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Quebec coroner says delays in getting to hospital ‘very likely’ led to baby’s death

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MONTREAL — A seven-month-old baby from a northern First Nations community who died of meningitis in April might have survived if it hadn’t taken so long to get her to hospital, a Quebec coroner has concluded.

Niteïyah Chilton died of bacterial meningitis after it took about five and a half hours to bring her to a regional hospital by ambulance, and more than eight and a half hours to get her to a specialized pediatric centre in Montreal.

Coroner Géhane Kamel wrote in her report that the delay in accessing care “very likely” affected the child’s chances of survival.

“It seems very likely that the delays of this significance had an impact on the survival of the infant and warrant a reflection on ways to reduce them and prevent this from happening again,” she wrote in a report dated Oct. 21.

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A nurse from the community of Manawan, about 250 kilometres north of Montreal, called 911 on the night of April 2 after the baby was suffering from convulsions and breathing problems. The child had begun showing symptoms on March 31, but her parents were initially told by the nurse to give her Tylenol, the report read.

The local ambulance service was overwhelmed, which forced the family to wait more than an hour and 45 minutes for an ambulance to arrive from another community.

The child arrived at the regional hospital at 2:30 a.m. Soon after, doctors decided to transfer her to Montreal’s Sainte-Justine hospital, which led to another 30-minute wait for an ambulance. She only arrived in Montreal at 5:30 a.m., more than eight and a half hours after the 911 call. By then, her prognosis was grim.

She was declared dead on April 4.

The cause of death was bacterial meningitis, “following emergency treatment received too late,” Kamel concluded in her report. The death was deemed accidental.

Kamel highlighted staffing shortages and scheduling challenges in the ambulance sector, particularly in remote areas, which “unfortunately contributed to the lack of services provided to the population of Manawan.”

Given the lack of resources in distant communities, she urged the province to “reflect on solutions that fall outside the established framework.”

That could include, she wrote, a team of health professionals who provide pre-hospital care in First Nations communities. She said there also needs to be a faster way of getting critically ill patients to hospital.

While airplane transport is available in some communities, helicopters would be “more versatile” for patients in remote areas, she said.

Kamel noted that the province has already promised a “vast project” to transform its pre-hospital services, including the possibility of helicopter transport, following another coroner’s report last year. She urged the province to speed up the process as much as possible in order to avoid more deaths.

In a statement, a spokesperson for Quebec’s Health Department offered condolences to the child’s family and loved ones.

The government is committed to responding to the coroner’s report in the coming months, Noémie Vanheuverzwijn wrote in an email Tuesday. In the meantime, Vanheuverzwijn said, many changes are underway, including from an $800,000 investment announced this summer to improve pre-hospital services in the region that includes Manawan.

At the provincial level, the government said it has adopted a policy to improve pre-hospital services, and an action plan — including a heliport service — is in “preparation,” Vanheuverzwijn wrote.

This report by The Canadian Press was first published Nov. 8, 2022.

 

Morgan Lowrie, The Canadian Press

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Ontario Legislature keffiyeh ban remains, though Ford and opposition leaders ask for reversal – CBC.ca

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Keffiyehs remain banned in the Ontario Legislature after a unanimous consent motion that would have allowed the scarf to be worn failed to pass at Queen’s Park Thursday.

That vote, brought forth by NDP Leader Marit Stiles, failed despite Premier Doug Ford and the leaders of the province’s opposition parties all stating they want to see the ban overturned. Complete agreement from all MPPs is required for a motion like this to pass, and there were a smattering of “nos” after it was read into the record.

In an email on Wednesday, Speaker Ted Arnott said the legislature has previously restricted the wearing of clothing that is intended to make an “overt political statement” because it upholds a “standard practice of decorum.”

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“The Speaker cannot be aware of the meaning of every symbol or pattern but when items are drawn to my attention, there is a responsibility to respond. After extensive research, I concluded that the wearing of keffiyehs at the present time in our Assembly is intended to be a political statement. So, as Speaker, I cannot authorize the wearing of keffiyehs based on our longstanding conventions,” Arnott said in an email.

Speaking at Queen’s Park Thursday, Arnott said he would reconsider the ban with unanimous consent from MPPs.

“If the house believes that the wearing of the keffiyeh in this house, at the present time, is not a political statement, I would certainly and unequivocally accept the express will of the house with no ifs, ands or buts,” he said.

