'From Behind the Scenes to the Forefront: Canada’s Public Health Officers' diff viewer (1/2)

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From Behind the Scenes to the Forefront: Canada’s Public Health Officers	From Behind the Scenes to the Forefront: Canada’s Public Health Officers
2020-06-11 04:16:22 UTC	2020-06-13 00:20:24 UTC (2 days later)
This week I had the opportunity speak to Dr. Bonnie Henry. Before coronavirus and Covid-19 had entered my vocabulary, I had never heard of British Columbia’s provincial health officer.	This week I had the opportunity speak to Dr. Bonnie Henry. Before coronavirus and Covid-19 had entered my vocabulary, I had never heard of British Columbia’s provincial health officer.
Now, it feels like she has become one of the most famous and beloved people in Canada.	Now, it feels like she has become one of the most famous and beloved people in Canada.
She has inspired fan clubs, musical tributes, T-shirts and street art. Musician and lawyer Phil Dwyer wrote a ballad about her that his friends and son helped him record and mix remotely. Two days after it was uploaded to SoundCloud, the song had been listened to 20,000 times.	She has inspired fan clubs, musical tributes, T-shirts and street art. Musician and lawyer Phil Dwyer wrote a ballad about her that his friends and son helped him record and mix remotely. Two days after it was uploaded to SoundCloud, the song had been listened to 20,000 times.
“We all share this person who comes and talks to us every day. The interesting thing is she is delivering, for the most part, really awful news: more people sick, more people dead, more people going to die. But somehow, the way she does it and the level of empathy she shows, it just seems like she is the right person for us at this time,” Mr. Dwyer, who lives on Vancouver Island, told me. “She is who we needed.”	“We all share this person who comes and talks to us every day. The interesting thing is she is delivering, for the most part, really awful news: more people sick, more people dead, more people going to die. But somehow, the way she does it and the level of empathy she shows, it just seems like she is the right person for us at this time,” Mr. Dwyer, who lives on Vancouver Island, told me. “She is who we needed.”
Dr. Henry is not alone. Public health officials across Canada have become veritable folk heroes. In Quebec, Dr. Horacio Arruda’s animated face has appeared on loaves of bread, coffee cups, coloring books, windows and tattoo designs. After he announced he planned to spend the weekend inside, baking Portuguese tarts, his local fan club hosted two Facebook live session on “how to bake natas.”	Dr. Henry is not alone. Public health officials across Canada have become veritable folk heroes. In Quebec, Dr. Horacio Arruda’s animated face has appeared on loaves of bread, coffee cups, coloring books, windows and tattoo designs. After he announced he planned to spend the weekend inside, baking Portuguese tarts, his local fan club hosted two Facebook live session on “how to bake natas.”
In Calgary, clothing designers hooked up with a local artist to make 1,100 T-shirts featuring the face of Dr. Deena Hinshaw, Alberta’s Chief Medical Officer of Health, and three other newly famous female health officers. They quickly sold out. “She’s someone we trust, because there is no political layer,” said Emma May, a designer on the project who normally makes women’s business attire. “She has no agenda. Her agenda is science.”	In Calgary, clothing designers hooked up with a local artist to make 1,100 T-shirts featuring the face of Dr. Deena Hinshaw, Alberta’s Chief Medical Officer of Health, and three other newly famous female health officers. They quickly sold out. “She’s someone we trust, because there is no political layer,” said Emma May, a designer on the project who normally makes women’s business attire. “She has no agenda. Her agenda is science.”
The public health doctor as hero phenomenon is not unique to Canada but it’s certainly pronounced here. It’s a particular contrast to the polarized reception Dr. Anthony Fauci has faced across the border. There, the head of the National Institute of Allergy and Infectious Disease has garnered devout fans but also so many public enemies he’s had to beef up his personal security.	The public health doctor as hero phenomenon is not unique to Canada but it’s certainly pronounced here. It’s a particular contrast to the polarized reception Dr. Anthony Fauci has faced across the border. There, the head of the National Institute of Allergy and Infectious Disease has garnered devout fans but also so many public enemies he’s had to beef up his personal security.
I called a few people to get their take on why this was happening.	I called a few people to get their take on why this was happening.
