCERNS CANADA: ALCOHOL AND DRUG CONCERNS, INC.

"Making the Leap" Video Contest"

Concerns Canada: Alcohol and Drug Concerns, Inc., is not recommended for funding.

99DTlm-019 ($4,000)

COUNCIL FIRE NATIVE CULTURAL CENTRE

"SFYS Traditional Youth Gathering"

(a) Coordinate and plan a summer camp for Native youth; and

(b) Provide a three-day traditional gathering.

99DNps-020 ($11,103)

DAVENPORT-PERTH NEIGHBOURHOOD CENTRE

"Communication Affirmation Participation Project"

(a) Hire a "CAP" Coordinator for ten hours per week for 43 weeks;

(b) Provide two five-day communication workshops for 15 participants;

(d) Facilitate two special events.

99DTps-021 ($9,352)

DAVENPORT-PERTH NEIGHBOURHOOD CENTRE

"Parent Support Project"

(a) Hire a Parent Support Project (PSP) Co-ordinator for ten hours per week;

(b) Provide outreach;

(d) Provide on-going support to the alternative schools that are associated with the Centre.

99DTps-022 ($12,990)

DELISLE YOUTH SERVICES

"North Toronto Youth Project: The Voice of Youth in North Toronto"

(a) Hire a Youth Outreach Worker for two days per week;

(b) Facilitate four drug awareness events and one job fair; and

NOTE: The above services are in addition to those funded by AIDS Prevention Grants.

99DTlm-023 ($11,203)

DIXON HALL

"Drop In and Hang for a While"

(a) Hire a Youth Worker;

(b) Facilitate a youth drop-in three days per week;

(d) Facilitate a weekly youth group; and

(e) Provide a four-day retreat for 15-20 community youth.

99DNck-024 ($11,447)

DOVERCOURT BOYS AND GIRLS CLUB

"West End Drug Abuse Network - Youth Program"

(a) Hire a Community Youth Worker for seven hours per week for 52 weeks;

(b) Provide two social/recreational programs per week for 52 weeks;

(d) Provide seminars and discussion groups over a 40 week period; and

NOTE: This organization is directed to emphasize drug prevention activities. DAPP CHOs will

provide support.

99DNsm-025 ($7,850)

DUFFERIN MALL YOUTH SERVICES (DMYS)

"Choices"

(a) Hire a Peer Educator for ten hours per week;

(b) Provide three workshop sessions per week; and

99DTsk-026 ($5,635)

EACH ONE, TEACH ONE

"Drug Abuse Prevention through Mentoring with Black Youth"

(a) Hire an Outreach Worker for one day per week for 40 weeks to work within the Black community;

(b) Facilitate and co-ordinate the matching of mentors with mentees; and

99DTsk-027 ($5,649)

EAST METRO YOUTH SERVICES

"Harm Reduction Project"

(a) Hire an Outreach Worker for twenty-five and a half hours per week;

(b) Facilitate culturally-appropriate and culturally-sensitive workshops on drug abuse and harm reduction; and

99DTsk-028 ($6,500)

EAST SCARBOROUGH BOYS & GIRLS CLUB

"Youth"

(a) Provide honoraria and training to "at-risk youth";

(b) Develop workshops and/or speakouts; and

99DTsk-029 ($2,000)

EAST TORONTO BASKETBALL ASSOCIATION

"Inspiring Excellence"

(a) To provide 8 workshops, with the assistance of DAPP CHOs and SAPACCY, on drug prevention in the East Toronto Community.

99DTsk-030 ($5,200)

EAST YORK/EAST TORONTO FAMILY RESOURCES

"Fresh Start"

(a) Organize and facilitate the development of a harm reduction network for prenatal and postnatal women; and

(b) Hire 2 Peer Support workers to facilitate the development of a harm reduction network for pregnant women and provide workshops.

99DTsk-031 ($2,700)

EAST YORK PRIDE

"PRIDE Performs"

(a) Provide training to youth Pride members; and

(b) Deliver drama, dance and music presentations to "at-risk youth" in east Toronto.

99DTsk-032 ($6,950)

EASTVIEW NEIGHBOURHOOD COMMUNITY CENTRE

"Looking Ahead: A Cultural Integration & Drug Awareness Program"

(a) Recruit and train youth leaders; and

(b) Facilitate workshops for Asian, Somalian, and Islamic cultural groups.

99DTps-033 ($10,920)

ELIZABETH FRY SOCIETY OF TORONTO

"Harm Reduction Group"

(a) Hire a Drug & Alcohol Group Worker for fifteen hours per week;

(b) Provide outreach to street-involved women; and

99DTps-034 ($2,000)

ETHIOPIAN ASSOCIATION IN TORONTO

"Drug Abuse Prevention"

(a) With the support of DAPP CHOs and in consultation with the Ethnoracial Coalition, facilitate a community-mapping process with a focus on identifying existing or lacking drug prevention services within the Ethiopian community; and

(b) Prepare a report on this process.

99DNsm-035 ($4,745)

ETHNORACIAL COALITION: ACCESS TO ADDICTION SERVICES

"Developing a Prevention Network in Ethnoracial Communities"

(a) Conduct inter-network development;

(b) With the support of DAFF CHOs, coordinate community-mapping with other redirected DAPP ethno-racial groups;

(d) This organization is directed to obtain an alternative sponsor.

99DNsm-036 ($4,820)

ETOBICOKE BRIGHTER FUTURES COALITION, SOUTH TEAM

"Etobicoke Brighter Futures"

(a) Hire a Health Promoter to work with young parents for 5.85 hours per week for 44 weeks; and

(b) Assist young parents to develop skills to become "social entrepreneurs".

99DNps-037 ($2,000)

FAMILY SERVICE ASSOCIATION OF TORONTO

"Healthy Choices for the Serbian Community"

(b) Prepare a report on this process; and

99DTps-038 ($2,000)

FEDERATION OF CANADIAN TURKISH ASSOCIATIONS

"Opportunities for Youth"

(b) Prepare a report on this process.

99DNck-039 (Nil)

FORT YORK FOOD BANK

"Fort York Food Bank Project"

The Fort York Food Bank is not recommended for funding.

99DTps-040 ($7,384)

FRONTIER COLLEGE

"Photo Project"

(a) Provide honoraria to eight street-involved youth for six months; and

(b) Develop posters/postcards addressing homelessness and drug-related issues.

99DNck-041 ($14,180)

HARBOURFRONT COMMUNITY CENTRE

"Healthy Choices"

(a) Hire three Children Leaders for thirty hours per week;

(b) Provide a daily Healthy Choices Drug Prevention Program; and

99DNck-042 ($4,100)

HARBOURFRONT COMMUNITY CENTRE

"Wilderness Adventure"

(a) Provide a residential wilderness camp for 15-20 youth; and

(b) Deliver pre-camp and post-camp counselling and support including leadership skills development.

99DNsm-043 (Nil)

HERITAGE SKILLS DEVELOPMENT CENTRE (HSDC)

"Drug Abuse Prevention for New Immigrant Youth at Risk"

Heritage Skills Development Centre (HSDC) is not recommended for funding.

99DTlm-044 ($7,553)

HOME FOR CREATIVE OPPORTUNITY (A) (HFCO)

"A Home for Creative Opportunity "Youth Arts Program""

(a) Coordinate and deliver an arts-based drop-in Monday to Thursday for 52 weeks; and

(b) Deliver various weekend arts-based workshops.

99DNps-045 ($4,964)

JANE/FINCH COMMUNITY & FAMILY CENTRE

"Cambodian Youth Drug Prevention Project"

(a) Hire a Cambodian Youth Project Co-ordinator for four hours per week for 26 weeks;

(b) Hire two Cambodian Youth Workers for four hours each for 26 weeks;

(d) Facilitate a three hour, bi-weekly Cambodian youth group.

99DTlm-046 ($8,900)

JESSIE'S CENTRE FOR TEENAGERS

"Jessie's Drug Education Prevention Project"

(a) Provide a "Streetsmart" program with a focus on theatre;

(b) Provide informational and social/recreational activities; and

99DTlm-047 ($6,728)

JOHN HOWARD SOCIETY OF METROPOLITAN TORONTO

"Drug Abuse Prevention Education and Counseling Service"

(a) Hire a Project Worker;

(b) Provide ethno-specific education and group drug awareness sessions in the Toronto Jail twice weekly; and

99DNck-048 ($10,656)

KABABAYAN COMMUNITY CENTRE

"Filipino-Canadians in Action Against Drugs Abuse"

(a) Hire a Community Outreach Worker for eight hours per week;

(b) Provide a three-day leadership camp; and

99DNck-049 ($9,000)

KENSINGTON YOUTH THEATRE & EMPLOYMENT SKILLS (KYTES)

"Straight Talk"

(a) Hire a Counsellor;

(b) Facilitate group work, collective script writing and the production; and

99DNck-050 ($8,483)

MIXED COMPANY

"Cobblestone Youth Troupe"

(a) Conduct two weeks of peer outreach to street youth;

(b) Facilitate pre-theatre and theatre support and education; and

99DNsm-051 (Nil)

NA-ME-RES (NATIVE MEN'S RESIDENCE)

"Hiring of an Addictions Councellor for Na-Me-Res"

NA-ME-RES (Native Men's Residence) is not recommended for funding.

99DTlm-052 ($2,000)

NATIVE AFRICAN INMATES & FAMILIES ASSOCIATION (NAIFA)

"Enhancing DAPP"

(b) Prepare a report on this process.

99DNsm-053 (Nil)

NATIVE CANADIAN CENTRE OF TORONTO

"Native Canadian Centre Drug Abuse Prevention"

The Native Canadian Centre for Toronto is not recommended for funding.

99DTlm-054 ($3,100)

NATIVE CHILD AND FAMILY SERVICES OF TORONTO

"Native Youth Summer Program"

(a) Deliver a culturally-based camp for Native youth; and

(b) Provide pre-and post-camp counselling support, including leadership skills development.

99DTlm-055 ($19,800)

NATIVE CHILD AND FAMILY SERVICES OF TORONTO

"Native Youth Outreach"

(a) Hire a Youth Worker for three days per week;

(b) Provide daily street outreach to Native youth including youth at the Toronto Bus Terminal; and

99DNsm-056 (Nil)

NAZARETH HOUSE INC.

"Mothers and Children Voluntary Visiting Program - Women in Recovery"

Nazareth House, Inc., is not recommended for funding.

99DTlm-057 ($3,895)

NEIGHBOURHOOD/VERTICAL WATCH

"Drug Prevention & Awareness Coordinating"

(a) Implement two community festivals and a "Lobby Information Night";

(b) Create and disseminate a community newsletter; and

99DNps-058 ($6,774)

NORTHWOOD NEIGHBOURHOOD SERVICES

"Neighbourhood Parent Project"

(a) Hire a Community Outreach Worker for 14 hours per week for 24 weeks;

(b) Assist parents to outreach and create a parent network;

(d) Facilitate monthly parent meetings; and

(e) Conduct one community celebration event.

99DTps-059 ($6,121)

O'CONNOR FOCUS COMMUNITY AGAINST SUBSTANCE ABUSE

"O'Connor Focus Community Against Substance Abuse"

(a) Hire a Youth Program Coordinator for six hours per week for 40 weeks;

(b) Hire a Tutorial Program Coordinator for five hours for 40 weeks;

(d) Facilitate a Saturday youth drop-in.

99DNps-060 ($6,476)

OGADEN SOMALI COMMUNITY ASSOCIATION OF ONTARIO

"Drug Abuse Prevention"

(a) Hire a Youth Worker for six hours per week for 44 weeks;

(b) Establish a drop-in two afternoons per week;

(c) With the support of DAPP CHOs and in consultation with the Ethnoracial Coalition, facilitate a community-mapping process with a focus on identifying existing or lacking drug prevention services within the Ogaden Somalian community; and

(d) Prepare a report on this process.

99DTlm-061 ($10,120)

ONE ON ONE MENTORING PARTNERSHIP

"One on One Mentoring Program"

(a) Hire a Coordinator for two days per week for 40 weeks;

(b) Recruit and train participants as mentors for school children; and

99DTsk-062 (Nil)

ONTARIO PHYSICAL AND HEALTH EDUCATION ASSOCIATION

"Alcohol Cannabis and Tobacco Health Promotion Project for Youth (ACTION)"

The Ontario Physical and Health Education Association is not recommended for funding.

99DTsk-063 ($6,460)

PAPE ADOLESCENT RESOURCE CENTRE (PARC)

"Home Free"

(a) Provide honoraria to three youth facilitators for 32 weeks; and

(b) Implement a 20-22 week mentoring program for younger youth in the care of the Child Welfare System.

99DNsm-064 ($3,246)

PARENTS AGAINST DRUGS

"Strengthening Cultural Communities"

(a) Hire an Ethno-specific Project Coordinator for two hours per week for 40 weeks;

(b) Provide three drug prevention sessions for 15-20 Iranian students (fall, spring);

(d) Provide one combined drug prevention session for both students and parents (fall, spring);

(e) Develop an ethno-specific resource; and

(f) Work collaboratively with the Ethno-racial Coalition.

99DNck-065 ($10,254)

PARKDALE COMMUNITY HEALTH CENTRE

"Injection Drug Users Reach Out to the Community, Phase III"

(a) Hire an Outreach Peer Worker for ten hours per week;

(b) Initiate and implement a weekly support group for crack/cocaine users; and

(c) Provide support, outreach and information about safer drug use with an emphasis on including female crack/cocaine users.

99DNck-066 ($3,092)

PARKDALE FOCUS COMMUNITY PROJECT

"Focus Youth Program"

(a) Hire a Focus Challenge Game Coordinator for eight hours per week for eight weeks;

(b) Hire a Youth Popular Theatre Coordinator for 16 hours per week for 12 weeks;

(d) Develop decision making skills among 300 students through the use of Popular Theatre.

99DNsm-067 ($7,336)

POLISH IMMIGRANT AND COMMUNITY SERVICES

"Drug Abuse Prevention for the Polish Community"

(a) Hire a Senior Counsellor for seven hours per week;

(b) Provide discussion groups for Polish youth and their families; and

99DTsk-068 ($7,036)

RALPH THORNTON CENTRE

"Riverdale Youth Leadership Initiative"

(a) Provide training for leadership skill development; and

(b) Facilitate job placement for 15 local "as-risk youth";

99DNsm-069 ($6,834)

REXDALE COMMUNITY HEALTH CENTRE

"Khat Harm Reduction and Education Project"

(a) Hire a Coordinator for seven hours per week for 40 weeks;

(b) Provide seven workshops/presentations for Somali community leaders, professionals and students, and

99DNck-070 ($13,708)

SCADDING COURT COMMUNITY CENTRE

"Alexandra Park Drug Alert Project 1999/2000"

(a) Hire a Youth Outreach Worker for 11 hours per week for 48 weeks;

(b) Hire a Drop-in Worker seven and half hours per week for 48 weeks;

(d) Provide weekly social/recreational programs for young women; and

(e) Conduct outreach to high risk Southeast Asian youth.

99DTps-071 ($12,980)

SKETCH

"SKETCH: Street Youth and the Arts"

(a) Coordinate and facilitate an arts-based program for eight street-involved female youth for 10-12 weeks (The Drug Project); and

(b) Provide ongoing arts-based opportunities for street-involved youth of both genders.

