Good afternoon, my name is Adrian Dix and BC Minister of Health. To my right is Dr. Bonnie Henry, BC's provincial health officer. It's one of the say last night with 13,000 people tuned into the virtual town hall in the Vancouver Island health region co-hosted by Mitzi Dean MLA and Sonia Furstenow MLA with CEO Kathy McNeill and medical health officer Dr. Richard Stamwick who received and answered many questions from the public that tonight there'll be a virtual town hall in northern health hosted by MLA's Mike Bernie and Doug Donaldson and with Kathy Ulrich the CEO of Northern Health and Raina Fumerton the medical officer of health medical health officer I should say in northern health and that tomorrow April 23rd in interior health Kathy Katrina Conroy I should say and Norm Lettek MLA's will be hosting a town hall with Dr. Sue Pollock the MHO for interior health and Susan Brown the CEO of interior health we're honored as I say to be here on the territory of the Lekwungen speaking people the Songhees and the Esquimalt First Nation and I'm honored to introduce Dr. Bonnie Henry for today's COVID-19 update. Thank you and thank you for welcome to today's update for April 22nd we have 71 new cases who have tested positive today bringing our total of test positive cases in British Columbia to 1,795 that includes 745 people in the Vancouver coastal health region 747 in the Fraser health region 110 people in the Vancouver Island health authority 153 in the interior health region and 40 in northern health region we have a number of outbreaks as you are aware we have three new outbreaks in long-term care facilities that were announced earlier today by Fraser health all of them in the Fraser health area and as we know we have been putting a lot of attention at detecting any cases in our long-term care sector very early and that's a reflection of the numbers that we're dealing with we have 20 ongoing outbreaks in addition in long-term care assisted living and one which is in an acute care unit in addition four of the long-term care facility outbreaks that were active in Fraser health have been declared over in our other outbreaks we have 77 cases associated with the mission federal correctional facility and the ongoing investigation and support to that facility with Fraser health including the infection prevention and control and outbreak investigation continues there are five inmates who are in hospital currently in addition we have the 28 cases we talked about yesterday that are reflected the outbreak that's ongoing and the investigation that's ongoing into the poultry processing plant in Vancouver coastal in terms of our case status 103 people are currently hospitalized and of those we have 46 people who are currently in critical care or icu nbc we have an additional three deaths to report today bringing our total of people who have died from COVID-19 in British Columbia to 90 they are all people in the long-term care homes and our hearts go out to the families and the caregivers we now have 1079 people who are fully recovered from COVID-19 as we talked about yesterday we continue to experience new community outbreaks in British Columbia and this of course is very very concerning to me and to all of us this tells us that we have more work to do to break the chains of transmission in our communities and to make sure that every individual every business every community every family does what we need to do to break these chains and that's everyone all the time we can't afford to have any weaknesses in our firewall if we are going to be able to to move ahead into our new normal we know people are tired of staying apart from their loved ones we know we are tired from of not being able to do the social connections and events that we are used to doing but to ease restrictions we need to have a decline in both the number of new cases and the numbers of outbreaks and as i've said many times there are things what we can control and there's things that we don't have control over what is happening around us both in the united states and in other provinces in canada and internationally affects us and we know that that is one of the reasons why we have to be so vigilant here in british columbia until we clear this hurdle we can't begin to make changes one of the most important things that we all need to do is to stay home if we're not feeling well and to and with no exception right now we know that many people experience very mild symptoms with this virus and some may think it's just the sniffles or or perhaps even just allergies at this time of year it makes it really hard to tell if you have COVID-19 but you can still transmit it to others even with very mild symptoms so let me be a hundred percent clear right now if you are ill whether you feel it's a cold whether you feel it's allergies whether you are concerned you might have COVID-19 stay home stay away from others and immediately contact us and we can help you get tested if that's appropriate we also expect that employers need to pay attention to this and need to be responsible you must have measures in place to ensure everyone who's working is healthy and can keep a safe distance from each other in the workplace we do not penalize employees for staying home if they are ill during this pandemic we also employers need to understand that an outbreak in your business has effects on all of us it also can have significant financial impact both for the business and for your employees as we've seen with the number of businesses recently an immediate shutdown is required so that we can ensure that we're not passing this on in those situations your own business will only be able to open again once we are confident that it can operate without putting people in danger the employees or the community so as we are planning for what we want to do in the near future in our new normal these sectors and businesses need to think about these we need to address these issues before we can reopen safely we need to have measures in place to keep people safe to avoid further outbreaks if we start having these types of outbreaks and spread in our community we can overwhelm our system and that's what we've been working so hard to avoid for the last few months so we need to have enhanced cleaning both personal hand hygiene as well as in our environment in the workplace being able to keep a safe physical distance and supporting employees and others to stay away if they are ill we need to have a plan for every business that is open and in the event that an outbreak should occur so that we can detect them early we can remove people from the workplace we can connect with public health and ensure that we are isolating people appropriately so they aren't going to be transmitting it to others there's an order providing this guidance for industrial camps and we and for and we've given guidance for those businesses so it's essential businesses that have been open we need everybody to follow these and we need the same from other businesses as we look to opening things up in the coming weeks we need to keep our firewall strong and we have to be 100 committed to all of us doing our way doing our bit to see our way through this storm I want to take a minute before I finish today to just say a word to uh we're aware I think many of us are more aware today about the the details of the senseless tragedy that has folded in Nova Scotia that place that's very dear to me in this time of unparalleled challenge and I just want to say to my Nova Scotia family wherever you are and to my RCMP family know that know that I'm heaving a sigh and a wish for thee and we'll mourn with you from afar so all of us need to do our part and we need to continue to support each other in doing that we need to be calm and to be kind to each other and to be safe thank you very much dr. Henry I know that everyone in British Columbia agrees and has the same feeling for people the people of Nova Scotia today and what they're going through and the the grief the collective grief that people are going through in Nova Scotia I also wanted to start by acknowledging the families of the three people who passed away from COVID-19 in the last 24 hours in BC tour and Fraser Health one in Vancouver coastal health all were in long-term care but all all those families are going through grief right now and not just the grief of of a loved one passing away but the grief of the circumstances we're in when people are all often separated from the ones they love in these very important moments and in families and in communities so our condolences and our thoughts go out to all of them as dr. Henry has said today is a day in terms of the numbers which sometimes people often people analyze after the these press briefings that we have 71 more cases today reflecting the situation in Vancouver at united poultry and part and others and as well the numbers in terms of acute care where we have 103 cases which is I believe the lowest number we've had in the month of April down from a high of 149 and in critical care 46 which is also the lowest amount we've had in in April show the the continuing effort made by the community I think to break the links of transmission of COVID-19 and something that we have to continue to commit to in acute care hospitals today there's about a 62.1 occupancy rate 4222 vacant beds as a report 46 percent of critical care beds are currently occupied and there has been some interest in what's happening in emergency rooms whether people are seeking the care they need again today more than fourth yesterday more than 4,000 people visited emergency rooms across BC which is up from just under 3,000 on April 6th although continue to be down from the normal say March 9th when it was approximately 6,500 visits so that tells you that people are from where we were in April 6th returning and using healthcare services when they need to use them and I think that's an important thing and something that we will continue to encourage often we celebrate people who are working and essential workers I wanted to acknowledge that April's constructions and skills trades month that there's frequently events