The Two Faces of Syphilis: A Call for Sustained, National and Coordinated Responses to Syphilis
Montréal, 22–23 November 2016
Syphilis has re-emerged in Canada during the last decade with epidemics now rooted in both urban and rural settings. While gay men are still at the centre of the urban epidemics, there is now a transition in the epidemiological pattern with increasing numbers of cases identified among northern heterosexual Indigenous men and women with the reappearance of congenital syphilis cases.
To support responses to syphilis, NCCID, in partnership with the National Collaborating Centre for Aboriginal Health (NCCAH) and the Urban Public Health Network (UPHN), hosted a knowledge exchange forum in Montreal, November 22-23 2016. This forum brought together 42 public health specialists from across Canada. Practitioners, program coordinators, epidemiologists, researchers, policy makers, community-based partners and knowledge brokers gathered to share on ways to improve public health interventions on syphilis in Canada.
This forum created a space for participants to share on rural and urban perspectives, key challenges, gaps and new avenues and discuss relevant lessons for strengthening syphilis control and management at local, regional and national levels. Participants identified some hand-on and upstream strategies. Some presentations and a summary report will soon be available.
The goal was to provide information and ideas about promising practices with a focus on local contexts and affected populations. The specific objectives included:
- To share the current state of syphilis outbreaks, highlighting what we know about the burden with an emphasis on what is new and what has changed recently.
- To share innovative ways of surveillance to better tailor public health responses and inform public health strategies.
- To share evidence-based, practice-based, and client-centered knowledge to improve public health interventions and partner notification activities.
- To provide opportunities to discuss population-specific challenges and ways of adapting innovative and integrated public health strategies.
You can view the full agenda here.
NCCID’s series of public health podcasts and webinars on refugee health continued with this November 16, 2016 presentation about one Ontario city’s recent experience with data management/coordination. The City of Hamilton Public Health Services team was responsible for creating a strategy on the fly, working with several agencies to collect, collate and share such basic data as the names, ages, sex and location/address of refugees, but also vaccination status, health assessment status and dental screening results.
An archived copy of this webinar is available upon request. Please email email@example.com.
In this October 18, 2016 presentation, our two presenters delved into refugee oral health, both in children and adults. Content covered key findings from Manitoba and Saskatchewan, including the oral health needs of immigrants and refugees in Winnipeg and the coverage offered by IFHP (Interim Federal Health Program), and a large scale refugee oral health program offered by the University of Saskatchewan.
For an archived version of this webinar, contact NCCID Project Manager Zeeshan Qadar at firstname.lastname@example.org.
Dr. Robert Schroth
Dr. Schroth, DMD, MSc, PhD, is an Tenure Associate Professor and Clinician-Scientist, Department of Preventive Dental Science and Department of Pediatrics and Child Health, Associate Professor, Department of Oral Biology, Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba. In addition, he is a member of the Children’s Hospital Research Institute of Manitoba (CHRIM) and also presently holds a CIHR embedded clinician researcher. His main research interests include Early Childhood Caries (ECC) and the role that nutrition and prenatal factors have on infants and preschool oral health. Two major studies investigating the relationship between vitamin D deficiencies and both enamel hypoplasia and ECC in an urban Aboriginal population. He has also been involved in other ECC epidemiological work involving Aboriginal, rural, and Hutterite preschool populations. Dr. Schroth is a key participant in the Healthy Smile Happy Child Project (The Manitoba Collaborative Project for the Prevention of Early Childhood Tooth Decay), a Manitoba Health grant funded project guided by the pillars of community development, oral health promotion/education, and research/evaluation.
Dr. Alyssa Hayes
Dr. Hayes, BDENT (HONS), MSC, FRCD(C), is an Assistant Professor in the College of Dentistry at the University of Saskatchewan. During her work as Dental Officer in rural New South Wales (NSW) she worked closely with dental assistants, dental therapists and students (both locally and foreign-trained) to deliver care to marginalized populations. She had been active in Community Dental Health Services Research Unit (CDHRSU) in Toronto. She is also the recipient of the Canada Health Infoway Faculty Inter-professional E-Health Award.
