It is now time for oral questions. I recognize the leader of Her Majesty's Loyal Opposition. Thank you, Speaker. My questions for the Deputy Premier. Every day more and more people are speaking out against the Premier's backroom deal with social conservatives to repeal the updated sexual health curriculum. School boards, parents, educators, and now health professionals are all speaking out against the Premier's plan to put the health and safety of students at risk. Why is the Deputy Premier ignoring the vast majority of Ontarians and going along with the Premier's plan to scrub same-sex families, gender identity, and consent out of Ontario's classrooms? Deputy Premier. Well, thank you, Mr. Speaker, and thank you to the leader of the Official Opposition for the question. What we have said from the beginning, what we said during the course of the campaign, is we want to involve parents in the consultations with the rest of them. Parents were not consulted properly in the last iteration. We want to make sure that we have a thorough consultation. We want to hear from anybody who has something to say about the sex ed curriculum so that we can make sure that it is updated, that it is current, that it covers all issues including cyberbullying, sexting, all of the other issues that we want to have covered to make sure that our students are going to be safe in our schools. We're starting that consultation process in September, and we want anybody who has something to say to be in touch with us and let us know what that is. Supplementary. Well, Speaker, this morning I welcomed Dr. Andrea Chiddle to Queens Park. She's a family physician from Guelph, and Dr. Chiddle joined me to announce that at least 19 healthcare organizations and nearly 1,800 doctors, nurses, and healthcare professionals have signed a petition calling on the Premier to restore the updated health curriculum in its entirety. These medical professionals say that any repeal or dismantling of the curriculum is an effort, rather in affront, to the rights and to the health of Ontario's youth. Will the Deputy Premier stop listening to radical social conservatives and start listening to the Ontario doctors, nurses, and healthcare professionals that are so very, very worried about our youth? I'm going to send this to her with a page. The official opposition is this. We want to hear from everyone. We welcome Dr. Chiddle's comments. We welcome the comments from the other healthcare professionals that are referring to, but we also want to hear from parents. Because parents, we want to make sure that we get it right, that we make sure that all of our students are protected, and that they hear the things that they need to when it's most appropriate for them. So we welcome hearing from the healthcare professionals, but we also want to hear from parents. Final supplementary. Speaker, almost 1,800 doctors, nurses, and healthcare professionals are calling on the Premier to stop putting health and safety of students at risk.  And now are speaking out against this Premier because he is putting students at risk. When will the Deputy Premier find the courage, Speaker, to stand with these 1,800 medical professionals and speak out against the Premier's plan to put students in harm's way? Deputy Premier. Well, nothing is more important to all of us in this legislative chamber than the health and safety of Ontario's children so that they can be successful in today's society. But I think we also have to remember because we've been focused on sex ed curriculum in this place for, what, a month now, there are other aspects of our children's education that are also important. For example, their math scores. We are falling behind that too because that is also important for the future prosperity and well-being of our children. Question, the Leader of the Opposition. Thank you, Speaker. My next question is also to the Deputy Premier whose words ring pretty hollow. The Premier's decision to side with radical social conservatives and rip up the health curriculum puts students at risk. That is the truth, Speaker. Whether they like it or not, that is the truth. That's according to 1,800 doctors, nurses and health care professionals, as well as scores of other parents, as well as scores of hundreds of thousands of other people who are very, very concerned about this, Speaker. Look, it is according to the RNAO, Planned Parenthood, Ontario's midwives and social workers, the Alliance for Healthier Communities, Canadian Women in Medicine, the Ontario Medical Students Association, and the list goes on and on and on, Speaker. Why is the Deputy Premier ignoring health care leaders who are united in saying that the Premier's Plan puts the health of our children at risk? That's what the Premier's Plan has. Thank you, Speaker, through you to the Leader of the Official Opposition. Of course, we respect the views of health care professionals. Of course, we're going to be the only ones that have an opinion on this. Parents have an opinion. Parents know their children. Parents know when their children are able to hear about certain things. Are we going to pretend that we're not going to teach them that? We're going to teach them that, but we need to know when is best. And parents are the best judges of that. For their own children, their voices have not been heard. There are only 16 kinds of sentences that were received for the last iteration of the physical and educational sex ed curriculum. That is not a representative sample of parents across this province. We want to hear from all kinds. We want to express... Supplementary. When is the best for kids to know about cyberbullying and sexting? When is it best for them to know about the dangers of sex and that the nurses aren't the only ones that are standing up to this premier? At least 25 school boards are speaking out against this premier's plan to remove any mention of same-sex families, consent, gender identity, and cyberbullying from the curriculum. Those 25 school board speakers are worried that the premier's plan to come to work, minister of tourism will come to work. And they have no idea how they're supposed to teach students. The outdated 1998 curriculum in just four weeks' time. Why does this deputy premier think school boards should roll back the clock to 1998 and deny students the crucial information that they need to stay safe in 2018? Deputy Premier. Thank you, Mr. Speaker, through you. The leader of the official opposition is presupposing what's going to be in the updated curriculum. We want to hear from parents. We want to hear from medical specialists. We want to hear from anybody who has something to say on this issue about what should be included in the curriculum. We want it to be thorough. We want to have a full consultation. We want to make sure that it's going to cover all aspects of things that young people need to learn in order to be safe in our society. But we also want to make sure that they're going to be able to be successful, too. So I think we need to concentrate on a few other things as well, making sure that our students do well at school, getting up their math scores in particular Final supplement. Speaker, the government's presupposing that kids are going to be safe without the information, tools, and tools that they need to be safe. The government side has to come to order. I have to be able to hear the leader of the official opposition just as I have to hear the Deputy Premier. The government side has to come to order. Apologize. I'll give you extra time. The Deputy Premier is aiding and abetting the Premier's dangerous plan, Speaker, instead of doing her job as the health minister and standing up to him. Recently she said that when a student asks questions that aren't in the new curriculum, those conversations should not happen in a classroom. She said they should happen in private, behind closed doors. You'd think this Deputy Premier would want to install closets in every classroom to have these discussions. Educators have said this is unbelievable advice. And the head of the TDSB says it makes her cringe. How can this Deputy Premier honestly suggest that same-sex families, gender identity and consent are dirty little secrets that should be sent back into the closet? I think it really is important to those Ontarians who may be watching these proceedings to correct what I actually did say and ask whether it's all right for students to ask their teacher questions if they have questions. I think every teacher in Ontario would say yes to that because I know that happens every single day. And if a student has a question and they don't have anyone else to ask and that happens very often, is there anything wrong with them asking a teacher about that so the teacher can help them get the help they need? No, there is not. And I think it's absolutely fine for a student to ask a teacher a question. House will come to order. Next question. Leader of the Opposition. Thank you, Speaker. First of all, the premier transit should be a fast and affordable service for everyone in the GTA and it should cost just $3 to take go transit and the UPP Express anywhere in this city. But the premier disagrees. This weekend it was revealed that the premier is refusing to lower the cost of go trips within Toronto forcing people to pay more for transit pushing communities to pay more for transit in Toronto. One life is already very unaffordable. Mr. Transportation. Mr. Transportation. Thank you very much, Speaker, and thank you to the Leader of the Opposition for the question. We are absolutely committed to making transit more affordable here in the City of Toronto and the greater GTA. But we're also in the midst of a thorough review of the State of Ontario's finances that have been brought on by the mismanagement of the previous regime. So the former premier of British Columbia the Honourable Gordon Campbell is heading up our analysis that we will report in September by the end of this month. And at that time when we have a better view a better idea we'll be responding to this in a more complete way. And I will deal with perhaps more in supplementary that this is an ongoing discussion between Metrolinx and the City of Toronto as well. I want to make it clear that at no time the Premier Ford and the campaign commit to this to this price but we are absolutely committed to the improvement of transit and making transit as well as life in general more affordable for the people of Ontario. Start the clock again supplementary. Everyone in the GTA should be able to commute anywhere in Toronto for just $3 with Go Transit and the up express. Fast, convenient and affordable transit is the best way the best way to deal with the gridlock problems that we have to help grow our economy and to help families spend more time together Speaker. But the Premier himself has refused to back the $3 Go Transit after weeks of accusing City Hall of inaction on transit and gridlock when will this government admit that it's actually the Premier himself who's standing in the way of fast and affordable transit for Toronto commuters. Minister of Transportation Well thank you again to the Leader of the Opposition for the question Everybody would love everything to be free in this world. The reality is nothing is. But let's put it into perspective we have a debt in this province of some $320 billion of deficits that the previous government underestimated. The Auditor General said they underestimated them by $6 billion. The Financial Accountability Officer has said at least that much. So