(Ottawa) Luc Laplante, homeless drug addict 28 years old, has lost three of his recent friends months: they all died from an opioid overdose, a phenomenon on the rise in Canada since the coronavirus crisis.
Michel COMTE France Media Agency
Isolation, less access to help services for drug addicts and “shooting rooms”, health priority given to COVID – 19… This increase in overdoses since the start of the pandemic has many reasons.
Luc Laplante puts forward another reason: the lack of supervision of the Canadian emergency benefit, paid by the government of Justin Trudeau to ensure a monthly income of 2000 Canadian dollars (1300 euros) to workers who find themselves without income because of the coronavirus.
According to him, the government attributed this bonus without too strict controls, at the risk of seeing fraud multiply.
“People have requested government financial assistance related to COVID – 19 and the 'then spent on drugs,' he says, a few hours after surviving an overdose of fentanyl, a potent opiate.
The Ontario “coroner”, the public officer responsible for investigating violent or suspicious deaths, estimates that the number of fatal overdoses has increased by 19% in the past three months.
In British Columbia (west), the number of overdose deaths jumped by 40% compared to the same period last year.
“Dramatically, other jurisdictions across the country are reporting similar trends,” said the administrator of Canada's public health agency, Theresa Tam, last month.
Double health crisis
D r Tam reported “clusters of overdoses due to unknown or unusual mixtures of illicit toxic substances ”in several cities, including Toronto and Calgary.
British Columbia chief physician Bonnie Henry held back tears at a recent press conference after announcing that 170 deaths from overdoses in May were greater than the number of coronavirus deaths in the province.
“COVID – 19 is not our only health crisis”, he said. she pointed out.
In Ottawa, three “shooting rooms” in the Lower Town district, in the center of the capital, have halved the number of places reserved for drug addicts, in order to comply with the new distancing rules.
Luc Laplante explains that he was alone in a parking lot when he injected himself with a dose on Monday evening, in order to relieve knee pain.
It was a “stronger batch of drugs” than what he used to take, insists Mr. Laplante, after being revived by paramedics, warned by a passerby.
“We already had a lot to deal with the opioid crisis, but we were making progress. Then the pandemic struck, deplores Anne Marie Hopkins, of the community organization Ottawa Inner City Health, which manages a supervised injection center.
M me Hopkins says that some of the people she helped have received the government subsidy, which they then used to pay for a hotel room where they died of an overdose, alone.
According to a study by the University of British Columbia published on Thursday, 59% of Canadians with mental health problems, who may find themselves homeless and addicted, experienced a decline in their well-being during the pandemic.
For M me Hopkins, “It's a scary time for many people already suffering from trauma. ”
After weeks of calm, Quebec's emergencies are stormed by the sick, while their staff are exhausted by a harsh spring.
Philippe Teisceira-Lessard La Presse
Thousands of Quebecers did not dare to approach a hospital when the pandemic was in full swing, reducing attendance by almost half, on average, from mid-March until the end of the year. 'April.
Occupancy rates have started to rise again since last month, when the news was better.
“We noticed a significant drop in March and April,” said Marie-Claude Lacasse, spokesperson for the Department of Health and Social Services. “Since the beginning of May, ridership has tended to increase. “
Friday afternoon, 14 Montreal emergencies had an occupancy rate equal to or greater than 100%. The situation was classified as “red” everywhere around Montreal, from Estrie to the Laurentians, passing by Laval and Montérégie.
Sit-in in Longueuil
In this latter region, the emergency rooms at Pierre-Boucher Hospital in Longueuil were in the worst situation: the occupancy rate there was 189%.
In the morning, nurses improvised a sit-in ) a little less than two hours when management wanted to impose compulsory overtime on employees about to end their night shift.
“People say enough is enough,” said Alexandre Bégin, president of the union that represents them, affiliated to the Fédération interprofessionnelle de la santé du Québec (FIQ), in a telephone interview.
The emergency departments of Pierre-Boucher hospital welcome cases of COVID – 19 since mid -March, which left little respite for its staff. “People are exhausted, holidays are partially refused, while people are exhausted,” he said. Mr. Bégin clarified that for the past few days, front line staff have seen the number of COVID cases – 19 hospitalized go back upward in hospital.
