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Five big lessons experts say Canada should learn from COVID-19 – CTV News

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OTTAWA —
In light of the COVID-19 pandemic, The Canadian Press interviewed a group of leading Canadian experts in disease control and epidemiology and asked them what should be done to reduce the harms the next time a germ with similar destructive potential emerges. Here are the five most important lessons they offered.

 

SOCIO-ECONOMIC AND HEALTH INEQUITIES HAVE MADE SOME PEOPLE MORE VULNERABLE

COVID-19 has exposed fault lines in the Canadian society by showing how long-standing inequities contributed to higher rates of infections and mortality, said Steffanie Strathdee, a Toronto-born epidemiologist at the University of California in San Diego.

“The people who are, by and large, getting COVID are people who are poor, or of-colour, or living in poor socio-economic conditions,” Strathdee said.

In an analysis of COVID-19 deaths between March and July, Statistics Canada found that death rates because of the virus were double in Canadian neighbourhoods where more than 25 per cent of the people are members of visible minorities compared to neighbourhoods where minorities are less than one per cent of the people.

Strathdee said people in many areas in Canada have limited health services.

“In my sister and mother’s region of Stouffville (a suburb of Toronto), it’s very, very difficult to get a doctor,” she said.

“What we need to do is invest in our public health and health care infrastructure, because this isn’t going to be the last pandemic we see.”

University of British Columbia professor Erica Frank, a doctor and population-health expert, said almost all those who have died because of COVID-19 had pre-existing risk factors, including age.

“Not paying enough attention to reduction of chronic-disease risk has greatly increased the cohort of susceptible people to COVID,” she said.

She said there is a need to spend money on public health systems and on social determinants of health, such as housing, to decrease sickness and death.

 

CANADA’S DIVISION OF HEALTH-CARE RESPONSIBILITIES IS INEFFICIENT

The disconnect between federal and provincial or territorial actions to fight the pandemic is getting in the way of an effective response, said Donald Sheppard. He’s the chair of the department of microbiology and immunology in the faculty of medicine at McGill University and a member of Canada’s COVID-19 therapeutics task force.

For instance, Sheppard said, after Eli Lilly’s COVID-19 antibody treatment was approved by Health Canada, bought by the federal government and greenlit by the federal therapeutics task force, British Columbia health authorities decided to reject the federal approval of the medication.

He said there many more examples, including the handling of long-term care homes.

“Quebec is screaming they want money but they’re refusing to sign on to the minimum standards of long-term care,” he said.

He said there have been poor communication and a lot of territorialism since the beginning of the pandemic.

“There should be a time when it’s all hands on deck and we don’t play games,” he said. “That didn’t happen. We saw these fragmentations between the provinces and the feds leading to, frankly, people dying.”

 

CENTRALIZED DECISION-MAKING IN HEALTH CARE STIFLES INNOVATION

Sheppard said the Canadian health care system can’t be nimble because federal and provincial governments have seized control of decisions on how to handle the pandemic.

“During a new disease like a pandemic, when we’re learning about things, the people on the ground actually are learning a lot faster than the people sitting in Ottawa, Quebec City or Toronto,” he said.

He said Canadian businesses and universities have been struggling to get approval for testing strategies that use rapid tests to reopen safely.

“The way that the ministries of health are set up, they actually make it incredibly difficult to set those type of things up, because they hold on to all the power with a stranglehold.”

Sheppard said there’s no process private entities can use to launch innovative testing programs.

“The dogma from the ministries of health are simple: What we’re doing is right. There is no other better way to do anything … therefore we will not help anybody do anything different than what we’re doing. And anything other than that is a threat to our authority,” he said. “That’s the mentality, and it’s just killed innovation in the health-care setting.”

 

LACK OF COORDINATION STYMIED RESEARCH

The COVID-19 pandemic has shown how crucial research is to inform health decisions, said Francois Lamontagne, a clinician-scientist at the University of Sherbrooke.

He said Canadian scientists have played prominent roles scientifically during the pandemic but recruiting patients to participate in clinical trials has been a challenge due to lack of coordination.

“There have been a lot of studies launched. A lot of those studies overlapped,” he said.

He said having too many studies at the same time has resulted in shortages of suitable patients who are willing to be subjects in clinical trials.

“This, essentially, dilutes all of the studies and you end up enrolling very few people in too many studies.”