we have some real challenges ahead of us what we are going to determine with our full financial analysis looking back at all spending and all costs that we've been incurred under the previous government we have Gordon Campbell heading up a panel just the current state of Ontario's finances it would be irresponsible for us as a government to commit to something that we can't afford. That was the style of the old government we want to make transit and life more affordable and under God for it it will be. We start the clock. Next question the member for Kitchener South Hesbler. Question is for the Deputy Premier Today at Barley-Days brewery in Picton in Prince Edward County Premier Ford formally announced that Bucca beer is returning to Ontario This is something that many beer consumers have been wanting for a decade when the previous government raised the minimum floor price for beer in Ontario Deputy Premier can you explain to the legislature the details of just how our government is returning to Bucca beer in Ontario Deputy Premier I remember from Kitchener South Hesbler for the question we were elected on a promise to reduce the tape and to put the people first that includes the promise we made to bring Bucca beer back to Ontario and a promise kept. Thanks to the previous Liberal government the minimum price floor for beer is $1.25 But effective August 27 our government for the people will lower the minimum price floor to $1 for any beer with an alcohol volume less than 5.6% We're going to do this only and responsibly Unlike the official opposition and the previous Liberal government we trust Ontario beer drinkers and other consumers to make their own smart, mature and responsible choices Supplementary Thank you Deputy Premier Clearly the days of the government putting its hands in the pockets of Ontarians each time you buy 2, 4 or 6 pack is over It is my understanding that Premier Ford has initiated the Premier's challenge to brewers across Ontario There has been a lot of public interest in this government commitment and the Premier's challenge provides a great opportunity for brewers including non-financial promotional incentives Can the Deputy Premier please explain how this is just the first step when it comes to fulfilling our government's plan to modernize alcohol retailing in Ontario Deputy Premier We're bringing back this minimum price floor to encourage competition in the beer market and to save people money By lowering the minimum retail price for beer the government has opened up opportunities for brewers in the value priced beer category Today it was revealed that the LCBO is interested in discussing promotional considerations with any brewer who goes to and agrees to lower their prices on or after August 27 America Beer is part of the government's commitment to transforming alcohol retailing in Ontario which includes expanding the sale of beer and wine to convenience stores grocery stores and big box stores for consumers first Thank you Thank you Speaker My question is to the Minister of Municipal Affairs and Housing This government's reckless decision to slash Toronto City Council has left the rest of Ontario's municipalities wondering if they will be next Mr Speaker, does the Minister support reducing Ottawa City Council from 23 to just 6 councillors Minister of Municipal Affairs and Housing Thank you Speaker through you to the member Bill 5, the Better Local Government Act is a very clear bill It only affects one municipality in the province of Ontario in terms of the composition of council and it only deals with four regions when it comes to pressing the pause button on changes that were proposed by the previous government We've been very clear in terms of the City of Toronto the fact that Bill 5 reduces the size of that council provides a more streamlined council with all due respect the honourable member is fear mongering and knows that this is only dealing with that council Supplementary Speaker, I'm just following the logic of the argument made by the Minister This government's entire justification for their undemocratic move is to align municipal wards with federal and provincial boundaries So far only Toronto has been targeted by this unconstitutional policy But where does it end? Mr Speaker will this government begin slashing councils province-wide reducing council in places like Sudbury or Windsor from 10 to 12 councillors to just 2 or 3 Again Speaker through to the member for Toronto Danport, I've been very clear in a couple of weeks we have the Association of Municipalities of Ontario conference one of the first decisions that I made as Minister was to extend the opportunity for municipalities to ask for meetings with both myself and members of our cabinet I know that that decision resulted in the number of meetings my ministry had went up from 49 to 77 we made it very clear to municipalities and you know what the opposition can heckle all they want but I look forward to engaging Ontario's municipalities I look forward to hearing their suggestions on providing more efficient and I invite them to come to AMO as well it's an opportunity for us to hear very clearly what the municipal sector has to say please stop the fear-mongering and let's talk about Bill 5 Next question, Member for Brampton West Minister of Children Community and Social Services with responsibility for immigration Minister the crisis at the border seems to be ongoing with illegal border crossers making their way to Ontario with immigration and refugee border sources away from family reunification and international student processing my question today on this important immigration matter is in relation to the federal government's response to your reasonable and straightforward request for reimbursement forward support for illegal crossers I recall that all premiers recently agreed that the federal government should be responsible and cover costs associated with their decision of the border as a means to access our immigration system I'm interested to know if the minister has received any response to her letter and formal request for reimbursement I would be remiss not to say how proud we are on this side of the house to have the member from Brampton West elected here as the first international student ever to be elected in this house a few weeks ago I provided an itemized list of costs that have run up as a result of this irregular issue of border in Quebec right now we have about $200 million in counting on itemized costs that includes $90 million in social assistance $74 million in shelter costs $12 million in shelter costs for Ottawa $3 million for the Red Cross and $20 million as a result of education that $200 million we have asked the federal government to pay they have come back to us with no letter with only $11 million a drop in the bucket so I hope with the new appointment of Bill Blair as a cabinet minister responsible for the border crossings that he will come to the table and ensure that we have back to the minister minister that is quite disappointing that there has been no response not even an acknowledgement I recall that you testified at a federal government hearing on the impact of crosses I recall that your testimony to that committee focused on the financial and community impact of crossings is having an Ontario minister the impact of illegal crosses is being felt in our education system our legal aid system our social assistance system and emergency shelter system is the federal government ignoring your testimony and letter I know from your answer that the cost to our education system is $20 million the cost over social assistance system is more than $90 million and the cost over emergency shelter system is $85 million did I see the new federal minister deliver a check for only $11 million to the city of Toronto against their emergency shelter cost thanks very much speaker this is an issue that has captivated the country all 12 premiers 13 premiers of this country signed on with our plan to make sure that the federal government would support us including liberal and NDP premiers over 67% of Canadians agree with the approach this government is taking in asking the federal government to pay the bills for its failed policies at the border we are asking for $200 million the federal government will give interviews and say we should take it from the social transfers that they send us and I have to ask the federal liberals what schools do they want us to close what hospitals do they want us to close and what services do they not want us to deliver because they won't pay their bills restart the clock member for London west my question is to the acting premier speaker this government's dangerous decision to drag Ontario backwards to 1998 has mobilized thousands of parents, students, educators violence against women experts and healthcare professionals who are calling to keep the 2015 curriculum in place 26 school boards representing more than 60% of Ontario students have issued formal statements raising concerns about the harm this change will cause some school boards and thousands of teachers have said they will continue to teach the 2015 curriculum because of their professional obligation to protect the health and well-being of students what legal consequences will these school boards and teachers face for refusing to follow ministry direction and doing the right thing for students deputy premier minister of education and I appreciate the question speaker and through you back to the member opposite you know we have said all along that we have every confidence in our teachers throughout this province of Ontario and they're going to do right by our students and when we talk about doing right by our students it also means respecting their parents speaker we made a campaign promise that we're going to keep and we are going to respect parents and conduct a very comprehensive consultation that I think everybody in this house will be supportive of and I invite them to join me this fall when we kick off the consultation because we must respect parents we must provide a forum for all people to contribute their voice and do you know what speaker the interesting part about all of this is to say it's comprehensive we're also going to be taking a look at getting back to the basics and we're going to be addressing math as well you just wait start the clock supplementary speaker the Canadian civil liberties association has warned that repealing the 2015 curriculum violates education act requirements for school boards to promote a positive school climate that is inclusive and accepting of all students and also violates the charter rights of LGBTQ students and families speaker not only is this government putting the health and safety of Ontario students at risk but it is also creating legal jeopardy for school boards and teachers will this government act now to end the chaos and direct school boards to continue using the 2015 curriculum when students return to school in September minister thank you very much Mr. Speaker and I feel it's important that we remind the opposition party that their former deputy leader and the current federal leader of the NDP party said that the lack of inclusive consultation before announcing the curriculum was disrespectful to parents he went on to say I urge the government to sit down with parents now an open dialogue before implementing changes and so speaker I am so pleased to share with you that we are going to be working with our parents we're going to be keeping our promise to respect them and