Nous sommes ici ce matin avec euh le docteur Tam. ils donneront des mises à jour et docteur Moi-même sans plus tarder seront avec la mise à jour. euh d'abord avec la Française enfin moi-même. Merci euh un bonne journée. Now 66730 confirmed cases, including 4628 deaths and 30600, or 46 percent, have now recovered labs across Canada have tested over one million 67000 people for over 19 to date, with about six percent of these testing positive in the past week. We've tested on average 26000 people. Daily Today I want to focus on the disproportionate impacts and severe outcomes of covid- 19 on our seniors. It's hard to calculate the hardships and Jess and the grief that remains for those we've lost. Canada's older adults are the keepers of our history, culture and wisdom. Each loss is one too many, but the scale and impact on LC News as a whole is nothing short of a National tragedy prevention. And control of Cohen, 19, in High-risk populations is crucial for controlling this and future waves of covert 19. These outbreaks drive up the case fatality rate accelerates spread and continue to spill over into the community, but it is our older adults who bear the brunt, though an estimated 20 percent of covid- 19 cases in Canada are linked to long-term care homes over 80 percent of all deaths are among seniors residing in the settings. Range of measures has been implemented in an effort to prevent the introduction and spread of Kono in long-term care homes. However, many areas of the country are still struggling to get ahead of the rapid and stealthy spread of the virus. in these outbreaks, We know that where there are weaknesses whether structural social or economic in nature, this virus will take advantage if we are willing to give what it takes to address these weaknesses in long-term care and insisted living homes and to provide a better support to pauly compensated workers in these settings, We stand a better chance of me. In control of the virus, we will be living with a covid- 19 for some time if we make it a priority to look after the most vulnerable in our society, we can change the outcome of this pandemic and not live in its shadow together we can do this Thank you. Let's see the time to tell you thank you. Doctor Timm Doctor Okay, Macon Debi Tomas Pacheco, 19, Suan seam's from me Don't sets, including the system. 20 Seds, 30 - two no giggle or six percent at the top two will the test over the coven. Sowas million people don't percent of these in the past Tomy in the system tested on average over two of the election. so Nancy this tobit this NF Andres of Covid- 19. They defeated the connector is proved to be Shangri. It's equally pss use. That remains is Canada. It's not it's not yes and wisdom Shaq on a is one to the fact that this nerve that's sid's. she knows it is read them. Conde. There's nothing short of a National trayvon that avicn are saying the old traditions. so it's Tomi prison on this. The. The question future waves Fortis Tomi the to accelerate the connectivity and continue to be on the pugh of that it deserves to prevent Sunday because it is for Canada. So is it this way? Do you have a long-term care? There's a of the is in Busy' Cmss residing in the setting in the Missouri. Atvs on Earth or view the pre's to be the introduction on this way don't get in long term. The non-english jandi fark the p-I-e Mme areas of the decision that the public to get ahead and just start exclusion and the virus in the seven khun cuz that's what you pointed to so whether it's economic social on this. If we are to give people on the long-term care in assisted living dead, ivi, a of the mayors is the switch p.m. Japans' areli to meet in control of the Vico This-we're in September of 19, she knew Fal complete. News up to pay to look up to the Associated we can change the of the set in the sacred and its nueva together. Let's do this. Thank you. I see that on you. Thank you. Wait Dante look good afternoon bonjour although nearly eight weeks of past the public health measures that we've been repeating from these seats and that you have heard so many times over have not lost their importance. They're just as important as on day one. As of May eight, we've seen A hundred and 65 confirmed cases of covid-, 19 and First Nations communities on reserved and 16 cases in Nuno in northern Quebec. I would ask everyone to remember that number as I continue with this update this week, we saw a rising cases within remote communities of northern Saskatchewan. We're concerned by this and we are working with local leadership to support these communities and their response Some communities heavily impacted around the Laroche area include First Nations reserves. Not only this is why we need to keep collaborating with the province of Saskatchewan to ensure the medical staff and leadership in the area can get the support they need to respond to this outbreak. The situation demonstrates that the onset of KT and some indigenous communities may have been being delayed by remoteness. We need to remain vigilant and we need to do more to provide the resources to make sure that the people that are suffering from this and around the area and in the lush our. This is what we've been working on across the country. We continue to work in close collaboration with indigenous communities to to secure the necessary resources to combat the spread of Colvin 19, including with the Meadow Lake Tribal Council, the communities of Clearwater River, Denton Nation and English River, Denton, English River Nation and the Metis Nation of Saskatchewan, for example, in Northern Saskatchewan. All frontline health services are delivered by First Nations and tribal councils with public health oversight by Northern inter tribal authority Together, we are monitor. The inventories of personal protective equipment or PPE in this region as of May eight, we have sent a hundred and 20 - nine PE shipments to First Nations