>>Good evening, everyone.Good evening, everyone.I am hereon behalf of my legislativecolleagues representingthe Fraser health region, from Barnaby, two new Westminster,fromWhite Rockand all the communities in between.Joining me as my co-host and colleagueJohn Martin.Also with us our special guestsDoctor Victoria Lee,president and CEOpresident and CEOof Fraser health,andDoctor Martin,medical health officer of Fraser health.I would like to begin by acknowledgingI am here on the(unknown term)and alsostolennations and recogniseyou mayberepresentingfrom other territories as well.15 minutes agowe cheered on the peoplewho have been working tirelesslyto keep our provincesafeand ensure that British Colombianscan continueto receive essential goods and services weneed.Our heartfelt thanks tohealthcare workers,store workers and truck drivers and so muchmore,essential workers, for all that you do.We also want to thankall of you who are watching this tonightfor continuingto holdthe lineso we can get through this togetherand flatten the curve.We recognise the sacrificesWe recognise the sacrificesthat people from British Columbiahave made,this has been an extremely difficult timefor all of us,it is unprecedented and we know people havequestions.Our government has been quickto provide governmentwith information, our province was among the 1st to provide dailyupdates.We are pleased that the BCgovernment and health Minister provided usthe opportunityto continue all this information.It is one of manyTown Hallsthis weektohelp people from British Columbiato bring questionsto people who have been leading COVID-19 effortsin our region.I will now hand over to my co-host,Emily John Martinto give usa quick overviewof what this Town Hallwill look like.>>Thank you so much.It's a pleasure.And thank you to everyone who is takingthe time to join us this evening,this is truly a unique opportunity.It's great to be here.All of theMLAs,from all of the parties, the leadershipis1collaborating with people from British1Columbia to1have their questions and inquiries1be addressed by our public health experts1and our healthcare leaders.1Thanks so much,1everybody, who had a hand in putting this1everybody, who had a hand in putting this1together.1It's a great pleasure of mine1to introduce once again1Doctor Victoria Lee,1the CEO1of Fraser Alf1-- health,1and the1Chief medical Officer,1you will hear1more from them,1and they will be answering1all of your questions, the best they can.1I would like to ask both of our guests to1introduce themselves and tell1us a bit1about what you do.1Starting with you, Doctor Lee.1>> Thank you1so much to you first of all1for hosting us this evening1and it's my pleasure1to join you virtually1on this Town Hall.1My name is Doctor Victoria Lee1, I'm the CEO1of the Fraser Health1authority1, which covers 20 municipalities1and we serve 1.8 million1people1across our region.1During these very challenging times1it's been my1privilege to lead our organisation of over130,000 people,1I think1you have rightly called them healthcare heroes1during these very challenging times.1I know each and every day,1each of the people1working, whether in the front lines with1clinical and acute1care1or behind-the-scenes,1everybody is going above and beyond1to deliver the necessary health services.1I want to acknowledge those folks in our1health system right now1that have been doing a tremendous1amount of work.1I also want to acknowledge1leadership1across the province, as well as our community1partners.1Every evening I hear the sounds and cheers1in our communities,1the support1you have provided to our healthcare workers and1health system.1It might not seem like a lot but it means a lot1, and I've heard that from a lot of people1that I encounter, whether they are1working in the hospitals or behind-the-scenes,1infection control or elsewhere.1I am looking forward to this evening.1>> Thank you.1>>1Good evening,1everyone,1I am the vice president, population health1and the Chief medical Officer1at Fraser Health.1I know we are1going through challenging times and1people have1questions, I'm happy tonight1to be here1to do my best1to answer these questions.1>>1Thank you to you both1and we will1look forward1to hearing1more from you1in the coming1minutes1.1We have asked1people from British Columbia1to submit2their questions on COVID-192in advance of this Town Hall.2We will2take turns2addressing2this2and reading out2the questions2.2Whoever feels more appropriate2to address the question,2feel free2to go ahead.2To the people2who are tuning in2here,2don't worry if you didn't get a chance to2submit2your questions in advance.2If you are viewing2this Town Hall2from the government of BC Facebook page,2you can submit2your questions in the comment section2below and we will2address them2later this evening.2Please think about2putting your questions together2and submitting them now.2Be aware2that2we receive an awful lot of questions2for a forum like this2and we will2do our best2to2get to as many of them2as possible.2If you don't get a chance to get2If you don't get a chance to get2a response to your question,2please know these will be addressed outside of2the Town Hall2if you provide your email address2at the time of submission.2Thank you so much to everyone for tuning in.2This is a great opportunity for2everybody to come together in British2Columbia2and become much more informed2.2I guess we will start off with the questions2right now.2I will turn this over to my colleague.2>> Thank you, John.2I will echo what you said.2These have been difficult times and I2would like to thank2the2two doctors2to join us today2, and we will start with our first question.2That is something2that has been on all of our minds2, including2people living in the Fraser2Health region.2The question2about2provinces2COVID-19 testing2strategy.2Will2we be able to get a test2now or in the future2to find out2if2we have had2or have2COVID-19?2>> That's a good question.2In BC we have worked2quite hard to increase our capacity2quite hard to increase our capacity2to tests well belong2what we had initially when the pandemic2started.2We are hoping now the numbers are getting2lower,2we will be able to test anyone who wants to be2tested, we