Southwestern Public Health Emails Regarding Church Closures

Joanne Andrews 111ii 4:oii ii~.1 here is a copy of the letter that was sent

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11/1812:36

Kayla is following up now. I provided her with the information and here is was her response:

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11/13 1:05 PM

yesthis is a tricky one 1.1s i think they are still havingservkes in the parking lot ,md mernbersare not getting tested so no evidenceof transmission.had one householdtest positive and they had a gathering o1ttheir house whkh is the concern. PH staff seem to have establishes a good relationship with the family and discussed the concern with this.

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Kri~tina McCarthy11/2010:36 AM

HeyAmy;I'mwondering whereweareat withthe statusof the churchesvoluntarily closing ...willwe be movingforwardwithorders?

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i havereachedouttC>the JDteamto see iftherefsanymoreinformation tp!!hare

KristinaMcCarthy11/2011:11AM

okthanksAmy,letmeknowwhattheysay[

Kim Eitel From: Sent: To: Cc: Subject:

Amy Pavletic November 19, 2020 10:44 AM Serena Roberts; Susan Macisaac Joanne Andrews RE:Otterville - Reformed Congregation of NA

HI Serena, Thank you for this information. --Amy AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN 519-421-9901 x3407 I1-800-922-0096 [email protected]

PUBLIC HEAL TH

Help Prevent the Spread of COVID-19

1. Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

2. 3. 4. 5.

If we work together, we can reduce the spread of infection. Thank you! From: Serena Roberts <[email protected]> Sent: November 19, 2020 10:27 AM To: Susan Macisaac <[email protected]>; Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: RE:Otterville - Reformed Congregation of NA

LOL spoke to soon Literally sent the email and he called my work cell They are NOT willing to voluntarily close. Reasons are: that they kids who attend the service have not been in school (Rehoboth) for over 2 weeks; They have no linkages to Bethany Care Homes They wear masks, and they socially distance at church I advised him that one of the other churches agreed to voluntarily close for 2 weeks and will address re-opening at that time. Re-stated that we just want to keep the community safe. Confirmed that the best way to contact him is through email and that we may follow up with further public health measures 1

From: Serena Roberts

Sent: Thursday, 19 November 2020 10:16 AM To: Susan Macisaac <[email protected]>; Amy Pavletic

Cc: Joanne Andrews <[email protected]> Subject: RE:Otterville - Reformed Congregation of NA Hello All Have not gotten in touch with anyone

I left another message for John yesterday. I stated in my message that we just want to know if the church will be following with a voluntary closure that was explained in the letter. I stated that our office would like to know and if he could call me back. I advised him that I am "on-call" and can be reached anytime in the evening. Again, I did not receive any calls from him. This morning I called his house (which does not have an answering machine) and his cell (did not leave a message this time). Again on November 17th I spoke with Mrs Bisschop who informed me that they she does remember hearing a conversation about a letter but stated that their congregation did not have any positive cases. Advised her that I would like to talk to her husband about if they are voluntarily closing the church and expressed concerns about it being in the community. She informed me that that the her husband was working until around 6:15 pm that day and I left my work cell and my work extension for him to call me back on. SALFORDchurch I cannot get a hold of.

From: Susan Macisaac <[email protected]>

Sent: Wednesday, 18 November 2020 4:55 PM To: Amy Pavletic

Cc: Joanne Andrews <[email protected]>; Serena Roberts <[email protected]> Subject: Re: Otterville - Reformed Congregation of NA Thank you Susan Macisaac RD Program Director Southwestern Public Health

On Nov 18, 2020, at 4:46 PM, Amy Pavletic wrote:

HI Joanne and Susan, Update from Serena's attempt to get in touch with the Faith Leader: 2

[3:23 PM] Serena Roberts Called and left another message with John Bisshop (no answer).

cant get through to Salford

AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread ofCOVID-19 6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 18, 2020 7:33 AM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: Otterville - Reformed Congregation of NA Hello Susan and Joanne, Below if Serena's interaction with the church in Otterville. If we are wanting to ensure they do close, take this more seriously we may have to mention that can/ will consider a Section 22 order. [Yesterday 1:58 PM] Serena Roberts FYIspoke with Mrs Bischop she heard about a letter but was not too concerned as they did not have any positive cases in their church population. They did have a service on Sunday but it was minimal. I informed her of the purpose of the letter and asking for the voluntary closure. We discussed the school, other churches in the area as well as Bethany Care centre. Left her my work cellphone as well as i told her i would really like to speak with her husband. Left a v/m for the husband on his cell (that was the first call i made) [Yesterday 1:59 PM] Serena Roberts I will still try to reach out to Salford Reform but they dont have an answer machine, or at least one that states who they are

AMY PAVLETIC, MPH, CPHI Program

Manager,

Enviromental

Health

SOUTHWESTERN PUBLIC HEALTH Woodstock Site 410 Buller Street, Woodstock,

ON N4S 4N2 3

Kim Eitel Natalie Rowe November 19, 2020 9:49 AM Joanne Andrews; Susan Macisaac Amy Pavletic RE:letter to the churches

From:

Sent: To: Cc: Subject:

Received, thanks again!

NATALIE ROWE Manager, Strategic SOUTHWESTERN St. Thomas Site 1230 Talbot Street, 519-631-9900, ext.

