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Ontario COVID-19 Science Advisory Table

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Ontario COVID-19 Science Advisory Table
AbbreviationOST
FormationJuly 2020;4 years ago(2020-07)
DissolvedSeptember 7, 2022;2 years ago(2022-09-07)
HeadquartersToronto, Ontario
Co-chairs
Upton Allen
Brian Schwartz
Adalsteinn Brown (former)
Scientific Director
Fahad Razak
Peter Jüni (former)
Parent organization
Public Health Ontario
Dalla Lana School of Public Health(former)
Websitecovid19-sciencetable.ca

TheOntario 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 theGovernment of OntarioaboutCOVID-19.

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 theDalla Lana School of Public Healthat theUniversity of Toronto,switching toPublic Health Ontarioin 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

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The Ontario COVID-19 Science Advisory Table was formed in July 2020.[1]

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 theOntario Liberal Partycandidate in the2022 Ontario general election.[2]David Fismanresigned later the same month, alleging that "grim" COVID-19 projections for the fall of 2021 were being withheld as a result of political pressure.[3]

On March 17, 2022, the table released a report based on data modelling that warned that Ontario would see an increase inCOVID-19 casesas a result of loosening of public health restrictions. The report indicated that protection from a third dose of aCOVID-19 vaccinehad plateaued for all age groups, particularly inmarginalizedcommunities, and recommended the continued wearing ofmasks.[4]

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 fromwastewater testing.[5]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.[6]

On August 3, 2022,infectious diseasesspecialist Upton AllenM.D.replaced Adalsteinn Brown as co-chair of the table.[7][8]

At a meeting withPublic Health Ontarioon August 18, it was announced that the table and its working groups were to be dissolved as of September 6, 2022.[9]The table's online Indicator Roadmap dashboard was set for discontinuation on September 8.[10]TheGovernment of Ontariostated that the work conducted by the table would continue under a new mandate, with terms of reference to be announced in early September.[11]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).[12]The new group was set to be led by fifteen core members, with the focus of their research determined by Public Health Ontario.[13]

Outgoing members of the table expressed opposition toKieran Moore'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.[14]

Organization

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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 theCOVID-19 pandemic.[15]Participation on the table is on a volunteer basis, though members of the secretariat and the scientific director are paid byPublic Health Ontarioand theDalla Lana School of Public Health.[16]

Structure

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Leadership

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The group was initially hosted by theDalla Lana School of Public Healthat theUniversity of Toronto,with funding support from Public Health Ontario.[15]In April 2022, Public Health Ontario absorbed the table into their external advisory committee structure.[15][17][18]

The table was originally co-chaired by Adalsteinn Brown, Dean of theDalla Lana School of Public Health,and Brian Schwartz, vice-president ofPublic Health Ontario.[19]Brown was replaced in August 2022 by Upton Allen M.D.[8]The original scientific director of the group wasPeter Jüni[19][20]who indicated his term would end in March 2022.[21]He remained a member of the Modelling Consensus Table and the Drugs & Biologics Working Group.[22]

On April 29, 2022, it was announced that Fahad Razak would take over as the Scientific Director.[23]Razak had previously been serving as a member of the table.

Working groups

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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.[17]

Partnerships

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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).[22]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.[24]

Modelling Consensus Table

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The Ontario COVID-19 Modelling Consensus Table (MCT) is a joint initiative led by theFields Instituteand theUniversity of Toronto,supported by funding from theOntario Ministry of Health,Ontario Health,andPublic Health Ontario.[22]The MCT is chaired byinfectious diseasesspecialist David Earn, and employsepidemiologistJohn McLaughlin as executive director.

Evidence Synthesis Network

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The Evidence Synthesis Network (ESN) is described as a "collaborative response initiative" developing synthesized research evidence to decision makers in response to theCOVID-19 pandemic in Ontario.[22][25][26]ESN is co-chaired by Anne Hayes, Director of Ontario'sMinistry of HealthResearch, Analysis and Evaluation Branch, and Rob Reid, Chief Scientist atTrillium Health Partners' Institute for Better Health and Senior Vice President of Science, also at Trillium. Both scientists also serve as members of the table.[17]

Organizations collaborating with the ESN include theCanadian Agency for Drugs and Technologies in Health(CADTH), theUniversity of Toronto's Centre for Effective Practice (CEP),Cochrane Canada,theDalla Lana School of Public Health,Health Quality Ontario,ICES,Rapid-Improvement Support and Exchange (RISE) (an initiative ofMcMaster University Health ForumandThe Ottawa Hospital),Cancer Care Ontario,theOntario Hospital Association(OHA), theOntario Medical Association(OMA),Public Health Ontario,the SPOR Evidence Alliance, theTrillium Health PartnersInstitute for Better Health and theGovernment of Ontario.[25]

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The COVID-19 Rapid Evidence Access Link (REAL) is a research project based at theDalla Lana School of Public Health.It features an online question-and-answer portal where researchers and the general public can seek high-level information onCOVID-19.[27]REAL also provides links to external resources from theGovernment of Canada,Government of Ontario,City of Toronto,Grand River Hospital,theRoyal College of Dental Surgeons of Ontario,theOntario Dental Association,Niagara Health System,the U.S.Centers for Disease Control and Prevention,theNational Institutes of Health,Harvard Medical School,Mental Health Research Canada, the U.K.National Health Service,Royal Life Saving Society Canadaand others.[28]

