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Group lists N.S. at top of COVID-19 hazard index for infections, impact – CBC.ca

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Researchers analyzing COVID-19 data from across Canada have rated Nova Scotia the highest in the country in its hazard index for the week of  Aug. 5.

In the previous index for the week of July 29, COVID-19 Resources Canada rated Nova Scotia very high on its hazard index. The rest of the country was rated either high or elevated.

The latest rating drops Nova Scotia to high on the hazard index but the province still has the highest score in Canada.

The group gets funding from the Public Health Agency of Canada. 

It comes as Nova Scotia reported no new deaths this week in its COVID-19 update — a first since Jan 3. 

Nova Scotia’s Department of Health and Wellness said it was unable to comment on the index as “we do not know the data sources or methodology used to analyze the data.”

“In the first Omicron wave and even to some extent in the second Omicron wave, Nova Scotia had fewer per capita cases than a lot of the rest of Canada,” said Tara Moriarty, an infectious disease expert at the University of Toronto and the co-founder of COVID-19 Resources Canada.

“Nova Scotia kind of hung on and did better for longer during the first and part of the second Omicron waves than many other provinces.

“A second part of the issue is there were more people to be infected for the first time in Nova Scotia than in the rest of the country and I think that’s partly why Nova Scotia is doing consistently worse this time around.”

To come up with the hazard index, Moriarty said her group looks at infection rates, vaccine protection, impacts to the health-care system and deaths.

COVID-19 Resources Canada’s hazard index for July 29, 2022 showed Nova Scotia rating the highest in the country. The group of researchers post updates every Saturday on its website. (COVID-19 Resources Canada)

Over the last few weeks, Moriarty said infection rates are high in Nova Scotia. She said COVID-19 is appearing in wastewater, reported hospitalizations the Canadian Critical Care Society collects, deaths, intensive care admissions and vaccination rates.

“All of the indicators, especially for the estimated actual infections and wastewater, have been high in Nova Scotia for quite a while, which is partly why Nova Scotia is kind of stuck at this very high level,” Moriarty said.

COVID-19 Resources Canada updates its hazard index once a week. Moriarty said while smaller populations tend to have more volatile results, in larger populations there isn’t as much up and down.

“We don’t see it with Nova Scotia or Saskatchewan … most of the provinces that are north of 700,000 people, the trends are a lot more stable,” Moriarty said. 

“P.E.I. is a small place for example and if you have one big event in Charlottetown that drives a lot of transmission you can see a really big effect but it might not spread out to the rest of the province.”

Moriarty said Nova Scotia was consistent with its index score for the last two weeks. COVID-19 Resources Canada said if the score decreases, “it’s pretty reasonable to assume that it’s going to continue improving for a while and it won’t bounce too much.”

Impacts on health-care system

Halifax Atlantic MLA Brendan Maguire said he wasn’t surprised to see Nova Scotia ranked highest on the index. He said health-care professionals and front-line workers have been sounding the alarm for a while.

“We’re seeing an impact on our surgeries, we’re seeing an impact in the emergency rooms so we’ve brought this up in the legislature that COVID is here, it’s bad and there’s just no recognition,” Maguire said. “It shows what we’re saying is true and hopefully it’s an eye-opener for the government.”

Maguire said there needs to be more COVID-19 data collected and shared by the province to help people make decisions.

“At the very least what they could be doing is encouraging people to take a little more precaution when they’re out in public,” he said.

Nova Scotia’s Department of Health and Wellness encouraged Nova Scotians to get their data from the provincial and federal governments.

“Nova Scotians are reminded that the virus continues to have an impact in our province. They should continue to take steps to minimize their risk of exposure and that of those around them by wearing a mask when in public spaces, staying home when they don’t feel well, and getting vaccinated when they are eligible,” a spokesperson for Health and Wellness said in an email.

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Medical assistance in dying given to 10K Canadians in 2021 – CTV News

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More Canadians are ending their lives with a medically-assisted death, says the third federal annual report on medical assistance in dying (MAID). Data shows that 10,064 people died in 2021 with medical aid, an increase of 32 per cent over 2020.