recognizing people in construction people skills shapes people across across British Columbia and obviously there isn't the public recognition the public celebrations that often accompany this but we know that thousands of construction workers are working on roads and hospitals and other critical infrastructure needed to keep water and electricity flowing that that construction sites and work sector and work sites have made significant adjustments to the way they operate and we wanted to acknowledge them all their contributions both the BC society and to our communities in every part of BC also wanted to offer for the people who live with dementia or who are supporting a level in living with dementia people know about the first link to first link dementia helpline that it's available as a resource this is run by the Alzheimer's Society at BC helpline staff and volunteers can provide support and information very important in these times about resources in the community so and that number is 1-800-936-6033 and just to let people know that that the Alzheimer's Society has extended first link dementia helpline hours that in English that number again is 1-800-936-6033 it's now Monday to Friday 9am to 8pm in Cantonese and Mandarin it's 1-833-674-5007 and that's that is Monday to Friday 9am to 4pm and in Punjabi 1-833-674-5003 and that's Monday to Friday from 9am to 4pm and I wanted to acknowledge the extraordinary ongoing work in this difficult time of the Alzheimer's Society which I think everyone in British Columbia who's ever been associated with the Alzheimer's Society knows that work and will appreciate that in these times that work is even more important there are a lot of questions ongoing questions about surgery and the resumption of surgery I just want to note that from the period March 16th to April 19th the total number of postpone surgical cases in BC was 13,988 the total completed cases because we of course have continued with urgent scheduled and unscheduled surgeries is 11,936 so even though there was a there that we have deferred and cancelled what are called sometimes called non-urgent scheduled surgeries but essentially just scheduled surgeries that are all important as we know there continues to be a lot of activity in terms of surgeries in BC and extraordinary work continuing to be done we've never had this period in surgeries that should be said this need to renew on the scope and to go back potentially to having surgeries again in BC to resuming elective surgeries which we hope to do of course at some point and that's what you know as we proceed with this work our commitment to patients is not wavered that you are not forgotten that you are the center of what we're doing that we have been planning a resumption of surgery which we are continuing to work on ever since the elective surgeries were cancelled that work continues and I want everybody to know who's waiting for surgery that they are in our hearts and in our thoughts and most importantly in the work that's being done across health authorities in BC and finally I think we see the case whether it's Cargill in Alberta whether it's United poultry here in Vancouver whether it's the circumstances of the mission federal institution in mission the significant and ongoing risks posed by COVID-19 to the health of people in British Columbia and what it says to us surely is that we have to continue to do what we need to do to be 100 all in this is particularly important in light of these outbreaks on the question of working sick and just so everyone understands there will be and we are working hard on ideas of how we can move British Columbia forward from this point but what is not going to change what cannot change and which has to happen now is people have to stay home when they're sick and this is going to be part of the new reality during this period of pandemic sometimes I think there's a sense that it's the brave thing to do or the courageous thing to do to play hurt or to work sick well that can no longer be the case and that is the responsibility of both employers and employees that's something we have to continue to work on but we have to especially have that happen now since we've been giving these briefings in January that has been a consistent theme washing hands not touching your face but most importantly staying home when you're sick it's the key part it may be the most important part of being 100 all in and we really need in light of today's numbers and in light of these community outbreaks we really need people to be 100 all in right now and just finally I'm the premier announced today the opening on April 27th of the the original primary care center in James Bay in Victoria and it shows what we're continuing to do we need to continue to expand our public health services across anything about the last few months has told us anything it's how important public health care is to everyone and we're going to continue to make these efforts and as you saw earlier this week in Castlegar in Vernon and Abbotsford those efforts have expanded through urgent and primary care centers and today I was delighted to hear the premier's announcement of the of the opening in Victoria on April the 27th and with that we're happy to take your questions thank you as a reminder to everybody on the phone please press star one to enter the queue uh please also unmute your phones you are not audible until we call your name first question is from Von Paul son go ahead Von hello dr Henry the other day you mentioned this study in California of antibodies which had suggested a more widespread infection rate than had been detected with conventional testing could you discuss a little more the obstacles here in British Columbia to going to antibody testing I know you've expressed said there's some reservations or we haven't found a reliable test yet but I could you discuss what those are and you also the other day provided a good discussion of the significance of the reproduction rate but you didn't say whether we know enough here in British Columbia to know what it might be here so could you address that as well please sure so let's start with the serology testing and and I will note that there's been quite a lot of discussion in the medical community about the study that was done in California particularly because it was done on a sample of people and the sample of people was recruited through a social media site so it was in many people's opinion likely to be a bit biased towards people who had concerns that they might have had infection the other thing that has become really apparent is that the test that they were using is one that has not yet been sufficiently validated and there's a high a relatively high false positive rate so that's one of the concerns the critique as we know we're all trying to learn a lot from the science of what's going on around the world and that means that many papers are getting out into the public before they have what we call peer review so some of the peer concerns about the paper from from california are around how they recruited people and the the validity of the test which speaks to one of the challenges that we have we want to make sure we know how the test works before we use it to make some such types of of studies and we have a number of them planned very similar to what they did in california however using random samples of blood from a different source so from community blood samples that were taken for other reasons and there's a way we can do that so we have a research process set up to do that to help us understand like they were trying to do in california how many people might actually have antibodies in the community so the challenge in california was when they came up with their estimates part of what they looked at was plotting the number of people who had died in that county santa claire county with the estimates of how many people might have actually been infected and it was somewhere around four or five percent so i will note you know that's not enough to have community immunity or herd immunity but it was much higher than the number of people who had actually been tested when the first phase of the outbreak really went through that county so part of the conclusions were from this study which was done on a very small sample they extrapolated that oh it's not really that bad the death rate is only about point two which is closer to what we would see with seasonal influenza so it's unfortunate that that got picked up is one of the conclusions because i don't think that is supported by either by the test because it has a higher rate of false positive or by the information that came out of that study so this is kind of long winded again sorry um anyway in terms of what we are doing here we want to make sure that we have actually validated the test in the population that we know have been affected here in British Columbia so we can understand what is the false positive or the false negative rate from this test with every test that we have it's not a hundred percent either way and it depends on what's most important whether you want to make sure you're catching everybody or if you want to make sure that you're only catching people who have the disease you're looking for which of the which of the parameters you're more um it are more important and that we've seen this challenge around the world with the serology tests that people are using and the the UK purchased 3.5 million of this one type of test and found out that it had an unacceptably high false positive rate and false negative rate so that leaves us all with a dilemma which is to say that the BCCDC is working with the population and actually one of the good news stories perhaps is that we are using we are working with the the Lynn Valley Care Centre with the people who have survived infection there and there's a good proportion of them to ask them to participate in helping validate this test because we know there are people who have tested positive for this for this virus so that work is ongoing I'm hopeful that we'll have a valid test that we can use as we've mentioned before to have a broader