====== Adalsteinn Brown ====== {{ ::steini2.jpeg?200|}} Dr. **Adalsteinn Brown**, DPhil, AB is the Dean of the [[Dalla Lana School of Public Health]] at the [[University of Toronto]], and former Co-chair of the [[Ontario COVID-19 Science Advisory Table]]. He grew up in London, Ontario, and moved to New York in 1996 to co-found a healthcare consulting firm with offices on Park Avenue.((Mayer, A., McKinnon, M., Shulgan, C., & Smith, M. (2003, April 25). //top forty/under forty.// The Globe and Mail. https://archive.ph/PGKaF)) Due to his high-level positions and affiliations (particularly as Dean of the DLSPH), Brown "would effectively be the boss, and hold power over" several current Medical Officers of Health in Ontario including [[Eileen de Villa]], [[Barbara Yaffe]], [[Lawrence Loh]], [[Vinita Dubey]], [[Lisa Berger]], and [[Avis Lynn Noseworthy]].((Ronnie. (2021, May 15). //Meet Adalsteinn Brown: Swamp King; OST; Dean Of DLSPH; Ministry Of Health; Ford Operative; Premier’s Council.// Canuck Law. https://archive.ph/AeGUo)) On August 3, 2022, Brown stepped down as co-chair of the OST to focus on his work as Dean of the DLSPH. [[Upton Allen]] took his place.((//Ontario COVID-19 Science Advisory Table Leadership Update August 2022.// (2022, August 3). Public Health Ontario. https://archive.ph/24EaY)) ===== Affiliations ===== ==== Caldwell Partners International ==== Brown was named one of Canada’s Top 40 under 40 for his work on healthcare performance. selected by a panel of 29 business and community leaders assembled by [[Caldwell Partners International]], an executive search firm in Canada. Brown was 32 years old at the time. "Caldwell compiled a preliminary list of candidates from more than 1,400 nominations, a record. The panel then rated the finalists on six criteria: vision and leadership, innovation and achievement, community involvement, impact and strategy for growth."((Mayer, A., McKinnon, M., Shulgan, C., & Smith, M. (2003, April 25). //top forty/under forty.// The Globe and Mail. https://archive.ph/PGKaF)) The National Board of Directors that selected him included representatives from the [[Canadian Institute of Health Research]], [[Bell Canada Enterprises]], [[National Bank of Canada]], Astral Media (absorbed by [[Bell Media]]), the [[University of Toronto]], [[St. Michael's Hospital]], and the [[Government of British Columbia]]. ==== CorHealth Ontario ==== In his U of T financial disclosures for 2018-2019 and his OST forms, Brown reports receiving $25,000.00 from CorHealth (since absorbed by [[Ontario Health]]) for "consulting on information management requirements."((//Adalsteinn Steini Brown | Institute of Health Policy, Management and Evaluation.// Dalla Lana School of Public Health; University of Toronto. Retrieved January 22, 2022, from https://archive.ph/hR1oD)) ((Brown, A. (2021). //Declaration of Interest.// https://covid19-sciencetable.ca/wp-content/uploads/2020/08/Declaration-of-Interest_Science-Table_Adalsteinn-Brown_20211014.pdf)) ==== Hospital Report Project ==== Brown returned to Ontario in 1998 to join the Hospital Report Project, where he completed reports until 2001.((//The Hospital Report 2001 Series.// (2001, July 26). Hospital Reports Project; University of Toronto. https://web.archive.org/web/20010809234902/http://www.hospitalreport.ca/)) The 1998 and 1999 reports were funded by the [[Ontario Hospital Association]], and the 2001 report was prepared by the [[Canadian Institute for Health Information]] (CIHI) with "methodological advice from researchers at the [[University of Toronto]]." The project measured financial performance, patient satisfaction, clinical outcomes, management investment and innovation in Ontario hospitals. In his 2001 profile, Brown lists his research interests to include "the cost-effectiveness of emerging technologies and the effective communication of performance information to consumers." He states that he had "worked with a wide range of private sector clients in Canada, the U.S., and the Far East on strategy in health care, health care financing, and quality improvement topics." ==== Institute for Clinical Evaluative Sciences ==== Brown served as an Adjunct Scientist at the [[Institute for Clinical Evaluative Sciences]] (ICES) in Ontario.