Communication Initiatives PUBLIC HEAL TH St. Thomas, ON N5P 1G9 1215 I 1-800-922-0096

[email protected]

I www.swpublichealth.ca

From: Joanne Andrews <[email protected]>

Sent: November 19, 2020 9:23 AM To: Susan Macisaac <[email protected]>; Natalie Rowe

Cc: Amy Pavletic Subject: Re: letter to the churches I posted it in files in community channel and let her know it's there Get Outlook for iOS From: Susan Macisaac <[email protected]>

Sent: Thursday, November 19, 2020 9:18:36 AM To: Natalie Rowe

Cc:Joanne Andrews <[email protected]>; Amy Pavletic Subject: RE: letter to the churches Hi Joanne & Amy, Do you know who wrote the letter for the church of God? Can you send a copy to Natalie? From: Natalie Rowe

Sent: Thursday, November 19, 2020 9:03 AM To: Susan Macisaac <[email protected]>

Subject: RE: letter to the churches Thanks Susan. He read a letter that had a phone number in it dated November 17th . Do you have a copy of that version? 1

NATALIE ROWE Manager, Strategic SOUTHWESTERN St. Thomas Site 1230 Talbot Street, 519-631-9900, ext.

Communication Initiatives PUBLIC HEAL TH St. Thomas, ON N5P 1G9 1215 I 1-800-922-0096

[email protected]

I www.swpublichealth.ca

From: Susan Macisaac <[email protected]> Sent: November 19, 2020 8:45 AM To: Natalie Rowe Subject: FW: letter to the churches

From: Amanda Koning Sent: Friday, November 13, 2020 10:23 AM To: Joyce Lock <[email protected]>; Susan Macisaac <[email protected]> Subject: RE: letter to the churches

Hi there, Made the necessary changes. Added Dr. Lock signature and attached here. Amanda

AMANDA KONING Executive Assistant I SOUTHWESTERN PUBLIC HEAL TH 519-631-9900, ext 1207 I 1-800-922-0096 [email protected]

Protect the Community You Love! Stay home when you are sick. Practice physical distancing {2m or 6ft). Wear a face covering in enclosed public spaces. Wash your hands frequently with soap and water or hand sanitizer. Cough and sneeze into your sleeve or a tissue. 6. Keep surfaces clean and disinfected.

1. 2. 3. 4. 5.

From: Joyce Lock <[email protected]> Sent: November 13, 2020 10:17 AM 2

To: Susan Macisaac <[email protected]> Cc: Amanda Koning Subject: RE: letter to the churches

Approved.

From: Susan Macisaac <[email protected]> Sent: Friday, November 13, 2020 9:02 AM To: Joyce Lock <[email protected]> Cc: Amanda Koning Subject: FW: letter to the churches

Hello Dr.Lock, Can you please review this letter for the church so it can be faxed today? Amanda can add your signature? Thank you Susan Macisaac, MA RD Program Director Healthy Growth & Development Infectious & Communicable Disease Immunization SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext 3444 11-800-922-0096 [email protected]

I www.swpublichealth.ca

If we work together, we can reduce the spread of infection. Thank you!

Help Prevent the Spread of COVID-19 1. Wash your hands with soap and water thoroughly and often. 2. Cough and sneeze into your sleeve or a tissue. 3. Dispose of tissue immediately and wash your hands. 4. Keep surfaces clean and disinfected. 5. Stay home when you are sick. #BeSma rtStay Apa rt

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Public Health o-.k,d • SCtt,om• tlgin •

CONFIDENTIALITYNOTICE: This e-mail and attached material is intended for the use of the individual or institution to which it is addressed and may not be distributed, copied or disclosed to other unauthorized persons. This material may contain confidential or personal information that may be subject to the provisions of the Freedom of Information and Protection of Privacy Act, the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. If you receive this transmission in error, please notify me immediately by telephone at the number listed above and do not print, copy, distribute or disclose it further. 3

Think about our environment. Print only if necessary.

From: Amy Pavletic Sent: November 13, 2020 7:28 AM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: FW: letter to the churches

Will need to go to Wai for finalizing and Dr. Lock's signature AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901x340711-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19

6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 12, 2020 4:24 PM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: RE: letter to the churches

Alrighty! Thanks. I will change that messaging in the letter and resend and then you can send along to Dr. Lock, Cynthia and others.

I will have Kristina all ready to make the calls once the letter is faxed. --Amy AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

11. 12. 13. 14. 15.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick. 4

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:20 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches

We were not going to share the ramifications at this time. Cynthia just raised this at ECGthis afternoon that we would provide a week and follow-up with the order if needed. Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 4:16 PM, Amy Pavletic wrote:

Are we letting them know that in the letter? Or should the letter just asked them to voluntarily close without telling them the ramifications if they do not? AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN 519-421-9901 x3407 I1-800-922-0096 [email protected]

PUBLIC HEAL TH

Help Prevent the Spread of COVID-19

16. 17. 18. 19. 20.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:15 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches I think we were planning to take a softer approach. Meaning recommending a closure and than if they don't take our advice in a week, applying the order.

Susan Macisaac RD Program Director Southwestern Public Health

5

On Nov 12, 2020, at 4:12 PM, Amy Pavletic wrote:

Thank you, Susan. Now I understand, a section 22 order under the HPPAwill be applied to the church itself. This has nothing to do with any existing class (i.e. isolation) orders we have in place. As such, I re-worded part of the letter. Let me know if it is too harsh:

SWPH is requesting that you close under a recommendation however if you do not close within one week of receipt of this letter, we will apply an Order under the Health Protection and Promotion Act which will legally require you to close so the community can be protected. I have also added the dates and bolded so no confusion. I have also made reference to Rehoboth in the letter.

I have asked Kristina to help with the phone calls tomorrow. --Amy

AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN

PUBLIC HEAL TH

519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

21. 22. 23. 24. 25.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 3:34 PM To: Amy Pavletic Cc:Joanne Andrews <[email protected]> Subject: Re: letter to the churches

The letter is well done. I think we should try and fax the letter tomorrow and maybe follow-up with a phone call since there is only 3, if Dr.Lock approves of this approach. We wanted to give them an opportunity to close under a recommendation but I have been told by Cynthia if they don't close in a week we would apply the section 22. We are sending out some media information related to the Rehoboth outbreak tomorrow, I hope, so we can have this discussion during the phone conversation and refer to the release.