99DTsk-072 ($5,173)

SOCIETY FOR THE AID OF CEYLON (SRI LANKA) MINORITIES - SACEM

"Healthy Choice for Wellness"

(a) Hire an Outreach Worker nine hours per week for 27 weeks to work with Tamil youth in St. Jamestown and Scarborough;

(b) Facilitate outreach to Tamil youth gangs; and

99DTlm-073 ($5,950)

SOUTH EAST ASIAN SERVICES CENTRE (SEAS)

"Life Affirming"

(a) Hire a Project Worker seven hours per week for 50 weeks; and

(b) Provide four workshops to parents and youth; and

99DNps-074 ($5,400)

ST. ALBAN'S BOYS & GIRLS CLUB - JANE/FINCH

"Jane/Finch Boys & Girls Club After-4 Program"

(a) Hire two After-Four Program staff from the ST.A.R. program ten hours per week for 40 weeks; and

(b) Provide a daily After-4 Program to high risk youth in the Jane/Finch community.

99DNck-075 ($7,140)

ST. ALBAN'S BOYS & GIRLS CLUB

"STAR Youth: St. Alban's Recognizing Youth"

(a) Hire a Youth Facilitator for 11 hours per week for 40 weeks;

(b) Coordinate volunteer placements for 50-80 youth; and

99DNck-076 ($17,225)

ST. CHRISTOPHER HOUSE

"St. Christopher House - Youth Drug Prevention Program"

(a) Hire a Youth Zone Worker nine hours per week for 50 weeks;

(b) Hire a Youth Skills Development Worker 14 hours per week for 50 weeks;

(d) Provide a Young Women's Wellness workshop to three high schools and a referral centre;

(e) Provide a weekly Young Women's group; and

(f) Provide Summer Leadership Training for 15 youth.

99DNck-077 ($18,696)

ST. STEPHEN'S COMMUNITY HOUSE

"Creating Opportunities. Strengthening Communities."

(a) Hire a Youth Worker for 15.75 hours per week;

(b) Hire a Program Coordinator for five hours per week;

(d) Provide a Monday "Come Together" program; and

(e) Produce a women's mini-"zine" on drug use and body image.

99DTps-078 ($11,996)

STREET HEALTH

"Building Relationships, Creating Community: Reducing Harm in the Dundas/Sherbourne Area, Phase II"

(a) Hire a Harm Reduction Project Worker one and a half days per week;

(b) Provide outreach to street-involved women in the Dundas/Sherbourne area; and

99DNsm-079 ($6,022)

SYME WOOLNER NEIGHBOURHOOD AND FAMILY CENTRE

"Drug Abuse Prevention Project"

(a) Hire a Drug Abuse Prevention Worker seven hours per week for 40 weeks;

(b) Conduct outreach activities twice weekly; and

99DNsm-080 (Nil)

TIGRAYAN ASSOCIATION IN TORONTO

"TAT Project"

The Tigrayan Association in Toronto is not recommended for funding.

99DNsm-081 ($2,313)

TORONTO DRUG AWARENESS COALITION

"Toronto Drug Awareness Coalition"

(a) Provide three information forums for community agencies working in the drug prevention field.

99DTsk-082 (Nil)

TORONTO FRIENDSHIP CENTRE (THE)

"Mind Body and Soul"

The Toronto Friendship Centre is not recommended for funding.

99DTlm-083 ($6,250)

TORONTO KIWANIS BOYS AND GIRLS CLUBS (GERRARD)

"DAPP - Prevention with Progress"

(a) Coordinate weekly social/recreational activities focusing on drug prevention; and

(b) Provide ongoing workshops focusing on job-skill development and peer support.

99DNck-084 ($6,725)

TORONTO KIWANIS BOYS AND GIRLS CLUB

"T.P. Loblaws Keystone Trips"

(a) Hire a "Keystone" Facilitator for three hours per week for 50 weeks;

(b) Provide a weekly recreation/leadership program for 50-80 youth; and

99DTlm-085 ($2,000)

TORONTO MAINLAND CHINESE COMMUNITY CENTRE (ONTARIO)

"Drug Abuse Prevention Program in Mandarin Community"

(b) Prepare a report on this process.

99DTsk-086 (Nil)

TORONTO TAMIL YOUTH SERVICES

"Bridging the Gap, Phase II"

Toronto Tamil Youth Services is not recommended for funding.

99DNck-087 ($12,289)

UNIVERSITY SETTLEMENT RECREATION CENTRE

"Peer Support Education Program"

(a) Hire a Youth Worker for 14 hours per week;

(b) Provide a "Friday Nite Hang Out" Program;

(d) Support a monthly Youth Advisory Council meeting.

99DNck-088 ($4,100)

UNIVERSITY SETTLEMENT RECREATION CENTRE

"Peer Support Residential Camp"

(a) Provide a ten-day residential wilderness camp for 15-20 youth; and

(b) Deliver pre-camp and post-camp counselling and support, including leadership skill development.

99DTsk-089 ($4,078)

WARDEN WOODS COMMUNITY CENTRE

"Warden Woods Wolves Outdoor Adventure"

(a) Provide a two week Outdoor adventure program with a focus on leadership and other skill development to 32 male youth.

99DTsk-090 ($5,300)

WEST SCARBOROUGH NEIGHBOURHOOD COMMUNITY CENTRE

"BASE (Basketball As a Safe Escape) Project"

(a) Hire a Program Coordinator eight hours per week for 36 weeks;

(b) Hire an Assistant three hours per week for 32 weeks; and

99DTsk-091 ($8,095)

WOODGREEN COMMUNITY CENTRE OF TORONTO

"Don Mount Youth"

(a) Provide honoraria to a local parent and ten older "at-risk youth"; and

(b) Plan and deliver a weekly After-School Program for 200 younger youth in Don Mount Court.

99DNsm-092 (Nil)

YMCA FIRST STOP

"First Stop"

YMCA First Stop is not recommended for funding.

99DTlm-093 ($4,800)

YMCA YOUTH SUBSTANCE ABUSE PROGRAM

"Boundless Adventure"

(a) Implement four Boundless Adventure trips that engage ten street-involved youth in individual and group-building activities.

99DNsm-094 ($6,570)

YOUTH CLINICAL SERVICES

"Prevention of Glue-Sniffing Project"

(a) Hire a Youth Outreach Coordinator for ten hours per week for 25 weeks;

(b) Develop a weekly youth mentoring/peer support group for 40 youth from local middle and high schools;

(d) Hold a volunteer recognition event for approximately 100 participants.

99DTlm-095 ($5,200)

YOUTHLINK INNER CITY

"Peer Eds Advocating Harm Reduction (PEAHR)"

(a) Hire a Peer Educator ten hours per week;

(b) Provide weekly outreach including weekends to street-involved youth and youth at the Toronto Bus Terminal; and

99DNps-L96 (Nil)

JAMAICAN CANADIAN ASSOCIATION

"The Parent Connection (Drug Abuse Prevention Component)"

The Jamaican Canadian Association is not recommended for funding.

99DTsk-L97 (Nil)

WALPOLE WALLABIES YOUTH GROUP

"Walpole Wallabies"

The Walpole Wallabies Youth Group is not recommended for funding.

Appendix C

Sample Letter of Understanding with attached

Terms and Conditions

Appendix C

Sample Letter of Understanding with attached

Terms and Conditions

At its meeting of December 16 and 17, 1998 City Council approved the report "City of Toronto Grants Policy" which sets out a City of Toronto grants policy. The purpose of the policy is to establish standards and common practices for all its grant-making activities to ensure consistency and fairness. The list of conditions includes general conditions for all organizations receiving grants from the City of Toronto, as well as terms specific to the administration of the (name of program).

Additional reports on grants administration will be reviewed by the Municipal Grants Review Committee (MGRC) in 1999. Grant applicants will be notified should any of the MGRC decisions affect the terms and conditions of City grants for 1999.

If funding is granted by the City of Toronto (the "City") from the (name of grant program) the applicant (the "Recipient"), by signing the application authorization (application form), acknowledges the following conditions and agrees to them.

1. Use and Purpose of the Grant:

1.1 The grant shall be used only for the purposes approved by City Council, as further described in the grant application form and set out in the Letter of Understanding. (Program name) grants will be used by the Recipient to (statement of program purpose) for people within the City of Toronto.

1.2 The grant Recipient shall notify the City of any proposed material changes to the nature of, or budget for, the activities for which the grant has been made and shall use the grant for such altered activities only with the prior written consent of the City.

1.3 The grant recipient shall not transfer or assign the grant or any part thereof to another organization or individual, without the prior written consent of the City.

1.4 Any funds awarded will be put to their intended use by (date) unless the City has provided prior written approval regarding extension.

1.5 Any unused portion of a grant remains the property of the City. If an unused portion of the grant has already been paid by the City to the Recipient, it shall be repaid by the Recipient to the City on request.

2. Municipal Freedom of Information and Protection of Privacy Act:

The information provided in the grant application and progress reports is subject to the provisions of the Municipal Freedom of Information and Protection of Privacy Act. All granting decisions are publicly available.

3. Anti-Racism, Access and Equity Guidelines:

The Recipient must complete and file a Declaration of Non-Discrimination, indicating the organization has adopted and upholds a policy of access and non-discrimination based on the City's Human Rights Policy. The Recipient will work actively to integrate anti-racism, access and equity, throughout their operations, in accordance with the City's approved Anti-Racism, Access and Equity Policy as it relates to all grant recipients (please refer to attached Policy).

4. Repayment of Grants:

4.1 The grant recipient shall, at the request of the City, repay to the City the whole or any part of the grant as determined by the City, if the grant recipient:

(a) ceases operating;

(b) ceases to operate as a non-profit organization or collective;

(d) merges or amalgamates with any other party;

(e) commences or has commenced against it, any proceedings in bankruptcy or is adjudged a bankrupt;

(f) has knowingly provided false information in its grant application;

(g) uses grant funds for purposes not approved by City Council;

(h) breaches any of the terms or conditions of the grant; or

(i) breaches any of the provisions of the Ontario Human Rights code in its operations.

4.2 The Recipient shall notify the City of the occurrence of any of the events referred to in clauses 4.1 (a) through (e).

4.3 The City may, in its sole discretion, require the Recipient to pay interest on any amount required to be repaid pursuant to this section at the prime rate of the Royal Bank of Canada from the date of the request for repayment to the date of repayment.

5. Accounting:

5.1 The Recipient shall keep and maintain all records, invoices and other documents relating to the grant in a manner consistent with generally accepted accounting principles and clerical practices, and shall maintain such records for a period of three (3) years from the date of approval of the grant by City Council.

5.2 The grant recipient shall keep records of names, titles and salaries of persons whose positions are funded by the City, in whole or in part, and provide this information to the City on request.

5.3 The Recipient authorizes the City and its agents at all reasonable times to inspect and copy any and all records, invoices and documents in the custody or control of the Recipient which relate to the grant, for a period of three (3) years from the date of approval of the grant by City Council. This right of inspection includes the right to perform a full or partial audit of the aforementioned records, as considered appropriate by the City.

6. Limitation of Liability and Indemnification:

6.1 The City shall not be liable for any damages, injury or any loss of use or profit of the recipient arising out of, or in any way related to, the grant recipient's operations.

6.2 The Recipient shall indemnify the City, its officers, employees and agents, against all costs, damages and expenses incurred as a result of a claim or proceedings related to the grant recipient's operations, unless such costs, damages or expenses arise from the negligence or wilful act of an officer, employee or agent of the City.

7. Further Conditions:

The City shall be entitled, at any time, to impose such additional terms and conditions on the use of the grant which, in its sole discretion, it deems appropriate.

8. Grant Payments:

When a grant is approved, the Recipient will be advised in writing as to the amount, timing and payment schedule for the grant.

9. Acknowledgment of funding:

The recipient will acknowledge the support of the City of Toronto, through (name of Department or program) on any materials, reports, events, signage or publicity, which are paid for, in full or in part with this funding.

10. Reports:

The Recipient will provide reports on activities and financial statements for (name of program) grants in a format satisfactory to the City. The reports will be submitted according to a time schedule set out in the Letter of Understanding. Reports are to be submitted to the (name of program) contact person for the City as set out in the Letter of Understanding.

11. Consultation:

The City will involve individuals with appropriate expertise in the review process, which may include a peer/citizen review mechanism. The City reserves the right to consult with other funding agencies to determine the eligibility of an organization or project to receive a grant.

12. Status of the Organization:

The applicant must be in good standing with the City of Toronto, having met the terms and conditions of any previous grant provided to the applicant by the City.

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Ms. Cathy Kozma, Community Co-Chair of the Drug Abuse Prevention Program Grants Review Panel, appeared before the Board of Health in connection with the foregoing matter.

(Mr. Lee Zaslofsky declared his interest in the foregoing matter in that he is the Chair of the Board of Scadding Court Community Centre.)

1999 AIDS Prevention Grants

(City Council on July 27, 28, 29 and 30, 1999, adopted this Clause, without amendment.)

The Board of Health recommends the adoption of the following report (June 30, 1999) from the AIDS Prevention Grants Review Panel:

Purpose:

This report informs the Board of Health of final recommendations regarding the 1999 AIDS Prevention Grants allocations made by the AIDS Prevention Grants Review Panel.

Funding Sources, Financial Implications and Impact Statement:

Funds are in the Toronto Consolidated Grants Program Budget, approved by City Council on April 26 and 27, 1999.

Recommendations:

The 1999 AIDS Prevention Grants Review Panel recommends that:

(1) AIDS Prevention Grants totalling $1,115,908.00 be provided to 52 projects as recommended in Appendices A and B of this report;

(2) release of funds be subject to the satisfactory completion of a Declaration Form regarding the adoption of Toronto's Non-Discrimination Policy; and

(3) authority be granted to the Medical Officer of Health to take the necessary action to give effect thereto, including to execute the Letters of Understanding on behalf of the City, on the terms and conditions as outlined in this report (see Appendix C).

Council Reference/Background/History:

At its meeting on November 10, 1998, the Board of Health approved a governance structure for the 1999 Public Health Grants Programs involving Review Panels working with staff to make recommendations to the Board of Health, with the Board of Health then forwarding recommendations to City Council. The AIDS Prevention Grants Review Panel members were appointed by the Board of Health at its meeting of February 22, 1999.

The AIDS Prevention Grants Program was established by the former Toronto City Council in 1987 to support community initiatives in providing targeted HIV/AIDS prevention education programs. During 1998, the AIDS Prevention Grants Program undertook a service review with key stakeholders to identify directions for the program for 1999. The September 1998 Board of Health report, "AIDS and Drug Abuse Prevention Grants Review", provided a summary of the findings of the public health consultations, which indicated a high level of support to maintain existing programs and practices. In 1999, eligibility was expanded to include applicant groups from across the whole City. Although an additional $63,100.00 was added to the program budget for 1999, the level of funds to support community-based HIV/AIDS initiatives from across the whole City continues to be a challenge at current AIDS Prevention Grants budget levels.

