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COVID Framework Updated

Policy Update November 13, 2020

Province updates COVID Framework with new lower thresholds

The province is revising its COVID framework to respond to the rapid increase in COVID-19 cases and has updated the Keeping Ontario Safe and Open Framework by lowering the thresholds for each level in the framework. The province is stating that these updates are necessary and will help limit the spread of COVID-19 while keeping schools open, maintaining health system capacity, protecting the province's most vulnerable, and avoiding broader future lockdowns.

The latest public health modelling indicates that if the number of new cases continue to grow at its current rate, the province could register up to 6,500 new cases per day by mid-December. Within the next two weeks the province will likely exceed its intensive care threshold of 150 beds, under any potential scenario. Dr. Williams, Ontario’s Chief Medical Officer of Health, will continue to monitor the situation and may provide additional public health recommendations to the Premier and Cabinet next week.

The framework update responds to the current data and projected trends. The threshold for each of the five levels have been lowered for:

  • weekly incidence rates;
  • positivity rate;
  • effective reproductive number (Rt);
  • outbreak trends; and
  • the level of community transmission.

Based on these new thresholds, the public health unit regions below are moving to the following levels in the framework as of Monday, November 16, 2020 at 12:01 a.m. However, Toronto Public Health will move into the framework on Saturday, November 14, 2020 at 12:01 a.m. **.


  • Hamilton Public Health Services
  • Halton Region Public Health
  • Toronto Public Health **
  • York Region Public Health


  • Brant County Health Unit
  • Durham Region Health Department
  • Eastern Ontario Health Unit
  • Niagara Region Public Health
  • Wellington-Dufferin-Guelph Public Health
  • Region of Waterloo Public Health


  • Huron Perth Public Health
  • Middlesex-London Health Unit
  • Public Health Sudbury & Districts
  • Southwestern Public Health
  • Huron Perth Public
  • Windsor-Essex County Health Unit

Assignments to the current levels are to last for a minimum of 28 days or two-incubation periods, at which time the status of these public health unit regions will be reassessed on a weekly basis. However, movement to a more restrictive zone will be considered sooner if there are quickly worsening trends.

For long-term care homes, visitor restrictions will apply to public health regions within the Orange-Restrict and Red-Control levels in the framework. This is to go into effect on Monday, November 16, 2020 at 12:01 a.m.

AMO’s COVID-19 Resources page is being updated continually so you can find critical information in one place. Please send any of your municipally related pandemic questions to





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