Last updated: May 9, 2022 at 3:20 p.m.

Vaccine Engagement Teams (VET) operate through 17 geographic and population-based consortiums made up of over 200 health, community and faith-based organizations. The consortiums use a variety of strategies to increase vaccine confidence and access with a focus on equity-based engagement and mobilization. VET’s are established in all of the City’s 10 geographic clusters and supports residents in all neighbourhoods.

VET’s have mobilized over 600 Community Ambassadors across Toronto. These trained community members are key points of contact in the neighbourhoods where they live and/or work, provide access to vaccine resources, build vaccine confidence and amplify public health messaging across their networks. Ambassadors reflect the diversity in culture, race and language of Toronto’s equity-deserving groups and facilitate targeted outreach to individuals and communities.

Between March 2021 and March 2022, Vaccine Engagement Teams and Community Ambassadors spent over 70,000 hours building vaccine confidence by engaging with Torontonians more than 2.3 million times in 43 different languages.

Learn more about the activity and impact of the VET’s across the City of Toronto below.

Lead Administrating Agency: Lumacare

Number of Active Agency Partners: 12

Number of Active & Trained Community Ambassadors: 51

Engagement Highlights from 2022:

  • Community Outreach and Vaccine Clinics
  • Population-focused Vaccine Outreach in the francophone, African, Spanish and Caribbean communities as well as youth.
  • Faith Community Engagement with a worship centre to support a vaccine clinic and provide personal protective equipment (PPE) to adults and youth as well as gifts cards.

Engagement Highlights from 2021:

  • COVID-19 Vaccine Town Halls for youth age 12 to 17
  • Network Coordination and development of a shared calendar with partner organizations for a more efficient deployment of Community Ambassadors
  • Hyper-local Outreach Strategy focused on neighbourhoods with the lowest-vaccine update
  • Targeted COVID-19 Vaccine Outreach focused on specific communities, streets and buildings
  • I am Vaccinated COVID-19 Promotion Video
  • Faith & COVID-19 Vaccines town halls and Q & A sessions with Hispanic faith leaders, Black faith leaders and faith leaders from the Sikh, Hindu, Christian, Buddhist, Jewish and Muslim community
  • Parent for Child Vaccine town halls
  • COVID-19 Support Line & Social media Campaign

Lead Administrating Agency: The 519

Number of Active & Trained Community Ambassadors: 33

Number of Active Agency Partners: 20

Engagement Highlights from 2022:

  • Downtown East Vaccine Phone line for information about COVID-19 vaccines, booster eligibility and booking appointments.
  • The 519 Weekly COVID-19 Vaccine Clinics for 2SLGBTQ+ communities, newcomers, older adults, youth, families and those experiencing homelessness/who are under housed.
  • Q-mmunity Wellness Hub: In partnership with the 2SLGBTQ City Wide Table, the Downtown East consortium supported the Q-mmunity Wellness Hub offering vaccines and other health services along with food and entertainment.
  • The 519 EarlyON Outreach to promote vaccine confidence for families with children aged 5-11 and to prepare families with children under the age of 5 for future vaccine opportunities.
  • Toronto Public Library Parliament Branch Outreach

Engagement Highlights from 2021:

  • Black Community Wellness Hubs
  • 2SLGBTQ+ Vaccine Information Gathering
  • Chai & Chats
  • Free COVID-19 Testing
  • Youth Fall Fair
  • Regent Park Radio Segments
  • Fray & Fluffy’s Drag Storytime

Lead Administrating Agency: Scadding Court Community Centre

Number of Active Agency Partners: 19

Number of Active & Trained Community Ambassadors: 39

Engagement Highlights from 2022:

  • Black Health & Wellness Town Hall
  • Accessible Vaccine clinics for individuals with developmental, cognitive, and/or physical disabilities and their families.
  • Presentation to the Immunizing Children with Confidence (ICC) Vaccination Conversations Pop Up event: a presentation about the consortiums’ specialized approach to vaccine distribution for those with intellectual and developmental disabilities, focusing on accessible service, barrier reduction and inter-agency partnerships.
  • Parkdale Library Pop-Up Vaccine Clinics
  • Community Outreach to Pregnant People

Engagement Highlights from 2021:

  • Community Outreach with Vaccine Information Project, engaging individuals under-housed and those living in encampments to register for local vaccine clinics and provide travel accommodations.
  • Chinatown Community Member Engagement
  • Downtown West Region Wide Support providing culturally competent vaccine engagement and visibility
  • Community Clinics, in collaboration with the Centre for Addiction and Mental Health (CAMH), Toronto Public health (TPH) and the Women’s College Hospital, in a series of weekly vaccine clinics and one-time vaccine pop-ups in areas with high COVID rates and low first dose vaccination rates.
  • Neighbourhood Outreach with Wrap-around Supports, focused on apartment buildings, door-to-door outreach, information booths, community events and youth webinars on vaccine and data collection using hyper local surveys. This approach made it possible to book vaccine appointments while providing wrap around supports to reduce barriers to access to services, including the distribution of Presto cards, care kits and food vouchers.
  • Community Translation services provided by Community Ambassadors during vaccine clinics in Mandarin, Cantonese, Tagalog, Tibetan, Hindi and Spanish.
  • Social Media Campaign
  • Vax Shack – Conversion of a container at 707 Market Place into a meeting place for Community Ambassadors and residents for education and information on COVID-19 and vaccination, printing and laminating vaccine receipts, and supporting residents without an OHIP card to access their receipts.

Lead Administrating Agencies: Access Alliance Multicultural Health & Community Services and The Neighbourhood Organization TNO

Number of Active Agency Partners: 19

Number of Active & Trained Community Ambassadors: 105

Engagement Highlights from 2022:

  • Lobby and Door-to-Door Clinics: low-barrier and accessible clinics for isolated residents in the Taylor-Massey neighbourhood. Ambassadors visited 23,000 homes in the area to promote the clinics resulting in 4067 residents vaccinated in lobbies or at their door.
  • #VaxtheEast Campaign to support vaccine access for children and families in Taylor Massey, Oakridge, Victoria Village and Flemingdon Park neighbourhoods. Community members were offered free TTC service to the Ontario Science Centre vaccination clinic and a free family pass to the Ontario Science Centre along with books, pencils, and certificates for children.
  • Vax & Spring campaign – Oakridge
  • Thorncliffe Park Women’s Committee Engagement: door-to-door engagement providing fresh healthy meals to isolated seniors and families with children aged 5-11 to promote vaccine access.
  • Mobile Vaccines
  • TNO and Afghan Women’s Organization Community Ambassador Outreach to build confidence in vaccines and improve access by providing transportation vouchers and rapid antigen test kits.

Engagement Highlights from 2021:

  • Thorncliffe Park and Flemingdon Park Data Driven Outreach Strategy – a building-based, data-driven vaccination mapping and monitoring strategy for Thorncliffe Park to mobilize a hyper-local response, building-specific, door-to door Community Ambassador engagement activities and vaccine clinics. Consortium partners, led by The Neighbourhood Organization, continue to coordinate building-based and community clinics to include Flemingdon, targeting buildings and communities with lowest rates of vaccination and highest rates of COVID positivity as well as homebound clients.
  • Community Ambassador Mobilization Series
  • Crescent Town and Taylor Massey Outreach
  • Town Halls, Information Sessions and Virtual Conversations
  • Bus Ride for Kids Vaccination Day & School-based Clinics
  • Lobby & Door-to-door Clinics
  • Hyper-local Clinics

Lead Administrating Agency:  Rexdale Community Health Centre

Number of Active Agency Partners: 12

Number of Active & Trained Community Ambassadors: 76

Engagement Highlights from 2022:

  • Monthly B’Well (Black Wellness Clinic) in partnership with BVET, the Black Physicians Association of Ontario and other Black population-serving organizations. Also included blood-glucose checks, foot care and 415 grocery store gift cards distributed to address food insecurity.
  • Community Wellness Partnership to identify and address health and social service needs in the community and gaps in supports for mental health, social programs/events, education & employment opportunities, food security, physical health, housing and legal.
  • Over 30,000 Wellness Kits distributed to residents through outreach activities that include PPE, rapid tests and information on local vaccine clinics.
  • Mobile Clinics on Go-Vaxx buses.
  • Q-mmunity Wellness Day: Wellness event piloted for 2SLGBTQ+ community held to reduce barriers to wellness supports and vaccines.

