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  • Good morning.

  • My name is Adrian Dixon.

  • The BC Minister of health.

  • On beside me is our provincial health officer, Dr Dr Bonnie Henry.

  • We're honored to be here on the traditional territories of the conduit speaking people the Song G's and Esquire First Nations For the remainder of the week, we're gonna move to a regular time for daily briefings on the covert 19 questions that would be a 3 30 The first briefing will be tomorrow in Vancouver Vancouver Cabinet offices.

  • And with that, I wanted to introduce Dr Henry to lead to start today's briefing.

  • Thank you, thank you.

  • And I want to start off by letting you know that we, unfortunately have had to death here in British Columbia.

  • We are deeply saddened.

  • Teoh t hear that one of the residents of the Lin Valley care home who was infected with Cove it 19 passed away last night, and our heartfelt condolences go out to his family and loved ones and also, of course, to the staff who provided him care and to his home at the Lin Valley Care Center.

  • We also have a number of new cases, and I'll start with talking about what is going on at the Lin Valley Care Center were up to 32 confirmed cases here in British Columbia.

  • Now, um, as you know, uh, the Vancouver Coastal Health has been on site at the Lin Valley Care Center since we first became aware that the community case that we had was the health care worker who worked at that center.

  • It's now become apparent that there are other people at that center who were ill.

  • A number of residents since we know.

  • So far, two residents have tested positive.

  • There's ongoing testing, an ongoing monitoring of all of the residents at the facility.

  • In addition, excuse me.

  • In addition, one additional health care worker has tested positive for Covert 19.

  • She's a woman in her forties who lives in the Fraser Valley, a Fraser Health Authority area, and she is home in isolation right now.

  • In addition, we have two new close contacts of a case.

  • 21 our community case Ah male in his teens and a male in his fifties, and they both reside in that freezer health region and are isolated at home, and both of their condition is also stable over the weekend as well.

  • We've identified two additional imported cases into into British Columbia.

  • Ah, female in her fifties, who has returned from travel to Iran and a male in his thirties who was our first imported case with a history of travel to Italy.

  • Both of them are in the Vancouver coastal health region, and both again are isolated at home and doing well.

  • Um, I I will also given update on our other cases.

  • So we we still have four people who have recovered completely.

  • We are awaiting testing on a number of others whose symptoms have resolved completely.

  • But, as you know, we're requiring people toe have negative tests before.

  • We say that there fully recovered from this, and a number of them have been tested regularly but do not yet have to negative tests at least 24 hours apart.

  • So we are monitoring those.

  • We have three people who remain in hospital to people of in the Fraser Health Region, and they're both in stable condition and one person who remains in the I.

  • C.

  • U at Vancouver General Hospital and is also in stable condition.

  • A couple of things that have come up over the weekend that I do want to mention one is.

  • There has been some letters gone to some schools in the Fraser Valley region, mostly to reassure people there were people who were in those facilities who have tested positive for Cove in 19 however, they were asymptomatic, which means we do not believe there is a risk to people who are using those facilities.

  • The schools have been very proactive and did additional cleaning over the weekend to make sure that everybody is reassured that they're safe and that we have processes in place in all of our schools now to enhance cleaning, to enhance measures for people to be ableto clean their hands regularly, and we'll be monitoring those situations.

  • Of course, as the's going, um, we've also today the federal government has increased their travel advisory warning for people who are planning to go on cruise ships.

  • We have had a number of people, as you know, who have returned to British Columbia, who were on previous cruises on DDE.

  • So far, two people have tested positive for this and they're both people who are in hospital at the moment.

  • And so we are.

  • We're being pleased that the Canadian government has recognized the risk right now that traveling on cruise ships does, um, does give people And, UM, we know that there is the Grand Princess off California.

  • There's been some cruise ships in Egypt as well, where there have been cases.

  • And it's just a kn environment where people cannot separate from each other sufficiently to prevent transmission of respiratory viruses.

  • And with the ongoing Oprah that we're having around the world now, there's really no way to effectively screen people out of cruise ships.

  • And so it is really taking a chance on on your health.

  • At the moment, I don't think this will last forever, but the federal government has upgraded it to a Level four warning, which is to advise against going on cruise.

  • Cruise is in the near future.

  • Um, the others thing that we have been getting a lot of questions about is about events and whether we should be canceling community events.

  • I talked a little bit on Saturday about some of these closer environments indoor environments where people do gatherings where people share meals where people spend a lot of time together, enclosed environments, and I'm asking people to consider having alternatives to those types of environments right now, particularly if they're being attended by people who are elderly, who are more likely toe have severe illness or complications from this virus.

  • So we'll be talking some more about that.

  • But to forego some of the things that we do sometimes and greetings in hugs, kissing, shaking hands and to try and put some distance between us, even in small events in business meetings, look at how we can do these things virtually.

