Ontario COVID-19 Science Advisory Table
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The Ontario COVID-19 Science Advisory Table, often referred to simply as the Ontario Science Table (OST), was a group of independent scientific experts that provided advice to the
Government of Ontario The government of Ontario (french: Gouvernement de l'Ontario) is the body responsible for the administration of the Canadian province of Ontario. A constitutional monarchy, the Crown—represented in the province by the lieutenant governor†...
about
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was COVID-19 pandemic in Hubei, identified in Wuhan, China, in December ...
. It consisted of several specialized research initiatives in addition to the core table, sharing common members, brand imaging, and partner institutions. This extended network included the Evidence Synthesis Network (ESN), the COVID-19 Rapid Evidence Access Link (REAL), and the Modelling Consensus Table (MCT). The group was initially hosted by the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
at the
University of Toronto The University of Toronto (UToronto or U of T) is a public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution ...
, switching to
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
in April 2022. The core table was dissolved as of September 6, 2022, transitioning to a new body called the Ontario Public Health Emergencies Science Advisory Committee (OPHESAC).


History

The Ontario COVID-19 Science Advisory Table was formed in July 2020. In August 2021, former Assistant Scientific Director Nathan Stall resigned from the table to avoid the perception of a conflict of interest due to his role as the
Ontario Liberal Party The Ontario Liberal Party (OLP; french: Parti libéral de l'Ontario, PLO) is a political party in the province of Ontario, Canada. The party has been led by interim leader John Fraser (Ontario MPP), John Fraser since August 2022. The party esp ...
candidate in the
2022 Ontario general election The 2022 Ontario general election will be held on or before June 2, 2022, to elect Members of Provincial Parliament to serve in the 43rd Parliament of Ontario. As of December 2016, Ontario elections are held on the first Thursday in June in th ...
. David Fisman resigned later the same month, alleging that "grim" COVID-19 projections for the fall of 2021 were being withheld as a result of political pressure. On March 17, 2022, the table released a report based on data modelling that warned that Ontario would see an increase in COVID-19 cases as a result of loosening of public health restrictions. The report indicated that protection from a third dose of a
COVID-19 vaccine A COVID19 vaccine is a vaccine intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), the virus that causes coronavirus disease 2019 ( COVID19). Prior to the COVID19 pandemic, an e ...
had plateaued for all age groups, particularly in
marginalized Social exclusion or social marginalisation is the social disadvantage and relegation to the fringe of society. It is a term that has been used widely in Europe and was first used in France in the late 20th century. It is used across discipline ...
communities, and recommended the continued wearing of
masks A mask is an object normally worn on the face, typically for protection, disguise, performance, or entertainment and often they have been employed for rituals and rights. Masks have been used since antiquity for both ceremonial and practi ...
. On July 6, 2022, the table stated that Ontario had entered a seventh wave of COVID-19 infections, citing a test positivity rate of over 10% and increased signals from wastewater testing. In their recommendations for the fall 2022 school year, the table declined to make a recommendation on the use of face masks in class due to a lack of consensus among the co-authors of the publication. Instead of weighing in on mandating their use, the table supported an approach that allowed individuals to choose to wear a mask or not. On August 3, 2022,
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
specialist Upton Allen
M.D. Doctor of Medicine (abbreviated M.D., from the Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. T ...
replaced Adalsteinn Brown as co-chair of the table. At a meeting with
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
on August 18, it was announced that the table and its working groups were to be dissolved as of September 6, 2022. The table's online Indicator Roadmap dashboard was set for discontinuation on September 8. The
Government of Ontario The government of Ontario (french: Gouvernement de l'Ontario) is the body responsible for the administration of the Canadian province of Ontario. A constitutional monarchy, the Crown—represented in the province by the lieutenant governor†...
stated that the work conducted by the table would continue under a new mandate, with terms of reference to be announced in early September. On September 1, Public Health Ontario announced the details of the new group and revealed its new name as the Ontario Public Health Emergencies Science Advisory Committee (OPHESAC). The new group was set to be led by fifteen core members, with the focus of their research determined by Public Health Ontario. Outgoing members of the table expressed opposition to
Kieran Moore Kieran Michael Moore is a Canadian physician and public servant who serves as the current chief medical officer of health of Ontario. Prior to his appointment, he served as the medical officer of health for Kingston, Frontenac, Lennox and Add ...
's September 1 announcement that the province would be dropping its mandatory isolation period for those testing positive for COVID-19, stating that they would have advised against the decision had they been consulted.