don't recommend2testing for people without any symptoms.2People with symptoms that could be related2to2COVID-19, respiratory2systems,2that may symptoms, we hope we will2that may symptoms, we hope we will2be able to offer the test to anyone who needs3it.3it.3>> I can add to that response,3we have 11 sites across our region3that people can come3and be assessed for COVID-19.3They are available on our website3as well as the3testing centre finder,3or you can do self-assessment3through the tool available eventually3through the3website or an app3.3That is to see whether you should get3tested or not.3And the testing has been expanded3and we have a capacity3in our3testing and assessment centres to accommodate.3>> Thanks for that.3The next question comes from3Christina3and she asks . when someone has symptoms3but3does not meet the testing criteria3,3are there3close3contact still contacted?3>> That's a good question.3Technically3we need to know of a particular case to reach3that case.3And ask for the contacts may be.3If we don't know a person is infected with3COVID-19 we would not be able to do that.3Of course the person being infected could do3that3on their own and tell people they have had3on their own and tell people they have had3systems . make symptoms,3I didn't have symptoms but if you have symptoms3may be you should do self isolation.3Everyone can participate in that.3As our testing capacity increases,3if we contest people3with symptoms related to COVID-19,3we would be able to3contact that person3and identify all the3contacts.3>>3Thank you so much.3The next question3. how many3active cases of COVID-193are there3in the Fraser3Health authority?3>>3The number of cases we have identified so3far3is 705.3But over time3of course people recover3and go back to their normal activities.3At the moment we have approximately33093cases were considered active, either because3they are hospitalised or they got3diagnosed recently and are still going through3their symptoms.3>> I will also add3to that response3, I think he is too bashful3to say anything about how hard3the work is behind the scenes to ensure3we are following up with all of these cases.3Behind these I've hundred and five3cases3mentioned there are over 25003contacts3that the population public health team3has been following up with,3as well as infection3prevention control.3I want to take3the opportunity to acknowledge those3teens.3There is an incredible3amount of work3done for each3case to identify3contacts and follow them up3contacts and follow them up3for monitoring.3There has been a lot of improvement3in the efficiency of how we do it3but it is a significant number.4Often those folks are not4acknowledgement they are4unsung heroes behind the scenes, ensuring4we are flattening4the curve in BC.4>>4Thank you4for that shout out, Doctor Lee.4Terry4asks the question4that a lot of people are asking4. why is it4that4we are not privy4to the location,4the city of people who have tested positive?4Person4>>4When the pandemic4was declared,4that meant4the virus was circulating4so it came to BC and it started to circulate in4our communities.4Sharing the information, especially at the4beginning when numbers are low could4create issues in terms of identifying people4who have tested positive and come from cases.4We know sometimes this can be challenging, as4people can be4identified and negatively4affected.4In the beginning4we did not inform in terms of the location4and as the numbers grew,4now it won't make any difference if we share4locations because it circulates in all4communities.4We pick up cases here in one day4it will be in this community and the next4day another, it is circulating in all our4communities, so that's why at the moment we are4not sharing the locations.4You have to consider that COVID-194is circulating in your community,4wherever you are, and that is why4all of the precautions and measures we have put4in place4are across the whole province and not just in4certain locations.4>>4Thank you so much.4And we are hearing4about how the4curve has started to4flatten,4which means people are looking4to the future and what it may4to the future and what it may4look like.4Shelley4would like to know4. seeing as how4BC is doing so well4flattening the curve, are we going to have to4wait for the rest of the world4before we can restart our economy?4>> Actually,4we don't have to wait for the rest of the4world.4As we have seen each country,4each jurisdiction is seeing the outbreak at4different times.4It is what happens in our4jurisdiction that is important.4It's one thing to look4at the whole country, but we can see4that we have a different4curve than in other4provinces and territories.4So when we4make our decisions4to start4loosening up4on our measures over time, slowly,4it will be based on our4provincial4epidemiology.4epidemiology.4The situation in BC,4how it is progressing4, and this is what we will be looking at.4>> And I will share4some of the4conversations our teams have been4happening, what would that look like4?4And some of the considerations is4what is our health system capacity4in terms of critical care and acute5capacity, what are vulnerable5populations5,5settings like5correctional5facilities, do we have the testing5capacity5to do more testing5if we are looking at5expanding5our work elsewhere5.5So if we slowly5loosen up some of the restrictions5currently in place5.5And do we have the capability to ramp up5quickly again?5There are a lot of considerations5we need to look at5and their race5. Matt there is a lot of dialogue at provincial,5national and international levels to5make sure5we are doing this in a proactive5and right way so we don't5bounce between having5a lot of COVID-19 cases and the economic5impacts5.5But also not having5cases with the5restrictions that are currently in place.5It is a delicate5consideration with all of those factors5we look at closely.5>>5I would add, in BC5...5Behind that question is when is that happening?5We're not quite there yet.5We are starting to see the reduction in5numbers, flattening the curve5means we need to get to very low numbers5before we can start considering some of5those measures.5I think we need5a little bit more patience,5unfortunately.5But at the same