  • There is also a lot of risk assessment that goes into events, larger events that are happening.

  • We had the rugby sevens on the weekend and there were different measures that were put in place to ensure where the teams came from to ensure there were provisions in place, too.

  • Two separate people, if we can, to make sure they could clean their hands regularly and each of these large events is taken on a case by case basis and we do a risk assessment about who's attending what the environment is, how long it is and and all of those different measures, so that will be ongoing.

  • And I know a number of events have been canceled and there's a variety of reasons for that, and public health is here to support people in those decision making.

  • And finally, I wanted to bring up a disturbing thing that we've been made aware of is that some people are calling people and offering them fraudulent laboratory testing for a cost.

  • And we're telling everybody in British Columbia there is a covert 19.

  • Testing is done by our lab, which is a credited lab.

  • We are moving it out to several other labs around the province, but this is all done for free.

  • Our turnaround time is very quick, and they do not and should not, the asked for money and should not be paying people.

  • So be aware that there is, for some reason people trying to scam people around getting testing in this province.

  • Thank you.

  • And so thank you very much, Dr Henry.

  • This is obviously a very sad day for all of us, but especially, of course, for the family and loved ones of the man who passed away at the Lin Valley care home in our hearts to go out to the family, to the care family, to all of the people who work the Land Valley.

  • Careful, this is Ah, obviously a very sad day for them and indeed for all of us who are working on this question today.

  • Dr Henry has announced five new cases, which means the total of cases is up to 32 and the majority of those cases 16 involved in some way travel to Iran.

  • Half of the cases, five involved in some way traveled to China and obviously traveled from other places.

  • And then there's the significant issues that we see at the Glen Valley Care Homes.

  • I wanted to say that what this shows is what was set on Friday and the detailed briefing we gave to reporters in the community is that some people are very vulnerable.

  • People with preexisting medical conditions are more vulnerable than others, and obviously people who are older, over 80 are vulnerable.

  • We saw in the evidence that was presented by Dr Henry on on Friday from that from Hu bei problems that somewhere over 14% was the mortality rate for people over 80 who who have coded 19.

  • So the the situation for all of us and the responsibility for all of us is significant to not to not go out when we're sick to not work when we're sick to not go to school and we're sick but also did not visit care homes, to not visit hospitals and not visit our friends and our family who are older if we're sick.

  • And I think we wanted, of course, to reiterate that today Dr Henry has talked about some of the other issues.

  • But we also want continue to praise people who were providing care around the province and all in all of the work they do.

  • People involved in this matter from Dr Henry of the people that BC Center for Disease Control to health authorities People work in care homes are enormously committed to people and we want to acknowledge today all of the work that they do and all of the work being done in the sport they're getting for members of the community.

  • On some of the broader policy questions that you know, the federal government made its announcement surround cruise ship.

  • We wanted to go thank the federal government for increasing their warning to people traveling on cruise ships and for their efforts.

  • Thio bring people home from the grand Princess Canadians home from the Grand Princess.

  • Their determination to do that is much appreciated, and I think we need to acknowledge the extraordinary work done by federal officials on previous evacuations, in particular from Wuhan and from Tokyo.

  • So with that, we're happy to take questions.

  • As they say, We're going to do regular briefings at a regular time every day for the remainder of this weekend into the future, from Monday to Friday and on weekends, if necessary.

  • And those briefings this week will take place at 3 30 so that the public and all of you can plan for that.

  • Thank you.

  • So we're gonna start with the questions in Victoria that go on to the phone to those on the phone.

  • Police star, one press star want to queue up less lane first, and then von What, Doctor?

  • If Canadians are advised not to get on cruise ships, should cruise ships be docking in Canada and related to that?

  • Who makes the call on that question, which I'm sure is being discussed?

  • Is it Dr Tamil yourself?

  • So that that is absolutely being discussed where we are very aware that the cruise ship season is coming up here in Victoria and Vancouver and on the East Coast, a swell S o.

  • There is active communications, and the call is really made by the federal government, its Transport Canada, the Canadian Border Service Agency.

  • But they do take advice from both myself and my counterpart in Nova Scotia as well as Dr Tam.

  • Advice for you.

  • I have offered certainly my advice.

  • Um, and I know there's ongoing discussions.

  • My personal belief right now is that we are in a very critical time around the world, and it is my belief that we should be delaying our cruise season until we're in a safer place.

  • That's question on that.

  • Do you have any indication when they might make that call?

  • I expect it'll becoming if not this week, but within the next within the coming days.

  • For sure there's ongoing discussions, and it's a challenging thing, you know, we know that this will impact businesses both here in Victoria.

