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CW Bulletin is the e-newsletter supplement to CW magazine. Sent each month to all members, every issue of CW Bulletin presents articles, case studies and additional resources on timely topics in communication.

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Toronto Responds to SARS

By Gary Schlee, ABC


Toronto didn't see it coming. On April 23, the World Health Organization advised people to avoid the Canadian city while it battled its outbreak of Severe Acute Respiratory Syndrome (SARS). Toronto? Seriously? Most residents were stunned.

For the communications staff at the City of Toronto, it was the biggest challenge yet in a drama that had been playing out for over two months.

Act 1: Enter SARS
When three cases of the severe form of pneumonia were confirmed in early March, communication efforts by the city were aimed at residents who had visited the affected hospital. They were being asked to go into a voluntary 10-day quarantine. "From the beginning, the focus was on public health," says Kevin Sack, who handles media relations for Toronto.

It was public health officers who played the dominant communication role. Political leaders stepped aside, leaving official pronouncements and news conferences to Dr. Sheela Basrur, Toronto's Medical Officer of Health, and her provincial counterparts.

A few weeks into the outbreak, there was a growing clamour from the media and the public for a political presence. While conventional wisdom suggested this wasn't a moment for politicians, people were looking for what one journalist called "a Rudy Giuliani response" (the visible take-charge role of New York's mayor following 9/11).

Valerie Chavossy, director of corporate communications for Toronto, maintains that having a public health focus in the early weeks was "the right thing to do. The public followed the instructions of the public health officials who were candid, calm and answered questions. In fact, the ratio of people who went into voluntary isolation was quite astonishing."

By mid-April, the number of SARS cases, which had peaked at about 300, was actually dropping. The typical Torontonian's exposure to SARS was limited to possibly knowing someone who had gone into quarantine. But, beyond Toronto, the fear was spreading much faster than the virus.

Act 2: Public Information vs. Public Panic
"We needed to work aggressively to establish differences between SARS in Toronto and SARS in Asia," notes Sack. "The media would often be talking about the outbreak in Toronto while showing footage from China where many people on the streets were wearing masks."

One U.S. network's showed Toronto health care workers wearing masks at a hospital entrance, giving the impression it was a general street scene. "We responded quickly, indicating the representation was misleading," says Sack, and we didn't see that happening again."

Internal communications was also a focus, particularly for one floor of Metro Hall where nearly 2,000 employees went into quarantine. "We had to be nimble," says Chavossy. Working Sunday evening and overnight, staff developed a personal memo that was delivered to every desk in the building for the next morning.

Face-to-face meetings with staff also took place. Public health officers were available to chat with employees affected by the quarantine. "We then limited the staff email system to SARS-related material for awhile. This included daily updates."

Act 3: Response to the WHO Whammy
When the WHO travel advisory hit, the reaction from the city's communicators was swift.

A video news release was produced in-house and uploaded to satellite within 36 hours. In it, the city's mayor and Dr. Basrur reiterated that SARS in Toronto was contained and on the wane. Toronto was a safe place to be. "Putting the release on satellite was $16,000 (CAN) well spent," says Chavossy. "It was picked up by more than 300 U.S. markets. Canada NewsWire described it as the biggest pickup they've ever had."

Sack and others handled convention inquiries, and Dr. Basrur made herself available to talk to convention organizers to ease their concerns. (Basrur also participated in a SARS panel discussion at the IABC Conference.)

A team of health officers and political leaders had a very visible send-off to WHO headquarters in Geneva where they argued to have the advisory lifted.

Help also came from some surprising and welcome sources. Tickets to a Toronto Blues Jays baseball game were offered for $1, jamming the SkyDome. Theatre/hotel/restaurant packages were being offered for $125. The response was so strong, the offer was extended to the end of June. Oil companies slashed prices at the gas pumps on the weekend following the decision to lift the ban.

Act 4: The Recovery
A second VNR was produced announcing the April 29 lifting of the WHO travel advisory. Toronto's mayor created a recovery task force that hired BBDO to develop an ad campaign to re-establish confidence in Toronto as a travel destination. Fleishman Hillard is providing public relations assistance for the campaign, called Toronto: You Belong Here.