understanding of how many people in our community have been infected but also to be able to understand who has antibodies after being affected it also helps us look at some of the contact tracing and understanding of outbreaks in our communities as they happen so we are weeks maybe sometime in the next week to 10 days we should have a much better idea of which tests we can use for which pieces of this and we are part of course of a of a national consortium to look at how we can use seroprevalence to understand the the pandemic across Canada in terms of our not it's a challenging thing because it's one of those parameters so it depends as we've talked about before of how infectious the virus is how long you're infectious to others and how much contact you have with others during your infectious period and this is gets down to our why distancing is so important if you don't have contact with somebody you can't pass this on and that helps reduce our are not so we were probably at two or three early on as we were having increased transmission in our community and that's what we've seen in other places as well in Wuhan it probably which meant that every person who was infected transmitted it to two or three other people we are now down below one but we can only say that looking back so it is a helpful marker to get so we can understand what are the the things that tell us that we're having increased rates of transmission or decreased rates of transmission so the modelers at the BC CDC are working with us on that and actually at UBC and Simon Fraser and we're talking with our clinical colleagues we're looking at how can we use things like hospitalization numbers of people in ICU to help us estimate how we're tracking with the with our reproductive number over time and we'll be presenting some more of that in the coming days probably later next week. Next question is from Bershdi Basu Victoria Bas. Hi Dr Henry thanks for taking my question I was wondering what exactly is the criteria to declare someone recovered from COVID-19 BC can you tell us whether it differs by health region or whether it's changed recently and also are there people in BC who have tested or tested positive or shown symptoms of the virus after they were thought to have recovered? Yeah so we we have criteria we have two different criteria for how we are determining whether somebody's recovered and it is the same across BC but I will address one issue in a minute so initially around the world we were using after symptoms have resolved and you had two negative tests so the the nucleic acid test the that test that we're doing at least 24 hours apart and we are still using that criteria for people who are hospitalized because they have more severe disease or for people who are immune compromised because we know they can shed virus for longer periods of time but we also have a what we call a clinical criteria recognizing as we did at one point where lab testing took some time we've also recognized as we've learned around the world more about this virus that some people can actually shed the virus for periods of time but it's not live virus so they're not going to transmit it to others and there is a couple of papers including one out of Germany that helped us look at that and essentially they were not able to find live virus in after eight days from symptom onset once people's symptoms had resolved so this is for people who have a mild illness so which is a large proportion of the people in bc've tested positive so if you have a mild illness you're at home your fever has resolved your everything except sometimes people have a lingering cough that may go on for a period of time and you're otherwise well you're back to your normal activities and it's 10 days since your onset of symptoms then we consider people able to be out of isolation and recovered so that's the criteria that we're using across the province there was a point when Vancouver Coastal was just using the algorithm for mild disease and they didn't have a physician oversee the some of the reports and it turned out that not everybody after 10 days had had their symptoms resolved so we went back and recalculated that number in the daily follow-up with people so it was so there was a bit of a reckoning that happened last week to make sure that we weren't over including people and there were some people who have mild disease but their symptoms progressed and lasted longer than 10 days so we're still concerned that they might be able to transmit it to others so they aren't considered recovered until their symptoms resolve completely so that's that's kind of the complex criteria we use in terms of whether people have we have had people who early on particularly with people with mild illness we were testing them you know they had to have two tests two negative tests and we found that people would be negative and then positive and then negative and then positive and then sometimes it went on for some time we now know that it's very unlikely that they will shed virus that could infect others and that's been shown again in South Korea recently where they've had upwards of 80 or 90 people who after a period of time tested positive for the virus again but again not having symptoms and it's not clear that they are infectious well it does not appear that they're infectious to others so we're still learning a lot and it's sometimes complex so we have to try and keep on top of all of the different combinations and permutations that happen. Marcella Bernardo news 1130. Hello I wanted to ask again just because I've been inundated with emails from people who are very concerned about this policy involving not letting staff work at more than one facility I've been hearing from people in Camus I've been hearing from people in the Tri-Cities area pretty much all over the province that they're worried that people are still working in facilities that they could be carrying this virus to other places like long-term care homes where their loved ones are. Yeah so as we've said it's quite complex there are some people who are not part of this so for example we know doctors go between facilities they may have patients in different areas we know that there are pharmacists who are in facilities so there's a group of people who are excluded from that they are not however excluded from the need to use appropriate personal protective equipment and to minimize their visits and take all of the precautions that we need them to take and there is a small percentage of people who need to work in both acute care for example and maybe one long-term care home so there there's not it's not a blanket that everybody is at one and so it may be some people not recognizing who are the people who need to go between facilities recognizing that you know they need to do it with all the precautions that we have put in place I will also say and maybe I'll ask minister Dix to address it but it's taken some time to sort out all the combinations again of that affects so many people and it's particularly a challenge to make sure that we have the appropriate nursing staff and care aides that are able to care for people in each facility yeah I mean this principle came out very early on I think in after the outbreak at Lynn Valley and certainly applied very early on at facilities which were affected by outbreak subsequent that there has been a policy direction and then a provincial health order and so it first because Vancouver Coastal Health was affected first it was it proceeded ahead of Fraser Health so you'll see a lot I think very significant progress in Vancouver Coastal Health Island Health had fewer numbers of people working in multiple care homes as is the case with Interior Health although they had some Island Health completed its work I think earlier and Fraser Health which has thousands of people in the circumstances has been ongoing and doing that work so it is happening it's a provincial health order it's a direction and that is going to be the direction from now on it involves thousands of people so I think the task will be completed soon but the order is in place and that's the direction that we've headed in and that we're on and is absolutely necessary in these times and of course the consequence of that is we have to make sure the consequence of that is that care homes have adequate staff to take care of people in care because in general there's 29,000 people in publicly funded care and more obviously who are in a strictly private system or have involved in private care home in some ways in those 29,000 beds there's some health authority owned and operated ones or non-profit ones or for-profit ones but they're all all 29,000 of those beds are public beds and ultimately due to availability people have some choice they make those decisions so we have to ensure that standards are high across the piece and that's what's happening now it's been an extraordinary effort but I think it reflects the extraordinary impact on long-term care of COVID-19 and the necessity to make these changes so it is happening Marcella there may be some people who haven't had it finalized yet but I think it's been an extraordinary effort to date and it's our expectation that it'll be completed soon. Cindy Harnett times colonist. Hi thanks for taking my question if we continue to flatten the curve into May do you foresee any modifications on restrictions of visitors to senior care homes and hospitals and just by way of a clarification or an update what is the policy around visitation of someone dying of COVID-19 in hospital and what is the policy around a first outbreak in a long-term care home like where we to have one on Vancouver Island is it to remove the patient to a designated area or leave them in place. Yeah so in terms of restriction of visitors there are exceptions right now particularly for people in long-term care also in hospital who are at end of life in particular and yes those exceptions we expect to continue I absolutely hope to be able to at least have one family visitor be available be able to go into long-term care to spend time only with their family member there still will