communities in Saskatchewan, including 59 P P shipments sent direct sent directly to the northern Nra Tribal Health Agency. The Metis Nation of Saskatchewan, as well as utilize resources to the Indigenous Community Support Fund to support their community members with a focus on elders, food security and PE. We're also providing direct nursing services to 19 Saskatchewan First Nations communities and are providing supports. As nursing recruitment and health services coordination, the 25 communities overall, there are 70 and there's services Canada and nurses in Saskatchewan offering services to all 74 First Nations communities and Saskatchewan. I'd like to sincerely thank them for tireless working on the front line of this outbreak and putting their own safety at risk. But numbers don't tell the whole story. First Nations, Inuit and Metis communities have done an incredible job in responding and preventing a. Their collective work and this is critical and our commitment to support them and making sure they have what they need and are able to continue to protect their community members remains steadfast I created there and our partners does everyone know they would come in in order to the needs Hess in its communities across the him of the case. Les organisations et en réserve en plus du du soutien de ce soutien aux communautés autochtones, nous avons annoncé d'autres mesures supplémentaires afin de soutenir les vénérables à traverser cette période difficile. Nous avons annoncé donc dix millions de dollars pour la prévention de la violence familiale dans les réserves afin de soutenir les femmes et enfants et la violence trois-cent-six point. Huit millions de dollars de financement pour la délégation des moyens. Funding to help people this is and to support the financial institutions who are funding 75 theys the students at their level to the 21 of the 100 million to respond to the needs when it comes to health Ints as we are working. Autochtones. Bennett says you can't mend what you don't measure and to be Frank. The data that my Department provides is limited by what it's being collected. This means accurate data is only available for First Nations living on Reserve and for in week living in Noonan God, I ask people to remember the number that I gave at the outset and if you look at the numbers in the far North and the the number of positive cases is about a hundred and 70 of that, there are 16 indigenous. there are 16 non-reserved indigenous positive cases, but given that Laos Asti community of an overwhelming majority, the presumption that is that the entire hundred and 79 cases or so our indigenous and that's a gap in the data frankly when indigenous leaders and that and I would add I would take I would pause to say when you put that in an urban context, such as Montreal or Toronto and Vancouver or Calgary or Winnipeg, that data is just not there when indigenous leaders in. Organizations are calling for better data to be collected and disseminated to them. We need to make sure they have that data it needs to it needs to include data for any outside in and get amongst citizenss of the Metis Nation or First Nations people living off their reserves and for this to be realized we need help from provincial governments and public health agencies. This type of information is critical, not only for indigenous communities, but for many vulnerable groups, we need to be able to put forward a tailored measures to prevent any further outbreaks as well as to expand and improve effective interventions if they occur Indigenous annas. Of this information is necessary to advancing culturally appropriate and science-based approaches both with on and off Reserve for First Nations and with eii and a T communities Invision Services, Canada is playing a key role in collaboration with First Nations in and a partners, the Public Health Agency of Canada and the provinces and territories to support ongoing surveillance of Colvin, 19 positive cases for on reserved communities. However, this data as I mentioned is not enough to provide us with an accurate overview of the impact of the virus and First Nations living on Reserve as well as an Inuit. MAT communities. This is why I'm pleased today to speak to the work of Doctor Janet Smiley, a research scientist and physician at the Center of Urban Health Solutions at Saint Michael's Hospital in Toronto. She's currently working along with many other partners to collect the necessary data that will allow for better understanding and modeling of covid- 19 cases in indigenous populations in Canada as part of the efforts and our efforts to support better distinctions based data collection, we're providing $250000 to this critical initiative to implement a. Tracking and response platforms for First Nations Inuit, and this project will include the development of a Covid- 19 consortium comprise the federal provincial Territorial First Nations, Inuit and Metis Partners and their data analysis will help inform the response to Covid- 19 by indigenous communities with the support from the federal government. in the short term. We hope that our work will help mitigate the adverse and disproportionate impacts of covid- 19 on First Nations, Inuit and Metis. They are the way in addressing that's static and I applaud them in this work and effort and look forward to. Initiatives in this space as I've highlighted before on another topic, remote and fly in First Nations communities are vulnerable during this time, the ongoing delivery of essential services, medical care foremost and supplies to these communities in a time when travel is limited is particularly challenging, but critical to Canada's overall response to covid- 19 to minimize the risk and exposure of the virus to community members and service providers alike. We are transporting essential service personnel and supplies via a carefully managed flights that adhere to strict. Safety measures on