((//Key Researcher Profiles.// (2001, August 22). Hospital Report Project; University of Toronto. https://web.archive.org/web/20010822143907/http://www.hospitalreport.ca/ResearcherProfilesPg4.htm)) ==== Ontario COVID-19 Science Advisory Table ==== Brown is the Co-chair of the [[Ontario COVID-19 Science Advisory Table]].((//About Us.// Ontario COVID-19 Science Advisory Table. Retrieved January 21, 2022, from https://covid19-sciencetable.ca/about/#brown-adalsteinn)) Despite the Table's claims of independence, a University of Toronto profile claims Brown "has worked collaboratively with the [[covid-19_pandemic:politics:doug_ford|Ontario Premier]] and his cabinet on resilience and recovery measures and efforts."((//Institute for Pandemics.// Dalla Lana School of Public Health; University of Toronto. Retrieved January 21, 2022, from https://archive.ph/Lham0)) === Omicron === In mid-December, Brown stated that "an accelerated booster campaign doesn't go far enough to keep the hospital system from becoming overwhelmed" by the [[Omicron Variant]] of [[SARS-CoV-2]]. He contradicted himself multiple times when attempting to claim the [[COVID-19]] vaccine "booster shots" were effective, while also claiming two doses also offered protection. He also advised that families should only "associate with" people who are vaccinated.((The Canadian Press. (2021, December 16). //Experts say circuit breaker necessary to blunt Omicron’s effect in Ontario.// MSN News. https://archive.ph/fEPuK)) However, as noted by [[Canuck Law]], "all of these measures to 'prevent hospitals from being overwhelmed' [are] based on false pretenses, since Brown’s recent work shows he ALREADY KNEW there was a capacity problem in Ontario hospitals."((Ronnie. (2021, May 15). //Meet Adalsteinn Brown: Swamp King; OST; Dean Of DLSPH; Ministry Of Health; Ford Operative; Premier’s Council.// Canuck Law. https://archive.ph/AeGUo)) ==== Ontario Health ==== Brown is on the Board of Directors of [[Ontario Health]].((//Board of Directors.// Ontario Health. Retrieved May 15, 2021, from https://archive.ph/vQXKp)) ==== Ontario Ministry of Health and Long-term Care ==== Brown is the former head of strategy and assistant to the Deputy Minister for the [[Ontario Ministry of Health and Long-term Care]].((Hayeems, R. Z., Moore Hepburn, C., Chakraborty, P., Odame, I., Clarke, J., Miller, F. A., & Brown, A. D. (2017). //Managing sickle cell carrier results generated through newborn screening in Ontario: a precedent-setting policy story.// Genetics in Medicine, 19(6), 625–627. https://doi.org/10.1038/gim.2016.162)) ==== Ontario Ministry of Research and Innovation ==== Brown is the former head of policy and science for the [[Ontario Ministry of Research and Innovation]]. ==== Province of Ontario ==== Brown has held senior leadership positions in policy and strategy within the Ontario government.((//Board of Directors.// Ontario Health. Retrieved May 15, 2021, from https://archive.ph/vQXKp)) He is also on the [[covid-19_pandemic:politics:doug_ford|Premier]]'s Council, which was created in 2018 to "provide the Premier of Ontario and the Deputy Premier and Minister of Health and Long-Term Care with strategic priorities and actions".((//Hallway Health Care: A System Under Strain – First Interim Report from the Premier’s Council on Improving Healthcare and Ending Hallway Medicine - Public Information - MOHLTC.