OTTAWA — The federal government has tabled a long-awaited plan in the House of Commons to improve access to diabetes treatment and prevention in Canada, Health Minister Jean-Yves Duclos announced Wednesday.
Liberal MP Sonia Sidhu called for the framework as part of a private member’s bill that became law in 2021.
At the time, Diabetes Canada was clamouring for some kind of national vision to address the growing disease epidemic.
“The framework means that Canada will have a co-ordinated response to diabetes that will improve health outcomes for everyone,” Sidhu said at a press conference alongside the Health minister Wednesday.
Diabetes prevents the natural production or use of insulin in the body, which in turn prevents the regulation of glucose in the blood. It is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation.
According to the private member’s bill, the framework must outline the training, education and guidance health workers need to promote the treatment and prevention of diabetes, including new clinical practice guidelines.
The act says the government will ensure the Canada Revenue Agency administers the disability tax credit fairly and in a way that helps as many people with diabetes as possible.
It will also address research, surveillance and data collection, Sidhu said.
Advocates for diabetes patients have lamented the lack of federal vision on the disease for years.
“There’s really the gap of having an overall playbook or framework, and then there (are) gaps in being able to measure progress against that by providing data,” Laura Syron, president of Diabetes Canada, said in an interview Wednesday.
A federal strategy was established in 1999 but then absorbed into a larger strategy to address chronic diseases in 2005.
“The longer we delay co-ordinated efforts with targeted outcomes, the more diabetes prevalence will increase and the more Canadians will experience its tragic complications,” Dr. Jan Hux, then president of Diabetes Canada, said in a statement in 2019.
Since then, the prevalence of diabetes and prediabetes in Canada has grown 6.5 per cent, according to statistics released by Diabetes Canada, and the annual cost of treating the disease has grown to $30 billion.
There were 5.7 million people with diagnosed diabetes as of March 2022 and another five million experiencing prediabetes — a condition that, if left unmanaged, can develop into Type 2 diabetes.
“I’m a person who lives with Type 2 diabetes, so I can tell you with confidence that this framework has the potential to transform the lives of millions of people who live with diabetes like me, and those who care for them,” Syron said at the press conference.
The strategy will serve as a road map for provincial health systems and outline what diabetes treatment and prevention should look like in Canada, she said.
She is particularly interested in a starting a conversation about reducing stigma around diabetes, which research has shown makes people less likely to take their medication and hurts patients’ quality of life.
Now that the framework is in place, she said her organization will start pushing the federal government to dedicate funding to it in the next budget.
The government is also speaking with Indigenous groups to address diabetes in First Nations, Inuit, and Métis populations, Duclos said.
“We also know that Indigenous Peoples are diagnosed with diabetes at a younger age, and tend to have more severe symptoms and have more difficulty having access to appropriate health-care services, and therefore face a higher risk of complications and experience poorer treatment outcomes,” Duclos said.
The federal government also funds the Aboriginal Diabetes Initiative to address the outsized risks Indigenous people face from the disease. The initiative aims to deliver primary prevention, screening and treatment programs with the help of First Nations and provincial and territorial governments.
This report by The Canadian Press was first published Oct. 5, 2022.
Laura Osman, The Canadian Press
Cobourg resident first at Peterborough Regional Health Centre to receive new cancer treatment – kawarthaNOW.com
Two years ago, a doctor looked at a CT scan of Stuart Morley’s kidney and saw a tumour. It was small — only 15 millimetres — but the Cobourg resident was over 80 years old, so major surgery wasn’t the best option for him. Instead, he was a candidate for a minimally invasive interventional radiology procedure.
Stuart became the first-ever patient at Peterborough Regional Health Centre (PRHC) to receive life-changing cancer treatment by interventional radiology-radiofrequency ablation.
The amateur photographer and retired radiographer tells how PRHC’s Dr. Kebby King put a metal probe through a small cut in his skin and, using a CT to guide her, found the tumour and dissolved it with radio waves.
Tweet this quote
“It was amazing,” Stuart recalls. “I felt no pain and I was able to go home later that afternoon. Now I’m back taking photos and looking forward to travelling the world again. I worked in diagnostic imaging for 12 years. But back in the ’60s, we could never have imagined the kinds of things doctors can do these days.”
Interventional radiology is often described as ‘the future of medicine’. It’s used to diagnose and treat a wide range of emergency and chronic health conditions such as cancer and other illnesses, without the use of conventional surgery and the associated pain, complications, and longer hospital stays.
For patients in the Peterborough region, this means they can go home sooner, with less pain and less risk, all without having to travel far away.
VIDEO: Interventional Radiology is helping to revolutionize cancer care at PRHC
Interventional radiologist Dr. King describes that difference as “night and day.”
It’s remarkable how many life-threatening health conditions can be diagnosed and treated with this innovative specialty. It can be used to biopsy or treat tumours like Stuart’s, put in ports for chemotherapy, or stop bleeding — in as little as an hour.