be restrictions in place in that they'll have to only go to their family member we I don't see us being able to open up the care homes like we had where there's group events and and families and others come in to to be with people in those our seniors and elders but I do hope we'll be able to open it up to at least have one family member be able to to come and spend time I know how difficult it is not only for the families who are watching but for for our seniors and elders in long-term care particularly to people with dementia and other medical conditions and the same in hospital it has been very much a challenge for people who are dying of COVID-19 because of the the infection prevention and control risk and so I know in intensive care units in hospital they're going to extraordinary lengths to make sure family can be as close as possible recognizing that we have to wear personal protective equipment and make sure that that the staff are protected as well there is no you know with an outbreak it depends it depends on the resident it depends on what room they're in and how well they can be isolated sometimes they're transferred to hospital but it's not automatic it depends on the family's wishes the residents wishes and how well somebody is able to be cared for and isolated within the facility next question is from David Moncoe ctv hey Dr. Henry I just wondered if you could go into a little bit more detail about what we're learning about the outbreak at united poultry you know we heard from the premier earlier talking about how workers were going there six can you give us a sense of how the concept tracing is leading what you're learning about what was in place the facility or what wasn't so that message once again can be driven home to to people watching us yeah so you know this meat processing plant as all of them are are part of the essential services we need in terms of our food chain my understanding from vancouver coastal health who is doing the detailed investigation obviously i get reports from them on how it's working so they had a report of a community person in the community who had been tested for COVID-19 and in the the course of our contact tracing and understanding the case investigation part of what we do with everybody the person identified that others in their workplace were ill so an inspection was done at the workplace vancouver coastal health went there and realized that there were people who had respiratory symptoms who were in the workplace and so arrangements were made for them to be assessed for everybody in the workplace to be assessed and for an inspection to be done to understand you know how close they were together what protocols they had in place for things like hand washing what protocols they had in place for people not coming into work if they were not feeling well whether there was oversight of those and so obviously a number of quite a few others of the people who were on site at the that time the vancouver coastal went on site tested positive and they are now all home the the factory has had to be closed down because of the the amount of illness but also to ensure that appropriate precautions and changes to the workflow could be done to safely protect the workers in that facility so those are things that are ongoing in addition vancouver coastal is doing the investigation and i should say in vancouver and phraser a number of the people who worked in the facility actually live in in the phraser health region and it is our convention of how we investigate these that we we investigate it by a place of residence so phraser health is working with vancouver coastal to ensure that every individual case we find out who their contacts are so if uh who their family contacts are who they may have had other close contact with and those people are being isolated so that uh if and when they develop symptoms they will not be transmitting them to others so it is ongoing this has only been day three uh since the outbreak was detected so there's a lot of work being done right now across the lower mainland to to get a better handle of what's going on shristi gangdev cknw hi dr henry we're just hearing about a case um of someone who was apparently released from um some sort of institution i'm not exactly sure on the details uh but was released from an institution and tested positive for covid-19 and may have been on their way to a halfway house in prince george but then stopped for a visit at a first nation reserve so there's concern about this and i'm just wondering if you're aware of this um of this case and if you have any insight as to how that could have happened there's some ongoing challenges as we've talked about around particularly around our outbreak at the mission correctional facility and we are aware that people inmates have come to the end of their time and have been released from that facility i'm also aware that there's a number of issues in many regions around indigenous people and going home to their communities their home communities and yes we are monitoring this i know that the first nation's health authority has been in touch around the specific issue as well as involved health authorities and we know there's been a number of issues both in phraser health um in vancouver coastal with people um being uh coming there as well as northern health and vancouver island so it is you know it is a challenging thing because we know we've had um we have had uh people cases and outbreaks or i shouldn't say outbreaks because in the community we've had transmission in communities in all regions of bc that have affected indigenous peoples and first nation's peoples and so it is part of our ongoing challenge in managing particularly when we get these outbreaks and you know the mission facility outbreak is the second largest one that we are dealing with right now and it is complex it involves our federal partners correctional services canada it involves a lot of work that phraser health has been doing to try and make sure we have the right infection prevention and control measures in place to protect the inmates and the people who work at the correctional facility and our community and part of it is being notified when people are leaving the facility and making sure we can support them because as with every outbreak with every close contact situation we want we want and will be supporting people to be able to self isolate for that 14 days so that they're not in a position of transmitting it to anyone else we have time for one more question this afternoon for any reporters that didn't get to ask a question there will be a statement released later today for recommendations on protecting families and communities from COVID-19 visit bccdc.ca for non-medical questions about the province's COVID-19 response visit gov.bc.ca forward slash COVID-19 and for a full listing of the provincial health officers orders visit gov.bc.ca forward slash pho guidance last question is from Keith Baldry Global News Hi Dr. Henry you've talked about the second wave of the pandemic in the past and today Robert Redfield the director of the U.S. Center for Disease Control is saying that he fears the second wave is going to be lethal and far more serious in this wave because it's going to coincide with the start of the regular influenza season I'm just wondering what does Canadian public health take on that second wave and what impact is that going to have on any easing of restrictions yeah and I've talked about it as well and we look historically and that the construct that we've been looking at in which he's referred to Dr. Redfield's referring to is what's happened with influenza pandemics where we have a second wave in the respiratory season we don't yet know and I've talked about this as well whether there is a seasonality to this coronavirus but it is very concerning to me and we've talked about this as well that once we have influenza complicating things and the other respiratory viruses that we see it's much more challenging to detect which one is influenza which one is RSV which one is para influenza which one's COVID-19 and we know with COVID-19 it can go be under the surface for quite some time so that's why it is so important for us to do everything we can over the coming weeks we've we've managed to to control this one fairly well right now but we're starting to see community outbreaks and we need to get on those right away and so important for us to try and get this is down to zero as much as we can now and that's where we've been emphasizing how important it is not to be around others if you're sick because come the fall when we start to see other respiratory viruses again it gets much more complicated for us and that's when we're planning we're planning as well for the for the fall when we start to see respiratory viruses and we know that influenza puts people in hospital every year and we know that this is going to put people in hospital as well so yes there is very much a potential of a surge come the fall and that's one of the things that we are working very hard to have in place the surveillance that we need the testing that we need the contact tracing in our communities that we need but we need to do everything we can now to try and stamp it out as much as possible so that we at least have a fighting chance when we're going into the fall that's all the time we have today thank you thank you


