What you need to know about COVID-19 in Ottawa Friday, March 13

Recent developments:

• Chief Public Officer of Health Dr. Theresa Tam said Friday Canadians should postpone or cancel travel plans outside the country.
• Transportation Minister Marc Garneau says international flights to Canada will be restricted to certain airports.
• Quebec is closing all public schools, universities and CEGEPs for 2 weeks; banning indoor events with more than 250 people.
• Ontario's chief medical officer of health recommends all gatherings over 250 people not happen.
• People now asked to self-isolate after returning from Italy.

What are the novel coronavirus and COVID-19?

Coronaviruses are a family of virusesthat cause illnesses ranging from the common cold to more severe respiratory problems, according to the World Health Organization (WHO).

Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS) were both examples of coronaviruses.

The most recent novel (or new in humans)coronavirus, officially named SARS-CoV-2, was discovered in Wuhan, China in December 2019.

SARS-CoV-2 causes a respiratory disease called COVID-19. There is no vaccine and no drugs to treat it.

Coronaviruses primarily spread through droplets when an infected person coughs or sneezes. They can also spread through close, prolonged contact, such as touching or shaking hands.

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What are the symptoms of COVID-19?

Symptoms range from a very mild, cold-like illness to a severe lung infection.

The most common symptoms include fever, fatigue, and a dry cough, according to the WHO.

Some patients also experience aches and pains, nasal congestion, runny nose, sore throat or diarrhea. These symptoms are usually mild and begin gradually.

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Most people recover from the disease without requiring any medical treatment and some people who are infected don't develop any symptoms at all.

The WHO says about one out of every sixpeople who contractCOVID-19 becomeseriously ill and developdifficulty breathing.

Older people, those with compromised immune systems,and those with underlying medical problems such as high blood pressure, heart problems or diabetesare more likely to develop serious illness.

The experience in Italy and China suggests as many as 10 per cent of people infected can require critical care.

The Public Health Agency of Canada says the health risk associated with COVID-19 is low for the general population in Canada, but that this could change rapidly.

When should I watch for symptoms?

People returning from travel abroad to Hubei,China, Iran and Italy are advised to self-isolate for 14 days and contact Ottawa Public Health.

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All other travellers returning from outside Canadaare advised to monitor their health for two weeks upon returning and to contact Ottawa Public Health (OPH) at613-580-6744 if they start developing symptoms.

If they start feeling symptoms, get away from other people as quickly as possible and call your doctor or OPH.

Only people who have travelled abroadare asked to avoid crowded public spaces and areas where they cannot easily get themselves away from others if they start feeling symptoms.

Ottawa's medical officer of health Dr. Vera Etches said there is currently no evidence of community transmission in the area, which occurs when the virus doesn't come from a known sourcesuch as travelling to a region withpositive cases.

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What should I do if I have symptoms?

OPH recommends people with mild symptoms should call theirhealth care provider or a walk-in clinic prior to visiting them in person.

The first assessment centre for some people with mild symptomswill open at Brewer Park near Carleton University at noon Friday.

People with severe symptoms should contact their health care provider first and if they're unavailable, go to the hospital's emergency department and look for special signs.

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As of Thursday, March 12, OPH was reporting "significant call volumes" at its 613-580-6744 number and said its priority was to hear from:

• Health care providers reporting information.
• Residents who've travelled to Iran, Italy or China's Hubei province.
• Residents who've travelled outside Canada and are experiencing symptoms like fever, coughing and breathing difficulties.
• Residents who've been in close contact with someone who's travelled abroad and are beginning to experience those same symptoms.

Anyone else should first read through their coronavirus website or phone TeleHealth at 1-866-797-0000.

For western Quebec residents, Info-Sant 811 was also reporting "technical difficulties" Thursday and said people may have problems reaching someone on the other end.

What is the current situation in Ottawa?

The province reported Ottawa'sfirst confirmed case of COVID-19 on Wednesday, March 11.

It's a man in his 40s who tested positive after returning from a vacationto Austria.

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He is currently in self-isolation, according tothe city's medical officer of health, Dr. Vera Etches, and Ottawa Public Health isfollowing up with a small number ofpeople who had close contact with him.

He did not take public transit.

A second case was confirmed March 12, a woman in her 40s who had been to Italy.

Sophie Grgoire Trudeau has tested positive after attending an event in the U.K. She is Ottawa's third confirmed case.

The Prime Minister is in self-isolation as a precaution.

There have also been also cases in Trenton, Ont., and Mont-Laurier, Que.

CBC Ottawa is keeping a running list of local cancellations because of COVID-19.

What is Ottawa Public Health doing?

Its focus remains on detecting any cases that result from international travel and encouraging people to take measures to help prevent the spread of the virus within the community.

"[If that] takes hold, the scientists who do modelling of epidemics have predicted there would be about a three-month period of increasing intensity of infections, [followed by]probably about another three months until we see the virus really diminish," Etches said.

"I'm hoping it would be longer than that because the whole purpose of our control measures [such as] social distancing and encouraging people to wash their hands is because it can slow down that transmissionIf it's here, if it's increasing, we want that to go as slow as possible and it could take a year."

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Health officials are testing 10 to 20 people per day this week, Etches said Wednesday, mentioning plans to ramp uptesting in the coming days.

There hadbeen more than 150 negative tests in Ottawa since January as of Wednesday afternoon.

The city will open up more community assessment centresalongside Brewer Parkthat will become hubs for testing and information about coronavirus, in an effort to take pressure off of hospital emergency rooms.

The QueenswayCarleton Hospital has opened a drive-thru testing zone for people who have been told to go there to be checked.

What if I have travel plans?

Chief Public Officer of Health Dr. Theresa Tam said Friday Canadians should postpone or cancel travel plans outside the country.

Transportation Minister Marc Garneau said Friday international flights to Canada will be restricted to certain airports; specific airports have not been released.

Travel advice from the federal government can be found on Global Affairs Canada's website.

Global Affairs Canada has issued COVID-19-related travel notices for China, France, Germany, Hong Kong, Iran, Italy, Japan, Singapore, South Korea and Spain.

Several U.S. states, including New York, Washington, and Florida, have declared states of emergency because of COVID-19.

How do I protect myself?

Public health officials say there is no reason to wear a mask if you are well because there is little evidence showing that wearing a mask in public prevents healthy people from becoming infected.

As stated above, the general public does not need to avoid crowds at this time.

Ottawa Public Health advises people to take the following measures to reduce the risk:

• Get a yearly flu vaccination.
• Clean your hands frequently with soap and water, or use alcohol-based hand sanitizer.
• Avoid touching your eyes, nose, and mouth with unwashed hands.
• Stay at home if you are sick, which includes not visiting others in hospitalor a care home.
• Cover your mouth and nose when you cough and sneeze.
• If you don't have a tissue, sneeze or cough into your sleeve or arm.

In Canada (and elsewhere) large events are being cancelled, some people are being told to work from home, and some students will be taking courses online for a few weeks.

It's a temporary public health strategy aimed at slowing the potential spread of COVID-19and buying time.

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For more information

• Ottawa Public Health,
• the Eastern Ontario Health Unit,
• the Ontario Ministry of Health(in several languages)
• the Public Health Agency of Canada.
• the Centre intgr de sant et de services sociaux de l'Outaouais(in French).