Dr. King and her colleagues already perform 6,000 interventional radiology procedures each year at PRHC, and the need for this kind of care is only growing in our region. PRHC’s interventional radiology suites are 14 years old, however, and are too small to fit new advanced technology and the staff required to use it.
Tweet this quote
A $6 million investment in state-of-the-art equipment, upgraded suites, and an expanded recovery room is essential to meeting the need — so more patients with more complex conditions can be diagnosed and treated close to home.
Grateful for the great care he received and determined to help pave the way for new ground-breaking therapies to be offered at PRHC in the near future, Stuart donated to the PRHC Foundation for the first time. He wants to support the interventional radiology renovation and upgrade, and he knows that the government doesn’t fund hospital equipment.
“Our regional hospital needs our help,” Stuart says. “I’m asking everyone to join me in donating to support the interventional radiology facilities. Pictures can save lives. I know this because medical imaging saved mine. Now, our donations will help others. Thank you for helping to give people like me a brighter future.”
Not only do donations fund state-of-the-art technology not funded by the government, fuel innovation, and bring new services to our region, they also help PRHC attract and retain the best and brightest healthcare professionals. Doctors, nurses and staff want to do their jobs to the best of their abilities, and advanced equipment and innovative treatments support them in doing that.
This holiday season, donors and grateful patients like Stuart can help ensure PRHC’s frontline workers have the tools they need to provide expert, compassionate care, and receive some good cheer. Tribute donations can include a message of thanks or best wishes to a hospital department or individual physician, nurse or staff member when made online at prhcfoundation.ca or by phone at 705-876-5000.
To donate, find out more about interventional radiology, or share your own PRHC grateful patient story, please visit prhcfoundation.ca or call 705-876-5000.
This branded editorial was published in partnership with the PRHC Foundation. If your organization or business is interested in a branded editorial, contact us.
Canadians should ensure kids get routine vaccines following COVID disruptions: doctors – National | Globalnews.ca – Global News
Preventable diseases like measles could follow trends seen elsewhere in the world and spread quickly in Canada due to a drop in routine vaccinations during the COVID-19 pandemic, say pediatricians who are urging parents to ensure their kids are fully immunized.
Provinces and territories log data on vaccinations provided in the community against infectious diseases like measles, diphtheria, polio and whooping cough, as well as vaccines against other illnesses administered in school immunization clinics.
Although much current data doesn’t cover years beyond 2019, provinces with more recent figures are already seeing a dramatic decline in routine vaccinations.
Pediatricians are concerned about possible outbreaks of preventable diseases if too many children were underimmunized or not vaccinated at all while public health clinics focused on COVID-19 vaccines. Widespread school closures and vaccine disinformation that swayed some parents against immunization efforts complicated matters still further.
Recent data from Public Health Ontarioshows that for 12-year-olds, vaccination against the liver infection hepatitis B plummeted to about 17 per cent in the 2020 to 2021 school year, compared with 67 per cent in the school year ending in 2019.
For human papillomavirus, or HPV, which can cause cancer, the vaccination numbers were even lower, plunging to 0.8 per cent last year, compared with 58 per cent in 2019. For the meningococcal vaccine, which helps protect against four types of the bacteria that cause a rare disease, vaccinations fell to about 17 per cent from 80 per cent over the same time. Risks of the potentially deadly illness include meningitis, an infection of the lining of the brain and spinal cord.
Flu cases on the rise in Alberta
“The large decline in coverage in 2019-20 and 2020-21 illustrates the impact of the COVID-19 pandemic, as there was limited capacity to deliver school-based immunization programs,” Public Health Ontario said in a statement.
It said data for uptake of vaccines aimed at protecting younger kids against measles, for example, is not available beyond 2019, and a report on later numbers is expected to be released next spring.
Dr. Monika Naus,medical director of Immunization Programs and Vaccine Preventable Diseases Service at the BC Centre for Disease Control, said in-school vaccines, starting in Grade 6, were delayed, but work is underway to return to pre-pandemic levels.
Younger children missed appointments at doctors’ offices while physicians were seeing patients virtually and public health clinics, which mostly administer routine vaccines for kids outside of the Lower Mainland region of the province, were busy with COVID-19 shots, Naus said.
Routine childhood vaccinations drop during pandemic
Dr. Sam Wong, director of medical affairs for the Canadian Paediatric Society, said disinformation and vaccine hesitancy during the pandemic, “combined with the failure of the public health system” to provide routine vaccines, mean certain populations could be left vulnerable to highly contagious diseases like measles, which spreads through coughing and sneezing.
“You could walk into a room an hour after someone’s been in there and potentially get infected,” he said.
“We’re worried, as a group of health-care providers, that if you have lower rates of vaccinations that you’re more likely to have localized outbreaks of vaccine-preventable illnesses such as measles or mumps and chickenpox,” Wong said.
Wong said it’s important for doctors and parents to discuss the importance of routine vaccinations that have been proven effective for decades, adding some people believe young kids’ immune systems are not ready so they’d rather wait until they’re older.
“But that’s why you want to give the vaccine, because their immune system is not able to fight off infections,” he said.