Engagement Highlights from 2021:

  • Home Stretch Initiative, a strategy to address barriers to vaccination, such as transportation, work schedules, and child care duties by organizing pop-up and smaller micro-clinics across high-traffic community spaces in buildings and areas with lower vaccination rates
  • Our Shot Partnership with community and private sector organizations for donations to be used as incentives for vaccination.
  • Las Lap Caribana Event – a pop-up vaccine clinic designed as a local capstone to Toronto’s Caribbean Caribana Festival hosted alongside a neighbourhood event to celebrate and reconnect with the community.
  • Accessibility for Families – Over 30 micro-clinics in spaces such as grocery stores and mall plaza parking lots to reduce barriers to access to the vaccines. Heated tents and TTC buses were used.
  • Black Wellness Clinics
  • Leveraging Community Events – Vaccine clinics, PPE distribution and information sharing at various community events such as the Braeburn’s Thanksgiving family event and Rexdale Community Health Centre’s youth school supply give away and basketball program.
  • Community Wellness Partnership to develop a model where residents can be engaged holistically to better understand health and social needs.

Lead Administrating Agency:  Lakeshore Area Multi-Service Project (LAMP)

Number of Active Agency Partners: 21

Number of Active & Trained Community Ambassadors: 28

Engagement Highlights from 2022:

  • Stonegate Community Health Centre Vaccination Clinic
  • Two MABELLEarts Vaccination Clinics which included distribution of fresh produce to low-income residents.
  • Etobicoke Civic Centre Clinic
  • Faith Community Clinics and Outreach at two local churches.

Engagement Highlights from 2021:

  • VET Central Help Line
  • Mobile Pop-up Vaccine Clinics
  • Vaccine Information Town Halls
  • Mobile Clinics
  • Personalized Outreach to Residents and Faith-based Organizations
  • Leveraging Community Events

Lead Administrating Agency: Scarborough Centre for Healthy Communities

Number of Active Agency Partners: 12

Number of Active & Trained Community Ambassadors: 34

Engagement Highlights from 2022:

  • Info Booths
  • Mobile Vaccine Van to promote vaccine uptake in convenient and familiar environments throughout Scarborough. The team is administering ~150 vaccines per day.
  • Rapid Antigen Test Distribution to residents through community clinics, info booths and other community programming events.
  • Youth Ambassadors to address growing inequities in youth uptake of the vaccine.

Engagement Highlights from 2021:

  • Multilingual Vaccine Information Series
  • Ambassador Training
  • Community Partnerships
  • Data Driven Engagement – targeted engagement in the top three neighbourhoods with the highest rate of unvaccinated residents.
  • Vaccine Information Booths in high traffic foot locations.
  • Engagement at Places of Worship

Lead Administrating Agency:  Agincourt Community Services Association

Number of Active Agency Partners: 16

Number of Active & Trained Community Ambassadors: 53

Engagement Highlights from 2022:

  • Mobile Vaccine Clinics in partnership with GoVAXX, the Canadian Centre for Refugee and Immigrant Health Care, and the Scarborough Health Network to provide local access to vaccines in high needs areas for seniors, migrant workers and temporary foreign workers. 600+ individuals received vaccine doses.
  • Children’s Vaccine Information Sessions in English, Arabic and Tamil.
  • March Break Community Outreach at L’Amoreaux and Stephen Leacock Community Centres to conduct outreach during March Break to parents and youth participating in drop-in programs.
  • Vaccine Clinic for Black Communities
  • Booster Dose Quiz and Draw: Ambassadors engaged community members in low uptake areas in Tam O’Shanter in a quiz about the booster dose to increase knowledge and reduce barriers to accessing vaccines.
  • Lunar New Year COVID-19 Vaccine Clinic: Chinese Lunar New Year Vaccine clinic hosted by North York General Hospital at Seneca College.
  • Home Vaccination for isolated and vulnerable residents.

