 Thank you and good morning. So this is something that we've been looking forward to be able to share with you all around some of the work that has been done around modeling and how it has informed not only how we're monitoring the progress of this pandemic in BC, but also how it's informed our planning and that's really important. And I will start with saying that this is modeling. So it is not a predicted. It's not a prediction of where we might be or how we might go. It's a set of parameters that allow us to make some rational decisions about planning. And as well, there's different types of modeling we're going to talk about this morning and we'll get started with working on this. So the first type of modeling that I'm going to talk about is around how do we know where we are compared to what other populations have happened around the world. And the BC CDC has done most of this work and it is modeled around what's happening in Canada, what's happening around the globe. And I will say that there's a slight chance of optimism, perhaps, that our rate of growth is being impacted by the measures that we've put in the last couple of weeks. But I'll show you, walk you through that. So this shows what we call a case rate comparison. So rates mean numbers per population. And what we're using here is the numbers of cases per million. And we're comparing different jurisdictions. So this one, we pulled everybody back to when they first hit the rate of two per million population. And so for BC, that pulls us back to day one. We're a little bit ahead of the rest of Canada and that's why the line for BC is a little bit farther ahead than the line for Canada. But as you can see, the lines for Spain and for Italy, Norway, Germany, some of the other countries have started to dramatically increase, usually around day seven, day eight. And what we're seeing here in BC and in Canada is that line has stayed relatively low. It is, of course, starting to increase and has been increasing about day 14 until now. And we'll talk a little bit more about that. What also you can see on this model is South Korea, which also started increasing in the first couple of weeks and then flattened out. And that's what we need to, when we talk about flattening the curve or flattening, bending the curve, that's what we want to look at for BC. We don't want it to get that high. But that's what we've been talking about in terms of flattening the curve. We can also see that the United States is also behind in the timeframe of since they reached two cases per million, at least reported two cases per million. And it is now starting to move dramatically increased as well. So that, this modeling is based on comparing what's happening in BC to what's happening in other countries and pulling it back so that we're all on the starting at the same timeframe. And then we're looking at the cumulative numbers of cases. So these are the what we've been presenting every day. The number of people in BC who test positive for COVID-19. And it compares that to the number of cases that test positive in other parts of the world. And in this case, we've been looking at how the outbreak flowed through time in Hubei and in Italy. And again, this starts at when you've had 100 cases in the last 10 years of the population. The reason that we pull things down to 100 cases or two cases per million is because below that, when you have very small numbers, things can change very dramatically with just one or two numbers difference. It's what we call unstable. So we try and make it as reliable and as stable as possible so that we have an accurate comparison. And of course, that's one of the reasons why we haven't had enough cases to be confident that this is actually meaningful. But right now, we are confident that this gives us a good sense of where we are in our trajectory right now in BC compared to these other jurisdictions. And as you can see, the dark red line is British Columbia and we are trending up clearly and we know that because we've had new cases every day and those have increased in the last couple of weeks, maybe starting to bend a little bit here. I will say that this is based on cumulative cases and as you know, our testing strategy has changed over the last few weeks where initially we were very focused on testing people who had come in from other countries so that we could detect when people were coming into BC and into Canada with this disease. We've now changed the strategy because we know that people who are coming into BC have potentially been exposed to this and we know where their exposures are. So our testing strategy is focused on our community, on people who are getting infections in BC and also on our health care system. Very specifically, we are looking at making sure we detect any cases in our hospitals, in health care workers and in long-term care because we know those are where we can get outbreaks, where we can get transmission that can take out health care workers and our health facilities. So we've been very focused on making sure we understand what's happening in those facilities. Having said that, we have not stopped the volume of testing that we're doing. What we're doing is focusing it on the highest risk populations and we've been doing 3,000 tests a day, more than many other jurisdictions and actually comparable to what we saw with the testing strategy in other countries like Singapore, like South Korea. And I think that's important. So the second type of modeling that we're using, there's a different, lots of different types of models, but this is one that's looking at how is the change in BC happening over time and it is looking at the percent change or the daily increase in the trajectory of the cases that we're seeing here in BC. We also are doing some, what we call dynamic modeling that looks at impacts of measures that have been taken, but that modeling is still at a very early stage because we haven't thankfully had a lot of cases yet in BC and we are still within the time frame of implementation of some of the broad social measures that we've all been impacted by in the last few weeks. So I'm going to walk through this slide in a little bit of detail so you understand what I've been looking at quite intently every day for the last number of weeks. So the red line is what we are actually seeing in BC right now. And as you can see, we started really, this is again rates. So numbers of cases per million in BC. And on the 4th