Pierre-Boucher's emergencies are “the only place where there are sit-ins from time to time, when people are too distressed ”for the CISSS de la Montérégie-Est. Hospital management has managed to find replacements to fill the shifts, but the nurses promise to start again if necessary.
(Montreal) The delicate subject of medical assistance in dying was back in a Quebec court Friday morning: Ottawa tried to convince a judge – for a 2 e times – to grant it a few more months to bring its legislation into conformity with the judgment which has widened its accessibility.
Stéphanie Marin The Canadian Press
If this federal request is accepted, it means that people who are suffering and waiting for medical aid in dying will still have to … wait.
Justice Frédéric Bachand of the Superior Court heard the federal petition Friday morning at the Montreal courthouse.
He believes he will be able to give his judgment early next week.
Last September, Judge Christine Baudouin of the Superior Court had invalidated, and declared unconstitutional, the criteria of provincial and federal legislation requiring that citizens be at the end of their life, or that their death be reasonably foreseeable, in order to be able to seek medical assistance in dying.
In doing so, the judge opened medical assistance in dying to a greater number of people, such as Jean Truchon and Nicole Gladu, these two Quebecers suffering from serious incurable degenerative diseases, who led this legal battle during in recent years.
The magistrate had, however, maintained the valid laws for a period of six months, in order to give the federal and provincial governments time to modify them in accordance with her judgment.
In the meantime, the criteria preventing certain people from seeking medical aid in dying remain valid.
Ottawa had asked for an initial delay to complete its bill tabled in February – it had then explained that the federal elections had resulted in the suspension of Parliament – and obtained it until 11 July.
He now wants a second one: this time, he invokes the COVID pandemic – 19, who also interrupted parliamentary work, including the study of bills. He requests five more months, until 18 December 2020.
“This time, it is the pandemic which is the exceptional circumstance which alone justifies the extension”, argued M e David Lucas, for the Attorney General of Canada.
Parliament needs time to properly study the bill, he argued, especially for such an important issue for society.
In fact, he said, it is only a question of 10 more weeks for Parliament because it will not be sitting before 21 September.
Justice Bachand expressed concern that he did not see in the documents of the federal government a firm commitment on his part to have the bill adopted within the requested time.
After the hearing, Mr. e Lucas explained to journalists that the world is not immune to a second wave of COVID – 19 and that the government, being a minority, does not control everything.
He also argued that those who cannot wait can go to court to be authorized to obtain medical assistance in dying, a possibility given by Judge Baudouin in her judgment.
For its part, the Government of Quebec has instead chosen not to touch its “Act respecting end-of-life care”, declaring that the “end-of-life” criterion would be ineffective from 12 March. His lawyers therefore did not make representations on Friday.
The lawyers for Mr. Truchon – who has since availed himself of medical assistance in dying – and for Ms. me Gladu did not contest the request for delay additional.
“We understand the pandemic context, which is unpredictable. But five months is a long time, “said M e Jean-Pierre Ménard to the judge.
It leaves people in a really painful position, he said.
And if some were able to receive medical assistance in dying with the authorization of the court, they had to pay the costs associated with legal proceedings.
The Collective Dying with dignity and freedom wishes the judge to say no to this request for an extension of five months, “out of humanity and compassion” for those who are suffering and who were waiting for the 11 July impatiently. A shorter period of two months would be sufficient, he judges.
He suggests that the parliamentary committee studying the bill meet virtually this summer to continue its work, so that it is ready for the start of the session in September.
Cases were identified for the first time as having been acquired locally in regions north of the St. Lawrence
Philippe Teisceira- Lessard La Presse
Previously confined to southern Quebec, Lyme disease has just crossed the river, according to data recently made public by the Ministry of Health.
For years, the St. Lawrence has seemed to act as a natural barrier to the spread of the disease, which can be very serious if not treated in time.
But the barrier fell: in 2019, between 10 and 30% of ticks tested in the Quebec region, in Laval, in Laurentides and Lanaudière carried the bacteria responsible for Lyme disease. These insects are the vector of transmission.
“Before, we did not see any north of the river and this year, they are definitely present north of the river,” said D re Geneviève Baron, from Estrie Public Health, the most affected from Quebec.