Airlines that already serve these communities. The first flights of this nature took place on April 20. second that day 40 -, five nursing professionals were flown to and from 23 First Nations communities and flying communities in Manitoba and Ontario on April 20, -seventh another 20 - two nursing professionals, were flown to 13 First Nations communities and 18 left the communities on their return charter flights. These charters ensure that health care and infrastructure professionals medical supplies and equipment. Required to maintain critical infrastructure such as water treatment, plants will be able to access these communities. It also provides flexibility to support other communities such as emergency management, responses, food, security or medical services, in addition to maintaining critical services. This approach also provides a much needed revenue stream Airlines serving indigenous communities helping to support their economic long term and short term viability as we face unprecedented. Nurses working in indigenous communities continue to demonstrate their selfless dedication to ensure the highest quality of culturally appropriate care testing and treatment. Once again, I wanna thank the First Nations, Inuit and Metis nurses practicing in various settings in Canada caring for patients while working to provoke promote and provide culturally safe health care. Delila Canada across Canada remains are that we must follow the public health that can make neils physique such as medical and avoid a far to know that I could be s'. Logan spread of Covid-, 19 communities and between the chiefs. It's time to work on with companies will come. De l'assouplissement éventuelle, des restrictions continueront d'être extrêmement vigilants et défendre le point de vue et la position dans laquelle se trouve les communautés de la première nation d'encourager mesures prises par les vidéos à travers le pays et je demande à tout le monde de rester vigilant alors que nous avons tous demeure en santé et en sécurité ça. merci. merci. Bye. Not only that we will begin Thank you will start on the phone with three questions. One question will come up. They'll have operator Thank you. The first question is from Mila from Tivi Nguyen Amii Toan Ravi Go ahead We both in the Pontius for of the. Longue durée. euh vous parlez ce matin d'une tragédie nationale carrément est-ce que vous êtes perplexe devant le fait que ça soit problématique dans plusieurs de ces centres de soins, de longue durée ou les autorités semblent pas du tout avoir pris les contrôles. la situation. Oui, merci pour la question. c'est c'est c'est sûr. Une tragédie nationale pays parce qu'on voit partout dans dans toutes les provinces et territoires que il y a des éclosions actuellement dans les les les établissements de de soins de longue durée et c'est aussi euh une problème au Québec qu'est-ce qui se passe on, on sait que il y a des des des euh, des défis euh des mêmes structurels parce que euh dans dans les établissements des fois dans des champs de trois quatre personnes. In the back you can find people who did desde Toan Vivas necessarily a fake or any other authorities founder of Me-I tip of the and they have some pyne necessary, perhaps A- two hospitals, C- one. A- two mound two days before facts' of coming here in our Catt for come on come on Cut that the news and come on come on you look at on the Rca Mekong other down in the the country founded on The way. I'll come tam's psis also toki foreign Botta by now that the workers who are it's very difficult on Aed, the with me-I the come on down on Maui to fill in Israel of a nomi. What's now and I think maybe we find a bikini to see the light at the end of the tunnel. Thank you what what's happening in our in our long-term care establishments across the country as Doctor Tamm and I've said that really is a National tragedy many of the issues or challenges in and long-term care facilities. I think are evident there's even structural ones in terms of you know, sometimes there are 23. Individuals in a room, it's difficult to to separate to cohort sick people from from the well people there's also challenges as we all appreciate in terms of the personnel who are doing their best to obviously working in this in this facilities that obviously as we know we have the supports they need as we talked about the pay the fact that sometimes have to work between several facilities. so there's a lot that we need to learn from what's happening. certainly I I. After all, this is done, I think even as a Ministry said that there needs to be a National conversation about how we treat our our our elders, how we How's them take care of them in their sort of in their later years so that's something that needs to be done but certainly the present time everyone's doing their best. I think we are starting to see a bit of I guess at the end of the tunnel. Just say, as a Minister said, I think that we need a National conversation and what the form is not for me to say I think it it's a it's a conversation at different levels different levels of government. I think so different sectors. I think it's it's a conversation beyond public health. I'm sticking to as they say the public health aspects and we certainly show from the epidemiology that the older individuals obviously those in long-term care facilities are at a particular risk in terms of having a as they say a more severe consequences Obviously, including death, if they do become infected with this virus But then how that translates in terms of the conversations that to many other sectors and levels of government need to have to help manage and hope hopefully prevent and not have this type of situation occurs that there be another second waiver given a future pandemic of another virus. Yes, that that that needs to happen. Thank you and I'll follow up questions so that savan Miller's from the Isreal is a much that really is a community. Ce