The AIDS Prevention Grants consultations also re-affirmed that Public Health grants are a policy-supported, integrated component of Public Health's HIV/AIDS program. The integration of grants with programs is critical to ensuring responsiveness to emerging trends and access to program-specific expertise. Also, the AIDS Prevention Grants Review Panel, made up of City Councillors/Board of Health members and informed citizens, should continue to retain lead roles in both review and appeal processes. Maintaining citizen involvement in the review process is essential to ensuring a breadth of knowledge about HIV/AIDS and the communities affected by HIV/AIDS.

Comments and/or Discussion and/or Justification:

The priority of the AIDS Prevention Grants Program is to support innovative, targeted education programs to influence behaviours and situations that put people at risk of acquiring HIV. Examples include projects to: increase condom use; decrease unsafe needle-use; enhance negotiation in relationships; and enhance the health of those living with HIV. Applications are encouraged for projects that address high risk behaviours, enhance access to HIV/AIDS prevention messages and address social barriers related to poverty, race, sexual orientation, culture, sex, language skills, age, physical or mental ability, etc.

In the current year, 41 projects are funded with a total AIDS grants budget of $1,052,808.00. Funded projects made over 150,000 service and education contacts over the year. Projects employed the equivalent of 24 full-time positions and made high use of peer workers and volunteers, thereby magnifying the impact of funded programs.

Community-based groups have credibility and trust within their respective communities, especially among hard-to-reach populations such as street-involved individuals, sex trade workers and injection drug users. Men who have sex with men and ethnospecific communities are among the key target populations. The provision of AIDS Prevention grants serves many at-risk groups that would otherwise not be reached adequately.

The 68 proposals received by the 1999 application deadline reflected diverse target groups, a variety of educational interventions and delivery models, a range of funding requests and outreach to areas from across the whole city that are not currently being served. Forty-five proposals were from groups that are currently funded; three were from groups that have received funding in the past; twenty were from new applicants. Fifty percent of the applicants proposed to provide services outside the former City of Toronto. The total requested from all applicants for 1999 was $2,331,709.62.

Fourteen agencies in areas of the city not previously eligible applied this year. As well, a number of currently funded groups with City-wide mandates applied to reach target groups from across the whole city. These groups include AIDS service organizations, whose primary mandate is provision of HIV/AIDS-related services, who are well-positioned to expand services to meet needs across the whole city. Ensuring geographic representation in overall allocations was considered within the assessment process. Public Health staff will undertake a planning process to integrate a community development strategy and regional staffing assignments to support the AIDS Prevention Grants Program.

The AIDS Prevention Grants Review Panel met on May 3, 1999, to make preliminary recommendations for funding. The recommendations were then forwarded to applicants, with information about how to appeal the recommended award. On June 2, 1999, appeals were heard pertaining to 20 AIDS Prevention Grants applications.

The AIDS Prevention Grants Review Panel recommends 52 projects to be carried out between July 1, 1999 and June 30, 2000. These projects fulfil the mandate of supporting community-based innovative, targeted education programs to influence behaviours and situations that put people at risk of acquiring HIV. Recommended grants total $1,115,908.00. Many of the new projects outside the former City of Toronto are recommended for seed funding. Public Health will assist these agencies throughout the year and anticipate expanded project applications in 2000.

Appendix A provides a list of grant applicants, recommended awards and payment schedules. Appendix B details services required of funded projects. Appendix C is the Conditions of the Grant and the Letter of Understanding.

Conclusions:

This report details new community-based AIDS Prevention projects to begin in July 1999 as part of Public Healths HIV/AIDS Prevention Program. Staff will, as part of the review and development of municipal grants policy, continue to assess existing practices. Following standard review procedures, funding is recommended for 52 projects with a total cost of $1,115,908.00.

Contact Name:

Connie Clement, Director, Planning and Policy, Toronto Public Health

Tel: (416) 392-7514; Fax: (416) 392-0713; email: cclement@toronto.ca

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Appendix A

Allocations for 1999

Organization Name and Project Name	Amount Requested	Review Panel Recommendation	Allocations for July 99	Allocations for December 99
99A- 1H HEPATITIS C SOCIETY OF CANADA "HIV/HVC (Co-infection) Life Enhancement Project"	$47,100	$0	$O	$0
99A-2H HIV-T GROUP "Support Services Project"	$19,526	$0	$0	$0
99A-3H VOICES OF POSITIVE WOMEN "Community Initiative for Positive Women"	$41,000	$29,552	$14,776	$14,776
99A-4I HIV HARM REDUCTION NETWORK	$30,366	$0	$0	$0
99A-5I OPEN DOOR CENTRE & ROOMS REGISTRY INC. "AIDS Education and Counselling"	$6,000	$0	$0	$0
99A-6I STREET HEALTH "Street Health Community Based Needle Exchange Outreach Project"	$35,711	See 99A-61-O $0	$0	$0
99A-7I TORONTO HARM REDUCTION TASK FORCE "Safer-Crack-Use - Pilot Project"	$61,256	$0	$0	$0
99A-8M ASIAN COMMUNITY AIDS SERVICES "Gay Asian Men Outreach and Education Project"	$46,450	$42,521	$21,261	$21,260
99A-9M BLACK COALITION FOR AIDS PREVENTION "Men 2gether Project"	$24,400	$18,300	$9,150	$9,150
99A-10M CENTRE FOR SPANISH-SPEAKING PEOPLES "Gay Latino Men and Young Men at Risk"	$38,210	$24,206	$12,103	$12,103
99A-11M GAY MENS EDUCATION NETWORK "Gay Men's Education Network Outreach Project"	$32,431.56	$28,336	$14,168	$14,168
99A-12M HASSLE FREE MENS CLINIC "HIV Counselling Program"	$51,460	$45,381	$22,691	$22,690
99A-13M HASSLE FREE MENS CLINIC "Steambath Counselling / Testing Program"	$9,887	$9,887	$9,887	$0
99A-14M VIVER "Portuguese-speaking Men's Outreach Worker"	$24,616.72	$18,242	$9,121	$9,121
99A-15W CENTRE FOR SPANISH-SPEAKING PEOPLES "Women and Young Women at Risk"	$31,775	$19,137	$9,569	$9,568
99A-16W DAVENPORT-PERTH NEIGHBOURHOOD CENTRE "HIV/AIDS Prevention with Sex Trade Workers Project"	$29,216	$3,974	$3,974	$0
99A-17W EAST YORK/EAST TORONTO FAMILY RESOURCES (EAST YORK) "The Truth"	$12,500	$4,015	$4,015	$0
99A-18W HASSLE FREE CLINIC (WOMENS) "HIV/AIDS Counselling and Support Program for Women"	$51,460	$45,381	$22,691	$22,690
99A-19W IMMIGRANT WOMENS HEALTH CENTRE "Empowering Immigrant Women in Practising Safer Sex"	$22,955	$12,266	$12,266	$0
99A-20Y ASIAN COMMUNITY AIDS SERVICES "Asian Youth Peer Outreach and Education Project"	$38,100	$35,950	$17,975	$17,975
99A-21Y CENTRAL TORONTO COMMUNITY HEALTH CENTRES "Toronto Raver Info Project (TRIP)"	$20,231	$19,931	$9,966	$9,965
99A-22Y CENTRAL TORONTO YOUTH SERVICES "Gay & Bisexual Ravers of Toronto: HIV Risk Reduction Project"	$7,000	$3,700	$3,700	$0
99A-23Y DELISLE YOUTH SERVICES "North Toronto Youth Project: The Voice of Youth in North Toronto"	$14,390	$7,988	$7,988	$0
99A-24Y DIXON HALL "Overcoming Barriers to Safer Sex for High Risk Youth"	$14,100	$6,829	$6,829	$0
99A-25Y DUFFERIN MALL YOUTH SERVICES "Choices"	$35,500	$0	$0	$0
99A-26Y EAST METRO YOUTH SERVICES (SCARB.) "Out and Proud AIDS Prevention Project"	$10,000	$5,822	$5,822	$0
99A-27Y GROUPE JEUNESSE "Working Together to Fight AIDS: HIV/AIDS Prevention In the Francophone Minority Community of Toronto"	$10,250	$7,098	$7,098	$0
99A-28Y HARBOURFRONT COMMUNITY CENTRE "Youth Informing Youth"	$8,352.55	$3,766	$3,766	$0
99A-29Y KABABAYAN COMMUNITY SERVICE CENTRE "Participatory Strategies In AIDS/HIV Prevention Among Filipino-Canadians"	$12,240	$0	$0	$0
99A-30Y MIXED COMPANY "HIV/AIDS Toolbox"	$20,000	$16,652	$16,652	$0
99A-31Y NATIVE CHILD AND FAMILY SERVICES OF TORONTO "Native Youth Outreach"	$30,969.50	$19,750	$9,875	$9,875
99A-32Y PAPE ADOLESCENT RESOURCE CENTRE (PARC) "Awear of Choices"	$11,413	$8,926	$8,926	$0
99A-33Y PRISONERS WITH HIV/AIDS SUPPORT ACTION NETWORK (PASAN) "Young Offender Outreach and Education Project"	$76,884	$51,038	$25,519	$25,519
99A-34Y REXDALE COMMUNITY HEALTH CENTRE (ETOB.) "Youth Educating Other Youth"	$26,785	$10,202	$5,101	$5,101
99A-35Y RYERSON POLYTECHNIC UNIVERSITY "Ryerson AIDS Education Project, An Interactive Web-site"	$46,930	$0	$0	$0
99A-36Y ST. ALBANS BOYS AND GIRLS CLUB "Youth to Youth"	$17,530	$7,760	$7,760	$0
99A-37Y ST. STEPHENS COMMUNITY HOUSE "St. Stephens Community House Drug-Free Arcade"	$9,971	$7,205	$7,205	$0
99A-38Y ANGLICAN HOUSES (S.O.S.) "Street Outreach Services Peer Education Program (Anglican Houses)"	$63,610	$62,610	$31,305	$31,305
99A-39Y THE NEIGHBOURHOOD CENTRE (EAST YORK) "T.E.A.R.S."	$9,811.20	$6,235	$6,235	$0
99A-40Y YONGE STREET MISSION "Dialogue on Sex"	$8,330	$7,620	$7,620	$0
99A-41Y YOUTH CLINICAL SERVICES INC. (NORTH YORK) "Youth Action on AIDS Prevention & Education"	$35,860	$7,458	$7,458	$0
99A-42O AFRICANS IN PARTNERSHIP AGAINST AIDS "Africans in Partnership Against AIDS"	$76,820.40	$43,582	$21,791	$21,791
99A-43O ALLIANCE FOR SOUTH ASIAN AIDS PREVENTION "AIDS Prevention in South Asian Communities"	$62,780	$59,378	$29,689	$29,689
99A-44O ANISHNAWBE HEALTH TORONTO "AHT/AIDS Prevention Education Program"	$58,750	$27,260	$13,630	$13,630
99A-45O ASIAN COMMUNITY AIDS SERVICES "Asian Sex Trade Worker Outreach and Education Project"	$24,700	$10,198	$10,198	$0
99A-46O BLACK COALITION FOR AIDS PREVENTION "HIV/AIDS in Culturally Diverse Black Communities"	$88,630	$63,160	$31,580	$31,580
99A-47O BLACK COALITION FOR AIDS PREVENTION "North York/York Outreach Project"	$25,500	See 99A-46-O $0	$0	$0
99A-48O CENTRAL TORONTO COMMUNITY HEALTH CENTRES "The Queen West HIV/AIDS Project"	$47,505	$46,316	$23,158	$23,158
99A-49O THE CONCERNED KIDS (NORTH YORK) "The Concerned Kids - Communicating through Puppetry"	$9,360	$5,291	$5,291	$0
99A-50O DEAF OUTREACH PROJECT "Making Health Care Accessible to the Deaf Community"	$15,200	$10,700	$10,700	$0
99A-51O THE ETHIOPIAN ASSOCIATION IN TORONTO (EAST YORK) "AIDS Prevention Project"	$24,200	$5,084	$5,084	$0
99A-52O THE 519 CHURCH STREET COMMUNITY CENTRE "Prostitute Outreach Project"	$15,244	$14,694	$7,347	$7,347
99A-53O HERITAGE SKILLS DEVELOPMENT CENTRE "AIDS/HIV Awareness Program for New Immigrant Youth at Risk"	$20,000	$0	$0	$0
99A-54O LAWRENCE HEIGHTS COMMUNITY HEALTH CENTRE (NORTH YORK) "HIV/AIDS Prevention in Northwest Toronto"	$75,000	$7,084	$7,084	$0
99A-55O NA-ME-RES (NATIVE MENS RESIDENCE) "AIDS/HIV Education Workshops"	$6,460	$0	$0	$0
99A-56O PARKDALE COMMUNITY HEALTH CENTRE "Parkdale Outreach Project"	$84,431	$38,690	$19,345	$19,345
99A-57O POSITIVE STRAIGHT MEN	$46,000	$0	$0	$0
99A-58O PRISONERS WITH HIV/AIDS SUPPORT ACTION NETWORK "Prison Outreach & Education Project"	$55,000	$41,930	$20,965	$20,965
99A-59O ST. STEPHENS COMMUNITY HOUSE "AIDS Information, Dissemination and Education Services (A.I.D.E.S.)"	$29,578	$0	$0	$0
99A-60O THE SOCIETY FOR THE AID OF CEYLON (SRI LANKA) MINORITIES (SCARB.) "Healthy Choices for Tamils"	$14,915	$5,986	$5,986	$0
99A-61O STREET HEALTH "Street Health AIDS Outreach Project"	$88,080	$52,132	$26,066	$26,066
99A-62O SYME WOOLNER NEIGHBOURHOOD AND FAMILY CENTRE (YORK) "The AIDS Prevention Project"	$25,000	$10,624	$10,624	$0
99A-63O TORONTO ASSOCIATION FOR COMMUNITY LIVING (EAST YORK) "Employment Training Services Jessie Manson Healthy Life Styles Education Program"	$33,090.94	$7,489	$7,489	$0
99A-64O TORONTO PEOPLE WITH AIDS FOUNDATION "Speakers Bureau Program"	$87,556	$60,188	$30,094	$30,094
99A-65O UNITED CARIBBEAN AIDS- EDUCATION NETWORK "U.C.A.N."	$25,836	$0	$0	$0
99A-66O THE VIETNAMESE YOUTH AND WOMENS CENTRE OF TORONTO "AIDS Prevention Grants"	$3,500	$1,500	$1,500	$0
99A-67O WARDEN WOODS COMMUNITY CENTRE (SCARB.) "The Scarborough HIV/AIDS Network (SCHAN)"	$33,941	$6,884	$6,884	$0
99A-68O AFRICANS COMMUNITY HEALTH SERVICES "Africans United to Control AIDS"	$110,054.74	$0	$0	$0

TOTAL AMOUNT REQUESTED:

$2,331,709.62

$1,115,908

$656,977

$458,931

Appendix B

Suggested Services for Each Applicant

99A-1-H HEPATITIS C SOCIETY OF CANADA HIV/HCV (Co-infection) - Life Enhancement Project

This project is not recommended for funding.

99A-2-H HIV-T Group - Support Services Project

This project is not recommended for funding.

