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Digital health records coming and Pharmacare policy concerns

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Here is a roundup of stories from The Canadian Press designed

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Make all health records digital by 2028: report

The Public Policy Forum says Canada’s handling of health records is woefully out of date and negatively affecting patient care.

A report releasedtoday by the non-profit organization calls for health records to be digital and accessible to all members of a patient’s care team by 2028.

It says right now, patient information and referrals can be easily lost between health-care providers, resulting in what can be harmful, even life-threatening, delays.

The report says one of the first steps required is to stop using fax machines to transmit medical information.

It says allCanadians should have a digital medical record that includes electronic referrals and electronic prescriptions.

Manulife-Loblaw deal raises concerns: experts

Some pharmacare policy experts are raising concerns about competition and patient access to much-needed medication after Manulife Financial Corp. announced its coverage of certain prescription drugs will only apply at Loblaw Cos. Ltd. pharmacies.

The new arrangement, details of which were shared with plan holders earlier this month, affects around 260 medications under the insurance company’s Specialty Drug Care program. Drugs in this class are meant to treat complex, chronic or life-threatening conditions such as rheumatoid arthritis, Crohn’s, multiple sclerosis, pulmonary arterial hypertension, cancer, osteoporosis and hepatitis C.

Manulife said that starting Jan. 22, the program would transition to being carried out “primarily” through Shoppers Drug Mart and other Loblaw-owned pharmacies. The company had previously also covered specialty drugs through national home and community health-care provider Bayshore HealthCare.

Such deals that provide exclusivity, known as preferred pharmacy network arrangements, are common in the U.S. and growing in Canada, said Steve Morgan, an economist and professor of health policy at the University of British Columbia.

First Nation focuses on mental health, ‘more joy’

Small, white crosses dot a graveyard just outside Neskantaga First Nation in northern Ontario. Some graves are marked with white picket fences, flowers have been placed at others. Most have no names or ages, but some do.

A 16-year-old girl rests in one plot, a 13-year-old in another. Suicide brought them both there.

Ten years ago, the remote community, with a population of about 450, declared a state of emergency after four suicides and several attempted suicides by teens.

The state of emergency officially remains, but the community quietly spoke about a small milestone this past summer: no one had killed themselves in Neskantaga in three years.

Several measures helped get to that point; there are mental-health counsellors who rotate into the community, outdoor activities that help youth connect with traditional practices, and festivals that bring community members together.

The focus on building bonds is important, said Chief Chris Moonias.

Lionel Desmond inquiry: final report due Wednesday

A provincial inquiry is set to release its final report into what led an Afghanistan war veteran with PTSD to kill his family members and himself seven years ago.

Lionel Desmond bought a semi-automatic rifle on Jan. 3, 2017, and later that day fatally shot his mother, wife and 10-year-old daughter before taking his own life in the family’s rural Nova Scotia home.

The killings stunned the province and prompted questions about how such an awful thing could happen.

Now after lengthy delays caused by the pandemic and the replacement of the judge presiding over the inquiry, Canadians will learn the answers when the inquiry’s findings are released Wednesday.

Saskatchewan stabbing inquest reaches final stages

Jurors are set to receive instructions from a coroner this morning as an inquest into a mass stabbing on a Saskatchewan First Nation reaches its final stages.

Myles Sanderson killed 11 people and injured 17 others on the James Smith Cree Nation and nearby village of Weldon, northeast of Saskatoon, on Sept. 4, 2022.

He died in police custody a few days later.

The six jurors heard the final evidence of the inquest Monday and will begin deliberations today on recommendations to help prevent similar deaths in the future.

Over the last 11 days, the inquest heard how the rampage unfolded from RCMP officers at the scene and health-care officials organizing the response from paramedics and hospitals.

It has also heard about Sanderson’s life, personal relationships and prison history.

Flood, avalanche risks remain elevated in B.C.

The flood and avalanche risks remain elevated throughout British Columbia’s South Coast, where atmospheric rivers continue to bring heavy rains along with unseasonably warm temperatures.

B.C.’s River Forecast Centre is maintaining a flood warning for the Squamish River, saying flows had reached somewhere between a two- and five-year return period at a gauge near Brackendale, north of the Squamish town centre.

The warning issued late Monday afternoon also covers tributaries, including the Cheakamus River, which was “expected to exceed bank-full flow.”

Lower-level flood watches are in effect across the rest of the province’s South Coast, spanning all of Vancouver Island, the Sunshine Coast, the North Shore mountains, and parts of the Fraser Valley, including the Sumas River.

The latest Avalanche Canada forecast, meanwhile, shows the danger rating remains “high” throughout the south Chilcotin and Pacific mountain ranges, including alpine areas around Squamish, Whistler, Pemberton and Garibaldi Provincial Park.

This report by The Canadian Press was first published Jan. 30, 2024

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Canada’s Denis Shapovalov wins Belgrade Open for his second ATP Tour title

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BELGRADE, Serbia – Canada’s Denis Shapovalov is back in the winner’s circle.

The 25-year-old Shapovalov beat Serbia’s Hamad Medjedovic 6-4, 6-4 in the Belgrade Open final on Saturday.

It’s Shapovalov’s second ATP Tour title after winning the Stockholm Open in 2019. He is the first Canadian to win an ATP Tour-level title this season.

His last appearance in a tournament final was in Vienna in 2022.

Shapovalov missed the second half of last season due to injury and spent most of this year regaining his best level of play.