Lamontagne said the United Kingdom has been the locomotive of the world in enrolling patients in clinical trials because research is an integral part of the country’s national health system.

“It’s not something that happens in a silo. It’s part of the (National Health Service),” he said. “This led them to build the infrastructure … And then there’s an effort to co-ordinate and prioritize studies so they do one study and they do it well and they get the answers very quickly.”

He said creating better research infrastructure and coordination should be a priority for Canada.

“This is a criticism directed at me as well. I am part of ‘us’ — researchers. We have to get our act together and there has to be an effort of coordination.”

Lamontagne said health research in Canada is largely funded by the federal government whereas health care is a provincial jurisdiction and both levels need to co-operate.

“The stakes are so important for not only how we respond to pandemics now and in the future, but also for the sustainability of a public health-care system,” he said.

 

GOOD MESSAGING AND COMMUNICATION MATTER

Strathdee said good science communication with the public is important to address misinformation regarding the novel coronaviruses and its vaccines.

“We need for people to understand that science and medicine don’t have all the answers all the time, that we’re learning just like everybody else,” she said.

Strathdee said guidelines will be updated as more data become available and that’s what happened when more data showed that face masks reduced the risk of COVID-19 transmission.

She said government officials should be trained in health literacy.

John Brownstein, a Montreal-born Harvard University epidemiologist, said minority communities, including Indigenous communities, tend to have more mistrust in vaccines and for good historical reasons.

“We got to figure out how to improve communication and improve confidence,” he said.

Strathdee said it’s critical for politicians and public health officials to be honest with the public by “making people aware that, you know, it could get worse before it gets better, and that they need to stay the course.”

She also said people need to understand that if segments of the population are left behind in vaccination, like prisoners and homeless people, that will put everyone at risk.

She said Canada did a good job in detecting COVID-19 cases because it was hit hard by SARS.

“We have to make sure that we don’t unlearn those lessons going forward and that we build upon what we’ve learned from COVID and prepare for the next pandemic.”

——-

This report by The Canadian Press was first published Jan. 26, 2020

This story was produced with the financial assistance of the Facebook and Canadian Press News Fellowship.

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Indian diplomats ‘clearly on notice’ after high commissioner expulsion: Joly

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OTTAWA – Canada isn’t ruling out expelling additional diplomats from India, Foreign Affairs Minister Mélanie Joly suggested Friday following bombshell allegations that Indian diplomats in Toronto, Ottawa and Vancouver were involved in state-sponsored violence targeting Canadian citizens.

Canada expelled the Indian high commissioner and five other diplomats on Monday and when asked at a news conference in Montreal Friday if any more expulsions would follow Joly did not say no.

“They’re clearly on notice,” she said.

The minister said that Canada will not tolerate any foreign diplomats that put the lives of Canadians at risk.

A year ago Prime Minister Justin Trudeau said Canada had clear evidence that Indian agents were connected to the murder of Sikh leader Hardeep Singh Nijjar in British Columbia in June 2023. The allegations suggest India is trying to snuff out a movement to create an independent Sikh state in India known as Khalistan.

On Oct. 14, RCMP Commissioner Mike Duheme rocked the diplomatic relationship further, saying the national police force had launched a special investigative unit last February to investigate multiple cases of extortion, coercion and violence, including murder, linked to agents of the Indian government.

In more than a dozen cases, Canadian citizens were warned about threats to their personal safety and Duheme said the national police force was speaking out to try and disrupt what it deemed a serious threat to public safety.

The six diplomats expelled are persons of interest in the cases, with allegations that diplomats used their position to collect information on Canadians in the pro-Khalistan movement and then pass that on to criminal gangs who targeted the individuals directly.

India has denied the allegations and expelled six Canadian diplomats from New Delhi in return.

Joly said Friday the allegations were extraordinary in Canada.

“That level of transnational repression cannot happen on Canadian soil,” she said. “We’ve seen it elsewhere in Europe, Russia has done that in Germany and the U.K., but we needed to stand firm on this issue.”

The allegations will be studied in more detail by the House of Commons national security committee following a vote by the committee Friday. Joly and Duheme will both be asked to appear, as will Public Safety Minister Dominic LeBlanc

NDP MP Alistair MacGregor, who put forward the motion to launch the study, said the fact the RCMP came out with such “explosive revelations” underscores how serious the situation is.

