Transcript: Coronavirus, Quarantine, and Personal Rights | Mar 11, 2020

Steve sits in the studio. He's slim, clean-shaven, in his fifties, with short curly brown hair. He's wearing a gray suit, white shirt, and gray tie.

A caption on screen reads "Coronavirus, quarantine and personal rights. @spaikin, @theagenda."

Steve says AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE, OR SO IT'S SAID. AND AS THE WORLD STARES DOWN A PANDEMIC, GOVERNMENTS CONFRONT TOUGH QUESTIONS ABOUT HOW TO PREVENT THE SPREAD OF THE NEW CORONAVIRUS. HERE TO EXPLAIN THE POWERS AVAILABLE TO THE POWERS THAT BE HERE IN ONTARIO, WE WELCOME DR. EILEEN DE VILLA. SHE IS MEDICAL OFFICER OF HEALTH FOR THE CITY OF TORONTO...

Eileen is in her forties, with long straight brown hair. She's wearing glasses, a black blazer and a black turtleneck, and a white scarf.

Steve continues STEVEN HOFFMAN, DIRECTOR OF THE GLOBAL STRATEGY LAB AND PROFESSOR OF GLOBAL HEALTH, LAW, AND POLITICAL SCIENCE AT YORK UNIVERSITY...

Steven Hoffman is in his late thirties, with receding brown hair and a stubble. He's wearing glasses, a blue suit and a white shirt.

Steve continues AND RYAN WATKINS, EMPLOYMENT LAWYER AND A PARTNER WITH WHITTEN and LUBLIN.

Ryan is in his thirties, clean-shaven and shaven-headed. He's wearing glasses, a black suit, white shirt and blue tie.

Steve continues GOOD TO HAVE EVERYBODY WITH US HERE TONIGHT AND MEDICAL OFFICER OF HEALTH. I WANT TO START WITH YOU RIGHT AWAY. WHAT IS PUBLIC HEALTH DOING NOW TO STOP THE SPREAD OF COVID-19.

The caption changes to "Eileen De Villa. Toronto Public Health."
Then, it changes again to "Stopping the spread."

Eileen says WELL WE'VE BEEN DOING QUITE A BIAS YOU KNOW OVER THE LAST SEVERAL WEEKS. CERTAINLY MONITORING THE SITUATION GLOBALLY HAS BEEN ONE OF THE KEY ELEMENTS TO THE RESPONSE. BUT WE ARE AT A PHASE RIGHT NOW IN THE COUNTRY WHERE FOCUS IS STILL ON CONTAINMENT AS MUCH AS POSSIBLE. WE KNOW WHAT IS GOING ON. WE'VE HAD OPPORTUNITY TO HEAR WHAT IS HAPPENING IN OTHER JURISDICTIONS. HENCE WE ARE ACTIVELY ENGAGED IN SURVEILLANCE AND MONITORING BUT ALSO VERY ASSERTIVE AND CASE AND CRACKING. SO EVERY TIME WE HEAR OF A CASE WE FOLLOW UP ON IT AND UNDERSTANDING THEIR CIRCUMSTANCES AND UNDERSTANDING HOW THEY GOT THE DISEASE AND FOLLOWING UP WITH EVERYBODY WHO IS IDENTIFIED AS A CLOSE CRACK OF THAT CASE.

Steve says CAN I JUST DO A FOLLOWUP ON THREE DIFFERENT TERMS WE HEAR ALL THE TIME AND YOU WILL FOLLOW UP THE DISTINCTION HERE THE ISOLATION, QUARANTINE. SOCIAL DISTANCING.

Eileen says SO ISOLATION, STAYING AT HOME TO TRY TO PREVENT SPREAD. QUARANTINED IS A DIFFERENT ISSUE. QUARANTINE. WE ARE TALKING ABOUT SOMEONE WHO DOESN'T ACTUALLY HAVE THE DISEASE. AND WE ARE TRYING TO PREVENT FURTHER INFILTRATION, IF YOU WILL, OF A DISEASE INTO THE COMMUNITY.

Steve says AND IT'S AN ORDER?

The caption changes to "Eileen De Villa. City of Toronto."

Eileen says IT IS. IT'S A VERY AGE-OLD PRACTICE FROM A VERY, VERY LONG TIME AGO AS A METHOD OF PREVENTION OF INFECTIOUS DISEASE INTO A COMMUNITY. BUT IT IS AROUND PREVENTING THOSE AND PREVENTING TRANSMISSION AND ISOLATING THOSE WHO DON'T ACTUALLY HAVE THE ILLNESS.

Steve says SOCIAL DISTANCING?

Eileen says SOCIAL DISTANCING IS TRYING TO CREATE SPACES TO LYMPH THE POSSIBILITY FOR TRANSMISSION. SO HOW DO I... WE KNOW WHEN WE HAVE DISEASES SUCH AS COVID-19 THAT ACTUALLY REQUIRE CLOSE CONTACT WITH THE RESPIRATORY DROPLETS AND SECRETIONS OF A SICK INDIVIDUAL. THE BEST THING WE CAN DO OR CERTAINLY ONE OF THEY EFFECTIVE MEASURES IS TO SEPERATE PEOPLE SUCH LESS TRANSMISSION IS LIKELY TO OCCUR.

The caption changes to "Watch us anytime: tvo.org, Twitter: @theagenda, Facebook Live, YouTube."

Steve says GOT YOU. STEVEN LET ME BRING YOU INTO THIS. THERE ARE MANY AUTHORITIES FOR THE POWERS THAT BE NOW. THE FEDERAL GOVERNMENT HAS POWERS. FIGURE IT ALL OUT FOR US WHO HAS WHAT?

The caption changes to "Steven Hoffman. Global Strategy Lab."

