1. Will the Minister outline the steps being taken by Public Health Wales and NHS Wales to protect the public from Coronavirus? 387

Yes. NHS Wales has plans in place to protect the health of the public. Specific guidance on the identification, isolation and testing for this virus has been communicated to all of our front-line staff. UK health Ministers, chief medical officers and public health agencies across the four nations are co-ordinating action together.

Thank you, Minister. The threat we face from this new strain of coronavirus is of grave concern, and I am grateful that you have outlined the action your Government are taking to keep us safe. It is concerning that upwards of 5 million people are believed to have left Wuhan before the quarantine was put in place. Sadly, in the following weeks, we have seen this coronavirus outbreak spread, and the director of Public Health England has said that it is likely this deadly virus is already in the UK. We have to do all that we can to limit its impact on our already overstretched NHS. Minister, although we have no direct flights from China to Cardiff, both KLM and Qatar airlines offer flights. What assurances have you from the Dutch and Qatari Governments that they will screen all transit passengers?

Unfortunately, this coronavirus has a long incubation period, so the real scale of the threat will become more apparent in the coming weeks. Minister, will you commit to giving this Chamber and, by extension, the wider public, regular oral updates as the situation develops? Thank you.

On the last point, I'm happy to confirm that, of course, regular updates will be provided, where necessary by me, but there'll be regular updates through the chief medical officer's department about steps that are being taken.

I think, in terms of people entering the United Kingdom, those are matters that are outside the control of this Government. You will have seen that there are direct flights that the Foreign and Commonwealth Office are arranging for British nationals to come back into London and that those people will be—a dreadful, old-fashioned word—quarantined; there'll be a period of them being held to see if they are symptomatic. And we're looking to identify with the Foreign and Commonwealth Office how many Welsh nationals are going to be on that flight.

On the broader points about ports of entry, again, the actions have been agreed, through previous Cabinet Office Briefing Room engagement that has been taken by the UK Government, on ports of entry.

But I just want to deal with your first point, and that is about the coronavirus in the first place. There's obviously understandable concern. However, I think we should all take care in how we describe this particular virus; it is less severe than the previous outbreak of severe acute respiratory syndrome, and there were lots of concerns about the potential mortality for that. That's our current understanding. The risk to the UK is currently assessed as low. But the steps that are being taken are anticipatory to try to provide reassurance for our staff, but also for the wider public. I certainly don't want to add to the impression that a more significant health risk is on its way than is likely.

It's worth reflecting, for example, that we know that the flu makes people severely unwell and kills people every year, and yet, we still can't persuade people who are in a category where they can receive a free NHS vaccine, to take that up in the numbers we'd want them to. So, let's have some perspective on it. We'll be measured, we certainly won't be complacent, and the engagement between health Ministers across the four UK Governments will continue in the way that you would all expect it to, just as the regular contact between our four chief medical officers will continue as well.

Thank you very much indeed, Minister. To be honest, you've answered most of the questions I was going to ask. I met the Secretary of State last week and he was very clear that there was big joint working going on and that it was going very well. My only question would be: does Wales have any emergency treatment centre planning in place, in case we get to a situation where this does develop further? And I would join you in urging people not to overly panic about this because we do not want to start a scare.

Yes, in terms of most of the treatment, that's part of a network of work across the UK, both within Wales and outside, where people would be treated should they test positive. It's also worth pointing out that every single person tested in the United Kingdom to date has tested negative. So, we don't have a confirmed case anywhere within the United Kingdom, but I think in terms of the assurance, yes, we have got arrangements in place for treatment should there be a positive test regardless of where that person is within the UK, and Wales is absolutely part of those arrangements. In fact, that's part of the conversation that our chief medical officer has had and part of the conversation that UK Ministers wanted to be assured about in the last COBRA call that I took part in last week.

I do welcome your appeal for everyone to have some perspective on this issue. Of course we need to take it seriously, but we also need to be realistic as to the level of the risk. I will ask this: is it a good time now to remind people and perhaps provide some resource into general aspects of personal hygiene and infection control? And not only in hospitals, but also in other institutions, and not just as preparation in case coronavirus affects us, but in general it's good practice. After all, the common cold is transferred in a similar manner and can lead to grave complications on occasion.

There is a link between Wuhan and Wales as well, of course. It's around 150 years since the missionary Griffith John went to Wuhan and established the Wuhan Union Hospital there, which is one of the largest in China, with 5,000 beds treating over 3 million people annually. And that does mean, of course, that there is traffic to Swansea, the city where Griffith John originated from. So, there is traffic from China to Swansea because of that direct link to Wuhan. Therefore, I do welcome what you've said about the need to work across Britain in order to put the appropriate steps in place in our airports.

In terms of our ports, the question that's been raised with me by the BMA—and I will pass it on to you—they are asking whether there may be some implications that need to be taken into account because of our exit from the EU, that there could be changes to expectations in terms of border control, and possible changes to what's expected of the Welsh Government under the new regime as we leave the European Union, in terms of ensuring that public health is safeguarded in Wales. Is that something that the Government has given any consideration to?