we are going to be moving forward and Ontario can trust us when we say we're going to be addressing what needs to be fixed in the education system we're going to be consulting parents in terms of moving forward with health and physical education curriculum we're also going to be talking to our parents about what else needs to be addressed thank you next question start the clock member for Ottawa Vanier thank you Mr. Speaker my questions for the deputy minister community and social services cancelled the basic income pilot project before the line by line audit she explained her decision in the following terms basic income project is a dis incentive for people to find work when you're encouraging people to accept money without strings attached it really doesn't send a message that our ministry and our government want to send is it the position of the progressive conservative government that people who are in receipt of social assistance and who are participating in the basic income pilot are lazy minister of children, community and social services apologize referred to the deputy premier minister of community services now the ministry question I reject the premise of it we haven't cancelled anything yet we announced that we would be winding it down we said that we would come forward with a plan in 100 days 94 now and during that period of time we're not going to go to social assistance rates but let me be perfectly clear we want to help people be successful in this province and we need to do so with equal measures of head and heart compassion can't simply be measured by dollars and cents we believe on this side of the house that social assistance should be about lifting people up and helping people get their lives back on track and so to begin over 25% of them either dropped out or failing to meet their obligation thank you supplementary the announcement from the minister was a shock to the participants and to Ontarians including the former senator and former chief of staff to Ontario P.C. Premier Bill Davis you see go who said that he had assurances from the Ford campaign that the pilot would be maintained so that Ontario would see the results in terms of health education and justice outcomes and the potential savings from various public expenditures we're all worried about the orders that the minister has received which I know that she's committed to doing the right thing for the less fortunate but why is it that we don't know what's in stock I think we would expect and I think my question is can the deputy premier commit today to releasing all the mandate letters of the ministers so that Ontarians know what exactly there's in stock particularly the mandate letter for the minister of children and community social services minister thanks very much Speaker I appreciate the members question look given the fact that the Liberal government had difficulty signing people up to this program and that over 25% or either failing to comply or they have dropped out it calls into question whether the research is valid now I have great respect for Senator Siegel as many people in this caucus but I have to tell you when we were left a set of books the tough choices had to be made this research project was going to cost $150 million where I come from that's a lot of money for research that might not be valid and so Speaker when I look at the program the previous government wanted to bring him forward it was a $17 billion program on top of a $10 billion social assistant project Speaker I ask the member opposite does she think on tarot's most vulnerable people should see an increase in the HST by 7% that's what this government would have done the previous government did they made terrible decisions that hurt the most vulnerable but I can assure you I will never walk away from our most vulnerable thank you restart the clock next question the member for Markham Union Bill thank you Mr. Speaker my question today is for Minister of Community Safety and Correctional Services last month Mr. Speaker Statistics Canada published a report that indicate violence crime in Ontario has been seen an increase of 7.1% since 2016 Mr. Speaker this report confirm that we already knew the gun and gang related violence has increased in Ontario Mr. Speaker with the reason Brazil and in 2008 act of gun violence being seen in our streets our government for the people has remained committed to public safety and keeping all Ontario safe Mr. Speaker could the minister please update the member of this legislature how this ministry will tackle gun violence in this province thank you Minister of Community Safety and Correctional Services thank you Mr. Speaker and thank you to the member from Markham Public Safety as we've always said is paramount concern to this government Mr. Speaker with the rise in gun and gang violence on our streets it's clear that the current strategies no longer support our incredible police services in battling these criminal acts Ontario's police services are among the very best in the world and our government will remain committed to providing them the brave men and women of these forces with the tools and resources to do their job safely at my ministry Mr. Speaker ensuring public safety throughout the great province is our number one priority our government will continue to remain focused on our commitment to tackling gang and gun violence on Ontario especially violence within the city of Toronto response what was failing Mr. Speaker and we are the only party in this house prepared to do the work that needs to be done thank you Mr. Speaker back to the minister I want to thank minister for his response I'm proud to stand here today knowing that our government is committed to tackling gun and gang violence in this province and providing the men and women of Ontario police services with the tool and resources they so desperately needed Mr. Speaker policing is a dangerous job and the men and women of our police services need to understand that our government for the people is here to listen to them and we remain committed to ensure public safety across the province to the minister what action will you take to support our frontline officers in tackling gun violence thank you and once again thank you for that question Mr. Speaker I'd like to again state that this government will continue to meet with our community safety partners for weeks so that we can find solutions necessary to protect Ontarians from being the victims of senseless violence and to keep our first responders safe while performing their duties Mr. Speaker my ministry will be continuing our important work on examining current community safety initiatives and their effectiveness in protecting the people within this great province as well as our many dedicated first responders during the election campaign Mr. Speaker that we will commit to providing our frontline officers with the tools and resources they need to keep our community safe promises made promises made members take your seats next question the member for Tomiskaming Cochran my question is to the minister of natural resources Northern Ontario is going through one of the worst fire seasons in recent memory some of those fires have been categorized by the MNR as being out of control for weeks and evacuations and evacuation alerts have been issued in many areas Northern Ontario is very appreciative of the resources that the province and other jurisdictions have put forward to fight these fires my question to the minister is can the minister assure Northern Ontario that all available resources will be requested and that these resources will be focused on the fires until they are brought under control Mr. Speaker and thank the member very much for his question and it's true due to ongoing dry temperatures and dry conditions and thunderstorms and wind we have a record amount of fires throughout Ontario this season and my ministry has been on top of this since day one putting the necessary resources where they are needed when they are needed there are three types of responses to fires there's a full response which is an initial attack the sustained actions of the fire is out there's a modified response which is a combination of suppression strategies and monitoring sections within the natural resources and there's a monitor response to assess and determine any additional responses needed and my ministry is on top of these working day in and day out and we have called out to our other jurisdictions across the province across the country across the United States and Mexico to work together to bring these fires under control and we will continue to support our frontline fire crews fighting these fires day in and day out until they are out Mr. Speaker Thank you Northerners are very appreciative of the heroic efforts of the fire rangers water bomber crews and everyone else who's involved in fighting this fire and in one case the firefighter who sacrificed his life and our condolences go out to the Godwa family many volunteers and community groups have also stepped up to the plate for some like tourist camp operators forestry contractors and one farmer I know who might have to evacuate his dairy herd to the evacuation notice their economic survival might be at stake because of this can the minister assure them that the province will institute emergency measures to help them survive this economic disaster Minister Thank you Mr. Speaker and thanks to the member of the supplemental we have ongoing right now one of the most greatest coordinated event in northern Ontario history with working with the ministry of natural resources forestry, local OPP municipalities and communities to ensure the safety of the public comes first followed by the safety of the property to ensure that we can protect businesses we can protect cottages we can protect public private property and public property from the damages of fire and we are succeeding in our efforts in doing so Mr. Speaker and on that note I just want to say to the people traveling up to Perry Sound Perry Sound is open for business Mr. Speaker that fire is 75 80 kilometers north I think people going out this weekend to ensure to continue to go to these areas go to Ontario.ca see where the restriction areas are placed but when you do go to the north start spending some extra money because those people need the economic support that we are doing to give back to the speakers restart the clock Thank you Mr. Speaker my question is for the minister of natural resources and forestry the forest fire burning in the north end of my riding since July 18th known as Perry Sound 33 has destroyed a huge area of more than 11,000 hectares and despite being about 75 kilometers north of the town of Perry Sound has scared a lot of people away from the whole area during this summer tourism season I've recently heard there have been some positive developments regarding this fire can the minister provide the house and the public with an update on the efforts to battle this forest fire Mr. natural resources and forestry Thank you very much and thank you for that question and I just want to take this opportunity one more time on behalf of this legislature on behalf of the people of this province I want to thank the fire crews that are working day in and day out and thank the support staff for taking on these fires and ensuring that we keep the public safe and keep our property safe and Mr. Speaker the weekend Perry Sound 33 fire that the fire perimeter has been held to help establish this perimeter around the entire