Steven Hoffman says IN THE CONTEXT OF A PUBLIC EVEN, EMERGENCY LIKE THIS ONE. THERE ARE QUITE A LOT OF POWERS THAT ARE INVESTED WITHIN OUR CHIEF MEDICAL OFFICERS AND OUR MINISTERS AND LEADERS. WHETHER A IS IMPORTANT IS PUBLIC HEALTH IS YOU WILY LOCAL. SO IT MEANS IT'S REALLY THE LOCAL PUBLIC HEALTH UNIT. IT'S REALLY PEOPLE LIKE Dr. DEVILLE LA, WHO IS LEADING THE CHARGE AND ARE THE PUBLIC HEALTH HEROS. SHE AND HER COLLEAGUES ACROSS THE PROVINCE HAVE POWERS TO ORDER PEOPLE INTO ISOLATION IF THEY HAVE A VIRUS. OR IF THEY HAVE SOMETHING LIKE IT. THEY ALSO HAVE A VARIETY OF OTHER ORDERS. THE ABILITY TO ORDER SANITATION OF A SITE AS WELL AS TO GEAR UP AND CALL ON A BUNCH OF OTHER RESOURCES AS THEY NEED. BUT OF COURSE AS WE KNOW, CITIES AND LOCAL UNITS AND REGIONAL PUBLIC HEALTH UNITS ARE ACTUALLY CREATURES OF THE PROVINCE AND IN OUR CONSTITUTION IN CANADA, IT'S VERY CLEAR THAT HEALTH CARE IS WITHIN THE REALM OF THE PROVINCIAL GOVERNMENT. A LOT OF THE AUTHORITIES ARE THEN CREATED AT THAT LEVEL. BECAUSE THAT'S WHAT WILL HAPPEN WHEN PEOPLE ARE SICK AND INTER FACING WITH THE HEALTH CARE IS. IT'S REALLY AT THE PROVINCIAL LEVEL BUT IN THE CONTEXT OF PUBLIC HEALTH WHICH IS BROADER THAN HEALTH CARE, IT IS ACTUALLY THE SHARED RESPONSIBILITY AND OUR CONSTITUTION. SHARED BETWEEN PROVINCES AND THE FEDERAL GOVERNMENT. AND SO IN THAT RESPECT WHEN WE THINK OF THE KIND OF POWERS THAT DIFFERENT ACTORS HAVE, IT'S VERY MUCH DEPENDENT ON LEGISLATION THAT HAS BEEN CREATED BY THE PARLIAMENT AND PROVINCIAL PARLIAMENT HERE IN TORONTO. THE ONE PLACE WHERE THE FEDERAL GOVERNMENT HAS SOLE DISCRETION AND SOLE AUTHORITY IS AROUND WHAT HAPPENS AT THE BORDER. SO THERE'S A LOT OF TALK IN THE MEDIA NOW ABOUT PEOPLE COMING IN AND OUT. THAT IS FEDERAL JURISDICTION. AND THAT'S WHERE THE QUARANTINE ACT COMES INTO PLAY.

Steve says JUST TO BE CLEAR. IF THE FEDS CAN SHUT DOWN THE BORDERS, SHE CAN SHUT DOWN THE CITY AND CHRISTINE ELLIOTT CAN SHUT down the PROVINCE?

Steven Hoffman says I WOULDN'T SAY SHUT DOWN. ALL POWERS NEED TO BE EXERCISED THAT MINIMALLY IMPACT CANADIANS. SO THERE ARE COMPAQ CIRCUMSTANCES, FOR INSTANCE WHICH THE LOCAL CHIEF MEDICAL OFFICER OR PROVINCIAL MEDICAL OFFICER WOULD PRESCRIBE AUTHORITIES BUT ALL OF THOSE POWERS ARE SUBJECT TO LIMITS THAT ARE DESCRIBED IN THE CANADIAN CHARTER OF RIGHTS AND FREEDOMS. AND WHEN IT COMES TO PUBLIC HEALTH, QUITE A BIT OF THE THINGS WE MIGHT ASK OF PEOPLE DO INFRINGE ON RIGHTS. THE RIGHT FOR QUARANTINE IS ESSENTIALLY ASKING PEOPLE TO NOT ENGAGE WITH THE REST OF THEIR COMMUNITY FOR THE BENEFIT OF EVERYONE. BUT IT'S LIMITING THEIR RIGHT TO LIB TIM BUT THAT'S OKAY. EVEN UNDER THE CANADIAN CHARTER OF RIGHTS...

Steve says AN INFRINGEMENT ON THEIR RIGHTS.

Steven Hoffman says BUT IT'S ONLY OKAY IF IT'S PROPORTIONAL. IF WE MINIMALLY INTERFERE WITH THEIR RIGHT.

Steve says HAVE YOU HAD MEETINGS WITH FEDERAL OFFICIALS SO EVERYBODY KNOWS WHO HAS WHAT AUTHORITY TO DO WHAT AND YOU'RE ON THE SAME PAGE?

Eileen says ABSOLUTELY. AND THIS IS A REGULAR CONVERSATION THAT WE HAVE. AGAIN, REMEMBER INFECTIOUS DISEASE MANAGEMENT ISN'T JUST IN THE CONTEXT OF GLOBAL OUTBREAK. IT HAPPENS ON A DAILY BASIS. WE HAVE INFECTIOUS DISEASES THAT WITHIN HUMAN POPULATIONS AT ALL TIMES. SO YOU KNOW WE ARE IN REGULAR CONVERSATION, ABSOLUTELY ON THIS ONE. BUT THIS IS THE CONVERSATION THAT IS ONGOING ALL YEAR LONG IN RESPECT OF SEVERAL INFECTIOUS DISEASES.

Steve says OKAY. THAT'S THE STORY AROUND GOVERNMENTS. WE HAVE GOT YOU HERE TODAY BECAUSE WE WANT TO UNDERSTAND BETTER WHAT IS GOING ON IN THE PRIVATE SECTOR. COMPANIES, EMPLOYERS. WHAT ARE YOU HEARING RIGHT NOW IN TERMS OF WHAT THEY ARE DOING AND CAN DO, VISA VIA IS A VIS THEIR EMPLOYERS.

The caption changes to "Ryan Watkins. Whitten and Lublin."

Ryan says I THINK IN THE WORKPLACE, THAT'S WHERE WE SEE A LOT OF PEOPLE CONGREGATING TOGETHER. SO IT'S IMPORTANT TO MAKE SURE THAT PUBLIC SAFETY IS PARAMOUNT. I WOULD SUGGEST THAT EMPLOYERS CONTINUE TO UPDATE THEIR POLICIES WITH RESPECT TO THING LIKE TRAVEL, BUSINESS TRAVEL. WE WANT TO ENSURE THAT PLACES THAT HAVE BEEN AFFECTED... OR LIMITING TRAVEL TO THOSE AREAS.

Steve says CAN I ASK YOU SOMETHING SPECIFIC. IF YOU ARE A BUSINESS THAT IS DOING BUSINESS ITALY RIGHT NOW. ARE YOU TELLING THE COMPANY NO ONE IS GOING NEAR THIS COUNTRY RIGHT NOW.

Ryan says ABSOLUTELY. THEY ARE UNDER quarantine SO PART OF THE PROCESS IS TO ENSURE THAT WE DON'T HAVE OTHERS BEING AFFECTED HERE IN CANADA. SO RESTRICTING BUSINESS TRAVEL TO, FOR EXAMPLE, ITALY WOULD BE SOMETHING THAT WOULD BE SOMETHING THAT EMPLOYERS SHOULD INDEED LOOK AT. IN ADDITION TO, THAT I THINK EMPLOYERS SHOULD ALSO WANT TO UPDATE SICK POLICIES, RIGHT. WE WANT TO COMMUNICATE TO EMPLOYEES THAT... IF YOU ARE SICK, REPORT THAT TO US. DON'T COME INTO WORK. ENSURE THAT YOU... YOU KNOW GO INTO SELF-QUARANTINE IF YOU'VE BEEN AFFECTED OR A FAMILY MEMBER HAS BEEN AFFECTED BY THE VIRUS.

