A few days after the global pandemic was declared, Jim Boire got a text from his daughter. Rebecca Erker, a Royal University Hospital intensive care unit nurse.
She is working on her PhD with the respiratory research centre in Saskatoon. As a result, she had a good understanding of what was at stake with COVID-19, and reason to be concerned.
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Thankfully, Boire is president of RMD Engineering, a Saskatoon firm whose expertise ranges from beamlines for the Canada Light Source Synchrotron to industrial processes in potash mining, and a whole lot in between.
They’ve worked in uranium, agriculture, and a lot of research and development. His company (which Boire owns with four other partners, all employees) had the expertise and capacity to do something about it. And so they did.
“I got my text from my daughter on March 18. March 24, we had our first prototype built,” Boire said. Now the Saskatchewan Health Authority (SHA) announced Wednesday it would be taking delivery of 100 new ventilators, known as the EUV-SK1, in short order. The first 20 are ready to go out the door, and the company has most of the parts in place to build as many as 1,000 units.”
RMD Engineering Inc.’s subsidiary, One Health Medical Technologies, recently received COVID-19 Medical Device Authorization from Health Canada for an in-house designed, developed and manufactured ventilator. Collaborating with the University of Saskatchewan and SHA subject matter experts, RMD Engineering was able to successfully prototype an emergency use ventilator for Health Canada certification.
According to a Ministry of Health press release, there are currently approximately 650 ventilators available in Saskatchewan’s health system, enough to meet the need. They range from high-end critical care type ventilators to more basic sub-acute ventilators. The SHA’s purchase from RMD will increase that number to about 750.
But getting from a text to a prototype for an approved ventilator wasn’t easy, nor was it a quick process.
Very early on, the deans of both the University of Saskatchewan College of Engineering and College of Medicine got involved. Top respiratory technologies, respirologists, and ICU nurses were brought in within short order to develop this totally new product.
Boire said, “As soon as we asked for them to help, they helped with open arms. And you have a team like that, that knows exactly what something is supposed to do. And the capability to build something that can do that, then all you need are the codes and standards and validation equipment to make sure it meets the required level of quality.”
Asked if it was like converting to war production in 1940, Boire said, “I’ll tell you, that’s exactly the way it started.
“It felt like a military operation, if I was ever involved in a military operation, but I wasn’t. However, as soon as we got through the point where this is going to work, this design is going to work, here’s what we have to do now, a group of people said, ‘You know what? We get it. This is like a military operation, everybody’s doing this, let’s just go, go, go.’
“They stopped and said, ‘You know what, it’s probably time now that everybody starts looking at this as the biggest humanitarian effort this company has ever done.’ And it was just an awesome way to get out of that firefighting mode. And then one of our instrumentation leads said, ‘This is not a sprint. You guys can’t keep working 18 hours a day. This is going to be a marathon.’
“And it really helped pull the whole team back down to the ground, and get them out of that adrenaline mode, and really start focusing on the work breakdown, structure in the tasks at hand, and who’s responsible for what and what’s this timing going look like and when is this going in.”
His references to firefighting are authentic, as the company has built support equipment for water bombers.
They soon realized that the whole world was looking for critical parts, which almost immediately went into short supply and were being hoarded. Some items, like wire, saw huge price spikes. So RMD quickly realized it had to work on this project quietly, and develop a product that avoided critical path component shortages.
Boire said, “Instead of using the newer, more conventional turbine method, we knew those would be a hot commodity, when the world proclaimed they needed over a million of these. As you can imagine, that turbine is a complicated piece of equipment. We went the other way. We went back to being simple,” Boire said. “We have very, very few moving parts in our machine. There’s four moving parts.”
He explained, “This is an emergency use ventilator, so it needs to be used in the hospital or in an emergency hospital situation where they have line medical air and line oxygen so that’ll be running at 50 PSI. And then we control everything with proportional solenoids.”
There are two tubes coming into the device, which is in a large Pelican case, and two tubes coming out. They had them on hand because of another government project they’re working on. The lid includes an IBM screen.
“They’re all high reliability components,” he said. It runs off 110 volt AC power.
You set it up beside the bed, hook up the lines, hook up the power and put in the appropriate prescription.
They had previously made the biomedical imaging line for the Canadian Light Source, but they weren’t a medical device manufacturer. The list of specifications, protocols and standards was extensive.
And those standards, in some ways, simplify things. Boire said, “We don’t have any proprietary stuff on there, so all of the circuits, all the nebulizers everything fits on there. All that is covered off in standards. And I think that’s one of the biggest things to understand is when you go down this path, it is very prescriptive on everything. The machine has to do all of the standards it has to meet, including operational standards.”
He added, “It’s probably a foot tall, the stack of standards, when you put them together. You have to meet the electrical requirements, the operational requirements, the safety requirements. You don’t get to just build something in your backyard, and then tell everybody you have it. When you go and look at the requirements, when you submit to Health Canada, it is an armful. And I think we’ve spent just about $30,000 on standards. There is a lot of standards that you have to meet.”
VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.
Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.
In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.
The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.
Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”
Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”
This report by The Canadian Press was first published Sept. 16, 2024
The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.
It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.
Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”
Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.
Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.
A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.
On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.
Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”
But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”
“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.
Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.
Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.
Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.
“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.
“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”
This report by The Canadian Press was first published Sept. 13, 2024.
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