99A-3-H VOICES OF POSITIVE WOMEN - Community Initiative for Positive Women

That funds in the amount of $29,552 be provided to Voices of Positive Women to carry out the following services: To employ a 3 days/week Community Initiative Volunteer Coordinator to:

(1) Recruit, train and support 25 new volunteers and continue to support existing volunteers to work with staff to increase the capacity of Voices of Positive Women to provide the following programs and services: displays and outreach; newsletter publication; support groups; peer network; treatment services; fundraising; resource development; administration and office work;

(2) Provide 1 formal recognition event and 2 informal focus group evaluations of the volunteer program; and

(3) Offer training to 2 women-servicing agencies in HIV awareness; set up displays at 3 annual events targeting women-at-risk.

99A-4-I HIV HARM REDUCTION NETWORK - HIV Positive Drug Users: A Harm Reduction Approach Training Module on Issues Affecting HIV Positive Drug Users

This project is not recommended for funding.

99A-5-I OPEN DOOR CENTRE & ROOMS REGISTRY INC. - AIDS Education and Counselling

This project is not recommended for funding.

99A-6-I STREET HEALTH - Street Health Community-Based Needle Exchange Outreach Project

To enhance administrative efficiency, it is recommended that services from this project be combined with Street Health's project 99A-61-O.

99A-7-I TORONTO HARM REDUCTION TASK FORCE - Safer-Crack-Use - Pilot Project

This project is not recommended for funding.

99A-8-M ASIAN COMMUNITY AIDS SERVICES - Gay Asian Men Outreach and Education Project

That funds in the amount of $42,521 be provided to Asian Community AIDS Services to carry out the following services: To employ a full-time Gay Men Education and Outreach Worker to:

(1) Recruit, train and support 8-10 gay men of east and southeast Asian descent as peer educator volunteers; these volunteers will assist with weekly outreach activities and disseminating HIV information on the Internet; volunteer training to be coordinated with Gay Mens Education Network (G-MEN) member agencies, where appropriate;

(2) Conduct weekly outreach to targeted bath houses; twice monthly outreach to bars and community events; twice monthly park outreach from July - October, 1999, and April - June, 2000; outreach to be coordinated with G-MEN;

(3) Conduct 12-15 educational workshops on HIV/AIDS prevention and related issues;

(4) Promote and provide HIV pre/post counselling and testing in Vietnamese and English for Asian clients in the bath house twice monthly in collaboration with Hassle Free Clinic;

(5) In conjunction with G-MEN, explore the feasibility of expanding outreach to sites across the whole City; implement outreach activities to new sites; and

(6) Produce a culturally appropriate safer sex pamphlet for gay Asian youth in English, Vietnamese, Tagalog and Chinese; develop an outreach and pamphlet distribution strategy to reach gay Asian youth.

99A-9-M BLACK COALITION FOR AIDS PREVENTION - Men 2gether Project

That funds in the amount of $18,300 be provided to Black Coalition for AIDS Prevention to carry out the following services: To employ a 20 hours/week Men 2gether Coordinator to:

(1) Recruit, train and support 3 volunteers; these volunteers will assist with outreach activities and 3 workshop presentations; training of outreach volunteers to be coordinated with Gay Mens Education Network (G-MEN) member agencies, where appropriate;

(2) Conduct outreach to targeted bath houses 3 - 4 times per month; targeted parks 2 times per month from July - October, 1999, and April - June, 2000; outreach to be coordinated with G-MEN;

(3) Conduct weekly outreach at bars frequented by Black gay and bisexual men, including outreach at new bars and community venues; and

(4) In conjunction with G-MEN, explore the feasibility of expanding outreach to sites across the whole City; implement outreach activities to new sites.

99A-10-M CENTRE FOR SPANISH-SPEAKING PEOPLES - Gay Latino Men and Young Men at Risk

That funds in the amount of $24,206 be provided to the Centre for Spanish-Speaking Peoples to carry out the following services: To employ a 19 hours/week Outreach Worker/Educator to:

(1) Recruit, train and support 4 gay Latino men as HIV outreach prevention volunteers; volunteer training to be coordinated with Gay Mens Education Network (G-MEN) member agencies, where appropriate;

(2) Conduct weekly outreach to bath houses; twice monthly outreach to bars/discotheques; and twice monthly outreach to parks from July - October, 1999, and April - June, 2000; outreach to be coordinated with G-MEN;

(3) Implement 3 workshops on HIV/STD and safer sex for Latino men who have sex with men;

(4) Develop and implement a survey with the Latino men who have sex with men community to identify risk behaviours, new prevention strategies and resources; and,

(5) In conjunction with G-MEN, explore the feasibility of expanding outreach to sites across the whole City; implement outreach activities to new sites; and

(6) Develop an HIV information resource card targeted to gay Latino men for distribution at outreach activities.

99A-11-M GAY MENS EDUCATION - Gay Mens Education Network Outreach Project

That funds in the amount of $28,336 be provided to Alliance for South Asian AIDS Prevention, sponsoring organization for Gay Mens Education Network (G-MEN), to carry out the following services: To employ a 22.5 hours/week G-MENs Projects Coordinator to:

(1) Coordinate a minimum of 60 hours of bath house outreach per month at 4 bath house sites; twice weekly park outreach from July - October, 1999, and April - June, 2000, in at least 2 park locations; such outreach to be conducted by staff and volunteers of G-MEN member agencies; bath house outreach schedules to be coordinated with Hassle Free Clinics steam bath counselling program;

(2) Support staff/volunteer training and recognition for G-MEN member agencies;

(3) Facilitate diverse bath house and park outreach strategies;

(4) Facilitate needs assessment of venues across the whole City to reach MSM; implement outreach activities to these new venues;

(5) Link with agencies serving gay and bisexual men across the whole City; and

(6) Participate in G-MEN outreach activities once weekly.

99A-12-M HASSLE FREE MENS CLINIC - HIV Counselling Program

That funds in the amount of $45,381 be provided to Hassle Free Mens Clinic to carry out the following services: To employ the equivalent of one full-time Counsellor who, along with other staff members, will:

(1) Provide pre/post test counselling to approximately 2750 to 3000 men, including referrals from other clinics;

(2) Provide anonymous HIV antibody testing to men; and

(3) Provide 3-4 Body Positive and 2-3 Negative Partners programs.

99A-13-M HASSLE FREE MENS CLINIC - Steambath Counselling / Testing Program

That funds in the amount of $9,887 be provided to Hassle Free Mens Clinic to carry out the following services: To employ a 9 hours/week Counsellor (or equivalent hours) to:

(1) Provide pre/post test counselling, anonymous HIV antibody testing, STD counselling, STD testing and STD/HIV-related referrals to approximately 600 clients at 7 designated steam bath locations; and, coordinate steam bath clinic schedule with Gay Mens Education Networks bath house outreach project.

99A-14-M VIVER - Portuguese-speaking Mens Outreach Worker

That funds in the amount of $18,242 be provided to the AIDS Committee of Toronto, sponsoring organization for VIVER, to carry out the following services: To employ a 16 hours/week Portuguese-speaking Outreach Worker to:

(1) Conduct 1-2 times weekly outreach to targeted bath houses; twice monthly outreach to targeted parks from July - October, 1999, and April - June, 2000; outreach to be coordinated with Gay Mens Education Network (G-MEN);

(2) Provide HIV test counselling and support for Portuguese-speaking clients up to a maximum of 4 hours/week; and

(3) In conjunction with G-MEN, explore the feasibility of expanding outreach to sites across the whole City; implement outreach activities to new sites.

99A-15-W CENTRE FOR SPANISH-SPEAKING PEOPLES - Women and Young Women at Risk

That funds in the amount of $19,137 be provided to Centre for Spanish-Speaking Peoples to carry out the following services: To employ a 14 hours/week Outreach Worker/Educator to:

(1) Recruit, train and support 2 young Latino women as HIV/AIDS prevention outreach volunteers;

(2) Conduct weekly HIV/AIDS outreach at bars/discotheques frequented by young Latino women; include outreach to other venues to reach at-risk Latino women such as drop-in centres, shelters, womens groups, etc.;

(3) Implement a minimum of 3 workshops for young Latino women at risk;

(4) Facilitate links with other social service providers and agencies serving Spanish-speaking women; provide outreach/training sessions to these social service providers and agencies; and

(5) Develop an HIV information resource card targeted to Latino women for distribution at outreach activities.

99A-16-W DAVENPORT-PERTH NEIGHBOURHOOD CENTRE - HIV/AIDS Prevention with Sex Trade Workers Project

That funds in the amount of $3,974 be provided to Davenport-Perth Neighbourhood Centre to carry out the following services: To employ a 4 hours/week Sex Trade Outreach Worker to:

(1) Conduct outreach 1 evening per week to sex trade workers in the target area to provide condoms, HIV prevention education, informal support, counselling and referrals;

(2) Recruit and train 2 sex trade workers to assist in outreach and in facilitating HIV educational workshops; and

(3) Deliver 2 HIV prevention/healthy sexuality workshops for at least 10 sex trade workers.

99A-17-W EAST YORK/EAST TORONTO FAMILY RESOURCES - The Truth

That funds in the amount of $4,015 be provided to East York/East Toronto Family Resources to carry out the following services: To employ a 7 hours/week Peer Support Worker for 45 weeks to:

(1) Develop a steering committee of key community partners (including Crescent Town Kiddie Corner, Canadian Baluchi Association, Metro Association of Family Resource Programs, Senior Link/Neighbourhood Link Youth Outreach Project, Blake/Boultbee Youth Outreach Project) to undertake a needs assessment of culturally diverse women-at-risk communities in East York/East Toronto and to develop links with appropriate community resources;

(2) Identify and implement 2 culturally appropriate HIV/AIDS prevention strategies targeting at-risk culturally diverse women; and

(3) Provide at least 4 HIV/AIDS workshops in 2 language communities.

Toronto Public Health will facilitate involvement of a Sexual Health/AIDS Educator or Sexual Health Educator to work with East York/East Toronto Family Resources to facilitate implementation of this project.

99A-18-W HASSLE FREE WOMENS CLINIC - HIV/AIDS Counselling and Support Program for Women

That funds in the amount of $45,381 be provided to Hassle Free Womens Clinic to carry out the following services: To employ one full-time Counsellor to:

(1) Provide HIV pre/post test counselling to reach approximately 1000 women, including referrals from other clinics;

(2) Provide anonymous HIV antibody testing to women; and

(3) Conduct educational sessions for groups or agencies about anonymous HIV antibody testing, pre/post test counselling, women living with HIV/AIDS.

99A-19-W IMMIGRANT WOMENS HEALTH CENTRE - Empowering Immigrant Women in Practising Safer Sex

That funds in the amount of $12,266 be provided to Immigrant Womens Health Centre to carry out the following services: To employ 6 Counsellors for the equivalent of 6 hours/week and 8 Peer Educators for the equivalent of 8 hours/week to:

(1) Provide at least 24 HIV/AIDS prevention education workshops to target women in the following communities: Cantonese, Portuguese, Italian, Spanish, Tamil and Vietnamese-speaking; also, Gujarati, Hindi, Urdu, Punjabi, Farsi, Polish, Serb/Croatian, Mandarin-speaking communities; and,

(2) Conduct a minimum of 2 HIV/AIDS skills development training sessions for the projects peer educators and counsellors; training sessions to be offered and promoted to staff and volunteers of other community agencies serving the identified communities.

99A-20-Y ASIAN COMMUNITY AIDS SERVICES - Asian Youth Peer Outreach and Education Project

That funds in the amount of $35,950 be provided to Asian Community AIDS Services to carry out the following services: To employ a full-time Youth Education and Outreach Worker to:

(1) Recruit, train and support 15-20 youth leaders, representative of the Chinese, Filipino and Vietnamese communities (including 2-3 youth who are representative of marginalized youth communities), to assist with educational workshops and outreach activities;

(2) Provide twice weekly outreach to targeted venues across the whole City where youth congregate;

(3) Develop and implement strategies to target marginalized youth;

(4) Conduct a maximum of twice monthly HIV/AIDS educational workshops at the Toronto Jail; and

(5) Conduct monthly sexuality and HIV-related workshops; outreach and work with new community agencies/groups serving Asian youth across the whole City to integrate HIV/AIDS workshops/training sessions into their youth programs.

99A-21-Y CENTRAL TORONTO COMMUNITY HEALTH CENTRES - Toronto Raver Information Project (TRIP)

That funds in the amount of $19,931 be provided to Central Toronto Community Health Centres to carry out the following services: To employ 2 Project Workers for 72 hours each/month to:

(1) Support and educate raver youth about safer sex and HIV prevention information, and provide supplies, education, counselling and referrals (through a stationary booth and by outreach throughout the rave location) at 7 - 8 raves/month for 7 hours/rave;

(2) Recruit, train and support an ongoing supply of volunteers to assist in the above activities; and

(3) Assist Central Toronto Youth Services in the development and distribution of an HIV risk-reduction and drug use harm-reduction resource for gay and bisexual ravers.

99A-22-Y CENTRAL TORONTO YOUTH SERVICES - Gay and Bisexual Ravers of Toronto: HIV Risk Reduction Project

That funds in the amount of $3,700 be provided to Central Toronto Youth Services to carry out the following services:

(1) Design, develop, produce and distribute, in consultation with the AIDS Committee of Toronto and Toronto Raver Info Project staff, 1200 flyers targeted to gay/bisexual youth ravers; and,

(2) Facilitate focus groups and conduct volunteer training on issues related to gay/bisexual ravers, with the AIDS Committee of Toronto and the Toronto Raver Info Project.

99A-23-Y DELISLE YOUTH SERVICES - North Toronto Youth Project: The Voice of Youth in North Toronto

That funds in the amount of $7,988 be provided to Delisle Youth Services to carry out the following services: To employ a 7 hours/week Community Outreach Worker to:

(1) Develop and implement 4 AIDS outreach events in local venues;

(2) Conduct 5 - 10 school-based events during AIDS Awareness Week, in consultation with Toronto Public Health Sexual Health/AIDS Educators;

(3) Produce 1 youth zine about AIDS prevention; and

(4) Organize and facilitate 2 community events on healthy sexuality, in collaboration with local businesses.

NOTE: The above services are in addition to those funded by the Drug Abuse Prevention Grants.

99A-24-Y DIXON HALL - Overcoming Barriers to Safer Sex for High Risk Youth

That funds in the amount of $6,829 be provided to Dixon Hall to carry out the following services: To employ a 6 hours/week Youth Worker for 26 weeks to:

(1) Consult with community partners including a Toronto Public Health Sexual Health/AIDS Educator and someone with experience in community theatre;

(2) Recruit, train and support 6 youth (3 male and 3 female) from the High Risk Youth Program for 3 hours/week/20 weeks, to:

(1) discuss safer sex with 5 - 10 of their peers through seeded conversations;

(2) facilitate 3 workshops for their peers; and

(3) develop and perform a popular theatre piece at 3 local events during the summer and during AIDS Awareness Week in 1999.

99A-25-Y DUFFERIN MALL YOUTH SERVICES (DMYS) - Choices

This project is not recommended for funding.

Toronto Public Health will facilitate the involvement of a Sexual Health/AIDS Educator to work with Dufferin Mall Youth Services.