“Some parents don’t want to even have discussions with me about it. But if there is an opening, I’m happy to talk about it,” said Wong, who works in Yellowknife, Edmonton and Victoria.
The Public Health Agency of Canada said Canadian studies have found immunization coverage declined during the pandemic for the measles, mumps and rubella vaccine.
Toronto Public Health to resume in-school vaccination clinics in September
Quebec saw a 39 per cent drop in April 2020 compared with 2019, the agency said, with the greatest impact seen in children aged 18 months.
In Alberta, the agency said vaccination for those diseases declined by 10 per cent in April 2020 compared with the same month a year earlier. Coverage for Ontario children under two decreased by 1.7 per cent, it added.
“The Public Health Agency of Canada continues to work with provinces and territories on an ongoing basis to understand the impact of the pandemic on routine immunization coverage across Canada, and to improve the availability of high-quality data to inform immunization programs,” it said in a statement.
It is currently in discussions with all jurisdictions on ways to monitor coverage of vaccines, similar to a surveillance system used for COVID-19 vaccines, the agency said.
Nova Scotia Health said its last report on childhood vaccines was completed three years ago, and numbers have fallen during the pandemic.
“Anecdotally, we know there was a drop in childhood vaccination, but we do not have the specific numbers available at this time,” it said in a statement.
However, the school immunization program is aiming to help students catch up on vaccines that were missed early in the pandemic, mostly through doctors’ offices, it said, adding that getting an appointment was a challenge for some families.
“We know that a substantial number of Nova Scotians do not have a family doctor. Public Health often works with local primary care clinics to provide vaccines to those who do not have a family doctor and some public health offices will offer clinics to this population.”
Last week, the World Health Organization and the United States Centers for Disease Control and Prevention released a statement saying a record high of nearly 40 million children missed first and second doses of the measles vaccine in 2021 due to disruptions in immunization programs since the start of the pandemic.
The two groups said there were an estimated nine million measles cases and 128,000 related deaths worldwide in 2021, and 22 countries experienced large outbreaks.
Dr. Noni MacDonald, a professor of pediatrics and infectious diseases at Dalhousie University in Halifax, said a national registry that could quickly tell doctors which children have not been vaccinated is essential in Canada.
“I feel like I’m banging my head against a brick wall,” she said of her efforts to call for that change.
“How can we do proper health-care planning when we don’t have the data?”
Canada is an “outlier” that lags behind most European countries on the measles vaccine, she said, adding a coverage rate of 95 per cent is needed to create so-called herd immunity against the highly infectious disease.
Canada recently had 84 per cent uptake of the second dose of the measles vaccine. MacDonald said Australia, in comparison, had 94 per cent based on the most recent data from the WHO. She used the two countries as an example because they had a similar number of births _ 368,000 in Canada, and 300,000 in Australia in 2021.
“We are just not in the same league, and we should be embarrassed.”
Flu shots are now free for everyone in Quebec due to overwhelmed hospital ERs
While the campaign for flu shots has already been underway in Quebec for several weeks, the provincial government announced on Friday that immunization will now be free of charge for any Quebecer over the age of six months.
Previously, only people who met certain criteria (babies, seniors, the chronically ill, etc) were able to get the influenza immunization free of charge, and the vaccination sites set up for COVID-19 were only handling free flu shots. Meanwhile, the general population in Quebec was previously only able to get vaccinated at pharmacies, for a fee.
The decision was made due to the critical state of hospital ERs in the province, particularly at children’s hospitals in Montreal, where kids are being brought in by parents in larger numbers than usual due to rising rates of flu, COVID-19 and RSV infections.
“With the trio of viruses currently circulating, the influenza vaccine is now available free of charge to all Quebecers who wish to take advantage of it. It’s one more tool to limit the pressure on our network.”
—Quebec Health Minister Christian Dubé
To schedule an appointment for a flu shot and/or a COVID-19 shot, please visit the Clic Santé website.
The Murdoch media empire is in trouble. Can Rupert Murdoch's heir save it? – WUNC
‘I knew this team could play better’: Canucks finally pulling together more complete game – Sportsnet.ca
Black Friday is over, but you can already shop Amazon Canada's Cyber Monday deals – Yahoo Canada Shine On
Silver investment demand jumped 12% in 2019
Iran anticipates renewed protests amid social media shutdown
Search for life on Mars accelerates as new bodies of water found below planet’s surface
Sports13 hours ago
Croatia coach sends Canada a stern message ahead of World Cup showdown
Science12 hours ago
In a B.C. first, UVic mini-satellite launched into space after four years of work
Art18 hours ago
Greater Victoria students create art to promote energy conservation
Health23 hours ago
Secrets of ‘SuperAgers’ with superior memories into their 80s
Tech23 hours ago
M2 iPad Pro vs M1 iPad Pro: What’s changed?
Health20 hours ago
Successful tests in animal models pave way for strategy for universal flu vaccine
Art15 hours ago
Calgary seniors display art with skills acquired during the pandemic
Health18 hours ago
Deadly Bird Flu Outbreak Is The Worst In U.S. History