fire ensure that it's not spreading further and many places crews are now working steadily in from the perimeter to fight this fire well this progress is good news evacuation orders and travel restrictions remain in place in the area and these measures have been put in place to ensure public safety while allowing fire personnel to safely and effectively suppress the fire and I do want to say Mr. Speaker if you're going up to Perry Sound go up and spend lots of money to support their economy supplementary back to the minister and thank you for that answer I know the people of Perry Sound district will be pleased to hear the fire is no longer spreading most media coverage has been on the Perry Sound 33 fire however there are other large fires being fought in Northern Ontario can the minister provide an update on firefighting efforts in other parts of Northern Ontario Minister I'm happy to report a combination of improved weather over the weekend and the ongoing work by crews and teams across the province has led to an improved situation on many fires in this province of note the fire in Lady Evelyn smoothwater provincial park in Tomogamy one of the largest fires in the province is now being held provincially resources are in good supply and most of the actionable fires have received the support they require we again like to commend the hard work and communication of those who are fighting the fires and at this time also thank our partners thank the other province who have sent help thank United States and thank Mexico for sending us their support their firefighters their equipment we will continue our fight against these fires until they are out thank you very much for that question next question member for Scarborough south west thank you speaker my question is to the minister of health and long-term care last year Toronto police responded to over 1,000 mental health disturbance calls there were 12,000 children waiting up to 18 months to access mental health services and frontline hospital stuff experienced record levels of violence on the job time and time again our first responders our communities and our children bear witness to the cracks in our mental health services Ontarians need more mental health services not less speaker why is this government cutting 335 million dollars every year from mental health services good question welcome long-term care thank you Mr. Speaker I'd like to thank the member for the question but in fact it is incorrect we are not heading back in fact we're making the biggest commitment in Ontario's history we're adding 1.9 billion dollars over 10 years to match the equal federal commitment 3.8 billion dollars is a lot of money we are adding to previous commitments there is no cut whatsoever because you're quite white right there is a lack of connection for services we need to make sure our first responders are ready to be able to help people with the mental health addictions problem for their own safety and for the safety of the person who is not well we know we need to work with 12 different ministries to connect that patchwork of services to make sure that people have housing that they have the health services both mental and physical health services they need to make sure they can get the education they need to be able to get out of poverty there's a lot of work that needs to be done I'd like to answer more on this supplemental but I think it's important to know supplementary thank you for mentioning housing for years Speaker mental health professionals have been calling on the government to increase the number of supportive housing units to enable those facing mental health challenges to get the help that they need in my community of Scarborough people are waiting for more than 10 years to get supportive housing space during the campaign the Conservative Party campaign on a promise to improve mental health services not gut them will this government tell the house why are they reneging on their promise people of Ontario that we were going to build a comprehensive mental health and addiction system we have $3.8 billion to put into that over 10 years and that is what we are going to do we want to work with existing mental health service providers out there CMHA KMH we want to work with children's mental health we want to make sure that everyone from small children to seniors are connected but you're absolutely right with respect to housing there is a lot more that needs to be done they say everyone needs a job a home and a friend well the home part is missing in many places the jobs missing too so we need to fix that that's what we are going to do working across a variety of ministries it's not going to be siloed anymore into this is the part that I deal with this is the part that you deal with because you don't get a comprehensive system that way it's too fragmented we are going to connect services and systems so that people will get the right help that they need when they need it start the clock next question the member for Carlton thank you Mr. Speaker last week the Toronto Sun called the liberals carbon tax scheme plan a Peter Pan approach to carbon pricing the national post proclaimed the liberals were in retreats over their I asked the member who is the question to which minister Mr. Speaker my question is for the minister of the environment and after years of government here at Queens Park that ruled over any time the federal government asked for anything we finally have a government who is standing up for the people sorry not sorry will the minister of the environment commit to this place that he will continue to fight a Trudeau carbon tax of any kind and of any size Mr. Speaker through you to the member from Carlton thank you for that question last week I was very pleased to join my colleague the Attorney General as we announced our next steps as a government to fight the Trudeau carbon tax our government promised that we would take steps to protect Ontario families to help job creators at the same time as pursuing a real action plan that would support the future of our environment that plan will not include a regressive carbon tax we understand the carbon taxes are not effective and the people of Ontario understand that a carbon tax will not be revenue neutral we know Ontario businesses know it and now the Prime Minister is indicating that perhaps he knows it with all of the uncertainty in the economy today with all the tension in our trade relationships Ontario does not need a job killing carbon tax I thank the minister for his response Mr. Speaker back to the minister it's no surprise the federal government plan to impose a carbon tax on the people of Ontario is falling by the wayside as the minister mentioned last week our government announced our intentions to vigorously challenge the authority of the federal government to impose a national carbon plan and Mr. Speaker I'm proud to know that we are on the side of the people just over a week ago a new poll was released that reported two thirds of Canadians 64% agree with our policy and believe that emissions should have provinces should have jurisdiction over how to reduce emissions Mr. Speaker the minister of the environment confirmed that he will continue to fight for what's best and for what's right for the people Mr. Speaker through to the member from Carleton as the member noted the federal government has started its climb down after seeing the writing on the wall not just from the polls which are very interesting but after direct feedback from Canadian business Canadian business that went to them and said we can't be competitive globally when we have the pressure of this carbon tax and the federal government has finally admitted the carbon tax is a bad idea Mr. Speaker a tax is a tax and the federal government is acknowledging that the carbon tax is bad for jobs and bad for investment if the Prime Minister is willing to cut carbon tax deals with big business he should not stop at half measures and he should be willing to eliminate his carbon tax on the people of Ontario our message to the Prime Minister was clear Prime Minister it's never too late to do the right thing stand up for the families of Ontario stand up for jobs in Ontario restart the clock next question thank you Speaker my questions to the Minister of Community and Social Services three weeks ago I asked the Minister if the anticipated 3% increase to social assistance rates would be going forward I asked the Minister this because constituents of mine I've spoken to in Ottawa have worried that this increase would not be honoured under her government the Minister responded by saying I want to ensure that the people particularly the most vulnerable in our province and in our city are looked after can the Minister how cutting the incomes of poor people is going to help them to thank the member for his question we actually are increasing rates by 1.5% across the board for those who are Ontario we had to do this because we have to hit the pause button the previous Liberal Administration disjointed patchwork system that wasn't helping people so what we have decided to do is hit the pause button on that make sure that 1.5 across the board increase goes through on September the 1st and ensure that in 94 days from today that we have a plan that will lift people up get them back to work where they can and assist those people who need it most and I look forward to working with the Honourable Member opposite listening to him and listening to those who are in poverty right now as a result of failed Liberal policies that that party supported 97% of the time 1 in 7 Ontarians are in poverty that's unacceptable we're going to change that restart the clock supplementary Speaker much as I appreciate the aerobics on the other side this is a cut plain and simple 1.5% is well below the rate of inflation and there are thousands of families in our city and in this province who will suffer as a result of that inflation and as the meantime my friends on the opposite side are happy to ask the poor and the disabled to do more with less but you're cutting taxes on the most profitable corporations in this province by a billion dollars in lost revenue so I have a question why is this government punishing people who are poor and disabled but handing out buckets and corporate welfare to your wealthy friends I look forward to speaking with them but let me assure you that people in need will be heard not only by me but this government what we have said is we are going to fix a disjointed patchwork system that is keeping our most vulnerable down when we should be lifting them up and restoring dignity for those people who need it most if someone finds themselves requiring assistance from a program of last resort we have a responsibility to support that person and get them stabilized and back on track but let me tell you something the current system is broken one in five people stay on Ontario works for more than five years one in seven people in Ontario are living in poverty more than 200,000 people were added to social assistance over the past 15 years and right now 46,000 people have been Ontario works for more than five years and the people who are relying on ODSP has increased by 3% annually that's 10,000 people every year we can do better, I can do better we will together get back on track member for Haldemann Norfolk to the Attorney General last Thursday our Government announced in keeping with our commitment to people in Ontario we are launching our own challenge of the federal carbon tax