We were starting to see them in 2018, but there they are really present [au nord du fleuve].
D re Geneviève Baron, from Estrie Public Health, the most affected region in Quebec
“Cases were identified for the first time as having been acquired locally in the Laval [2 cas] and Capitale-Nationale [1 cas] region,” added Marie- Claude Lacasse, spokesperson for the Ministry of Health.
“The ticks concerned are already present in many regions, indicated the D r Yves Jalbert, one of the lieutenants of D r Horacio Arruda at the Directorate General of Public Health. It is their infection with the bacteria that causes the disease that is growing. This bacterium is transported by intermediate hosts such as deer and white-footed mice. “
500 new cases
The number of diagnoses north of the river is currently much lower than in the southern regions of Quebec, the epicenter of the phenomenon.
In Estrie, the number of new Lyme disease infections more than doubled last year, dropping from 88 in 2018 at 226 in 2019. The Granby region and that which includes Farnham, Dunham and Lac-Brome are particularly affected.
Compared to the last years, “the tick is more present in the region and it is more infected, so it contributes to the increase”, indicated the D re Baron, to explain the increase in cases. “Clinicians in our region are starting to be quite aware, so there are a lot of reports of early illness diagnosed in the first month of infection. […] By having more alert populations and more sensitized doctors, there are surely more diagnoses. “
The doctor Jalbert, of the National Public Health, does not believe that the low number of patients on the north shore of the St. Lawrence is linked to a lack of knowledge of the disease. “It is impossible to conclude that there is an underdiagnosis problem,” he said. Lyme disease is “very well known to clinicians in all regions.”
In total, 500 Quebecers received a Lyme disease diagnosis in 2019, against 304 in 2018. For each year, about a quarter of the patients would have contracted the disease outside Quebec.
The disease is in constant progression: there was only 125 cases counted in Quebec in 2014, while it was extremely rare there are 10 or 15 years. Global warming is pointed out to explain its progression to the north.
A controversial subject
Lyme disease is a bacterial disease transmitted by a tick bite, often caught during walks in the wild, especially in tall grass.
It often causes significant redness around the place of the bite, often accompanied by fever and exhaustion like a cold, explained the D re Baron. At this stage, it is still mild and easily treatable with antibiotics.
If it is not treated in time, it can take a “diffuse” form with which are associated motley symptoms which can be serious, continued the doctor.
A whole alternating current developed around this form of the disease, to which adhere individuals who self-diagnose a chronic Lyme disease to explain health problems in front of which the doctors remain impotent . While scientists are not aware of any other form of transmission of the disease other than the tick bite, many members of this virtual community believe they have been infected by other means, such as sexually.
The Ministry of Health recommends simple ways to prevent Lyme disease infection during outdoor activities: “preferably walk the trails” in nature, “put on your sweater in his pants and the bottom of the pants in socks or boots “and examine his body on return. “If a tick has caught on the skin, [il faut] remove it carefully, as soon as possible, ideally within 24 hours following the activity “, continues the Ministry .
Many surgeries had to be postponed due to COVID – 19, and will require time to recover the delay, but the machine is indeed restarted.
Louise Leduc La Presse
In Montreal, at the McGill University Health Center (MUHC), interventions resumed in a proportion of 60%, with priority given to patients undergoing cardiology or oncology. Oncological neurosurgery works almost at full speed (at 90%), says Annie-Claire Fournier, media relations consultant.
In addition, for the past fortnight, patients with benign but symptomatic conditions have been able to be operated again.
On the side of the University of Montreal Hospital Center (CHUM), elective surgeries have resumed since the end of May.
“Subject to developments in the COVID situation – 19, the operating theaters of the CHUM will resume at a level equal to or higher than that pre-COVID from September 8, “explains Lucie Dufresne, communications advisor.
This summer, the number of operating theaters available will increase by 15% compared to the same period last year. Half of the operating rooms will operate on an extended schedule, i.e. from 7 a.m. 30 to 18 h rather than 7 h 30 at 15 h 30.
At the CHUM as well as at the MUHC, we assure that the vital interventions that could not be postponed have been carried out.