Steve says AGAIN I WANT TO FOLLOW UP ON THIS. BECAUSE WE DID A PROGRAM ON THIS RECENTLY. TRAVEL WITH ME IF YOU WILL TO THE BOTTOM OF PAGE 4. WE WILL GO A LITTLE AHEAD HERE BUT SINCE BRIAN BROUGHT THIS UP WE DID HAVE A DISCUSSION ABOUT SICK DAYS AND THE FACT THAT A LOT OF PEOPLE IN THIS PROVINCE DON'T GET PAID IF THEY DON'T GO TO WORK. AND IF THEY TAKE A SICK PAY THEY TAKE A DOCK IN PAY AND A BIT OF A CONVERSATION WITH. THAT LET'S ROLL THAT CLIP AND THEN WE WILL COME BACK AND CHAT.

A clip plays on screen with the caption "Kate Hayman."
In the clip, Kate speaks in The Agenda studio. She's in her thirties, with short brown hair and glasses.

She says WE KNOW WORK PLATES IS A MAJOR CONTRIBUTOR. IT'S IMPORTANT THAT PEOPLE CAN STAY HOME FOR THE FIRST DAY OF THEIR ILLNESS. WHEN PEOPLE DON'T HAVE ACCESS TO PAID SICK LEAVE OR WHEN THEY DON'T HAVE THREE DAYS THEY PART THOSE DAYS OUT THEY KIND OF DO THE MATH, RIGHT. YOU GO TO WORK THE FIRST DAY. AND THE SECOND DAY YOU GET SICKER AND THEN THE THIRD DAY MAYBE NOW ARE YOU REALLY TOO SICK AND THEN YOU ARE HOPEFUL HAVE YOU ALREADY INFECTED PEOPLE IN YOUR WORKPLACE. WE NEED A POLICY THAT PROTECTS PEOPLE IN A MUCH MORE IMPRESSIVE WAY.

The clip ends.

Steve says THEY WANT TO REINSTATE SICK DAYS WHICH THEY TOOK AWAY WITH THEY TOOK OVER THE GOVERNMENT OF ONTARIO. WHAT DO YOU THINK OF THAT IS THIS.

The caption changes to "Ryan Watkins, @whittenlublin."

Ryan says ABSOLUTELY IN TIMES OF CRISIS THAT IS SOMETHING THAT SHOULD BE CONSIDERED.

Steve says CONSIDERED OR DONE.

Ryan says ABSOLUTELY IN THIS CASE, DONE. THE PREVIOUS GOVERNMENT HAD 10 SICK DAYS. SOME OF THEM WERE PAID AND SOME OF THEM WERE UNPAID. I THINK THIS IS SOMETHING WHERE POTENTIALLY THE FEDERAL GOVERNMENT SHOULD STEP IN. WE HAVE SICK LEAVE DAYS, WHERE YOU CAN APPLY FOR MEDICAL AND EI. UNDER THAT YOU CAN GET UP TO 15 WEEKS OF MEDICAL EI. THAT COULD BE AN AREA WHERE THE FEDERAL GOVERNMENT COULD STEP IN AS A SAFETY NET TO ENSURE THAT EMPLOYEES WHO HAVE TO BE SELF-QUARANTINED OR WHO ARE ADEQUATELY COMPENSATED.

Steve says ONE MORE FOR YOU. IF YOU WORK FOR A COMPANY THAT WANT YOU TO TAKE A BUSINESS TRIP TO SOME PLACE THAT YOU ARE... NOBODY WILL SEND YOU INTO ITALY RIGHT NOW. BUT LET'S SAY SOME PLACE THAT... I DON'T KNOW. JUST MAKES YOU NERVOUS. ARE YOU ALLOWED TO SAY NO?

Ryan says UNDER THE OCCUPATIONAL HEALTH AND SAFETY ACT, EMPLOYEES ARE ALLOWED TO RESTRICT OR INFORM THEIR EMPLOYERS THAT THEY ARE NOT GOING TO DO ANYTHING THAT IS DETRIMENTAL TO THEIR HEALTH. NOW WITH THAT STANDARD, IT'S A SLIDING SCALE AND WHAT COULD BE DETRIMENTAL FOR ONE EMPLOYEE MAY NOT BE TO THE OTHER. SO I WOULD SAY... YOU KNOW IT HAS TO BE SURROUNDED BY REASONABLENESS. SO IF THERE'S A SITUATION WHERE ARE YOU GENUINELY FEARFUL OF TRAVELLING TO A DIFFERENT COUNTRY, AND THAT FEAR IS REAL FOR A SPECIFIC REASON, THEN AN EMPLOYEE CAN ABSOLUTELY TELL THEIR EMPLOYER THAT... I'M SIMPLY NOT GOING TO TRAVEL THERE. WHAT IS ALSO IMPORTANT TO NOTE, THOUGH, IS WE HAVE TO LOOK BEHIND THE REASON OF WHY THE THELOY EMPLOYEE MAY NOT WANT TO TRAVEL. THERE IS A FINE LINE BETWEEN, I'M FEARFUL AND DISCRIMINATION. WE DON'T WANT TO BE A SOCIETY THAT DISCRIMINATES AGAINST A CERTAIN SEGMENT OF THE POPULATION. FOR EXAMPLE, IF WE ARE TALKING ABOUT TRAVELLING JUST ON THE BASIS OF, WELL, THAT ETHNICITY OR THAT RACE... I DON'T WANT TO BE AROUND. OR IN UNCHARTERED TERRITORIES AGAINST HUMAN RIGHTS AGAINST A SPECIFIC RACE ORR BEGIN. THAT COULD BE A VIOLATION OF HUMAN RIGHTS.

Steve says UNDERSTOOD. LET'S BRING THIS MAP UP RIGHT NOW. AND DESCRIBE THIS IN SOME DETAIL FOR THOSE LISTENING ON PODCAST NOW AND CAN'T SEE THE MAP...

A map appears on screen under the title "Countries with confirmed COVID-19 cases. Last updated: March 10."

A world map painted in shades of pink and red shows the number of cases per country. The darkest painted countries are China, Iran, and several European countries, followed by the U.S.A., Australia, India and Canada.

Steve continues BUT WE LOOKING AT A MAP OF THE WORLD AND THE DARKLY SHADED RED AREAS, NOT SURPRISINGLY CHINA AND PARTS OF EUROPE AND INTERESTINGLY ENOUGH, THE UNITED STATES. THOSE ARE AREAS WHERE THIS IS PARTICULARLY PROBLEMATIC, THE COVID-19 CASES AND THERE ARE PARTS OF THE WORLD WHICH ARE COMPLETELY FINE APPARENTLY AT THE MOMENT. THERE ARE LOTS OF COUNTRIES IN AFRICA. SOME PARTS OF CENTRAL ASIA. SOME PARTS OF NORTHERN SOUTH AMERICA WHERE THERE HAVE BEEN NO CASES AT ALL SO FAR.

