An #opioidpoisoning and #harmreduction thread from Dr. Stan Houston:
In my job as an Infectious Disease and HIV doctor I have been involved in the development of Harm Reduction programs in Edmonton since the early 1990’s
Back in the 90s when HIV was still a pretty new problem and effective treatment was very new, the Alberta government took the enlightened decision to provide HIV treatment to all Albertans who needed it.
Our patients are hardly ever dying of HIV or hepatitis C these days. But all those advances in prevention and treatment are now being wiped out by opiate poisoning deaths.
Cut to 2021, with the shocking increase in opiate poisoning events and resulting deaths. Last year, the number of Albertans who died of opioid poisoning was almost identical to the number who died from COVID-19.
Last month, EMS in #yeg responded to over 400 calls related to opioid poisoning. So far this month it has been more than 160. When faced with another health risk threatening vulnerable Albertans, the provincial govt has taken the opposite tack.
Instead of urgently expanding proven interventions to meet the demonstrated need, or exploring new approaches to preventing opiate poisoning deaths, they have taken measures to reduce those life-saving services.
Full text found here 👇
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- new #COVID19AB cases doubling every week
- delta variant 1,000x transmissible than alpha variant
-660,000 under age 12 and 1.5M over 12 in AB are not vaccinated
- we are similar to Arkansas, Florida, Louisiana & Missouri where unvaccinated (average age in 40s) are filling ICUs
-children at risk of COVID-19 pneumonia & Multisystem Inflammatory Syndrome in Children
-Arkansas & Oklahoma overwhelmed pediatric ICUs
-AB 47 pediatric ICU beds currently at 100% capacity
-AB unvaccinated children & no public health measures = risk overwhelming pediatric system
Pediatricians concerned about #COVID19AB for children:
- Potential increase MIS-C (multisystem inflammatory syndrome in children), causing inflammation of heart, lung, blood vessels, brain, and kidneys.
-Potential development of fatigue, muscle and joint pain, headaches, seizures, gastrointestinal problems, heart palpitations and other symptoms of Long COVID in children who are infected – even in children with mild COVID-19 infection.
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-Potential for children to experience illness, long-term disability or death of a parent or caregiver due to COVID-19 infection.
- Increasing hospitalizations and potential for severe illness in children as community transmission rises.
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Please see updated section for facility based health services. We compared our analysis to AMA info. The change in total $ fee range is the same; however, within each fee code there are sub-category fees. The % change varies in the sub-categories.
The Government continues to push through the following cuts on March 31, 2020: 1) The Comprehensive Annual Care Plan is no longer funded. Plans are for patients with multiple conditions such as diabetes and obesity to manage and understand their complex medical conditions
2) Driver’s Medical Examination fees for people over the age of 74.5 years are no longer funded.