  • The tourist industry is being hard hit by this, but my primary concern is the health and safety of people in British Columbia, and I have grave concerns about boat cruises right now.

  • And you remember, there's more than 200 people Canadians on the cruise ship but currently off the coast of California.

  • The government of Canada is taking this extraordinary step, as you can imagine of of essentially evacuating people who are asymptomatic to Trenton.

  • And, uh, I think that's why the warning is important today because there is.

  • We have time and you'll see this week developments around the crease cruise season in Canada, which starts in April in the case of the West Coast, in any event, but obviously people are making decisions and lots of Canadians go on cruises this time of year.

  • We see this in the case of both the Diamond Princess in the Grand Princess.

  • So that's why the communication today is really important for them and for people to understand that this evacuation on the approach the government can is taking to this evacuation.

  • Now that this warning has been given me not continue to be the approach.

  • So people have to take that that information they received from the government can it very seriously over the bond that Keith and then Bender and then Mike the uh, this Wall Street Journal noted on the weekend regulations, and it's a good story that we've done well here, which, unfortunately our neighbor just across the border has been.

  • Are we doing enough to deal with risk help People traveling back and forth between Washington State and British Columbia, given that they really don't know, haven't done what we've done in terms of identifying risk and how far fairy that arrives here a couple times a day from Washington state, we have border crossings.

  • Are we doing enough?

  • Could we do more?

  • Should we do?

  • I'll start by saying, Even though a CZ you say the testing has been behind in the United States, they are absolutely putting all gargantuan effort into identifying that where people are in the community, particularly in Washington State, they have a very strong public health system.

  • So I am not concerned.

  • A boat, the spread.

  • They're in the same way as I, as we have seen in places like Iran, for example.

  • But it is clear that there their strategy has been a challenging one in the U.

  • S.

  • And we do need there's no way we could stop people going back and forth there.

  • Many Canadians who live in Washington state, many people who have connections back and forth.

  • We do need people to be aware and to know what to do.

  • And we're doing that both in Washington state, in here and across the country, both of our countries.

  • Anybody who's traveled, who gets sick needs to really pay attention to staying away from others.

  • That's the main thing that all of us can do and to take those precautions that we need to take every day to prevent transmission of infections.

  • And it wouldn't be a day gone by where I don't say cleaning your hands regularly, covering your mouth, coughing into your sleeve and staying away from others.

  • If you're sick, you may not have this fires, but we know there are other things that are causing people to be sick right now, so people need to know what to do.

  • Stay away from others if it gets more serious and you need medical attention.

  • Or if there's some connection to covert 19 then call ahead so that you could be assessed and tested if needed and cared for safely.

  • This is just, you know, I believe in.

  • The most recent cases in Ontario came from came from travel from Colorado for example, and really, what it tells us is what we've been saying for some days, which is how deeply interconnected the world is.

  • Both, uh, the links with Washington State, all of us.

  • I think many British Columbians have been there hundreds and hundreds of times, some thousands of times.

  • I would think so.

  • Those links are profound, but they're also profound with Iran.

  • It's one of the reasons why we have to do what we need to do here in British Columbia.

  • But we also have to support all other jurisdictions because what happens in public health in Iran matters here and what happens in public health and Korea matters here.

  • And we've seen that we've also seen very strong health care systems such as Japan, such as Korea such as Italy face very severe conditions and and outbreaks.

  • So we have to.

  • We have to acknowledge that this is an interconnected world and do everything we can.

  • I think with respect to Washington state, we're working very closely.

  • Dr.

  • Henry in particular, is working very closely on way are at a government to government level to support them and work with them.

  • We've had so far as you know, one case of travel from Seattle on positive case of someone who lives in Seattle who has found positive in British Columbia.

  • But people have to be conscious because before we found the case in Iran, before we found the case in Iran, we didn't know there was an issue with Iran.

  • And since then, we've had half of our cases in British Columbia involved traveled to Iran in some ways or connection to travel to Iran.

  • So this is a fast evolving situation.

  • And so the advice we give and the advice that Dr Henry and medical professionals they're giving us the advice that people need to follow numbers from World Health Organization.

  • I've seen estimates as many as a 1,000,000 cases worldwide in April, based on the numbers in British Columbia.

  • Where could we be?

  • In terms of number of cases?

  • It's really challenging and to speculate, and I'm not going to speculate around numbers.

  • It's Our focus is on breaking what we call those chains of transmission.

  • So trying to identify anybody and this there's a number of case in point on the case from Iran is one the fact that we had somebody we've been doing surveillance in our in our community level.

  • So all of the influenza tests in the lab are automatically tested for covert 19.

  • That's how we identified the health care worker and now the old breaking the Lin Valley Care Center.

  • So our focus is on making sure that we can find people really quickly and break those trains of transmission.