// (2018). Ontario Health. https://archive.ph/Srsll)) He was on the team that authored a report determining that Ontario's hospital system was already under strain well before [[COVID-19]] or the "[[divisive_rhetoric_about_the_unvaccinated|pandemic of the unvaccinated]]". [[Canuck Law]] notes, "Even back in 2018, 2019, the Premier’s Council openly admitted that the Ontario Health Care system was overburdened, and was unable to meet current needs, let alone projected increases. Adalsteinn Brown is on that Council. When he headed up [the] Ontario Science Table the following year, did he simply forget his own report?"((Ronnie. (2021, May 15). //Meet Adalsteinn Brown: Swamp King; OST; Dean Of DLSPH; Ministry Of Health; Ford Operative; Premier’s Council.// Canuck Law. https://archive.ph/AeGUo)) ==== St. Michael's Hospital ==== Brown is a scientist at the Li Ka Shing Knowledge Institute, [[St. Michael’s Hospital]].((//Adalsteinn Steini Brown | Institute of Health Policy, Management and Evaluation.// Dalla Lana School of Public Health; University of Toronto. Retrieved January 22, 2022, from https://archive.ph/hR1oD)) ==== University of Toronto ==== Brown is the Dean of the [[Dalla Lana School of Public Health]] at the [[University of Toronto]]. Prior to becoming Dean, he was the Director of the Institute of Health Policy, Management and Evaluation and the Dalla Lana Chair of Public Health Policy also at the University. He is also the director of the Institute for Pandemics, which he said will “ramp up research and training for more agile, equitable preparation, resilience and recovery from pandemics.”((Lavery, I. (2020, August 19). //University of Toronto launches new Institute for Pandemics | News.// Daily Hive. https://archive.ph/vDfcB)) ((//Institute for Pandemics.// Dalla Lana School of Public Health; University of Toronto. Retrieved January 21, 2022, from https://archive.ph/Lham0)) === Massey College === Brown is a Senior Fellow at [[Massey College]]. The school is funded by [[Canadian National Railway]] (a [[Bill Gates]] company), [[CBC News|CBC/Radio Canada]], the [[Canadian Institute for Advanced Research]] (CIFAR) (funded by [[Microsoft]], [[RBC (Royal Bank of Canada)]], [[BMO Financial Group]], [[CIBC]], [[Facebook]], [[General Motors]], [[Ivey Foundation]], [[Manulife]], [[Scotiabank]], [[TD Bank Group]], and the [[Hamilton Community Foundation]]),((//Supporters.// Retrieved January 22, 2022, from https://archive.ph/wjiET)) [[Dalhousie University]], [[Global Affairs Canada]], [[Brian Hodges]], [[Innovation, Science and Economic Development Canada]] (ISED), [[Department of Public Safety and Emergency Preparedness]] (the national security arm of the Canadian government), [[University of Toronto]], the [[Privy Council Office]], [[United Way]], [[Environment Canada]], the [[Massey Foundation]], [[Suncor Energy]], [[TD Bank Group]], the [[Toronto Foundation]], [[University of Alberta]], [[Bell Canada]], the [[Rockefeller Foundation]], [[CIBC]], the [[Ford Foundation]], the [[Government of Japan]], [[Green Shield]] Canada, the [[Heart and Stroke Foundation]], [[IBM]], [[Ipsos]], [[Lionsgate]], the [[Mastercard Foundation]], the [[Andrew W. Mellon Foundation]], [[pharmaceutical_companies:Novo Nordisk]], the [[Rogers Foundation]], and many others.((//Massey News.// (2017). Massey College. https://www.masseycollege.ca/wp-content/uploads/2020/11/Massey-News-2016-2017-v7-web150-hyperlinked.pdf)) ((//Chancellors’ Circle of Benefactors.// University of Toronto. Retrieved January 22, 2022, from https://www.chancellorscircle.utoronto.ca/members/)) ((//Massey News.// (2018). Massey College. https://www.masseycollege.ca/wp-content/uploads/2020/11/Massey-News-2017-2018.pdf)) ((//Massey News.