of March is when we started to reach that threshold of two cases per million in our province. As you can see, things grumbled along for a little while and then around 14th, 15th of March is another really important day. So the 13th was when we announced travel restrictions, when we announced some of the major orders and restrictions on movement. And we started implementing the important physical distancing measures in our community. So we are seeing a lot of restrictions in our community. And that was because we realized that we were seeing transmission in the community that was not related to travel or to known cases. So very early on we put in some of these now very restrictive measures that we've been seeing put in place in countries around the world. So we, I look at the 14th, 15th of March when schools were closed for March break, when we had these travel restrictions and restrictions of our social distancing starting to get that message out. It is, of course, as we know, taken a couple of days for people to understand, what does that mean for me? What does that mean for me as a business? How do we manage in groups like restaurants and bars? And as you know, we've restricted how they can work. We've restricted certain businesses where you can't maintain those physical distances. All of those implementations started the week of March 15th. So for me, when I'm looking at this curve, I know that there are people who were exposed to this virus prior to that date who are going to become sick in the 14 days after their exposure. So it is not surprising, and we've been seeing that in the last 10 days, we've started to see people becoming ill. What these important measures that we have put in place that all of us need to pay attention to, these distancing measures, we're going to start to see the impact of those in the coming week to two weeks. So the second incubation period from when they started. So when we look at this graph, that's what we're starting to see in the red line. And I'm trying not to over-call it, but I do believe we've seen a flattening, a falling off of that curve. And we can look at the gray line continues to go up. And so that is what the modelers think would have happened had we not put in some of the measures that we put in. So there are a couple of things. Our trajectory, so the progress that we're seeing change from an increase of about 24% per day down to around 12% per day. So that's a slowing down of the numbers of new cases, which is good. There's a whole variety of things. One is our changing testing strategy, but also, you know, driven by our physical distancing and the important thing that everybody is paying attention to that physical distancing, as well as the restrictions in travel. So that other group of people that were continuing to come into BC having been exposed to this virus in other countries, that has also been a part that I'm going to be watching very, very carefully over the next coming weeks to months, and that's the part that we talk about when we're saying, you know, bending or flattening that curve. Finally, I will say, you know, that if we look at this, and these are, again, approximations or models, right now, we're, with our reported cases, we're about 130 cases per million and if we continued on the same trajectory that we had been on on the 14th of March, we would have expected to have about 215 cases per million. So we think that we've reduced that quite dramatically. What we need, though, is for everybody to continue to pay attention to these measures so that we can continue to prevent the transmission in our communities, continue to separate, to stop those chains of transmission in all places for the coming weeks. And that's what we'll be watching going forward. And finally, just so you know, the blue line on there, again, Canada as a whole was farther behind in reaching that two cases per million rate and the blue line reflects what's happening across the country and really the steep inflection in the last few days has been because of the inclusion of cases in Quebec that added to the total quite significantly. So this is the modeling that we've been using both to follow the trajectory that we have and now I'm going to turn it over to Minister Dix to look at some of the other models that we have put in place that have helped inform our planning. And again, I just want to say these are not predictions. They're actually using of data to help us all get around and understand and understand how we might be able to respond to our pandemic as it evolves in B.C. Oh, okay. Sorry. There is one more slide that talks about our expected rates of growth and I've just talked about this. There is value in our planning for these high responses and I'll turn it over to Minister Dix. Dr. Henry has control of the clicker today, which is a good question. So I want to talk about our acute care capacity and how we are planning for various scenarios to deal with the coming weeks and potentially months in British Columbia. I want to thank the people involved in this planning. It's an extraordinary group. Dr. Henry talked about the team mostly at the BCCDC, which was involved in the modeling. We're also talking about a provincial critical care working group that has the ability to deal with what we need, our projections and what we need here in British Columbia of over 20 medical directors, executive leads and clinical specialists responsible for ICUs and high-acuity units, along with the epidemic modeling team from the BCCDC and an operational capacity modeling team that has assessed our capacity as a province against four scenarios, South Korea, Hubei, Northern Italy cases . The reason we have done two for Northern Italy and made two preparations for Northern Italy is to deal with the most severe version, which is focused on hospitalizations in Northern Italy, which has been the subject of some discussion in BC and elsewhere in the coming, in the previous week. I want to also say that this assessment, the full assessment, because this will be a short version of that assessment is going to be made available in the public. The assessment is fully going to be on the BCCDC website. All of the information that was made available this morning will be available to everyone in the public. The assessment really has two areas of focus. The first is focus on our current capacity with respect to critical care spaces capacity and our current capacity with respect to ventilators for