The caption changes to "Eileen De Villa, @epdevilla."

Eileen says LET'S LOOK AT THE MAP AND LOOK AT THOSE GREY COUNTRIES. THE ONES WITHOUT THE RED. SO THEY APPARENTLY HAVE NO CONFIRMED CASES OF COVID-19. THERE ARE MANY NATIONS IN THIS WORLD THAT FRANKLY DON'T HAVE THE RESOURCES AND DON'T HAVE THE HEALTH CARE CAPACITY AND THE PUBLIC HEALTH SYSTEM IN ORDER TO EFFECTIVELY DETECT COVID-19. IT DOES TAKE A WELL DEVELOPED SYSTEM. A WELL DEVELOPED PUBLIC HEALTH SYSTEM. A WELL DEVELOPED TESTING SYSTEM. A LABORATORY TESTING SYSTEM IN ORDER TO ACTUALLY IDENTIFY THESE CASES. AND THE UNFORTUNATE SITUATION IS FOR MANY NATIONS AROUND THE WORLD, THIS IS JUST NOT THE CASE. THEY DO NOT HAVE THOSE RESOURCES AVAILABLE.

Steve says SO THEY CAN'T DO ANYTHING ABOUT IT?

Eileen says NO, THE ISSUE IS JUST BECAUSE IT DOESN'T APPEAR THEY HAVE COVID-19 CASES, DOESN'T MEAN THEY DON'T HAVE COVID-19 CASES. YOU HAVE TO BE LOOKING FOR THEM TO BE FINDING THEM. SO ONE HAS TO TAKE THIS WITH A GRAIN OF SALT. SO EVEN THOSE COUNTRIES WITH THE CAPACITY TO TEST OF THE FREQUENCY AND THE AMOUNT OF TESTING WILL DETERMINE HOW MANY CASES ARE YOU ACTUALLY IDENTIFYING. I THINK, AGAIN, AS IN THE SITUATION. IT'S ALL IN THE CONTEXT. AND YOU HAVE TO LOOK A LITTLE BIT DEEPER THAN JUST WHAT YOU SEE ON THE SURFACE.

The caption changes to "Steven Hoffman, @shoffmania. York University."

Steven Hoffman says IN ADDITION TO THE CAPACITY ISSUES THERE IS ALSO THE QUESTION OF INCENTIVES. THERE ARE MANY COUNTRIES AS Dr. DEVILLE MENTIONED THAT DON'T HAVE CAPACITY. AND THEY HAVE TO IDENTIFY CASES AND IF THEIR HEALTH CARE SYSTEM IS NOT ABLE TO RESPOND TO THEM. THOSE COUNTRIES MAY BE GENUINELY ASKING THEMSELVES WHY SHOULD WE BE LOOK FOR CASES. ESPECIALLY WHEN THERE HAVE BEEN OTHER COUNTRIES, DOZENS OF COUNTRIES AROUND THE WORLD THAT HAVE IMPOSED TRAVEL RESTRICTS AND TRAVEL BANS AGAINST COUNTRIES THAT ARE REPORTING CASES. IT REALLY HIGHLIGHTS THAT DECISION THAT MANY GOVERNMENTS... FORTUNATELY NOT CANADA. BUT MANY GOVERNMENTS OUT THERE WHEN THEY ARE IMPOSING TRAVEL RESTRICTIONS THEY MIGHT BE DOING IT TRY BE TO BE BETTER SAFE THAN SORRY. BUT ACTUALLY THOSE KIND OF TRAVEL RESTRICTIONS NOT ONLY UNDERMINE THE PUBLIC HEALTH RESPONSE BUT THEY DISINSENTIVIZE MANY COUNTRIES FROM REPORTING COVID-19. BUT A THEY DON'T WANT TO GET SLAPPED WITH THAT.

Steve says MANY HAVE DECLARED... OTHER THAN THE UNITED STATES... OTHER ON THAT THE GOVERNOR LOOKING VERY SERIOUS ABOUT THINGS. WHAT DOES THAT ACTUALLY DO?

The caption changes to "Connect with us: Twitter: @theagenda; Facebook, agendaconnect@tvo.org, Instagram."

Steven Hoffman says REASON WE SEE A DECLARATION OF EMERGENCY. IS IT OPENS UP ADDITIONAL POWERS AVAILABLE. IT WOULD BE DIFFERENT... DEPENDING THE LEGISLATION IN WHICH THAT EMERGENCY DECLARATION WAS MADE. SOMETIMES IT'S THE BUDGET. OTHER TIMES IT'S AUTHORITY TO, FOR EXAMPLE, CONTAIN PEOPLE OR DO DIFFERENT THING THAT WOULDN'T USUALLY BE ALLOWED. IT MAY BE FOR THE... FOR EXAMPLE, WHY HASN'T THE WORLD HEALTH ORGANIZATION DECLARED THIS AS PANDEMIC. THERE'S NO LEGAL POWERS THAT COME WITH THAT DECLARATION. THERE'S NO BUDGET. IT'S REALLY A COMMUNICATIONS TOOL AND THE WORLD HEALTH ORGANIZATION IS SAVING IT FOR THE TIME WHEN IT FEELS IT NEEDS TO KICK THE WORLD IN THE BUTT AND TRY TO GET ADDITIONAL REACTION. THE LEGALLY IMPORTANT TERM WHICH THE WORLD HEALTH ORGANIZATION ALREADY DECLARED IS THIS IS A PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN. THAT LONG NAME THAT IS A LEGAL TERM IT COMES FROM THE INTERNATIONAL HEALTH REGULATION IS A TREATY THAT GOVERNS HOW 195 COUNTRIES AROUND THE WORLD ARE SUPPOSED TO BE RESPONDING TO THIS OUTBREAK.

The caption changes to "Recorded earlier today."

Steve says Dr. DEVILLE, IF YOU ARE A CANADIAN WATCHING THIS NOW. AND YOU HAVE PLANS TO TRAVEL SO ONE OF THE STATES IN THE UNITED STATES THAT HAS DECLARED A STATE OF EMERGENCY. WOULD YOU ADVISE THOSE PEOPLE TO CANCEL THEIR TRIP?

Eileen says ADVICE WE ARE GIVING IS FIRST AND FOREMOST TAKE A LOOK AT WHAT THE GOVERNMENT OF CANADA IS SAYING ABOUT TRAVEL ADVISORIES. THAT'S THE FIRST PLACE TO LOOK. THERE'S ARE SPECIFIC ADVISORIES ABOUT WHAT PRECAUTIONS IF ANY THAT TRAVELLERS NEED TO TAKE FOR THEIR DESTINATION. SO FIRST AND FOREMOST. THAT AGAIN MOVING AROUND AND TRAVELING TO DIFFERENT JURISDICTIONS. THERE ARE SOME VERY GOOD MEASURES THAT PEOPLE CAN TAKE TO PROTECT THEMSELVES. AND THEY ARE THE SAME MEASURES THAT PEOPLE SHOULD BE USING TO PROTECT THEMSELVES RIGHT HERE. AND I KNOW PEOPLE ARE TIRED OF HEARING ME SAY THIS. BUT WARRING YOUR HAND IS AN INCREDIBLY POWERFUL TOOL TO PROTECT ONE SELF FROM RESPIRATORY DISEASES, INCLUDING COVID-19.