in the Ontario court of appeal challenge we can win this announcement was made a few short weeks after the Premier announced that Ontario will also be participating in Saskatchewan's challenge in the Saskatchewan court of appeal While we know the Trudeau Liberals carbon tax will obviously drive up the cost of goods and services we all rely on every day some have been asking why the rationale what is the rationale for participating in two challenges can the Attorney General share with this house why participating in two challenges is important. Thank you Mr. Speaker I am happy to clarify the necessity of this approach Ontario is working cooperatively with Saskatchewan to ensure that both provinces references proceed as efficiently and as affordably as possible. Combined with our partners in Saskatchewan our ask of our respective courts of appeal will allow for broad consideration of all possible arguments regarding the validity of the federal carbon tax. Anywhere the federal carbon tax is being constitutionally challenged we want to be part of that this approach can only increase our likelihood of success we were elected with a mandate to stand up for Ontario taxpayers and that's exactly what we're doing. Well through you speaker I would like to thank the Attorney General for that explanation and we all realize it's important we stand up for people in Ontario and I know this government is working hard to do just that. I also know it'll be a great day when we win this challenge to that end speaker I'm wondering if the Attorney General can speak a bit more about the benefits of our government's efforts and what we can see to benefit people in Ontario. For you Mr. Speaker I want to thank the member from Haldeman Norfolk for the follow-up question and I agree wholeheartedly with his comments challenging the Trudeau Liberals carbon tax is important. Our government campaigned on a promise to the people that we would work hard to put money back in taxpayers' pockets and bring real by challenging the federal carbon tax we're working hard to deliver on these commitments. As I said in this house last week our ask of the Ontario Court of Appeal is to provide advice on whether or not the federal carbon tax is unconstitutional in whole or in part. Our legal team is going to work hard and has been working hard to build our case and our government is confident in our position and that we will win. I am also confident that this challenge which will be using in-house lawyers at the Ministry of the Attorney General will cost significantly less than initially thought. Our government knows that this challenge will protect the hard-working people of Ontario from an unaffordable Thank you. We start the clock. The member for Key Wet and On. Mr. Speaker. My question is to the Minister of Health and Long Term Care. First Nations communities in my writing have been denied access to adequate health care for far too long. This has to change. There is a severe shortage of medical resources, safe health care infrastructure, medical professionals in northern communities and it's costing not too many lives causing too many people to suffer. There was a document that was signed between Canada, Ontario and Nishnabasca nation called the Charter of Relationship Principles governing health system transformation in non-territory. Will this government commit to fully funding the First Nations health transformation or will this government renege on on that commitment and force people in our communities to continue to suffer? Thank you very much Mr. Speaker. I thank the member for the question. It is a very serious issue. We've had a brief conversation about it before. I recognize that there are serious problems with health care in northern Ontario. Some of the fly-in communities as well. This is a priority for me. I look forward to working with you to make sure that we can improve health care outcomes for people across the province. It is unequal distribution. There are inequities there and I do take it seriously. I would like to hear more from you and work with you on this. Supplementary. Mr. Speaker, the needs of the people of the real north cannot be ignored any longer. In Sandy Lake, the nursing station model is not working anymore for that services 33,000 plus. Local residents are filling the gaps because of the there aren't enough medical professionals. In Sandy Lake, Pecanica, and other remote flying communities, little children like 5-year-old Brody Makers have died of strep throat infections. That would have been cured anywhere else and every single day I hear families and who cannot get the urgent health care they need. The charter I spoke about calls for accountability, responsibility, and resource allocation directly to the communities. Will the minister guarantee that every dollar that's been committed to First Nations health care will be delivered to our communities? Thank you. Thank you. I was aware of the child who died from strep throat because basic antibiotics weren't at the nursing station. I have had the opportunity to visit Sandy Lake and I know there are many other communities that are in a similar situation as we have discussed. Part of the problem is the fact that there is federal responsibility for some of the flying communities to provide health services, but the provincial government operates the ambulance and of course the hospital services. They need to be better coordinated. I certainly will be speaking with the federal minister about that, but I know there are many other issues that need to be solved so that we don't lose children, we don't lose people in communities. That would not happen in other parts of Ontario. I agree with you. Much work needs to be done and I look forward to working with you on that. Thank you very much. There being no deferred votes, this House stands in recess until 3 p.m. this afternoon.


Actually, the employees are doing their struggles for the past five months. They have done a protest in Tiruchi, Tutugudi, and even in Chennai, they have done two protests. But those protests were done on Sundays, which means we haven't went into a struggle on weekdays. The government has never heard our demands. So due to this, we are in this position, we are in this position to do a struggle on weekday, on Friday. Even though it is a peak time, it was a school opening time. There was more customers are coming in ESEVA and other SEVA centers for getting a certificate, both certificates and also their salary certificate. But due to the government, the government has not heard us, heard our demands. So due to that, we are in a stage to do a protest on a weekday, on Friday. So our demand is the minimum wage of 18,000 has to be given to these employees. And also the detected amount from their salary from past seven months has to be given back. And also the ESI card has to be issued to these employees. And there is no sexual harassment committee in TACTV Corporation. So the sexual harassment committee has to be formed. These are our demands. And for these demands, throughout Tamil Nadu, around 20 districts participating in this struggle in the district headquarters.


Thank you for coming. I'm glad to be here and Really want to thank the organizer Linux Foundation organizing the whole event Last night you gotta actually get a chance to go to Guinix storehouse No Yeah, yeah, it was great event right so I love the third and I Love the audience entertainment and also the drum performance. It's great and the interesting the most interesting part to me is actually the Meeting with all the people last night. I met with so many different company different people and Interestingly when I sit down for dinner And the lady was sitting next to me and I kind of talk to him talk to her She actually came from Canada Canada working for a university and she is a professor And she's working on a health care project kind of similar to what I'm doing And she is kind of solving a different aspect of the problem Which is our security protecting data from a smartwatch and then how to how is that to get sent to a server? so after the dinner discussion was very interesting we promised to keep in contact and see if there's a chance that We can work together after the conference so So Today I want to make this a little bit more interesting for the audience So I prepare some gift first more gift and I'll ask Three questions at the end if you can correctly answer them you can you can get one of the gift so pay attention So today my talk is about recover monitor. So basically edge-based open source wearable devices how you actually capture all the biomarkers from the patient and then basically send it over to the doctors and running certainly I engines able to analyze whether the patient is actually on a very good recovery path And then with precision and efficiency. So that's basically the talk of today the entire process open source So before we get into the technical details. I have another my and another of my colleagues poundu He unfortunately is not able to come on site, but he prepared video So I'll play that video and he'll talk about the architecture for the solutions and also give a demo So but before that, let me give you a quick overview of what I'm talking about. So the remote patient monitoring market trend This is a huge market and the American Heart Association basically defined this which is a set of Teddy health and facilitate patient monitoring as well as transfer patient generated health data and Then basically helping the healthcare team to basically manage these patients in a timely manner So in terms of user Very interesting stats basically double between 2020 to 2025 to about 70 point six million Which is huge and they're looking at the market in terms of revenue generated is projected to generate 175 Billion in 2027 so if you look at the diagram kind of bar chart on the bottom of that green bar Roughly about one fourth is about devices revenue and then about three fourth is actually software and services We kind of kind of make sense A lot of investments actually need to be made to build the software infrastructure Which is what kind of what we're trying to do here as well And then according to a spy glass consulting a group nine of ten healthcare providers already testing and Considering testing remote patient monitoring. It's actually 88 percent And why they are so interested because these these are all the three major benefits actually highlighted by Kathman's Number one improved patient outcomes Which of course is the concern of all the doctors out there how to improve the patient outcome of their patients And the second is improve compliance rates Basically making sure their methods they deliver the infrastructure the data everything is compliant to the industry standards And then the third one is also quite important is the patient actually want to know more about the health so all these Services basically giving them information the history the data and they give them a view of how their health is progressing over time And they will be able to take additional actions So so let's let's drill into the smart watch Market particularly because we'll be using smart watch in this research And I'm actually wearing myself right here, and I'll show you a little bit later. So According to counterpoint they're forecasting Very healthy growth in fact last quarter Q2 2022 Actually grow about 13 percent year over year And one market actually is highlight here, which is India growing about 300 percent over 300 percent Which is