matin là devant euh le déconfit finalement à Montréal et ses éclosions là dans certaines communautés qu'est-ce si on ne veut pas risquer la sécurité, la santé des populations les plus vulnérables, mais il faut pas mettre la pédale pour se confirment dans la grande région de Montréal. Merci. Michel J'associe absolument euh Sahaya I am an MP for downtown Montreal City Caton Danny Swain, and which, of course there are laws and if we have the on it is a huge jeffers from National Montreal to make huge differences as well. food stay at home. That's not mine and the so. Pourrait mettre en danger la vie des gens. évidemment moi, j'ai j'ai des parents qui habitent au centre-ville dangers. cette année euh c'est une personne très susceptible aussi qui qui a soixante-seize ans, c'est personnel, mais c'est aussi scientifique de parler. Hum. On voit euh on voit ce qui se passe dans le centre d'aînés. C'est les gens les plus vulnérables qui. Centres parce qu'ils sont vulnérables en toute dignité Ces gens meurent en toute indignité. euh il y a des creux fractions de longue durée. Oui, c'est aussi en sortant de cette pandémie. Hum. mais le constat est sorti du bois. Un petit effort de plus de la part de tous les Canadiens pour s'assurer que. Une deuxième vague troisième frappée And very old to have spent and then put into a long-term care facilities the past to spend the rest of their days in dignity and their dying and in dignity in vast numbers and that that will continue if there are measures that that are relaxed too soon. That is the scientific conclusion the army is working as best as it can people that you know are willing to put their lives at risk. That's why they joined the armed forces and they are. Doing something that they are not used to doing and they're doing it with exceptional professionalism and we need to let them do their work. we need to let the virus run its course with all the measures that we put in place and we've asked Canadians to do that they're not used to doing and so to to to relax measures in a premature fashion, which is raise another question about another way of or a third way that would come hit us harder than than that. Should if if we were to continue along the lines and according to all the sacrifices, we've asked people to make and all the hit that it's had on the economy. So the issue is really to come out of here. Come out of the come out, stronger and strong and not worrying about a second wave or additional shutdown measures and we're asking people to do and to be a little more patient. we're not out of the Woods and if you ask any of our top scientific minds, I think they would be. Thank you Mister Alper the next question please. Thank you the terrorist right, The Canadian Press the next question from Theresa Right from the Kenan Press please. Yes, good morning. I have a question about masks I'll post it to Doctor Tamm, but perhaps some milly could also weigh in as it has to do with procurement earlier this week, the Chinese Embassy said. the one million and 95 masks that were rejected by Canada last month were the result of a contractual issue. We still haven't been given a clear answer about what happened there now, there are eight million more masks that have been rejected. Can you give a clear answer about why Canada is rejecting these masks and whether we're still planning to purchase for supplies from this company? It's Theresa Timm here I just saw from the perspective of the agency. We conduct the testing basically so that's where we found that a significant proportion of these massive that meets our standards so and just to say that none of them have been distributed for medical use so that is to do Alki responsibility I know that the. The teams are working on the contracts of course and the supplies are looking at this very carefully. I don't personally know what a contractual issue is that someone has sided but I think you know our job is to make sure that whatever goes out, it means a certain standard and of course when this much product does not meet standard, you have to go back and look at the arrangement right. That's right, so I think what you've seen publicly is a concerns over a number of issues that that among other Hernandez mentioned which is you know in one case, whether the straps were adequate, there's perhaps concerns over the quality of the filtration Whether these masks can be repurposed you know when you're working in real time trying to prevent the onset of a pandemic, you make decisions you make decisions quickly and the real challenges to adjust in real time when you recognize that that you may not have a quite a source quality that works and. Move on but as Doctor, Tamm said. we test test vigorously. I think that's something people should be glad for frankly as opposed to just deploying them into the public health system and and and encountering a lot of other headaches. so recognizing that they're there. It's very possible. I'm not part of these discussions. I would direct those questions frankly to Minister and that so I don't know the contractual terms and in between the parties and I can't speak to that but recognizing that what that doctor Tamm said, is that we are testing and we are not deploying things. Believe we're safe for the purposes that they were purchased for and that's an important conclusion. There's a follow up. Yes. Thank you just on some of the comments that you mentioned in your opening remarks Minister Miller about a gap in data. that's not allowing us to get a full picture of how Covid- 19 is affecting indigenous populations. as you said in your remarks, that's a lot of this is because the data is held by provinces and territories What measures can the Federal Government take to try to perhaps compel provinces and territories to provide this data? and help? Are you that they actually have the data or capturing this data as the pandemic has been spreading? That's two