“The RCMP made a point that they were doing this because some individuals in Canada had their lives directly in danger and the threat reached such a level they felt compelled to ignore the traditional way of going through the judicial process and make these accusations public,” he said.

Canada’s allegations were followed Thursday by charges announced by the U.S. Justice Department against an Indian government employee who is accused in an alleged foiled plot to kill a Sikh separatist leader living in New York City.

U.S. authorities say Vikash Yadav directed the New York plot from India. He faces murder-for-hire charges in a planned killing that prosecutors have previously said was meant to precede a string of other politically motivated murders in the United States and Canada.

The Indian government didn’t immediately provide comment on the U.S. charge.

American-Canadian lawyer Gurpatwant Singh Pannun, a lawyer and dual Canadian and U.S. citizen, said in a statement that he was the target of the alleged murder plot in New York. He said he was targeted because he is a lawyer for Sikhs for Justice and was helping to organize votes in a non-binding referendum on the creation of an independent Sikh state.

Nijjar helped organize a similar referendum in B.C. prior to his death.

The House committee Friday also voted to call Brampton Mayor Patrick Brown to testify, as well as other candidates from the 2022 Conservative leadership contest. A report released in June by the National Security and Intelligence Committee of Parliamentarians (NSICOP) contains a redacted paragraph that details alleged Indian interference in a Conservative leadership contest. A specific year is not mentioned.

The Conservatives have said they have been given no information about any such interference.

The committee is also now considering a second NDP motion calling for all party leaders to apply for a top-secret security clearance within 30 days, along with a Conservative amendment to demand Prime Minister Justin Trudeau release the names of parliamentarians listed in top-secret documents as being engaged in or at-risk of foreign interference.

At the foreign interference inquiry this week Trudeau said Conservative Leader Pierre Poilievre refused to get the clearance that would allow him to access the names of Conservatives from those documents, while Poilievre accused Trudeau of lying and demanded he make all the names public.

Trudeau acknowledged the documents include the names of members of other parties, including the Liberals, but said if Poilievre doesn’t get the clearance that is needed to know who is at risk he can’t take any steps to prevent or limit the impact.

Manitoba Conservative MP Raquel Dancho told the committee that Poilievre getting a briefing would be a “gag order” against criticizing the government on foreign interference.

“We can put this to bed, it’s rapidly devolving into some McCarthy witch-hunt as a result of the prime minister’s actions and we can clear this up today by releasing the names,” Dancho said.

This report by The Canadian Press was first published Oct. 18, 2024.



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B.C. faces a rain-soaked election day after a campaign drenched in negativity

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VANCOUVER – British Columbians go to the polls on Saturday after a too-close-to-call campaign that saw David Eby’s New Democrats and John Rustad’s B.C. Conservatives tangle over housing, health care and the overdose crisis — as well as plastic straws and a billionaire’s billboards.

Forecasters say election day will be soaked in several parts of the province by heavy rain from an atmospheric river system.

But the campaign has already been drenched in negativity, with Eby and Rustad each devoted to telling British Columbians why they shouldn’t vote for the other.

The NDP’s election platform mentions Rustad more than 50 times, compared to only 29 times for Eby, while the B.C. Conservative platform names Eby 50 times, and Rustad only 11 times.

“I hope we never see another election like this,” Eby said this week in Nanaimo, describing the tone of the campaign where he felt compelled to tell voters about controversial public statements made by Rustad and some of his candidates.

“We don’t call people who are gay ‘groomers,'” he said. “We don’t tell Indigenous people that what they experienced in residential schools wasn’t real. We don’t propose that health-care professionals be put in front of an international tribunal similar to the trial of the Nazis called Nuremberg 2.0.”

Rustad, who campaigned in Nanaimo on the same day Eby visited the Vancouver Island city, said the NDP leader has consistently attempted to shift focus away from what he says are the real issues facing the province — mismanagement of the economy, the crumbling health-care system and the ongoing drug overdose crisis that has resulted in more than 15,000 deaths since 2016.

“I don’t know why, I guess as premier he thinks it’s OK to be lying to the people of B.C.,” said Rustad. “The premier of a province like B.C. should be able to be out, being straight up with people and telling them the truth as opposed to lies.”

Regardless of the outcome, the election will go down as a sea change for B.C. politics, with the Conservatives poised to either form government or become the official opposition, after the implosion of the BC United party under Kevin Falcon, who halted his party’s campaign to support Rustad and avoid centre-right vote splitting.