significant and Apple is leading as you can see 29 from 3% Samsung second maintain a very healthy growth 40% year over year growth and Huawei actually Number one spot in China for several quarters already already and then again India Which is a very very high growth for you have to 347% What is interesting is if you look at this data India market Actually in Q2 2022 about 30% of the smartwatch they're selling is actually below 50 dollars So a very low price point and that's why they're able to basically jump in numbers in sales and These are the two vendors actually the top ones in India right now The fire boats and also noise If you look at actually one quarter before in Q1, they are not even there So within a very short time they're able to jump up to number four and number five in the overall market And why why are we using a smartwatch? I think one of the main reason is very affordable as I mentioned earlier the India market The cheapest version that they are selling very well is actually below 50 dollars A lot of these stats are pretty much supported by Most of the smartwatch that you can find in the market today. We're talking about body temperature Blood oxygen heart rate stress level or sleep pattern. So these are quite common But what is interesting is if you look at some of the leading brands leading product out there in the market They are innovation actually being made by a lot of this company and I will actually want to highlight One product and one research that might be very interesting for you One is actually blood pressure So this company actually created a product that able to measure blood pressure of the patient of the person actually wearing it So this is one of the watch actually can do a blood pressure So if you look at this watch is actually a little bit big but if you look at the wristband, this is actually Air pump so the watch can pump air and put pressure on my wrist and it will be able to measure blood pressure And I actually test it on myself and then I use a real blood pressure Device and then compared to the watch actually pretty accurate. So so this is one of the very interesting way how People patients can actually use a normal regular consumer devices and able to get more insight into the health And they're looking at a very interesting research if you look at the bottom Animation pictures This is actually done by researchers in UC, San Diego in California So what they did is actually they came up with a device a very tiny device You can see this person wearing on the arm With the lots of hundreds of these micro needles these micro needles Very very thin about one-fifth of a human hair They're able to basically Detect the bio molecules right underneath the skin. So interstitial Fluid under the skin and able to basically detect three things good cause level alcohol level and lactate level And these are all interrelated. So that's a very important for doctors or the patient to actually keep track of these How they changes over time? If you look at this particular device, what was interesting in this device is is not Penetrable, I mean, there's not something that built into your skin underneath the skin Which is nowadays if you go out to the commercial market buy a product like this, you have to buy something like that Which is commercially available today Of course, there's some in comfort people don't like putting something under the skin and this one is actually No pain and also not penetrable. It doesn't have to be put under the screen It's just patch it on the arm able to send all the signal wirelessly to a smartphone And they're able to capture that and do further analysis And there are the company doing this also this company are sugar beet no field sense or Google wise Graph where these are all start-up company trying to commercialize something like this in the market and Personally, I'm very excited about this because this is actually what a lot of people want Able to measure all this glucose level and making sure they are Monitoring that on a regular basis and able to adjust their daily behavior accordingly if they're seeing some Some changes in the level that they don't like to see So next I want to show you a video basically showing you how this watch can measure blood pressure It's important how you wear this watch like I said you use the wrist measurement you get this adjusted it's pretty easy to adjust you just lift this up you can move it up and down and this moves and basically the airbag is on one side and Once you do that now The thing is when you put it in you literally need to kind of put your two fingers here So do you get the exact spot on where to where you watch to ensure?  Press the top button top right hand button. You can either go Slide horizontal or vertical now you press this measure And then it'll tell you that you need to kind of lift your hand up so that it is Diagonally across your upper body, but it's not pressed down and you kind of support Your wrist It has given me a reading systolic diastolic including the pulse So as I said, I have exact watch Here right now. So after this talk if you are interested to try it out stay behind and then we can we can do some Live demo, which is the great part about being physically here on site for the conference So another interesting innovation about using smart watch to monitor health of the patient or persons This is one example that was actually launched end of last year in China What they actually did is they recording the coughing sound about 15 seconds and then basically pass that sound over to The smartphone and then a smartphone basically using certain AI model combining the data with the body temperatures with the breathing rate heart rate and blood Oxygen level and then use also data and pass it to the AI Engine and then doing inference and then basically find out if the person actually have a certain potential lung infection risk So this is very interesting And I foresee of course today in the cover situation. This might be a very helpful way to monitor covert patient at home In the last last point I actually want to raise up is actually The world long days coming up has September 25th So try to spread awareness about this And then the next topic I'll actually want to go into Deeper into looking at where the market is heading With last year Facebook changed their name to matter their lot of attention in the virtual world Metaverse and people started thinking okay with your virtual world Is there anything that can benefit the healthcare industries? Is there anything that can that the healthcare industry can make use of and then benefit the future development? So there are three areas. I believe it's actually very interesting One is actually medical device development They can actually try to use that Digital twin idea to improve the design development testing of these devices And then the digital twin of the human person They can actually use the generic generic makeup of the person that behavior the lifestyle of that person and then Duplicate as a digital twin and then basically apply a personalized treatment plan And that will basically help a fine-tune a personalized Recovery plan for those particular patient and then for the healthcare facility Is testing if the facility have a bottleneck in the future if they scale up to many patient coming here Which is highly likely the case in the early stage of COVID we all seen Sudden search of all these patient coming in can the hospital actually able to cater for that search What are other areas can improve in terms of optimizing the operation strategies and so on so so with that Let me show you a quick video actually done by Analytics insight which actually give a little bit more detail about the usage Digital twins are a digital representation of a physical object process or service It's key value proposition to digital twins is in their ability to combine real-time data physical dependency models and Intelligence from different platforms to simulate predict and improve assets and processes The healthcare industry is turning towards digital twins to improve customized medicine healthcare organization performance and new medicines and devices Top ways in which digital twins can transform the healthcare industry Digital twin can predict multiple outcomes for specific procedure of any treatment by simulating an invasive clinical procedure Digital twin can provide assistance in evaluating the right therapy and Diagnoses for each patient to cure chronic diseases by reducing medical risks Digital twin are used in hospitals to simulate workflow processes to detect potential errors in the existing system Smart wearables of patients can feed the digital twin in the cloud with real-time health data to detect certain symptoms at early stages Digital twin can enhance the performance of healthcare devices by running hundreds of simulations with different conditions in different patients Digital twin can create a digital copy of real patients to help in drug development and dosage optimization efficiently Doctors can receive sufficient data from patients body and observe different vitals medical conditions response to medicines diet blood sugar data and many more in the digital twin copy Digital twin can assist residents in medical training and diagnostics of patients copy for virtual surgery and a better understanding of human body anatomy physiological and anatomical difference from person to person Those simulations have been there earlier, too. They have been vital in today's healthcare industry Digital twins are capable of creating useful models based on information collected from wearable devices and patient records to gather data Digital twins are spreading in diverse streams based on other technological advancements and This opens the doors for treating and diagnosing patients with the help of the latest technologies For more such updates subscribe to analytics insight So this company actually give out this three scenario in a little bit more detail And I welcome you to actually including a link to that video. There's a little bit more detail that you can actually look at I will share the PDF Anyone interested? Send me a email. I can share the entire deck to you. So you actually have all these links And then kind of summarizing a little bit of my own observations about remote patient monitoring Of course, it's safer because the patient is going to be staying home and the doctor basically remote diagnostic monitoring the health of this patient So it's actually getting More and more popular especially during our COVID and the second point is I Believe the continuous patient monitoring that actually is going to be very important and then with the smart watch devices affordable actually affordable pricing right now Long battery life. There's extended long battery life Functions in a lot of the top brand watches. It can actually last like two weeks Without charging and then the interface actually have been improving You're obviously have seen a lot of top-coded like like Apple just recently announced some new addition to their watch products So this is actually Innovations that actually help push the entire market forward and then early health risk of detections Especially the patients is going to be wearing the watch 24 by 7 even sleeping so they can monitor the sleep pattern So that will help actually have the full picture of the entire day from morning to night Even sleeping time to detect that basically if that's potentially a health risk and then all these AI Advancements