  • So we don't have widespread transmission of the disease, and that means all of us have to do our part.

  • And when I talk about social distancing, when I talk about having gatherings and not staying arm's length from people not doing the handshaking, sharing of cups and things like that right now, that's how we stop transmission in our community.

  • Recognizing that we can't control everything that's coming in in order, way got a very good briefing Friday on emergency plan.

  • How much planning In order to know when to move to the next phase of a plant, it's canceling elective surgery or getting retired doctors to get back into the system.

  • You must know day that you must know projection and where we are, so you're not telling us where you are or you haven't figured it out.

  • No, I'm telling you exactly where we are.

  • We had 32 cases and we have a number of people who are close contacts that were following.

  • But those numbers are small, and we are updating on those our strategy for understanding where we're going as around the testing that we're doing.

  • But we are also doing modeling on dhe modeling to help us look at scenarios.

  • And we talked a little bit about that when we announced the plan last week.

  • So the V C C D.

  • C.

  • Has been looking at the numbers that have happened in other places and helped us, eh?

  • So we're looking at scenario planning for a whole bunch of different things.

  • So it's not going to be, uh, we're here today and we're there tomorrow.

  • We're using some of those tools.

  • Now, for example, we are asking some retired public health physicians to come back and work with us because we need to augment our public health capacity to do the contact tracing to do the monitoring of people who are coming in.

  • So we're taking some of these tools already that we have a CZ part of our provincial plan where the health authorities are looking at how we can us set up assessment centers to ramp up testing if we need to, and we're starting to see the need to do some of that in some communities.

  • So it's not a it's not a phase in terms of were in one place.

  • Now will be the next place tomorrow.

  • It's not going to happen across the province in the same way, so we'll be taking the measures that we need in the areas that we need.

  • As it arises, it's over, Keith and absurd.

  • Dr Harry.

  • Maybe this will tell you.

  • Do you think your way had a woman call us?

  • Said she called 811 What was getting no advice on what to do in terms of my doctor's office emergency work?

  • So first of all, it is 811 The people, they're fully knowledgeable about this in terms of dispensing advice.

  • And second, if he could walk people through again what they should do.

  • Yeah, so 811 is our health link.

  • So there's initial intake.

  • There's also a nurse line that's associated with that, and yes, we update them very frequently over the weekend.

  • It was many times about exact situations, and so they have the algorithms to understand what people's risk it's, and they walk through that risk with them.

  • So, for example, we knew there was a community exposure community event that somebody was at, and people in that event have been notified.

  • They have the details so they can actually say no.

  • It wasn't the event that you were at.

  • So it's very hard sometimes to understand or to know what a ninja vigil persons interaction has been with 811 And they may not have received the advice that they wanted to hear, and that could be challenging to.

  • So right now, we want everybody to stay home if you're sick.

  • Even if you have the sniffles, you have a bit of a cold.

  • Your Children are feeling a little bit under the weather, keep them home from school, keep yourself home from work.

  • If you're not feeling well, even if you have no relationship took over 19.

  • We want you to do that, and we want you to clean your hands regularly.

  • We want you to cough in your sleeve, but those are important measures that all of us need to take right now for people who have had specific exposures, or if you're at that point where you have shortness of breath and you have difficulty breathing, you need medical attention than call ahead and tell people that you have a respiratory illness and you need to be seen.

  • That way they can take the measures that are needed to protect everybody else in the health care setting as well.

  • And just just done on the A 11 question will be.

  • It's a little in response to Ron's question as well.

  • We, I believe we ordinarily get in the neighborhood of 1112 100 calls a week.

  • That number of calls were receiving is more than double, which is the real challenge.

  • So it shows how will be building up capacity as well on that line.

  • So people do have to be patient.

  • We know that after each one of these briefings we get more.

  • We get more calls to the line.

  • After each night on the nightly news, we get more calls on the line, so one of the areas that will be building supports will be around 811 in the coming days and we'll be letting you know about that Long term care homes, some homes, air, not allowing visitors some part.

  • Are you gonna institute a uniform policy?

  • And what should people do?

  • Visit?

  • Even if you're not sick, don't go to a bunker.

  • I don't care.

  • No, I mean long term care homes, our homes and their residents who live there need the interaction with their family.

  • But right now, we want people to be really, really careful.

  • So depends on where you are in the in the province, where the risk is higher.

  • Um, all long term care homes should be making sure that they know what to do and have their plans in place.

  • And they'll be working with the health authorities.

  • I know they're doing that already.

  • We want to have enhanced screening of visitors who are coming in and out of long term care.

  • So if you are going to visit someone, don't go.

  • Is a large group.

  • Go one by one on Lee, go to visit the person that you're there to see if you have any concerns about respiratory illnesses, stay away.