99A-26-Y EAST METRO YOUTH SERVICES - Out and Proud AIDS Prevention Project

That funds in the amount of $5,822 be provided to East Metro Youth Services to carry out the following services: To employ a 7 hours/week Project Leader for 33 weeks to:

(1) Recruit, train and support 4 peer educators in workshop facilitation, negotiating safer sex and HIV/AIDS prevention strategies;

(2) Design, develop and implement a format for a minimum of 6 workshops at the Out and Proud drop-ins, schools and other community settings;

(3) Compile relevant resources for lesbian, gay, bisexual youth at risk of HIV/AIDS available from other agencies i.e., CTYS, YOUTHLINK Inner City;

(4) Provide 8 discussions and workshops at Second Base Youth Shelter; and

(5) Work in collaboration with other agencies serving lesbian, gay, bisexual youth.

99A-27-Y GROUPE JEUNESSE - Working Together to Fight AIDS: HIV/AIDS Prevention in the Francophone Minority Community of Toronto

That funds in the amount of $7,098 be provided to Groupe Jeunesse to carry out the following services: To employ a 7 hours/week Project Coordinator/Facilitator to:

(1) Recruit and train 5 - 10 adult community volunteers in HIV/AIDS prevention and culturally sensitive information on sexuality in order to meet and discuss these issues with youth groups;

(2) Facilitate and evaluate approximately 24 workshops on HIV/AIDS and healthy sexuality;

(3) Provide referrals on HIV/AIDS testing, counselling and support to appropriate agencies; and

(4) Consult with other agencies serving this population to ensure that services are coordinated and complementary (i.e., Black CAP, APAA, ACHES, Centre Medico-Social Communautaire, Womens Health in Womens Hands).

99A-28-Y HARBOURFRONT COMMUNITY CENTRE - Youth Informing Youth

That funds in the amount of $3,766 be provided to Harbourfront Community Centre to carry out the following services: To employ a 5 hours/week Youth Worker to:

(1) Recruit and train 2 Youth Facilitators to plan and implement biweekly discussion groups on HIV and healthy sexuality;

(2) Coordinate and promote safer sex messages at a minimum of 3 special events in the community; and

(3) Facilitate the design and development of an AIDS Awareness youth publication that will incorporate input from younger youth involved in the workshops.

99A-29-Y KABABAYAN COMMUNITY SERVICE CENTRE - Participatory Strategies in AIDS/HIV Prevention Among Filipino-Canadians

This project is not recommended for funding.

Toronto Public Health will facilitate the involvement of a Sexual Health/AIDS Educator to work with Kababayan Community Service Centre.

99A-30-Y MIXED COMPANY - HIV/AIDS Tool Box

That funds in the amount of $16,652 be provided to Mixed Company to carry out the following services:

(1) Review and revise script, if necessary, to meet the needs of the target audience;

(2) Hire cast and rehearse vignettes;

(3) Promote and present 35-40 workshops to schools and youth-serving organizations, at least 20 of which are outside the former City of Toronto; and

(4) Provide supplementary materials on theatre techniques, and on incorporating HIV/AIDS, healthy sexuality and relationship messages, to assist teachers and educators to provide follow-up information.

99A-31-Y NATIVE CHILD AND FAMILY SERVICES OF TORONTO - Native Youth Outreach

That funds in the amount of $19,750 be provided to Native Child and Family Services to carry out the following services: To employ a 2 days/week Youth Outreach Worker to:

(1) Provide weekly HIV/AIDS prevention outreach (including a combination of daytime, evening and weekend) to Native youth on the street;

(2) Recruit, train and support 2 youth peer workers (4 hours/week/40 weeks each) to conduct street outreach;

(3) Integrate issues related to HIV/AIDS into the youth circles at least 1/month; and

(4) Facilitate safer sex, HIV prevention discussions at the drop-in one day per week.

99A-32-Y PAPE ADOLESCENT RESOURCE CENTRE (PARC) - AWEAR of Choices

That funds in the amount of $8,926 be provided to The Childrens Aid Society of Toronto (for Pape Adolescent Resource Centre) to carry out the following services: To employ a 10 hours/week AIDS Education Coordinator for 32 weeks to:

(1) Recruit, train and support 2 youth co-facilitators for 4 hours/week/20 weeks;

(2) Support youth co-facilitators in providing 14 workshops for 10 youth in care on healthy relationships, sexuality, HIV/AIDS, etc.;

(3) Oversee the delivery of at least 8 HIV/AIDS prevention workshops to a minimum of 80 youth in group homes over a 12 week period; and

(4) Oversee the preparation of a special edition youth in care newsletter on HIV and related issues and distribute to over 1000 youth in care over 13 years of age, in Toronto.

99A-33-Y PRISONERS WITH HIV/AIDS SUPPORT ACTION NETWORK -Young Offender Outreach and Education Project

That funds in the amount of $51,038 be provided to Prisoners with HIV/AIDS Support Action Network to carry out the following services: To employ a full-time Youth Program Coordinator to:

(1) Recruit, train and support 2 contract workers to provide 80 education sessions in young offender facilities;

(2) Provide an additional 20 education sessions in young offender facilities;

(3) Recruit and support 4 HIV positive Peer Educators in HIV/AIDS prevention education and refer to Toronto People with AIDS Foundation for Peer Educators training;

(4) Maintain liaison with agencies serving young offenders and with other ASOs and Toronto Public Health staff who are providing similar services to this population; and

(5) Evaluate the education sessions at 3 and 6 month intervals and revise as necessary.

99A-34-Y REXDALE COMMUNITY HEALTH CENTRE - Youth Educating Other Youth

That funds in the amount of $10,202 be provided to Rexdale Community Health Centre to carry out the following services: To employ a 10 hours/week Coordinator for 40 weeks to:

(1) Undertake a needs assessment to develop an educational model to reach Somali youth;

(2) Recruit, train and support 10 Somali youth leaders to provide HIV/AIDS outreach and education; support the youth leaders in training 10 youth each;

(3) Conduct 4 workshops to reach Somali youth and 1 workshop targeted to parents; and

(4) Collaborate with other agencies and AIDS service organizations reaching this target population.

99A-35-Y RYERSON POLYTECHNIC UNIVERSITY - Ryerson AIDS Education Project, An Interactive Web-Site

This project is not recommended for funding.

99A-36-Y ST. ALBANS BOYS & GIRLS CLUB - Youth to Youth

That funds in the amount of $7,760 be provided to St. Albans Boys and Girls Club to carry out the following services: To employ one 10 hours/week Youth Outreach Worker for 10 weeks at the Palmerston location and one 15hours/week Youth Outreach Worker for 20 weeks at the Jane-Finch location to:

(1) Recruit, train and support 2 youth facilitators (in each location) in peer collaboration/education, AIDS education and evaluation;

(2) Develop a 6-week series of training sessions with youth facilitators to be delivered to 2 groups of young women at the Jane-Finch location and 1 group of young women at the Palmerston location;

(3) Compile a collection of resources to provide information and support to youth of the 2 clubs; and

(4) Liaise with local youth-serving agencies and ASOs for information and referrals.

99A-37-Y ST. STEPHENS COMMUNITY HOUSE - St. Stephens Community House Drug-Free Arcade

That funds in the amount of $7,205 be provided to St. Stephens Community House to carry out the following services: To employ a 7 hours/week Youth Worker to:

(1) Design and deliver bi-monthly HIV/AIDS workshops for 10 months for 100 young men aged 12 to 15;

(2) Develop an issue of the Arcades Parents Newsletter that specifically looks at healthy sexuality and their teenagers;

(3) Facilitate a girls only lunch program for 20 young women where they can participate in workshops on healthy sexuality, HIV prevention, STIs, relationships, etc.;

(4) Provide 4 workshops for 300 youth at local community agencies on healthy sexuality and HIV/AIDS prevention; and

(5) Hold an open house during AIDS Awareness Week for community members and parents to learn more about HIV prevention.

99A-38-Y STREET OUTREACH SERVICES - Street Outreach Services Peer Education Program (Anglican Houses)

That funds in the amount of $62,610 be provided to Anglican Houses (for Street Outreach Services) to carry out the following services: To employ one full-time Peer Outreach Coordinator to:

(1) Recruit, train and support 4 peer educators, for a total of 40 hours/week, to conduct daily street outreach including day, evening and weekend shifts; distribute condoms, bleach kits, and information on the street and in the drop-in; facilitate the involvement of youth in activities and workshops on HIV/AIDS and safer sex;

(2) Assist peers in providing speaks at alternative schools, shelters and other agencies;

(3) Provide HIV/AIDS education and consultation to other community groups on request;

(4) Provide support, counselling, advocacy and referral for street youth within the office and on the street; and,

(5) Continue to assess the needs in underserviced areas of the City and to implement programming/make recommendations for future services as necessary.

99A-39-Y TEENS EDUCATING AIDS REDUCTION SUCCESSFULLY - T.E.A.R.S.

That funds in the amount of $6,235 be provided to The Neighbourhood Centre, sponsoring organization for Teens Educating AIDS Reduction Successfully (T.E.A.R.S.) to carry out the following services: To employ a 4 hours/week Team Coach for 24 weeks to:

(1) Recruit, train and support 10 youth volunteers as peer educators in HIV prevention, with at least 1 of each who will speak Greek, Tagalog and Cantonese;

(2) Develop an HIV peer education model and deliver sessions to 3 groups of high school students and 4 groups of middle school students during AIDS Awareness Week 1999;

(3) Produce a by-youth-for-youth HIV/AIDS prevention video; and,

(4) Produce and distribute temporary HIV/AIDS prevention tattoos.

99A-40-Y YONGE STREET MISSION - Dialogue on Sex

That funds in the amount of $7,620 be provided to Yonge Street Mission (for Evergreen Health Centre) to carry out the following services: To employ a 10 hours/week Facilitator for 28 weeks to:

(1) Recruit, train and support 8 - 10 youth as peer leaders through 4 in-depth leadership training workshops on HIV/AIDS prevention and related issues; and

(2) Design, facilitate and evaluate, with peer leaders, 4 series of 6 workshops which will employ a variety of methods including guest speakers, games, role-playing, etc., targeted to youth who use the drop-in.

99A-41-Y YOUTH CLINICAL SERVICES INC. - Youth Action on AIDS Prevention and Education

That funds in the amount of $7,458 be provided to Youth Clinical Services to carry out the following services: To employ a 6 hours/week Peer Coordinator for 26 weeks to:

(1) Recruit, train and support 7 peer educators, 3 hours/week/20 weeks, who reflect the cultural and linguistic diversity of the community, in HIV prevention through 12 two hour sessions;

(2) Provide 16 peer-led training workshops to youth at junior high and high schools in the community during AIDS Awareness Week; and

(3) Collaborate with other local organizations to enhance the overall delivery of HIV/AIDS prevention services in the community.

99A-42-O AFRICANS IN PARTNERSHIP AGAINST AIDS - Africans in Partnership Against AIDS

That funds in the amount of $43,582 be provided to Africans in Partnership Against AIDS to carry out the following services: To employ a full-time Project Coordinator to:

(1) Recruit, train and support 6-8 peer volunteers to provide HIV/AIDS prevention education and counselling;

(2) Conduct a needs assessment with members of the target group and relevant community groups to develop an HIV testing flyer and brochure in at least 3 language communities;

(3) Facilitate monthly African Women HIV/AIDS Discussion and Support Network group meetings;

(4) Provide 2 HIV/AIDS awareness and sensitization workshops to African Islamic and Christian clergies; and

(5) Provide 2 HIV/AIDS workshops per month targeting African women at-risk across the whole City; work in collaboration with other ASOs and agencies.

99A-43-O ALLIANCE FOR SOUTH ASIAN AIDS PREVENTION - AIDS Prevention in South Asian Communities

That funding in the amount of $59,378 be provided to Alliance for South Asian AIDS Prevention to carry out the following services: To employ a 14 hours/week Mens Outreach Worker and a full-time Womens Outreach Worker to:

(1) Conduct 65 outreach sessions to MSM at bathhouses, parks and bars;

(2) Provide 12 targeted youth events at Universities, Colleges, high schools and other venues and 13 events targeted to women and new immigrants;

(3) Provide 12 workshops targeted to South Asian service providers (4), youth (3-4), women (2), MSM (1-2), new immigrants (1-2);

(4) Facilitate 6 media contacts in English and 2 in South Asian languages; produce and show slides at South Asian movie theatres;

(5) Recruit and train 8 volunteers to assist in outreach; and

(6) Collaborate with Hassle Free Clinic to provide anonymous testing at ASAP; Tamil Resource Centre to provide AIDS education; and, Society for the Aid of Ceylon (Sri Lanka) Minorities to coordinate education for the Tamil community.

99A-44-O ANISHNAWBE HEALTH TORONTO - AHT AIDS Prevention Education Program

That funds in the amount of $27,260 be provided to Anishnawbe Health Toronto to carry out the following services: To employ a 3 days/week Team Leader to:

(1) Provide 8 hours/week of HIV/AIDS prevention outreach on the streets and in the community; coordinate outreach with other agencies such as Native Child and Family Services and Street Health;

(2) Recruit, train and support 2 peer outreach workers to conduct 4 hours/week each of street outreach;

(3) Provide at least 6 HIV/AIDS workshops at community agencies such as Council Fire, Anduhyaun Womens Shelter, Native Canadian Centre and Na-Me-Res;

(4) Conduct monthly HIV infected/affected Circles with an Elder; and,

(5) Provide HIV pre/post test counselling and supportive counselling up to a maximum of 7 hours/week.

99A-45-O ASIAN COMMUNITY AIDS SERVICES - Asian Sex Trade Worker Outreach and Education Project

That funds in the amount of $10,198 be provided to Asian Community AIDS Services to carry out the following services: To employ a contracted Sex Trade Coordinator to:

(1) Coordinate development of an HIV/AIDS-related brochure targeted to Asian sex trade workers, including transgendered sex trade workers, in 3 language communities (Chinese, Thai and Vietnamese); devise a targeted distribution strategy for the brochure;

(2) Conduct at least 6 HIV/AIDS-related workshops, working with the Asian sex trade peer educators' network;

(3) Conduct outreach through media such as radio (e.g. CIUT Asian Accent Program), Vietnamese newspapers, etc. regarding HIV-related issues faced by Asian sex trade workers; and

(4) Network with health and social service agencies to sensitize them to issues faced by sex trade workers.

99A-46-O BLACK COALITION FOR AIDS PREVENTION - HIV/AIDS in Culturally Diverse Black Communities

That funds in the amount of $63,160 be provided to Black Coalition for AIDS Prevention to carry out the following services: To employ a full-time Project Coordinator and a 21 hours/week Outreach Worker to:

(1) Recruit, train and support 15-20 volunteers to deliver HIV/AIDS prevention workshops, outreach activities and counselling to PHAs;

(2) Design and deliver 30 HIV/AIDS workshops across the whole City targeted as follows: 10 targeted to youth; 5 to service providers; 5 to men and women; 5 to PHAs; 5 to stylists and patrons of barber and hairdresser salons; (20 workshops to be undertaken by the Project Coordinator);

(3) Design and deliver 4 HIV/AIDS programs on community radio stations;

(4) Conduct 30 outreach activities at night clubs, hair salons, social and/or community events across the whole City;

(5) Work with agencies across the whole City to identify opportunities and joint HIV/AIDS strategies within the Black communities; facilitate HIV/AIDS program development with the following agencies: Youth Clinical Services, Lawrence Heights Community Health Centre, Yorkwood Community Health Centre, Jane and Finch Concerned Citizens, Syme Woolner Neighbourhood and Family Centre, Warden Woods Community Centre;

(6) Provide a maximum of 7 hours/week of education, support and counselling to PHAs; and

(7) Recruit, train and support 40 volunteers to deliver outreach during Caribana week and at activities leading up to the Caribana parade; explore alternative funding sources for Caribana outreach in the year 2000.