and today this morning. You probably heard the keynote Pytos was a leading framework for AI Development actually was now moved into leading foundation. So it's a Pytos foundation now So all these advancements in AI modeling, which what we also based on our research on is to analyze all this data from all the Patients and then able to come up with a meaningful analysis and then help the doctor to actually pinpoint the issues and the last point is open source Which obviously why we are here in this forum open source forum is the open source community There's a lot of related research Individual contributor contributing to the open source community on this a particular health care Kind of industry so that pushes all the tech companies all the research areas into advancing this area So we in this project. We're actually working with two researchers from University of Washington So dr. Erica Parson and also dr. Pierre Moritz And we are we are supporting them in their research Basically, they're using the MI ML model machine learning model to have a detection for the ischemic stroke patients and Right after this I'll pass it to my colleagues and he'll talk a bit more about how they're actually using some of the gizmo devices and AI model to analyze the patients and The last Talking about very high-level what we are trying to do here. So we have obviously the smartwatch on the left side Basically gathering all the sensor data. We take user privacy very highly Making sure all the user data being being protected There's several mechanism that we actually adopted of course the The HIPAA compliance and also we are talking about some of the latest advancement from tech company like Google So Google several months ago they announced this health connect technology and allowing Developers developing apps to access all these health data from the end user So there will be a user consent user have to consent Basically allowing developer to access certain of their health data and also the permission is not like all data Have to be specified with what kind of data developer are using and also they cannot Basically use the data for advertising purpose for example. So there's certain guidelines certain restriction being put together Allowing a central location storing all these health data being protected And not being misused by all these data So, you know, you know in our research basically all this data We're setting it to the smartphone and smartphone will basically have a feedback loop to allow the doctor to basically feedback to the patient At the same time the data will be basically sent over to the cloud to allow the doctors From the hospital able to see and analyze these data using AI model So we are using open source framework that we developed seven years ago It's called Cooper edge and there's an edge core and cloud core the edge core is actually hosted entirely in the Within the hospital private network. So it's totally protected. There's no outside connection to it It's only allow the doctors to analyze the data and then they're potentially by removing a lot of these users specific information The data to the all this data can actually be sent in a central location Allowing the AI model to be trained to be a much more efficient and much much better outcome Without particular user data. So still again, the user privacy is very important And then with that, I'll play the video of my colleagues who basically going through some of these Detail architecture and also demo within this second. This is about 20 minutes Okay, with the introduction president gave about the the smarter watch I'm here to talk more about how we can utilize the smart watch in the in the medical recovery scenario In this picture as we can see apparently the it's only the right half of the plate is the food on the right side of the plate Is it has been eaten? This is a special kind of situation where a patient if the patient suffered from a effect called left neglect This happens when the right side of the brain is damaged during a stroke So if the patient suffered a stroke and right side of the brain is damaged Then it affects how much the patient that can see on the on the left side Even though there's no problem to the to the eyes the the information collected from the On the left side is not able to process well in the right brain okay, and the the project originated from University of Washington Basel and it's called a stroke rehabilitation and project so in their original setting there's so the patient will be Fit into an environment with EEG machine to collect the the brainwave and There's a small gizmo machine. That's going to be following a curve The patient will follow that the we'll try to follow this gizmo machine and When the machine goes to the left and right If the machine goes out of the face what the patient can see then there's some information special about that left the neglected Condition from the EEG and the from the eye tracking So all together the eye tracking machine here and the gizmo and the EEG are there to collect data based on from the brainwave from the eye movement And the ultimate goal is to be able to help with these Post-stroke rehabilitation by using machine learning based the detection and analysis. This is really the the from the UW Department, so they have two department working on this is a collaboration between the the the medical Hospital and the university from the electrical engineering and the computer science Okay then the way we come in to help with is that originally the professors from the university wants to to improve the Capability by providing some local computing and collect data and the data can be processed here and originally the thing the thinking is so far everything we are seeing is only within the perimeter of one hospital and Apparently, there's the resource the computing resources the storage size the power consumption Those are things are very limited and also This is only they can collect data who is in this hospital. So there's a lot of a limitation to this setup. So the idea is to Provide some additional saying to provide some additional ways to help to improve the Capability when the first way to do this is by using a smart watch so the EEG machine and eye tracking are only two source of data to to work on this but currently as the president has mentioned the Smart watch currently can provide a lot more information like heart rate of blood temperature blood oxygen and also also force they can Not only be used in the hospital, but also they can use in a home environment. So it's very easy access for patients to use one example I can give is One of the professors is trying to use this heart rate Together with the EEG to to use the correlation to get rid of some noise collected during the EEG scanning So that's the first benefit of by using a smart watch that more Data will be provided more information with will be obtained and together with the EEG machine and eye tracking They can provide a lot of insight The second side that we want to improve this scenario is to provide the cloud computing and Edge computing all together the cloud computing and edge computing are to To achieve this feather is a learning It's a special kind of machine learning where you take models from different small models And that you aggregate them you get the insight among all those model and produce a more powerful machine learning model In addition to this the cloud apparently has more computing resources and has more storage and has more power that's way beyond what the hospital can provide and In the edge computing scenario It can provide a more variant essentially because as we said the for one hospital They can only have a certain amount of patients but if we combine the information collected from different hospitals then a more powerful a more insightful Machine learning model can be produced. So these are the three benefit the three key benefits So the smart watch provide more data the edge computing and the cloud computing all together will provide the more more computing power and analytical capability into the data collected and Speaking of these two benefits the there's also a question about the The data privacy currently I could go back here all the if we collect data from a hospital it's It's not a straightforward that we can send the data to the cloud for competition the other data in in the hospital has to be pre-processed to be filtered to be all those privacy information has to be Removed before we are able to send the data we have confidence to send the data to the cloud so in in our project, these are a few synergy ways that we are trying to provide the one is by using the edge computing we can Offer an opportunity to to pre-process the data before it goes out of the hospital and the second one of course is the capability of The cloud and the capability of the edge infrastructure themselves and the third one is we want to be able to provide a simple way For the hospital or for the patient to use the all these things for example for the cloud and for the edge We're using the open source Kubernetes and the cool batch Those are things that are great But they are not a straightforward to set up together We're together with for example the cloud and all these things for people who are not in with who do not have a computer background or even the cloud edge computing background It's not easy for them to set up And one of the goal for us is to have the doctor for example in the hospital To be able to plug this in to the power plug this into the internet and then they can start the collecting data So here I'm going to give a demo the demo for simplicity due to the time constraint We're going to show a simple end-to-end data flow the point is to show that we are able to collect data from a smart watch and the data will be collected by a Computer resources on the edge the edge is for for example hospital and eventually the data will be sent it to the cloud and The for further analysis so the data started from the watch is a hard rate and then it goes to the hospital It goes into the computing resources on the edge in the hospital and then the data will be eventually sent to the cloud if we just send this part as if we write this part separately is It's it's not as hard, but we here we want to utilize the powerful tools For the edge community for example corporate that is to manage all this right for you for all the hospitals Remember one of the goal is to make things easier and we do not want the hospital to have their own program running on their local computer then Then all the hospital do have different versions then once we come to deployment upgrade Those things gets more and more complicated and people eventually abandon them. We want to provide a simplified and Unified framework so that the hospital they can run the same program if we have update It's a very easy to out to update all this program either running in the cloud or running in the hospital and By saying that apparently there will be application running on the edge there will be application running in the cloud and to be able to Want to control this app to do the deployment to do the upgrade probably you already sense there's a corporate net is coming and In this demo, we're gonna put them in the Docker container and For the cloud side that we're using the Kubernetes and for the edge side that we're using the open source cool edge to To essentially add this node as one of the node in the cluster in the cloud We also have apparently this