Note: Funding for the series was provided by the Public Health Agency of Canada. The opinions expressed are those of the speaker(s) and do not necessarily reflect the official views of the Agency or NCCID.
Canadian Roundtable on Antimicrobial Stewardship
June 16-17, 2016; Toronto, ON
Co-hosts: NCCID and HealthCareCAN
Facilitator: Dorothy Strachan, Strachan-Tomlinson
Summary: Over 50 “Champions of Change”—experts, key influencers and stakeholders in the fields of antimicrobial stewardship and resistance—gathered to help build a national action plan for antimicrobial stewardship (AMS). (A draft action plan will be posted soon). Discussion began with certain assumptions about what would make for an effective AMS action plan. That is, the plan should align with global and federal AMS efforts, cross institutional and community settings, and aim for better cooperation among human health, animal health and environmental initiatives. Because antimicrobial resistance is a serious threat to public health, participants called for concrete and actionable steps.
Over the day and a half, Roundtable participants outlined many concrete steps that can be taken to develop, implement and monitor AMS programs in communities and in hospitals in Canada. The event encouraged consensus on basic priorities, identified opportunities for collaboration and specific commitments, and explored potential funding sources, governance options, and policy levers that could support more coordinated AMS efforts in Canada. See the meeting report for more details.
- Gather the information required to inform the development of a Canadian Action Plan;
- Link domestic and international AMS efforts;
- Identify key leaders and related accountabilities for the AMS post-Roundtable Action Plan, including commitments to new benchmarks and targets; and
- Continue to build community awareness and a common language in support of implementing the AMS Action Plan.
- Gregory Taylor, Chief Public Health Officer for Canada
- Andrew Morris, Director ASP, Mount Sinai Hospital ‐ University Health Network
- David Patrick, Medical and Epidemiology Lead, AMR and Do Bugs Need Drugs Program, BC Centre for Disease Control
- John Conly, Lead for the Alberta Health Services Regional AMS Program
- Arjun Srinivasan, Associate Director for Healthcare‐Associated Infection Prevention Programs, Centers for Disease Control and Prevention
- Stephan Harbarth, Section Head, Infection Control Programme, University Hospitals of Geneva
Background / further reading:
Forward Thinking on Syphilis: An Information Exchange on Innovative Approaches to Syphilis, Focused on MSM
In support of renewed public health efforts to control the recent outbreaks of syphilis in Canadian cities, NCCID brought together public health practitioners from several health regions, community-based organizations, and researchers September 29-30, 2014 in Winnipeg Manitoba. The goal was to provide an opportunity to share information and ideas from other jurisdictions on innovative, integrative and community-informed public health strategies with demonstrated or promising effectiveness in reducing the burden of syphilis, particularly among men who have sex with men (MSM).
Specific objectives included:
- Share current knowledge on syphilis outbreaks, highlighting what we know about the burden of syphilis and dynamics of transmission among MSM;
- Share evidence-based, practice-based, and client-centred knowledge that can contribute to an understanding of features of effective public health interventions for MSM;
- Identify opportunities to bridge disease-specific silos and sectors, to build more upstream, integrated and community-informed approaches to syphilis.
- Strategize on ways to advance innovative strategies to control syphilis among MSM.
Along with presentations, participants discussed relevant lessons and the implications for forward thinking about strategies and interventions at local, regional and national levels.
FEBRUARY 24, 2016
What are gay men hearing and saying about pre-exposure prophylaxis (PrEP)? How are they making sense of this information? Is it changing their sexual behaviours? What are the implications for public health practice?
“What’s the buzz on PrEP? Why public health is listening”
SUMMARY Workshop about how to use online PHAC and NCCID resources which assist public health practitioners, researchers and decision makers interpret past and present data on notifiable diseases in Canada.
“Notifiable disease reporting in Canada”
SUMMARY: Health researchers, advocates and program managers who work with clients of sexual health promotion programs discussed their use of social media for prevention and control of STIs.
“Social media and sexual health promotion”
SUMMARY: A review of the specific etiology, prevalence and incidence of HCV infection among Indigenous peoples.
“Hepatitis C Virus and Indigenous Peoples”