6

I would suggest you put the date to start this Sunday in the hopes we can reach them tomorrow. Does that clarify? If you want to add the dates and send back we get share with Cynthia and Dr.Lock? Thank you Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 3:17 PM, Amy Pavletic wrote:

Hello Susan, Attached is a DRAFTof a letter for the 4 churches associated with the Rehoboth community. Please review and provide feedback and then we can send along to Communications. Joanne and I had a few questions for clarity: •

Can we identify that the increase in cases is associated with the Rehoboth School community? Is this a question for Com ms? How will we be signing off with the messaging? That they are to call and confirm they are closing? That we will call them? When is the start date for the recommended closure? We are assuming immediately but wondering about the messaging timing.

• •

Our guess is that the letter will go out asap (today? Tomorrow?). It is likely a good idea for someone to follow-up with the churches as soon as they are sent - so if tomorrow morning, tomorrow sometime. This will enable us to confirm that the church is in fact closing as per our recommendation Thank you. Any questions, please ask. --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 apavletic@swpu bl ichealth. ca I www. swpu bl ichealth. ca 7

Kim Eitel From: Sent: To: Subject:

Amy Pavletic November 16, 2020 3:45 PM Serena Roberts RE:Churches

Hi Serena, Joanne is looking into finding phone numbers that may make it easier for us to reach someone. Will let you know. Thanks Amy AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN

PUBLIC HEAL TH

519-421-9901 x3407 11-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19 1. Wash your hands with soap and water thoroughly and often. 2. Cough and sneeze into your sleeve or a tissue. 3. Dispose of tissue immediately and wash your hands. 4. Keep surfaces clean and disinfected. 5. Stay home when you are sick. If we work together, we can reduce the spread of infection. Thank you! From: Serena Roberts <[email protected]> Sent: November 16, 2020 11:14 AM To: Amy Pavletic Subject: RE:Churches

Yup found the other church number Salford reformed 519-485-6704 it had an answering machine or it "beeped" but it didn't indicate you have reached Salford reformed church. I will call that one back and ask for someone to give our office a call. As for the Otterville number it just keeps ringing. From: Amy Pavletic Sent: Monday, 16 November 2020 11:09 AM To: Serena Roberts <[email protected]> Subject: RE: Churches

I believe Kristina found phone numbers for them. Can you do that? You might be successful in calling but it is worth a shot AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN 1

PUBLIC HEAL TH

519-421-9901 x3407 I1-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19

6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Serena Roberts <[email protected]> Sent: November 16, 2020 11:07 AM To: Amy Pavletic Subject: RE: Churches

I reached out to Bernie as I see she asked for "read receipts" for the email that was sent out on Friday. receipts from the following: John VanBrugg, John Bisschop and A Visscher,

She received

From that and the previous emails I can only gather that Reformed Congregation of North America- Otterville read it. As the other 2 names do not look familiar. Are you ok with me sending out an email asking if they are going to be closing as no one else has a telephone number?

From: Amy Pavletic Sent: Monday, 16 November 2020 9:48 AM To: Serena Roberts <[email protected]> Subject: RE:Churches

Hi Serena, Yes please. Here is some addition information that might be helpful. Unfortunately Kristina was not able to get a hold of anyone on Friday so we aren't 100% sure on how the conversations will go. But you can see form Susan's not that one of the churches is pushing back on the 2 IP request. Here is some additional info (that I provided to Kristina on Friday) in anticipation: Some notes in summary of our conversation: The letter is being faxed to them today ONFriday'"Nov·13th . You may be calling these places prior to them receiving the letter you can state "calling from SWPH, if you haven't already received it, you will be receiving a letter from us regarding a recommendation that you voluntarily close for 28 days beginning on November 15th The purpose behind this recommendation is to protect your community from the spread of COVID-19 There has been spread within the Rehoboth School community and it's members are associated with the members of your church 2

There has also been a case associated with Bethany Care centre in Norwich We do not make the recommendation lightly however we do see it as an important step in protecting your community, especially the most vulnerable Of note: If they ask what happens if they don't close - let them know we may consider additional public health measures Public health will reach out again to see how the recommendation is going/ for any required follow-up Any questions, just ask. Thank you!

AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19 11. 12. 13. 14. 15.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Serena Roberts <[email protected]> Sent: November 16, 2020 9:42 AM To: Amy Pavletic Subject: RE: Churches Just to confirm you would like me to reach out to the following and ask if they have received our letter and if they have any questions? Reformed Congregations in North America - Otterville Salford Old Reformed Congregation Leave Brant to Brant County Health unit??? Thanks

From: Amy Pavletic Sent: Monday, 16 November 2020 9:28 AM To: Serena Roberts <[email protected]> Subject: FW: Churches

AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 l1-800-922-0096 [email protected] I www.swpublichealth.ca 3

Kim Eitel From: Sent: To: Subject:

Joanne Andrews November 13, 2020 3:16 PM Amy Pavletic RE:church closure information for on-call

I forwarded to Joanne Montgomery who is staffing the call centre and to Cara-lee who is ID core this weekend JOANNE ANDREWS Program Manager, Infectious & Communicable Disease SOUTHWESTERN PUBLIC HEAL TH 519-421-9901, ext 340311-800-519-922-0096 [email protected]

Help Prevent the Spread of COVID-19

From: Amy Pavletic Sent: November 13, 2020 2:29 PM To: Jaime Fletcher <[email protected]>; Serena Roberts <[email protected]> Cc:Joanne Andrews <[email protected]>; Stacy Thompson <[email protected]> Subject: church closure information for on-call