Organization

The Ontario COVID-19 Science Advisory Table (OST) was self-described as a group of non-partisan, independent, and volunteer scientific experts that provides advice to the Government of Ontario about the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
. Participation on the table is on a volunteer basis, though members of the secretariat and the scientific director are paid by
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
and the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
.


Structure


Leadership

The group was initially hosted by the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
at the
University of Toronto The University of Toronto (UToronto or U of T) is a public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution ...
, with funding support from Public Health Ontario. In April 2022, Public Health Ontario absorbed the table into their external advisory committee structure. The table was originally co-chaired by Adalsteinn Brown, Dean of the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
, and Brian Schwartz, vice-president of
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
. Brown was replaced in August 2022 by Upton Allen M.D. The original scientific director of the group was
Peter JĂŒni Peter JĂŒni is a Swiss physician, general internist, and epidemiologist based in England. He was previously both a member of, and the scientific director of, the Ontario COVID-19 Science Advisory Table, and also a director of a research centr ...
who indicated his term would end in March 2022. He remained a member of the Modelling Consensus Table and the Drugs & Biologics Working Group. On April 29, 2022, it was announced that Fahad Razak would take over as the Scientific Director. Razak had previously been serving as a member of the table.


Working groups

In addition to its core membership, the table consisted of four working groups: Behavioural Science, Congregate Care Setting, Drugs & Biologics Clinical Practice Guidelines, and Mental Health. Each working group was chaired by one or two leading members in their field, and were each supported by a secretariat.


Partnerships

The group collaborated with a number of other related organizations and tables, including Can-COVID, the Evidence Synthesis Network (ESN), the COVID-19 Rapid Evidence Access Link (REAL) and the in-house Modelling Consensus Table (MCT). A number of these organizations are extensions of the operations of the core OST, with near-identical brand imaging and sharing many members and partner institutions in common. Other arms-length partners include the Ontario COVID-19 Bioethics Table, which has worked closely with the table.


Modelling Consensus Table

The Ontario COVID-19 Modelling Consensus Table (MCT) is a joint initiative led by the
Fields Institute The Fields Institute for Research in Mathematical Sciences, commonly known simply as the Fields Institute, is an international centre for scientific research in mathematical sciences. It is an independent non-profit with strong ties to 20 Ontari ...
and the
University of Toronto The University of Toronto (UToronto or U of T) is a public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution ...
, supported by funding from the Ontario Ministry of Health,
Ontario Health Ontario Health (OH; ) is a Crown agency (Ontario), Crown agency of the Government of Ontario that was established on June 6, 2019. Described as a "super agency", Ontario Health will oversee much of the administration of the Ontario healthcare sy ...
, and
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
. The MCT is chaired by
infectious diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
specialist David Earn, and employs
epidemiologist Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
John McLaughlin as executive director.