time it's important we do5that, that we all continue with5all the measures5and we adhere to those measures.5And we continue to look at the situation and if5all goes well, in a number of weeks,5possibly May,5we will5do that.5It is a fine balance of slowly releasing,5checking and looking at how it goes.5If it goes well, we can slowly5release more and more5of those measures.5>>5This5next question5comes from5Karen5in5Maple Ridge.5What5do you recommend people start5doing5or stop5doing5so that if they do come into contact with the5virus, their innate5immune systems can handle the infection5without leading5to an emergency?5>>5What's most important, I think,5is to prevent being exposed to the virus in5the first place.5It is the measures of physical5distancing, washing hands,5cleaning surfaces,5and all these various measures,5staying away from people who are sick.5Of course staying healthy is very5important.5But there is nothing5really...5People sometimes talk about5boosting their immune system.5I think if you are5healthy your immune system5will be working well.5Unless you have5specific medical conditions or you are6taking specific medication.6Your immune system is there to6defend your body against infection.6There is nothing in particular.6But what is key6is preventing6exposed in the first place, that is the best6way to stay healthy.6>> If I could add to that as well,6I think there is physical and6infection6revenge and control things, and hygiene,6sometimes people forget about the importance of6mental health and things like insuring6you are taking care6of your sleep hygiene at the same time.6So, getting enough sleep is important for your6immune system.6immune system.6I know this is a challenging time6and ensuring6you are looking after your mental health6, for people who are anxious in these6times, a lot of supports are available6.6Regionally and provincially.6I would take advantage of those6services.6I know6we are seeing that alcohol6sales have been going up and alcohol6does affect your immune system.6It's important to make sure6It's important to make sure6you are drinking moderately6during these times as well.6I would6add those parts to be mindful of as well.6>> Good points6,6and we all know the guidelines6, physical distancing, washing your hands,6they are helping us flatten the curve.6Next question .6why don't we have6a 14-21 days of6total lockdown6like the one they had6in China6or Italy is having6to prevent6what is happening6in Italy or the US?6>> Very interesting question.6We have to recognise that each jurisdiction6or country or area6has its own outbreak that starts in different6ways.6We hand6was a place where it started,6we didn't know what was happening6initially6and it grew quite large before they could get it6under control.6I think in that situation you need stricter6measures, more aggressive,6to bring the numbers down and flatten that6curve.6I think it was similar in Italy,6the situation was particularly difficult6there.6This is not what we have seen here in BC.6We have seen the introduction6overtime of cases and it started6to spread from there6and we started6including measures incrementally.6Fairly strict measures.6We don't call it a lockdown,6but this is not our usual way of living.6I think it's still very strict6and that's why it's challenging.6But at the same time it has made a big6difference.6We implement the measures we need to implement.6We didn't need to go beyond that6and it's already quite strict6and we are seeing changes,6our measures are working.6We are adapting to our own situation and each6area has its own type of outbreak6that develops in certain ways.6That's important remember.6We are going through tough times because many6measures have been implemented, including a6number under public health orders by6Doctor Henry.6>>6This next enquiry6comes from Samantha7in Port Moody7on a subject matter7that7I have had considerable correspondence7in my constituency office via email7.7Why7was the order made7to close all gyms and fitness centres?7It was assumed that7gyms could not comply7with the provincial health order,7if there were complaints about specific7gyms,7why were they not7singularly investigated7rather than a blanket7closedown?7Will there be an opportunity7for gyms and fitness centres7to demonstrate compliance and7reopen7by7May 31?7>> In this situation,7what we see7is the way gyms are used in the way they are7designed is typically bringing a lot of7people in close contact to each other.7And also exercising.7So your breathing is different,7it is more active7and you can expel7droplets from your mouth more because you are7breathing heavily.7And if you have a trainer or support7from someone working there, you are in close7proximity.7And you touch7many different things, whether the floor, the7mats,7the equipment, it becomes extremely7difficult to completely sanitise in between7people using those.7people using those.7What has happened is7in BC we have instituted a number of measures7incrementally.7The public-health orders from Doctor Henry7, including7the physical7distancing7.7We prevent7the spread by hand washing,7breaking the chain of transmission etc.7breaking the chain of transmission etc.7What happened,7even though there is no provincial health7, public health order provincial E2 close the7gyms,7many chose themselves to close because7operationally7they were not able to adhere7to these7, they were assessing their situation is7posing a risk to their clients.7Obviously what we realise is not7everyone closed,7not all the gyms actually closed,7and we have identified7a spread7via a gym of COVID-197and we had a cluster7related to that.7We knew there was potential and it got7confirmed.7You put that together,7and that's why we decided to use in7order to close all the gyms7instead of leaving a few open.7We know it7there is a risk.7This is not7a decision we made lightly,7we had to assess the risk of spreading7COVID-19 in the community.7That's why7we chose to issue an order7to close the gyms altogether.7>>7Thank you, doctor.7We have a question7from7Dale7, this is a question on many minds.7Is it safe7to coparent7and have the child go back and forth7between families during this crisis?8And another parent asks . what is the