The auditor general’s conclusion this week that the Public Health Agency of Canada “was not adequately prepared to respond to a pandemic” is disappointing. It’s also not entirely surprising — being inadequately prepared for a once-in-a-century pandemic is a failure that obviously was not unique to the Public Health Agency, or to Canada.
“The experience of COVID‑19 has provided a lived experience of a global pandemic, the nature of which Canada has not seen in over 100 years,” the Public Health Agency of Canada (PHAC) wrote in its response to the auditor general.
The challenge now isn’t just to ensure our institutions are braced for the next pandemic. It’s also to think about how governments and societies can prepare for all the other once-in-a-century catastrophes that might happen.
“Reports like [the auditor general’s] will be written multiple times in country after country after country,” said Dan Gardner, a fellow at the University of Ottawa and author of Risk: The Science and Politics of Fear, in an interview this week.
“This is not unique to Canada. This is our species. This is how we roll.”
All the issues identified by the auditor general are worthy of attention. The system for managing data was inadequate. A risk assessment tool did not properly capture the probability of a future threat. And PHAC had “not contemplated or planned for mandatory quarantine on a nationwide scale.”
The auditor general’s report suggests officials tried to address shortcomings as problems emerged — and it might be hard to quantify exactly how the overall pandemic experience in Canada was affected by any one problem. But the AG is not the first person to say this country was not perfectly ready for COVID-19.
“There were really concerning reports from far away and we started to take measures. But, as we look back, there’s [a] lot of things that we probably would’ve wanted to do sooner in terms of preparing,” Prime Minister Justin Trudeau told the CBC’s Rosemary Barton in December.
“I think the next time any leader sees reports of a possible flu-like virus coming out of some corner of the world, make sure we have the right stockpiles of [personal protective equipment] and start ordering more … There was a scramble there that I wouldn’t want to repeat.”
‘No one really cares … until the disaster happens’
As Trudeau noted, Canada was hardly alone in scrambling for PPE as countries realized they didn’t have enough on hand and supply chains were fragile or insufficient. But if governments had properly thought through what might happen in the event of a global pandemic — the likes of which the world has not seen since the Spanish Flu epidemic in 1918 — they might have seen the problem coming.
“If you speak to anybody who deals with disaster management — which is foreseeing risks, mitigating the risks, dealing with them afterward — they will tell you it is almost a cliche in that field that you are starved for resources and no one really cares about your work until the disaster happens,” Gardner said. “At which point you [are] deluged with money — so much money that you don’t know how to use it.
“Then gradually, as time passes, you slowly evolve back to the previous position in which nobody cares about your work and you’re starved for resources. I call that the complacency-to-panic cycle.”
The probability blind spot
The basic problem, Gardner said, can be traced to human psychology. People tend to struggle with probability and long-term thinking. A global pandemic is an improbable event at any given moment in time; it’s only over the long term that such threats can be expected to manifest themselves.
“In other words, it’s a combination of our two blind spots,” Gardner said.
Gardner put it this way in a piece he wrote last year: if you’re told that there is a one per cent chance of something bad happening this year, you will discount the risk. But if that one per cent chance is constant from one year to the next, the “highly improbable” becomes “inevitable.”
Gardner also points to the “availability heuristic” and the idea that people will judge how common something is by how easily they can recall an example of something similar happening in the past.
People forget things — even the worst things
Anyone who was alive during the terrorist attacks of 9/11, for instance, might consider it more likely that terrorists could hijack an airplane. But there are few people left on the planet with any memory of the Spanish Flu.
And vigilance always fades over time. “If something bad happens to us, we suddenly perk up and pay a lot of attention to that bad thing and we are on the lookout for that bad thing,” Gardner said. “If the bad thing doesn’t manifest itself for a while, we gradually forget about the bad thing and go on about our day.”
All that human psychology informs political and institutional attention. “There’s human psychology that is making judgments about risks. The psychology informs public perception of risks. The public perception of risks informs politics. And the politics determines the resources that are available to prepare for risks,” Gardner said.
Government officials are only human. But if we can identify these blind spots, and if we now see the consequences of failing to prepare for possible disasters, our preparations don’t have to be limited to the next killer virus.
“I’m not worried about the next pandemic because I’m really pretty confident that our governments are going to be exquisitely sensitive to that threat. And they’re going to be that way for years to come,” Gardner said.
“The conversation should not be, ‘How do we prepare for the next pandemic’? The conversation should be, ‘How do we next best prepare for the next low-probability, high-consequence event that we’re not thinking about?'”