The report says that 3.3 per cent of all deaths in Canada in 2021 were assisted deaths. On a provincial level, the rate was higher in provinces such as Quebec, at 4.7 per cent, and British Columbia, at 4.8 per cent.

“It is rising remarkably fast,” University of Toronto law professor Trudo Lemmens, who was a member of the Council of Canadian Academies Expert Panel on Medical Assistance in Dying, wrote in an email to CTV News. He noted that some regions in the country have quickly matched or surpassed rates in Belgium and the Netherlands, where the practice has been in place for over two decades.

Advocates say it isn’t surprising because Canadians are growing more comfortable with MAID and some expect the rising rates may level off.

“The…. expectation has always been it (the rate) will be something around four to five per cent, (as in) Europe. We will probably, in the end, saw off at around the same rate,” said Dr. Jean Marmoreo, a family physician and MAID provider in Toronto.

The report uses data collected from files submitted by doctors, nurse practitioners and pharmacists across the country involving written requests for MAID.

Among the findings:

  • All provinces saw increases in MAID deaths, ranging from 1.2 per cent (Newfoundland & Labrador) to a high of 4.8 per cent (British Columbia);
  • More men (52.3 per cent) than women (47.7 per cent) received MAID;
  • The average age was 76.3 years;
  • Sixty-five per cent of those provided with assisted death had cancer. Heart disease or strokes were cited in 19 per cent of cases, followed by chronic lung diseases (12 per cent) and neurological conditions like ALS (12 per cent);
  • Just over two per cent of assisted deaths were offered to a newer group of patients: those with chronic illnesses but who were not dying of their condition, with new legislation in 2021 allowing expanded access to MAID.

Documents show that 81 per cent of written applications for MAID were approved.

Thirteen per cent of patients died before MAID could be provided, with almost two per cent withdrawing their application before the procedure was offered.

Four per cent of people who made written applications for medical assistance were rejected. The report says some were deemed ineligible because assessors felt the patient was not voluntarily applying for MAID. The majority of requests were denied because patients were deemed not mentally capable of making the decision.

But other countries with long-established programs reject far more assisted death requests, said Lemmens, citing data that shows 12 to 16 per cent of applicants in the Netherlands are told no.

“It ….may be an indication that restrictions (in my view safeguards) are weaker here than in the most liberal euthanasia regimes,” he wrote in his email to CTV News.

But Marmoreo, who has offered MAID since 2016, sees Canada’s low rejection rate differently.

“It is more like that the right cases are put forward,” she said.

“We have a very good screening process right from the get-go. So before people actually even make a formal request to have assisted dying, they have a lot of information that’s been given to them by the intake….here’s what’s involved in seeking an assisted death, you must meet these eligibility criteria.”

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B.C. ‘clear’ there’s not enough housing as Vancouver encampment ordered dismantled

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VANCOUVER — British Columbia’s acting attorney general says the province was “clear” with Vancouver officials that the Crown corporation responsible for subsidized housing does not have enough spaces available for people who are being told to dismantle their tents along a street in the city’s Downtown Eastside.

Murray Rankin, who is also the minister responsible for housing, says housing is a human right, and the “deeply concerning scenes from Hastings Street demonstrate how much more work we have to do to make that a reality for everyone in our communities.”

Rankin in a statement Friday says BC Housing has accelerated efforts to secure new housing for encampment residents including pursuing new sites to lease or buy and expediting renovations on single-room occupancy units as they become vacant.

He says BC Housing is aiming to make a “limited number” of renovated units available next week, with more opening later in the fall.

Vancouver fire Chief Karen Fry ordered tents set up along Hastings Street sidewalks dismantled last month, saying there was an extreme fire and safety risk.

Police blocked traffic Tuesday as city staff began what’s expected to be a weeks-long process of dismantling the encampment but little had changed by the end of the week with most residents staying put, saying they have nowhere to go.