Evidence Synthesis Network

The Evidence Synthesis Network (ESN) is described as a "collaborative response initiative" developing synthesized research evidence to decision makers in response to the
COVID-19 pandemic in Ontario The COVID-19 pandemic in Ontario is an ongoing viral pandemic of coronavirus disease 2019 (COVID-19), a novel infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first confirmed case of COVID-19 in C ...
. ESN is co-chaired by Anne Hayes, Director of Ontario's Ministry of Health Research, Analysis and Evaluation Branch, and Rob Reid, Chief Scientist at
Trillium Health Partners Trillium Health Partners is a hospital system which serves Mississauga and western Toronto in the Canadian province of Ontario. It comprises the Credit Valley Hospital, Mississauga Hospital, and Queensway Health Centre. Trillium Health Partners i ...
' Institute for Better Health and Senior Vice President of Science, also at Trillium. Both scientists also serve as members of the table. Organizations collaborating with the ESN include the
Canadian Agency for Drugs and Technologies in Health The Canadian Agency for Drugs and Technologies in Health, or CADTH, is a Canadian national organisation that provides research and analysis to healthcare decision-makers. The organisation was established in 1989 by the country's federal governme ...
(CADTH), the
University of Toronto The University of Toronto (UToronto or U of T) is a public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park. It was founded by royal charter in 1827 as King's College, the first institution ...
's Centre for Effective Practice (CEP), Cochrane Canada, the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
, Health Quality Ontario, ICES, Rapid-Improvement Support and Exchange (RISE) (an initiative of McMaster University Health Forum and
The Ottawa Hospital The Ottawa Hospital (french: L'HĂŽpital d'Ottawa) is a hospital system in Ottawa, Ontario, Canada. The system was formed through the merger of the former Grace Hospital, Ottawa Riverside Hospital, Ottawa General Hospital and Ottawa Civic Hospital. ...
),
Cancer Care Ontario Cancer Care Ontario was an agency of the provincial Government of Ontario that was responsible for improving cancer services. It was created by the government of Bob Rae in April 1995, and was formally launched in 1997. The agency was governed u ...
, the
Ontario Hospital Association According to the Ontario Hospital Association (OHA) website, the OHA is a member association that represents approximately 154 public hospitals in Ontario. The association regards itself as "the voice of Ontario's public hospitals". History On ...
(OHA), the
Ontario Medical Association The Ontario Medical Association (OMA) is a membership organization that represents the political, clinical and economic interests of Ontario physicians. Practising physicians, residents, and medical students enrolled in any of the six Ontario fac ...
(OMA),
Public Health Ontario The Ontario Agency for Health Protection and Promotion (more commonly known as Public Health Ontario) is the Ontario Government agency responsible for providing scientific and technical advice to those working to promote and protect the health of ...
, the SPOR Evidence Alliance, the
Trillium Health Partners Trillium Health Partners is a hospital system which serves Mississauga and western Toronto in the Canadian province of Ontario. It comprises the Credit Valley Hospital, Mississauga Hospital, and Queensway Health Centre. Trillium Health Partners i ...
Institute for Better Health and the
Government of Ontario The government of Ontario (french: Gouvernement de l'Ontario) is the body responsible for the administration of the Canadian province of Ontario. A constitutional monarchy, the Crown—represented in the province by the lieutenant governor†...
.