separate and very important considerations. Theresa first if the provinces and territories have the data, that's the easy part and and it's a question of really coordinating and because we are moving at the rate that we are moving. It's it's a question of gathering that and collating and comparing it and having our top scientific minds work on it and draw conclusions for really two purposes the first purposes as everyone knows we've we've we've we've we've put forward some very approaches. To try to contain the pandemic, asking people to isolate clamping down asking people to quarantine and that is important to across sectors and not not just with respect to indigenous populations, but Race-based eno cultural data that's being collected and it allows you in the short term to to be able to take measures that are more targeted. whether you surround older homes if you have age based data if you have certain communities that are vulnerable for whatever reasons. You can you can target your response as as as you try to address a pandemic before you get the vaccine and the second measure and and and it isn't it equally important measure in the long term. Is you can't do good public health policy without the data to underpin it and in order to do that you need to have accurate data at the source. you can tease this together and and and a lot of a lot of scientific modeling has a lot of projections and assumptions in it but it's always based on a core set of assumptions based on important data collection and so what we have is. is across the jurisdictions all the provinces and the territories that when they test someone have a different sheet with a different set of pieces of information now assuming that those sheets have aggregated data identifies to begin with. We need people on the ground, filling them out and then collecting them as they try to prevent people from getting infected. So it's a it's a lot on frontline workers to ask them to do, but the importance that I'm trying to get out and we're trying to get as a-team is we need that data to be. To get real accurate information with respect to communities, get it out so that people know what what the measures can be taken to address Covid- 19 and how it's profiling and then give accurate models the other consideration, which is very important consideration with respect to indigenous communities. Indigenous control over indigenous data layered onto that is is a is a sub concern dealing with private patient confidentiality. We have to respect the worst thing that happened is. To create another set of stigmas, that would that would be that would that would that would fly around and and people would judge people for no particular reason but that data is important to collect and we do have to be sensitive to first nation's controls' first nation's data but the premise of that is we have to be collecting it in the first place and while Indigenous Services, Canada, for its part is able to tease out the amount of of of of people that are testing positive in communities on Reserve or in the far North. When it comes to particular population, which is you know, half of the indigenous population of Canada is off reserved, quote unquote mostly in the main urban centers, and that really is the responsibility of testing protocols of the province, and that data is is either not collected or imperfect in this collection basis, and that's why we've teamed up with with the folks at the University of Toronto at Saint Michael's to make sure that we have a Center focal point with people that know what they're doing so that we can get a better sense of modeling but I will hide from no one. the fact that. On the ground, the testing and the the collection of that data right now is far from perfect. Thank you Minister for the next question. please next question. The next question is from Al TI from Aydin Post's soils. The next question gets out. Oh hello. I'm hoping you can hear me. Yeah. okay great. I'm my question for doctor. I'm gonna try this again from yesterday and you've said that we need to test more yesterday. you said that you're not hearing anything specific about the province and territory is not having a Sbs Orin. So what do we need to do to increase testing? So I think as I said yesterday, there's a capacity but we that's a public health community. The chief Medical officers feel that you have to test for the right reasons at the right place. So just upping the numbers isn't necessarily the approach, but all of them, let's just say expanding the testing to include people with a whole range of symptoms. That's one way of trying to widening in there. To see if there's any further cases in the community, for example, you will see that many jurisdictions in there doing quite a lot of well that that essentially being very low threshold and testing high-risk settings. so if it's a long-term care facility, It's a correctional facility. If you've got an inkling that anyone is sick, test them, but also if there's a case to rapidly and enhance testing on the all of those Horus. This is a good strategy. The other thing is that it depends on the epidemiology and so epidemiology is changing in Canada and those numbers will go up and down as a result yesterday, you may have seen that in Quebec in the area most affected they are increasing the testing by mobilizing clinics to go into the hot spots, and that is how they're increasing the numbers and also Ontario, for example, is doing a systematic testing. The long-term care facilities, so those are the alignment with where these outbreaks in cases occurring but also to widen the net in the community setting. It's also been to the surveillance approaches and we will be examining more of these strategies as we move into the next phase with the medical Office health, but also our public health laboratory networks so the guidance for example in the next phase is under the. That the special