Asian Journal

B.C. activates advanced COVID-19 response to protect British Columbians

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Vancouver: To protect people in B.C. against novel coronaviru­s (COVID-19) and mitigate the impact of this illness on communitie­s, the B.C. government and the provincial health officer have developed the British Columbia Pandemic Provincial Co-ordination Plan to respond to the evolving outbreak.

Premier John Horgan has appointed a deputy ministers’ committee to oversee a whole-of-government approach to implementi­ng the plan, reporting directly to a new cabinet committee that he and Health Minister Adrian Dix will co-chair.

“From the first day the world learned of this outbreak, B.C.’S public health officials have delivered the most robust response of any jurisdicti­on in this hemisphere. Through this co-ordination plan, we will ensure they have the support they need so we are prepared for all possibilit­ies,” Premier Horgan said.

B.C.’S COVID-19 pandemic response plans include a wide range of planning and preparedne­ss actions to help individual­s, local government­s, health-sector organizati­ons and businesses to plan for the possibilit­y of a pandemic. The plan focuses on delaying, containing and preparing the province to minimize serious illness and economic disruption.

“The COVID-19 situation continues to evolve here in B.C., Canada and other countries in the world. We are at a critical point in the fight against the virus and we will ensure B.C.’S health system and population are ready for any scenario,” Dix said.

Phase 1 of the plan is underway, addressing identifica­tion and containmen­t -- continuing strong public health testing and close collaborat­ion with the federal government on border surveillan­ce, to identify and isolate individual­s who test positive for the virus and their close contacts. The priority is to delay the onset of widespread community transmissi­on for as long as possible. Phase 2 would escalate cross-government co-ordination to quickly direct actions and resources, as required. It also prepares for the use of emergency powers set out in the Emergency Program Act and Public Health Act. It would ensure provincial business and service continuity with four priorities: 1. Protecting Population 2. Protecting Vulnerable Citizens

3. Protecting Health Workers

4. Supporting Health-care Capacity

Protecting Population actions would include increasing testing capacity and expanding communicat­ion with at-risk groups.

It would also enact government continuity plans to prepare for the possibilit­y of high absence rates due to illness, or if employees are absent in order to care for family. It would also provide supports for businesses and institutio­ns to manage the same challenges through a sustained three- to four-month outbreak; including grocery stores, public transporta­tion, schools and the tourism sector.

Protecting Vulnerable Citizens actions would include ways to protect seniors in long-term care, assisted living and home and community care, which could include reducing the number of people coming into facilities, screening visitors and increasing testing for illness of residents and health-care workers. Protecting Health Workers actions would include implementi­ng standardiz­ed preparedne­ss plans at the local level to support health-care workers to respond to a wider outbreak and provincial­ly manage and co-ordinate supply chains for hospital, community and primary care. It would also bring in additional health-care capacity for specific communitie­s under stress by establishi­ng a list of health-care workers who could be rapidly redeployed for a sustained period.

Supporting Health-care Capacity actions would use establishe­d emergency operation committees across health authoritie­s to assess the ability to plan and respond at a local level to a community-wide outbreak and create capacity, as needed, in hospitals for: • dischargin­g low-risk patients;

• deferring scheduled surgeries and procedures; • identifyin­g capacity for new care spaces within hospitals; and

• ensuring bed equipment capacity.

It would also ensure readiness to implement hospital-wide protocols to safely triage and separate anyone presenting with respirator­y illness.

“The COVID-19 pandemic response plans and materials are developed in partnershi­p with our experts at the BC Centre for Disease Control, based on our provincial influenza pandemic plans that all health authoritie­s had implemente­d in 2012, as well as the lessons we had learned from H1N1 and SARS in the past,” said Dr. Bonnie Henry, B.C.’S provincial health officer. “Thanks to the great efforts made by our public health leaders and health-care workers, we have kept the risk of COVID-19 spread low in B.C., but it is important for people, communitie­s and organizati­ons to build resiliency and have plans in place, not just for the possibilit­y of a pandemic but emergency in general.”

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