// (2019). Massey College. https://www.masseycollege.ca/wp-content/uploads/2020/11/MASSEY-NEWS-2018-2019-web-linked.pdf)) ==== University of Western Ontario ==== Brown has been an Honorary Lecturer in the Department of Epidemiology and Biostatistics and an Instructor in the Department of Family Medicine at the [[Western University|University of Western Ontario]].((//Key Researcher Profiles.// (2001, August 22). Hospital Report Project; University of Toronto. https://web.archive.org/web/20010822143907/http://www.hospitalreport.ca/ResearcherProfilesPg4.htm)) ==== Workplace Safety and Insurance Board ==== Brown was paid by the Ontario Workplace Safety and Insurance Board (WSIB) as a member on their COVID-19 Expert Committee.((Brown, A. (2021). //Declaration of Interest.// https://covid19-sciencetable.ca/wp-content/uploads/2020/08/Declaration-of-Interest_Science-Table_Adalsteinn-Brown_20211014.pdf)) ===== Education ===== He received his undergraduate degree in government from [[Harvard University]] and his doctorate from the [[University of Oxford]], where he was a [[rhodes_scholarship|Rhodes Scholar]]. During his time working as the principal investigator on the Hospital Report Project with the [[University of Toronto]], Brown was completing his doctorate in the Faculty of Clinical Medicine at Oxford on differences in hospital utilization and health care system performance in the UK and Canada.((//Key Researcher Profiles.// (2001, August 22). Hospital Report Project; University of Toronto. https://web.archive.org/web/20010822143907/http://www.hospitalreport.ca/ResearcherProfilesPg4.htm)) ===== Publications ===== * [[https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-018-6250-7.pdf|December 5, 2018]]: //Public health emergency preparedness: a framework to promote resilience//((Khan, Y., O’Sullivan, T., Brown, A., Tracey, S., Gibson, J., Généreux, M., Henry, B., & Schwartz, B. (2018). //Public health emergency preparedness: a framework to promote resilience.// BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-6250-7)) * Co-authored by [[Bonnie Henry]] (who would act as Provincial Health Officer for [[British Columbia]], [[Canada]] during the [[COVID-19 pandemic]]), and Brown's OST Co-Chair [[Brian Schwartz]]. * Funded by the [[Canadian Institutes of Health Research]] (CIHR) * [[https://onlinelibrary.wiley.com/doi/epdf/10.1111/1475-6773.12847|October 2018]]: //Development of Enriched Core Competencies for Health Services and Policy Research//((Bornstein, S., Heritage, M., Chudak, A., Tamblyn, R., McMahon, M., & Brown, A. D. (2018). //Development of Enriched Core Competencies for Health Services and Policy Research.// Health Services Research, 53, 4004–4023. https://doi.org/10.1111/1475-6773.12847)) * Funded by the [[Canadian Institutes of Health Research]]’s Institute of Health Services and Policy Research (CIHR-IHSPR) via its Institute Strategic Grant and by a CIHR-IHSPR Institute Community Support Grant held by Dr. Adalsteinn Brown and Dr. Stephen Bornstein * [[https://pubmed.ncbi.nlm.nih.gov/28219957/|February 20, 2017]]: //Evaluating investment in quality improvement capacity building: a systematic review//((Mery, G., Dobrow, M. J., Baker, G. R., Im, J., & Brown, A. (2017). //Evaluating investment in quality improvement capacity building: a systematic review.// BMJ Open, 7(2), e012431. https://doi.org/10.1136/bmjopen-2016-012431)) * Funded by Improving & Driving Excellence Across Sectors ([[IDEAS Initiative]]), which is funded by the [[Ontario Ministry of Health and Long-Term Care]] and partnered with the [[University of Toronto]], [[Health Quality Ontario]] (HQO), [[Institute for Clinical Evaluative Sciences]] (ICES), [[McMaster University]], [[Northern Ontario School of Medicine]], [[Queen's University]], [[University of Ottawa]], and Western University.((//About IDEAS.// IDEAS. Retrieved January 22, 2022, from https://archive.ph/Xx24h))