The city has said staff plan to approach encampment residents with “respect and sensitivity” to encourage the voluntary removal of their tents and belongings.

Community advocacy groups, including the Vancouver Area of Drug Users and Pivot Legal Society, have said clearing the encampment violates a memorandum of understanding between the city, the B.C. government and Vancouver’s park board, because people are being told to move without being offered suitable housing.

The stated aim of the agreement struck last March is to connect unsheltered people to housing and preserve their dignity when dismantling encampments.

The City of Vancouver may enforce bylaws that prohibit structures on sidewalks “when suitable spaces are available for people to move indoors,” it reads.

The province is not involved in the fire chief’s order or the enforcement of local bylaws, which prohibit structures on sidewalks, but it is “bringing all of BC Housing’s resources to bear to do what we can to secure housing for people, Rankin said.

“I recognize the profound uncertainty and upheaval people impacted by the fire order are facing, and we will provide updates on this work as we have news to share,” he said.

Rankin, who had been serving as minister of Indigenous relations, was appointed acting attorney general after David Eby stepped down to run for leadership of the B.C. NDP.

This report by The Canadian Press was first published Aug. 12, 2022.

 

The Canadian Press

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N.W.T. RCMP deploy controversial roadside cannabis screening devices

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YELLOWKNIFE — RCMP in the Northwest Territories have begun using roadside cannabis-screening technology that has faced criticism from defence lawyers elsewhere in Canada.

Mounties in the territory announced late last month that they had deployed devices designed to take a saliva sample and test for the presence of tetrahydrocannabinol, also known as THC, the main psychoactive substance in cannabis. They said the technology would help them detect impaired drivers and make roads safer.

But some criminal defence lawyers have raised concerns about these devices’ ability to deliver reliable test results, particularly in cold temperatures. They argue the technology isn’t effective at determining whether someone is impaired.

“It can lead to people being arrested who are actually innocent,” said Kyla Lee, a lawyer based in Vancouver.

Lee said research has shown the devices may be more likely to deliver false results in extreme cold temperatures, and movement during analysis could also affect outcomes. She added that while the devices can deliver either a positive or negative test result, they do not indicate how much THC may be in a person’s bloodstream.

Lee recently represented a Nova Scotia woman in a constitutional challenge of the law that allows for roadside drug testing technology in Canada.

Michelle Gray, who uses cannabis for multiple sclerosis, had her car impounded and her licence suspended for a week after she failed a cannabis saliva test at a roadside checkpoint in 2019, even though she passed a sobriety test that same night.

“The technology just doesn’t exist yet to allow police to make a determination of impairment via drugs using physical equipment,” Lee said.

Lee is awaiting a decision on the constitutional challenge in Nova Scotia. She said she expects there will be further court challenges in other Canadian jurisdictions where these devices are used, including the Northwest Territories.

There are two devices approved for roadside cannabis screening in Canada: the Drager DrugTest 5000 and the Abbott SoToxa mobile test system. The companies that manufacture the devices recommend they be used in temperatures no lower than 4 C and 5 C, respectively.

Cpl. Andree Sieber of the Regina Police Service, which began using roadside devices to detect cannabis use in early 2020, said officers bring drivers to their vehicles for testing to prevent issues with weather conditions or temperatures.

“We’ve used it throughout all seasons here in Regina,” she said. “We have very cold winters and some pretty nasty, snowy cold days and you have the person attend back to your vehicle with you where it’s heated and it’s not an issue.”

Sieber said the more THC a person has consumed, the more likely they are to show signs of impairment and to test positive.

The RCMP said roadside screening devices are just one tool they use to detect and investigate drug-impaired drivers alongside officers’ observations. They said field sobriety testing and drug recognition experts remain the primary enforcement tools.

“Police officers rely on what they see and hear, as well as what they smell when investigating impaired drivers,” the RCMP said in a written statement. “Regardless of how a drug is consumed, there are signs of that consumption and police are trained to recognized them.”

This report by The Canadian Press was first published Aug. 13, 2022.

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

 

Emily Blake, The Canadian Press

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