  • Or if you need to see, we know that many people in long term care or elderly and that some of them are going to die from, um from other reasons.

  • And if you need to be with somebody and you're not feeling well, let the home know ahead of time so you could be given a mask, You appropriate things in place so that nobody else in the care homes put at risk.

  • How long can the virus live on surfaces?

  • Yeah, that's one of the questions that we've been the science has been looking at.

  • It can live in depending on the temperature and humidity for several hours.

  • Sometimes that's why I enhanced cleaning is really, really important.

  • And s o regular close Oh, cleaning products work very well against this virus.

  • It's what we call an envelope viruses.

  • So it is easily cleaned with using regular household cleaning products or a one in 10 bleach solution.

  • But even if it's on surfaces, that's not how we get infected.

  • We get infected by touching those surfaces, and again, it doesn't come in that we don't get infected through our hands.

  • We get infected because we inoculate ourselves so that that key step of you know if you're on the bus and your hands.

  • Are you touching things that might have been contaminated?

  • You need to clean your hands and be really careful in vigilant about not touching your face and eyes bender than Mike than a journey back to us.

  • I'm just wondering if you can update us on the community cases, and if there's been a determination made about you know what one of them there has to think.

  • There's another one last week where there was still an investigation being done about where this person contract.

  • So the only community cases the person who's the health care worker who's been linked back now to the Lin Valley Care Center and that outbreak investigation is ongoing.

  • But it is becoming, and parents that her source of infection was at at work, that not that she brought it into the facility So detailed investigation.

  • It takes some time, but where Vancouver Coastal is working really hard to try and and connect those thoughts and figure out how it was introduced into the care home.

  • The other person was, um, our case, who resides in Seattle, and I don't have an update on exactly where the contact was there though she was in.

  • Apparently in some facilities where there have been cases.

  • And with four new testing labs opening this week, is there any thought being given to doing sort of general testing, perhaps at care homes where seniors host s.

  • So there's no point in testing people don't have symptoms.

  • And so that's one of the things we know.

  • The test is not valid in people who don't have any symptoms at all that we do tests some people if they've had close contact.

  • And we know that particular young people can be asymptomatic so that there's a bit of a judgment around the type of contact people have had.

  • We are testing all of the way routinely have a protocol for any influenza like illness.

  • We call it in care homes, and we are testing all of those for covert 19 as well as for influenza and our city and the other routine respiratory viruses that are tested for S o.

  • The other four labs.

  • They were open, and they've been online as of last week.

  • So two of them last week into them late last week just I'm just wondering in terms of it with this case that we've heard about at school and renting out space.

  • Is that something that should not be done right now?

  • Perhaps.

  • Is that sharing of that space at schools?

  • I guess especially area again.

  • In this case, there was nobody with symptoms who were in that space, so it's not a risk.

  • Um, and we put out the message is so people can be reassured.

  • I think each of the schools has to look at how things are being used and really important is toe.

  • Have those enhanced cleaning and schools have been doing this cleaning twice a day and especially high touch areas and Jim's would be an area that we'd want that and then everybody else needs to take the measures of cleaning their hands and being really cautious about and staying away, staying away.

  • If you're not feeling well over to Mike saying, there's a step member at Sullivan writes in Surrey.

  • Apparently, testing razor health has been a letter saying risks.

  • My parents were still worried, so worried should those parents be.

  • And the second question is, keep asking so personal.

  • There was letters were about people who had been in that school, and there's two schools that were asymptomatic.

  • So there is no risk to the people in the schools that we know of.

  • And that's what the letters about.

  • It's about reassuring parents that the school has taken all the measures to make sure that everything has been cleaned.

  • They've enhanced the measures around cleaning and around students in helping students take things, the measures they need, like cleaning their hands regularly.

  • And and I think the teachers and the staff that both those schools and all the schools in the province actually are doing an excellent job on that.

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  • If someone takes your advice to heart regarding social distancing, it's hard to square that with going to a hockey game or theater or a nightclub when you get to the point of making recommendations of public gatherings.

  • Eso We've made some recommendations, and it's all about risk.

  • And it's all about where the setting is.

  • Can people be far enough away from each other?

  • You know, hockey games are very different from going to nightclubs, but we also don't have a lot of transmission in our community yet.

  • So they have made different decisions in Seattle, for example, about some things.

  • Eso.

  • Each of them is really on a case by case basis, but it's we know this virus is transmitted by close contact, so within arm's length of me.

  • And it's when people inhale those droplets or with touching up surfaces and then self inoculating.

  • So in places like bay, for example, or parts of northern Italy where there was a lot of people sick, those environments become much more likely to be contaminated, and it's harder for people to remember to clean their hands and all those things, so the risk goes up of any sorts of gatherings rate.