Steve says HOW MANY TIMES A DAY?

Eileen says IT'S NOT AT QUESTION OF THE NUMBER OF TIMES A AT THE SAME TIME IT'S RESPECT OF THE ACTIVITY YOU ARE DOING. BEFORE AND AFTER EATING AND BEFORE YOU AFTER YOU USE THE WASHROOM. IF WE TOUCH YOUR FACE SEVERAL TIMES ADAY YOU WANT TO WASH YOUR HAND BEFORE YOU DO THAT AS MUCH A POSSIBLE. THERE ARE MANY DIFFERENT PRECAUTIONARY MEASURES THAT CAN BE TAKEN. AND OF COURSE I WOULD ALSO BE REMIS IF I DIDN'T ADD, STAY INFORMED. FIND OUT WHAT IS HAPPENING. DEEP UP WITH WHAT IS HAPPENING IN THE AREA IN WHICH ARE YOU VISITING SO THAT YOU UNDERSTAND WHAT THE CONTEXT IS. AND YOU KNOW, MANAGE YOURSELF ACCORDINGLY. OF COURSE AT THIS STAGE OF THE GAME WITH A CONSTANTLY EVOLVING SITUATION, PEOPLE DO NEED TO PAY ATTENTION TO WHAT IS HAPPENING AROUND THEM. AND ALSO TO BE CONSCIOUS OF THE FACT THAT THERE ARE INCREASING REQUESTS FOR PEOPLE TO SELF-ISOLATE AND TO SELF-MONITOR. ESPECIALLY AFTER THE RETURN TO TRAVEL. THE PUBLIC HEALTH AGENCY OF CANADA HAS JUST ASKED ALL RETURNING TRAVELLERS TO CANADA TO CAREFULLY MONITOR THEMSELVES FOR 14 DAYS AFTER THEIR RETURN FROM THEIR TRAVEL FOR ANY SIGNS AND SYMPTOMS OF RES FOR ILLNESS.

Steve says LET'S DO A LITTLE MORE ON THAT. LET'S TAKE MASSACHUSETTS, FOR EXAMPLE. WHICH I BELIEVE JUST DECLARED A STATE OF EMERGENCY. IF YOU ARE, TONIGHT, FLYING HOME FROM A TRIP TO BOSTON. WHAT SHOULD YOU DO?

Eileen says AGAIN I WOULD SAY WASH YOUR HANDS. ABSOLUTELY WASH YOUR HANDS. COVER YOUR COUGH.

Steve says IS SELF-ISOLATION NECESSARY?

Eileen says WHAT IS BEING ASKED FOR RETURNING TRAVELLERS IS TO MONITOR THEMSELVES CAREFULLY FOR SIGNS AND SYMPTOMS OF RESPIRATORY ILLNESS FOR A PERIOD OF 14 DAYS AFTER YOUR RETURN AND SHOULD YOU DEVELOP THOSE SIGNS AND SYMPTOMS OF RESPIRATORY ILLNESS. THOSE INDIVIDUALS ARE ASKED TO SELF-ISOLATE AND CRACK THEIR PUBLIC HEALTH DEPARTMENT SO THEY CAN THEN GET DIVIDED APPROPRIATELY IN TERMS OF NEXT STRETCHES.

Steve says DO YOU THINK BUSINESSES CAN UNDERSTAND THAT THIS IS... IF NOT LEGAL OBLIGATION, THEIR MORAL OBJECTION.

Ryan says ABSOLUTELY. OR AT LEAST THEY SHOULD. THE HEALTH AND INFORMATION SAFETY ACT. AUTHORITY HAVE THE DUTY TO PROTECT THEIR WORKERS. SO SURROUNDING THAT WE WANT TONE SURE THAT IF THERE ARE... ANYBODY RETURNING FROM AREAS OR HOT SPOTS, LET'S CALL IT. TO ENSURE THAT THEY TAKE ADEQUATE STEPS TO ENSURE THAT THEY CAN RETURN TO THE WORKPLACE AND NOT GET ANYBODY ELSE.

Steve says DOING ANY TRAVELLING THESE DAYS?

Ryan says ME NOT SO MUCH. I'M BUSY AT WORK. BUT PAST THAT I THINK IT'S IMPORTANT AS A CIVIL SOCIETY TO TRY TO DO WHAT WE CAN TO HELP CONTAIN THIS. I WOULD SAY IN TERMS OF BUSINESS TRAVEL THAT EMPLOYERS AND EMPLOYEES SHOULD REALLY THINK ABOUT RESTRICT THAT TRAVEL UNTIL THE SITUATION CAN BE CONTAINED.

Steve says LET'S DO A REAL LIFE EXAMPLE HERE. IF FOR EXAMPLE, BUSINESS COULD POSSIBLY TAKE YOU TO NEW YORK STATE? WOULD YOU GO NOW?

Ryan says I PERSONALLY WOULD NOT GO AT THIS TIME. I THINK ANYBODY WHO HAS PARENT OR YOUNG CHILDREN, MYSELF. I HAVE TWO YOUNG KIDS UNDER THE AGE OF 4. ONE WITH A RESPIRATORY CONDITIONS. I WANT TO ENSURE THAT I'M PROTECTING MY FAMILY. AND I THINK OTHERS FEEL THE SAME WAY. IF THERE ARE SITUATIONS PERSONALLY IN SOMEBODY'S LIFE WHERE... YOU KNOW THEY COULD BE AFFECTED BY THIS, I THINK YOU KNOW, WE HAVE A DUTY TO PROTECT OTHERS AROUND US. ESPECIALLY IN THE WORKPLACE ENVIRONMENT WHERE WE ARE DEALING WITH COLLEAGUES.

Steve says TO THAT END, STEVEN, WE HAVE SOMETHING IN CANADA CALLED THE QUARANTINE ACT. WHAT DOES IT DO?

The caption changes to "The power of the health authority."