Keffiyehs are a commonly worn scarf among Arabs, but hold special significance to Palestinian people. They have been a frequent sight among pro-Palestinian protesters calling for an end to the violence in Gaza as the Israel-Hamas� war continues.

Premier calls for reversal

Ford said Thursday he’s hopeful Arnott will reverse the ban, but he didn’t say if he would instruct his caucus to support the NDP’s motion.

In a statement issued Wednesday, Ford said the decision was made by the speaker and nobody else.

“I do not support his decision as it needlessly divides the people of our province. I call on the speaker to reverse his decision immediately,” Ford said.

WATCH | Ford talks Keffiyeh ban: 

Ford says division over keffiyeh ‘not healthy’

12 hours ago

Duration 1:20

Ontario Premier Doug Ford reiterated Thursday that he does not support Speaker Ted Arnott banning keffiyehs in the Ontario Legislature because they are “intended to be a political statement,” as Arnott said in an email Wednesday.

PC Party MPP Robin Martin, who represents Eglinton–Lawrence, voted against the unanimous consent motion Thursday and told reporters she believes the speaker’s initial ruling was the correct one.

“We have to follow the rules of the legislature, otherwise we politicize the entire debate inside the legislature, and that’s not what it’s about. What it’s about is we come there and use our words to persuade, not items of clothing.”

When asked if she had defied a directive from the premier, Martin said, “It has nothing to do with the premier, it’s a decision of the speaker of the legislative assembly.”

Stiles told reporters Thursday she’s happy Ford is on her side on this issue, but added she is disappointed the motion didn’t pass.

“The premier needs to talk to his people and make sure they do the right thing,” she said.

Robin Martin answers questions from reporters.
PC Party MPP Robin Martin voted against a unanimous consent motion Thursday that would have overturned a ban on Keffiyehs at Queen’s Park. (Pelin Sidki/CBC)

Stiles first urged Arnott to reconsider the ban in an April 12 letter. She said concerns over the directive first surfaced after being flagged by members of her staff, however they have gained prominence after Sarah Jama, Independent MPP for Hamilton Centre, posted about the issue on X, formerly Twitter.

Jama was removed from the NDP caucus for her social media comments on the Israel-Hamas war shortly after Oct. 7. 

Jama has said she believes she was kicked out of the party because she called for a ceasefire in Gaza “too early” and because she called Israel an “apartheid state.”

Arnott told reporters Thursday that he began examining a ban on the Keffiyeh after one MPP made a complaint about another MPP, who he believes was Jama, who was wearing one.

Liberals also call for reversal

Ontario Liberal Leader Bonnie Crombie also called for a reversal of the ban on Wednesday night.

“Here in Ontario, we are home to a diverse group of people from so many backgrounds. This is a time when leaders should be looking for ways to bring people together, not to further divide us. I urge Speaker Arnott to immediately reconsider this move to ban the keffiyeh,” Crombie said.

WATCH | An explainer on the cultural significance of keffiyehs:  

Keffiyeh: How it became a symbol of the Palestinian people

4 months ago

Duration 3:08

Keffiyehs are a common garment across the Arab world, but they hold a special meaning in the Palestinian resistance movement.

Stiles said MPPs have worn kilts, kirpans, vyshyvankas and chubas in the legislature, saying such items of clothing not only have national and cultural associations, but have also been considered at times as “political symbols in need of suppression.”

She said Indigenous and non-Indigenous members have also dressed in traditional regalia and these items cannot be separated from their historical and political significance. 

“The wearing of these important cultural and national clothing items in our Assembly is something we should be proud of. It is part of the story of who we are as a province,” she said.

“Palestinians are part of that story, and the keffiyeh is a traditional clothing item that is significant not only to them but to many members of Arab and Muslim communities. That includes members of my staff who have been asked to remove their keffiyehs in order to come to work. This is unacceptable.”

Stiles added that House of Commons and other provincial legislatures allow the wearing of keffiyehs in their chambers and the ban makes Ontario an “outlier.”

Suppression of cultural symbols part of genocide: MPP

Jama said on X that the ban is “unsurprising” but “nonetheless concerning” in a country that has a legacy of colonialism. “Part of committing genocide is the forceful suppression of cultural identity and cultural symbols,” she said in part. 

