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  • there you have our numbers that have given to you already.

  • We're now up to 18 with 15 active cases.

  • Are three resolved, of course, and ah, you had some of the media release is on.

  • Ah, some of the earlier cases.

  • There's three others that you didn't have.

  • Um, I'll give you some little short version of what there's one is a female in late sixties with a travel history to Egypt and became We came back on the 20th and was seeing that McKenzie health and 29th persons well, self isolating and York region is following up.

  • No, it's a female in their seventies.

  • Also, travel is for Egypt also returned on terror on the 20th and his roommate of another one.

  • So that was at North York.

  • And turn a public health, of course, is falling upon that case.

  • Another is a meal sixties, and that was a history of travel to Iran as a close contact of another on terror case, and that person returned Hunter on the 23rd of February, and that was a north your case.

  • And again I would be trying a public health is doing the full up in that regard, and I think what you're seeing in that times that when we expanded out toe are wider number of countries.

  • Someone asked me, Was I expecting increase?

  • I was predicting we'd see about 20 to 30.

  • So to see these numbers is for me is, oddly enough, is reassuring.

  • That tells me that the system is working, people are coming forward, people are being seen and people are being assessed in that way.

  • And that's that's the crux of our whole way.

  • It's how we do it and we follows up in a timely fashion.

  • We look at any exposure.

  • Histories were in a strong containment mode and we continue to do so and you see some trends and directions I'll talk about in a moment that tells you what may or may not be going on and that aspect there.

  • But the key thing is that as we're looking at those aspects there with the number of travelers that are coming from these areas, these air still small numbers, relatively speaking but important numbers and ones that we applaud those who are coming forward with a sense of reassurance that they will be seen in a timely way that repeat, they will be treated respectfully and the work with them on their concerns about their illness, the finalists for their families and exposures.

  • And we find them all very much responsible in that way.

  • I think if you look at our data, you find interesting that for now, almost we can have.

  • We've had no cases from who buyer from China.

  • They're still people coming from China.

  • Still, people come from who by and the government there continue to see their numbers drop as they seem to have been able to, with quite draconian steps, carry out containment.

  • But it's still early, but they saw the direction is is, I think it's reassuring.

  • I'm gonna see what they're going to do with that.

  • Our latest one, of course, is Iran and talking to the public, Alvin's your candidate.

  • The country itself was not aware of any issue until after the 19th of 19th of February, Um, and so we're trying to have our person from publications.

  • A cannon has gone to the Iran and the chicken out with their systems and data must like what happened with Japan and with China, and you'll see that now we've had a cluster of cases from there, and so that, like, for example, are testing has gone up.

  • We're seeing about 30 35 a day, 70 to 80 tests today being submitted, not all with person under investigation.

  • There's other ones, too, that conditions wanna have assessed.

  • And we have 12 that air waiting for tests, all the rest of Rule 975 or negative.

  • We've had over 1000 tests done through our system there, and that continues to perform well.

  • I think in the aspect there is that when you look at it, we've had over 18 cases.

  • Four had our initial ones traveled to China.

  • Four have had a travel history to Egypt, and that's interesting because the country itself doesn't report many cases, and we're with another country says.

  • We also have a cluster, and it's a 23 with at the same time in the same place.

  • It looks like there's an event that all these people right at the same time by happenstance.

  • Unfortunately for some of the Canadians here, and so instead of ah Countrywide issue, you have an event issue.

  • This is important to have the epidemiology to understand that and to determine that in the Iran situation, we're not too sure where the details are in the country, whether it's the usual epicenter of comb and wider.

  • We're trying to get some more details from the epidemiological review in the country with our expert who's gone there the time to help in the assistance.

  • We have to have no travel history, but they're related to close family contacts.

  • And that's the thing is we're seeing is that our cases with close family contacts are really close founding contacts there, not just casual family events, people walking by.

  • I think that's important for the public.