Polls have put the NDP and the B.C. Conservatives locked in a close battle. It’s a remarkable turnaround for the Conservatives, who won less than two per cent of the vote in the last provincial election.

Eby and Rustad spent Friday making last-ditch pitches for support in vote-rich Metro Vancouver.

Eby started in Coquitlam, while B.C. Conservative Leader John Rustad was scheduled to be in North Vancouver.

“We have left nothing on the table,” said Eby, adding every vote will count Saturday. “I have really no regrets about the campaign.”

On Friday, the Conservatives said that if elected they would launch “a full public inquiry” into the use of taxpayer money to buy drugs on the dark web.

That is a reference to a so-called “compassion club” that was operated by the Vancouver-based Drug User Liberation Front to buy drugs including methamphetamine, cocaine and heroin, test it for safety and then sell it to its members.

The club was ultimately shut down and the group’s founders arrested and charged with trafficking.

“This inquiry will seek to uncover who knew what, when they knew it, and what actions were or weren’t taken by the New Democrats, including Premier David Eby,” the party said in a statement.

Rustad was not available to reporters on Friday, but he was holding photo opportunities in Metro Vancouver.

Green Leader Sonia Furstenau was in Victoria, where she is looking to capture a seat in the NDP stronghold of Victoria-Beacon Hill. She has acknowledged the Greens won’t win the overall election, but is hoping to retain a presence in the legislature where the party currently has two members.

The campaign’s only televised debate saw Furstenau tell voters that Eby and Rustad were more closely aligned than people may believe on issues including support for the fossil fuel industry and placing people with mental health and addiction issues into involuntary care.

The month-long campaign has featured regular controversies for the Conservatives surrounding past comments by Rustad and his candidates.

Rustad dropped several potential candidates before the start of the official campaigning period over extreme views posted on social media.

But during the campaign he continued to support Surrey-South candidate Brent Chapman, who called Palestinian children “inbred” and “time bombs” in a 2015 Facebook post.

Eby mentioned Chapman during visits to two mosques in Surrey.

“John Rustad and the B.C. Conservatives are standing with that candidate,” he said at the Guilford Islamic Centre. “They should have got rid of him.”

Eby said the NDP are running two Muslim candidates in the election, including candidate Haroon Ghaffar in Surrey-South against Chapman.

“It’s important to have diverse candidates in the legislature,” said Eby, adding B.C. has yet to elect a Muslim.

Eby faced tough questions from people at the mosque about teaching sex education at schools and the rise of Islamophobia.

Rustad also stood by North Coast-Haida Gwaii candidate Chris Sankey, who suggested vaccines caused AIDS by posting about “Vaccine Acquired Immunodeficiency Syndrome” during the COVID-19 pandemic.

Then there was Vancouver billionaire Chip Wilson, co-founder of the Lululemon athletic clothing line.

Wilson injected himself into the campaign with a series of anti-NDP billboards outside his waterfront Vancouver home, located in Eby’s Vancouver-Point Grey riding.

Eby and the NDP embraced the moment, saying Eby was on the side of ordinary people in B.C. struggling to make ends meet and not the owner of a home assessed at more than $81 million.

Rustad said he supported entrepreneurs like Wilson, but they couldn’t expect a break on their property taxes.

Rustad’s campaign promise to reverse a ban on plastic straws prompted Eby to begrudgingly agree that “paper straws suck,” but he suggested the B.C. Conservative leader was trying to stir up controversy by diverting attention from major issues facing the province.

Election day coincides with an atmospheric river system that is dumping heavy rain across much of the province.

Furstenau used the weather event to highlight her party’s climate promises, saying the Greens are the only party that offers a serious response to the climate crisis.

“It’s very interesting the timing of an atmospheric river arriving right on the moment of this election campaign, an election campaign where we have one party led by a climate denier and another party led by a climate delayer,” she said.

This report by The Canadian Press was first published Oct. 18, 2024.



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AFN votes on way forward after $47.8 billion child welfare reform deal is defeated

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OTTAWA – The executive team from the Assembly of First Nations will meet in the coming days to discuss how to proceed with new negotiations for a child welfare reform deal after chiefs voted against the government’s proposed $47.8 billion agreement at a meeting in Calgary Thursday.

AFN National Chief Cindy Woodhouse Nepinak, who had helped negotiate the deal and pushed for it to be approved, was blunt in her assessment of the outcome in her closing remarks to the special chiefs assembly Friday.