Engagement Highlights from 2021:

  • East and Southeast Asian Engagement Project – focused on supporting East and Southeast Asian youth and older adults with culturally specific, one-on-one interpretation, registration system navigation, and transportation arrangements.
  • Centennial College Outreach Plan – Spearheaded by student Community Ambassadors, this outreach initiative focused engagement on newcomer students, South Asian community members, and people with disabilities, and provided avenues and resources for students to provide their peers with the education and resources needed to address vaccine hesitancy.
  • Door-to-door Outreach and Engagement
  • Local Vaccine Clinics
  • Operation l’Amoreaux – Concerted effort in high needs communities (Black and South Asian communities) in L’Amoreaux with a focus on TCHC residences within the target census tract areas. A multi-pronged outreach consisting of online workshops, vaccine clinics and information sharing through door-to-door engagement was undertaken to increase uptake of the first dose of COVID-19 vaccines.
  • Local Vaccine Info Tables & Networks

Lead Administrating Agency:  North York Community House

Number of Active Agency Partners: 21

Number of Active & Trained Community Ambassadors: 32

Engagement Highlights from 2022:

  • Rapid Antigen Test distribution
  • Naturally Occurring Retirement Communities (NORC) Vaccine Clinics
  • March Break Program: a 3-day camp for 26 children aged 6-12. Participants received vaccine education and were led through art activities to support them in expressing their feelings with each other about vaccination.
  • Afghan Refugee Engagement: language and culturally appropriate outreach to Afghan refugees in hotels. 900 refugees and Afghan newcomers were provided information about vaccinations and vaccine clinics.
  • Vaccine Certificate Educational Video: Vibrant Healthcare ambassadors developed an educational video guiding individuals on the process of booking a vaccination appointment and print vaccine certificates.

Engagement Highlights from 2021:

  • Partnerships on Vaccine Clinics with local health organizations to coordinate and host vaccination clinics in various locations.
  • Latin American Community Radio Show
  • Partnership with Toronto Public Library to host weekly vaccine information tables.
  • Oriole COVID Outreach Centre, in partnership with the Flemingdon Health Centre, North York General Hospital, Working Women Community Centre, Toronto Public Health and North York Harvest, sessions included information on vaccine clinics and wrap-around and social supports to high priority communities in North York.
  • LGBTQ+ Wellness Road Show
  • Afghan Newcomer Vaccine Engagement

Lead Administrating Agency:  Syme Woolner Neighbourhood and Family Centre

Number of Active Agency Partners: 13

Number of Active & Trained Community Ambassadors: 39

Engagement Highlights from 2022:

  • Portuguese-language Community Vaccine Clinic
  • York Fairbank Centre for Seniors Outreach Campaign
  • Community Outreach Campaign in community centres, childcare centres, libraries and other community-service organizations.
  • March Break Camp Vaccine Clinic
  • Vax Art Workshops: Residents were invited to explore their vaccine hesitancy through art engagement.

Engagement Highlights from 2021:

  • Syme Woolner Bi-Weekly Micro-Clinics
  • York Fairbanks Vaccine Clinics & Outreach Tables
  • Community Place Hub Outreach Event
  • Halloween Engagement at Parks
  • York Hispanic Centre OMNI TV Program Ad
  • Youth Spoken Poetry Video Series
  • Vaccine Clinics

The Black Vaccine Engagement Team develops agile, population-specific, culturally responsive strategies to increase COVID-19 testing, vaccine confidence and access among Black people of African and Caribbean origins. COVID-19 continues to have a disproportionately high impact on Toronto’s Black and other racialized communities. The collaborative works closely with the Black Scientists’ Task Force on Vaccine Equity and the Black Physicians Association of Ontario (BPAO).

Lead Administrating Agency:   TAIBU Community Health Centre

Number of Active Agency Partners: 12

Number of Active & Trained Community Ambassadors: 36

Engagement Highlights from 2022:

  • Recurring Black Wellness and Vaccine Clinic
  • WhatsApp Expert Engagement Sessions: Monthly information and discussion sessions with rotating medical experts and immunologists targeting individuals living with HIV/AIDS and Sickle Cell disease.
  • Hair Salon and Black Beauty Event Outreach
  • BVET Community Care Kit Distribution
  • COVID-19 Online Information Hubs for Black Communities
  • Dedicated Faith Group Outreach with Black and African faith leaders to provide vaccine information and PPE to congregants.