Hello Jaime and Serena, I am reaching out to provide you with some information that may be helpful as you head into the weekend. In a nutshell, we have recommended to 3 churches in the Norwich area who have links to the Rehoboth School community that they voluntarily close for 28 days beginning on November 15th . We emailed the churches a letter explaining the recommendation and rationale and we intended to follow-up with phone calls today to the churches to reaffirm the information in the letter and answer questions they may have. At this time, we have been unsuccessful in connecting with via phone (Kristina has called a number of times, no answers and no ability to leave messages) and will try again this afternoon. As far as we are concerned, receipt of the letter is enough as far as communication goes - Bernie requested the "read" option when sent so will just need to confirm that they have received it. All of this to day that you may get calls on the weekend. I have attached the letter for you reference. Other key items of information includes: •

Although we are not telling them this, we may follow-up with a section 22 charge if they decide not to follow this recommendation. If faced with a question re "what happens if I don't close" tell them that pubic health will consider additional options and reiterate the importance to close to protect the community 1

There is a 4th church in Brant county who we are not reaching out to but will be providing the EH manager there with this letter and an FYI of our approach. The closure of the Rehoboth school was voluntary so we are hoping the Fatih Leaders will be more willing based on this There is a senior residence in the area with a positive case (Bethany Care Centre) and this information can be shared if needed as a reminder to protect the most vulnerable in the area We want to drive home the fact that the spread of COVID is commonly happening in group settings and it is not just the in person services that are to be cancelled but any other gatherings supported by the church.

• • • •

I think this is about it,Jpann~ - is there anything you wish to add? ptac}l- I have included you in case calls get sent to you by mistake. Please send these calls to St:!r~b~Here is a list of the churches: Netherland Reformed Church - Courtland and Norwich sites clerk@n rcnorwich .ca Reformed Congregations in North America - Otterville 519-468-2992 [email protected] Salford Old Reformed Congregation [email protected] Netherlands Reformed Congregation - Brant County [email protected]

Thank you! Let me know if you have any questions. --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 [email protected] I www.swpublichealth.ca

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PublicHealth Oxford • Elgin · St.Thomas

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PublicHealth Oxford• Elgin• St.Thomas Elgin St. Thomas Site

Woodstock Site

Administrative Office 1230 Talbot Street

410 Buller Street Woodstock, ON

St. Thomas, ON

N4S 4N2

0

FOR INFORMATION

NSP 1G9

October 23, 2020 From the Office of Dr. Joyce Lock, Medical Officer of Health, Southwestern Public Health Dear Faith Leader, There has been a recent increase in COVID-19 cases within the communities that surround your congregation. As a well-attended congregation with large gatherings, we ask for your support in limiting situations where COVID-19 can spread. Where possible, consider alternative ways - such as calling networks or letter writing - to involve those who are at risk for COVID-19 complications, such as older individuals or those with pre-existing health conditions. Please also share these messages with your congregants to keep our cases low: • • • • • • •

COVID-19 cases are on the rise in our local communities. We each have a role to help protect the community from further spread. Only have close contact with the people you live with - do not hug, sit closely, pass the blessing, or shake hands with anyone outside of your household. Stay 6 feet away or more from everyone else, even when outdoors. Wear a face covering in public. This is now a Provincial mandate. There is no religious exemption. Self-isolate if public health tells you to. You can be fined if you do not do this. Self-isolate means no activities at all where you could come into contact with another person. Do not use wind instruments or allow congregational singing indoors. Get tested if you have any signs of sickness. Call us at 1-800-922-0096 ext. 9 to arrange testing.

We all have a role in protecting the community we love, especially those who are most vulnerable to severe illness. Preventing a COVID-19 surge is in our hands. I appreciate your attention to this matter.

Dr. Joyce Lock Medical Officer of Health Southwestern Public Health Resource:COVID-19 Guidance for Place of Worship (updated October 1, 2020) For more information please contact the COVID-19 Call Centre at 1-800-922-0096 ext. 9.

WWW,SWnt!hlir.hP.Rlth

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Kim Eitel From: Sent:

Joanne Andrews November 12, 2020 11:51 AM Amy Pavletic letter to churches 2020 10 23 - COVID-19 Letter for Oxford County Faith Leaders - October.pdf

To:

Subject: Attachments:

These are the churches that received the letter; Netherland Reformed Church - Courtland and Norwich sites [email protected]

Reformed Congregations in North America - Otterville 519-468-2992 [email protected] Netherlands Reformed Congregation - Brant County [email protected]

Salford Old Reformed Congregation [email protected]

JOANNE ANDREWS Program Manager, Infectious & Communicable Diseases SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901 11-800-922-0096 ext. 3403 [email protected]

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PublicHealth Oxford • Elgin • St.Thomas

Help Prevent the Spread of COVID-19

#BeSmartStayApart 1

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SOUTHWESTERN

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PublicHealth Oxford· Elgin• St.Thomas

St. Thomas Site

Woodstock Site

Administrative Office 1230 Talbot Street St. Thomas, ON N5P 1G9

410 Buller Street Woodstock, ON N4S 4N2

November 13, 2020

Dear Faith Leader, RE: Voluntary closure of church services and gatherings for 28 days beginning on and including November 1st\ 2020. There has been a recent increase of COVID-19 cases within our communities. When there is COVID-19 in the community, the risk of spread of infection increases when people in that community gather in groups including church settings. Southwestern Public Health (SWPH) is recommending that your church, along with others where we are seeing an increase risk in exposure to COVID-19, voluntarily cease in-person church services for 28 days beginning November 15th 2020 and ending December 12th 2020. The purpose of this closure is to prevent the gathering of your church members in order to protect them from being exposed to COVID-19. This will help to prevent further spread of COVID-19 within the broader community and help protect those who are the most vulnerable to severe illness. The recommendation to close your church for any services or gatherings for 28 days is not made lightly and is in response to the increase in COVID-19 cases within the communities that surround your congregation, including the Rehoboth School community. SWPH is relying on these closures to protect individuals and the community we love. A public health professional will be following up with you today to discuss this letter further and answer any questions you may have. Sincerely,