“A local surgical monitoring committee met every day to establish the list of patients to be operated on, following the prioritization made by the doctors of each discipline. The patients who had to be operated on as a priority were, ”said M me . Dufresne.
At the provincial level, the Ministry of Health and Social Services (MSSS) indicates that we have succeeded in “acquiring stocks of the various critical drugs necessary for intensive care, including propofol”.
The stocks of establishments were thus able to be increased.
“The MSSS is currently working to ensure the sustainability over time of the increased stocks to deal with possible other waves of COVID – 19, ”says Marie-Hélène Émond, responsible for media relations.
The College of Physicians has released a report to take stock of the abortion pill in Quebec: in its first year of availability, it calculates that it was chosen by women for around 8% of abortions.
Stéphanie Marin The Canadian Press
This means that at least 2130 women preferred this option to terminate their pregnancy, rather than a surgical abortion.
The abortion pill, available for pregnancies up to nine weeks old, can be taken at home and is an alternative to surgical abortion.
These data make the College of Physicians say that the abortion pill is well established in Quebec.
The figures indicate a minimum: the College has collected data on the abortion pill from the abortion clinics that offer it. The majority of them – 46 on 52 – sent their figures to the College. But the pill is also available in pharmacies on presentation of a prescription signed by a doctor: these cases were not all counted in the study, but an estimate of approximately 200 women was calculated, included in the figure of 2130.
It is therefore likely that more women used the abortion pill than the figures reported, noted in an interview the secretary of the College of physicians, D r Yves Robert.
He warns that it should not be confused with the “morning after pill”, which prevents pregnancy after sexual intercourse, but which does not interrupt the pregnancy if the egg is already fertilized, as it is the case for the abortion pill.
The latter has been available free of charge in Quebec since the start of the year 2018. However, administrative issues led to a delay of a few months in its deployment, notes the College.
For this reason, the 8% remains an estimate that “takes into account the shorter supply period of the abortion pill”, we can read in the report.
The College thus wanted to deliver an assessment of the first year, by examining the period from 1 er January 2018 to 31 may 2019. During this period, 31 169 surgical abortions were also done in Quebec.
Just over a year after its introduction, 87% of abortion clinics said they offered the abortion pill . And its use has increased over the months under study, it is reported.
The D r Yves Robert is satisfied with the results and judges that the abortion pill is good established.
He points out that in Quebec, women have a real choice: they can opt for the abortion pill or a surgical abortion, because there is a real network of abortion clinics in the province. Half of the clinics in Canada are there, he says. For example, in New Brunswick, which no longer has an abortion clinic, many women have turned to the abortion pill, notes the doctor.
The fact that only 8% of Quebec women chose the abortion pill to terminate their pregnancy is not a problem in itself, he says. First, it was the first year in which it was accessible, he recalls.
And then, “we don't recommend one method or the other,” he explained in an interview.
“We recommend what is suitable for women. It is the objective. “
He also adds that women must have a safe follow-up, in case of complications.
What would be a failure for him would be that this pill is not available in all regions of Quebec.
In the first year, it was used in all corners of the province, according to the data in the report. “But some regions are large! “, He exclaimed, giving the North Shore as an example.
If the woman has to travel hundreds of kilometers to get it, is this a real access? asks the doctor. “There are surely regions which are less well served. “
A second phase of study will verify geographic accessibility.
In Quebec, physicians who were not already performing abortions must have undergone training in the area of voluntary abortion to prescribe the abortion pill. The College of Physicians was criticized last year for imposing this requirement, seen by some as an additional restriction on access, which does not exist in other provinces.
A year later, D r Robert does not believe that this requirement was a real barrier: “this did not prevent more 2000 women from obtaining it”.
Besides, the goal is not that more women take the abortion pill and increase the percentage by 8%. The goal is to make it accessible for those who want this option, insists the doctor.
And if in other provinces nurse practitioners can prescribe it, the College indicates that it has not had any requests from them for this purpose.
He agrees that “this could be one of the options to facilitate access”.
Containment, Manon Rivest knew this long before the pandemic.
Rima Elkouri La Presse
For almost three years she has been in extreme confinement, a prisoner of her house. Three years that she has been fighting for one basic thing: being able to enter and leave her home with her wheelchair.