99A-47-O BLACK COALITION FOR AIDS PREVENTION - North York/York Outreach Project

To enhance administrative efficiency, it is recommended that services from this project be integrated into Black Coalition for AIDS Preventions project 99A-46-O.

99A-48-O CENTRAL TORONTO COMMUNITY HEALTH CENTRES - The Queen West HIV/AIDS Project

That funds in the amount of $46,316 be provided to Central Toronto Community Health Centres to provide the following services: To employ a full-time HIV/AIDS Outreach Educator to:

(1) Recruit, train and support 2-3 peer workers for a total of 62 hours/month to conduct outreach on Thursday evenings and on the weekend (to be coordinated with other funded groups);

(2) Provide three 3-hour shifts of fixed-site needle exchange per week;

(3) Promote and conduct two 2-hour anonymous HIV antibody testing and pre/post test counselling clinics/week;

(4) Provide 6 train the trainer-type workshops for service providers, both in the community and in the centre, and 3 HIV prevention workshops for clients; and,

(5) Coordinate and collaborate with Youthlink Inner City and other local community agencies to ensure efficient and appropriate service delivery in the catchment area.

99A-49-O THE CONCERNED KIDS - The Concerned Kids - Communicating through Puppetry

That funds in the amount of $5,291 be provided to Concerned Kids to carry out the following services: To employ a 3 hours/week Coordinator to:

(1) Recruit, train and support a 3 hours/week/40 weeks youth puppeteer to provide HIV/AIDS puppet shows; and

(2) Present and evaluate 20 interactive HIV/AIDS performances; 10 to developmentally challenged individuals in group homes and work settings and 10 to young people in high-risk area school settings.

99A-50-O DEAF OUTREACH PROJECT - Making Health Care Accessible to the Deaf Community

That funds in the amount of $10,700 be provided to Ontario Association for the Deaf, sponsoring organization for Deaf Outreach Project, to carry out the following services: To employ 3 contracted consultants to:

(1) Design and implement a 1-1/2 HIV/AIDS day conference on creating better access to health care and health information, targeted to 100 health care and health promotion providers from Toronto; and

(2) Develop a procedure to disseminate and ensure that the conference findings are shared beyond participants, eg., web site, ambassador program.

99A-51-O THE ETHIOPIAN ASSOCIATION IN TORONTO - AIDS Prevention Project

That funds in the amount of $5,084 be provided to The Ethiopian Association in Toronto to carry out the following services: To employ a 5 hours/week HIV/AIDS Outreach Worker to:

(1) Develop a permanent working committee of medical doctors, key community leaders, volunteers, African community AIDS service organizations and persons living with HIV/AIDS to coordinate HIV/AIDS activities for this community;

(2) Identify and implement 2 culturally appropriate HIV/AIDS prevention strategies targeting youth (16-29 years) and women, taking into consideration languages and ethnicity (e.g., Amhara, Oromo, Tigre, Ethiopian Samalis, Harari and various others); and

(3) Develop and implement 4 HIV/AIDS workshops.

99A-52-O THE 519 CHURCH STREET COMMUNITY CENTRE - Prostitute Outreach Project (POP)

That funds in the amount of $14,694 be provided to the 519 Church Street Community Centretoprovide the following services: To employ a 12 hours/week Peer Project Coordinator to:

(1) Recruit, train and support 3 volunteer transsexual/transgendered (TS/TG) prostitutes to provide HIV prevention messages to their peers;

(2) Design, develop and distribute a booklet on HIV/AIDS as it relates to the TS/TG population;

(3) Provide referrals to health service agencies and advocate on behalf of TS/TG clients; and

(4) Conduct 4 training sessions for social/health care service providers on the issues related to the TS/TG community and HIV.

99A-53-O HERITAGE SKILLS DEVELOPMENT CENTRE - AIDS/HIV Awareness Program for New Immigrant Youth at Risk

This project is not recommended for funding.

Toronto Public Health will facilitate the involvement of culturally specific HIV/AIDS service organizations and AIDS service organizations in the Spadina, Trinity-Niagara and Parkdale areas with Heritage Skills Development Centre to provide culturally appropriate HIV/AIDS programming for the target populations.

99A-54-O LAWRENCE HEIGHTS COMMUNITY HEALTH CENTRE - HIV/AIDS Prevention in Northwest Toronto

That funds in the amount of $7,084 be provided to Lawrence Heights Community Health Centre to carry out the following services: To employ a 7 hours/week HIV/AIDS Outreach Worker to:

(1) Develop an HIV/AIDS community advisory group with at least 10 representatives of the various communities referred to in the proposal to implement an HIV/AIDS needs assessment and identify at least 4 culturally appropriate HIV/AIDS strategies;

(2) Develop and implement 2 HIV/AIDS community events, at least one during AIDS Awareness Week, in partnership with the community advisory group and AIDS service organizations, e.g. Black CAP; and

(3) Implement 10 HIV/AIDS workshops/forums, 2 to the community advisory group and 8 targeting youth in middle and secondary schools.

99A-55-O NA-ME-RES (NATIVE MENS RESIDENCE) - AIDS/HIV Education Workshops

This project is not recommended for funding.

Toronto Public Health will continue to facilitate involvement of an AIDS/Sexual Health Educator and community agencies such as Anishnawbe Health Toronto to provide HIV/AIDS programming to Na-Me-Res.

99A-56-O PARKDALE COMMUNITY HEALTH CENTRE - Parkdale Outreach Project

That funds in the amount of $38,690 be provided to Parkdale Community Health Centre to carry out the following services: To employ a full-time Outreach Worker to, in conjunction with other health centre staff and staff of other agencies:

(1) Provide daily HIV/AIDS prevention outreach (including a combination of daytime, evening and weekend) to the target populations on the street, at the on-site needle exchange and to services and businesses serving the target populations; street outreach to be conducted at least 3 times/week; on-site needle exchange to be staffed up to a maximum of 12 hours/week; and

(2) Recruit, train and support 4 Community Network Partners who will conduct outreach to their peers, as well as assist the Outreach Worker with street outreach activities.

99A-57-O POSITIVE STRAIGHT MEN

This project is not recommended for funding.

99A-58-O PRISONERS WITH HIV/AIDS SUPPORT ACTION NETWORK - Prison Outreach and Education Project

That funds in the amount of $41,930 be provided to Prisoners with HIV/AIDS Support Action Network to carry out the following services: To employ a full-time Toronto Prisons Outreach Coordinator to:

(1) Develop and deliver a total of 50 HIV/AIDS prevention sessions at Toronto Jail, Metro East and Metro West Detention Centres and Mimico Correctional Centre, and evaluate at 3 and 6 month intervals;

(2) Facilitate a bi-weekly health promotion and support group for HIV positive prisoners at the Toronto Jail;

(3) Provide case management up to a maximum of 7 hours/week, health promotion and referrals for prisoners and ex-prisoners living with HIV; and

(4) Maintain consultation and partnerships with staff of correctional facilities, ASOs and Toronto Public Health to ensure effective and efficient delivery of services.

99A-59-O ST. STEPHEN'S COMMUNITY HOUSE - AIDS Information, Dissemination and Education Services (A.I.D.E.S.)

This project is not recommended for funding.

99A-60-O SOCIETY FOR THE AID OF CEYLON (SRI LANKA) MINORITIES - SACEM - Healthy Choices for Tamils

That funds in the amount of $5,986.00 be provided to Society for the Aid of Ceylon (Sri Lanka) Minorities to carry out the following services: To employ a 7 hours/week Coordinator to:

(1) Provide 8 workshops for the Tamil community; 2 workshops in St. James Town and 6 in East York/Scarborough; 4 targeting youth and 4 targeting unattached young men and women;

(2) Provide 2 workshops targeting Tamil health care, social service and teaching professionals; and

(3) Disseminate HIV/AIDS information using Tamil media, radio and print.

99A-61-O STREET HEALTH - Street Health AIDS Outreach Project

That funds in the amount of $52,132 be provided to Street Health to carry out the following services:

To employ a 3 -1/2 days/week AIDS Outreach Project Coordinator to:

(1) Recruit, train and support 3 Peer Educators to provide 30 hours/week outreach services, prevention education and harm reduction strategies to their peers;

(2) Recruit, train and support 2 Peer Outreach Workers to provide 8 hours/week of needle exchange and harm reduction messages to IDUs in squats, crack houses and other local hang-outs in the Dundas/Sherbourne neighbourhood on Saturdays and Sundays; and

(3) Coordinate outreach activities and provide HIV prevention training/educational sessions to clients/staff of the Open Door, Central Neighbourhood House and the Friendship Centre, and other appropriate venues, at least monthly.

99A-62-O SYME WOOLNER NEIGHBOURHOOD AND FAMILY CENTRE - The AIDS Prevention Project

That funds in the amount of $10,624 be provided to Syme Woolner Neighbourhood and Family Centre to carry out the following services: To employ a 10.5 hours/week AIDS Prevention Worker to:

(1) Develop and implement 2 HIV/AIDS community events, at least one during AIDS Awareness Week, in partnership with community members;

(2) Provide 4 hours/month of HIV/AIDS outreach to bars, hair salons and businesses; and

(3) Provide 10 HIV/AIDS workshops/information sessions to community members, community organizations and groups in collaboration with relevant ethno-specific ASOs.

99A-63-O TORONTO ASSOCIATION FOR COMMUNITY LIVING - Employment Training Services: Jessie Manson Healthy Lifestyles Education Program

That funds in the amount of $7,489 be provided to Toronto Association for Community Living to carry out the following services: To employ a 7 hours/week Coordinator to:

(1) Conduct a needs assessment with families, support staff, program participants and advocates to develop an educational program on healthy sexuality and HIV/STDs geared to adults with a developmental disability;

(2) Provide twice monthly small group discussions regarding healthy sexuality, HIV and related issues to program participants; and

(3) Provide 2 workshops for families and support workers.

99A-64-O TORONTO PEOPLE WITH AIDS FOUNDATION - Speakers' Bureau Program

That funds in the amount of $60,188 be provided to Toronto People With AIDS Foundation to carry out the following services: To employ a full-time (40 hours/week) Coordinator to:

(1) Schedule 300 speaking engagements within the City of Toronto to youth, women, drug and rehabilitation participants, injection drug users and staff of health and community service organizations (at least 100 will be provided outside of the former City of Toronto);

(2) Recruit, train and support 12 new speakers for PWA and train speakers for other ASOs, which reflect the diversity of the population of the City of Toronto; and,

(3) Support current speakers by providing 2 - 3 speaker support sessions.

99A-65-O UNITED CARIBBEAN AIDS - EDUCATION NETWORK - U.C.A.N.

This project is not recommended for funding.

99A-66-O THE VIETNAMESE YOUTH AND WOMEN'S CENTRE OF TORONTO - AIDS Prevention Grants

That funds in the amount of $1,500 be provided to the Vietnamese Youth and Women's Centre of Toronto to carry out the following services:

(1) Provide at least 3 HIV/AIDS workshops targeted to a minimum of 150 Vietnamese youth and women; and

(2) Network and collaborate with other agencies (e.g. Asian Community AIDS Services, Immigrant Women's Health Centre) to enhance outreach to the centre's target population.

99A-67-O WARDEN WOODS COMMUNITY CENTRE - The Scarborough HIV/AIDS Network (SCHAN)

That funds in the amount of $6,884 be provided to Warden Woods Community Centre to carry out the following services: To employ a 7 hours/week HIV/AIDS Coordinator to:

(1) Develop and implement 2 HIV/AIDS community events, at least one during AIDS Awareness Week, in partnership with community members and Scarborough HIV/AIDS Network (SCHAN);

(2) Provide 10 HIV/AIDS workshops to community members and agencies; and

(3) Implement a PHA needs assessment for support services in Scarborough.

99A-68-O AFRICAN COMMUNITY HEALTH SERVICES - Africans United to Control AIDS

This project is not recommended for funding.

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Appendix C

Sample Letter of Understanding with attached

Terms and Conditions

July 28, 1999

Attention: ,

Dear :

Re: , Corporate File #

At its meeting of July 27, 1999 City Council authorized that funding in the amount of _____be made to ____ for___ . This represents the total amount of funding which will be payable in ____ instalment(s) at the beginning of the project, July, 1999. Any unused funding remains the property of the City of Toronto and shall, upon request of the Medical Officer of Health, be returned immediately to the City of Toronto.

The services which are to be provided with this funding should occur within City of Toronto boundaries unless otherwise specified. (Add any conditions, if necessary, eg: Release of the funds is conditional on the organization providing .......). The services to be provided are:

*(insert recommendations)

These services are to be completed by June 30, 2000. Material changes to the nature of, or budget for the activities for which the grant has been made, must receive prior written consent from the City. The support of Toronto Public Health must be acknowledged on any educational/promotional materials produced and at all promotional events/activities held, which are paid for, in full or in part, with this funding.

Progress reports with respect to the project are to be submitted to my staff in accordance with the following schedule:

Report # Period Covered Type Due Date

(1) July 1 - Sept. 30/99 meeting-verbal Oct. 15/99

(2) July 1 - Dec. 31/99 written-progress Jan. 15/2000

(3) Jan. 1 - June 30/2000 written-progress July 15/2000

July 1/99 - June 30/2000 final evaluation July 15/2000

The City shall not be liable for any damages, injury or any loss of use or profit of the Recipient arising out of, or in any way related to, the grant Recipients operations. The grant recipient shall indemnify the City, its officers, employees and agents, against all costs, damages and expenses incurred as a result of a claim or proceedings related to the grant recipients operations, unless such costs, damages or expenses arise from the negligence or wilful act of an officer, employee or agent of the City.

If you breach any of the terms and conditions of the grant, as set out in this letter and in the attached Terms and Conditions, or if you cease operating; cease to operate as a non-profit organization or collective; wind up or dissolve, merge or amalgamate with any other party; commence or have commenced against you any proceedings in bankruptcy, or are adjudged a bankrupt; knowingly provide false information in the grant application; use grant funds for purposes not approved by City Council; or breach any of the provisions of the Ontario Human Rights Code in your operations, the grant must, at the request of the City be repaid in whole or in part to the City.

Your Toronto Public Health contact for this project is_____ , Community Projects Officer, AIDS Prevention Grants, 277 Victoria Street, 6^th floor, Toronto, M5B 1W1, and can be reached at 392-1560 ext.______ .

We have enclosed the following:

2 copies of the Letter of Understanding; and

2 copies of the Conditions of Grant.

Please retain 1 copy of each for your files; and

Sign and return the 2^nd copy to:

Eppie Kawall, Central Resources Clerk, Toronto Public Health

277 Victoria Street, 6^th floor, Toronto, Ontario M5B 1W1.

When signed copies are received, arrangements will be made for you to receive your cheque.

I congratulate you on your grant award and wish you all the best with your project.

Yours sincerely,

Dr. Sheela V. Basrur

Medical Officer of Health

I have read, understand and agree to comply with the terms and conditions contained in this Letter of Understanding. I/we have authority to bind the organization.