He came through qualifying in Belgrade and dropped just one set on his way to winning the trophy.

Shapovalov’s best results this season were at ATP 500 events in Washington and Basel, where he reached the quarterfinals.

Medjedovic was playing in his first-ever ATP Tour final.

The 21-year-old, who won the Next Gen ATP Finals presented by PIF title last year, ends 2024 holding a 9-8 tour-level record on the season.

This report by The Canadian Press was first published Nov. 9, 2024.

The Canadian Press. All rights reserved.



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Talks to resume in B.C. port dispute in bid to end multi-day lockout

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VANCOUVER – Contract negotiations resume today in Vancouver in a labour dispute that has paralyzed container cargo shipping at British Columbia’s ports since Monday.

The BC Maritime Employers Association and International Longshore and Warehouse Union Local 514 are scheduled to meet for the next three days in mediated talks to try to break a deadlock in negotiations.

The union, which represents more than 700 longshore supervisors at ports, including Vancouver, Prince Rupert and Nanaimo, has been without a contract since March last year.

The latest talks come after employers locked out workers in response to what it said was “strike activity” by union members.

The start of the lockout was then followed by several days of no engagement between the two parties, prompting federal Labour Minister Steven MacKinnon to speak with leaders on both sides, asking them to restart talks.

MacKinnon had said that the talks were “progressing at an insufficient pace, indicating a concerning absence of urgency from the parties involved” — a sentiment echoed by several business groups across Canada.

In a joint letter, more than 100 organizations, including the Canadian Chamber of Commerce, Business Council of Canada and associations representing industries from automotive and fertilizer to retail and mining, urged the government to do whatever it takes to end the work stoppage.

“While we acknowledge efforts to continue with mediation, parties have not been able to come to a negotiated agreement,” the letter says. “So, the federal government must take decisive action, using every tool at its disposal to resolve this dispute and limit the damage caused by this disruption.

“We simply cannot afford to once again put Canadian businesses at risk, which in turn puts Canadian livelihoods at risk.”

In the meantime, the union says it has filed a complaint to the Canada Industrial Relations Board against the employers, alleging the association threatened to pull existing conditions out of the last contract in direct contact with its members.

“The BCMEA is trying to undermine the union by attempting to turn members against its democratically elected leadership and bargaining committee — despite the fact that the BCMEA knows full well we received a 96 per cent mandate to take job action if needed,” union president Frank Morena said in a statement.

The employers have responded by calling the complaint “another meritless claim,” adding the final offer to the union that includes a 19.2 per cent wage increase over a four-year term remains on the table.

“The final offer has been on the table for over a week and represents a fair and balanced proposal for employees, and if accepted would end this dispute,” the employers’ statement says. “The offer does not require any concessions from the union.”

The union says the offer does not address the key issue of staffing requirement at the terminals as the port introduces more automation to cargo loading and unloading, which could potentially require fewer workers to operate than older systems.

The Port of Vancouver is the largest in Canada and has seen a number of labour disruptions, including two instances involving the rail and grain storage sectors earlier this year.

A 13-day strike by another group of workers at the port last year resulted in the disruption of a significant amount of shipping and trade.

This report by The Canadian Press was first published Nov. 9, 2024.

The Canadian Press. All rights reserved.



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The Royal Canadian Legion turns to Amazon for annual poppy campaign boost

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The Royal Canadian Legion says a new partnership with e-commerce giant Amazon is helping boost its veterans’ fund, and will hopefully expand its donor base in the digital world.

Since the Oct. 25 launch of its Amazon.ca storefront, the legion says it has received nearly 10,000 orders for poppies.

Online shoppers can order lapel poppies on Amazon in exchange for donations or buy items such as “We Remember” lawn signs, Remembrance Day pins and other accessories, with all proceeds going to the legion’s Poppy Trust Fund for Canadian veterans and their families.

Nujma Bond, the legion’s national spokesperson, said the organization sees this move as keeping up with modern purchasing habits.

“As the world around us evolves we have been looking at different ways to distribute poppies and to make it easier for people to access them,” she said in an interview.

“This is definitely a way to reach a wider number of Canadians of all ages. And certainly younger Canadians are much more active on the web, on social media in general, so we’re also engaging in that way.”

Al Plume, a member of a legion branch in Trenton, Ont., said the online store can also help with outreach to veterans who are far from home.

“For veterans that are overseas and are away, (or) can’t get to a store they can order them online, it’s Amazon.” Plume said.

Plume spent 35 years in the military with the Royal Engineers, and retired eight years ago. He said making sure veterans are looked after is his passion.

“I’ve seen the struggles that our veterans have had with Veterans Affairs … and that’s why I got involved, with making sure that the people get to them and help the veterans with their paperwork.”

But the message about the Amazon storefront didn’t appear to reach all of the legion’s locations, with volunteers at Branch 179 on Vancouver’s Commercial Drive saying they hadn’t heard about the online push.

Holly Paddon, the branch’s poppy campaign co-ordinator and bartender, said the Amazon partnership never came up in meetings with other legion volunteers and officials.

“I work at the legion, I work with the Vancouver poppy office and I go to the meetings for the Vancouver poppy campaign — which includes all the legions in Vancouver — and not once has this been mentioned,” she said.

Paddon said the initiative is a great idea, but she would like to have known more about it.

The legion also sells a larger collection of items at poppystore.ca.

This report by The Canadian Press was first published Nov. 9, 2024.

The Canadian Press. All rights reserved.



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