Okay, so it's more geometry related. Yeah, yeah, sure. R is equal to the radius is equal to 50 and the distance between center points would be 30 So this This is so are they both the same size circle Gina keep asking questions if you need Same same size circles. Okay, that makes more sense. Okay, so same size circles So the radius is 50. So this is 50 and this is 50 50 and the distance between Between between center points is 30. I should have overlapped on more because the distance here Because it's that's 50. That's not close enough Let me erase it and draw it again So, oh, sorry, I touched the mic. So we got a circle Okay This is 50 right Now if the distance between the two circles is 30 so the other circle center will be here Okay, so I'm gonna erase this so the other circle center is here.  Yeah. Yeah That's not to scale not to scale. That's good. Okay, so this radius is 50 So we want to find the area here. Is that what we want to do? How do we find the area there let's think about this let's think about this So the area of circles both circles is gonna be the same so the area of the circles is Gonna be Pi r squared of each circle right, yeah, I want to Be able to calculate it. How do we calculate the area of this of the center? There's an easy way to do this. What's the trick of doing this? What's the trick of doing this? What's the trick of calculating the area? Here About this as your distance between the center points change the area will change. Yeah, I'm thinking about coming up Pythagorean theorem What I was thinking about doing is this So let's assume the two circles are on top of each other and you move one of the circles in this direction So what you're gonna start getting is? Circles slowly moving away right, and you're gonna stop it when it reaches 30 here so The best way of doing this. I hope it doesn't involve calculus tell you the truth, Pythagorean There's a line segment between the two intersection points that is critical There's a line segment between the two intersection points that is critical. You're talking about here join centers with Cross points are we talking about going like this? That would be a little wacko Because that's 50, right hmm I'm looking at the screen right now trying to visualize it. Yeah, that would be 50 So good question. Do you know? You can build a triangle that way for sure, but it's just gonna be an approximation, right? Like and if you can draw this right You got this thing going on you got your diamond you got a right angle triangles for Pythagorean theorem You have this thing but you could give point points names. So it's easier to communicate areas But this is gonna involve Will this involve calculus? Will this involve calculus? Is there a way to do it without calculus? I think it might have to Be an approximate it would have to be an approximation We can always look at it again next stream It's just something that's been mulling in my head. Yeah That's a good question. I mean it's relate to trigonometry that we want to do after this What are the possibilities? What are the possibilities? I mean the other possibility is finding out Eliminating this area, but how do you find the area there? You found the proof, but it's unclear. I think you Might have to let me take let me take a look at the proof gang Just to see if it's gonna make sense to me area of intersection between two circles Labor the center of the circle C and the center of the second circle C prime label one the points of intersection of the two circles a And B. Yeah. Yeah. Okay. Okay Okay, which is they're not doing this They're doing it taking it all the way to the edge Okay Area was shaded. Oh Interesting interesting huh and Then there's the integration version So for sure would be that calculus, but I don't like the integration because we're not gonna go there The area was shadow. Oh Snap crackle pop Okay, so we need to find the angle. Oh, very cool. Very cool. Very cool. Very cool. That's cool No, no, but wait a second. That's not a circle because the radius Would not beat that No, this is assuming that it's from the center of one circle to the center of the other No, this is not the special case special case. There's a proof for special case, but that's not it We would have to do this on another Another stream would have to I would have to look into this more Yeah, I'm clear to me. There's a specialist case There's one special case where he had it like Gina says the distance between the two centers is 30 Right, so here. Let me draw you what they had one of the one of the cases would be this Right check this up So if you had a circle And you had I should draw better. So centers here.  So take a look at this thing. Oh god. This is horrendous. This is worse than the last one Like seriously, do I have a big circle something here trying to draw too big Okay, let's just do it this way. Let's assume it's this and this so one version was this Got to run ground Go on without me awesome grab. Thank you for finding the link mark. Hello chichou funny enough Helping my niece with her mouth right on so take a look one version is this figure out the angle here right and You can figure out the area here Because if you can figure out that angle whatever that theta is right The full circle area of a full circle is pi r squared, right? That's the area of a full circle now if this is 50 Right, so this is the area of the full circle is going to be pi 50 squared right 50 squared Right, so five squared is 25 you had two more zeros you get that so that's the area of the full circle for this Now whatever this angle is right the area of a full circle area full circle full Circle is equal to two five zero zero pi That was over 360 degrees, right? That's your ratio conversion ratio So if you know this angle Whatever this angle might be you're going to go to 500 pi divided by 360 is going to be the area of the segment Area over the angle Okay, it's just proportionality right you can find the angle using trig as You have the triangle side length using the angles then use the angles to calculate the sector size Add the sectors and take out the triangles. Yeah, so you would figure that out, right? You would do the same here, right? Take a look You would do the same here because that's the other Thing So you would add them right and Then remove this because this was being double counted That's actually very cool. That's actually very cool right Good afternoon. Good afternoon electric shepherd, right? So The question is for us right now What is this angle If we know this angle right We can do this So our main problem is to find out what that angle is What is that angle? Let's check it out. If they're 30 meters apart 30 meters apart How do we find out that 30 meter? Oh, we can find that angle easy peasy. Nice. Let's do this Excellent excellent So check this out. Let me draw and do another drawing Watch this super cool question Gina super cool question and thank you everyone for directing us on sunny sunny Leo 98. Thank you and Did you get it? I'm gonna I'm gonna work it out, right? So close a over two is equal to 50 over This so basically we want this triangle, right? So if we take this part the two things here, let's let's do this draw it out here I'm just taking the top part of this, right? We know that this is 50 We know that this whole thing is 30 If we draw a straight line here, right then this distance here is 15 this part here Right, let me draw that so you can see it better So if the whole thing's 30 this part is 15, right? So we want to find this angle This is going to be theta over two because theta was the whole thing, right? But let's just call it X here. We'll just call it X Let's call it or let's call it beta Right, so trigonometry says this is going to be cosine, right? So close of beta is going to be 15 over 50, right? So we would have to punch that in so this is five goes into this three times five goes in the ten times So this is cos beta is equal to 0.3. So beta is equal to cos inverse of 0.3 Right, whatever that is. Let's punch it in I'm going to punch it in so we get a number Okay, so point three and we're going to take inverse cos So that gives us seventy two point approximately seventy two point five degrees So beta is equal to seventy two point five degrees You should actually use the exact number. Okay, so theta over here So this part this part is Two the angle is two cos inverse of 0.3 Which is going to be approximately two times seventy two point five What was that number? Five four two, so you should take it to pop up up Right, so multiply this by two you get times two We get hundred forty five point zero eight four. So we're just going to go to hundred forty five degrees Right, so theta here is 145 degrees Well, if we know that now we can plug that into here, right and find the area of This so if want to find the area of that is going to be This is a messy board. I should have drawn my circles here smaller and then work my way, but Over here. Let's bring this up here We're going to get two five zero zero pi over 360 is equal to the area Divided by 140 hundred forty five or hundred hundred forty five hundred forty five Right, so the area is going to be two five zero zero pi over 360 times a hundred forty five That's the area of one chunk the area of the other chunk, which is going to be this part is going to be That times two because that's going to be the same amount. So this is going to be Times two And then what do we need to do? We need to remove The diamond the area of the diamond What's the area of the diamond the era diamonds easy to calculate because all you need to do is calculate the area here and Multiply it by four. There's four of them. So you do Pythagorean theorem here Where we're gonna do this? So We can do Pythagorean theorem here. Let's do this here Okay, that one there Pythagorean theorem says 15 squared plus H squared is equal to 50 squared So 15 squared is 200. Actually, let's just do this as the squares So H if you move your numbers around is going to be the square root of 50 squared minus 15 squared.  