critically ill patients. That cohort of patients, the model assumes that would be roughly 4.7% of patients. And the second is a focus on current hospital bed capacity for less acute patients requiring hospital care, which is also hospital capacity, that is a larger group of people between 13 and 14% of patients. And so if you go to the next chart, you'll see models based on a South Korea type epidemic, a Hubey type epidemic, a Northern Italy epidemic involving overall number of patients and a Northern Italy type epidemic based on a hospital-based scenario. And you see the different lines as they go forward. The one in red at the bottom is South Korea. I note the star. If you look at it on this chart, that is British Columbia where we are today based on the work of our epidemiologists. So if you look at those numbers, you'll see the trajectory in South Korea was a very, very serious epidemic indeed, which is still proceeding, but coming down the slope here. The one higher in the light mauve, I think you'd call that or purple, is Northern Italy based on critical care patients. And then the final one is the Northern Italy, which is the hospital-based scenario. You'll note that the last two, of course, have not finished because they have not fully peaked. And so those are in terms of the planning and on the side, you're seeing what that would mean for patients in British Columbia based on those various models. The next slide addresses our ventilator capacity. So we've told you we have 1,272 ventilators currently, or we did last week when we reported it out on the number of ventilators in BC, but we're using conservative ventilators to support and we're certainly going to need those ventilators. But the focus here is on our current inventory of critical care events, particularly for adults. Our children's or pediatric events will be at BC Children's Hospital, but we are expecting a smaller number, a relatively small number based on all of all other jurisdictions of children requiring ventilators. So with that, you see that we have total 457 adult critical care events. 109 of those are in smaller hospitals or small hospital events. And so that leaves us a total of 348 events in the 17 hospitals that will be our COVID-19 centers, at least at the beginning. I note that we, as we said yesterday, we added 15 ventilators yesterday that we have purchased. We've refurbished 38 ventilators that are ready to go and 19 other ventilators that will be ready to go next week that will be in addition to the 1272, in addition to the 348, so that's 72 more in those categories. And we also have ordered more ventilators which we're expecting to come next week. That gives you a sense of the ventilator capacity in British Columbia. Our conclusions and you've seen this as we go through the scenarios are that using the likely scenario of below or at a Hubei epidemic level using ICU and high acuity unit bed capacity, along with vent capacity, we are reasonably focused on being able to handle that within the 17 COVID-19 care sites. If we were to move to a Northern Italy trajectory, BC would have to use all sites to meet bed demand and implement increased transportation and detailed discussion of that can be found in the longer briefing. I'm going to move on to the second category of patients in the patients who are in acute care but do not require critical care. Based on models around the four models we're using here, you'll find that the expectation here assumes that 13.8% of all COVID-19 patients cases will be admitted to hospital. The admissions will commence five days and the range is two to seven days after case identification and you see the same projections here and you can see what happened in Italy in particular where the system was at 100% capacity at the time when the surge of COVID-19 patients came and so you see the extraordinary challenge and you've seen visually reporting the enormous challenge that presented for the healthcare system in Italy is why we canceled elective surgeries based on the advice based on what we were seeing based on what we were advised based on projections like this about 11 days ago now cancellation of elective surgery and other decanting or moving of, for example, alternative level of care patients out of acute care hospitals to create not just space to address COVID-19 but space to ensure that we're ready for other things and other care that will be required in the healthcare system. Again, you see the three levels of chart, you see where BC is now, you see where South, which is closer to where South Korea was than you see the effects in Hubei, in green and the two Italian models there that we are preparing for. So we're going to summarize a bunch of the information that we have and just to say and you'll see this we'll see the full package, we'll see how we charted this against the various models and you'll see as the number of patients would rise and as bed requirements rise on the left, you'll see our potential capacity which starts with ICU primary COVID sites and then we add the high acuity sites, 50% of them because the other 50% will certainly be required for other care and for other other care in the healthcare system so that adds to 263 and then we add 85% of the cardiac care unit sites the cardiac surgery ICU sites and the post anesthesia recovery rooms in the system to build up our capacity of beds and then you see as you come down here for South Korea into the positive that's how many beds we have more than needed in the various scenarios and obviously there are more significant challenges when you get a Northern Italy type situation again in the second group the acute care, acute inpatient care demand you again see a similar chart which shows us adding beds as required to increase our capacity to deal with COVID-19 and you'll see the big challenges here and this is why if you look at this the most serious model the one of the Northern Italy type epidemic, the hospital based one which we do not foresee but which we have to prepare for you see a shortage of beds here and only here and in that case it's why we're preparing each of our health authorities in each health authority significant new bed capacity and preparing for that not because we expect it to happen but because we're looking at the obligation and we're a determination to be prepared for that to happen so a few conclusions using the likely scenario of below or at a Hubei epidemic level using inpatient medical and surgical