“We also recognize the success of the campaign that defeated this resolution. You spoke with passion, and you convinced the majority to vote against this $47.8-billion national agreement,” she said.

“There is no getting around the fact that this agreement was too much of a threat to the status quo, to the industry that has been built on taking First Nations children from their families.”

Cindy Blackstock, executive director of the First Nations Child and Family Caring Society which helped launch a discrimination case against Canada that led to the deal, said “that’s an unfortunate characterization of the chiefs taking a look at the agreement with their own experts and own legal staff and making an informed decision that’s best for them.”

“I respect the National Chief, and I look forward to kind of working with her and everyone to make sure that we get this across the finish line,” Blackstock said.

The defeated deal was struck between Canada, the Chiefs of Ontario, Nishnawbe Aski Nation and the Assembly of First Nations in July after a nearly two-decades-long legal fight over the federal government’s underfunding of on-reserve child welfare services.

The Canadian Human Rights Tribunal said that was discriminatory because it meant kids living on reserve were given fewer services than those living off reserve.

The tribunal tasked Canada with reaching an agreement with First Nations to reform the system, and also with compensating children who were torn from their families and put in foster care.

The $47.8 billion agreement was to cover 10 years of funding for First Nations to take control over their own child welfare services from the federal government, create a body to deal with complaints and set aside money for prevention, among others.

Before the deal was announced in July, three members of the AFN’s executive team wrote letters to the national chief saying they feared the deal was being negotiated in secret, and asked for a change in course. They also said the AFN was attempting to sideline the First Nations Child and Family Caring Society from negotiations.

Those concerns largely remained when the deal was announced in a closed-door meeting at the AFN’s last gathering, with chiefs questioning how the reforms will work on the ground, and service providers saying their funding levels will be significantly cut which would impact their ability to do their work effectively.

Blackstock found support from 267 out of 414 chiefs who voted against a resolution calling for the deal to be approved.

Squamish Nation chairperson Khelsilem introduced a resolution Friday calling for a new negotiation mandate from chiefs.

“This is a lesson for the Assembly of First Nations, for the staff and legal, for the advisers, for the portfolio holder who has worked on this deal,” he said.

“The way we got here was not the way we should have done this. There’s a better way forward.”

His resolution, and another one from child welfare advocate and proxy chief for Skawahlook First Nation, Judy Wilson, called for the creation of a children’s chiefs’ commission comprised of leadership from all regions in the country to negotiate a new deal and provide oversight, along with a new legal team.

It also calls for chiefs to be given at least 90 days to review an agreement before voting on it, with the document to be made available in both official languages.

Khelsilem said the new negotiation mandate was developed with about 50 leaders from across the country, and hopes it will set a positive path forward in the best interest of kids in care after a fairly testy special chiefs assembly. He also said the new mandate will address “flaws” highlighted by chiefs across the country, and will ensure there is more transparency.

“We didn’t have to be in a situation where we had to vote down a flawed agreement and then create a direction to be able to get this back on track,” he said to chiefs.

“We didn’t have to be here if the process that was used to create the (final settlement agreement) was a meaningful process that meaningfully respected and consulted First Nations, that allowed for meaningful dialogue to improve that agreement.”

In a statement, a spokesperson for the minister of Indigenous Services said Canada worked closely with First Nations on this deal, and as it was being amended.

“The agreement that chiefs in assembly rejected yesterday is the final product of those close negotiations,” Jennifer Kozelj said.

“Canada remains steadfast in its commitment to reform the First Nations child and family services program so that children grow up knowing who they are and where they belong.”

Blackstock said that Indigenous Services Minister Patty Hajdu or Prime Minister Justin Trudeau ought to have been at the gathering in Calgary if they stood by the agreement.

In a statement Friday, the Assembly of First Nations Quebec-Labrador said they’re grateful for the work that has been done to date, but that chiefs need to work together to amend the deal so it respects diversity of communities and eliminates systemic discrimination.

“As chiefs, we have a sacred responsibility to protect our children and families for the next seven generations,” said interim regional chief Lance Haymond.

Blackstock says that even though the deal was defeated, it doesn’t mean they’re starting from the bottom.

“We have so much to build on, including the draft final settlement agreement,” she said. “This is a reset to ensure that First Nations kids all succeed.”

This report by The Canadian Press was first published Oct. 18, 2024.



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