Sarah Jama
Sarah Jama, Independent MPP for Hamilton Centre, is pictured here outside her office in the Ontario Legislature wearing a keffiyeh. (Sarah Jama/Twitter)

“Seeing those in power in this country at all levels of government, from federal all the way down to school boards, aid Israel’s colonial regime with these tactics in the oppression of Palestinian people proves that reconciliation is nothing but a word when spoken by state powers,” she said.

Amira Elghawaby, Canada’s Special Representative on Combatting Islamophobia, said on X that it is “deeply ironic” on that keffiyehs were banned in the Ontario legislature on the 42nd anniversary of Canada’s Charter of Rights and Freedoms.

“This is wrong and dangerous as we have already seen violence and exclusion impact Canadians, including Muslims of Palestinian descent, who choose to wear this traditional Palestinian clothing,” Elghawaby said.

Protesters who blocked a rail line in Toronto on Tuesday wear keffiyehs. The protest was organized by World Beyond War on April 16, 2024.
Protesters who blocked a rail line in Toronto on Tuesday are shown here wearing keffiyehs. The protest was organized by World Beyond War on April 16, 2024. (Evan Mitsui/CBC)

Arnott said the keffiyeh was not considered a “form of protest” in the legislature prior to statements and debates that happened in the House last fall.

“These items are not absolutes and are not judged in a vacuum,” he said.

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Best in Canada: Jets Beat Canucks to Finish Season as Top Canadian Club – The Hockey News

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Best in Canada: Jets Beat Canucks to Finish Season as Top Canadian Club  The Hockey News

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Health Canada sperm donation rules changing for gay men – CTV News

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Health Canada will change its longstanding policy restricting gay and bisexual men from donating to sperm banks in Canada, CTV News has learned.

The federal health agency has adopted a revised directive removing the ban on gay, bisexual and other men who have sex with men, effective May 8.

The policy change would remove the current donor screening criteria, allowing men who have sex with men to legally donate sperm for the first time in more than 30 years, as part of the anonymous donation process.

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This update comes after CTV News first reported last year that a gay man was taking the federal government to court, challenging the constitutionality of the policy on the basis that it violates the right to equality in the Charter of Rights and Freedoms. 

According to an email Health Canada sent stakeholders informing them of the upcoming amendments to the federal directive, “sperm donors will instead be asked gender-neutral, sexual behaviour-based donor screening questions,” more in-line with the 2022 change made by Canadian Blood Services to its donation policy. 

However, instead of entirely eradicating restrictions for gay and bisexual men, lawyer Gregory Ko – whose client, Aziz M., brought the case – cautioned that Health Canada will continue to bar donations from those who have had new or multiple partners in the last three months, based on rules regarding anal sex. CTV News has agreed to protect the full identity of Aziz M. out of concerns for his privacy.

Ko said while the update is an important milestone, his client intends to maintain his challenge against the Health Canada directive, “and the continued discrimination contained in this latest revision.”

“Based on our understanding of the science, there is no scientific justification for screening criteria that continues to discriminate on the basis of sexual activity and sexual orientation, since the testing and quarantine protocols already in place allow sperm banks to detect relevant infections and exclude such donations,” Ko said.

Currently, a Health Canada directive prohibits gay and bisexual men from donating sperm to a sperm bank for general use, unless they’ve been abstinent for three months or are donating to someone they know.

For example, it stops any gay man who is sexually active from donating, even if they are in a long-term monogamous relationship.

Under the “Safety of Sperm and Ova Regulation,” sperm banks operating in Canada must deem these prospective donors “unsuitable,” despite all donations being subject to screening, testing and a six-month quarantine before they can be used.

While the directive does not mention transgender or non-binary donors, the policy also applies to individuals who may not identify as male but would be categorized as men under the directive.

It’s a blanket policy that the Toronto man bringing the lawsuit said made him feel like a “second-class citizen,” and goes to the heart of the many barriers that exist for LGBTQ2S+ Canadians looking to have children.

When CTV News first reported on the lawsuit, Health Canada and various federal ministers said they would be “exploring” a policy change, citing the progress made on blood donation rules.

The update comes following “the consultations held in August 2023 and January 2024,” according to Health Canada.

This is a breaking news story, more to come… 

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