Manon became quadriplegic after being struck down by Guillain-Barré syndrome. It was six years ago, a day in May. She was then 54 years old. Overnight, her life as an active woman fell apart.
She was told that she was “a CHSLD case” and that she would never live in her house again. Despite everything, Manon got up. With great courage, she fought to challenge the worst predictions. She fought not to stay in CHSLD. In September 2017, she managed to return home, to her house in Sainte- Marthe-sur-le-Lac, with the hope that her little nest could be adapted to her needs.
Almost three years later, this is still not the case.
On 21 last May, because of a toothache that has persisted for too long, he had to call 911 for a simple visit to the dentist. An ambulance to go to the dentist? Yes, yes, you read that right.
Manon is entitled to the Home Adaptation Program (PAD) of the Quebec Housing Corporation (SHQ). The objective of the program is “to allow the disabled person to enter and leave their home, to access essential parts of it and to carry out their activities of daily life, in a safe manner” .
That's good. This is exactly what Manon wants. Have access to the outside world. Being able to have a bath to relieve her pain – something that has not been possible for her for almost three years.
Listening to her tell me about her fight, reading the mountain of letters she wrote in vain to the Prime Minister, the Minister of Health and Social Services and others, we have the impression that she is in the house which drives you mad Twelve works by Asterix . Last door on the right, ma'am … Except that there is no door on the right.
The CISSS des Laurentides recognizes that his situation is far from ideal, that it is not normal to have to go to the dentist in an ambulance and not to have been able to receive a single bath since September 2017. It is also recognized that, due to the lack of sufficient home care resources, it has so far been impossible to offer physiotherapy in Manon. Admittedly, she receives help morning and evening from the CLSC, which she appreciates. But that's not enough. There are only two physiotherapists for the entire Lac-des-Deux-Montagnes territory and only one physical rehabilitation therapist who provides long-term care.
We recognize all that. But at the same time, it is suggested that, in a way, it is his choice. “We are very, very concerned about the mental health, physical health and safety of this lady. But unfortunately, as she is perfectly capable of making informed choices, it is not possible for us to go against her decision to return to live at home, “said Myriam Sabourin, communications manager at CISSS des Laurentides.
“Our support teams really made him understand all the issues of his decision: the significant isolation that came with it and the steps that would be necessary to adapt his home.
“She understood very, very well the decisions she made and the effects it would have on her own life. And despite that, she maintained her decision. “
For the CISSS to provide adequate home care in Manon (a bath, for example), it is necessary that his house is adapted, it is said. And for his house to be adapted, Manon would have to agree with the SHQ on a solution.
This is where it gets even more complicated. The SHQ favors the solution considered to be the cheapest, which would consist of installing an access ramp at the back of the house. But for Manon, this solution is not suited to his needs or his budget. Since she lives alone, she cannot count on anyone to snow and deglaze the hundred feet behind her house so that she can get out of her house independently. “With this proposal, I will not come out of winter. “
Manon therefore chose another solution proposed by the SHQ, which consists rather in adapting the front entrance of his house, by installing platforms (lifting devices) allowing him to circulate in a motorized wheelchair.
But here it is: as it is not the low-cost solution preferred by the SHQ, the Company considers that it becomes a personal project and does not cover the costs of repair or repair in such a case. replacement of equipment. “It's his choice,” said André Ménard, director of communications for the SHQ.
Manon is therefore at an impasse. She knows that the subsidy to which she is entitled to cover part of the cost of the work is fixed (a maximum of 33 00 $ 0 from the SHQ for work that will cost double). If she also has the financial burden of maintaining equipment on her shoulders, she will not be able to cope.
Manon’s request is entirely legitimate, according to Sarah Limoges, from the organization Moelle épinière et motricité Québec, which helps her defend her rights. “We are at 100% agree with M me Rivest that our domicile, this should be our home and we should be able to decide what is right for us. It would be our ideal world and we will work in this direction. “
At the moment, we are far from the ideal world. Although particularly cumbersome and complex, Manon's case illustrates the need to review the Home Adaptation Program.
