Call volume and operational challenges are the two main factors driving the Land Ambulance budget increases.

So far in 2019, the call volume for the London area is up by 9.5 per cent and the municipality expects that number to increase by 10.3 per cent by the end of the year.

“The fact that call volumes are growing at so fast a rate this year has made it really difficult to predict what the call volume rate will be at the end of the year,” said Middlesex County CAO Bill Rayburn.

Sanctioned and unsanctioned events, increased substance abuse, mental health, and an aging population, are all leading to the higher call volume.

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