Josh Greenberg, a professor of communication who focuses on public health at Carleton University in Ottawa, said that Canada’s public health doctors were filling a void created by “preening” celebrities.	Josh Greenberg, a professor of communication who focuses on public health at Carleton University in Ottawa, said that Canada’s public health doctors were filling a void created by “preening” celebrities.
“Ordinary people don’t have time for celebrity peacocks when the world is burning,” he said. “There is a void created because there is so much mistrust in politicians, mistrust in traditional institutions like journalism, that we go to these figures who were largely up until now backstage players and we are putting them onstage by making them celebrities,” he said.	“Ordinary people don’t have time for celebrity peacocks when the world is burning,” he said. “There is a void created because there is so much mistrust in politicians, mistrust in traditional institutions like journalism, that we go to these figures who were largely up until now backstage players and we are putting them onstage by making them celebrities,” he said.
Jeremy Frimer is an associate professor of psychology at the University of Winnipeg who studies moral heroes. He told me that whether consciously done or not, the creation of moral heroes during times like these is an “advantageous social strategy.” They lead by example, convincing rule breakers to fall in line.	Jeremy Frimer is an associate professor of psychology at the University of Winnipeg who studies moral heroes. He told me that whether consciously done or not, the creation of moral heroes during times like these is an “advantageous social strategy.” They lead by example, convincing rule breakers to fall in line.
“They mobilize the masses to do their part,” he told me. “That’s the difference between social distancing and washing our hands and not.”	“They mobilize the masses to do their part,” he told me. “That’s the difference between social distancing and washing our hands and not.”
There is something both intimate and collective about the role they play right now, speaking directly to each of us from the television or livestream.	There is something both intimate and collective about the role they play right now, speaking directly to each of us from the television or livestream.
They are also very relatable. This week, Dr. Henry admitted during her regular update that she had been forced to cut her hair herself.	They are also very relatable. This week, Dr. Henry admitted during her regular update that she had been forced to cut her hair herself.
Dr. Henry told me the surge of adulation has been “scary, embarrassing almost” and “really, really touching.”	Dr. Henry told me the surge of adulation has been “scary, embarrassing almost” and “really, really touching.”
“I’m an introvert — it’s not my nature to be the face of things,” she said from her office in Victoria where she’s received flowers, home-baked cookies and cards.	“I’m an introvert — it’s not my nature to be the face of things,” she said from her office in Victoria where she’s received flowers, home-baked cookies and cards.
“In doing our jobs as best we can most of the time, you don’t see us, because there aren’t major outbreaks,” she said, adding: “We are doing things like putting in no smoking bylaws.”	“In doing our jobs as best we can most of the time, you don’t see us, because there aren’t major outbreaks,” she said, adding: “We are doing things like putting in no smoking bylaws.”
She told me that she came by her calm delivery — lauded by many as anxiety reducing — naturally. Her first job as a physician was in the Navy, where she worked on a ship in Esquimalt. “I remember basic training,” she said, “I was criticized because I don’t yell loud enough.”	She told me that she came by her calm delivery — lauded by many as anxiety reducing — naturally. Her first job as a physician was in the Navy, where she worked on a ship in Esquimalt. “I remember basic training,” she said, “I was criticized because I don’t yell loud enough.”
She has deep experience working in epidemics, from contact tracing ebola patients in Uganda in the early 2000s to helping quarterback Toronto’s response to SARS in 2003.	She has deep experience working in epidemics, from contact tracing ebola patients in Uganda in the early 2000s to helping quarterback Toronto’s response to SARS in 2003.
~~Updated June 5, 2020~~	Updated June 12, 2020
	Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.	So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.	A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.	The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.	Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.	Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.	States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.	Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)	If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.	Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.	The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.	If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.	If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
“I’ve been working in outbreaks around world for 30 years,” said Dr. Henry, 54. “I never ever thought we’d be in pandemic like this.”	“I’ve been working in outbreaks around world for 30 years,” said Dr. Henry, 54. “I never ever thought we’d be in pandemic like this.”
The day she decided schools would have to close, she said she was in shock.	The day she decided schools would have to close, she said she was in shock.
“It felt like a bad dream, like the movie ‘Contagion.’ It wasn’t real.”	“It felt like a bad dream, like the movie ‘Contagion.’ It wasn’t real.”
This week’s Trans Canada section was compiled by Ian Austen, Canada correspondent.	This week’s Trans Canada section was compiled by Ian Austen, Canada correspondent.