“I have several files of members who complain about the PAD. It’s very representative of the collective need to improve it. There is an administrative burden. Often the program is not generous enough in terms of funding or the measures proposed do not necessarily meet people's needs. But that's it or nothing … “
Can we say that all this is ultimately Manon's “choice”? Not really. She did not choose to be sick. She did not choose to end up with a disability. She did not choose to be without work and without pay. What she chose was to live at home with dignity, despite the many obstacles in her way. Before being a choice, it is a right.
At 60 years old, she doesn't want to life in a CHSLD or in a residence to which we believe it condemned. Rather die, she said, bursting into tears. “I was even more unhappy there. I thought I would die everyday. It was hell. You have no freedom. Just because I'm a disabled person doesn't mean I don't have the same rights as others. “
Sarah Limoges adds more. Manon’s place is not in a CHSLD. ” Mrs Rivest is still independent at home. She is very lucid. She has no cognitive loss. She has the full right to feel at home for as long as possible. “
With COVID – 19 which puts the importance of fostering home care at the forefront, isn't ensuring that this right is respected more urgent than ever?
Until better home support policies, what to do? Like other people struggling with similar difficulties with the PAD, Manon turned to crowdfunding. In March 2018, she launched a GoFundMe campaign. Unfortunately, she only raised 3115 $, far from her goal of 75 00 $ 0.
So what ? To move out ? Manon can't imagine it. Too insecure after all she’s been through. Start all over again. Leave a neighborhood she loves. Create a new support network. And after the floods in Sainte-Marthe-sur-le-Lac, what resale value would his house have?
His house remains his refuge. “This is where I feel safe. I know it may sound outrageous from an outside point of view. But when a place reminds you of happy days and you see your garden in front, your garden in back … ”
That's all he has left. A garden through his window. Hope for a day walking around.
(Montreal) The main union of beneficiary attendants in the private sector has just sent a strike notice in seven private residences of the Chartwell Group. And others could be affected.
Lia Lévesque The Canadian Press
The seven Chartwell residences concerned for the moment are located in Quebec, Chicoutimi and Jonquière. Some 500 workers would be affected by this unlimited general strike, as of 09 July.
The negotiations between the Quebec Union of Service Employees, affiliated to the FTQ, and the Chartwell Group – the largest private employer in this field in the country – are at an impasse.
These negotiations concern 15 Chartwell residences, but only seven, for the moment, would be affected by the strike, SQEES reported on Wednesday.
To exercise this pressure, the SQEES knowingly chose residences that are located in the cold zone of the coronavirus pandemic, said in an interview Sylvie Nelson, president of the union.
And, even in the cold zone, “if there were cases of COVID, we would suspend the strike,” she insisted.
She specifies that the SQEES already holds a strike mandate in “the majority” of 15 residences of the Chartwell Group.
The parties have been in conciliation for some time already.
“We got there because we met with Chartwell senior management and we proposed a negotiation blitz to settle this before the summer, but they don't have a mandate from Mississauga (where is the direction of the company) “, lamented M me Nelson.
“The goal is not to go on strike. But we want it to be settled, “hammered M me Nelson.
For its part, the Chartwell management was sorry for the moment chosen by the SQEES to disengage. “The period to exercise the strike mandates seems very badly chosen, when we are dedicated to fighting the pandemic which still represents a significant threat to our residents,” said Marie-France Lemay, vice-president of operations and sales for Quebec.
For 15 $ per hour
These workers in private seniors' residences normally earn 13 $ to 14 $ an hour – before temporary premiums paid by the government because of COVID – 19.
They claim 15 $ an hour on hire and $ 1 an hour increase per year.
“We, our people work very hard. And it takes decent wages, wages that look good, “said the union leader.
On behalf of Chartwell, M me Lemay assured that the The company remains fully open to negotiating competitive wage increases for the private residences sector, as we have done so far. We continue to believe that we will come to negotiated agreements. ”
These unions represent attendants for beneficiaries, but also attendants in the dining room, maintenance, reception, for example.
In some cases, the collective agreement has expired since December 2018.
The union still hopes to be able to reach an agreement with the Chartwell Group by 10 July. He also gave longer notice than required to announce his strike.
In the event of a strike, essential services would be provided. The Administrative Labor Court has already ruled in this regard, for previous strikes, even if they are private establishments.
