Whitehorse Daily Star

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PATIENT ON THE MEND – The community-based COVID-19 patient is self-isolating and doing well at home, says Dr. Brendan Hanley, the territory’s chief medical officer, seen at Wednesday afternoon’s briefing. Photo courtesy YUKON GOVERNMENT/ALISTAIR MAITLAND PHOTOGRAPHY

Rural patient’s residency isn’t being released

An eighth case of COVID-19 has been found in one of the Yukon’s communities.

By Gabrielle Plonka on April 9, 2020

An eighth case of COVID-19 has been found in one of the Yukon’s communities.

“We are in just a good position as we are with any of the Whitehorse cases, to date,” Dr. Brendan Hanley, the territory’s chief medical officer, told a media briefing Wednesday afternoon in Whitehorse.

The patient, who travelled internationally, is self-isolating and doing well at home, according to Hanley.

The number of recovered patients remains at four, and no cases have yet required treatment at a hospital.

To date, the Yukon has tested 794 people for COVID-19 with 767 negative results and 19 pending.

In response to a question about modelling in the Yukon, Hanley said the territory doesn’t have enough cases to elicit accurate data. Scenario modelling starts at 100 cases, he said.

“We are not even on the curve yet,” Hanley said.

Modelling is still “an active area of interest,” and a team is working to model how different scenarios, like travel restrictions increasing and businesses closing or re-opening, affect the trajectory of the virus.

Hanley is not revealing the name of the community affected by the COVID-19 case. This is in line with regular patient privacy rules, and officials will not be swayed by a public desire for information, the chief medical officer explained.

“We listen closely to input from the public and our leaders; however, our practices are not driven by public opinion,” Hanley said.

The case does not pose a risk to the community afflicted, because it is connected to travel and the patient self-isolated appropriately.

Hanley said he is concerned that the identification of a patient could lead to stigmatization, deterring future cases from coming forward for testing.

Local leaders have been informed of the case in their community, without the disclosure of the patient’s personal details. This information is shared with an understanding that it won’t be revealed.

“This is a conversation of trust, and it’s a conversation again that when leaders have an appropriate and very private heads-up, they are in a position to help to calm their people and be able to answer general questions,” Hanley said.

“If there is a breach (of privacy rules), it’s beyond my control. It’s a prerogative that someone might choose to have, based on individual conversations perhaps with the family.

“I’m not going to control, nor do I intend to control, the voice of a leader or the chief.”

Hanley added that he has provided local leaders with very little specific information, so it’s unlikely that information will be publicized.

If the individual or family of the patient chooses to disclose themselves, that is within their right, though “it may not be what our advice would be,” Hanley said.

The chief medical officer hopes to reassure Yukoners that if anyone is thought to be at risk of the virus, they will be contacted.

Hanley also reviewed the safety measures in place as they pertain to the coming long weekend.

“Who would have thought, a year ago, that we would be observing the much-loved long weekend of Easter in this peculiar way?” Hanley asked.

He urged Yukoners to get outside and exercise; use municipal playgrounds while properly supervising children; and visit friends, seniors and elders while taking extra distancing and hygiene precautions.

“They need your company,” Hanley said of spending time with seniors over the weekend.

“I want people to be outside and to be able to exercise and be social as much as they can, within the limits of the advice and the rules we have quite clearly laid out.”

People should not gather in groups larger than 10 people, he reminded Yukoners, and should keep gatherings “low-key” without excessive consumption of alcohol or recreational drugs. More information about safety guidelines can be found on yukon.ca.

Comments (23)

Up 15 Down 0

Yukon Cornelius on Apr 16, 2020 at 1:47 pm

@ Max Mack:

How is quoting peer-reviewed scientific studies by world renown Epidemiologists and Virologists a 'shameful attempt at fear-mongering'?
What would be 'shameful' would be to allow ignorant, opinionated people to be the loudest voice in the room in the midst of an airborne, global pandemic.