  • Now it's those close contact gatherings that we know people are transmitted, and even in China, most people who get sick from this gets sick from their family and their friends, the people that they're spending time indoors with in close contact.

  • So that's the biggest risk.

  • And that's why, right now we're focusing on those types of gatherings, like religious gatherings like community gatherings indoors where people share food.

  • Those are the types of settings where we have seen transmission and where we need to be most cautious right now.

  • The number of care workers working multiple long term care homes.

  • First of all, is that a concern?

  • Secondly, what aboutthe care workers in the valley right now?

  • Are they in isolation?

  • So we are very aware of that, and it's a challenge with our system health care workers and we know that whether it's care workers or nurses, even physicians, we work in many different health authorities, many different facilities.

  • Sometimes that is part of the ongoing investigation at the Valley care home to find out exactly where everybody worked and make sure that there was other facilities are investigated and what's going on in those facilities that people who had close contact with our additional case.

  • So there's two health care workers from Lynn Valley who have tested positive and they're close.

  • Contacts from work are at home on isolation, and that is a challenge.

  • It's a challenge for staffing of the care facility as well, and Vancouver Coastal is, is working with all of the health sector to see how we can make sure that they have what they need for that care home.

  • Envision 12 palaces questions going from recommendations to actual orders.

  • Way need to, um, so we can take a lot of measures without having to formally write an order.

  • Um, we're not at the point where I would see us as ordering all public gatherings to stop, but we are watching that that is something that might happen.

  • It might happen if we get to a place where there are more cases popping up in the community that we can't link, and it's a way of keeping sick people away from, well, people until we can find those links and break those chains.

  • So that's what they're doing in many communities in Washington state and around the US We've seen it on a much broader scale in places like northern Italy.

  • Right now, Um, I we're doing everything we can to not get there and to protect our communities, but also to protect our health care system so that were effectively able to care for people with this virus, but also people who have all the other health things and health needs in our system.

  • So that's why we we've come up with the provincial plan, why we're broadening it so that we have all the tools we need.

  • Should we need them Right now, we're still at the point where we have very few cases sporadic cases popping up where linking the back.

  • We're doing that contact tracing, work and weep in.

  • And we have continued importations, and all of them involved quite a lot of work to make sure we stop people from transmitting toe others.

  • And that's that's what we're going to continue to do as long as we possibly can.

  • Just what's going on in school, what you're recommending Schools talk about intense cleaning all of them being ordered to be Oh, no.

  • I've been directed by their ministry.

  • We've been This was some weeks ago when we first had concerns about somebody who had been in the school.

  • So this has gone out to all of the superintendents of schools around the province.

  • I think the one thing that we're looking forward to is a little bit of a break with March break coming the end of this week and and schools a setting.

  • I will also say that you know, Children have been relatively spared in this outbreak, and that's a really positive thing in there.

  • Aah!

  • Relief.

  • We don't yet know the role that they play in transmitting infections toe others.

  • We know, for example, with influenza, young people can be very efficient.

  • Transmitters without getting very sick themselves doesn't appear to be that type of a risk with this virus so far.

  • But we are obviously watching that very carefully, so I think there's a lot of really good work being done in schools around the province.

  • Just put it in context in terms of the numbers that we announced.

  • We're announcing every Friday the number of tests we did last week we had more than doubled doubled the previous period.

  • In that set of tests we did but 2803 tests and about 2008 individuals.

  • And I think it's fair to say already this week this is our most significant week ever.

  • So we've done more than we had the previous week that we have created new capacity for that and what we have are 32 positive cases amongst a testing group which had to meet the test.

  • The standard of the test, which is to have tohave symptoms to be symptomatic and often travel history or linked to travel history.

  • So that's the group of people were testing into date.

  • We have 32 tests and at 32 positive tests, and we have more will be informing people every single day that that happens.

  • Beginning, I spoke to someone who was in suppose we get set infirmity investor sentiment around for couldn't find hand sanitizer in the head Indians and apparently louder and prompts the question.

  • How well provisioned is the health care system, with respirators, masks and hand sanitizer?

  • Is there plenty are scrambling to find it.

  • What is this state of affairs moment.

  • So this is something we've been paying attention to for some time, and, you know, all of the health authorities, all of the facilities that we have, all of our health care facilities are stepping up, and it's not uncommon.

  • We have heard of things being stolen mass being taken away.

  • We do have a pandemic stockpile that we have started to use.

  • We have a a process provincially for organizing that we have a process nationally to make sure that we have the supplies that we need in the health care system from from the long term care homes, community, physicians and hospitals.

  • It's not perfect, and there's sometimes challenges and individual settings.

  • But the message has certainly gone out, and we are purchasing with our colleagues across the country to make sure that we have what we need in the system cases before.

  • Well, there's a good question.

