HIV/STBBI Prevention and Control

Encouraging coordinated prevention efforts for HIV and STBBIs

NCCID’s HIV and sexually-transmitted and blood-borne infections (STBBI) projects aim to respond to the recognized need for more strategic, coordinated and integrated approaches in Canada through the translation and exchange of knowledge between researchers, policy-makers and practitioners.

NCCID responds to the clear knowledge gaps identified by our network of public health specialists by building partnerships, fostering discussions and sharing knowledge using several communications mediums, from conventional webinars, evidence reviews and case studies to more innovative live streaming videos, social media-based virtual communities and podcasts. Our resources includes informative material on the use of new technologies for STBBI testing to develop new program options to reach underserved populations, partner notification strategies, public health approaches for measuring national 90-90-90 estimates for HIV and for responding to syphilis epidemics in urban and rural contexts, and more.


TESTING AND DIAGNOSIS

Reaching underserved populations

Leveraging New Testing Technologies for STBBIS to explore new programmatic options in Canada

New diagnostic technologies for STBBIs can improve timely diagnosis and treatment and expand testing in underserved populations, but they need to be fully integrated in public health systems through contextually and culturally relevant programs. Canada has not shown consistent approval and uptake of new STBBI testing devices and programs. There have been numerous pilot studies but funding has not been sustained. Moving research to equitable and innovative testing practice in Canada requires coordinated and cohesive responses across sectors and jurisdictions, with common understandings of needs, evidence and pathways to success.

To support this process, the National Collaborating Centre for Infectious Diseases (NCCID) is developing a series of knowledge translation products:

  • A series of four webinars, in partnership with CATIE and REACH 2.0 Reaching the Undiagnosed, that explore new options to expand and diversify testing strategies in Canada.
  • A Review of Evidence summarizing POCT technologies and devices that are currently used in other countries, on the market, approved or available in Canada, or in the pipeline and their performance.
  • COMING SOON : A Review of Evidence on acceptability, feasibility and impact of POCT relevant to the Canadian context, and an assessment of programmatic options that have been most successful at reaching underserved populations, particularly in rural and remote communities.
  • An expert commentary from Dr. Nitika Pant Pai and Dr. Marc Steben describing contextual factors affecting the use of POC technologies in Canada, and ways forward to strengthen uptake.

Public Health Ethics

A Case in Infectious Disease Prevention and Control
  • ENGLISH: Jan. 24, 2017. Invited experts: Dr. Nitika Pant Pai and Dr Mohammad Khan
  • FRENCH: Jan. 31, 2017. Invited expert: Dr. Marc Steben

In these webinars, presented in collaboration with the NCCHPP, participants discussed the evidence and ethics of the use of Point-of-Care testing to expand access to diagnostic technologies for infectious diseases in remote or northern communities.

Exploring alternative methods to HIV testing to meet Canada’s obligation to UNAIDS 90-90-90 targets

MEETING PROCEEDINGS

On April 26, 2018, this session at the Canadian Association for HIV Research annual conference featured new testing technologies and approaches that have the potential to expand HIV testing options in Canada if scaled-up and in order to reach people where they are.


PUBLIC HEALTH APPROACHES

Exploring the determinants of syphilis in Indigenous women in Winnipeg

NEW MARCH 2019 PODCAST SERIES

Released in partnership with the National Collaborating Centre for Aboriginal Health

Syphilis infection rates are increasing in Winnipeg, Manitoba and cases of infectious syphilis have more than doubled in 2018. While an ongoing syphilis outbreak in Canada has predominantly affected males who have sex with men, a new trend has also emerged with higher rates among heterosexual people. This shift has resulted in unprecedented cases of congenital syphilis within the province. These infections seem to be associated with inadequate housing and substance use (methamphetamine in particular). It’s also known that a disproportionate number of these women are Indigenous.

LISTEN:

CBC Interview: Pierre Plourde, Aug. 9, 2018 “Syphilis rates in Winnipeg at an all-time high”

• Exploring the determinants of syphilis in Indigenous women in Winnipeg: Laverne Gervais

• Exploring the determinants of syphilis in Indigenous women in Winnipeg: Marcia Anderson

• Congenital syphilis: Jared Bullard

NCCID spoke to Laverne Gervais and Dr. Marcia Anderson with the organization Ka Ni Kanichihk about the determinants of syphilis transmission in Indigenous women and what public health and primary care providers can do, learn, and work with agencies such as Ka Ni Kanichihk to slow or stop the progression of syphilis among women and in the community. We also spoke to Dr. Jared Bullard about the recent increases in cases of congenital syphilis in Manitoba, the risks infections pose to a fetus, and prevention strategies.

Syphilis 2.0: The Two Faces of Syphilis

A Call for Sustained, National and Coordinated Responses to Syphilis

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.