I What happened to the thing, okay, don't eat it or care, but thanks, I need to appreciate it. So this is going to be Troll yeah Perhaps the ballistic Okay, I'm gonna Hey, how do we ban the guy should we ban After you don't eat it up to you if you want to take care of it. I would say banned Hey, it's not loading for me my little thing really and my tolerance for messing around in math My tolerance for messing around in math Very limited, especially because I didn't get my 13 comics Especially maybe maybe Man, I'm banning. That's it. I didn't get my 13 comics today Why gross crop do so 50 squared minus 15 squared 50 squared minus 15 squared and then you take the square root 47 point 47.7. So the height is 47.7 47.7 So the area of the triangle Is one half base times height So it's gonna be let me race dance It's gonna be one half 47.7 times 15 Whatever that ends up being by the way, I forget who your name was that would End up nuking you Must crop to if you want to come back message me and we can talk about it. Okay at a future stream So it's 47 point seven times times 15 My pleasure Gina now curious divided by two So it's 357 point seven five and we're gonna multiply it by four times four 1000 So the total area of the pyramid is one four three one one four three one and This minus one four three one and that should give you the area of that guy It's going to be Two because you have two segments Yeah, we multiply it by two here So that segment times two minus the area of the diamond inside I Think that's I think I hope you did that right. I Hope you did that right looks chaos looks chaotic But yeah, Graham was on the right track same with gave us the hand found us the link to see it and Sunning sun in Leo 98 helped us out a lot right so Nice tag teaming this You could also use the angle to calculate the area of the triangles and end up with Caught point three at the end rather than rounding up or down earlier on yeah agreed Like I personally if I was doing this I wouldn't be punching in these numbers I would Be using Coast inverse of point three right you want the exact values for as far as you can go Right, you don't want to round during the process All right, I'm just doing that because I'm very limited and in general They might just want an approximate answer, right? I love it. We'll definitely review the VOD. Okay, awesome Gina I'm glad you brought up the question very cool and it's related to trigonometry So we jump jump into trick Let's jump into trick Let's do trick Hopefully I didn't make any brain fart mistakes here Sometimes I end up doing that right down the wrong number or whatnot, but the process is there now Cool question very cool question Right very cool question Yeah, very cool question. I like it. Okay, let's erase this. Let's go to trick


Hi, I'm Kate Young, and you're listening to This is Purdue, the official podcast for Purdue University. As a Purdue alum and Indiana native, I know firsthand about the family of students and professors who are in it together, persistently pursuing and relentlessly rethinking. Who are the next game changers, difference makers, ceiling breakers, innovators? Who are these boiler makers? Join me as we feature students, faculty and alumni taking small steps toward their giant leaps and inspiring others to do the same. I think the biggest lesson was learning that Purdue student culture is a critical piece to the university's success so far in managing this pandemic. When I compare the other universities and how some are struggling during this pandemic, many times what's missing is that critical piece of the student body culture. And I think Purdue has an amazing group of students that really wanted to be here on campus and they were willing to work hard for it. You've probably heard it all before when it comes to COVID-19. It's an unprecedented time. We have to work together to adjust to the new normal. And of course, the term quarantine, a word I'd never used in 31 years, was suddenly added to everyone's vocabulary.  Let's rewind back to summer of 2020. Many universities throughout the country were waiting before announcing anything firm on going back to school in the fall. Purdue University President Mitch Daniels made the decision to become one of the first university presidents to announce a return to campus. And other presidents soon followed. How is a campus of 50,000 students, faculty and staff able to come back to West Lafayette for the fall 2020 semester and operate in person? Well, that's where the Protect Purdue campaign comes in. Joining me today is Dr. Esteban Ramirez. In addition to being the chief medical officer for the Protect Purdue Health Center, Dr. Ramirez is also a clinical assistant professor of medicine at IU School of Medicine in West Lafayette and a primary care provider for Purdue University's Center for Healthy Living. The Protect Purdue Health Center is the 24-7 virtual health center dedicated to all things COVID-19 related for the Purdue community. It's staffed with a dedicated team of physicians, registered nurses, case managers, contact tracers and support staff. Dr. Ramirez explains what went through his mind when it first came to creating a virtual health center from scratch. The word that came to mind was, boy, is this going to be a challenge, right? It's something that is very unique and it's a neat idea to be able to have far-reaching effects for a large community such as Purdue University. The Protect Purdue implementation team, which was led by David Broker, he had the vision to be able to develop a health center that is virtual so that we can provide multiple outreach not only to our faculty, staff and students and with the help of One to One Health, who helps us provide healthcare to our employees, we were able to build such a team. Before tackling this massive project, Dr. Ramirez needed to think about the top priorities. Who would be on this team? How would they look at all the data coming their way? Yeah, so my top priorities were developing a well-trained clinical case managers and contact tracers. We used various modules to try to teach best practices and select a compassionate group of people that were able to provide medical guidance to our faculty, staff and students. Another key element was developing the Protect Purdue Health Center leadership team that would be able to help us to adjust quickly to any data trends and center for disease control changes and the guidance that tends to come rather quickly and updates rather quickly. And lastly, creating a very good working relationship with Purdue University, local hospitals and typically new county health department. And what was it like when you mentioned all of those people and all of those things that went into this? What's it like to lead a 24-7 medical team, but all virtually? Yes, it's a gargantuan task to be able to oversee the care for a university community that's 50,000 strong is a large task. But I found that the key to such a task is to be able to have good team leaders. So Jen Hodges, Jennifer Husk, Alte Peltow, Kelly Murray, Erica Burchett, among others, they've been instrumental to developing a layered approach of leadership, which has been really helpful for us to be able to keep the polls not only on campus, but to be able to be agile and respond quickly. You know, I remain in constant communication with the teams and the Purdue leadership and with community leaders. And this is done on a very regular basis and multiple times a day, I review the testing data and work with our eye data team and work with the data analysts to see if there's any particular trends in the data and reach out to those team leads to find out what are our next steps using that information. Dr. Ramirez describes how long it took to create this center, which was especially tough with the way things were changing daily, sometimes even hourly when the pandemic first swept the world. So it took approximately about one to two months to be able to develop such a team. The vision was out there already. It was just more getting the hiring process in place, getting the training done, and then identifying just as you mentioned, who are the right individuals to develop this robust team. So we have a large group, we have 160 team members, over 160 team members in Protect Purdue Health Center. And this is composed of 50 case managers, 50 contact tracers, and then of course we have our test sampling team and call center staff. And they undergo that extensive training by our team leaders so that all team members are on the same page. What we find is our case managers are primarily composed of our nursing staff. So there are RNs primarily, and we also have a few physicians who are helping out as well as a nurse practitioner that serves as clinical case managers and provides that medical guidance that is needed to all our students and staff. Our contact tracers as well, they have varied backgrounds, but they are really good at communicating with people. And they also are very adept at providing timely documentation and their charts which is extremely helpful for us to keep on top of who we need to follow up on and when. And then of course our test samplers are composed of nurses and medical assistants who are used to performing tests on patients. So this is a natural transition for them to do that for our community as well. And then lastly of course our call center staff is critical because they help us to maintain that 24 seven ability that we wouldn't have otherwise without them. After President Daniels announced with certainty that Purdue University would be returning in person for the fall 2020 semester, the race was on. How would the Protect Purdue campaign assist in getting 50,000 people to return to campus safely? And why was being in person so important to the Purdue community? Let's go back to August 2020. The students are coming back to campus in West Lafayette during a normal year. The students would be excited for boiler gold rush orientation, meeting new people, starting a fresh school year. What was the biggest challenge when it came to developing a strong plan before that semester started? I would say the biggest tasks we took on in the most difficult challenge was trying to develop a method of testing everyone before they arrived on campus. And developing an aggressive surveillance and testing protocol. So at the time we only had the PCR test or the polymerase chain reaction test that took a day or two to be able to get results back. And it's a really good test. It's a gold standard test but it's not very quick. And so that was part of the concerns we had but it was the only available option at the time. We had our suspicions as to who might be the most exposed populations. But of course without having the actual data to review because of course this was how we were starting the year. We needed to kind of do a test all to find out what the prevalence was of this infection starting the semester. So that's why we did that test all approach. And then using