Steven Hoffman says WELL THE QUARANTINE ACT GIVES THE FEDERAL GOVERNMENT, SPECIFICALLY THE MINISTER OF HEALTH POWERS TO DESIGNATE ANY SITE IN CANADA AS A QUARANTINE AREA. SO THAT MEANS AN PART BUILDING, A HOSPITAL, PART OF AN AIR FORCE BASE, CAN BE DESIGNATED AS A PLACE WHERE PEOPLE CAN BE ASKED TO GO... ORDERED TO GO AND REMAIN SO THEY... WHO MAY BE AT RISK OF HAVING SOMETHING BUT DON'T HAVE IT. AND ASKED TO STAY THERE TO PROTECT THE COMMUNITY. THE REASON THE QUARANTINE ACT IS SO IMPORTANT IS BECAUSE WHEN WE ASK PEOPLE TO GO INTO QUARANTINE OR ORDER THEM INTO IT, THAT'S A LIMITATION ON THEIR RIGHTS AND LIBERTY AND THE RIGHTS AND ABILITIES WITHIN THE COUNTRY. SO WHAT THAT MEANS IS IF THE GOVERNMENT IS GOING TO LIMIT THAT RIGHT, THEN THAT LIMITATION NEEDS PRESCRIBED BY LAW. THAT IS IN OUR CANADIAN CHARTER OF RIGHTS AND FREEDOMS. AND IT NEEDS TO BE NOT ONLY PRESCRIBED BY LAW BUT THAT LAW NEEDS TO BE ACTED ON OR IMPLEMENTED IN A WAY THAT MEETS THE CHARTER. THAT MEANS IT NEEDS TO BE PROPORTIONATE FOR THE RISK INVOLVED AS WELL AS MINIMALLY INN PAIRING. FOR EXAMPLE ONE INTERESTING QUESTION IN THE CANADIAN CONTEXT IS WHETHER IT WOULD BE LEGAL FOR THE GOVERN GOVERNMENT TO QUARANTINE AN ENTIRE CRUISESHIP. FOLKS OFF THE COAST OF HALIFAX OR VANCOUVER. WE HAVE SEEN IT NOW IN JAPAN AND THE UNITED STATES. I DON'T THINK THAT WOULD BE LEGAL IN THE CANADIAN CONTEXT AND IT MAY NOT BE LEGAL IN THE JAPANESE OR AMERICAN CONTEXT EITHER. BUT THE REASON IS THERE IS A QUESTION. IF THERE'S SOME RISK ON THE CRUISESHIP. IF THAT RISK JUSTIFIES THE MEASURE TO QUARANTINE THE WHOLE SHIP. AND BECAUSE WE KNOW THE WAY CRUISESHIPS WORK, IT COULD RISK THE NUMBER OF PEOPLE ON THERE. IS THERE A LESS IMPAIRING WAY OF THOSE PEOPLE'S RIGHTS SUCH AS PUTTING THEM ON TO LAN AND SEGMENTING THEM PROPERLY. PROBABLY. IF THIS EVER DID GET LOOKED AT IN THE CANADIAN VIEW. WE WOULD LIKELY SEE COURTS DEEMING A HUGE MASS OF THAT SIZE TO BE UNCONSTITUTIONAL UNLESS THE RISK POSED WAS DEEMED... BEST ON THE BEST AVAILABLE EVIDENCE TO BE PROPORTIONATE.

Steve says BUT AGAIN AS YOU ALL KNOW EVEN IF THE COURT DECIDED THIS WAS AN INFRINGEMENT ON PEOPLE'S HUMAN RIGHTS THEY COULD INVOKE THEM OUT WITH SANTA CLAUS AND OVERRIDE THAT COURT DECISION AND GO AHEAD WITH IT ANY WAY, RIGHT?

Steven Hoffman says THEY WOULD. BUT THEY REQUIRE LEGISLATION. SO THE NOTWITHSTANDING CLAUSE OVERRIDES CERTAIN RIGHT BUT IT HAS TO BE DONE WITHIN LEGISLATION. TO GET THE HOUSE OF COMMONS AND THE SENATE AS WELL AS PROVINCIAL PARLIAMENT HERE IN TORONTO TO ACT ON THAT AND INVOKE IT WOULD TAKE SOME TIME AND MORE DIFFICULT THAN THE CONTEXT OF THE FEDERAL GOVERNMENT WHICH IS CURRENTLY A MINORITY.

Steve says INDEED. HAS THE QUARANTINE ACT EVER BEEN ENACTED BY ANYONE ELSE IN HEALTH?

Steven Hoffman says IT'S IN EFFECT WHEN CANADIANS LAND IN INTERNATIONAL AIRPORT. THE FACT THAT THERE'S REPRESENTATIVES FROM THE HEALTH AGENCY IN CANADA AT THOSE AIRPORTS. THEY EXCEPTIONALLY MAKING USE OF THE QUARANTINE ACT. FOR EXAMPLE, AT ANY TIME, FOR ANY VIRUS OR PATHOGEN, IF THE OFFICIALS BELIEVE THERE'S A RISK TO CANADIANS, THOSE OFFICIALS... THE PUBLIC HEALTH OFFICIALS CAN MAKE USE OF THE QUARANTINE ACT. MORE RECENTLY IN COVID-19 WE HAVE SEEN THE QUARANTINE ACT USED TO DESIGNATE THE CFB TRENTON BASE AS A QUARANTINE SITE. THAT... ON ONE HAND MAYBE IT WASN'T ACTUALLY NEEDED TO DESIGNATE. IT BECAUSE THAT LAND AND AREA IS ALREADY UNDER THEIR CONTROL OF THE FEDERAL GOVERNMENT. BUT IT WAS INVOKED IN THIS CASE. AND LIKELY OUT OF AN ABUNDANCE OF CAUTION APPROACH, WHICH MAKE SENSE.

The caption changes to "Watch us anytime: tvo.org, Twitter: @theagenda, Facebook Live, YouTube."

Steve says Dr. DEVILLEA, IF AND WHEN THERE'S AN OUTBREAK, WHAT CAN THEY DO.

Eileen says IN THE CIRCUMSTANCES WHERE WE CAN SAY A COMMUNABLE DISEASE EXISTS OR MAY EXIST, AND IT POSES A RISK TO COMMUNITY MEMBERS TOSH PEOPLE WITHIN THE JURISDICTION THAT I SERVE, IF THERE ARE ACTIONS THAT WE CAN DEMONSTRATE THAT ARE ACTUALLY NECESSARY IN ORDER TO MITIGATE OR REDUCE THAT RISK, THEN WE CAN TAKE THOSE ACTIONS. AND AS STEVEN MENTIONED EARLIER, THERE ARE A VARIETY OF DIFFERENT FORMS THAT THOSE ACTS CAN TAKE. THING LIKE REQUIRING PEOPLE WITH AN INFECTIOUS DISEASE TO ISOLATE THEMSELVES. REQUIRING CLEANUP OR DISINFECTIONS OF CERTAIN SITES. DESTRUCTION OF MATERIAL IF THERE'S A CERTAIN SUBSTANCE THAT IS FELT TO BE THE SOURCE OF THE INFECTIOUS DISEASE. THERE ARE A NUMBER OF DIFFERENT ACTS THAT CAN BE TAKEN. AND IT ALL DEPENDS ON WHAT THE SITUATION IS.

Steve says BUT YOUR OFFICE HAS THE AUTHORITY TO DO ALL OF THOSE THINGS IS THIS.