application is running on a worker node in the corporate net is cluster in the cloud But this is also running as an edge node as part of this class at the same cluster So the control plan is in the cloud. We have one Cloud worker node and we have one edge worker node So let's see the demo so for the to to simulate this edge Node so the calling at the edge means it's not part of the cloud. It has to be outside. What do we use here? So what we use here is AWS environment so to have something outside the AWS environment we put this node in We are using Google Cloud a Virtual machine from Google Cloud the goal here again is to separate to to say we have two nodes in two separate network One is the cloud one is some other network. This doesn't have to be in the cloud this can be a Raspberry by Pershing running in the hospital or some kind of machine running in the hospital So this is the reason we use Google Cloud is just so that it's outside the AWS network So here we can see on the left that we have the Kubernetes running on this two virtual machine This is the the master machine. This is the worker node And on the right is the Google Cloud edge machine so if we go to this See if we go to this Kubernetes control plan We can see that the three nodes that are running here. This is a control plan This is so the cloud the cloud master node. This is the see This is the cloud worker node and this is this one is the edge worker node Okay, currently we have two apps running One is the cloud and the cloud app and the other is the edge app the two app here If we go back to this picture is the cloud app here running in the cloud and the edge app here running on the edge All right. So that's the setup. That's the environment But okay for the watch we're for simplicity we're just using the this emulator and For this smart watch emulator We are using the heart rate The goal here is to whenever we change the heart rate on this smart watch Then it's going to send the data to the to the edge machine if we remember here again, so the watch will send data to the edge machine and This can be done either through Bluetooth or HTTP request here We're using HTTP request. It's also going to send the patient information That's the for us to say the watch usually carries some information that should not be sent to the cloud and we'll see that That information will be stripped by the edge machine before it sends to the cloud. Okay So here Is the edge machine? So this is the Google cloud as you can see from the Google So this is the the edge machine on this edge machine We're running some code to take data from the from the phone from the smart watch Just a code that we don't have to go into details here But the one thing I want to point out is When we receive data and the one we are about to send it to the cloud So actually when we receive data we are going to receive the patient information from the watch and Even though the patient information will be stored in the database But when we are preparing the data to be sent to the cloud as you can see we are only sending the heart rate and So a time we are not sending the patient this is to just to demo that the sensitive information from the smart watch can be filtered out that can be taken out of the data before it goes out of the hospital and Okay, so that's that the data. We are going to receive is in this file. So let's just Follow this file Here we already have some some data there. So that's fine. Let's do a follow here. Okay back to the watch Here again, we want to change the heart rate But before that, let's go inside the app and Start this app So here is you can see that this is the the IP address of this edge machine actually the part of the running the application running on the edge machine and If we start It was going to try whenever there's new data coming in. This is the code That's that so whenever the heart rate to change it will send the heart rate to this Application running on the edge. So this is the heart rate On this emulator. We can use this to let's change Let's just make a few changes to 500 which is super high for human And then back to 10 and then back to two nine seven. Okay Now let's get back to Here as we can see we have 500 297 so that means the data has been received on the edge machine if we use this The the data has come from Step one to step two right and step two of course will all continue we will get rid of the sensitivity information for the transmission to the cloud and It will post that the request it to the cloud. So let's back go back to the cloud machine See here we are going to the control plan This is the application running up in the cloud in container in the cloud so here Let's see we also have this file and as you can see it's getting there the five hundred five three one one 297 those data are just Coming in from the cloud if we go back to the picture here that the steps are We get data from the smart watch and the smart watch data will be either Transmitted through a Bluetooth to the edge the node or through HDV request These are still actually within the hospital the watch can be in the host the watch actually should be in the hospital Once we have the data the second step is so we collect this We do some cleansing get rid of the sensitive information and then send the data to the cloud once the cloud the data is in the AWS S3 The cloud app will pick that up So the data we just saw that that has picked up from the cloud machine They actually did not come from the edge directly that come from the cloud storage because cloud storage has more space So and also it decouples the relationship between that the edge and the cloud So the edge can just simply send that to the cloud and it doesn't have to care whether the cloud actually receive it at that moment Once the data is in the cloud or the cloud machine the cloud application will pick it up for some future process So that ends the demo Apparently the demo is the simplified version Again the goal here is to show the end-to-end Data flow once we have the data pass going from the watch to the edge to the cloud Then there are a few things we could do one is actually this is part of the Research together with the Uda Basel professors We can now provide a different With a smart watch We are able to provide more source of data and We want to use the federated learning which means On in each hospital will train a local model and with the local data So we have a different hospital these are different hospitals or each hospital will have their own local model with their local data and all this local model will be aggregated in the cloud Once the data is transmitted to the cloud So that's the process we were trying to demo there So the data is in the cloud we have data from different hospital the training process in the cloud We will aggregate them we'll just put them together and Send out useful for the information From the separate hospital back to their hospital So now they they updated the model can provide more capability to this local model for analysis and of course I want to mention that all this additional information it can be provided by Some medical device but with the the the line of smart watch that we are providing It makes things easier and actually the professor is working with us to to try to use the data provided from this smart watch For the open source of course the this whole thing With the cloud and edge we want to make things straightforward We want to make things easier to use so open source is a very natural choice for us So Kubernetes and the cool edge are used together to facilitate this the second part of Future step is cool batch given that it allow a node to be connected into the cluster in the cloud There's some limitation that Still single node running in the hospital if the hospital has more computing power For example if the hospital has their own Kubernetes cluster then how do we use this? For this kind of model here We have we had a future way has have Another project edge computing project. So we call this for next the information is here So in this project that we're extending the cool batch into supporting multiple clusters instead of multiple nodes on the edge That means we have control plan and that provides a lot of benefit with Coming from this so also for for example the Hierarchical of the cluster can can be connected in different ways instead of just two layers we can have different layers and This make the federated federated learning More attractive because now we have more regional model and the regional model can be Sent to the cloud for a higher level aggregation We also have edge edge communication and the currently there's a serverless project being developed so that we can provide more capability there In our mind that the the future would look like this We have a hospital and the hospital have the All kind of machines including the smartwatch to provide data for analysis and also it could be in the patient house With the patient house, we cannot bring all the medical device in by the way smartwatch It can also provide the some useful information and data. So all this data generated will be Processed locally and then processing the cloud to provide the more a better a much better Machine learning model to for for analysis Okay, so that's all my Talk, I'll hand this back to president. Thank you So with this detail discussion of architecture or the technology and open source that we are using I hope you have a good understanding about this research and also I think this is a very first step We will continue to invest and develop this. This is open source. So welcome anyone interested to Join this project and contribute your effort Will you look at our next step is look at Leveraging the smartwatch devices into different sensing data and also at the same time Figuring out if there's actually better framework to protect the privacy of data For example, as I mentioned earlier using Google the health connect. Is that a better way to do it or HIPAA compliance? So all these are the things that we will look into in the future And then of course from the hospital perspective the AI analysis part that will be working with University of Washington Some of the professor work already kind of started So we will be focusing on those areas So with that as I mentioned three questions first apologized to the Online audience who is not present here. This is only for the people here in this room. So first question Which country fastest? Yep, good Correct answer and How fast are they growing? Yeah, more than 500% so I have three colors Which one black blue and? Pink black Thank you. You go all right second question Name two types of sensor data that you can possibly capture using a smartwatch anyone heart rate and This is blue. Oh, this is pink There you go, okay last question unfortunately only one color left This is the one I mentioned earlier what day is the world long day this year you remember What correct good memory Unfortunately, only pink So thank you that conclude the talk today Again, if you have interest contributing to this open source project, please contact us And if you want to try out this Air pump with the blood pressure monitoring of this smartwatch Stay here and you can try it out. Also Yeah question go ahead Yeah, send me a email Yep right here So my name Preston dot now at visual weather comes any email I'll respond back to you with a PDF file Because we are running out of time But if you have questions feel free to stay behind and I can answer all your questions