Notable members

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See also

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References

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  1. ^Fox, Chris (2022-03-31)."Science table to be folded into arms-length government agency".CP24.Archivedfrom the original on 2022-05-13.Retrieved2022-05-19.
  2. ^D'Mello, Colin (2021-08-06)."Dr. Nathan Stall resigns from Ontario COVID-19 Science Advisory Table".CTV News Toronto.Archivedfrom the original on 2022-05-18.Retrieved2022-05-18.
  3. ^Stewart, Ashleigh (2021-08-23)."Top epidemiologist resigns from Ontario's COVID-19 science table, alleges withholding of 'grim' projections".CBC News.Archivedfrom the original on 2021-08-24.Retrieved2022-05-19.
  4. ^Bianchini, Elisabetta (2022-03-17)."Ontario Science Table's COVID-19 warning: Cases, hospitalization in Ontario have 'stopped declining'".Yahoo! News.Archivedfrom the original on 2022-05-21.Retrieved2022-05-21.
  5. ^Nasser, Shanifa (2022-07-06)."Ontario's 7th wave of COVID-19 is here, top doctor confirms amid exponential growth".CBC News.Archivedfrom the original on 2022-07-30.Retrieved2022-07-30.
  6. ^"Science table stops short of recommending masks in Ontario schools, citing 'lack of consensus'".CBC News.2022-08-25.Archivedfrom the original on 2022-08-26.Retrieved2022-08-30.
  7. ^"Ontario COVID-19 Science Advisory Table Leadership Update August 2022".Public Health Ontario.2022-08-03.Archivedfrom the original on 2022-09-04.Retrieved2022-09-04.
  8. ^ab"Adalsteinn Brown, key voice in Ontario's COVID-19 response, leaving science table".CBC News.2022-08-03.Archivedfrom the original on 2022-09-04.Retrieved2022-09-04.
  9. ^The Canadian Press(2022-08-26)."Ontario's COVID-19 Science Advisory Table to dissolve next month".CBC News.Archivedfrom the original on 2022-08-26.Retrieved2022-08-30.
  10. ^"COVID-19 Indicator Roadmap".Ontario COVID-19 Science Advisory Table.Archivedfrom the original on 2022-09-02.Retrieved2022-09-02.
  11. ^Cook, Dustin (2022-08-26)."Ontario COVID-19 Science Advisory Table being dissolved".The Globe and Mail.Archivedfrom the original on 2022-08-29.Retrieved2022-08-30.
  12. ^Casey, Liam (2022-09-01)."Public Health Ontario to have final say on topics studied by new science table".CP24.Archivedfrom the original on 2022-09-03.Retrieved2022-09-04.
  13. ^Star Editorial Board (2022-09-01)."Editorial | We need to retain the Ontario Science Table advisors".The Toronto Star.Archivedfrom the original on 2022-09-02.Retrieved2022-09-04.
  14. ^Casey, Liam;The Canadian Press(2022-09-02)."Ontario's science table members would have advised against scrapping COVID isolation".CTV News.Archivedfrom the original on 2022-09-03.Retrieved2022-09-04.
  15. ^abc"Public Health Ontario to take over expert table of COVID-19 pandemic advisors".CBC.31 Mar 2022.Archivedfrom the original on 3 April 2022.Retrieved3 April2022.
  16. ^Burman, Dilshad (2021-11-23)."Ontario COVID-19 Science Advisory Table: Who they are and what they do".CityNews Toronto.Archivedfrom the original on 2022-07-30.Retrieved2022-07-30.
  17. ^abc"About Us".Ontario COVID-19 Science Advisory Table.Archivedfrom the original on 2022-02-02.Retrieved2022-04-04.
  18. ^"Ontario COVID-19 Science Advisory Table".Public Health Ontario.2022-04-29.Archivedfrom the original on 2022-05-13.Retrieved2022-05-19.
  19. ^abWallace, Kenyon (2022-03-31)."Province's COVID-19 Science Advisory Table to be folded into Public Health Ontario".The Toronto Star.ISSN0319-0781.Archivedfrom the original on 2022-04-03.Retrieved2022-04-03.
  20. ^"Is it too early to lift mask mandates? The head of Ontario's COVID-19 science table thinks so".Coronavirus.2022-03-09.Archivedfrom the original on 2022-04-03.Retrieved2022-04-03.
  21. ^"Departing Ontario COVID-19 adviser reflects on life away from the public eye | Globalnews.ca".Global News.Archivedfrom the original on 2022-04-24.Retrieved2022-04-24.
  22. ^abcd"Our Partners".Ontario COVID-19 Science Advisory Table.Archivedfrom the original on 2022-05-09.Retrieved2022-05-19.
  23. ^The Canadian Press(2022-04-29)."Toronto physician Dr. Fahad Razak named new scientific director of expert COVID advisory group".Ottawa Citizen.Archivedfrom the original on 2022-05-14.Retrieved2022-05-15.
  24. ^"Ontario COVID-19 Bioethics Table".University of TorontoJoint Centre for Bioethics.Archivedfrom the original on 2022-05-05.Retrieved2022-05-19.
  25. ^ab"Home".Evidence Synthesis Network.Archivedfrom the original on 2022-08-16.Retrieved2022-09-02.
  26. ^"Research at the Ministry of Health".Ontario Ministry of Health and Long-Term Care.2022-06-17.Archivedfrom the original on 2022-09-02.Retrieved2022-09-02.
  27. ^"About Us".COVID-19 Rapid Evidence Access Link.Archivedfrom the original on 2022-05-09.Retrieved2022-09-02.
  28. ^"Resources".COVID-19 Rapid Evidence Access Link.Archivedfrom the original on 2022-09-02.Retrieved2022-09-02.
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