advice8for parents who share8custody during this time?8>>8I find this to be an interesting question8and a touching one.8Families are very important8and being close to your loved ones8is important, especially during tough times like8this.8I would not recommend to not have8shared custody8or having the child go between8two households.8That being said8, what we want to do8is limit the spread of COVID-198.8It is important to make sure that the8two households are reducing the risk of8two households are reducing the risk of8introducing COVID-19 in their house.8introducing COVID-19 in their house.8All those measures with been talking about,8physical distancing, and washing, staying away8from people who are sick8, they are extremely important.8So people can certainly take care8of their loved ones8and their kids like that.8I am very supportive of that, it is extremely8important.8As long as we understand8that we still need to adhere strictly8to those measures to8protect the whole family8on both sides.8>>8Thank you.8>>8Thanks for that.8We have a question from8Tom8in New8Westminster.8What would be the health ramifications8if one were8to contract both COVID-198and the flu8?8If that were to happen,8would it be possible for the8two viruses8to pass genetic info8to one another?8>> That's a very8interesting question.8I don't think8up to this time we have identified people who8are co-infected.8It is possible to see coinfection is between8different types of viruses8and we have seen that8, not very often8but we see it once in a while.8What we can guess8in this situation8is if that8were to happen between COVID-198and influenza,8which is8also8potentially8potentially8severe8and could affect people severely,8we could assume that the double infection8could be bringing more severity8and more risk of complications.8We would need to see it.8I don't think it's impossible8I don't think it's impossible8biologically, and that is what8we would assume8we would be seeing.8>>8We just talked about8influenza,8and8Brent8in Langley8suffers from8allergies each year.8This is what a lot of other people want to8know, my mother is one of them .8how do you know the difference in symptoms8between flu and that of COVID-19?8>>8That's interesting because the symptoms8of any9respiratory9infection9are quite similar.9The body reacts in certain ways when we9are9infected in our respiratory tract.9Those two conditions,9share9many of the symptoms.9Sometimes we can't say what it is clinically,9just hearing about the fever, for example, and9the headache and the chills.9That could be one or the other.9Currently what is happening as we know9influenza is on its way down,9the numbers have been going down,9as it does every year because it is seasonal.9During spring the numbers go down9and we have very few9if any at all9during9the summer, influenza cases.9Currently we are seeing9any respiratory symptom9is more9likely to be9COVID-19.9>>9This is an interesting one.9Doctor Henry9constantly reminds us about the importance of9hand washing.9Tammy in Port Moody9says .9what is the recommended protocol9for face washing?9>>9I will explain why hand washing is so important.9We say regularly that we need to break the chain9of transmission.9To prevent transmission from one person to9another,9we need to put measures in place9to limit...9To limit9the droplets9from one person, when you cough and sneeze,9this is the main way9the virus is going to infect someone else.9We are trying to prevent9those droplets from your nose and your throat9and your mouth9from infecting someone else.9That can happen in different ways.9If you are too close in front of someone else,9you cough and sneeze, you can infect the9person directly.9That is why physical9distancing it so important.9The droplets don't go very far, a few feet in9front of you and the distance is preventing9the droplets from reaching the other9person.9The other waiters also9that when you cough and sneeze you can9contaminate surfaces9.9Or you touch your face or nose and if confected9-- infected you contaminate your9hands9and then you touch other people or surfaces9and other people can pick it up like that.9That's why we say wash your hands often,9because if you are contaminating your hands9or you have picked it up somewhere9, by washing your hands properly you will9remove the virus from your hands and break9the chain of transmission.9Both physical distancing and had washing,9that's how it works.9Hand washing breaks the chain of transmission.9Face washing, typically9we don't see transmission with our9faces,9we don't touch objects.9But if you are going to wash your face,9you have to wash your hands first.9If you are contaminated, if you touch something9or someone with the virus and then wash9your face, you can9infect yourself.9Wash your hands well9before doing that.9That's the reason9why one goes before the other.9I hope this helps.9>> It does.9Thanks for that.9People would also like to know9how the public10can access10personal protective equipment10.10Are there any plans10for the province to10develop a distribution system10, which can take some time,10where every adult10Suresh and10amount of masks,10gloves and hand sanitiser.10Some countries are10doing this10and tracking10and tracking10the distribution based on10the adults10personal health number.10>> I will start on this question.10It's an interesting question.10One of the key areas we've been paying a lot10of attention to is personal protective10equipment.10Our provincial10Our provincial10partners10and national partners10have been doing an incredible amount of10work to ensure we have10adequate supply levels10for10PPE10that are needed.10As you know,10even though the national10public health officer10and Doctor Henry provincially have10said that you can wear10masks10in public10, even if you don't have symptoms,10but it is more of a10permissive thing and not to wear10medical grade masks because we need to10ensure we conserve those masks for medical use.10From our context,10it was rightly said before,10we look at our own experience and10context in terms of the measures we need to10implement and those measures10have been implemented and have been working10.10We see the flattening of the curve.10We have done a great job10of