Eileen says WE DO AS DOES THE CHIEF MEDICAL CENTER OF HEALTH OF THE PROVINCE WHO'S POWERS EXTEND OVER THE ENTIRE PROVINCE. HE ALSO HAS GREATER POWERS IN THAT HE IS ABLE TO PROCURE SUPPLIES AND EQUIPMENT AND MOVE THEM AROUND THE PROVINCE IN ORDER TO EFFECT AN APPROPRIATE PUBLIC HEALTH RESPONSE. BUT IF STEVEN ACTUALLY RIGHTFULLY POINT OUT. IT ALL HAS TO BE DONE IN BALANCE, RIGHT. THERE ARE INDIVIDUAL RIGHTS AND THERE ARE COMMUNITY RIGHTS. AND THERE ARE MEASURES THAT WE TAKE TO PROTECT PUBLIC HEALTH. ALL OF THESE THINGS HAVE TO BE DONE WITH CAREFUL CONSIDERATION AND IN BALANCING THOSE INDIVIDUAL RIGHTS. WITH THE COMMUNITY RIGHTS, MAKING SURE THAT WHAT WE ARE ASKING INDIVIDUALS ORATIONSIES OR ORGANIZATIONS TO UNDERTAKE AS PUBLIC HEALTH PROTECTIVE MEASURES, ARE ACTUALLY PROPORTIONATE TO THE RISK OF THE DISEASE IN QUESTION PRESENTS TO THE COMMUNITY.

Steve says AND ONE LAST QUESTION HERE. ARE YOU MEDICAL OFFICER OF HEALTH FOR THE CITY OF TORONTO. THE 416.

Eileen says THAT'S CORRECT.

Steve says SO YOU DON'T HAVE IT OVER THE WHOLE COMMUNITY. NOT THE GREATER TORONTO AREA. JUST THE 416.

Eileen says JUST THE 416.

Steve says THIS WAS JAMIE Watt WRITING FROM THE TORONTO STAR.

A quote appears on screen, under the title "Trust in institutions." The quote reads "The COVID-19 issue has revealed a larger problem: the epidemic of MISTRUST CANADIANS HAVE IN THEIR public INSTITUTIONS. OVER THE PAST 30 YEARS, THERE HAS BEEN AN OBSERVABLE DECLINE IN our collective confidence in INSTITUTIONS LIKE GOVERNMENT, 'BIG BUSINESS,' NEWS MEDIA AND democracy AT LARGE."
Quoted from Jaime Watt, Toronto Star. March 8, 2020.

Steve says I'M ACTUALLY... DO YOU SENSE THAT RIGHT NOW?

Eileen says I THINK THERE HAS BEEN SOME DEGREE OF MISTRUST IN SCIENCE. SO IT HAS INTERESTING CONVE
RSATIONS ON THAT ISSUE. BULL I CAN TELL YOU FROM A PUBLIC HEALTH PERSPECTIVE, IT'S ALWAYS ABOUT THE EVIDENCE FIRST. AT THE END OF THE DAY, PUBLIC HEALTH PRACTICE NEEDS TO BE PREMISED ON THE BEST AVAILABLE SCIENTIFIC EVIDENCE IN THE REALM OF PUBLIC HEALTH. AND SO IT'S VERY IMPORTANT THAT WE PUT THAT OUT THERE. AND THAT WE INFORM THE PUBLIC AS TO WHAT OUR UNDERSTANDING OF THE SCIENCE IS AND WHY WE ARE MAKING RECOMMENDATIONS THAT WE MAKE.

Steve says I DON'T MEAN TO BUTTER YOU UP HERE, BUT EVEN I'VE HEARD SO FAR FROM... LITERALLY ALL THE PEOPLE I'VE HAD INTERACTIONS WITH, SAYING THEY ARE KIND OF CONFIDENT IN... THE WAY THE INSTITUTIONS HAVE RESPONDED SO FAR. ARE YOU HEARING THE CONTRARY?

Eileen says I SHOULD HOPE THAT THEY ARE MORE THAN KIND OF CONFIDENT. I WOULD PREFER TO HEAR THAT THEY ARE IN WHAT THEY ARE HEARING THUS FAR.

Steve says I'M PIGEONING FOR REALISTIC REASONS. MOST OF WHAT I HEAR IS EVERYBODY IS PRETTY CONFIDENT IN WHAT YOU ARE UP TO.

Eileen says I THINK PART OF THAT IS 1 WE HAVE A CONVERT CREATED EFFORT IN THE PUBLIC HEALTH SECTOR TO MAKE SURE WE PREMISES OUR DECISIONS ON SCIENCE AND I THINK AS WELL VERY HAVE TRIED TO BE VERY FORTH COMING AND VERY TRANSPARENT AROUND WHAT WE ARE DOING AND WHY WE ARE DOING IT AND WHAT STAGE WE SEE OURSELVES IN WITH RESPECT TO MANAGING THE SITUATION. I IMAGINE THERE WILL ALWAYS BE A DEGREE OF CRITICISM. AND I'VE ALSO SPOKEN ABOUT HOW IT'S TEMPTING TO ASSESS OR JUDGE THE ACTS OF PUBLIC HEALTH OR ANY OTHER GOVERNMENT INSTITUTIONS LOOKING AT THE REARVIEW MIRROR. IT'S MUCH EASIER TO DO. THAT BUT I WOULD SUGGEST TO PEOPLE THAT WHAT WE DO IS WE TAKE THE BEST AVAILABLE ENVELOPES WE HAVE IN FRONT OF US AT THE TIME. WE ACTON THAT, AND WE TELL PEOPLE THE SITUATION IS CHANGING. AND IT'S CHANGING QUICKLY. SO IF YOU SEE US CHANGE, ALONG WITH THE CHANGE IN CIRCUMSTANCES, THAT SHOULDN'T BE A SURPRISE. THAT IS IN FACT, GOOD PRACTICE.

Steve says I GUESS I MAKE THE DISTINCTION BETWEEN THE WAY WE SEEM TO BE DOING IT HERE CANADA WHERE WE ARE HAVING MEDICAL PROFESSIONALS OUT IN FRONT OF THE MICROPHONES GIVING ADVISE VERSUS IN THE UNITED STATES WHERE I SEE DONALD TRUMP AND MIKE PENCE OUT THERE GIVING ADVISE AND OBVIOUSLY THEY ARE NOT PROFESSIONALS OUT THERE. THAT'S MY COMMENTARY FOR THE DAY.

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Eileen says WE WILL LEAVE YOU WITH YOUR COMMENTARY.