Name & Title Signature

Date

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Terms and Conditions

At its meeting of December 16 and 17, 1998 City Council approved the report City of Toronto Grants Policy which sets out a City of Toronto grants policy. The purpose of the policy is to establish standards and common practices for all its grant-making activities to ensure consistency and fairness. The list of conditions includes general conditions for all organizations receiving grants from the City of Toronto, as well as terms specific to the administration of the (name of program).

If funding is granted by the City of Toronto (the City) from the (name of grant program) the applicant (the Recipient), by signing the application authorization (application form), acknowledges the following conditions and agrees to them.

1. Use and Purpose of the Grant:

1.3 The grant recipient shall not transfer or assign the grant or any part thereof to another organization or individual, without the prior written consent of the City.

1.4 Any funds awarded will be put to their intended use by (date) unless the City has provided prior written approval regarding extension.

2. Municipal Freedom of Information and Protection of Privacy Act:

3. Anti-Racism, Access and Equity Guidelines:

The Recipient must complete and file a Declaration of Non-Discrimination, indicating the organization has adopted and upholds a policy of access and non-discrimination based on the Citys Human Rights Policy. The Recipient will work actively to integrate anti-racism, access and equity, throughout their operations, in accordance with the Citys approved Anti-Racism, Access and Equity Policy as it relates to all grant recipients (please refer to attached Policy).

4. Repayment of Grants:

4.1 The grant recipient shall, at the request of the City, repay to the City the whole or any part of the grant as determined by the City, if the grant recipient:

(a) ceases operating;

(b) ceases to operate as a non-profit organization or collective;

(d) merges or amalgamates with any other party;

(e) commences or has commenced against it, any proceedings in bankruptcy or is adjudged a bankrupt;

(f) has knowingly provided false information in its grant application;

(g) uses grant funds for purposes not approved by City Council;

(h) breaches any of the terms or conditions of the grant; or

(i) breaches any of the provisions of the Ontario Human Rights code in its operations.

4.2 The Recipient shall notify the City of the occurrence of any of the events referred to in clauses 4.1 (a) through (e).

5. Accounting:

5.2 The grant recipient shall keep records of names, titles and salaries of persons whose positions are funded by the City, in whole or in part, and provide this information to the City on request.

6. Limitation of Liability and Indemnification:

6.1 The City shall not be liable for any damages, injury or any loss of use or profit of the recipient arising out of, or in any way related to, the grant recipients operations.

6.2 The Recipient shall indemnify the City, its officers, employees and agents, against all costs, damages and expenses incurred as a result of a claim or proceedings related to the grant recipients operations, unless such costs, damages or expenses arise from the negligence or wilful act of an officer, employee or agent of the City.

7. Further Conditions:

The City shall be entitled, at any time, to impose such additional terms and conditions on the use of the grant which, in its sole discretion, it deems appropriate.

8. Grant Payments:

When a grant is approved, the Recipient will be advised in writing as to the amount, timing and payment schedule for the grant.

9. Acknowledgment of funding:

The recipient will acknowledge the support of the City of Toronto, through (name of Dept or program) on any materials, reports, events, signage or publicity, which are paid for, in full or in part with this funding.

10. Reports:

11. Consultation:

12. Status of the Organization:

The applicant must be in good standing with the City of Toronto, having met the terms and conditions of any previous grant provided to the applicant by the City.

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(Mr. Lee Zaslofsky declared his interest in the foregoing matter in that he is employed by the AIDS Committee of Toronto.)

(City Council on July 27, 28, 29 and 30, 1999, had before it, during consideration of the foregoing Clause, a communication (July 21, 1999) from the Lawrence Heights Community Health Centre, regarding HIV/AIDS Prevention in Northwest Toronto Project #99A-54-O, and advising that decreased funding has caused the Centre to re-evaluate its project focus and lean more towards working with ethno-specific communities and groups.)

1999 Community Services Grants - Recommended

Allocations to AIDS Service Organizations

(City Council on July 27, 28, 29 and 30, 1999, adopted this Clause, without amendment.)

The Board of Health recommends the adoption of the following report (July 9, 1999) from the Medical Officer of Health:

Purpose:

This report outlines recommended allocations for approval by the Board of Health regarding 1999 Community Services Grants allocations to be administered by Public Health to five AIDS service organizations.

Funding Sources:

Funding of $132,236.00 for the 1999 Community Services Grants to five AIDS service organizations is available in the 1999 Consolidated Grants Budget, approved by City Council at its meeting of April 26 and 27, 1999.

Recommendations:

It is recommended that:

(1) Community Services Grants, totalling $132,236.00 allocated to five AIDS service organization applicants, as described in Appendices A and B of this report be approved;

(2) release of the funds be subject to the satisfactory completion of a Declaration Form regarding the adoption of the City of Toronto's Non-Discrimination Policy; and

(3) authority be granted to the Medical Officer of Health to take the necessary action to give effect thereto, including the execution of the Letters of Understanding on behalf of the City, on the terms and conditions as outlined in this report (see Appendix C).

Background:

At its meeting of March 4, 5, and 6, 1998, City Council approved the report titled "Municipal Grants Review Committee" (Clause No. 15, Report No. 3 of The Strategic Policies and Priorities Committee) which established the Municipal Grants Review Committee to oversee the development of a 1999 integrated Municipal Grants Policy. The development of an integrated Municipal Grants Policy included reviewing and revising grants policies for each service area. As part of the review, Public Health's AIDS Prevention Grants Program undertook a service review with key stakeholders in 1998 to identify directions for the program for 1999. The September 1998 Board of Health report "AIDS and Drug Abuse Prevention Grants Review" provided a summary of the findings of the public health consultations. The report recommendations were then forwarded to the Municipal Grants Review Committee.

The AIDS Prevention Grants review re-affirmed that Public Health grants are a policy-supported, integrated component within Public Health programs. The integration of grants with programs is critical to ensuring responsiveness to emerging trends and access to program-specific and client-specific expertise.

In 1998, the five applicant agencies being recommended in this report for funding through Public Health had their funding administered by the Social Development and Administration Division of Community and Neighbourhood Services. As a result of efforts to rationalize services and programs, the corporate grants review recommended that funds which support community groups whose primary mandate is provision of HIV/AIDS-related services (referred to as AIDS service organizations) be transferred from the Community Services Grants budget to the AIDS Prevention Grants budget administered by Public Health.

Comments and/or Discussion and/or Justification:

1999 is the transition year for the transfer of the administration of funding for five AIDS service organizations from the Social Development and Administration Division of Community and Neighbourhood Services to the Public Health Division. Accordingly, the purposes for which funding was allocated in 1998 is being grandfathered for 1999 and the funding request is flatlined at 1998 allocation levels. This information was conveyed to the agencies in a March 1999 letter from the Manager of the Community Services Grants Program. The submission requirements were simplified for 1999 to include a one-two page overview of the applicant's proposed funding program description, a program budget, a completed "Part A - Organizational Information" from the grants application, letters patent and the most recent audited financial statement.

Of the five applicants recommended for funding, four currently receive either AIDS Prevention Grants funding or AIDS purchase of service contract funding. Having Public Health administer these five grants will streamline the assessment and application processes, on-going program support, reporting, etc. Also, agencies undertaking HIV-related activities/services would be linked to the overall comprehensive Public Health Sexual Health and HIV/AIDS programs, and will have access to staff with program-specific expertise.

AIDS grants staff will continue to meet with the five AIDS service organizations in summer 1999 and with other relevant community groups and stakeholders in fall 1999 to review Community Services Grants criteria for AIDS service organizations and to determine the required revisions to the year 2000 grants cycle. One of the key issues to resolve in aligning the grants funding will be to clarify eligibility criteria, since priorities for AIDS Prevention Grants and Community Grants differ.

The primary goal of the 1999 Community Services Grants Program is to support and sustain the social well-being of Toronto's communities by building community capacity, supporting vulnerable communities, and addressing community service needs through provision of direct community services. The priority of the 1999 AIDS Prevention Grants is to support innovative, targeted education programs to positively influence behaviours and situations that put people at risk of acquiring HIV.

Hence AIDS Prevention Grants provide funding for targeted prevention educational initiatives, and Community Services Grants have provided funding to AIDS service organizations for activities such as support services and volunteer development activities. Over the years, as health promotion programs evolved to address the needs of persons living with and affected by HIV/AIDS, the AIDS Prevention Grants Program has enhanced funding for activities that provide support to people living with HIV/AIDS, although support-related activities continue to make up a small component within the overall AIDS Prevention Grants funding.

Conclusions:

Five Community Services grants have been transferred to Toronto Public Health for administration as part of municipal grants harmonization. This report requests the Board of Health's approval of recommended allocations, and describes challenges to be resolved in corporately aligning AIDS-related grants.

Contact Name:

Connie Clement

Director, Public Health Planning and Policy, Toronto Public Health

Tel: (416)392-7463/Fax: (416) 392-0713

Liz Janzen

Regional Director, South Region, Toronto Public Health

Tel: (416) 392-7458/Fax: (416) 392-0713

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Appendix A

1999 Aids Community Services Grants

1998 Approved Allocation/1999 Amount Recommended

Africans in Partnership Against AIDS $19,000.00 $19,000.00

AIDS Committee of Toronto $58,606.00 $58,606.00

Positive Straight Men $12,500.00 $12,500.00

The Teresa Group $15,000.00 $15,000.00

Toronto People With AIDS Foundation $27,130.00 $27,130.00

Appendix B

Recommended Funded Services for Each Applicant

Africans in Partnership Against AIDS:

That funds in the amount of $19,000.00 be provided to Africans in Partnership Against AIDS to carry out the following services: To employ a three days/week Support Services Coordinator to:

(1) Recruit, train and support 10 Buddy volunteers to assist with counseling, support groups and practical assistance to persons living with HIV/AIDS;

(2) Provide one-to-one counseling, referrals and practical assistance services; and

(3) Coordinate support groups, drop-in centre and soup kitchen programs.

AIDS Committee of Toronto:

That funds in the amount of $58,606.00 be provided to the AIDS Committee of Toronto (ACT) to carry out the following services: To employ a half-time Director of Support Services and a half-time Support Group Coordinator to:

(1) Provide training, supervision and coordination services to ACT volunteer support group facilitators; training to be available and offered to other AIDS service organizations;

(2) Provide short-term and ongoing support groups on a variety of topic areas (e.g., Living with HIV, Being an HIV-Negative Gay Man, Being a Care Partner to a Person Living with AIDS, Strategies for Health, What Now?, Riding the Rollercoaster, Living with HIV on a Restricted Income, Affected Women's Support, therapy group for depression); and,

(3) Provide 10 issues of the volunteer bulletin; ongoing provision of emotional and practical support to volunteers; two workshops for volunteers on topics related to their work and ongoing supervision meetings with volunteers (one-to-one and by program teams).

Positive Straight Men:

That funds in the amount of $12,500.00 be provided to Positive Straight Men to carry out the following services: To employ a 10 hours/week Office Coordinator to:

(1) support volunteers to assist with support groups, lay counseling, mailouts and office help; and

(2) facilitate monthly educational workshops/support group meetings for heterosexual and bisexual men living with HIV/AIDS.

Funding is conditional upon the agency undertaking an organizational development process. Positive Straight Men is encouraged to consider partnership or collaborative models of service delivery with appropriate agencies serving the community.

The Teresa Group:

That funds in the amount of $15,000.00 be provided to The Teresa Group to carry out the following services:

(1) To provide administrative, volunteer, peer and practical support to the Family Support Program for the development, printing and distribution of resources; and, for the purchase of program materials.

Toronto People With AIDS Foundation:

That funds in the amount of $27,130.00 be provided to Toronto People With AIDS Foundation to carry out the following services:

(1) to provide ongoing support to the Foodbank Program for equipment maintenance (van and freezer); for insurance and supplies needed to prepare 125 to 150 weekly food boxes; and

(2) to purchase items for the holiday hamper baskets to be distributed in December, 1999.

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Appendix C

Sample Letter of Understanding with attached

Terms and Conditions

July 28, 1999

The following model "Letter of Understanding" will be used for grants from both the AIDS Prevention Program Grants and the Drug Abuse Prevention Program Grants.

(Date)

(Agency name,

Address etc.)

Re: 1999 (name of program) (name of project)

Dear (contact person),

At its meeting of (date) City council authorized that a grant in the amount of ($) be made to (organization's name) for (service or project name). This represents the total amount of the grant, including any applicable taxes and disbursements. The grant will be payable in (#) instalment(s) according to the following schedule:

(Examples: one payment after the signed letter of understanding is received. Or two equal payments, the first payment after the letter of understanding is received, and the second payment after a satisfactory progress report).

(Add any conditions specific to this grant here, e.g. release of the funds is conditional on the organization providing�)

The services which are to be provided with this funding must take place within City of Toronto boundaries unless otherwise specified. The services to be provided are:

(Description from allocations report.)

These services are to be completed by (date). Material changes to the nature of, or budget for the activities for which the grant has been made, must received prior written consent from the City. (Spending will be in accordance with the attached budget.)

The support of the City of Toronto (Department or program name) must be acknowledged by the recipient on any materials, reports, events, signage or publicity which are paid for, in full or in part with this funding.

Reports outlining the progress in providing services or activities, and including a financial statement for the period of the report are to be submitted in accordance with the following schedule (and attached guidelines): (Insert reporting schedule. For example: a progress report by January 31, 2000 and a final report by July 31, 2000.) Please submit all reports to (staff name) your City contact for this grant.

Any unused portion of the grant remains the property of the City of Toronto and shall be returned immediately to the City. If you breach any of the terms and conditions of the grant, as set out in this letter and in the Terms and Conditions, or if you cease operating; cease to operate as a non-profit organization or collective; wind up or dissolve; merge or amalgamate with any other party; commence or have commenced against you any proceedings in bankruptcy, or are adjudged a bankrupt; knowingly provide false information in the grant application; use grant funds for purposes not approved by City Council; or breach any of the provisions of the Ontario Human Rights Code in your operations, the grant must, at the request of the City be repaid in whole or in part to the City.

The City shall not be liable for any damages, injury or any loss of use or profit of the Recipient arising out of, or in any way related to, the grant recipient's operations. The grant recipient shall indemnify the City, its officers, employees and agents, against all costs, damages and expenses incurred as a result of a claim or proceedings related to the grant recipients operations, unless such costs, damages or expenses arise from the negligence or wilful act of an officer, employee or agent of the City.

Two copies of this Letter of Understanding are provided. Please retain one copy for your files. Sign and return the second copy to your City contact person for the grant at the address below.

(Program contact name and address)

When a signed copy of the Letter of Understanding is received by this office, arrangements will be made for you to receive your cheque.

Yours truly,

(Authorized City Official)

I/we have read, understand and agree to comply with the terms and conditions contained in this Letter of Understanding. I/we have authority to bind the organization.

Name_____________________________ Name_____________________________

Title______________________________ Title______________________________

Signature__________________________ Signature__________________________

Date______________________________ Date______________________________

--------

Terms and Conditions

At its meeting of December 16 and 17, 1998, City Council approved the report City of Toronto Grants Policy which sets out a City of Toronto grants policy. The purpose of the policy is to establish standards and common practices for all its grant-making activities to ensure consistency and fairness. The list of conditions includes general conditions for all organizations receiving grants from the City of Toronto, as well as terms specific to the administration of the (name of program).

