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How one death, sick passengers led to fears of pandemic

From Saturday's Globe and Mail

FOLEYET, ONT. — The Canadian was rolling through Northern Ontario early Friday morning when a passenger began to have trouble breathing. A crew member gave her oxygen, but by the time a retired doctor from Britain sitting in the same car went to her side, she was already unconscious.

Within minutes, the 60-year-old woman – who boarded the Via Rail train two days earlier in Jasper, Alta., and was in good spirits the night before – was dead, leaving passengers and crew members in shock.

It was the beginning of a dramatic day in which six more passengers fell ill, seemingly all at once, and the train, with its 264 passengers and 30 crew, was placed under quarantine.

Health officials from across Canada were in a high state of anxiety amid fears of an outbreak of an infectious disease, and, along with emergency services, broke into their planned responses.

David Butler-Jones, Canada's chief public health officer, headed to an emergency operations centre in Ottawa to communicate with counterparts at provincial and local health authorities from British Columbia to Ontario – every province through which the train travelled on its journey from Vancouver to its final destination, Toronto.

By late Friday afternoon, it became apparent that there was no infectious disease. Neither did there appear to be any connection between the sudden death of one woman, the airlifting of another to a nearby hospital and the five tourists from Australia with flu-like symptoms who were placed in isolation on the train to contain the potential spread of disease.

David Williams, Ontario's acting chief medical officer of health, described the fate of the seven passengers as a series of unfortunate and unrelated health events.

“There is no evidence to support an outbreak of infectious disease on the train,” a visibly relieved Dr. Williams declared at a news conference in Toronto.

The drama began around 8:30 (ET) Friday morning, when the unidentified woman took ill as the train was approaching Foleyet, a sleepy hamlet 100 kilometres from Timmins. Shortly after, crew members notified the Sudbury District Health Unit of an unusual event on the Canadian – one woman dead and six others ill.

People in Foleyet realized something unusual was happening when they saw that the train was stopped at the station around 9 a.m., said local resident Fernande Dallaire. OPP cruisers, some with sirens turned on, arrived and cordoned off the local rail yard, she said. Residents saw four or five ambulances show up. A medical helicopter landed nearby and airlifted a female passenger away. Medical personnel donned masks and white protective suits before heading to the train, Mrs. Dallaire said.

“We haven't seen this much action in the last 10, maybe 20 years. We're just swamped here with emergency vehicles of all kinds. We're just a little town of 200, 250 people and you get all this action,” said John Boudreau, another local resident.

A travelling companion of the woman who died was airlifted to a hospital in Timmins after she began suffering from shortness of breath. She does not show any sign of a communicable disease and is now in stable condition, Dr. Williams said.

The visitors from Australia have a variety of respiratory illnesses and did not feel well when they boarded the train in Jasper, Dr. Williams said. One of them had seen a doctor before boarding the train, he added. A helicopter in Foleyet was used to transport swabs from the five Australians to a laboratory in Timmins.

The rest of the passengers could not leave the train while it was under quarantine. At least one passenger donned a surgical mask, but most remained calm and stared out the windows at the landscape, the tall jack pines and birch trees that encircle the cluster of modest aluminum-sided homes of the isolated community.

“We're okay,” David Bond, a tourist from England who was en route to Toronto, shouted to reporters from the stranded train. “We're not worried.”

Mr. Bond carried a glass of wine in one hand. He said he and his fellow passengers were enjoying the free wine that Via Rail staff had offered them while the train was delayed.

Cellphone service doesn't reach the community, but news of the quarantined train spread quickly to the 385 residents.

Koren Gabriel, one of the residents, said that by lunchtime nearly the entire population of Foleyet had gathered at Northern Lights, the only restaurant for nearly 100 kilometres.

“Choppers and trucks and ambulances coming here? No one ever comes here,” she said.

By the evening, things began returning to normal when the train finally left the station. It was scheduled to arrive in Toronto early Saturday morning.

Public officials expressed cautious satisfaction at the apparent readiness of plans that have been honed in anticipation of a possible global influenza pandemic, and in light of the experience with SARS, the respiratory disease whose 2003 outbreak killed 44 people in Canada.

“There was a high degree of awareness and suspicion, which I think post-SARS we might call the new normal,” said Perry Kendall, provincial health officer for British Columbia, “and there was evidence of a really good communication network.

“It was interesting to see the precautions that were taken in today's new and informed reality,” OPP Commissioner Julian Fantino told The Globe and Mail. “I'm impressed the way everyone responded to what was a serious event.”

With reports from Timothy Appleby, Christie Blatchford, Tu Thanh Ha, Mark Hume, André Picard and Dawn Walton

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