advisory Committee, as to where else, would you need to test more? but you can't just do the discriminately test areas where there are no cases and for which people have no symptoms So otherwise you again get into these issues of test interpretation but it is an area that we're very pleased with and how we do expand into that. The other concept is because there maybe. Ways and they may be waves into the future. We all got to prepare for it by upping the capacity itself If you spend a lot of tests, wess whatever now in areas where there's probably not needed You then diminishing that capacity for we actually needed. So this is a complex discussion where we all agree that even with 60000, you know that's a good capacity, but we're not stopping increasing our supplies etcetera to even beyond that because you regardless of the. For a resurgence et cetera, but each jurisdiction may have their own reasons as to why they haven't they. They've all set different targets and their abilities and their you know the reasons for not yet reaching those targets. for example, is diverse. I would say it's maybe I can just expand a bit on what doctor Tam's been saying I think it's it's important to clarify when we've been talking about this for 60000 test that speaks to. I think from what I understand the laboratory capacity so the ability of quote the laboratories across the country to actually. Process the samples, but as we all know, there's of course, a lot of steps in between in terms of actually getting the samples from the patients who need to be tested and then getting into the laboratories and then they can do the analysis. So what we're seeing sometimes for example, that the case in the city of Montreal is that it's not just a question of having the laboratory capacity to analyze, but it's also having accessibility for the people who need to be tested to then get the samples taken as as appropriate to then be sent to the laboratory. So in that regard, I certainly. For example, in the city of Montreal, good steps in terms of increasing accessibility with sort of Mobile sites et cetera, so that the patients it's actually closer and easier for the for the people who need to be tested to get tested. So that's one of the things that we're seeing on the ground that they obviously is is getting better and better. Thank you. We'll CFO Okay. We're getting yeah. it's closer to the answer. I was looking for yesterday, but so I appreciate that you're explaining to us what we need to do to expand capacity in terms of like who we should be testing, but you know when you. Talk about accessibility Can you outline those reasons? Dumm said. There are many reasons like practically speaking, how could the provinces be testing more? What needs to be done to increase testing? practically? I think that depends on the jurisdiction of themselves so a lot of the polls that have had no cases, they've had no transmission. They're in a very different situation and some of the larger provinces who do have cases and are still dealing with some community transmissions. So it depends on where you're talking about. it does have to be tailored to the individual setting. some areas might actually. Half-human resource issues you need actual people to go out to test cases so making sure you have the necessary training people who can do this testing as one got some news talk about accessibility, maybe making those you know testing clinics closer to where people are we talked about the deployment of certain more closer to patient tasks like point of care testing to the more remote communities. That's another area where we can you know increase capacity as well. so that people don't have that sort of turn around time the in Saskatchewan, For example, that was a good sort of the example of how they are now systematically looking at those communities where they have been cases in the North and that involve the deployment which they have now access to some of the of point of care testing capacity. So there are a number of these I guess challenges that each jurisdiction has to on the go from a news at the moment that the patient needs to be tested all the way down to transportation and you know laboratory testing capabilities and a lot of the strategies that designed to tackle each one of these components but it might quite well be different. Downtown Montreal to downtown Toronto to Saskatchewan. Thank you Doctor and I'll turn to the room so I coming up the rest of time machines Simons A-z Aks Quebec The Mott SB Petco of three places, but they get toan. Could you you see what you can do as Seds hovis for the doctor Doctor Doctor Gsa Thank you Doctor Tamm. Do you share that to sell Denise Santi. Publique du Québec qui dit que si ils ont des confirme trop rapidement, ça va probablement mener à plus de dessins en plus là. j'ai peur qu'il y ait plus de gens qui meurent dans mes points. J'ai perdu le deuxième d'éclosion euh moi People Saguenay. oui, c'est c'est moi. Merci, oui, en continue toujours avec euh nos discussions et une bonne communication avec nos homologues de Québec et c'est sûr à Montréal que euh c'est. US the rest of the complex on details, it's quite oh now your monkey done easy cly this when you it's very difficult situation thebes. we'll see you don't be doing that. Ivana Avis coins They take contaminated effect. it's my on a. Aux hôpitaux avec qu'est-ce qui se passe absolument dans les établissements encore peut-être que les les éclosions peut-être euh ce n'est pas une bonne idée d'aller transférer après encore aux aux établissements de soins de longue durée. Donc il reste aux hôpitaux et ils sont dans lit à propos de comment il marche de manoeuvre, euh la capacité des hôpitaux si on attend peut-être une deuxième verre, troisième vague, donc il faut vraiment. A second that the situation and they consistently to see and BNP state tax cuts the Minister of the public to protected to care for that. as