1. Use and Purpose of the Grant:

1.3 The grant recipient shall not transfer or assign the grant or any part thereof to another organization or individual, without the prior written consent of the City.

1.4 Any funds awarded will be put to their intended use by (date) unless the City has provided prior written approval regarding extension.

2. Municipal Freedom of Information and Protection of Privacy Act:

3. Anti-Racism, Access and Equity Guidelines:

The Recipient must complete and file a Declaration of Non-Discrimination, indicating the organization has adopted and upholds a policy of access and non-discrimination based on the Citys Human Rights Policy. The Recipient will work actively to integrate anti-racism, access and equity, throughout their operations, in accordance with the Citys approved Anti-Racism, Access and Equity Policy as it relates to all grant recipients (please refer to attached Policy).

4. Repayment of Grants:

4.1 The grant recipient shall, at the request of the City, repay to the City the whole or any part of the grant as determined by the City, if the grant recipient:

(a) ceases operating;

(b) ceases to operate as a non-profit organization or collective;

(d) merges or amalgamates with any other party;

(e) commences or has commenced against it, any proceedings in bankruptcy or is adjudged a bankrupt;

(f) has knowingly provided false information in its grant application;

(g) uses grant funds for purposes not approved by City Council;

(h) breaches any of the terms or conditions of the grant; or

(i) breaches any of the provisions of the Ontario Human Rights code in its operations.

4.2 The Recipient shall notify the City of the occurrence of any of the events referred to in clauses 4.1 (a) through (e).

5. Accounting:

5.2 The grant recipient shall keep records of names, titles and salaries of persons whose positions are funded by the City, in whole or in part, and provide this information to the City on request.

5.3 The Recipient authorizes the City and its agents at all reasonable times to inspect and copy any and all records, invoices and documents in the custody or control of the Recipient which relate to the grant, for a period of three years from the date of approval of the grant by City Council. This right of inspection includes the right to perform a full or partial audit of the aforementioned records, as considered appropriate by the City.

6. Limitation of Liability and Indemnification:

6.1 The City shall not be liable for any damages, injury or any loss of use or profit of the recipient arising out of, or in any way related to, the grant recipients operations.

6.2 The Recipient shall indemnify the City, its officers, employees and agents, against all costs, damages and expenses incurred as a result of a claim or proceedings related to the grant recipients operations, unless such costs, damages or expenses arise from the negligence or wilful act of an officer, employee or agent of the City.

7. Further Conditions:

The City shall be entitled, at any time, to impose such additional terms and conditions on the use of the grant which, in its sole discretion, it deems appropriate.

8. Grant Payments:

When a grant is approved, the Recipient will be advised in writing as to the amount, timing and payment schedule for the grant.

9. Acknowledgment of funding:

10. Reports:

11. Consultation:

12. Status of the Organization:

The applicant must be in good standing with the City of Toronto, having met the terms and conditions of any previous grant provided to the applicant by the City.

--------

(Mr. Lee Zaslofsky declared his interest in the foregoing matter in that he is employed by the AIDS Committee of Toronto.)

Respectfully submitted,

JOHN FILION

Chair

Toronto, July 22, 1999

(Report No. 6 of The Board of Health, including an addition thereto, was adopted, without amendment, by City Council on July 27, 28, 29 and 30, 1999.)

Humidex Range (In Celsius)	Degrees of Comfort	Comment
Less than 29 Degrees Celsius	No discomfort
30 to 39 Degrees Celsius	Some discomfort: Varying degrees of discomfort	If mid to high 30's: certain types of outdoor exercise should be toned down or modified depending on age and health of the individual, physical shape, the type of clothes worn and other weather conditions
40 to 45 Degrees Celsius	Great discomfort; avoid exertion; almost everyone is uncomfortable	All unnecessary activity should be curtailed
Above 45 Degrees Celsius	Dangerous
Above 54 Degrees Celsius	Heat stroke imminent

		Ward	1998 Award ($)	1999 Request ($)	1999 Recommended Award ($)
99DNsm-001	ACCESS ALLIANCE MULTICULTURAL COMMUNITY HEALTH CENTRE	20	2,000	19,964	13,476
99DTlm-002	ALL SAINTS' CHURCH-COMMUNITY CENTRE	24	7,625	29,000	13,689
99DTlm-003	AMBASSADOR PARTNERSHIP	24	18,450	20,750	19,344
99DTsk-004	APPLEGROVE COMMUNITY COMPLEX	26	6,731	6,731	6,731
99DTsk-005	BIRCHMOUNT BLUFFS NEIGHBOURHOOD CENTRE	13	n/a	12,045	5,460
99DNps-006	BLACK CREEK ANTI-DRUG FOCUS COMMUNITY GROUP	7	n/a	10,000	5,421
99DTlm-007	BLACK SECRETARIAT (THE)	24	8,445	51,600	Nil
99DTsk-008	BLAKE BOULTBEE YOUTH OUTREACH SERVICE	25	10,435	15,000	10,402
99DNsm-009	BLOOR & LANSDOWNE COMMITTEE AGAINST DRUGS	21	3,825	3,860	3,860
99DTlm-010	CABBAGETOWN YOUTH CENTRE	25	20,000	33,000	19,635
99DNck-011	CECIL COMMUNITY CENTRE	24	8,575	13,249	12,487
99DNck-012	CENTRAL TORONTO COMMUNITY HEALTH CENTRES	20	4,400	20,182	12,449
99DNsm-013	CENTRE FOR ACTIVE RESOURCES (CFAR)	19	n/a	6,800	Nil
99DNck-014	CENTRE FOR SPANISH-SPEAKING PEOPLES	20	7,623	13,000	8,040
99DNsm-015	CHINESE FAMILY LIFE SERVICES OF METRO TORONTO	24	n/a	20,000	Nil
99DNps-016	CHRISTIE/OSSINGTON NEIGHBOURHOOD CENTRE	21	8,332	12,500	Nil
99DTps-017	CONCERNED KIDS CHARITY OF TORONTO (THE)	8	9,220	14,140	9,540
99DTsk-018	CONCERNS CANADA: ALCOHOL AND DRUG CONCERNS, INC.	18	n/a	96,000	Nil
99DTlm-019	COUNCIL FIRE NATIVE CULTURAL CENTRE	25	Nil	7,100	4,000
99DNps-020	DAVENPORT-PERTH NEIGHBOURHOOD CENTRE	21	11453	11,954	11,103
99DTps-021	DAVENPORT-PERTH NEIGHBOURHOOD CENTRE	21	10750	11,554	9,352
99DTps-022	DELISLE YOUTH SERVICES	22	13,150	14,390	12,990
99DTlm-023	DIXON HALL	25	9,000	17,076	11,203
99DNck-024	DOVERCOURT BOYS AND GIRLS CLUB	21	20,000	34,800	11,447
99DNsm-025	DUFFERIN MALL YOUTH SERVICES (DMYS)	20	2,400	35,500	7,850
99DTsk-026	EACH ONE, TEACH ONE	15	n/a	20,100	5,635
99DTsk-027	EAST METRO YOUTH SERVICES	16	n/a	9,944	5,649
99DTsk-028	EAST SCARBOROUGH BOYS & GIRLS CLUB	16	n/a	12,800	6,500
99DTsk-029	EAST TORONTO BASKETBALL ASSOCIATION	16	n/a	10,000	2,000
99DTsk-030	EAST YORK/EAST TORONTO FAMILY RESOURCES	1	n/a	8,300	5,200
99DTsk-031	EAST YORK PRIDE	1	n/a	3,700	2,700
99DTsk-032	EASTVIEW NEIGHBOURHOOD COMMUNITY CENTRE	25	8,900	7,800	6,950
99DTps-033	ELIZABETH FRY SOCIETY OF TORONTO	24	10,920	18,759	10,920
99DTps-034	ETHIOPIAN ASSOCIATION IN TORONTO	26	n/a	24,200	2,000
99DNsm-035	ETHNORACIAL COALITION: ACCESS TO ADDICTION SERVICES	15	n/a	6,250	4,745
99DNsm-036	ETOBICOKE BRIGHTER FUTURES COALITION, SOUTH TEAM	2	n/a	19,800	4,820
99DNps-037	FAMILY SERVICE ASSOCIATION OF TORONTO	24	1,200	12,000	2,000
99DTps-038	FEDERATION OF CANADIAN TURKISH ASSOCIATIONS	22	n/a	5,900	2,000
99DNck-039	FORT YORK FOOD BANK	20	n/a	8,300	Nil
99DTps-040	FRONTIER COLLEGE	23	8,800	9,000	7,384
99DNck-041	HARBOURFRONT COMMUNITY CENTRE	24	12,231	19,300	14,180
99DNck-042	HARBOURFRONT COMMUNITY CENTRE	24	3,183	5,500	4,100
99DNsm-043	HERITAGE SKILLS DEVELOPMENT CENTRE (HSDC)	20	n/a	5,000	Nil
99DTlm-044	HOME FOR CREATIVE OPPORTUNITY (A) (HFCO)	25	7,710	8,000	7,553
99DNps-045	JANE/FINCH COMMUNITY & FAMILY CENTRE	7	n/a	7,000	4,964
99DTlm-046	JESSIE'S CENTRE FOR TEENAGERS	25	8,830	9,650	8,900
99DTlm-047	JOHN HOWARD SOCIETY OF METROPOLITAN TORONTO	24	6,728	10,228	6,728
99DNck-048	KABABAYAN COMMUNITY CENTRE	19	9,680	13,240	10,656
99DNck-049	KENSINGTON YOUTH THEATRE & EMPLOYMENT SKILLS (KYTES)	24	9,000	9,000	9,000
99DNck-050	MIXED COMPANY	20	9,250	10,000	8,483
99DNsm-051	NA-ME-RES (NATIVE MEN'S RESIDENCE)	23	n/a	36,540	Nil
99DTlm-052	NATIVE AFRICAN INMATES & FAMILIES ASSOCIATION (NAIFA)	24	Nil	5,516	2,000
99DNsm-053	NATIVE CANADIAN CENTRE OF TORONTO	24	n/a	9,600	Nil
99DTlm-054	NATIVE CHILD AND FAMILY SERVICES OF TORONTO	24	2,800	4,000	3,100
99DTlm-055	NATIVE CHILD AND FAMILY SERVICES OF TORONTO	24	19,800	30,970	19,800
99DNsm-056	NAZARETH HOUSE INC.	20	n/a	47,160	Nil
99DTlm-057	NEIGHBOURHOOD/VERTICAL WATCH	25	3,895	4,295	3,895
99DNps-058	NORTHWOOD NEIGHBOURHOOD SERVICES	7	n/a	10,000	6,774
99DTps-059	O'CONNOR FOCUS COMMUNITY AGAINST SUBSTANCE ABUSE	11	n/a	16,000	6,121
99DNps-060	OGADEN SOMALI COMMUITY ASSOCIATION OF ONTARIO	8	n/a	20,000	6,476
99DTlm-061	ONE ON ONE MENTORING PARTNERSHIP	25	10,477	17,900	10,120
99DTsk-062	ONTARIO PHYSICAL AND HEALTH EDUCATION ASSOCIATION	11	n/a	20,000	Nil
99DTsk-063	PAPE ADOLESCENT RESOURCE CENTRE (PARC)	24	7,460	10,400	6,460
99DNsm-064	PARENTS AGAINST DRUGS	8	n/a	4,010	3,246
99DNck-065	PARKDALE COMMUNITY HEALTH CENTRE	19	12,233	30,763	10,254
99DNck-066	PARKDALE FOCUS COMMUNITY PROJECT	19	3,001	6,104	3,092
99DNsm-067	POLISH IMMIGRANT AND COMMUNITY SERVICES	19	6,604	11,935	7,336
99DTsk-068	RALPH THORNTON CENTRE	25	n/a	10,925	7,036
99DNsm-069	REXDALE COMMUNITY HEALTH CENTRE	4	n/a	27,590	6,834
99DNck-070	SCADDING COURT COMMUNITY CENTRE	24	11,484	17,728	13,708
99DTps-071	SKETCH	20	11,200	17,400	12,980
99DTsk-072	SOCIETY FOR THE AID OF CEYLON (SRI LANKA) MINORITIES - SACEM	15	Nil	14,865	5,173
99DTlm-073	SOUTH EAST ASIAN SERVICES CENTRE (SEAS)	25	3,336	20,000	5,950
99DNps-074	ST. ALBAN'S BOYS & GIRLS CLUB - JANE/FINCH	21	n/a	13,300	5,400
99DNck-075	ST. ALBAN'S BOYS & GIRLS CLUB	21	n/a	15,030	7,140
99DNck-076	ST. CHRISTOPHER HOUSE	20	17,450	21,500	17,225
99DNck-077	ST. STEPHEN'S COMMUNITY HOUSE	24	18,198	18,696	18,696
99DTps-078	STREET HEALTH	24	6,868	18,961	11,996
99DNsm-079	SYME WOOLNER NEIGHBOURHOOD AND FAMILY CENTRE	27	n/a	8,700	6,022
99DNsm-080	TIGRAYAN ASSOCIATION IN TORONTO	20	n/a	9,150	Nil
99DNsm-081	TORONTO DRUG AWARENESS COALITION	8	n/a	3,003	2,313
99DTsk-082	TORONTO FRIENDSHIP CENTRE (THE)	25	Nil	5,000	Nil
99DTlm-083	TORONTO KIWANIS BOYS AND GIRLS CLUBS (GERRARD)	25	6,250	8,550	6,250
99DNck-084	TORONTO KIWANIS BOYS AND GIRLS CLUB	25	6,000	6,725	6,725
99DTlm-085	TORONTO MAINLAND CHINESE COMMUNITY CENTRE (ONTARIO)	24	Nil	8,000	2,000
99DTsk-086	TORONTO TAMIL YOUTH SERVICES	24	Nil	17,820	Nil
99DNck-087	UNIVERSITY SETTLEMENT RECREATION CENTRE	24	7,128	17,089	12,289
99DNck-088	UNIVERSITY SETTLEMENT RECREATION CENTRE	24	n/a	6,215	4,100
99DTsk-089	WARDEN WOODS COMMUNITY CENTRE	13	n/a	4,678	4,078
99DTsk-090	WEST SCARBOROUGH NEIGHBOURHOOD COMMUNITY CENTRE	13	n/a	19,992	5,300
99DTsk-091	WOODGREEN COMMUNITY CENTRE OF TORONTO	25	8,200	19,087	8,095
99DNsm-092	YMCA FIRST STOP	24	6,200	25,000	Nil
99DTlm-093	YMCA YOUTH SUBSTANCE ABUSE PROGRAM	24	4,000	5,520	4,800
99DNsm-094	YOUTH CLINICAL SERVICES	7	n/a	8,000	6,570
99DTlm-095	YOUTHLINK INNER CITY	20	3,640	12,320	5,200
99DNps-L96	JAMAICAN CANADIAN ASSOCIATION	7	n/a	25,955	Nil
99DTsk-L97	WALPOLE WALLABIES YOUTH GROUP	26	4889	15530	Nil
TOTAL			* $459,959	$1,511,488	$626,100