No political value in preemptive problem-solving
In his new book Value(s), former Bank of Canada governor Mark Carney touches on a similar idea. He observes that resilience and preparedness were undervalued before the pandemic — and politicians are rarely rewarded for preemptively solving problems.
The most obvious analogue of another global pandemic is climate change, although that can no longer be considered a “low probability” threat. Dealing with that threat means mitigating the risk — by reducing greenhouse gas emissions — and protecting ourselves against the “once-in-a-century” storms and fires that are already happening.
Preparing for such threats inevitably comes with upfront costs and the aftermath of this pandemic may offer some interesting insights into how much we are willing to do — and for how long. Maintaining a constant and robust supply of PPE and increasing domestic vaccine manufacturing would require resources.
A new definition of national security
The cost of preparation might always be far less than the cost of failing to prepare. But if the next pandemic is years or decades away, how long might it take for future Canadians to cut back or ignore such precautions?
For the sake of sustaining such efforts, Gardner said he wonders whether preparations for the next disaster could be included within a general understanding of national security — something politicians of all stripes are generally willing to fund.
He acknowledged that you could get carried away in trying to imagine all the awful things that could happen. But within reason, thinking about risk and resilience could better prepare governments and societies for whatever might come.
“There are two ways to approach it,” Gardner said. “Number one is, let’s have a conversation about those low-probability, high-consequence events that we’re not talking about — whether there are reasonable, cost-effective ways of mitigating those risks.
“Number two is just generally — how can we make our systems less fragile? How can we build more resilience into the system so that if we are hit with whatever it is that we’re hit by, we can respond to it well?”
HALIFAX – Nova Scotia Premier Tim Houston says it’s “disgraceful and demeaning” that a Halifax-area school would request that service members not wear military uniforms to its Remembrance Day ceremony.
Houston’s comments were part of a chorus of criticism levelled at the school — Sackville Heights Elementary — whose administration decided to back away from the plan after the outcry.
A November newsletter from the school in Middle Sackville, N.S., invited Armed Forces members to attend its ceremony but asked that all attendees arrive in civilian attire to “maintain a welcoming environment for all.”
Houston, who is currently running for re-election, accused the school’s leaders of “disgracing themselves while demeaning the people who protect our country” in a post on the social media platform X Thursday night.
“If the people behind this decision had a shred of the courage that our veterans have, this cowardly and insulting idea would have been rejected immediately,” Houston’s post read. There were also several calls for resignations within the school’s administration attached to Houston’s post.
In an email to families Thursday night, the school’s principal, Rachael Webster, apologized and welcomed military family members to attend “in the attire that makes them most comfortable.”
“I recognize this request has caused harm and I am deeply sorry,” Webster’s email read, adding later that the school has the “utmost respect for what the uniform represents.”
Webster said the initial request was out of concern for some students who come from countries experiencing conflict and who she said expressed discomfort with images of war, including military uniforms.
Her email said any students who have concerns about seeing Armed Forces members in uniform can be accommodated in a way that makes them feel safe, but she provided no further details in the message.
Webster did not immediately respond to a request for comment.
At a news conference Friday, Houston said he’s glad the initial request was reversed but said he is still concerned.
“I can’t actually fathom how a decision like that was made,” Houston told reporters Friday, adding that he grew up moving between military bases around the country while his father was in the Armed Forces.
“My story of growing up in a military family is not unique in our province. The tradition of service is something so many of us share,” he said.
“Saying ‘lest we forget’ is a solemn promise to the fallen. It’s our commitment to those that continue to serve and our commitment that we will pass on our respects to the next generation.”
Liberal Leader Zach Churchill also said he’s happy with the school’s decision to allow uniformed Armed Forces members to attend the ceremony, but he said he didn’t think it was fair to question the intentions of those behind the original decision.
“We need to have them (uniforms) on display at Remembrance Day,” he said. “Not only are we celebrating (veterans) … we’re also commemorating our dead who gave the greatest sacrifice for our country and for the freedoms we have.”
NDP Leader Claudia Chender said that while Remembrance Day is an important occasion to honour veterans and current service members’ sacrifices, she said she hopes Houston wasn’t taking advantage of the decision to “play politics with this solemn occasion for his own political gain.”
“I hope Tim Houston reached out to the principal of the school before making a public statement,” she said in a statement.
This report by The Canadian Press was first published Nov. 8, 2024.
REGINA – Saskatchewan Opposition NDP Leader Carla Beck says she wants to prove to residents her party is the government in waiting as she heads into the incoming legislative session.