Dr. Joyce Lock Medical Officer of Health Southwestern Public Health

www.swpublichealth.ca

Kim Eitel Amy Pavletic November 13, 2020 3:04 PM 'Robert Hall' letter to churches association with a community outbreak LTRChurch Closure Letter 20201113.pdf

From:

Sent: To:

Subject: Attachments:

Hello Rob, I hope all is well! I am writing to let you know that we sending a letter to 3 churches in our area who have links to an outbreak we have within a school community. In the letter we are recommending that these churches voluntarily close for28 days (2 IPs) with the goal of limiting further spread of COVID-19 within the community. I am sending this information (and letter we are sending out) along to you as one of the churches with links to the community is located within Brant county. We are hoping that the churches follow our recommendation to voluntarily close however if they do not, we may consider charging them under a section 22. We are not informing them of this just yet though. If you have any questions, please do not hesitate to reach out. Cheers! --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Environmental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 340711-800-922-0096 [email protected]

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PublicHealth Oxford · Elgin · St.Thomas

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SOUTHWESTERN

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PublicHealth Oxford • Elgin • St.Thomas

St. Thomas Site

Woodstock Site

Administrative Office 1230 Talbot Street St. Thomas, ON N5P 1G9

410 Buller Street Woodstock, ON N4S 4N2

November 17, 2020 Pastor Henry Hildebrandt Church of God 751 John Street, N Aylmer, ON N5H 2R8 Email: [email protected] Dear Pastor Hildebrandt, RE:

Voluntary Closure of In-Person Church Services and Gatherings for 28 Days Beginning On and Including November 17fh, 2020.

There has been a recent increase of COVID-19 cases within our communities. When there is COVID-19 in the community, the risk of spread of infection increases when people in that community gather in groups, including faith communities. Southwestern Public Health (SWPH) is recommending that your church, along with others where we are seeing an increased risk in exposure to COVID-19, voluntarily cease in-person church services and all in-person gatherings for 28 days beginning November 17th 2020 and ending December 14th 2020. The purpose of this closure is to prevent the gathering of your church members with people outside of their own household to protect them from being exposed to COVID-19. This will help to prevent the further spread of COVID-19 within the broader community and help protect those who are the most vulnerable to severe illness. The recommendation to close your church for any in-person services or gatherings for 28 days is not made lightly and is in response to the increase in COVID-19 cases within the communities that surround your congregation including schools, long-term care homes, and retirement homes. SWPH is relying on these closures to protect individuals and the community we love. Drive-in religious gatherings can continue under the following guidelines: • Only members of the same household can be in one vehicle or non-motorized vehicle. • Discourage people from leaving their vehicles/non-motorized vehicle during the service, except when using the washroom. • Vehicles must be parked two metres apart or more. Discourage the idling of engines. • If faith community leaders, staff, or volunteers are to approach a vehicle to provide service to its occupants, everyone must wear a face covering. A public health professional will be following up with you soon to discuss this letter further and to answer any questions you may have. Kindly call 519-631-9900, Ext. 3403 if you have any questions. Sincerely,

Dr. Joyce Lock, MD, MSC, FRCPCC Medical Officer of Health Southwestern Public Health www.swpublichealth.ca

Kim Eitel Amy Pavletic November 18, 2020 12:24 PM Kayla Elms Letter and call to the church LTRChurch of God, Aylmer Letter 20201117.pdf

From:

Sent: To:

Subject: Attachments:

Hello Kayla, Attached is the letter that was sent yesterday. We are having PHls follow-up on this in case there is need to enforce down the road. We are hoping they will heed this recommendation and if not, there may be a need for section 22 bow~yer1Ne are rlSJJtellingitieJnJhis at thi~J>c;>iO!-Recently, there was a church meeting in someone's basement and people in the household tested positive. Some notes: The 28 day period started yesterday (November 17th ) and goes to the 14th of December The purpose behind this recommendation is to protect the community from the spread of COVID-19 We are seeing an increase in COVID cases in people who congregate and are associated with schools, retirement homes and long-term care homes surrounding your community There are recommendation in the letter on how to safely over drive in services We do not make the recommendation lightly however we do see it as an important step in protecting your community, especially the most vulnerable Of note: If they ask what happens if they don't close - let them know we may consider additional public health measures Public health will reach out again to see how the recommendation is going/ for any required follow-up Any questions, just ask. Thank you! --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 [email protected]

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SOUTHWESTERN

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PublicHealth Oxford • Elgin · St.Thomas

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SOUTHWESTERN

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PublicHealth Oxford • Elgin · St.Thomas

St. Thomas Site

Woodstock Site

Administrative Office 1230 Talbot Street St. Thomas, ON N5P 1G9

410 Buller Street Woodstock, ON N4S 4N2

November 13, 2020

Dear Faith Leader, RE: Voluntary closure of church services and gatherings for 28 days beginning on and including November 15th , 2020. There has been a recent increase of COVID-19 cases within our communities. When there is COVID-19 in the community, the risk of spread of infection increases when people in that community gather in groups including church settings. Southwestern Public Health (SWPH) is recommending that your church, along with others where we are seeing an increase risk in exposure to COVID-19, voluntarily cease in-person church services for 28 days beginning November 15th 2020 and ending December 12th 2020. The purpose of this closure is to prevent the gathering of your church members in order to protect them from being exposed to COVID-19. This will help to prevent further spread of COVID-19 within the broader community and help protect those who are the most vulnerable to severe illness. The recommendation to close your church for any services or gatherings for 28 days is not made lightly and is in response to the increase in COVID-19 cases within the communities that surround your congregation, including the Rehoboth School community. SWPH is relying on these closures to protect individuals and the community we love. A public health professional will be following up with you today to discuss this letter further and answer any questions you may have. Sincerely,