  • Um, the way that we're doing our scenario planning and what we have seen in other places is that it doesn't happen across the province at once, so we need a contingency planning to make sure that we are able to support the areas that are having outbreaks, and so there's no magic number.

  • I think we all know that our hospitals are working at 100 100 and 8% particularly this time of year.

  • And one of the reasons that we are being so adamant a boat breaking those trains of transmission and keeping a CE much as we can trying to prevent any transmission is because we are still at the end of influenza season.

  • So we know that our hospital beds are fuller than they are other times of the year.

  • Um, having said that, all of the hospitals have plans for decanting, so less urgent people finding temporary places for them in the community.

  • We know there's people that are in our hospitals that don't need to be there for the care, but are there because there's no place for them to go and there are provisions for being able to do that.

  • There's also provisions for slowing down the people coming into the hospital, so whether it's ah, delaying, liked elective surgeries, things like that.

  • So those are the plans that people are looking at.

  • I think if we look at our numbers, we have 32 people, we have three people right now who are in hospital.

  • And most people that we have had so far in BC have been able to be managed safely at home.

  • We're gonna go for the phones now, starting with Tom's Village, followed by robbing Gil.

  • Oh, no.

  • Is that it?

  • Comes with Terek, actually.

  • Are you looking at some point recommending wholesale school closures, or perhaps an early or extended spring break those air definitely possibilities that we have in our toolkit.

  • Um, as I said, it's hard to know how effective school closures are for this particular infection.

  • I know many other places are doing that as a way to keep people away from each other.

  • And what we know are congregated settings.

  • There are other things that we can do to make schools safer during this type of a note break things like separating kids in the class is the the enhanced hand hygiene for Children, the enhanced cleaning.

  • But the challenges.

  • If we do close schools, making sure that Children are able to continue with their education and that they're not congregating in other settings, which would be counterintuitive and wouldn't allow us to have the the not the control but the supervision of Children that we do have in schools.

  • So these are all things that we consider.

  • We're not at the point where we need that.

  • Now, I will say that the fact that we have a two week March break coming up is a little bit of relief in that people have parents already have plans for what to do with with the kids for those period of time.

  • Um, and then we'll see.

  • We'll see where we are in the in the community cases that we have and see where we are globally with with the outbreak as this evolves.

  • Robin Gael, followed by Camille Veins.

  • Um, Dr Henry G.

  • Yeah.

  • Dr Henry, do you think that more residents of Lin Valley could have this new Corona virus and could it be a similar situation at other care homes?

  • And we may not realize it, Um, I the investigation that Lynn Valley is ongoing, and I know there are other.

  • Both health care workers and residents have been tested.

  • Some of them have tested negative, but there are other tests on going and so I can't say, but I expect they're likely would be one arm or others in the coming days that will know more about, um, we are looking very carefully at all of the long term care facility.

  • Oh, breaks that we've had and retesting in some cases looking at other care homes that are linked.

  • And, you know, right now I don't have any indication that there is ongoing transmission of covert 19 at any other care homes.

  • But that's obviously something where we're watching very carefully.

  • We do have an ongoing process every year during influenza season.

  • That's very sensitive for checking for in respect, a Torrey Outbreaks in long term care homes.

  • And we're to a I saw her.

  • I didn't look at the numbers, but we've had over 100 again this year.

  • So this is something that is not unusual for care homes there.

  • They know how to do manage outbreaks and detective breaks.

  • So all of the health authorities are working very carefully, and we're looking at that.

  • I mean, it is very much a concern of ours over to Camille Baines, followed by Jane Side for North Shore News.

  • Hi, Dr Henry.

  • What details can you provide about this gentleman at the care home in terms of his age and whether he had any pre existing chronic conditions or any kind of condition at all.

  • Yes, he was a man in his eighties and he had a number of underlying health conditions.

  • Unfortunately, so, um, in that risk group for people who were who are more likely to have severe disease with this, having said that, you know, I understand he was on active member of the community there, and he will be sorely missed over to Jane and then Isabel Lamb.

  • Hi, it's Jane Side with the North Shore News.

  • Just a father walk on that question wth the other person who is ill after Lynn Belly Care center.

  • Can can you give any details on them or they also is their eighties.

  • They also have underlying health conditions.

  • And what is their condition right now?

  • Sure, the other person who's tested positive, the other resident who's tested positive is a woman in her seventies, also, as many people do in long term care homes as some underlying conditions.

  • But her condition is stable right now about lab than Cindy Harnett e me.

  • This question is for business procedures.

  • So several students every changed such a second cup and important have temporarily stopped serving beverages and use the whole month.

  • It's inappropriate.

  • And are there any other changes that, Yes, I saw that when I was in the Starbucks on the weekend.