Beck held her first caucus meeting with 27 members, nearly double than what she had before the Oct. 28 election but short of the 31 required to form a majority in the 61-seat legislature.
She says her priorities will be health care and cost-of-living issues.
Beck says people need affordability help right now and will press Premier Scott Moe’s Saskatchewan Party government to cut the gas tax and the provincial sales tax on children’s clothing and some grocery items.
Beck’s NDP is Saskatchewan’s largest Opposition in nearly two decades after sweeping Regina and winning all but one seat in Saskatoon.
The Saskatchewan Party won 34 seats, retaining its hold on all of the rural ridings and smaller cities.
This report by The Canadian Press was first published Nov. 8, 2024.
HALIFAX – Nova Scotia‘s growing population was the subject of debate on Day 12 of the provincial election campaign, with Liberal Leader Zach Churchill arguing immigration levels must be reduced until the province can provide enough housing and health-care services.
Churchill said Thursday a plan by the incumbent Progressive Conservatives to double the province’s population to two million people by the year 2060 is unrealistic and unsustainable.
“That’s a big leap and it’s making life harder for people who live here, (including ) young people looking for a place to live and seniors looking to downsize,” he told a news conference at his campaign headquarters in Halifax.
Anticipating that his call for less immigration might provoke protests from the immigrant community, Churchill was careful to note that he is among the third generation of a family that moved to Nova Scotia from Lebanon.
“I know the value of immigration, the importance of it to our province. We have been built on the backs of an immigrant population. But we just need to do it in a responsible way.”
The Liberal leader said Tim Houston’s Tories, who are seeking a second term in office, have made a mistake by exceeding immigration targets set by the province’s Department of Labour and Immigration. Churchill said a Liberal government would abide by the department’s targets.
In the most recent fiscal year, the government welcomed almost 12,000 immigrants through its nominee program, exceeding the department’s limit by more than 4,000, he said. The numbers aren’t huge, but the increase won’t help ease the province’s shortages in housing and doctors, and the increased strain on its infrastructure, including roads, schools and cellphone networks, Churchill said.
“(The Immigration Department) has done the hard work on this,” he said. “They know where the labour gaps are, and they know what growth is sustainable.”
In response, Houston said his commitment to double the population was a “stretch goal.” And he said the province had long struggled with a declining population before that trend was recently reversed.
“The only immigration that can come into this province at this time is if they are a skilled trade worker or a health-care worker,” Houston said. “The population has grown by two per cent a year, actually quite similar growth to what we experienced under the Liberal government before us.”
Still, Houston said he’s heard Nova Scotians’ concerns about population growth, and he then pivoted to criticize Prime Minister Justin Trudeau for trying to send 6,000 asylum seekers to Nova Scotia, an assertion the federal government has denied.
Churchill said Houston’s claim about asylum seekers was shameful.
“It’s smoke and mirrors,” the Liberal leader said. “He is overshooting his own department’s numbers for sustainable population growth and yet he is trying to blame this on asylum seekers … who aren’t even here.”
In September, federal Immigration Minister Marc Miller said there is no plan to send any asylum seekers to the province without compensation or the consent of the premier. He said the 6,000 number was an “aspirational” figure based on models that reflect each province’s population.
In Halifax, NDP Leader Claudia Chender said it’s clear Nova Scotia needs more doctors, nurses and skilled trades people.
“Immigration has been and always will be a part of the Nova Scotia story, but we need to build as we grow,” Chender said. “This is why we have been pushing the Houston government to build more affordable housing.”
Chender was in a Halifax cafe on Thursday when she promised her party would remove the province’s portion of the harmonized sales tax from all grocery, cellphone and internet bills if elected to govern on Nov. 26. The tax would also be removed from the sale and installation of heat pumps.
“Our focus is on helping people to afford their lives,” Chender told reporters. “We know there are certain things that you can’t live without: food, internet and a phone …. So we know this will have the single biggest impact.”
The party estimates the measure would save the average Nova Scotia family about $1,300 a year.
“That’s a lot more than a one or two per cent HST cut,” Chender said, referring to the Progressive Conservative pledge to reduce the tax by one percentage point and the Liberal promise to trim it by two percentage points.
Elsewhere on the campaign trail, Houston announced that a Progressive Conservative government would make parking free at all Nova Scotia hospitals and health-care centres. The promise was also made by the Liberals in their election platform released Monday.
“Free parking may not seem like a big deal to some, but … the parking, especially for people working at the facilities, can add up to hundreds of dollars,” the premier told a news conference at his campaign headquarters in Halifax.
This report by The Canadian Press was first published Nov. 7, 2024.