Auditor general reports today on public health agency's pandemic response - Action News
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Auditor general reports today on public health agency's pandemic response

The office of Canada's auditor general is set to deliver its verdict today on whether the Public Health Agency of Canada was prepared and informed enough to cope with the COVID-19 pandemic. Among other things, the auditor will assess whether the early pandemic warning system could have functioned better.

Intelligence experts hope the report will spur reform at the federal level

Minister of Health Patty Hajdu listens to Chief Public Health Officer of Canada Dr. Theresa Tam during a news conference on the COVID-19 pandemic in Ottawa, on Friday, Nov. 20, 2020. The country's auditor general will deliver a reporttoday on how well prepared the Public Health Agency of Canada was to respond to the COVID-19 pandemic. (Justin Tang/The Canadian Press)

The country's auditor general will deliver a reporttoday on how well prepared the Public Health Agency of Canada(PHAC)was to respond to the COVID-19 pandemicand whether it was getting timely intelligence on the spread of the virus.

Many in the nation'sintelligence communityare hoping that report will serve as a catalyst for real change.

The review will look at, among other things, whether the health agency's early warning system the Global Public Health Intelligence Network (GPHIN) provided accurate and timely reports after the novel coronavirus emerged in Wuhan, China in late 2019.

The auditor general will look alsoat whether PHAC andthe Canada Border Services Agency (CBSA) effectively implemented and enforced border control and mandatory quarantine measures after the pandemic was declared.

PHAC conducted its own preliminary assessment of the pandemic response last fall. It made only apassing reference to the role of GPHIN, but noted there were problems with deploying health staff to border entry points.

PHACpoints to a shortage of staff

PHAC's internal review citeda shortage of qualified staff, "including specialized resources such as quarantine officers, PPE [Personal Protective Equipment] specialists, nurses, environmental health officersand project managers."

"The lack of operational capacity affected several areas of the Agency's COVID-19 response, especially its border presence," said PHAC's report.

Security personnel stop journalists during the visit by a World Health Organization (WHO) team tasked with investigating the origins of COVID-19 to Huanan seafood market in Wuhan, China on Jan. 31, 2021. (Thomas Peter/Reuters)

In fact, most of the self-criticism in PHAC's reportpointed to a shortage ofthe right kind of staff neededto meet the enormous demands of the pandemic.

That report, compiled last September, said the agency hadsuffered abrain drain over the years,leaving it with "limited public health expertise, including epidemiologists, psychologists, behavioural scientists and physicians at senior levels."

Who switched off the alerts?

Following a series of Globe and Mailarticleswhich reportedlast summerthat GPHIN's alert system was switched off in the run-up to the COVID-19 pandemic, the federal health minister ordered a review of the earlywarning network.

That assessment, released last weekend, found that bureaucrats didn't understand the value of the pandemic warning network.

Significantly, the panel of experts who led that review said they were unable to discover who ordered the halt to the alerts and why.

"The panel has not seen any written documentation in respect to the timelines of those changes [to Alerts dissemination], who requested them and why they might have occurred," said the report.

University of Ottawa intelligence expert Wesley Wark said he was astonished by that finding. Warkhas been one of the leading voices calling for better pandemic early warning systems.

With the coronavirus continuingto mutate into newvariants, he said, it's critical for the federal governmentto come up with a better alertsystem.

Preparation is half the battle

"What you really want is a system to know what's coming at you, so that you can have early warning and you are better prepared to do the domestic surveillance when it arrives," said Wark. "Because you're probably not going to be able to seal your country off from a global disease outbreak."

Looking at the gaps in both PHAC'sinternalreviewand the separate internal assessment of the pandemic early warning system's failures, Wark said he wonders whether the federal government truly appreciates the urgent nature of the threat.

"I fear that people will think reforming the intelligence system that underlies our health security is a matter for later and down the road, when we've dealt with all of the pressing problems of COVID-19. That we will learn the lessons later," he said.

The auditor also reviewed federal COVID emergency benefit programs such as the Canada emergency response benefit (CERB) and the Canada emergency wage subsidy (CEWS) to determinewhether thebenefits reachedpeople in need and whether the government imposed enoughcontrols to limit abuse.

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