Syphilis 1.0: Forward Thinking on Syphilis

An Information Exchange on Innovative Approaches to Syphilis, Focused on men who have sex with men

In support of renewed public health efforts to control the continuing outbreaks of syphilis in Canadian cities, NCCID brought together in September 2014 public health practitioners from several health regions, community-based organizations, and researchers. Over thirty participants from across Canada met to exchange ideas on innovative, integrative and upstream strategies that might help public health and community-based partners in men’s health achieve greater gains in managing and preventing syphilis, often in ‘hard-to-reach’ populations. Look up the report of this event on our webpage as well as the summary of evidence produced as a background document.

Partner notification

Partner notification (PN) is one of the central pillars of communicable disease control in public health. However, its effectiveness in preventing and controlling the spread of STBBIs has been called into question. NCCID supported a series of projects which brought together evidence on partner notification methods and successes. | READ MORE

CATIE Forum 2015

Live streaming knowledge mobilization

To extend the reach of the CATIE Knowledge Exchange Forum held in October 2015, NCCID live streamed videos featuring brief interviews with keynote speakers and the event’s lead organizer. View these short videos presenting Jordan Feld speaking to Hepatitis C and screening; Darrell Tan addressing the need for moving pre-exposure prophylaxis (PrEP) into practices, Nitika Pant Pai calling for embracing Point-of-Care testing (POCT), Alexandra King speaking to Indigeneity as a central component of HIV strategies, and Laurie Edmiston, Executive Director for CATIE, reflecting on the event outcome.


SURVEILLANCE

Reaching HIV 90-90-90 targets

What’s next to improve the estimate measurement in Canada?

In April 2017, NCCID held a meeting to discuss the National HIV Cascade measures. Read the summary of the meeting and learn more about provincial and territorial strategies to measure progress toward the HIV 90-90-90 targets, key challenges, lessons learned and next steps to improve measurement process.


PREVENTION

Summary of NACI Recommendations for HPV Immunization

A poster for offices and clinics. Print it on two pages or two sides. This poster is currently available only in English. Disponible seulement en version anglaise.

Let us know what you think of this format: nccid@umanitoba.ca

What’s the buzz on PrEP?

In partnership with CATIE, NCCID presented a webinar for a public health audience entitled: What’s the BUZZ on PrEP? Why Public Health is listening. The webinar focuses on legal and social contexts and public health implications of gay men’s early adoption of pre-exposure prophylaxis (PrEP) for HIV, depicting diverse experiences across Canada. This webinar provides insights for public health practitioners who wish to understand the support occurring in the community and the approaches taken in other jurisdictions – including who gets PrEP, what is the message, how managing programs, what are the implications for planning policy.

Non-Urban, Youth-oriented HIV/HCV Prevention

The Gender and Health Promotions Studies (GAHPS) Unit called on some local experts in sexual health promotion for youth to help address a gap in evidence-based knowledge relevant for practice in non-urban Canadian settings. Seeking commonality and lessons, GAHPS invited panelists to share examples of promising approaches to STBBI prevention in their communities during this webinar: Thinking Locally / Thinking Nationally: Looking for Synergies for Youth-Oriented HIV and HCV Prevention in Non-Urban Settings Across Canada. NCCID partnered to help engage innovators from various regions and public health audiences for consideration of the practice-based lessons.


EVENTS: HIV/STBBIs

NCCID regularly hosts in-person gatherings and on-line events throughout the year, with archived versions of webcasts often available by request.

  • EXCHANGE: PLAINS SPEAK on STBBIs, 2019: An emergent challenge for the Prairies | March 2019
  • WEBINAR: Dried blood spot testing for Hepatitis C and HIV – a new approach for rural and remote communities | Feb. 2018
  • WEBINAR: New testing technologies and approaches for syphilis: learning from other countries | Dec. 2017
  • WEBINAR: HIV and HCV point-of-care testing in Canada: technologies and community programs | Nov. 2017
  • EXCHANGE: The Two Faces of Syphilis: A Call for Sustained, National and Coordinated Responses to Syphilis | Nov. 2016
  • WEBINAR What’s the buzz on PrEP? Why public health is listening | Feb. 2016
  • WORKSHOP Notifiable disease reporting in Canada | May 2015
  • PANEL “Share, Poke, Tag”: Social media and sexual health promotion | May 2015
  • WEBINAR Taking Stock of Crack Pipe Distribution Programs | March 2015
  • WEBINAR Hepatitis C Virus and Indigenous Peoples | March 2015
  • WEBINAR Rethinking Chlamydia | Feb. 2015
  • EXCHANGE Forward Thinking on Syphilis | Sept. 2014
  • WEBINAR Sexually-transmitted Infections & Nursing in Indigenous Communities | August 2014