Evaluation of the communications efforts is ongoing. "Some indications of success were clear, like the lifting of the travel advisory and the fact that residents realized they didn't need to wear masks in public," notes Sack. The city is also closely tracking statistics about visitors, as well as the economic impact on the beleaguered hospitality and health care sectors.

Act 5: A Second Wave
Just when the city was collectively catching its breath, a second SARS wave surfaced in late May - again limited to several health care facilities. But, with more residents heading into quarantine, Toronto's corporate communications department couldn't shelve its tactical plan yet.

Roll out dates for the confidence campaign needed to be reviewed, and the staff - along with the province - worked hard to help assure a second travel advisory would not be issued (it wasn't).

Act 6: The New Normal
The two SARS attacks in Toronto have created a new health care vigilance being described as 'the new normal'. As a communication case, the issue is still playing out as Toronto grapples with restoring confidence and attracting financial aid. Speaking at the IABC Conference in mid-June, Dr. Basrur described analyzing the communications response at this stage was much like doing an autopsy while the patient is still alive.


Author's Note:

Oh, the irony! I originally sent this story to IABC from voluntaryisolation. The quarantine was the result of a visit to a PR student internat a Toronto hospital that became a centre of the re-emergence of SARS on May 22.

Here was the dilemma at the time. Do I share this ludicrous coincidence with readers? After all, the thrust of the story was that the impact of SARS on the safety of Toronto was negligible. As a quarantine statistic, I represented a group that was well under one percent of the population.

Delegates to the IABC conference were probably already skittish about visiting Toronto without discovering that the writer of this piece was "working from home."

Still, it wouldn't be responsible to keep this to myself, would it? The fact that the story was bumped to a date after the conference made the revelation much less tantalizing.


Gary Schlee, ABC, is a professor of Corporate Communications at Centennial College's Centre for Creative Communications in Toronto. A past president of IABC/Toronto, he has served internationally on the Accreditation board and ethics committee. He can be reached at gschlee@centennialcollege.ca.

 
A SARS Timeline

November 16, 2002
The first cases of SARS (severe acute respiratory syndrome) appear in Guangdong province, south China.

February 21, 2003
A Guangdong medical professor with SARS symptoms checks into a Hong Kong hotel. He comes into contact with six or seven people while waiting for an elevator, including several Canadians.

February 26
SARS is reported to have spread to Hong Kong and Vietnam.

March 5
The Toronto woman who had returned to Canada dies of SARS. Four other family members are hospitalized during March.

March 12
The World Health Organization issues a global alert, followed three days later by a heightened global health alert about the mysterious pneumonia after cases are also identified in Singapore and Canada.

March 23
Toronto public health officials order everyone who has visited Scarborough Grace Hospital since March 16 to quarantine themselves at home for 10 days.

April 23
The WHO extends its SARS-related travel advice to Toronto, Beijing and China's Shanxi province, recommending the postponement of all but essential travel to these destinations. There have been 16 deaths in Toronto, but the number of cases, which peaked at about 300, appears to be dropping.

April 27
Nearly 3,000 SARS cases have been identified in China. Nearly 7,000 construction workers work around-the-clock to finish a new 1,000-bed hospital for SARS patients in Beijing.

April 28
The WHO reports that the SARS outbreak appears to have peaked in Canada, Hong Kong and Singapore and has been successfully contained in Vietnam.

April 29
The WHO announces that it is lifting the warning against unnecessary travel to Toronto.

May 14
The WHO removes Toronto from its list of regions affected by SARS. An area requires 20 days with no new cases to be considered unaffected. There have been 24 SARS-related deaths in Toronto.

May 22
SARS strikes Toronto again. Although nearly as large in scope as the first outbreak, the second wave is aggressively contained to health care facilities. By late June there is still no clear link between the two outbreaks of SARS in the city.

June 8
By the beginning of the IABC Conference, there are no new cases of SARS being reported in Toronto. By late June, SARS is on the wane worldwide.