ensuring there is an adequate level10of supply for our medical staff10and staff who work in healthcare settings and10other vulnerable settings.10Right now there are no plans to have those10distributed to the public.10It's also not recommended10right now to where10medical grade10masks10.10It is often said10that wearing a mask10for the public, whether handmade10or home-made, it's like coughing into your10sleeve, it is more you are10protecting others from your coughing,10not that you are being protected from others.10>>10I will add to that.10People sometimes misunderstand the use of10masks and gloves.10We have the opportunity to clarify a few things.10The mask used in10public is more for people10who are10symptomatic10, coughing and sneezing,10to prevent10them10from expelling10those droplets and contaminating10services10. make surfaces10.10The protection afforded10by a mask you wear in public10, there is no significant evidence10to suggest this makes any difference.10We have those other measures .10staying away from people106 feet,10staying away from people who are sick10, washing your hands .10all these things10work well.11The addition of a mask11in public is not11adding significant11benefit.11It could cause issues,11we are not used to11wearing a mask and it can be achieved11and you11-- it can be itchy11and you touch your face11more often.11The evidence for masks is not strong11at all.11The gloves, I think that is an interesting one.11I don't understand11necessarily help people think11wearing gloves will make a difference.11It is not transmitted through the skin.11Your gloves will pick up the virus the same way11if you touch surfaces or11if you shake someone's hand or touch your face,11it will be the same thing as your hand11it will be the same thing as your hand11without the glove.11What is important11is washing your hands but it's difficult11to do that when you are wearing gloves.11We have to be mindful that there is a place11for gloves in the healthcare setting but11it is not the use we are proposing in public.11I wanted to clarify that11because we get those questions quite often11and I think it is misunderstood.11>> Thank you so much for that.11I can tell you personally I am11learning an awful lot in this session.11I have a question11here11.11why don't11all11care11aides and11housekeepers11have11access to11proper11personal protective equipment?11>>11Health and safety and wellness11of our staff are of critical11importance to us and certainly one of the11things11I have mentioned we have been working hard with11with our partners11is to ensure we have an adequate supply.11There are personally11protective equipment like masks that are11recommended for carer aids and those are11provided.11If there are concerns on happy to connect on11that.11There is a robust way11we have outlined11what the guidelines are based on best evidence.11Those equipment11is given out11to all of our staff on a daily basis as well11and we have been keeping a very close11eye on our supplies at the same time.11>> Thank you so much.11We have been hearing11from the Minister11and doctors,11they have shared11the decision to cancel11elective and nonurgent surgeries.11They have all11felt11how difficult11this was11and they had to make11this decision to prepare our hospitals during a11pandemic.11This has had a profound impact11on those who have been waiting for surgery11.11Here is a question11. why have so many surgeries11been postponed.11My mother's aneurysm repair11was cancelled less than 24 hours11prior to surgery.11Why are so many hospitals11on hold waiting for the big11outbreak11when currently11elective surgeries could be moving forward?11What is the backlog of all these cancellations11going to look like?12>> Great question as well and an important one.12I talk about the dedication and12sacrifice12of our medical staff and leaders in the health12system, but there has also been a lot of12dedicated actions by the community, and12sacrifice community12members have made.12One of the key areas has been12in elective surgeries.12It was an important decision made12early in our COVID-1912response to ensure12we had a12n12adequate level of capacity,12not only in hospitals but across12critical care and intensive care12capacity.12What we sometimes have to do12is train and up skill12some of the folks12so if the worst-case12scenario occurs,12we are prepared.12That was the decision made12, looking at some of the other examples across12the globe, and where the biggest12morbidity and mortality took place12was when the12health system was not prepared to deal with12COVID-19.12We did a good job in BC of ensuring12that we proactively took that step12to prepare and have developed in Fraser12Health12a comprehensive and phased approach12to ensure we have12sufficient capacity.12A big part of that was12A big part of that was12postponing elective surgery.12I'm sorry to hear about your mother's surgery12and the aneurysm.12They are mostly12considered urgent cases12so they do12proceed but a few of them which are elective12have been postponed12and I look forward to the time we can look at12recovery and catching up12with elective surgeries12.12There have been12active conversations12provincially12to develop a solid plan12to do that quickly.12Thank you for that question.12>>12Thank you, Doctor Lee12.12At this point12in the program12we will shift to live questions.12Anybody who is watching this12on Facebook12or on YouTube,12if you want12to submit12a question, now is the time12to do so.12We still have a fair bit12of time left in the show.12The first question12, a live one,12for seniors in residential care12and assisted living, social12isolation12can12be an impact on their mental health?12What steps are being taken to allow family12to visit and interact in a safe manner12to support12their social and emotional12well-being?12In other words,12when can we visit our loved ones again?12>>12That's a very good question.12It is difficult.12We are trying to balance two different things12here.12I think we know the risk to people living in12long-term care12facilities and assisted-living12facilities are also12at the highest risk of severity of COVID-1912and complications.12That being said,13we realise the measures we have