As far as your ill-informed claim that: 'Targeted restrictions (i.e. locking down vulnerable populations) and plain old social distancing with good hygiene practices would accomplish a very similar result as the current relatively extreme measures.' is concerned, one has only to look at Sweden which decided to keep businesses open, lock down vulnerable populations, use 'plain old social distancing' with 'good hygiene practices'. For the record, Sweden has a population of 10.23 million. As of April 15, 2020, Sweden had 1,333 COVID-19 deaths out of 1,883 'Closed Cases' (cases which had an outcome). Sweden's COVID-19 Case Mortality Ratio (the percentage of people hospitalized for COVID-19 who died from it) is 71 per cent. As of April 15, 2020 Sweden has 10,657 Active Cases.

Canada has a population of 37.59 million. As of April 15, 2020 Canada (which eventually locked down its economy) had 1,191 deaths, yet its population is 3.67 times that of Sweden's. Canada's COVID-19 Case Mortality Ratio is 11 per cent (compared to 71 per cent in Sweden). Adjusting for the population difference between Sweden and Canada, Sweden (which has 1,333 deaths) would have 4,898 deaths or 4.11 times the number of deaths than Canada had as of April 15, 2020, yet if I had a dollar for every ill-informed Yukoner in town whom I've heard say: "We should be like Sweden and leave everything open! It's working for them!", I'd be a rich man.

In case you missed it the first time, to demonstrate the importance of keeping SARS-CoV-2 (Coronavirus) out of the Yukon, a recent U.S. Center for Disease Control (CDC) peer-reviewed White Paper states that Coronavirus has a doubling time of the number of infected persons of between 6 and 7 days. Assuming a serial interval of 6–9 days, the study calculated a median R0 value (a measure of how contagious a virus is) of 5.7 (with a 95% confidence interval: 3.8–8.9). In contrast, the Swine Flu (AKA Spanish Flu) which killed an estimated 20 - 50 million people in 1918 had an R0 of 2.

Given the fact that Coronavirus is estimated as being almost 3 times as contagious as Swine (Spanish) Flu and given Coronavirus' average global Case Mortality Ratio of 21 per cent (the percentage of people hospitalized with COVID-19 disease who die from it), this is why global governments are shutting down their economies and ordering people to self-isolate. So much for your ill-informed claim that: 'Evidence suggests that this virus is about as lethal as the seasonal flu.' In fact, if you understand basic math, with a global COVID-19 Case Mortality Ratio of 21, COVID-19 is 210 times more lethal than the flu, which has a Case Mortality ratio of .1 (put differently, currently 210 out of 1,000 global hospitalized COVID-19 patients are dying compared to 1 in 1,000 global hospitalized flu patients). Do you get it, or should I draw you a picture using purple crayons?
Please stay home and protect our elders.

SOURCE:
https://wwwnc.cdc.gov/eid/article/26/7/20-0282_article
https://www.worldometers.info/coronavirus/country/canada/
https://www.worldometers.info/coronavirus/country/sweden/

For calculation of Case Mortality Ratio, see 'Closed Cases' (Cases which had an outcome) and 'Deaths'.

Up 0 Down 16

Lib majority on Apr 15, 2020 at 9:08 pm

Hey there Yukon corn, what is in your cool aid? You have got to be looking at the world through rose colored glasses or taking advantage of the recently legalized herb, if you think the YP can govern better then the liberals. Who, what, where, when. You did have one thing right Yukoners have long memories and no one has forgotten the total failure that they last YP reign was.

Up 0 Down 17

Max Mack on Apr 15, 2020 at 6:33 pm

@Yukon Cornelius
Absolutely shameful attempt at fear-mongering. People are already hysterical about this virus.
Evidence suggests that this virus is about as lethal as the seasonal flu.

Targeted restrictions (i.e. locking down vulnerable populations) and plain old social distancing with good hygiene practices would accomplish a very similar result as the current relatively extreme measures. Current measures are destroying our economy and will lead to many more deaths and far worse health outcomes than what this virus could accomplish.

Stop scaring everyone!