Chartwell management is preparing, just in case. “It is clear that we will make every effort to minimize the impact of these pressure tactics and maintain a safe and pleasant living environment for them [les résidents], while preserving the rewarding work environment that we offer to our employees Added M me Lemay.
The seven seniors' residences affected are Chartwell Appartements de Bordeaux in Quebec, Chartwell Domaine de Bordeaux in Quebec, Chartwell Faubourg Giffard in Quebec, Chartwell (CSH-HCN Lessee) Manoir Archer in Quebec, Chartwell Villa du Saguenay in Saguenay , Chartwell Villa Chicoutimi in Saguenay and Chartwell Villa Jonquière in Saguenay.
(Toronto) Again this year, the Child and Youth Physical Activity Bulletin from ParticipACTION has given poor marks for physical activity and physical inactivity in Canada.
The Canadian Press
The poor grade of D is given for all physical activity and another D is compiled for sedentary behaviors.
The Bulletin tabled Wednesday specifies that in Canada, only 39% of children and young people comply with the National Physical Activity Guidelines which recommend perform daily 60 minutes of medium to high intensity physical activity.
The data are not very reassuring about the behavior of young people during confinement caused by the COVID pandemic – 19. In fact, a study commissioned by ParticipACTION shows that barely 4.8% of children and 0.8% of young people have complied with national guidelines for movement on 24 hours, compared to 15% before this period.
Research shows that parents who identify as active are more likely to have children who also identify as active. Due to limited access to parks, schools, daycares and group activities, family impact has never been more significant, according to ParticipACTION.
The organization reports that its partner, the Institute for Research on Healthy Lifestyles and Obesity (HALO) at the Children's Hospital of Eastern Ontario (CHEO), played a essential role in producing the Bulletin 2020.
Although non-essential visits in general continue to be prohibited in hospitals and centers for the elderly, a slight easing was announced on Tuesday. For example, people who receive bad news in oncology can again be accompanied during their appointment.
Louise Leduc La Presse
Basically, to be able to visit a loved one, a hospitalized patient must need “significant help and support following the episode of acute health (after-effects of stroke, delirium , need for surveillance of transfers and movements, need for food aid) “.
Otherwise, visitors are only allowed “when the stay extends beyond the seven days of hospitalization”.
People in palliative care in a CHSLD can only have visitors when there is an imminent death (the day before or the same day, for example).
But in a hospital, it is different. Those who are also in palliative care can see one person at a time, with a maximum of three over a period of 24 hours.
Regarding treatments and outpatient appointments, unless you have a cognitive or physical problem (or be in pediatrics), people must present themselves alone.
One of the novelties therefore consists of the possibility of being accompanied in oncology if we are going to receive bad news. But since bad news often comes with a blood test an hour before the appointment, it will not always be easy to predict.
Lots of variation from hospital to hospital
At the weekend, La Presse told us about case of this woman in great shape still at the beginning of May, who learned that she had two dazzling inoperable cancers and for which chemotherapy was unthinkable. It was only at the hospital that she had to face this prognosis until the article was published. Since Sunday, her husband has finally been allowed to visit him one hour a day.
What about all the other patients?
The new government directive sent on Tuesday suggests that the right to visit a loved one varies greatly from one hospital to another.
In fact, it is written, each establishment “can set up a policy of visits and local support based on the epidemiological situation in the installation, as well as the specificities of their clientele and their infrastructures” .
Le D r Benoit Dubuc , a palliative care specialist, does not hide the fact that it is difficult to navigate the various directives.
In his establishment, relatives have won their case by pointing out that the hospital's instructions were in contradiction with the government's instructions.
Apparently very similar situations can however give rise to very distinct rights. Thus, illustrates the D r Dubuc, the patients who want more active palliative care despite their poor prognosis will not be entitled to visitors. But his room neighbor who has the same prognosis, but who asked not to receive any more acute care will be entitled to visits.
Le D r Dubuc says when the caregivers were able to return to the hospital, it was not very warm there, given the danger.
If the greatest caution is always required, he insists, “I have changed my mind. The return of visitors makes a big difference. The condition of some dying patients improved for some time upon arrival of visitors. “