Dr. Joyce Lock Medical Officer of Health Southwestern Public Health

www.swpublichealth.ca

Kim Eitel Susan Macisaac November 13, 2020 10:24 AM Amy Pavletic; Joanne Andrews Fwd: letter to the churches image002.png; image006Jpg; LTRChurch Closure Letter 20201113.pdf

From: Sent: To: Subject: Attachments:

Here is the signed letter to fax Susan Macisaac RD Program Director Southwestern Public Health Begin forwarded message: From: Amanda Koning Date: November 13, 2020 at 10:23:28 AM EST To: Joyce Lock <[email protected]>, Susan Macisaac <[email protected]> Subject: RE: letter to the churches

Hi there, Made the necessary changes. Added Dr. Lock signature and attached here. Amanda

AMANDA KONING Executive Assistant I SOUTHWESTERN PUBLIC HEAL TH 519-631-9900, ext 1207 11-800-922-0096 [email protected]

Protect the Community You Love! 1. 2. 3. 4. 5. 6.

Stay home when you are sick. Practice physical distancing (2m or 6ft). Wear a face covering in enclosed public spaces. Wash your hands frequently with soap and water or hand sanitizer. Cough and sneeze into your sleeve or a tissue. Keep surfaces clean and disinfected.

From: Joyce Lock <[email protected]> Sent: November 13, 2020 10:17 AM To: Susan Macisaac <[email protected]> Cc: Amanda Koning Subject: RE: letter to the churches

Approved. 1

From: Susan Macisaac <[email protected]>

Sent: Friday, November 13, 2020 9:02 AM To: Joyce Lock <[email protected]> Cc:Amanda Koning Subject: FW: letter to the churches

Hello Dr.Lock, Can you please review this letter for the church so it can be faxed today? Amanda can add your signature? Thank you Susan Macisaac, MA RD Program Director Healthy Growth & Development Infectious & Communicable Disease Immunization SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext 3444 11-800-922-0096 [email protected]

I www.swpublichealth.ca

If we work together, we can reduce the spread of infection. Thank you!

Help Prevent the Spread of COVID-19 1. Wash your hands with soap and water thoroughly and often. 2. Cough and sneeze into your sleeve or a tissue. 3. Dispose oftissue immediately and wash your hands. 4. Keep surfaces clean and disinfected. 5. Stay home when you are sick. #BeSma rtStay Apa rt

CONFIDENTIALITYNOTICE: This e-mail and attached material is intended for the use of the individual or institution to which it is addressed and may not be distributed, copied or disclosed to other unauthorized persons. This material may contain confidential or personal information that may be subject to the provisions of the Freedom of Information and Protection of Privacy Act, the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. If you receive this transmission in error, please notify me immediately by telephone at the number listed above and do not print, copy, distribute or disclose it further. Think about our environment. Print only if necessary.

From: Amy Pavletic

Sent: November 13, 2020 7:28 AM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: FW: letter to the churches 2

Will need to go to Wai for finalizing and Dr. Lock's signature AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 12, 2020 4:24 PM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: RE: letter to the churches

Alrighty! Thanks. I will change that messaging in the letter and resend and then you can send along to Dr. Lock, Cynthia and others. I will have Kristina all ready to make the calls once the letter is faxed. --Amy AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901x340711-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

11. 12. 13. 14. 15.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:20 PM To: Amy Pavletic

3

Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches

We were not going to share the ramifications at this time. Cynthia just raised this at ECGthis afternoon that we would provide a week and follow-up with the order if needed. Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 4:16 PM, Amy Pavletic wrote:

Are we letting them know that in the letter? Or should the letter just asked them to voluntarily close without telling them the ramifications if they do not? AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN

PUBLIC HEAL TH

519-421-9901 x3407 I1-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

16. 17. 18. 19.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. 20. Stay home when you are sick. If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:15 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches

I think we were planning to take a softer approach. Meaning recommending a closure and than if they don't take our advice in a week, applying the order. Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 4:12 PM, Amy Pavletic wrote:

Thank you, Susan.

4

Now I understand, a section 22 order under the HPPA will be applied to the church itself. This has nothing to do with any existing class (i.e. isolation) orders we have in place. As such, I re-worded part of the letter. Let me know if it is too harsh:

SWPH is requesting that you close under a recommendation however if you do not close within one week of receipt of this letter, we will apply an Order under the Health Protection and Promotion Act which will legally require you to close so the community can be protected. I have also added the dates and balded so no confusion. I have also made reference to Rehoboth in the letter. I have asked Kristina to help with the phone calls tomorrow. --Amy

AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19 21. 22. 23. 24. 25.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 3:34 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches The letter is well done. I think we should try and fax the letter tomorrow and maybe follow-up with a phone call since there is only 3, if Dr.Lock approves of this approach. We wanted to give them an opportunity to close under a recommendation but I have been told by Cynthia if they don't close in a week we would apply the section 22. We are sending out some media information related to the Rehoboth outbreak tomorrow, I hope, so we can have this discussion during the phone conversation and refer to the release. I would suggest you put the date to start this Sunday in the hopes we can reach them tomorrow. 5

Does that clarify? If you want to add the dates and send back we get share with Cynthia and Dr.Lock? Thank you Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 3:17 PM, Amy Pavletic wrote:

Hello Susan, Attached is a DRAFTof a letter for the 4 churches associated with the Rehoboth community. Please review and provide feedback and then we can send along to Communications. Joanne and I had a few questions for clarity: •

•

•

Can we identify that the increase in cases is associated with the Rehoboth School community? Is this a question for Com ms? How will we be signing off with the messaging? That they are to call and confirm they are closing? That we will call them? When is the start date for the recommended closure? We are assuming immediately but wondering about the messaging timing.