Up 4 Down 3

See Senor on Apr 14, 2020 at 9:27 pm

Standard staples... YukonMax you are fined 1 credit for violating the written Redundancies Codes!

Up 9 Down 2

What’s your frequency Kenneth? on Apr 14, 2020 at 6:19 pm

Dear Atom - Hanley is holding himself out to be a public and political figure who is therefore rightfully subjected to public commentary. That is one of challenges associated with the privilege of power.

Secondly, while there can be those who abuse the safety of anonymity in their comments it is something that the authorities will often cite as a matter of confidentiality to protect their interests, often when they are pursuing discipline or they are having to defend themselves from a lawsuit, human rights claim, breach of privacy, or criminal action.

We live in a hierarchical society predicated on authority. information control, secrecy and ultimately power.

The ability to express your opinion anonymously is essential to the process of democracy in power-based systems. This is because people in authority would rout them out, fire them and otherwise ruin their lives... Some for the thrill of it, some for the need to defend their own egos, and some to protect their own economic interests.

Up 31 Down 4

Yukon Cornelius on Apr 14, 2020 at 4:04 pm

@YukonMax:

The 'bearded wonder' assumes that Yukoners are sheep with poor memories. Come November 2021 the communities should send a strong message to this Liberal Yukon Government in the form of ballots in favour of the Yukon Party whom the 'bearded wonder' called "paranoid" when they pressed him in early March 2020 for his plan for dealing with the current global pandemic.

Up 29 Down 2

YukonMax on Apr 14, 2020 at 7:42 am

Believe it or not, there are communities in the Yukon that haven't been getting standard staples, i.e. dairy, produce, baked goods etc. as the local retailers are getting shorted out of their orders... (far from the eyes...)
People in the communities are used to buying dry goods and non perishable while in town, but the above mentioned are weekly purchases, within the communities and are usually, readily available. The message to "stay home" is getting thin when the food pantry is empty and your local retailer has no power over order shortages.

Up 14 Down 8

Atom on Apr 13, 2020 at 9:58 pm

Folks are gettin a bit shack happy. Crowd mentality while quarantined...brought to you by social media.
Calm down folks. The words may come out of his mouth but they shouldn't be twisted into something they are not..
And, All communities need to continue to self isolate...no matter if someone tested positive (And is 'Self Isolating!') in that community or not.
Pretty sad Hanley is the only one who has their real name attached here. I wouldn't want you to know mine. Ick

Up 30 Down 7

Yukon Cornelius on Apr 13, 2020 at 12:07 pm

To demonstrate the importance of keeping SARS-CoV-2 (Coronavirus) out of Yukon's Indigenous communities, a recent U.S. Center for Disease Control (CDC) peer-reviewed White Paper states that Coronavirus has a doubling time of the number of infected persons of between 6 and 7 days. Assuming a serial interval of 6–9 days, the study calculated a median R0 value (a measure of how contagious a virus is) of 5.7 (with a 95% confidence interval: 3.8–8.9). In contrast, the Swine Flu (AKA Spanish Flu) which killed an estimated 20 - 50 million people in 1918 had an R0 of 2.

Given the fact that Coronavirus is estimated as being almost 3 times as contagious as Swine (Spanish) Flu and given Coronavirus' average global Case Mortality Ratio of 21 per cent (the percentage of people hospitalized with COVID-19 disease who die from it), this is why global governments are shutting down their economies and ordering people to self-isolate.

Please stay home and protect our elders.

SOURCE:

https://wwwnc.cdc.gov/eid/article/26/7/20-0282_article

https://www.worldometers.info/coronavirus/?

For calculation of Case Mortality Ratio, see 'Closed Cases' (Cases which had an outcome) and 'Deaths'.

Up 32 Down 6

I. C. Yoo-Tootoo on Apr 12, 2020 at 9:57 am

There are people from the communities travelling back and forth between their community and Whitehorse on a regular basis. Good luck with that!

Up 12 Down 11

Miles Epanhauser on Apr 11, 2020 at 6:32 pm

Will have to look at those models again.