  • Um, uh, you know, I I'm not sure that it makes a difference, but I think it's It's, um it's one thing to avoid, I guess contaminating with droplets.

  • But the more important things are, are the washing your hands?

  • As you know, as I mentioned earlier, we don't actually get sick ourselves from the droplets that are on surfaces are on our hands.

  • We get sick when we inoculate ourselves with them in our eyes or mouth or nose.

  • So the importance of hand washing can't be overemphasized.

  • And you know that that's the most important thing.

  • And I think businesses need to look at how they can function.

  • Should they have people who are sick with this or who are in asked to self isolate and looking at ways that they can enhance social distancing from amongst their members are people that they their employees.

  • So we want to.

  • There have been some companies have already taken some measures, things around enhanced cleaning.

  • And that's something that would be appropriate in in places like Starbucks or other coffee shops or restaurants.

  • Um, also whether other businesses can look at reducing travel if they non essential, particularly international travel, for going that for the time being.

  • Looking at virtual meetings.

  • Obviously, it's not for everybody, but making sure that that you can continue your business and have people work from home.

  • If that's possible, things like that, our measures that need to be looked at right now we're gonna go to Cindy and then Anna from Reuters.

  • Cindy.

  • So, Dr Henry, is there any explanation for the fact that there's been no cases on Vancouver Island?

  • And secondly, is there any advice for religious leaders who are handing out the hosts and and wine at at Mass to hundreds of people?

  • Yeah, So the reason why we don't have cases on Vancouver Island, I don't know.

  • We have had people who have been close contacts on There have been returning travellers who've been monitored by public health and thankfully no one yet has tested positive on Vancouver Island or in the North.

  • Although there have been people in all of all over British Columbia who have returned from cruises, for example, or return from travel and have been in isolation.

  • So it's not like we're not looking for it in those other places as well.

  • In terms of, you know, the host passing the cup.

  • Now is the time that we need to take some precautions around that and putting it in people's hands, being careful about how you do it, not sharing the cup.

  • Those are things that I am will be asking and have been talking to religious leaders a vote in the coming days.

  • Gonna go over to Anna than Bob McKinnon.

  • Andrea Hi, Dr Henry.

  • What steps are being taken to protect vulnerable populations?

  • So people like, um, the homeless or people who are in carts incarcerated what's being was being taken to prevent them from becoming infected?

  • Yeah, thes air, obviously areas of concern.

  • So far, we have not had issues because we have not had a lot of transmission in our communities.

  • We've not had issues in our in our jails or correctional facilities.

  • There is a CZ part of our all of government approach.

  • We're now being able to reach out more systematically to those areas, and there are things that we do around prevention around assessing people were coming, you note, of those centers that will be put in place in terms of the homeless populations of people who are street entrench.

  • Those are also plans we're looking at right now.

  • We've connected with the number of the groups that support people in those communities and looking how we can what measures air best to protect them.

  • There's information that they need.

  • Right now.

  • They're not theat risk group that we're seeing, but we want to be prepared.

  • Should somebody haven't exposure for sure.

  • If you look at the plan, that's a key part of what we expect.

  • What we've seen so far, if you look at the cases as we've reviewed them, here is most of the cases.

  • The majority of the cases have been linked to international travel, and so in general people who travel internationally, you're not a vulnerable population, although that's not always the case.

  • We had one case of some of a couple in their eighties and an individual, uh, who tested positive women.

  • There is currently a banker, General Hospital.

  • So what?

  • The situation is now what it might be in the future are different.

  • And certainly a huge part of the plan in the preparation that we presented on Friday and that we're working on now is to ensure that vulnerable populations heir protected.

  • Most especially, of course, seniors and others in long term care there.

  • Approximately 29,000 seniors and publicly funded long term care NBC.

  • And they're obviously the central focus of this as they're people who are in acute care but other vulnerable populations.

  • And you saw it on Friday in the discussion of people with chronic diseases.

  • People who who are inadequately housed or homeless, et cetera are obviously also vulnerable populations, people who have issues with addiction.

  • So all of those air part of our plan and going forward, I'm gonna go over to Bob Mac and then Andrea Woo, then Liane Young.

  • Uh uh.

  • Cruise ships are a major concern right now, but what about rest?

  • They're posed by commercial vessels such as freighters.

  • Imports of Vancouver, Delta Prince Rupert, where crews often come ashore, visit the community after they docked our health authorities, monitoring and testing the international crew members and also the local dockworkers and are there any quarantines yourself isolation right now on ships, the short answer is to the first question is yes.

  • And the second question is no.

  • There is a very detailed process that has been in place for a long time around all of the ships that come into our facilities across the province.

  • On DDE.

  • It's involved with Transport Canada and the Quarantine Service at the Public Health Agency of Canada.

  • So th

Good morning.

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