you stay with that situation, this is a situation much as you can and Quebec format now. Il y a peut-être un horaire quelque chose pour le Québec, mais c'est un peu différent pour Montréal pour les écoles et magasins étaient parce qu'on s'est que les situations un peu différentes. Montréal composé de Québec. A problem in the in the in the long term care facilities perhaps a several weeks ago obviously they were patients their residents who are who are who are sick ill and they were transferred to the hospital to Montreal, but now with this or the ongoing situation in those facilities, it's not appropriate to be called transferring these patients back and therefore they're taking up beds in the hospitals and the hospitals in Montreal. There's not a lot a largely say excess capacity or we or call. You know surge capacity in case it might be a second wave or or sort of another uptick in cases. so that's why the authorities of Montreal are watching the situation carefully. It's a it's for sure important that you need to have a very good surveillance system testing system So should as the measures of a sort of a slight relaxation of the public health measures are taking place and maybe there might be opening of schools or businesses that you have to be ready. Be able to detect rapidly I deal with the situation and then maybe it just as it goes along and this one is for Doctor Tom and me Doctor new as well but doctor I'd like to hear you first on this if Quebec is one of the hardest harm the hardest hit area, Montreal as well and they seem to be proceeding maybe early, maybe quicker than other area cases seems to be still increasing testing is not up to par. Do you feel Montreal and Quebec is following the federal guidelines right now for the confounding and what would you suggest they do. Well, I think from all the chief medical costs will lay down the so the criteria for relaxing if you like the public health measures, which includes that the testing the ability to do case and contact tracing isolation, quarantine et cetera, and making sure there's capacity to all this is being evaluated by the jurisdiction every day they may or may not change the target date according to the situation, and I think that's what they're trying to do every day and There has to be flexibility and that's you know, I think that is very clear to our colleagues that you have to Montreal area is different to other areas of Quebec and they're being cautious so some of these measures are done outside of the area. They've moved this Mobile clinics in Tucson in the hot spots to get some more testing so they are gonna try to be very very careful about this and they have to evaluate it at this probably on a daily basis in terms. What's gonna happen? Taha no-I Quebec some of the Quebec's theys to be sent on it examine the Anis a situation on a Dist. We will send it a Committee is also we can truly perceptive Missouri in maybe a tifa, which is the celebrity to get the also Pss Tomi Composite 27. En vigueur donc euh je vois même à Montréal et je pense que le transport en commun on on enfin, on a fait un fort de commandatore de peut-être, porter des masques non-médicaux si on utilise les transports communs, donc je vois que les les autorités sanitaires de Montréal, Concours sérieux tous les recommandations de santé publique et ils ont comme dit, adapté pour leur contexte mondial. Doctor you talked about having a National conversation around Long-term care after the sale said, and done because it is a National tragedy Minister Miller and Doctor Tamm. Do you think that's a good idea. Should there be a public inquiry into long-term care homes after this? Look at Actually, I think I've mentioned earlier what we're seeing is that really the only segments of the population. Those in long-term care facilities are being by a vast proportion heavily impacted by this. It's a question as a human being. I think everyone is asking ourselves how we treat in some cases, our grandparents and our our elders segments of the population that what form that takes without any question I think. Be asking themselves that I think there needs to be some serious look into into the way in the way that is done on an institutional basis. it's probably premature to speculate as to what what form that lesson takes. I think that is probably the smaller consideration to the bigger reflection. We all need to have as to how we finance resource help. those people that are the most vulnerable in this case perhaps the greatest generation that that that are the reason why we live in a free Democratic country. it is it is it is it is scary to see people fall like that. when you talk about indigenous communities in particular, you're seeing some people that are last carriers of their language and you can see the entire languages disappear. So those are particular vulnerabilities that I see in my in my files. I think Tom sees them as well and that risk is top of mind when you're looking in indigenous communities when you look at Canada large we need to be asking ourselves. Serious questions and it needs to be serious discussions around financing around funds around support around around even how we ourselves some our own grandparents. They you know some of the stories coming out of those of those long-term care facilities. you see people that are looking for refugee status. they're helping out you see you see first generation Canadians. you see people that are that are working for low-paying jobs. That's another reflection. I think we all need to. but that needs to be institutionalized in a form and I think that is secondary to the greater consideration, which is how we treat her. how we treat our elders Doctor TM If you want yeah and again, I'm not gonna speculate the former of which that takes place, but it is really critical that you know it in out of all the impacts of this pandemic. We've got to learn something in a huge way about