put in place13are also challenging and difficult.13We are restricting visitors quite13significantly,13for a good reason13, but it creates a bit of isolation.13We recognise that.13Of course, we have people working there13in those facilities13.13And on top of that,13we are trying to also13have teams available13to help.13When we identify issues, if, for example,13they are being13more effected13by the isolation, seeing if there are services13to help there.13I do recognising13it is very challenging.13To protect health on one side,13you also create13some challenges on the other.13We are trying to see13also, hopefully at some point13we will start loosening up on the measures and13there might be some opening.13But we're not there yet.13A very difficult situation and we do13regret it is causing some harm at the same time,13we are protecting their health13, but technically13people are present and can interact13with the residents.13If they identify issues,13we are there to help13alleviate13those problems.13>>13I will add to that response13, I agree,13it's been a very challenging time13.13I am very proud of13how Fraser13Health13has responded13to ensure we are protecting our13vulnerable13populations in long-term assisted-living,13and there have been a huge amount of13strategies including caps what13teams13. must what teams that go in13to protect staff13and residents in these facilities.13With the Challenger and social isolation,13there have been some challenging solutions.13While we are13physically distant, we can be socially13connected.13There have been a lot of creative virtual13mechanisms we have13mobilised to ensure residents13can still connect with their loved ones.13I know this can still13be challenging and not the same13as giving your mum or dad13a hug13, but right now we have to13do virtual hugs13and connecting13virtually wherever possible.13Again, asking for your patience13as we manage through this COVID-19 response.13>>13Our next live question is from Barbara13and she would like to know what is the13protocol for maternity13delivery in BC?13Can the father be present?13Do they have to13self isolate afterwards?13Also,13what13about13grandparents, can they be13present during the delivery?13>>13Right now Fraser Health13has the youngest population,13we have the most number of births in the whole13province.13We see about 3000 births per year.13That is a lot of new lines coming.13I know families would love to join13that special time13but right now it is restricted13to just having14one person be present.14Unless the14mum has COVID-19,14you don't have respiratory14or droplet14precautions that need to take place,14but it is one to consider.14>> Thanks for that.14I have another question14from Daniel14.14he is confused about14masks.14I've heard that healthy people14shouldn't bother with masks14,14but I've also heard14healthy people should wear masks.14She said it was the CBC who recently said14healthy people should wear masks in14public.14She has also heard that14loft ones are dangerous because they can14keep particles and be contaminated close to14her mouth.14She wants to wear a mask in public14but doesn't know what kind14but doesn't know what kind14are safe.14>>14The question about14masks,14it is a bit confusing.14It looks like there was a change in direction,14but14actually...14Let me take a step back.14What is the use14of a mask in public14, what is this for and how would it work14?14I explained earlier,14it is mostly about the person wearing the mask14trying to prevent their droplets14from going somewhere else,14to infect somebody else if you are sick14, or14contaminate surfaces.14To protect the wearer,14the mask would need14to have14an addition to it,14the person should be wearing goggles or face14shield.14In public, if you are too close,14this rule of six14this rule of 6 feet or 2 m,14if you are too close14and someone off saw sneezes,14the droplets14will be14projected onto you14and you need to protect your eyes, nose and14throat from being infected by the14virus.14The mask is technically14not that useful14.14If you are staying away from14sick people.14And just the mask without the goggles14or the facemask14, it's only eight14partial solution14and you can14get infected through your eyes.14There is the evidence14we should14we should14be wearing14a mask in public14is very small.14There might be a benefit.14Some people are mildly symptomatic14, they might not be coughing14that they talk loudly and go too close to14people.14That would contain the droplets inside the mast14. Matt mask and prevent14transmission.14It's not so much to14protect you.14The mask14, if we were to choose one,14is not an14N 9514mask14,14with big filters14title your face.15You don't need that.15You need something to prevent15the droplets leaving your15mouth or nose15.15Even a piece of15cloth15that is dense enough, or two layers of cotton15with some15way to hold it would be OK.15We talk about surgical15masks, that would be fine15but we want to15reserve them for healthcare15workers who need them15critically in the performance of their15duties.15The choice really,15and there is information online15about15masks, what would work15,15we can use15fabric15that is tight enough to15retain the droplets.15It is a bit complicated with masks15but it is not something we would highly15recommend.15You can choose to do it15and in some15countries it is cultural, the polite15thing to do is to wear a mask in public.15We don't have that culture here for most15people in Canada.15It is balancing15all these things, it was coming up15with a permissive recommendation that says15if you feel you want to wear a mask,15it might have some benefit.15But at the same time it's more important15that the other measures are adhered to .15physical distancing, wash your hands, don't15touch your face.15>>15Thank you, that was important information.15Leanne would like to know how does recovery15vary15for a patient who has15COVID-19,15can recovery last six weeks or longer?15>>15I missed part of the question.15>> How does recovery15vary15for a patient who is suffering15from COVID-19 and can the recovery15last15six weeks or longer?15>>15Most people,15we describe COVID-19 in general,15how it affects people.15A number