beds capacity looks good focused on using all sites this has been enabled in large part by the decision made by health authorities and by the government to defer scheduled surgeries which has opened up significant surge capacity if BC was to move to a Northern Italy hospitalized trajectory BC would use all sites in bed capacity off-site from hospitals for less acute and surgical inpatients to open up additional capacity for COVID-19 patients in hospitals with ready access to critical care you're going to see that start to happen those preparations start to happen starting next week with Vancouver Coastal Health and we'll have more information on that in other words we are absolutely determined to have the best results we are preparing for the most the worst possible scenarios we present a range of scenarios based on evidence from other jurisdictions and a set of grounded clinically oriented assumptions as the days of the epidemic pass here in BC occur our needs will become more clear I think it's fair to say Dr. Henry that our epidemiologists would always say that next week they'll be better and we're going to obviously continue to update this as we go forward our health authorities are planning for a cascading response and they're working to find a balance between the needs of potential COVID-19 patients and reducing the risk of unintended consequences on other non-COVID-19 patients needing access to acute and critical care so as we create new and other options our intention will be to continue to move other patients out of the hospital if in fact our hospital begins to face challenges in dealing with critical care and overall patient care in the hospitals from COVID-19 so we're putting in place a plan health authorities each of them with their own emergency operations center we're putting in place a plan with their clinical and support staff they're putting in place a four to six weeks staffing schedule based on their planning this will involve redeployment of key clinical staff to support critical care redeployment of staff to support non-acute inpatient COVID-19 care accessing additional staff to support both non-acute surgical and medical care and that includes re-registence and training trainee healthcare professionals doing the less critical care work enhancing primary and community care capacity support and monitor COVID-19 patients who are in self-isolation and that will be important and why the innovations in terms of virtual care are so important maintaining, and this is critically important primary and community care needs to meet the health needs of all patients all non-COVID-19 patients which of course are continuing to occur and providing support to clinical care professionals throughout the surge I want to thank representatives of professional organizations and of unions we met with them last night for their work and their support and their commitment they are critical part of our leadership team and we are taking steps with them to help address the human resource challenges and finally health authorities are also focused on the third aspect the first being beds and capacity the second being human resources the third being personal protective equipment and implementing measures to best use personal protective equipment based on existing at hand and warehouse supplies we are obviously focused every day every minute of every day in fact on securing additional needed PPE in the coming weeks and throughout the months of April and May and finally these are of course projections based on different scenarios and Dr. Henry has spoken about this at length but what's required to bend the curve we sometimes saw what's required to make the projections better is 100% commitment from people everywhere in British Columbia 100% commitment the idea that if you're sick you have to stay home 100% commitment the idea if you're required to self-isolate to self-isolate to not take unnecessary trips 100% commitment 100% commitment to distancing between one another so that we can continue to bend the curve that we can ensure that the resources that we've made available in the healthcare system and the passion and commitment and brilliance of our healthcare workers our doctors and our nurses and our healthcare workers and our pharmacists and everyone else in the system can be used to address the challenges that we face in the coming weeks 100% all in that's how we change the projection to the better 100% all in that's how we deal together with COVID-19 in the coming weeks days and weeks and months thank you very much and I'm going to ask Dr. Henry to return here as she has a couple of additional announcements that are relevant today and an additional order to describe and then we'll be open to taking your questions and this is a lot of work summarized in a very small amount of time with a few graphs that don't begin to describe the amount of thinking that has gone into this and I think the importance as well is engaging across the entire health sector on understanding what we can do and how we can do it together to protect the health system and to protect our communities in doing that and so there's one other order I'm issuing the following order all episodic vending markets what we know is farmers markets or community markets must only allow vendors that serve food to be sold at these events so vendors of all other merchandise at these events are prohibited and this is recognition of how important it is for us to be able to access locally grown and produce food and we're part of that but we don't want them to be areas where people are going and mingling in large groups because of the risk right now that that entails I will recognize though that the Ministry of Agriculture is working with the BC Association of Farmers Markets to make sure that we can have online models for farmers markets that will still allow us to get that fresh fruit and produce that we need here in British Columbia through this crisis so I think it's an understatement really to say but our global community has changed in ways we could not have imagined even a few weeks ago and the modeling the thinking that we've been doing really reflects that but we are in this together and we are making a difference in bending that curve and we need to get us through this together by all of us being committed to continuing to do this and being kind to staying connected even though we are physically distant and we'll be happy to take your questions now