that information we were able to get together with some statisticians to come up with what would be the best surveillance protocol using that prevalence data. So when we talk about the students going into the fall 2020 semester, more than 99% who had been tested negative, which is amazing. And I'm sure that's no coincidence with all you and your team's hard work. How did the Protect Purdue Health Center play a role in this? Absolutely. Again, this is one of those team approaches. Purdue's communications team led by Ethan Braden was instrumental to really getting that information out to the students on current best practices and guidance from the Center for Disease Control on how to avoid becoming infected with this virus before coming to campus. And also once you get here, how do you remain infection free as much as possible? It also helped, of course, that the prevalence of the infection in our faculty, staff and students was only 0.6% at that time, which again, it was just kind of starting. So it was very helpful that the positivity rate was so low and it helped us to be able to get over 99% of individuals test negative. Jenna Rickes, Vice Provost for Teaching and Learning at Purdue University, explains the research that went into this huge decision. And why being in class, especially for college-age students, was so incredibly important. We talked to a lot of students, we did a lot of surveys, and we also looked at our data. And our students who attend class, who are part of the in-person experience, we really found that it really benefited their learning. It benefited their sense of belonging. Really that connection, particularly for the college-age student, is very critical to their overall development and well-being. And we found that being in class was a really positive factor in student well-being and academic success. We've done a lot of deep dives into the data in our classrooms. And we have not found any evidence of transmission in our classrooms. We set out to have Purdue classrooms be one of the safest places you could be in the world. And I think that turns out to be pretty true. A Purdue classroom is probably one of the safest places you could be in our community. And Dr. Ramirez agrees. I think it's the quality of the interactions that you have, not only with fellow students, but also with your professors. And when you take into account labs and a lot of work groups that take place when you're in person, I think it's just more of a rich environment to be able to learn and to learn from one another. So I think that's why a lot of students have chosen to really prefer to come back to campus. And Purdue does a great job of really providing a really strong and comfortable environment here at Purdue. And the students, I think, have acknowledged that and really worked hard to stay here on campus. It's now been more than a year into the pandemic. Since then, Purdue has welcomed a record-breaking number of students, along with a record-breaking class of students. Dr. Ramirez reflects on the past year. I'm curious, what has been the biggest lesson that you've learned throughout all of this? I think the biggest lesson was learning that Purdue's student culture is a critical piece to the university's success so far in managing this pandemic. When I compare the other universities and how some are struggling during this pandemic, many times what's missing is that critical piece of the student body culture. And I think Purdue has an amazing group of students that really wanted to be here on campus. And they were willing to work hard for it. And that meant being willing to wear a mask, social distance, and do great pan hygiene. Has anything surprised you? What probably surprises me was the fact that how much students wanted to enjoy the university environment and the campus life here that they were willing to comply with these current restrictions. I mean, we're asking a lot of students. It's not an easy thing to be able to do all these things, especially when just a few months back, you were not doing any of these things. And now we're asking everyone to do this. As we discussed, students really like the environment on campus. And I think they saw the value in being able to comply with these restrictions at this time so that they can still have that rich environment. I think some of the craziest things for me personally is like you said, you weren't used to doing all these things. And now come April, 2021, you might be watching a show or watching a movie.  Where are their masks? That's right. I'm like, that's obviously not in the middle of COVID because they don't have masks in there, not socially distanced. And yeah, it's just amazing how things change like that. I agree with you. Yes. So you've sacrificed so much.  I'm curious. I know our listeners are too. What does a day in the life of a chief medical officer look like during a global pandemic? Meetings, meetings, and more meetings is a big part of it. But multiple times a day, we get together and we review data. And that's a really critical piece for this particular role because this helps us to quickly identify, where do we need to test? Where do we maybe need to evaluate the buildings or the location and try to do a little bit more digging and to find out if there's areas that we need to focus on or apply more attention to. So it's really helpful for us to be able to have this get together. So we communicate frequently with our medical teams, with the team leaders that I discussed previously to address not only questions that they have, but provide also the updated guidance from the Center for Disease Control guidance that seems to update virtually almost every day, every other day. Lastly, as a physician, I see employees in the Center for Healthy Living. So there's a need for some of our employees that need evaluation even after they completed their isolation and quarantine. And then I participate in helping evaluate them and see if there's anything that we can do to help them through that last part of the healing process. But overall, this position is very rewarding. I feel blessed to be able to help and be a part of keeping Purdue University open during this pandemic. That is super special. And you essentially have answered my next question, but what keeps you motivated and determined throughout all of this, even on the really bad days? You know, I think it's humans helping humans out. It might sound kind of cheesy, but you know, it's really about helping each other out. Do unto others as you want done unto you. If I was in a position where I needed help, I'd like to know that somebody be willing to help me out. I happened to be in a position where I could help out in overseeing this whole process. And I think it's worked out very well. Have your perceptions about Purdue and this community overall changed throughout this year? It's gotten even stronger and I'm more impressed with the Purdue community even more than I was before. I received my MBA from Purdue, my business degree from Purdue. And so I had a couple of years that I've spent there before I started teaching there. And what's amazing is the faculty get along well, the students and the relationships that the students have with their faculty. I don't think I had appreciated how much the students care about their faculty and are willing to do things like masking, social distancing, to try to protect also the faculty and staff and to protect the fellow students. And I just have a renewed awe of the relationship, the relationships that develop there at Purdue and it's just really neat to be a part of that. As of March 31st, anyone over the age of 16 in Indiana is eligible to receive a vaccine, which as Dr. Ramirez says is an absolute game changer. It's good that we have reached the eligibility of the general population. You know, the faster that we can get this vaccine to our community, the better it's gonna be for everyone. And how do you see this impacting Purdue now and for the fall 2021 semester? Well, you know, I think this is probably a major game changer. Just looking at the guidance that's coming out from the Center for Disease Control, they're now saying that those who are fully vaccinated, which I'll provide the definition of fully vaccination or fully vaccinated individual, is someone who has two weeks from their last injection, if it's the J and J vaccine, that would be two weeks from the one vaccine. If it was the Moderna or the Pfizer vaccine, it would be two weeks after the second dose. But those who are fully vaccinated do not need to quarantine after they've been exposed to someone infected. That's as long as they remain without symptoms. And that's huge. Because if you consider who are the folks who are stuck in quarantine, it's those who are around individuals who are positive. But because you have immunity at that point, we know that we won't have to quarantine those individuals, and that's huge. We're reviewing the literature and we're speaking with medical consultants on, can we maybe exclude these individuals who are fully vaccinated also from surveillance testing? Which as you're aware, we have a very aggressive surveillance system. And that's been really, I think, a key part of our success. But if we have individuals that are fully vaccinated and immune, they may be able to be removed from surveillance testing. But that's something that we're still working on right now. And then lastly, being fully vaccinated will help qualify the student to participate in programs such as Study Abroad. Again, for a year, we really haven't had any of those opportunities, but now that we have individuals that are becoming fully vaccinated, that's gonna be an option again. So there's many advantages to getting fully vaccinated outside of just the medical benefits. So what can people expect when it comes to receiving a vaccine? And how does Protect Purdue play a role in all of this in the West Lafayette community? So the vaccine, again, it depends on which one you receive, but Pfizer and Moderna are two doses and the Pfizer vaccine needs to be separated by 21 days and the Moderna doses need to be separated by 28 days. But