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The CPHO's 2019 Annual Report detailed research on the experiences of stigma and discrimination among Canadians and outlined the impact of these experiences on healthFootnote 2. Journal of Medical Internet Research 22, e19301 (2020). In the 2018 CCHS, 66% of women and 71% of men reported excellent or very good self-perceived mental health, whereas in the CPSS Wave 1, 49% of women and 60% of men reported excellent or very good self-perceived mental healthFootnote 274. These factors also drove differences in the impact of public health measures necessary to address the pandemic. As a result of these outbreaks, provincial and municipal health officials have identified migrant farm workers as populations at risk of contracting the virus through community transmissionFootnote 184Footnote 185Footnote 186. Position Summary: The Chief Medical Officer will report directly to the Chief Executive Officer. Some Indigenous communities have developed their own targeted public health messages using social media to get the message across or to dispel misinformationFootnote 478Footnote 479. The knowledge of COVID-19 continues to evolve. World Health Organization (2020). How to fight an infodemic. Public Health Agency of Canada. Some people living with disabilities reported their employer would not supply accessible technology or devices to allow working from home to be possible, forcing these individuals to bear the burden of purchasing equipment themselvesFootnote 224. This stigma builds upon pre-existing discriminatory social norms. World Health Organization (2020). The Daily (2020). Ribeiro, W. S. et al. Canadians who were employed during the survey time period but not working due to closure, layoff or personal circumstances related to COVID-19, were more likely to be food insecure (28.4% compared to 10.7% of those who were working)Footnote 298. 14: Largest known outbreak in a shelter living setting, with 164 cases (ON) Outbreak : Apr. In an analysis of these factors by occupation, alongside 2016 census data, Canadian research has identified occupations and populations that may experience greater riskFootnote 162. Dornan, C. Science Disinformation in a Time of Pandemic. Ontario Nonprofit Network (2020). Health Canada. COVID-19 Immunity Task Force (2020). In contrast, the 2008-2009 recession saw a rise of unemployment in June 2009 to 8.7%, up from 6.2% in October 2008, and it took approximately 9 years to return to pre-recession levelsFootnote 241. The New England Journal of Medicine 382, 1708-1720 (2020). For example, North American cardiovascular societies have identified the importance of fairness, so similar cases are treated the same while considering baseline health inequities, as well as consistency in the reintroduction of services to ensure access is not influenced by factors such as ethnicity or perceived social worthFootnote 400. FNHA Reports 86 First Nations Cases of COVID-19 to June 14, 2020. Stigma and discrimination also influence risk and resourcesFootnote 2. UCalgary researchers investigate COVID-19 outbreak at Alberta meat processors. Gilmour, H. Self-perceived mental health and health-related behaviours of Canadians during the COVID-19 pandemic. A Scientific Assessment with Key Messages for Policy-Makers a Special Volume of UNEP's Frontiers Report Series. Métis Nation-Saskatchewan. Center for Infectious Disease Research and Policy (CIDRAP) (2020). This work will be carried out with the involvement of key partners such as the First Nations Information Governance Centre, the Canadian Institute for Health Information and the Canada Health Infoway. Final results of initial Canadian SARS-COV-2 seroprevalence study announced. Public Health Agency of Canada. Centre for Future Work (2020). Postgraduate Medical Journal, 1-7 (2020). One example of a pre-existing virtual mental health service is Newfoundland and Labrador’s Stepped Care 2.0. McGilton, K. et al. "Lessons from Toronto's Hardest Hit Communities: Experiences of the COVID-19 pandemic in North Etobicoke". The reporting provinces are Prince Edward Island, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and Yukon. It also includes epidemiological data that highlights the underlying social, material and economic factors that may increase the likelihood of the infection risk and the severity of illness (see Section 1). Government of Yukon (2020). Maleki Dana, P. et al. Government of Canada (2020). Health care of adults with intellectual and developmental disabilities in a time of COVID-19. Statistics Canada. Research on the spread of misinformation, including information related to infectious disease, demonstrates that misinformation is common and often more popular than accurate informationFootnote 239 . Mauldin, L. et al. In March, restrictive public health measures were escalated at the federal, provincial, territorial and municipal levels in an effort to contain the virus. Congressional Research Service R46270 (2020). In England and Wales, accounting for age, Black males and females are more than 4 times more likely to die from COVID-19 than White populationsFootnote 157 . Zoonotic origins of human coronaviruses. Ye, Z. et al. Feed Ontario. Johnson, C. K. et al. Ontario Council of Agencies Serving Immigrants. From February to March, 41% of payroll employment declines were in the food services and accommodation, and wholesale and retail trades (two sectors with the lowest average weekly earnings)Footnote 243. Canadian Human Rights Commission 2018 Annual Report Shows Little Improvement for Disabled Canadians. Turcotte, M. & Savage, K. The contribution of immigrants and population groups designated as visible minorities to nurse aide, orderly and patient service associate occupations. To understand the differential risks associated with work during public health shutdowns, it is necessary to focus on essential workers unable to work from home, as well as the protections, security and supports available to them. World Health Organization (2020). 