of people15will show15no symptoms or mild symptoms.15The majority will have15mild disease, 80% or so15of all the infected persons15will have mild15will have mild15disease.15Usually15the symptoms will last for a few days.15You get infected15and let's say someone15infects you15and it takes 5-6 days15, you incubate15and you develop15the disease.15After that, once you have the onset of infection,15it becomes apparent15you have an infection, for most people it lasts15a few days.15And typically it will go away.15That is the vast majority.15If you have people who have a more15severe disease or infection15, and that is particularly the15case15in people who are much older15and also people with certain chronic15medical conditions.15People who are15immunosuppressed, have diabetes,15have respiratory conditions in the first15place.15These kinds of conditions can lead to15more severe disease, which means the person16will be sick for longer.16Typical is a few days but it can be a number16of weeks.16Some people end up in hospital16and they could be there from a number of days to16a few weeks.16The more severe the disease, the longer it16can last.16Eventually most people will recover,16even when16it is a more severe condition.16It could last a few weeks probably.16>>16Thank you for that.16Another question16.16if we only test people16with explicit systems16. make symptoms,16how can16we prevent asymptomatic16patients16spreading16viruses16to the public.16Apparently the16proportion of asymptomatic16is very high.16>> I think it's a very16important question and am glad someone16asked the question.16We can talk about transmission16of COVID-19 in different situations,16whether you are16asymptomatic or mildly symptomatic16or very symptomatic.16We have to understand two things.16One is,16when you are mildly16or asymptomatic but you are infected,16and we know it is possible16as we have tested a lot of people16and some people have shown virtually no16symptoms and they tested positive.16Two things can happen here.16One is,16the quantity of virus you have16in your nose and your throat16is probably lower16when you are asymptomatic.16That's the first thing.16The second thing is,16if you are16not symptomatic you are not16expelling droplets forcefully, you are not16coughing and sneezing.16That is the main way that COVID-1916transmits.16You have symptoms16that pushes those droplets16out16to end up on surfaces16or infect others.16Even if asymptomatic16people can be shown16to have the virus16in their nose or throat16, they are not coughing or sneezing16,16so when you look at16what we know so far of COVID-19,16we know16it does not contribute16significantly to the transmission of16disease.16Which is good news.16It means that16it is not spreading16wildly16without us knowing.16The vast majority of transmission16is occurring when people have16symptoms and are expelling droplets16or contaminating their hands and touching16surfaces and sneezing.16That is the main way it transmits16and we have seen that since the beginning of16the pandemic.16Of course, it's not impossible.16We would see that16probably16between people in very16close contact.16For example, household contact,16people who hug16or kiss16or exchange food16or utensils.16You would have to have a very close contact16to infect from an asymptomatic17person17to somebody else.17That is very reassuring.17Persons17who show no symptoms, even though they might17be infected,17which can happen, is not a significant way17to transmit COVID-19.17to transmit COVID-19.17>>17Thank you so much.17And where is the testing17being done in the Fraser Health region?17>>17There are 11 sites across17Fraser Health region.17Burnaby, Delta, Surrey,17Abbotsford17, Mission,17one in Langley17as well.17There are a lot of17different sites across the board17and you can go to our website17to look for testing sites17and that will17lead you to the testing sender17. may centre finder which will17locate the closest site for you.17There are 11 sites with capacity17and not17everybody requires testing.17But anyone with symptoms17can be tested.17>>17Thank you.17This looks like17probably the last question,17given17where we are at in our17itinerary here.17It comes from and17.17if a person recovers from COVID-19,17do they have17immunity?17If not,17how will we achieve herd immunity?17>> That's an excellent question.17We assume that after you get17infected, you have an immunity17that will last for a certain amount of time.17We don't know how long this is17.17.17It could be months.17It could be longer17, we don't know just yet, it's a new virus.17That being said,17we know that other coronavirus is17likely17common cold and SARS17and MERS all17behave17differently17but they17leave traces in our immune system17that will last for a while.17We want17We want17to combine the natural17disease...17The spread17is17creating some17immunity in our population17but we don't know quite how much.17Larger and larger proportion of people17in BC17are getting17immune17to the disease.17Ideally what we want17is to create immunity with a vaccine.17That is why we are trying to slow down17and flatten17the curve, to buy time,17so we get to the point where we can17community with a vaccine instead.17Instead of17getting sick to get your immunity,17you use a vaccine for that.17At that17point we17get to17herd immunity17, the immunity of a community.17There are enough people immune to it17so it cannot easily transmit17between people.18We want18to achieve herd immunity18or community immunity18if you will, ideally with a vaccine,18but that can take some time.18In addition to the disease spreading.18>>18One of the things that we talk about18, what does success18look like in terms of COVID-19 response?18And what do we want to see longer term.18And the doctor has been a passionate18advocate as looking at herd immunity as a18long-term strategy.18As he mentioned,18through infection and transmission,18and that is why we are trying to flatten the18curve so it is as slow as possible on that end,18we do it through the safest means possible18with a vaccine.18I want to acknowledge his leadership18overheard18immunity18.18>>18Thank you to both of you.18We are nearly at the conclusion.18I have my own18question