 This placed an enormous strain on Ottawa's infant health care system.Mother Bruyere dealt with three decades of severe outbreaks, traumas, and poverty in Ottawa; she died at 58 years on April 5, 1876, her selfless dedication, devotion to her faith and the Citizens of Ottawa is unsurpassed.The first known ambulance reference is in the City of Ottawa by-laws and was possibly enforced earlier than 1890.