COVID-19 Rapid Evidence Access Link

The COVID-19 Rapid Evidence Access Link (REAL) is a research project based at the
Dalla Lana School of Public Health Dalla Lana School of Public Health is the school of public health at the University of Toronto. It was founded in 1927, and was home for 50 years to Connaught Laboratories, a manufacturer of vaccines, insulin, and many other pharmaceutical produc ...
. It features an online question-and-answer portal where researchers and the general public can seek high-level information on
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was COVID-19 pandemic in Hubei, identified in Wuhan, China, in December ...
. REAL also provides links to external resources from the
Government of Canada The government of Canada (french: gouvernement du Canada) is the body responsible for the federal administration of Canada. A constitutional monarchy, the Crown is the corporation sole, assuming distinct roles: the executive, as the ''Crown ...
,
Government of Ontario The government of Ontario (french: Gouvernement de l'Ontario) is the body responsible for the administration of the Canadian province of Ontario. A constitutional monarchy, the Crown—represented in the province by the lieutenant governor†...
,
City of Toronto Toronto ( ; or ) is the capital city of the Provinces and territories of Canada, Canadian province of Ontario. With a recorded population of 2,794,356 in 2021, it is the List of the largest municipalities in Canada by population, most pop ...
,
Grand River Hospital Grand River Hospital is a 665-bed hospital serving Waterloo Region, Ontario, Canada, and surrounding communities, primarily through its KW and Freeport Sites, both located in Kitchener. The two sites were independent hospitals that merged to form ...
, the
Royal College of Dental Surgeons of Ontario The Royal College of Dental Surgeons of Ontario (RCDSO) is the regulatory college for dentists in the province of Ontario, Canada. The college was incorporated on March 4, 1868, when royal assent was granted to ''An Act Respecting Dentistry'' in ...
, the
Ontario Dental Association The Ontario Dental Association is a professional organization for dentists in the Canadian province of Ontario. It establishes a fee schedule and represents the interests of its members in dealing with the Ontario government and insurance compani ...
, Niagara Health System, the U.S.
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
, the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
,
Harvard Medical School Harvard Medical School (HMS) is the graduate medical school of Harvard University and is located in the Longwood Medical Area of Boston, Massachusetts. Founded in 1782, HMS is one of the oldest medical schools in the United States and is consi ...
, Mental Health Research Canada, the U.K.
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
,
Royal Life Saving Society Canada The Royal Life Saving Society Canada, commonly known as the Lifesaving Society or LSS, is a Canadian registered charity that works to prevent water-related injuries through various programs across Canada. The Lifesaving Society is an independent ...
and others.


Notable members

* Pat Armstrong * Isaac Bogoch * David Fisman *
Peter JĂŒni Peter JĂŒni is a Swiss physician, general internist, and epidemiologist based in England. He was previously both a member of, and the scientific director of, the Ontario COVID-19 Science Advisory Table, and also a director of a research centr ...
* John Lavis *
Allison McGeer Allison Joan McGeer (born 1953) is a Canadian infectious disease specialist in the Sinai Health System, and a professor in thDepartment of Laboratory Medicine and Pathobiologyat the University of Toronto. She also appointed at the Dalla Lana Sch ...
*
Kwame McKenzie Kwame Julius McKenzie is a British-Canadian psychiatrist employed as the CEO of Wellesley Institute, a policy think tank based in Toronto, Ontario. Born in the United Kingdom, McKenzie is a physician and full professor in the Department of Psychi ...
*
Samira Mubareka Samira Mubareka (born 1972) is a Canadian microbiologist who is a clinical scientist at the Sunnybrook Health Sciences Centre in Toronto, Ontario. Her research considers the influenza virus, viral transmission and aerobiology. During the COVID-1 ...
* Justin Presseau * Paula Rochon *
Laura Rosella Laura C. A. Rosella is a Canadian epidemiologist who is an Associate Professor at the Dalla Lana School of Public Health in the University of Toronto. She studies public health and the social determinants of health. Rosella holds a Canada Researc ...
* Beate Sander * Brian Schwartz * Chris Simpson * Robert Steiner * Ashleigh Tuite * Tania Watts *
Jianhong Wu Jianhong Wu (搎ć»ș漏; born in 1964) is a Canadian applied mathematician and the founding Director of the Laboratory for Industrial and Applied Mathematics at York University. He is the inaugural Director of thYork Emergency Mitigation, Engagement, ...


See also

*
Toronto Accessibility Task Force on COVID-19 The Toronto Accessibility Task Force on COVID-19 is a working committee created by the City of Toronto to reduce barriers to COVID-19 vaccine access for people with disabilities. It advocates for the needs of people with disabilities and arranges ...


References


External links


Official website
{{Authority control Organizations established for the COVID-19 pandemic Organizations based in Toronto
Ontario Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of Canada, but it has historically and politically been considered to be part of Central Canada. Located in Central Ca ...
2020 establishments in Ontario Scientific organizations established in 2020 Organizations disestablished in 2022 2022 disestablishments in Ontario