Engagement Highlights from 2021:

  • BrAIDS for AIDS Outreach, led by partner agency BrAIDS for AIDS, a foundation to connect with vaccine hesitant communities in Little Jamaica, Malvern, and Rexdale.
  • TAIBU Vaccine Clinic Series
  • COVID-19 Vaccination Hotline
  • Outreach to the Ghanaian-Canadian Community
  • Vaccine Education Online Webinars
  • Social Media Vaccination Campaigns
  • Awareness Building for the Homeless & Precariously Housed
  • Community Conversations & Webinars

The Accessibility Cluster builds sector capacity on outreach to people with disabilities in their communities through training sessions, community-specific webinars and by supporting vaccine clinics and mobilizing Community Ambassadors from within the disability community. The collaborative works closely with the City of Toronto’s Accessibility Task Force on COVID-19 Vaccines.

Lead Administrating Agency: Centre for Independent Living Toronto (CILT)

Number of Active Agency Partners: 8

Number of Active & Trained Community Ambassadors: 34

Engagement Highlights from 2022:

  • Accessibility Clinic at Metro Toronto Convention Centre in partnership with Toronto Public Health and the City’s Accessibility Task Force. The clinic feature cross-accessibility supports targeted at those with mobility, vision, hearing, developmental and other accessibility needs. This initiative resulted in 212 vaccine doses administered to members of the disability community.
  • Partnership development:
    • A partnership with the Downtown East cluster has been established through the cluster coordinator, 519 Community Centre. The collaboration expands engagement opportunities with those at the intersection of disability and 2SLGBTQIA+ identities. It also builds capacity to serve disabled Queer youth enhance the accessibility of the 519 Community Centre’s vaccine clinics.
    • A partnership with Surrey Place has been established to reduce a service gap in the cluster with respect to the developmental disability community.
  • Capacity Building: Resources and training for ambassadors engaging Deaf and hard of hearing communities across has been prioritized. These efforts have thus far resulted in outreach engagements with 2960 individuals.

Engagement Highlights from 2021:

  • Accessibility Clinics to support people of the disability community.
  • Accessibility Webinars, covering topics on the impact of the pandemic on the disability community and best practices in relation to vaccine outreach.
  • Accessibility Townhall, in collaboration with the Toronto Public Health, the Centre for Independent Living Toronto (CILT), consortium partners held a townhall covering disability-inclusive vaccine outreach practices, developments in vaccine rollout, and emerging knowledge on COVID-19 vaccines. Up to 64 people attended the townhall, including Community Ambassadors, City staff, and Accessibility Collaborative members. The townhall allowed to expand awareness of disabled and Deaf populations as vulnerable equity-seeking populations and provided knowledge on the tools to accommodate their access needs and rights in vaccine outreach and vaccine clinic delivery.
  • Accessibility Resources
  • Capacity Building for Consortium Partners for the development and distribution of resources and supports to the collaborative 9 organizational partners and Community Ambassadors on vaccine engagement with Deaf and disability communities across the GTA.
  • Advancing the Accessibility Task Force Recommendations – tools and measures to help close equity gaps for disabled and Deaf residents

Lead Administrating Agencies:  FCJ Refugee Centre and Jane Finch Community and Family Centre

Number of Active Agency Partners: 18

Number of Active & Trained Community Ambassadors: 33                      

Engagement Highlights 2022:

  • Borderless Voices Podcasts: Podcast developed in Spanish and English to respond to requests from newcomers regarding access to vaccine certificate QR codes and booster shots.
  • Social Media posts in Amharic to reach over 2000 people in the community.
  • Health Leader Information Sessions
  • Domestic and Pre-Arrival Newcomer Youth & Family Vaccine Engagement Project: Survey conducted with newcomer youth to explore experiences with vaccination, barriers around getting vaccinated and hesitations about the vaccine. The survey linked participants to relevant resources. Two videos were produced featuring newcomer youth sharing why they got vaccinated and medical professionals responding to questions about vaccination from survey responses.
  • Vaccination contre la COVID-19, m’informer dans ma langue: The Centre Francophone of Greater Toronto created a telephone line and three webinars to provide vaccine information to French-speaking newcomers.
  • Arab Community Centre of Toronto Engagement: phone campaign in the Arab community to provide vaccine access support.