If only 8 people have been infected all others are vulnerable, So, the situation requires social distancing. If I were the chief of the VGFN I would restrict all travel out to medical cases and people leaving the community.

Sooner or later a community may get unlucky with bad results. And there are many independent thinkers here who will carry on as usual.
Self distancing can be observed in more businesses so people can carry on with employment.

Up 6 Down 16

crypticridesagain on Apr 11, 2020 at 6:23 pm

That situation could change when communities have to be evacuated because of forest fire smoke. Are we ready for that? Or do we need the Emergency Act to empower the military to create camps in smoke free zones, with isolation huts for people in quarantine?

Up 26 Down 15

Australis on Apr 11, 2020 at 2:55 pm

Imagine being patient zero in a Yukon community. Not releasing the name of the community is frustrating, but it is a carefully considered choice. Social distancing should be practiced whether people know there is one person infected in their community or not.

Up 61 Down 3

Mr M on Apr 11, 2020 at 10:08 am

There was no hesitation to let a Yukon resident know where the other infected citizens were from and where they went to church and the dentist they have seen. Hmmmm.

Up 40 Down 6

Stay Safe this Long Weekend on Apr 11, 2020 at 9:47 am

Hanley quit hiding important information for the communities! And quit telling Yukoners to go and BE SOCIAL!! Get with the program and help "flatten the curve" according to Alison Thompson, "professor drug safety and health services University of Toronto faculty of pharmacy." "As of now, I would say not to visit an elderly person you know for risk of transmitting the virus,” she said. “We know there’s asymptomatic transmission of the virus, so just because you feel okay doesn’t mean you aren’t transmitting the virus yourself. It’s not worth the risk.” Everyone be safe this long weekend stay home and help stop the spread of COVID-19.

Up 49 Down 14

iBrian on Apr 11, 2020 at 8:37 am

I agree with Beaker. I find it completely unethical to state there is a case in a community, but Yukon health is not telling.
I have had my fill of our CMO.
As far as I am concerned that is not proactively protecting the public.
This is a demonstration of endangering the public, especially in a community. With volunteers running ambulances and minimal support for the Nurses who are on shift.

It's like the Chinese Communist Party is running our healthcare.

Up 42 Down 8

My Opinion on Apr 11, 2020 at 12:17 am

If you do not let the community in question know, they will not practice the proper levels of caution. After all many are related.

Up 47 Down 11

My Opinion on Apr 11, 2020 at 12:14 am

No we can’t inform people. We can say that all the other cases were in Whitehorse however we can’t name any other community due to being crippled by stigma, racism, socio economical stereo typing fears. This is a time for Liberals man up and grow a set. Tell us what we need to know.

Up 21 Down 12

Josey Wales on Apr 10, 2020 at 10:36 pm

Release their residency?
Why would the state do that? Only if they are owed taxes does that happen.
They most certainly are not letting this crisis go to waste eh, those metric democrats?
I suggest by April 17th, we will be under a national order from the lil potato. A never used one, imagine eh?

Up 35 Down 6

Crunch on Apr 10, 2020 at 7:05 pm

Moose I am with you. What is the secret about? If anything it would make people more aware and turn the non-believers into holy cow this could happen to me.

Up 39 Down 11

Yukon Cornelius on Apr 10, 2020 at 5:18 pm

@ Beaker AND @ Moose101:

If you're asking this Liberal Yukon government to be transparent, I've got some Beatles and Elvis concert tickets for y'all.

Up 50 Down 19

Beaker on Apr 9, 2020 at 5:07 pm

As part of any due diligence the community should be disclosed. This would help keep people outside of the community from attending and those in the community to up their level of urgency.

Up 38 Down 30

Moose101 on Apr 9, 2020 at 5:01 pm

I am originally from Ontario oxford county. I looked into how they were doing there. They listed all the small towns in Oxford county where there are coved 19 cases. Right down to a small town a couple miles from where I used to live. Norwich might have two thousand residents, no secrets in Ontario.

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