Our guess is that the letter will go out asap (today? Tomorrow?}. It is likely a good idea for someone to follow-up with the churches as soon as they are sent so if tomorrow morning, tomorrow sometime. This will enable us to confirm that the church is in fact closing as per our recommendation Thank you. Any questions, please ask. --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEALTH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 [email protected] I www.swpublichealth.ca 6

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SOUTHWESTERN

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PublicHealth Oxford · Elgin • St.Thomas

St. Thomas Site

Woodstock Site

Administrative Office 1230 Talbot Street St. Thomas, ON N5P 1G9

410 Buller Street Woodstock, ON N4S 4N2

November 13, 2020

Dear Faith Leader, RE: Voluntary closure of church services and gatherings for 28 days beginning on and including November 15th , 2020. There has been a recent increase of COVID-19 cases within our communities. When there is COVID-19 in the community, the risk of spread of infection increases when people in that community gather in groups including church settings. Southwestern Public Health (SWPH) is recommending that your church, along with others where we are seeing an increase risk in exposure to COVID-19, voluntarily cease in-person church services for 28 days beginning November 15th 2020 and ending December 12th 2020. The purpose of this closure is to prevent the gathering of your church members in order to protect them from being exposed to COVID-19. This will help to prevent further spread of COVID-19 within the broader community and help protect those who are the most vulnerable to severe illness. The recommendation to close your church for any services or gatherings for 28 days is not made lightly and is in response to the increase in COVID-19 cases within the communities that surround your congregation, including the Rehoboth School community. SWPH is relying on these closures to protect individuals and the community we love. A public health professional will be following up with you today to discuss this letter further and answer any questions you may have. Sincerely,

Dr. Joyce Lock Medical Officer of Health Southwestern Public Health

www.swpublichealth.ca

Kim Eitel From: Sent: To: Subject: Attachments:

Amy Pavletic November 13, 2020 10:13 AM Kristina McCarthy FW: letter to the churches church closure letter DRAFTAP JA (002).docx

Attached is the letter for your review AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19 1. 2. 3. 4. 5.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 13, 2020 7:28 AM To: Susan Macisaac <[email protected]> Cc:Joanne Andrews <[email protected]> Subject: FW: letter to the churches

Will need to go to Wai for finalizing and Dr. Lock's signature AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407I1-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19

6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 12, 2020 4:24 PM 1

To: Susan Macisaac <[email protected]> Cc: Joanne Andrews <[email protected]> Subject: RE: letter to the churches

Alrighty! Thanks. I will

change that messaging in the letter and resend and then you can send along to Dr. Lock, Cynthia and others.

I will have Kristina all ready to make the calls once the letter is faxed. --Amy AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] I www.swpublichealth.ca Help Prevent the Spread of COVID-19

11. 12. 13. 14. 15.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:20 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches

We were not going to share the ramifications at this time. Cynthia just raised this at ECGthis afternoon that we would provide a week and follow-up with the order if needed. Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 4:16 PM, Amy Pavletic wrote:

Are we letting them know that in the letter? Or should the letter just asked them to voluntarily close without telling them the ramifications if they do not? AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19 2

16. Wash your hands with soap and water thoroughly and often. 17. Cough and sneeze into your sleeve or a tissue. 18. Dispose of tissue immediately and wash your hands. 19. Keep surfaces clean and disinfected. 20. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 4:15 PM To: Amy Pavletic Cc:Joanne Andrews <[email protected]> Subject: Re: letter to the churches I think we were planning to take a softer approach. Meaning recommending a closure and than if they don't take our advice in a week, applying the order. Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 4:12 PM, Amy Pavletic

wrote:

Thank you, Susan. Now I understand, a section 22 order under the HPPA will be applied to the church itself. This has nothing to do with any existing class (i.e. isolation) orders we have in place. As such, I re-worded part of the letter. Let me know if it is too harsh:

SWPH is requesting that you close under a recommendation however if you do not close within one week of receipt of this letter, we will apply an Order under the Health Protection and Promotion Act which will legally require you to close so the community can be protected. I have also added the dates and balded so no confusion. I have also made reference to Rehoboth in the letter.

I have asked Kristina to help with the phone calls tomorrow. --Amy

AMY PAVLETIC Program Manager, Environmental Health I SOUTHWESTERN PUBLIC HEAL TH 519-421-9901 x3407 I1-soo-922-0095 [email protected] Help Prevent the Spread of COVID-19 3

21. 22. 23. 24. 25.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you! From: Susan Macisaac <[email protected]> Sent: November 12, 2020 3:34 PM To: Amy Pavletic Cc: Joanne Andrews <[email protected]> Subject: Re: letter to the churches

The letter is well done. I think we should try and fax the letter tomorrow and maybe follow-up with a phone call since there is only 3, if Dr.Lock approves of this approach. We wanted to give them an opportunity to close under a recommendation but I have been told by Cynthia if they don't close in a week we would apply the section 22. We are sending out some media information related to the Rehoboth outbreak tomorrow, I hope, so we can have this discussion during the phone conversation and refer to the release. I would suggest you put the date to start this Sunday in the hopes we can reach them tomorrow. Does that clarify? If you want to add the dates and send back we get share with Cynthia and Dr.Lock? Thank you Susan Macisaac RD Program Director Southwestern Public Health

On Nov 12, 2020, at 3:17 PM, Amy Pavletic wrote:

Hello Susan, Attached is a DRAFTof a letter for the 4 churches associated with the Rehoboth community. Please review and provide feedback and then we can send along to Communications. Joanne and I had a few questions for clarity: • • •

Can we identify that the increase in cases is associated with the Rehoboth School community? Is this a question for Comms? How will we be signing off with the messaging? That they are to call and confirm they are closing? That we will call them? When is the start date for the recommended closure? We are assuming immediately but wondering about the messaging timing.