10 Ways the COVID-19 Pandemic Must Change Work for Good. CPHA calls for culturally safe collection and use of socio-demographic and race-based data. Gains in jobs were particularly low for women whose youngest child was less than 6 years of age, compared to women whose youngest child was between 6-17 or men with children 0-6 or 6-17 years of ageFootnote 242. COVID-19 water bill relief. Devex COVID-19 (2020). Office of the Premier. In addition, pandemic preparedness did not extend into these settings leaving residents vulnerable to the introduction, spread and impact of a novel virus. Canadian Perspectives Survey Series 1: Impacts of COVID-19. We do not yet know the impact of the pandemic on suicide. WHO Coronavirus Disease (COVID-19) Dashboard. Increase in substance use was also more likely among Canadians who reported having fair or poor mental healthFootnote 302. European Centre for Disease Prevention and Control (2020). More detailed information, including all supporting references, can be found in text box Activating the pan-Canadian public health response and in Appendix 1. Mensah, J. The Government of British Columbia also released new safe supply guidelines in March 2020 to facilitate access to a wider range of prescription opioids, for individuals who meet specific criteriaFootnote 415. BC Centre for Disease Control Information Sheet: COVID-19: Harm Reduction and Overdose Response. Government of Canada (2020). Gouvernement du Québec (2020). Dyal J. W. et al. The Yukon government closed its border to non-essential travel, while the NWT and Nunavut closed their borders to non-residents (with limited exceptions). Métis Nation – Saskatchewan calls for an immediate, coordinated emergency response to COVID-19 outbreak in north. Stress resilience during the coronavirus pandemic. Statistics Canada. medRxiv-Epidemiology (2020). Indigenous and remote communities face increased COVID-19 risks in the light of possible exacerbating conditions, such as limited access to clean water, lack of health professionals/services, a high prevalence of chronic diseases and crowded living conditionsFootnote 91. Ageist beliefs were evident during and exacerbated by the COVID-19 pandemic, with impacts ranging from the characterization of COVID-19 as the problem of older adults to our failures to better protect populations living in long-term care facilitiesFootnote 175Footnote 176. Journal of the American College of Cardiology 75, 3177-3183 (2020). This includes screening for mental health issues, using a trauma-informed approach that recognizes the pervasive impacts of the pandemic and the resulting new or exacerbated mental health challenges facing patientsFootnote 424. Through this challenging time, there has been incredible collaboration across sectors and between individuals, community organizations, businesses, governments and scientists. Standards and systems have to be put in place to ensure that any additional sensitive data, such as race and ethnicity data, is collected, stored, processed and used in ways that are not only uniform and secure, but also culturally safeFootnote 469. Statistics Canada. Government of Canada (2018). VAW Learning Network (2020). British Medical Journal Global Health 5, e002604 (2020). World Health Organization. Students may need time and support to rebuild their social and developmental networks at school before they can focus on educational goalsFootnote 436Footnote 437. You've just invested 500+ hours of your life based on assumption and hope. Wood, D. A. et al. Sy, K. T. L., Martinez, M. E., Rader, B. This includes ensuring physical distancing can be achieved, providing personal protective equipment, proactive workplace inspections that are based on risk-sensitive selection of inspection sites rather than relying on complaints by workers, and accessible health information and careFootnote 363Footnote 364. International Journal of Epidemiology 45, 232-238 (2016). It is also connected to income, with both earners able to work from home in over 50% of two-income families in the top ten percent for earnings, while only 8% of two-income families in the lowest ten percent for earnings were able to have both people work at homeFootnote 159. City of Toronto. Cole, D. C. Heightened COVID-19 Risks to Temporary Foreign (Migrant) Agricultural Workers (TFAWs) and Recommended Actions in the 2020 Agricultural Season Occupational Medicine Perspective Paper. The relatively high death rate in these countries may be attributed to epidemic spread affecting a high proportion of individuals in vulnerable populations, groups and settings, such as seniors, disadvantaged and congregate living settings, and overwhelmed healthcare systemsFootnote 36Footnote 37Footnote 38. Canadian Institute for Health Information (2020). COVID-19 Disruptions and Agriculture: Temporary Foreign Workers. Office for National Statistics (2020). While a discussion of pedagogical approaches is beyond the scope of this report, it is important to address how to maintain the broader roles of the school system, particularly with a focus on equity. For instance, spring break in Quebec, a time of increased international travel, occurred just prior to the federal government’s recommendation to avoid non-essential travel to all countriesFootnote 47. Theodore, L. A. Handbook of Evidence-Based Interventions for Children and Adolescents (Springer Publishing Company, New York, 2016). Government of Canada (2020). When the public health system has the capacity and tools it needs, we all benefit. A shift to virtual services was also evident among community services organizations. Without a vaccine or effective treatment, meeting the primary goals of reducing the health impact while minimizing social disruption of COVID-19 has been difficult. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 14, 395-403 (2020). Physical distancing measures led to the suspension of community groups and day programs for seniors and some seniors chose not to participate in available services out of fear of becoming infectedFootnote 268. As of August 6, 1,496 COVID-19 tests had been conducted with incarcerated populations in federal custody, with 24% of these tests being positiveFootnote 89. Income inequality and mental illness-related morbidity and resilience: a systematic review and meta-analysis. Simultaneously we can draw upon our individual and collective resilience, in preparation for future crises or disruptionsFootnote 499Footnote 504Footnote 505. This is valuable, because children and adolescents are living through the crisis during critical biopsychosocial development periodsFootnote 288. & Stuckler, D. Systematic Literature Review on the Spread of Health-Related Misinformation on Social Media. Jones, A. M. More than a million Canadians and permanent residents return from abroad amid COVID-19 warnings. Data collected at the start of the pandemic indicated that women were more concerned (10%) than men (6%) about the possibility of violence in the homeFootnote 322. Nature Human Behaviour 4, 677-687 (2020). While there continue to be regional differences across Canada, physical distancing measures, along with other public health measures, have had a positive effect: by early May, the number of new daily cases reported nationally began to declineFootnote 43. People with disabilities are more likely to live in group home settings, in part due to underfunded or defunded community living programsFootnote 177Footnote 178 . These risks are particularly concerning given the health status of populations who are incarcerated. Once housed, tenants are supported to maintain their housing and are connected to community and social services based on their needsFootnote 384. Federal, provincial, territorial and municipal efforts in these areas are important components of pandemic recovery and — more broadly — addressing societal inequities. As governments at all levels prepare for resurgence of the virus, lessons learned from applying blanket public health measures during the first wave need to inform planning and decision-making during subsequent waves. New regulations may be needed to address the risks associated with novel infectious disease workplace outbreaks, and regulations need to be planned with a focus on implementation, including enforcement, given the challenges of investigating during outbreaksFootnote 361. Supporting Indigenous-led services can also help address stigma and discriminationFootnote 454. Supporting Canadians transitioning from prisons to the community during COVID-19. Sit down with the CEO and other cofounders if any. Provincial Health Services Authority (2018). Habersaat, K. B. et al. Because the research was continuously developing, sources beyond systemic reviews were required, including primary research through peer-reviewed publications, pre-prints, grey literature, and expert consultation. Johnson, N. F. et al. The COVID-19 pandemic has shone a light on the critical importance of having a health system that is able to surge and adapt during a crisis while ensuring capacity exists to address on-going critical issues. Brachman, P. S. Medical Microbiology 4th edition (ed Baron, S.) (University of Texas Medical Branch at Galveston, Galveston, Texas, 1996). Groups identified as being most economically vulnerable during a short period of joblessness include single mothers and their children (56%) and individuals living in families where the main income earner is under 35 years of age without a high school diploma (67%)Footnote 329. Public Health Ontario (2020). Further, 12% of all workers in these occupations were Black and 11% were Filipino despite Black and Filipino workers only making up 3% of workers in all other occupationsFootnote 153. Ritchie, H. et al. You can shoot me message and we can discuss. While frontline workers may frequently experience stress in their work, there are calls for increased support related to the unique pressures of working in a pandemicFootnote 281Footnote 282. Roughly, for every additional $1 million raised, a startup CEO will take home ⦠January 30: First meeting of the CPHO Health Professional Forum to discuss information sharing, collaboration and coordinated response. Interim COVID-10 Support Plan Supports to help all Metis in Alberta. Queen's Printer for Ontario (2020). Special Advisory Committee on COVID-19. Zarocostas, J. Our society's cohesion is the key ingredient to moving through this pandemic successfully. Public Health Agency of Canada. Deaton, B. J. Safe Reintroduction of Cardiovascular Services during the COVID-19 Pandemic: From the North American Society Leadership. This means incorporating a health equity approach to pandemic preparedness, response, and recovery. Figure 3. Sallis, J. F., Adlakha, D., Oyeyemi, A. Physical distancing requirements – including gym closures and cancelled sports leagues – may negatively affect physical activity behaviours and increase sedentary activities and screen-timeFootnote 345. While some economic indicators are improving, recovery from COVID-19 will take time, and the path forward — particularly if further closures are necessary — is uncertain. SARS-CoV-2 has been circulating in northern Italy since December 2019: evidence from environmental monitoring. United Nations Educational, Scientific and Cultural Organization (UNESCO) (2020). Jurisdictions across the country have reported increases in overdose deaths and non-fatal harms related to opioids and other substances, in part due to increasing toxicity of the illegal drug supply since the start of the pandemic. Alberta reports a COVID-19 outbreak at a meat processing plant, which becomes the largest outbreak at a single location in Canada (by the end of August) with 1,560 people confirmedFootnote 523Footnote 524.
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