I will slip in18at the end.18In recent days18we have seen18in the media18and on YouTube18and such, some heavy-handed18enforcement18of people18in a park18by themselves being18warned by the police18.18We saw18a father18get fined for rollerblading with his18kids.18In Ottawa18you can't18talk to your neighbour18across the fence.18Are you concerned about18what might be described18as overzealous or heavy-handed18enforcement18might make it difficult18for the voluntary compliance18that has been so18extraordinary18in British Columbia18thus far?18>>18I think18this is an interesting question.18It speaks to a number of things.18I think it speaks18to the fact that as a community,18as a society, we want to trust each other18to do the right thing.18We have messaged18many times, not just what to do18but also why we are doing this18so people would comply voluntarily.18Of course those measures are difficult18and we can look outside and see the impact18on us and society18and its difficult to maintain these measures18at all time.18So some people will breach those measures18, unfortunately.18Some of them are more risky18than others.18We have ways to enforce that.18It belongs, I think, to all of us18to do the right thing.18I think it's the minority,18if you look outside it's obvious18that at rush hour there is no in18on the road.18There is a big difference18between how we deal with COVID-1918and how we live our lives.18If you walk on the sidewalk18, people18will walk around you.18Most people are following18those guidelines and recommendations18and are18adhering18to the orders.18It is unfortunate18that19some people are disregarding19that and they are putting themselves and19other people at risk.19In terms of enforcement,19it also belongs to all of us to share the19message.19It's not just about the RCMP19or ask coming in19and inspecting19, bringing in the enforcement.19It belongs to all of us to share the message.19"I see you are doing this19and that is risky in terms of transmission19, you should consider not doing that."19Not everyone will sponsor positively.19It's unfortunate19that some people are going to the extreme19in stopping people from doing19things that are19maybe not risky.19If you are19with your own household members19in a park, you are19in close19contact19at home19already.19But you don't know if you look at people19.19We have to be understanding but also19make sure19we do our best to follow all those19recommendations.19It's a bit complicated19and I hope I helped19and I hope I helped19that conversation and answer the question.19Thank you for your question.19>>19I agree19.19We have been able to flatten19the curve by working on this together as a19society, as a community.19It would not have happened if people19were not compliant with all of the measures19we talked about earlier19on a daily basis19,19and I also think19that Canadians in general19are more compliant19.19I sometimes give the example19of looking19at the19HOV19lane19prior to COVID-19,19when we have worse19traffic on Highway one,19rules are usually adhere to19regardless.19And it comes to COVID-19, I think we are19seeing the impact19because we have been looking after each other19and doing what is necessary.19For people who are interested,19there is Google analytics19looking at19the impacts19of social distancing19measures and19population health interventions have19had19and you can download19what it looks like an BC and you can see that19together we have made a big difference19in reducing all of the19areas where we had mass events,19restaurants19, all of those things have come down19significantly.19I would like to acknowledge all of you19in our communities for doing your part.19Thank you for that.19>> Thank you so much19Doctor19s.19Thanks for this great19information, I know COVID-19 has impacted19all of our lives and I hear from my constituents19and I know John will agree with me, people19are impacted, not just their health.19Also they are losing jobs.19I am thankful19to you19for taking the time19to answer their questions.19And also20I would like to thank20all of you who20joined us20and20were part of this virtual20Town Hall.20And a big20thank you to my co-host,20John Martin20, for helping me20during this time20and helping read out the questions.20I would also like20to thank our health miniature, Adrian Dix20and Doctor Bonnie Henry20for what they are doing.20Wherever I'm going20I am hearing amazing things about them.20They have been trying to get up-to-date20information so that20people20can get their20questions answered20but also20their anxiety level can go down as well.20So thank you for all their hard work.20And for supporting20British Columbia.20Before we wrap up,20we want to leave you with a few20additional resources.20I will ask my co-host20to start with those.20>>20For provincial support20and COVID-19 information20you can go to www.20you can go to www...20And seniors looking for20additional support at this time,20...20>>20If you or a family member20need20additional medical advice,20you can call 811.20For the latest medical20updates20, including prevention, risk and testing20information,20visit20www.20BC20C20BC20...20>>20And also20for20notices and guidance20visit this website.20For non-health-related information including20financial, child care,20education support, travel,20essential service information,20www.20gof20...20Or call 18820COVID-19.20Between 7:3020and 8:0020, seven days a week.20>>20And follow the public health guidelines20so we can protect our families, our friends,20our neighbours, ourselves20and those we haven't met yet.20These are basic20measures as Doctor Lee20and her colleague have mentioned20and we should20concentrate our efforts20to stop the spread and flatten the curve.20>> And,20we're in this together.20Stay at home if you are sick,20wash your hands frequently and for 2020seconds.20Cover your cough and sneeze into your elbow.20Even though we are part, we need to stay20connected.20We have three more virtual20Town Halls20this week20and you can find out information20on those20at the website20, links to these resources20are now21in the description21below.21Thank you so much for being here.21>> Thank you so much.21>>21Thank you.21>> Thank you,21stay safe,21everyone.