all of them have been shown to be efficacious in keeping people out of the hospital and also in minimizing severity. So folks who might have ended up in the hospital with shortness of breath or with a pneumonia now are just developing things like congestion and maybe a slight cough, a mild fever, which is really what we're looking for if they're gonna get infected at all. They have very mild symptoms and that's really huge. That's what we're looking to do is can we minimize those folks who are having severe infections and deaths? Between the time that we're talking now and when the listeners will hear this podcast, Purdue University will have opened a vaccine clinic on campus for students. Tell us about your role and the Protect Purdue Health Center's role in this. Purdue is allowing the Protect Purdue Health Center and the one-to-one health team to set up a vaccination clinic at the corec. Per state requirements, we are focusing our vaccinations solely on students at this time and the hope of this is to minimize taking any infections home to their families when they leave after the semester. So we wanna get very aggressive with our vaccinating program. We'll be vaccinating seven days a week for as long as we have the vaccine and our goal is to try to shoot for 3,500 students per day that we can get the vaccine in. Dr. Ramirez tells us what he's looking forward to most within the next year and how this all may impact the university come fall 2021. Assuming no new surge of variants that are resistant to our vaccines, I'm looking forward to a sense of more normalcy, lower positivity rates that leads to less illness in our community. I'm looking forward to less restrictions on our campus and a stepwise redensification of the campus, including returning to more of a sporting and entertainment-like events, which I think everyone misses those sort of get-togethers. And I think we're slowly getting to that point now. And I think as we get vaccinated and get more and more folks vaccinated, that becomes more and more of a reality. We have to see how the summer plays out and we have to see what this virus does. We do have those new variants that are coming up and we need to see how those variants are gonna play into this. Because if there's gonna be a surge that might change things, versus if there is no surge, I would anticipate we could move forward towards maybe less social distancing. I would expect masking will likely still be in place at this time. But again, everything is in ebb and flow. And if this pandemic has taught me anything, is that things can change quickly, including positive things, like updated guidances from the CDC. What can you do to help prevent the spread of COVID? Dr. Ramirez says researching the vaccine and familiarizing yourself with the facts is important. And of course, if you have any questions, Protect Purdue is here to help. I would say the most pointed thing right now is go get vaccinated. Take time to look over the Pfizer vaccine, which is the vaccine that we'll be getting and get familiar with it. If you have questions, ask us. We're more than happy to address them, but the faster we can get our faculty, staff and students vaccinated, the faster we can get back to some level of normalcy that we're all looking forward to. The purpose of a vaccine is to make antibodies and the way our body makes antibodies has those side effects of muscle aches and a little bit of a mild fever and feeling tired. And so those are expected side effects from our vaccines, but they're mild. When you compare that, you'd have these side effects that are one, two, three days long that usually gets better with a little Tylenol or Motrin, Ibuprofen and Acetaminophen. And then it's gone. You won't feel any issues after that. So it's a very small amount of time to feel some potential side effects of the vaccine, but when you consider that some folks are dying from this particular virus or ending up in the hospital for weeks on end, this is a market difference and little discomfort for a couple of days versus weeks of hospitalization, I think it's a fair trade-off. As with anything, we wanna look at the risk-benefit ratio, and I think there's markedly more benefits than risk in this situation for vaccines for most individuals. I know I was very pleasantly surprised as well that I didn't expect to be able to get a vaccine until I don't know May or June, so I'm very happy. Absolutely, well, sign up, we'll get you taken care of. Thank you so much for your time and everything that you and the PPHC team has done to keep produce students and faculty on campus. Like I said, I'm sure it's been a crazy ride for you and all of the students on campus, but everyone really appreciates it. Thank you for having me, I really appreciate that. I think President Daniels says it best. When Boilermakers see a problem, they go to work solving it. When they encounter adversity, they try to face it maybe a little better than most people. On April 6th, Purdue intends to open a COVID-19 vaccine distribution site on campus to help vaccinate as many students as possible before the end of the spring semester. The clinic will operate seven days a week and is located on the northwest side of the co-rec near the current COVID-19 testing center. The campus vaccine clinic will prioritize Purdue West Lafayette students per Indiana Department of Health Guidance. All students ages 16 and older that includes undergraduate, graduate, and professional, regardless of their residency, can use the campus site at no cost. For more information about getting your vaccine or the Protect Purdue Health Center, please visit protect.purdue.edu. Thanks for listening to This is Purdue. For more information on this episode, visit our website at purdue.edu slash podcast. There you can head over to your favorite podcast app to subscribe and leave us a review. And as always, Boiler Up!


Did you know that over 300 million people worldwide live with an anxiety disorder? This causes them to behave in a way that reflects an internal cycle of restlessness, which others can dismiss as simple overreaction or being sensitive. Let's identify six common statements that people with anxiety say so we can further understand and empathize with their experiences. Oh, I'm just being paranoid. How often have you downplayed your anxiety just to avoid bothering others? Having anxiety can not only cause physical symptoms, but social ones as well. You may feel the need to stay silent about what you're going through because you think that no one will understand. This can lead to high functioning anxiety. High functioning anxiety is when a person remains fully functional and usually successful, despite struggling with anxious feelings and thoughts. It's not an anxiety disorder recognized by the DSM-5, but is just a term used to describe the state. Although high functioning anxiety sounds harmless, it can deteriorate your mental health over time. Everyone's looking at me. Social anxiety is when you have an intense fear of being in social situations to the point where you continuously avoid them. It is a common type of anxiety disorder and it's not the same as shyness and it certainly cannot be solved by the simple get out of your shell advice. Social anxiety is a mental health condition that can worsen over time. Social anxiety disorder is one of the most prominent psychological conditions. It is prevalent among women and the cases of people having the disorder continue to increase at high rates globally. I think I'm gonna have a heart attack. A quick internet search shows that a lot of people are worried about whether they're having an anxiety attack or a heart attack. This is because both their symptoms can be quite similar. Both conditions can be accompanied by shortness of breath, tightness in the chest, sweating, a pounding heartbeat, dizziness, and even physical weakness or temporary paralysis. Due to this, people might rush to the ER out of panic. If you're uncertain about seeking hospital assistance during an attack, it's more advisable to go for help. I'll do it tomorrow. Have you ever been stressed out about a task and decided to put it off to watch Netflix? But now you're stressed while watching Netflix. Continuous procrastination may not be a time management issue, but a work of anxiety. Studies show that 20 to 25% of adults worldwide are chronic procrastinators. And this issue is linked to depression, anxiety, low self-esteem, ADHD, and poor study habits. Having anxiety can make simple decisions difficult. You may worry about when to begin a task, how to do it, or even what task to start with. The idea of doing a project can become so intimidating that you end up putting it off instead. Before we continue, please hit the like button to show your support. I think something bad is going to happen. A lot of people say to trust your instincts, but do you have a hard time doing that because it often leads to unnecessary worry and even paranoia? Having anxiety can make you prone to and be upset by paranoid thoughts. This is because you're more on edge and accustomed to negatively interpreting things. To minimize the chances of paranoia, remember to take care of your daily needs and challenge your paranoid thoughts. I'm so overwhelmed. Work, school, kids, chores, love, money, future. How often have you felt bombarded by your thoughts that you don't even know what to do anymore? People with unmanaged anxiety are prone to having nervous breakdowns. The combination of pressure, stress, worries, and triggering events can cause a mental breaking point where you're not able to function well. During a difficult time, remember that it too will pass. We know it's difficult and we know that giving advice is easier than actually doing it. But see how strong you are for getting through everything and being here.  Did you relate to any of these points? Let us know below. Living with anxiety can negatively impact you in many ways. Please don't hesitate to reach out to a healthcare provider for help. You can also click on the different levels of anxiety to know more. Thank you for watching and see you next time. Remember, you matter.