I think that completes my questions for the time being, but, as I say, it's important to keep this in perspective while also preparing in the background, of course, in case things do become more serious than we think they will currently.

Thank you for the comments and questions. The ability to communicate between European countries on public health matters is something that was talked about during the last three years or so and we'll still need to work through how we'll maintain the best possible public protection system. There are challenges in place around that.

I think that today, though, and for the current position, it is a matter of fact that we're still able to have that co-operation and information sharing in a way that benefits us. I think the point about the fact that there is some traffic between Wales and Wuhan, that’s acknowledged. In fact, we've seen some media reports of Welsh citizens who actually are there and are looking to be taken out on the flight that I previously mentioned.

But the advice that goes across not just Wales, but the UK, is that anyone who has returned from Wuhan in the last 14 days should stay indoors and avoid contact with other people, as you would with other flu viruses; to contact NHS Direct or 111 Wales, if available in your area—111 Wales is available in Hywel Dda, Powys, Aneurin Bevan and Swansea Bay—to inform them of your recent travel; and to please follow that advice even if you don’t currently have symptoms, and, again, if anyone does develop a fever, difficulty breathing or a cough, to continue to follow that advice and not to leave their home until they have had advice to do so by a clinician.

So, we're taking a properly precautionary approach. That shows we are taking it seriously, but not to want to move into a panic that isn't warranted by the position as it is, and to give that assurance that there will be information provided. In fact, the chief medical officer for England is regularly publishing each day information on behalf of all four chief medical officers on the current position. I think that it's important that the Governments of the UK are being as open as possible about the current position, so that people don't worry in a vacuum, which often leads to an unfortunate reaction from the public.

I am very concerned, as are some of my constituents, about the coronavirus. The death toll has climbed to 106, and the number of infections is now more than 4,500, and the virus has spread across China and to at least 16 countries. Now, I understand the feeling about no panic, but the one thing that I need to be sure of is that we have got contingency plans in place. I know that during the last swine flu concerns and that epidemic, there were some concerns where the Welsh Government had to very much rely on heavy support from the UK Government. In fact, I wouldn't downplay, really, the risk of the SARS virus, where I personally know of people who died with that virus and who nearly died with that virus. So, it's pretty serious stuff that we are actually discussing here today.

This is almost a global emergency. There are 47 confirmed cases outside China, three of these being in France. Last week, when I became very concerned midweek, I submitted a written Assembly question to you—and I would like to thank Caroline Jones for bringing this up today because, as an institution, we should be discussing and debating this—asking what steps the Welsh Government is taking in response to the spread of coronavirus. I haven't received a response yet. I know that Rhun has mentioned about airports. I know that the primary and secondary care settings have been mentioned—

You don't need to provide a précis of what's been asked already, Janet Finch-Saunders. Please just ask your questions.

My concerns, Minister, are that the virus seems to be spreading like a normal flu during its incubation period and before any symptoms appear. So, how do you think that we can help medical professionals and the public to become aware of this at the earliest symptoms? If and when a first case in the UK is confirmed, it will be announced as soon as possible by the chief medical officer of the affected country, and that will be followed by a statement from England's chief medical officer. So, I would like to hear again that you personally are actually in very frequent dialogue with the UK Government on this. 

Finally, you might be aware that the Chinese new year event in Swansea was cancelled over coronavirus fears. So, will you join with me in extending a message of support to the people of China and the Chinese people in Wales, and China, globally, on behalf of the National Assembly for Wales, if not the Welsh Government?

Well, I think that it's important to maintain a sense of perspective. We are taking this seriously, we're not being complacent, but we don't want to have a reaction that sends people into a wave of panic. We've taken specific measures together across the four Governments of the United Kingdom. As I said, there's no party political side to this. These are the four Governments acting as responsibly as we should do for the public that we serve.

So, we've proactively provided information in international airports and major ports. There's a suite of information on posters, for example, that are going up at higher education institutions. Lots of the traffic that we have comes from students and staff in the higher education sector. So, we're specifically looking at areas to have the maximum impact without worrying the public in a way that is out of proportion with the risk. There is real risk, and I'm not suggesting there isn't. There is real risk, but let's not react in a way that will add more fuel to the fire and unnecessary concern.

As I said in response to Rhun ap Iorwerth, the advice has been given about how people should behave: avoiding contact if they have returned form Wuhan in the last 14 days, and to make contact with NHS Direct Wales or 111. To follow that advice, even if they don't have symptoms, is really important. It's not just a matter for Chinese nationals who are resident in Wales. It is a matter for all of us, in terms of the contact that we have. The NHS in Wales will continue to do what it should do, and the Government will continue to act in concert with the other three Governments across the UK to do all that we could and should do for people here in Wales and beyond.

Thank you to the Minister for replying to that topical question.

And the second topical question, again to the same Minister, will be asked by Leanne Wood.