Steven Hoffman says YOU LOOK GLOBALLY. WHICH IS WHAT I DO IN MY RESEARCH. I CAN'T FIND ANOTHER COUNTRY THAT HAS HANDLED IN OUTBREAK BETTER THAN CANADA. THAT'S BECAUSE WHEN YOU LOOK ACROSS. THERE'S A LOT OF EMPHASIS THAT IS... LET'S MAKE SURE WE DON'T UNDERREACT BUT WE NEED TO EQUALLY MAKE SURE WE DON'T OVERREACT. BECAUSE STRIPES WHAT WE ARE SEEING IN MANY COUNTRIES AROUND THE WORLD IS OVERREACTING. THE OVERREACTION CAN CAUSE MORE HARM THAN THE VIRUS ITSELF. FOR EXAMPLE, THERE ARE 180 MILLION CHILDREN IN CHINA WHO ARE NOT GOING TO SCHOOL. THEY ARE AT HOME BECAUSE OF THE ACTIONS IN THAT COUNTRY. THAT'S A LOT OF KIDS WHO ARE NOT GETTING EDUCATION AND A LOT OF PARENTS WHO HAVE TO WORRY ABOUT WHETHER WHETHER THEY CAN GO TO WORK. WHETHER THEY CAN PUT FOOD ON THE TABLE.

Steve says AN OVERREACTION.

Steven Hoffman says WHAT WE ARE SEEING MASS QUARANTINES ON A MASSIVE SCALE FOR PUBLIC HEALTH, YES. IT'S NOT ONLY BECAUSE THE MEASURES ARE UNLIKELY TO WORK. IT'S NOT... EVEN IF THEY DO WORK AND SOME MODELING HAS SHOWN THAT THE EXTREME MEASURES TAKEN IN WUHAN, THE CITY WHERE THIS OR NOT NATURED THAT MAYBE IT DELAYED THE SPREAD OF THIS VIRUS BY THREE DAYS, THE REST OF CHINA, MAYBE. IT'S JUST NOT WORTH THIS MASS ORDEAL THAT PEOPLE ARE GOING THROUGH RIGHT NOW.

Steve says CAN I DO A LITTLE LOCAL EXAMPLE HERE. BOY I COULD REALLY PUT YOU ON THE SPOT WITH THIS UNWITH.

Eileen says HI A FEELING YOU WOULD GO AHEAD AND DO THAT ANY WAY.

Steve says I LIKE TO PUT BOTH OF YOU ON IT. THERE'S A TORONTO CITY COUNCILLOR WHO DECIDED BECAUSE HE HAD CRACK WITH SOMEBODY WHO HAD COVID-19 AT... YOU KNOW, FURTHER ALONG THE WAY. THAT HE IS SELF-ISOLATING HAS NO CRACK WITH HIS WIFE AND DAUGHTER. AND NO CONTACT WITH HIS CONSTITUENTS AND NOT GOING TO ANY COMMUNITY EVENS. IS THAT OVERREACTION?

Eileen says AS A MEDICAL PROFESSIONAL, I'M NOT GOING TO ENGAGE IN A DISCUSSION ON AIR WITH REGARDS TO SOMEBODY'S HEALTH SITUATION. BUT WHAT I CAN TELL YOU FROM A PUBLIC HEALTH PERSPECTIVE. THOSE WHO IDENTIFY AS CLOSE CRACK OF CASES WITH COVID-19 ARE BEING MANAGED THROUGH APPROPRIATE SELF-ISOLATION TO FOR A PERIOD OF 14 DAYS AFTER THAT CLOSE CONTACT. WE KNOW HOW THE DISEASE IS SPREAD. WE HAVE AN UNDERSTANDING. DESPITE THE FACT THAT THIS IS A NEW VIRUS. ONLY REALLY IDENTIFIED... YOU KNOW FIRST CAME TO THE ATTENTION OF THE WORLD AT THE END OF DECEMBER. THE VIRUS ACTUALLY IDENTIFIED A SEQUENCE IN EARLY JANUARY. SO STILL MUCH LEARNING GOING ON. I WILL SAY THAT. HOWEVER WE'VE HAD A FAIR AMOUNT OF EXPERIENCE AROUND THE WORLD, AROUND CONTROLLING TRANSMISSION. SO FROM A PUBLIC HEALTH PERTSIVE, CLOSE CONTACT OF SOMEBODY WHO IS A CONFIRMED CASE OF COVID-19 IS BEING MANAGED APPROPRIATELY IN SELF-ISOLATION FOR A 4-DAY PERIOD OF TIME... 14-DAY PERIOD OF TIME.

Steve says RYAN TAKE THE LAST WORD HERE AND TELL ME FROM AN EMPLOYEE WORKPLACE STANDPOINT. HE OBVIOUSLY THINKS HE IS DOING THIS FOR HIS COLLEAGUES OUT OF AN ABUNDANCE OF CAUTION. HE IS ASYMTOMATIC BUT HE DOESN'T WANT TO GET ANYBODY AT HIS WORKPLACE AFFECTED? PROPS TO HIM?

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Ryan says YES, THIS IS EXACTLY WHAT WE WANT TO SEE IN THE WORKPLACE. IF YOU HAVE AN INKLING OF BELIEF THAT YOU MAY BE INFECTION ORDER THAT SOMEBODY AROUND YOU HAS, WE WANT YOU NOT TO COME INTO WORK AND TO SELF-ISOLATE FOR A PERIOD OF TIME. AND I THINK THE LAST LINK IN THE STEP IS TO GO SEE A DOCTOR AND ENSURE. JUST SELF-ISOLATING ALONE MAY NOT BE ENOUGH. FROM AN EMPLOYER CONTEXT. AN EMPLOYER WILL WANT TO SEE A MEDICAL NOTE FROM A MEDICAL PROFESSIONAL SAYING THAT YOU ARE CLEAR TO COME BACK TO WORK.

Eileen says I'M GOING TO PICK UP ON THAT ONE, THOUGH. IF YOU ARE GOING TO SEE A HEALTH CARE PROFESSIONAL AND YOU HAVE REASON TO BELIEVE YOU MIGHT HAVE COVID-19, BEST TO CALL THAT HEALTH PROVIDER IN ADVANCE SO THEY CAN MANAGE YOU APPROPRIATELY IN THE HEALTH CARE SETTING AND NOT CREATE NEW TRANSMISSIONS.

Steve says DON'T JUST SHOW UP.

Steven Hoffman says I NEED TO REVISIT. IT IT'S A PRACTICE THAT MANY EMPLOYERS HAVE RIGHT NOW. IT'S NOT BASED ON GOOD EVIDENCE. IT'S NOT GOOD PUBLIC HEALTH AND IT CAN OVERTAX AN ALREADY STRAINED HEALTH CARE SYSTEM.

The caption changes to "Producer: Sandra Gionas, @sandragionas. Producer: Colin Ellis, @ColinEllis81."

Steve says WE TALKED ABOUT THAT A COUPLE OF WEEKS AGO AS WELL. REALLY GOOD INFORMATION TONIGHT. THANK YOU VERY MUCH TO STEVEN HOFFMAN FROM YORK UNIVERSITY AND Dr. EILEEN DEVILLE FROM TORONTO PUBLIC HEALTH. RYAN WATKINS FROM WHITTEN AND LUBLIN. GREAT TO HAVE YOU ALL ON TVO. THANK YOU VERY MUCH.

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The guests say THANK YOU.

Watch: Coronavirus, Quarantine, and Personal Rights