how we treat as individuals. Communities governments on our older adults and in particular those who reside in a long-term care homes and assisted living, but maybe maybe other areas were in the years as well. That needs to be improved. So I think it's a big societal a conversation. It's probably not a single one. It's going to be many different ones coming together because so many people are involved so. We've got to do better as a nation after used to be for the record. I'm not personally asking I used to say for a public inquiry. I basically reflected what our Minister Minister Minister as I previously about the need after this is all over the half court the National conversation, so exactly as Miller and Doctor Tamm said The nature form is to be determined, but I think we can all agree in terms of we need to take care of what needs to be done now and then afterwards, I think upon reflection, there's different ways we can have. Type of conversation in different ways and do better Thank you. Of Okay, so come Jud ssss Vectra Uss Andrey on this one this one okay in our long term. not Hyde Ais A- two for gummo and in conversations I have to have that to have a good maly. They all levels of government for Dist come across sectors to see how we do better and just about Mass Doctor Tamm hoping to. To find out what you're hearing from your achievement from officers of health across the country about the supply of 90 - five Mass, especially at long term care homes, and if this shipment this most recent one of eight million mask that was rejected because they went up to that quality. What impact might have that had on particular long-term care homes. I actually don't have the details on specific impacts on long term care homes. we do have you know daily linkages with allin and territories as to what the requirements are, and I do know that there's this is the distribution framework that is at play, but I'm sure that any shipment that has to be rejected. We'll have some pressure on the health system in terms of his 90 -. and so, but I do know that all the requests for assistance that we've received I think over 40 the majority of them have either been met or in the process of being met. I don't know the the exact numbers I'm actually very heartened to see some of the domestic supplies being one of the innovations in this space as well, I think some of them. Going to be where we're looking at, but yes, I mean every day. This is one of the biggest I think challenges that we feel every single day of all the supplies have to the being the sort of you utilize and then stuff coming out is a big sort of a process and ensuring that jurisdictions of what they need, but so far as far as I know all the requests for assistance that we received were have been met. Thank you Doctor. Ian CTV News Doctor Tamm some pictures and Vancouver this week show packed beaches full of people again that provinces move forward with some very gun openings yet now in South Korea country that's been recognizes having this more under control or getting it under control is putting restrictions back into place and locking certain. Down ah do you for CSK having to do that as well I think as you know, the chief officer of British Colombian everywhere else in Canada, we are being very cautious now the public having contributed greatly to our efforts must be reminded that we're not going to back be back to completely normal so the pre January of this year and if there are gatherings of that nature of course it's. To us to constantly remind people that that is not the public health advice we I think we're the advice is to go outdoors, but you can't be you got to observe social distancing measures so it is gonna be difficult. I think because people have heard these messages a very long time, but we still got those sort of unsure that these habits that may have been instilled continues so that is still gonna be a key part of the response. Any uptick in cases. That made the loosened public health measures may have to be sort of Wein insted. We do not want that to actually happen so I think everybody continues have to listen to their provincial or local public health officers because this is serious. The virus has not disappeared from the face of the Earth. It's still circulating in some parts of Canada, so it is something that is gonna have to be a sort of ongoing behavior shift, which is not an easy thing to do and. Canadians are still allowed to travel between cities between provinces. How is that going to affect reopening if one area reopens certain businesses sectors recreational facilities and another dozen, but people can still travel freely is domestic travel, not a risk to those areas that are reopening. So this is why you need the National linkages because you have to share information to know where cases are, but that is is true that if there are outbreaks in certain areas, other parts of Canada is gonna be looking at whether there's any travel related cases so and we evaluate that and so I think that is absolutely something that we have to watch for in the next phase in terms of domestic tasks. Transport Canada, for example, has a certain measures, including the wearing of masks some jurisdictions still have measures in place for anyone traveling outside of the provincial jurisdiction so they have particular provinces that haven't seen cases or haven't seen transmission, but also if they have smaller health care system or service, they're gonna be protecting the. Areas including the people coming from other parts of Canada through domestic travel, so a number of jurisdictions still have that in place, give them their own epidemic situation, but that will again have to be reviewed as in the coming weeks and months. Thank you Doctor Shimi Rael. you'll see this brings the best conference to a close. Thank you. Yes. It's awesome. It's not to me where you're watching Sams on the special. Thank you.