  • Understand, they think they're walking by someone who goes by on the street just like that.

  • That's not the case we were talking about fairly close within a meter to the person for an extended period of time.

  • Unless, of course, you're coughing, sneezing all over them, which I'm not sure anyone would appreciate and that kind of aspect there.

  • And that's why we have all these precautions.

  • So we're continue to see that even with all our ones were doing the mandates on the flights, we continue to go after those 32 seats back, two seats forward and all the ones so far have been negative.

  • And that's reassuring in one way.

  • So we're learning more and more about how this virus transmits, and so that's important.

  • Regardless of that, we've asked some questions with our agency and public buildings.

  • You can, um, and we've had meetings or the weekend and we've asked to increase the risk factor for Iran, and they have agreed to do that.

  • So it'll be moving from a Level three.

  • It's up to level three now, if you look at their Web page and we're going up to be similar to who by so asking people who are coming from Iran because we're not too certain?

  • And I don't think the country's air certain of the breadth and width of the spread within the country at this time, so asking those people come back from there, they would self isolate.

  • They would have be required when the key Oscar updated at the airport to fill out the questionnaire, which has their contact information and local public health, would locate them and worked with him over a 14 day period to either ascertain if they have symptoms yes or no during that time.

  • If they do it, symptoms to get them tested.

  • It's like we've done with the who by residents during this time as well.

  • So you can see there's a transition and a modification of the travel advisories, and we have to keep her my eyes on that because you see the numbers in northern Italy, you see the numbers in South Korea, South Korea, tens anymore, clustered around a large group activity, and we're trying to get their assessment.

  • Their analysis, What does that mean for us?

  • And how does that effect?

  • We still haven't had any cases with us related to those other areas.

  • Nevertheless, we're vigilant and watching for that.

  • So that in mind, um, I'm not going to call the global numbers, you know, those.

  • And I'm saying before the global numbers, the total becomes less important as it does the change, the rapidity of change in different countries.

  • And what does that indicate going on?

  • And how does that poses a risk for can?

  • Because we have many people traveling.

  • We know that, for example, from Iran we have in Toronto, we have two weeks ago, 500 people and then 300 people, so not inconsequential.

  • So we get those numbers in and they're dropping those numbers because the number Cos around are not flying in to Iran and there's no direct flights from Iran into cabin.

  • So therefore, we have to ask him to declare that that means when you get all those notifications, public health has to fall up with all those people.

  • That's more workload for public health and yet full and following up, say, 40 or 50 questionnaires.

  • When you actually have a person who was missed for a day or two and you have to do two or 300 calls, you can balance out the workload.

  • But that's the dynamic of Ontario public health.

  • We have that ready to go.

  • That's why you saw York region step up their medical officer doing their media briefings on that Durham will step up and the other ones around there So we have that resource available.

  • We're only using three health units at the moment.

  • Not that I want everybody to do it, but they're prepared and ready, and we have regular teleconference with them to handle all these situations in this containment in the management.

  • That and look at all the risk situations, that's what it's about.

  • So when we look at that, we said What's our next step in Ontario?

  • And we have undertaken to look at our pandemic plan and in our in our management system of that we have a model in a program that lays out different aspects of surveillance, analytics, logistics, communications and these are all man by staff as it gets into the potential of a wider issue before gets in the wider issue you do, you're playing ahead of time.

  • That's why the deputy and the minister announced that we're putting forward a new command type structure.

  • It's part of our pandemic plan.

  • On the next phase is that we put that together.

  • It's chaired by the deputy minister of health.

  • It reports the minister of health.

  • I am at the table with the deputy minister.

  • There are other deputy ministers of appropriate areas at the table.

  • There's ethics officers at the table.

  • There's various other key people from the ministry at the table lawyer, legal counsel, the table because if and when you need to make decisions, you need a command center.