Engagement Highlights from 2021:

  • Syme Woolner Bi-Weekly Micro-Clinics
  • Community Place Hub Outreach Event
  • Belka Enrichment Centre Town Halls
  • Domestic and Pre-Arrival Newcomer Youth and Family Vaccine Engagement
  • York Fairbanks Vaccine Clinics & Outreach Tables
  • Vaccine Engagement with Eastern European Communities
  • Vaccine Engagement with Francophone Communities
  • Culturally Appropriate and Language Specific Outreach and Support
  • Borderless Voices Podcasts

The South Asian Vaccine Engagement Collaborative (SAVEC) is a community-driven initiative that works with South Asian agencies, community leaders, and media outlets to develop agile, population-specific, culturally responsive strategies to increase COVID-19 testing, vaccine confidence and access among South Asian communities in Toronto. SAVEC provides training sessions, community-specific webinars, and supports vaccine clinics mobilizes South Asian Community Ambassadors for focused outreach.

Lead Administrating Agency: Council of Agencies Serving South Asians

Number of Active Agency Partners: 11

Number of Active & Trained Community Ambassadors: 12

Engagement Highlights from 2022:

  • Online Information Hub Re-Launch: The Council of Agencies Serving South Asians (CASSA) and SAVEC partners re-launched the online SAVEC community hub. The hub provides vaccine resources and the SAVEC Illustration Campaign to 40 organizational partners to support their vaccine promotion initiatives as well as all capacity building materials provided to Community Ambassadors in English and South Asian languages.
  • In-Person Engagement
  • Social Media Engagement in Hindi, Urdu, Tamil, Punjabi, and Bangla on the topics of children’s vaccines and booster shots. Over 10,000 people were engaged via social media and other online engagements.
  • Virtual and Remote Live Engagement: town halls, webinars, phone calls to residents, one-on-one meetings, and Facebook Live sessions with medical experts, public health officials, faith and community leaders.
  • Ethnic Media Outreach Campaign in South Asian languages through local ethnic newspapers, radio stations and TV channels. Paid ads, public service announcements, interviews and multimedia content was shared by 20 media outlets reaching 100,000+ residents.

Engagement Highlights from 2021:

  • Having the Conversation Series – a series of town halls to support South Asian communities and fuel healthy discussions on vaccine concerns.
  • Culturally Responsive Door-to-door Outreach & Clinics
  • Vaccine Education Series
  • In-person Campaign
  • Indirect Online Campaign
  • Direct online campaign
  • Ethnic Media Outreach
  • Consortium Capacity Building – The Council of Agencies Serving South Asians (CASSA) worked with Consortium partners to create and disseminate creative content and training materials for the Community Ambassadors and other consortiums, to provide all consortiums with content in South Asian languages and relevant to South Asians to use as they do outreach to the South Asian communities in Toronto.

The Faith-Based Engagement Collaborative is a community-driven initiative that works with faith-based leaders and communities across Toronto to develop agile, multi-faith engagement strategies to increase COVID-19 testing, vaccine confidence, awareness, and access. The Collaborative also engages faith leaders from various faiths communities to mobilize information sessions and vaccine clinics in faith-based venues.

Lead Administrating Agency: Lumacare

The 2SLGBTQ+ Collaborative is a community-driven initiative that works with 2SLGBTQ community agencies to develop agile, population-specific strategies to increase COVID-19 testing, vaccine confidence and access.

Lead Administrating Agencies:

  • The 519
  • ASAAP
  • Friends of Kensington Market
  • Madison Community Services
  • Rexdale Community Health Centre
  • Spadina-Fort York Community Care Program

Lead Administrating Agencies:

  • Anishnawbe Health Toronto
  • 2-Spirited People of the 1st Nations
  • Na-Me-Res
  • Native Child and Family Services of Toronto
  • ENAGB Indigenous Youth Agency

In 2021, Indigenous-serving organizations were allocated $1 million in funding to self-determine culturally-appropriate strategies for engagement among Indigenous communities. In 2022, an additional $500,000 is being allocated to enhance and continue this work. These funds are allocated in coordination with the City of Toronto’s Indigenous Affairs Office and are being used to:

  • Increase the capacity of Indigenous-focused mobile and on-site COVID-19 vaccination and testing program by hiring nurses, admin staff and other medical support staff;
  • Support the delivery of COVID-19 vaccines while providing wrap-around services, including addressing food security needs;
  • Provide mental health and case management supports through Indigenous counsellors and Elders to 2-Spirited individuals and children and youth; and
  • Support vaccine incentives for Indigenous community members who receive vaccinations at Auduzhe Mino Mesewinong.
  • Operate 24 day-long Indigenous vaccination clinics in the East and West ends of the City through additional medical staff and outreach workers