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93% spike in First Nations overdose deaths recorded in B.C. during COVID-19 – CBC.ca

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New data from B.C.’s First Nations Health Authority shows that overdose deaths among First Nations people have surged dramatically and disproportionately in the province during the COVID-19 pandemic. 

“When I talk about these numbers, I’m talking about people,” said Dr. Shannon McDonald, acting chief medical officer with the First Nations Health Authority, during a news conference on Monday.

“There has been much pain and loss in our communities due to the loss of these individuals and I want to acknowledge that pain and that loss.”

The losses have spiked 93 per cent when comparing data from January to May in 2019 to the same months in 2020. 

Eighty-nine First Nations people died from an overdose between January and May of this year. 

Community leaders and health officials have known for years that Indigenous people have been disproportionately impacted by the overdose crisis in B.C., which led to the declaration of a public emergency in 2016. 

The data presented on Monday shows the difference between the number of deaths among First Nations people compared to the total population further widening since the pandemic hit. 

“The problem is getting worse, not better,” said McDonald. 

“At this point 16 per cent of all overdose deaths in B.C. between January and May of 2020 are First Nations people. This number was 9.9 per cent in 2019,” she said.

She added that First Nations people account for 3.3 per cent of the population in B.C. 

The data presented by the health authority doesn’t capture all First Nations people in B.C., it is limited to those with Indian status, who are residents of B.C. and are registered to receive health services in the province. 

May was the deadliest overdose month ever in B.C. 

“The dual public health emergencies of the COVID-19 pandemic and B.C.’s overdose crisis have intersected in a way that has had unintended consequences and tragic outcomes for some of those who use substances,” said Dr. Nel Wieman, senior medical officer with the First Nations Health Authority. 

Dr. Nel Wieman, senior medical officer of the First Nations Health Authority, is pictured inside her office in West Vancouver on June 12. (Maggie MacPherson/CBC)

May was the deadliest month ever in B.C. for illicit overdoses, with 170 deaths reported by the B.C. Coroners Service. 

One of the contributing factors in the spike in overdose deaths with the onset of the pandemic has been an increasingly toxic street drug supply due to supply chain disruptions. 

“Right now, more than ever, we know that the toxicity of the street supply has gone up exponentially in this pandemic,” said Dr. Bonnie Henry, provincial health officer for B.C. 

Experts also report that since the pandemic hit there has been limited access to supervised consumption sites and other harm reduction and treatment services. 

Staying home to curb the spread of the virus, Dr. Henry said, “has led people to be more isolated, to be alone, to use alone.”

Wieman said all of these factors, combined with pre-existing inequities between the general population and First Nations, have led to “the devastating number of overdose deaths we see today” among First Nations communities.

Among the solutions discussed during Monday’s news conference were increasing access to safe, pharmaceutical alternatives to street drugs and increasing access to culturally relevant treatment for substance use and mental health. 

“We still have a lot of work to do. Too many people are still dying,” said Wieman.

“We cannot stand still and watch the progress made in saving lives be lost. We have to adapt and we have to be willing to try new things and try them quickly or we will lose more lives.”

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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