  • That one is having all the stuff feed into it at the right time in the right way has the power and authority to make decisions for the authority of local medical officers, my authorities achievement officer of health, the legal authorities, the minister of health or times of emergency operations center of the province if and when necessary.

  • That's not because there's a need right now.

  • But you always want to have these things in place before there's the need and that you're planning for that and prepared for that.

  • And so the dappy.

  • We've had our first meeting already, and as you see there's number aspects, there's a command table I talked about.

  • We've had our using on Terra Health.

  • Five regional offices with reason leads with public health at that table.

  • It's like a microcosm of the large command one, because if we do a large scale thing with something going on, those responses are often worked at through regional models because ah, large event never hits the province home ingeniously at the same time.

  • And so there recalled to do that and report back in and we have their operations center still with with Army Ock, and we have a scientific table public on the terror.

  • We have our ethics table with the University of Toronto bioethics.

  • We have our sector for specific issues and we have a collab table with all their collaborative A entities such as Theo made e O.

  • H.

  • A owner, all those other ones that have invested interest to be kept informed of what's going on.

  • And we worked with them in a collaborative way and that function.

  • And so we're announcing that we're stepping up to that level there for that preparedness because then you start expanding those things that were in one area you having larger and larger groups all reporting up, if and when necessary, to give you a quality, effective, efficient and timely response to events as they occur as they hit on the health care system.

  • How you gonna handle things right now?

  • How many patients are in the hospital Cove in 19?

  • None.

  • How many, But in the Hospital Cove in 19 in Ontario.

  • One how many deaths that we had with Colvin, 19.

  • None.

  • And so those are important things.

  • It's not that we're not interacting with the global picture we are, and yet our citizens and our system continues to respond in a way that we would say to the on Terrians.

  • It's a low risk.

  • Still with Ontario.

  • Why, because of the ongoing vigilance and amount of resources and staff are putting into monitoring, surveying and following up.

  • So I'm happy to take questions the moment and to deal with the different components I've touched base with today.

  • Something our public health officials reaching everybody who's coming here from Iran in the past couple of weeks.

  • Well, they wouldn't know if they had yet because they haven't put the kiosk update.

  • So the federal govern has to put that way.

  • So we've we've asked people on our media things if you've come and you have concerns that you would then notify public, especially of yourself, monitor and identify signs or symptoms, we're want to step that forward and ask the people from Iran.

  • If you're coming back in the last 14 days, you would go into self isolation.

  • You would notify public health and to assess that if you want to get testing, how would you do it?

  • How could you go about doing it?

  • Because there may be some issues with language, and we have translators available to assist and make it as accessible, amenable.

  • It's possible to help them in their assessment.

  • Personal assessment because some they weren't somewhere where they're exposed.

  • When they're in the country now, they're where they want to know, and they're concerned about their health issues.

  • So we haven't we don't know if they are yet in the future, when the kiosk is up and running and the question is administered, then proactively would know where the individuals are, where their contact information is.

  • And those questionnaires then distribute to the respect of health departments.

  • Health units.

  • You may where those people, at least on the chart, indicate that resides in that we've got several people here who were in Egypt, And I think you said there may have been an event there.

  • Do you know, like if there's something that these people have in common, they all attend, I don't know.

  • Maybe it was a wedding, was it?

  • That's our working we have.

  • We've been asked by health can to say because they're conquer their investigation with another country has another group saying they were also at something.

  • They all came back on the same time you noticed.

  • And, uh so We're trying to get that detail put together and maybe very informative in regards that because right now we have more cases than Egypt has.

  • Okay, but what's the other country that's got a cluster over?

  • Um, someone mentioned.

  • But I'm not I'm not going to be.

  • It was just casually mentioned, so I don't want to quote it.

  • If I don't have got it correctly, you think that there was something like Has anyone naval been able to ask these people like we're doing that?

  • Now we're asking All are between York and Toronto.

  • Public out.

  • Can you go back and ask those people?