Canada preparing a Plan B pandemic response in case coronavirus containment fails

A top Canadian health official says that while the federal government works to stop the spread of the coronavirus, it's also preparing a robust response planin case containment fails.

Answering questions from MPs on the House of Commons health committee Wednesday, Deputy Chief Public Health Officer Howard Njoosaid Canada is in a "good position" to deal with the virus, with only 12 confirmed cases to date and no evidence that the virus is spreading through communities.

That could change fast, he said, if the domestic and global situation escalates and preparations for that eventuality are already underway.

"We can't do this with our eyes closed and not recognize what might happen weeks and months from now," Njoo said.

Njoo said a special advisory committee composed of federal, provincial and territorial public health officialshas been formed. The committeewill craft a coronavirus response plan based on two comprehensive plans already developed at the provincial and federal levels to deal with major health events.

If there isevidence of widespread transmission of the virusin Canada and elsewhere, officials would look at measures such as "social distancing" to limit the spread of infections, he said.

"Do we need to start looking at cancelling certain mass gatherings or public events ... what we need to be doing with schools, students attending schools and people sick in the hospital, and so on," Njoo said.

"So that's all in the future. We're certainly not there yet, but we are actually taking a close look and making sure we're prepared for that."

The World Health Organization (WHO) has declared the coronavirus outbreak a global health emergency, but has not yet called it a pandemic. The number of confirmed cases continues to grow globallyandseveral countries, including Iran, Italy and South Korea, have reported outbreaks of COVID-19, the respiratory illness caused by the novel coronavirus that originated in Wuhan, China.

Those countries are taking various steps to contain the outbreaks, including quarantines.

Earlier today, Foreign Affairs MinisterFranois-Philippe Champagne said the government is not planning to repatriate more Canadians from coronavirus-affected countries such as Iran.

No airlift plan

Champagne said the government will deliver consular services to people who may have difficulty getting back to Canada, such as help with travel documents but Ottawa is not considering airlifts at this time.

"We have pockets of people who need consular assistance and that's what we're doing, but there's not been a request, nor is there a plan, to repatriate a significant group of people," Champagne said on his way into a Liberal caucus meeting in Ottawa.

"People can use commercial means to come back."

No further plans to repatriate Canadians, Champagne says

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Duration 2:47

Foreign Affairs Minister Franois-Philippe Champagne says there are no further plans to repatriate Canadians from countries affected by Covid-19. He's advising Canadians be vigilant when travelling internationally.

Champagne said Canada's interests are being represented by the Italian embassy in Tehranbecause Canada and Iran do not have diplomatic relations.

The government has airlifted hundreds of Canadians from China and Japan since the outbreak began. It chartered oneplane to bring home Canadians from the Diamond Princess cruise ship which hadbeen docked in Japan since Feb. 3 due to concerns about COVID-19 and two other planes to repatriate citizens and family members from Wuhan,the epicentre of the outbreak.

The Iranian Canadian Congress (ICC)has written to Prime Minister Justin Trudeau, Liberal ministers and opposition critics calling on the government to do the same for people now stuck in Iranbecause neighbouring countries have closed their borders and manyairlines have stopped flying in and out of the country.

ICC vice-president Pouyan Tabasinejadsaid his organization has heard from dozens of Canadians reporting they are effectively stranded in Iran.

Plea for transport assistance

"As such, we ask that youimmediately arrange for Canadians in Iran to leave the country and return directly to Canada, as Canada has done with Canadians stranded in like manner in China," Tabasinejadwrote.

Champagne repeated his plea for Canadians to keep track of Global Affairs Canada's travel advisories, calling the current outbreak situation"very fluid."

"Before you travel for the March break, make sure you register and make sure you know where you're going because this situation with the coronavirus is evolving by the hour," he said.

Health Minister Patty Hajdusaid Wednesday the risk of infection remains low for individual Canadians but the situation could change at any time.

"Given that we've seen the spread go global, as you can see from country after country adding themselves to the list in terms of having infections, what that means is that globally there's a higher likelihood that we'll see an outbreak in Canada," she said.

Global Covid-19 outbreak increases likelihood of outbreak in Canada: Hajdu

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Duration 0:39

Health Minister Patty Hajdu says that while the risk of infection is still low for Canadians, the global spread of the virus could lead to a domestic outbreak.

There have been 12 cases of COVID-19 in Canada so far seven in British Columbia and five in Ontario. The most recent Ontario case is a woman in her 60swho went to the emergency department at Toronto's Sunnybrook Hospital on Feb. 24.

She had travelled to Iran recently and became ill after she returned to Canada on Feb. 15.

Hajdusaid Canadians would be wise to prepare for the possibility that they, or someone in their family, will becomeill bystocking up on a week's supply of food and medicine.

The Public Health Agency of Canada (PHAC) said that as ofMonday,messages on airport arrival screens in Canada had been updated to "reflect the potential for more widespread global transmission." Those messagesadviseall travellers from anywhere abroad of the need to inform a border officialif they are experiencing symptoms, such as fever, coughing or difficulty breathing.

Hajdu said no specific countries are mentioned, other than China, because the list of affected countries continues to evolve.

"As the coronavirus changes and travels across the globe, it's getting more and more difficult toisolate which countries are more specifically affected," she said.

When a traveller shows symptoms of an infectious disease when arriving in Canada, border,airport or airline staff contact a Public Health Agency of Canada (PHAC) quarantine officer after a preliminaryscreeningof the person.

Travellers showing symptoms of COVID-19 are then moved to a designated area in each airport or an isolation room.

The PHACquarantine officer then performs a more detailed assessment; if necessary, the officer can take steps toaddress the potential public health risk. Those steps includeordering the traveller transportedto hospital, or directing the traveller to report to the local public health authority.

More health officers at airports

PHAC said it also has increased the number of public health officers at key airports responsible for working with border officers to screen ill passengers and provide information to healthy ones.

"Entryscreeningalone is not a guarantee against the importation of this new virus but is an important public health tool during periods of uncertainty and is part of a multilayered government response strategy," says a statement from PHAC.

"Health authorities at all levels of government are working to ensure that our preparedness and response measures are appropriate, adaptable, so that our systems are ready to meet the challenges of the evolving situation."

PHAC said measures imposed to date have been effective in containing the spread of the virusin Canada, but they're re-evaluated frequentlybased on new evidence to prepare for the possibility that the virus could spread further.