4

Our guess is that the letter will go out asap (today? Tomorrow?). It is likely a good idea for someone to follow-up with the churches as soon as they are sent - so if tomorrow morning, tomorrow sometime. This will enable us to confirm that the church is in fact closing as per our recommendation Thank you. Any questions, please ask. --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 [email protected]

5

Kim Eitel From: Sent: To: Subject:

Amy Pavletic November 13, 2020 11:04 AM Joanne Andrews FW: letter to churches

FYI- Kristina is calling the churches now. I talked to her and then provided follow-up info in support for consideration. I will let you know how it goes! --Amy AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN

PUBLIC HEAL TH

519-421-9901 x3407 I1-800-922-0096 [email protected]

I www.swpublichealth.ca

Help Prevent the Spread of COVID-19

1. Wash your hands with soap and water thoroughly and often. 2. Cough and sneeze into your sleeve or a tissue. 3. Dispose of tissue immediately and wash your hands. 4. Keep surfaces clean and disinfected. 5. Stay home when you are sick. If we work together, we can reduce the spread of infection. Thank you! From: Amy Pavletic Sent: November 13, 2020 10:30 AM To: Kristina McCarthy Subject: FW: letter to churches

Here is a list of the churches. You will have to look up the phone number/ find the best way to get in touch with them so you can talk to them. Let me know if you have problems with that. YOu do not have to call the premises in Brant. Some notes in summary of our conversation: The letter is being faxed to them today. You may be calling these places prior to them receiving the letter you can state "calling from SWPH, if you haven't already received it, you will be receiving a letter from us regarding a recommendation that you voluntarily close for 28 days beginning on November 15th The purpose behind this recommendation is to protect your community from the spread of COVID-19 There has been spread within the Rehoboth School community and it's members are associated with the members of your church There has also been a case associated with Bethany Care centre in Norwich We do not make the recommendation lightly however we do see it as an important step in protecting your community, especially the most vulnerable

1

Of note: If they ask what happens if they don't close - let them know we may consider additional public health measures Public health will reach out again to see how the recommendation is going/ for any required follow-up

I think that about covers it for now ....any questions or need for clarity from me? Questions may pop up after you call the initial couple. Thank you! --Amy

AMY PAVLETIC Program Manager, Environmental Health

I SOUTHWESTERN

PUBLIC HEAL TH

519-421-9901 x3407 11-800-922-0096 [email protected] Help Prevent the Spread of COVID-19

6. 7. 8. 9. 10.

Wash your hands with soap and water thoroughly and often. Cough and sneeze into your sleeve or a tissue. Dispose of tissue immediately and wash your hands. Keep surfaces clean and disinfected. Stay home when you are sick.

If we work together, we can reduce the spread of infection. Thank you!

From: Joanne Andrews <[email protected]> Sent: November 12, 2020 11:51 AM To: Amy Pavletic Subject: letter to churches These are the churches that received the letter; Netherland Reformed Church - Courtland and Norwich sites [email protected]

Reformed Congregations in North America - Otterville 519-468-2992 [email protected] Netherlands Reformed Congregation - Brant County [email protected]

Salford Old Reformed Congregation [email protected]

2

JOANNE ANDREWS Program Manager, Infectious & Communicable Diseases SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 410 Buller Street, Woodstock, ON N4S 4N2 519-421-9901 11-800-922-0096 ext. 3403 [email protected]

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PublicHealth Oxford • Elgin • St.Thomas

Help Prevent the Spread of COVID-19

\.

#BeSmartStayApart

3

Kim Eitel From:

Amy Pavletic November 20, 2020 12:17 PM Kristina McCarthy; Kayla Elms; Serena Roberts Allison McIntosh; Simran Saini church follow-up

Sent: To: Cc:

Subject:

Hello, This is to follow-up on where the process stands for our follow-up with the churches. In summary:

1.

2.

3 churches in the Norwich area with ties to Rehoboth School community • Netherland Reformed Church - Courtland and Norwich sites-> CLOSED(committed to close for 2 weeks and reassess) • Reformed Congregations in North America - Otterville-> WILL NOT CLOSE • Salford Old Reformed Congregation-> UNABLETO GETA HOLD OF THEM Church of God of Aylmer-> WILL NOT CLOSE

For churches who have informed us they will not close, this information has been provided to Operations and they have brought forward to Dr. Lock. Dr. Lock will be making the decision on what the next steps will be. I.e. moving forward with charges. I talked to Cathie and my understanding is that this decision will be made early next week. For Salford, as we have not been able to confirm if they are closing or not. Request for the on-call PHI to go out on Sunday around service time (?) to see if services are being offered. If you have any questions, please let me know. Thank you for all of your work so far and supporting this moving forward. --Amy

AMY PAVLETIC, MPH, CPHI Program Manager, Enviromental Health SOUTHWESTERN PUBLIC HEAL TH Woodstock Site 41 O Buller Street, Woodstock, ON N4S 4N2 519-421-9901, ext. 3407 I 1-800-922-0096 [email protected] I www.swpublichealth.ca

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PublicHealth Oxford· Elgin · St.Thomas

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