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TORONTO – The Canadian Institute for Health Information says more than 7,000 people with diabetes undergo a leg, foot or toe amputation every year — and the majority of those procedures could have been prevented.

The report issued today says people with diabetes living in the lowest-income neighbourhoods are three times more likely to have an amputation than those living in the highest-income communities.

It also says people with diabetes living in remote communities are at higher risk of leg amputations than those living in urban centres.

Erin Pichora, CIHI’s program lead for population health, says lack of access to a primary-care provider to help people manage diabetes is one likely factor behind the inequalities.

She says disparities are also likely in access to specialists who can treat diabetic wounds on people’s feet — including podiatrists and chiropodists — before they worsen.

Diabetes Canada says the report shows the importance of ensuring people with diabetes have equitable access to the care and resources they need.

“People living with diabetes who undergo amputations face significant emotional and financial distress,” Laura O’Driscoll, senior manager of policy at Diabetes Canada, said in an emailed statement to The Canadian Press.

“We need to ensure that everyone with diabetes has affordable, timely access to the medications, devices, education, and care needed to manage their condition and prevent complications like amputation.”

The CIHI researchers reviewed hospital records from across Canada for fiscal years 2020-2021 and 2022-2023 and found about 7,720 “lower limb” amputations associated with diabetes per year among people 18 and older.

Each year there were about 3,080 hospitalizations for “above-ankle” leg amputations and 4,640 hospitalizations for “ankle-and-below” amputations, including feet and toes.

This report by The Canadian Press was first published Sept. 26, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

Health Minister Adriana LaGrange says there’s more work to be done before a new compensation contract for Alberta’s doctors is finalized.

LaGrange says she has to make sure the new deal, which was agreed to in part this past April, is sustainable.

She says doctor compensation under the existing contract over the past few years has risen quicker than inflation and population growth and is currently over budget this year.

The group representing Alberta’s doctors have said the government is dragging its feet in implementing the new deal and putting patients’ lives at risk in the process.

LaGrange says while Alberta Medical Association officials are correct in saying the provincial Treasury Board still needs to approve the new contract, she’s still reviewing a pay rate assessment.

She says the government is still on track to implement the new deal this fall.

This report by The Canadian Press was first published Sept. 25, 2024.

The Canadian Press. All rights reserved.

OTTAWA – The federal Liberals are creating a new agency to beef up Canada’s ability to handle rapidly spreading infectious diseases and protect from future pandemics.

Industry Minister François-Philippe Champagne said the agency is meant to preserve the “top-gun team” of public servants that helped steer Canadians through COVID-19.

Health Emergency Readiness Canada is being tasked with boosting Canada’s life-sciences sector and ensuring Canadians get faster access to vaccines, medical therapies and diagnostics by accelerating the transition from research to commercialization.

“The danger would have been (that) if we don’t have a permanent agency sitting somewhere, that collective knowledge that we have accumulated during COVID would even be dispersed eventually, perhaps even lost within the civil service,” Champagne told reporters on Tuesday.

“We’re pulling them together in a team so that when people are talking about health, emergency readiness, they know where to knock.”

The new agency will be based in the Industry Department but include staff from the Public Health Agency of Canada and Health Canada. Champagne said it requires no new legislation and is based on spending Parliament already approved through this year’s budget.

“We want to keep a very close nexus with industry,” Champagne said.

The agency will co-ordinate efforts between Canadian industry and academic researchers as well as with international partners.

This follows a similar move by the European Union to create an agency in 2021 that not only tries to prepare the continent for pandemics, but seeks to learn from mistakes during the COVID-19 pandemic.

Canada was not adequately prepared for the COVID-19 pandemic with an outdated and understocked emergency stockpile, and a virtually non-existent vaccine production industry.

Last year, the British Medical Journal called out Canada’s “major pandemic failures” such as jurisdictional wrangling and a high death rate in long-term care homes.

Yet the Trudeau government has resisted calls from medical experts and the NDP to follow countries like the U.K. in having an inquiry into how governments handled the COVID-19 pandemic and how they could better manage a future pandemic.

When asked about an inquiry, Champagne said the announcement is focused on having the right materials and researchers on hand when needed.

“We all hope that there be no other pandemic. But the responsible thing to do is to make sure that you have the team stand by and ready,” he said.

Champagne told a biotechnology industry gathering on Friday that officials found Canada was not ready in co-ordinating “health emergency readiness” when peers started looking into preparing for future events.

“We realized that things were scattered,” he said.

He said Canada faced the danger of being the only G7 country “without a dedicated team” for pandemic preparedness.

Once fully operational, the agency will have an “industrial game plan” to move quickly on research and industrial mobilization if another health emergency like a pandemic is declared.

Champagne said the pandemic and investments in personalized medicine have made the public enthusiastic about the biotechnology sector.

“If there is one industry that I think Canadians have fallen in love again with, it’s certainly that industry,” he said.

This report by The Canadian Press was first published Sept. 24, 2024.

The Canadian Press. All rights reserved.