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Mainstream practices for producing meat, eggs, and dairy raise numerous concerns regarding public health, animal welfare, and environmental integrity. However, governments worldwide have expanded anti‐whistleblower legislation that constrains informed public debate. Since 2019, several Canadian provinces have adopted so‐called “ag‐gag” laws designed to prevent hidden‐camera investigations on farms and meat processing facilities. How do governments across Canada justify ag‐gag laws as serving the public interest? To what extent do agricultural industry interests shape government adoption of ag‐gag laws? Using Freedom of Information requests and debate records from provincial legislatures, we find that biosecurity is the most prominent justification for ag‐gag laws, and that governments exhibit a close, collaborative relationship with industry actors. This case demonstrates that when it comes to contested sites of capital accumulation, governments are drawing on new spatial‐legal tools to protect the status quo interests of private industry by dissuading dissent, debate, and public scrutiny. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to assess the impact of the implementation of legally sanctioned supervised consumption sites (SCS) in the Canadian province of Ontario on opioid‐related deaths, emergency department (ED) visits and hospitalisations at the public health unit (PHU) level. Methods: Monthly rates per 100,000 population of opioid‐related deaths, ED visits and hospitalisations for PHUs in Ontario between December 2013 and March 2022 were collected. Aggregated and individual analyses of PHUs with one or more SCS were conducted, with PHUs that instituted an SCS being matched to control units that did not. Autoregressive integrated moving average models were used to estimate the impact of SCS implementation on opioid‐related deaths, ED visits and hospitalisations. Results: Twenty‐one legally sanctioned SCS were implemented across nine PHUs in Ontario during the study period. Interrupted time series analyses showed no statistically significant changes in opioid‐related death rates in aggregated analyses of intervention PHUs (increase of 0.02 deaths/100,000 population/month; p = 0.27). Control PHUs saw a significant increase of 0.38 deaths/100,000 population/month; p < 0.001. No statistically significant changes were observed in the rates of opioid‐related ED visits in intervention PHUs (decrease of 0.61 visits/100,000 population/month; p = 0.39) or controls (increase of 0.403 visits; p = 0.76). No statistically significant changes to the rates of opioid‐related hospitalisations were observed in intervention PHUs (0 hospitalisations/100,000 population/month; p = 0.98) or controls (decrease of 0.05 hospitalisations; p = 0.95). Discussion and Conclusions: This study did not find significant mortality or morbidity effects associated with SCS availability at the population level in Ontario. In the context of a highly toxic drug supply, additional interventions will be required to reduce opioid‐related harms. [ABSTRACT FROM AUTHOR]

To improve the forecasting accuracy of the spread of infectious diseases, a hybrid model was recently introduced where the commonly assumed constant disease transmission rate was actively estimated from enforced mitigating policy data by a machine learning (ML) model and then fed to an extended susceptible-infected-recovered model to forecast the number of infected cases. Testing only one ML model, that is, gradient boosting model (GBM), the work left open whether other ML models would perform better. Here, we compared GBMs, linear regressions, k-nearest neighbors, and Bayesian networks (BNs) in forecasting the number of COVID-19-infected cases in the United States and Canadian provinces based on policy indices of future 35 days. There was no significant difference in the mean absolute percentage errors of these ML models over the combined dataset [ H (3) = 3.10 , p = 0.38 ]. In two provinces, a significant difference was observed [ H (3) = 8.77 , H (3) = 8.07 , p < 0.05 ], yet posthoc tests revealed no significant difference in pairwise comparisons. Nevertheless, BNs significantly outperformed the other models in most of the training datasets. The results put forward that the ML models have equal forecasting power overall, and BNs are best for data-fitting applications. [ABSTRACT FROM AUTHOR]

Using a structural vector autoregression (SVAR) model, we demonstrate that the response of consumer prices in oil-producing Canadian provinces to oil market shocks is similar to that of consumer prices in non-oil-producing provinces, though the magnitudes and durations vary. In particular, the effects of oil supply and oil-specific demand shocks lead to significant consumer price increases while unanticipated expansions in global demand only lead to modest increases in consumer prices across both sets of provinces. Our results suggest that oil market shocks are transmitted from consumer prices in oil-producing provinces to non-oil-producing ones largely through changes in the labor market. Further, we find that roughly 41% of the long-run variation in consumer price inflation in oil-producing provinces is attributable to oil market shocks while it is about 46% in non-oil-producing provinces on average. Finally, we show that historically, oil market shocks have contributed to fluctuations in consumer price inflation in each province with different signs at different points in time. Consequently, our results suggest that policymakers should pay close attention to the effects of oil market shocks on subnational consumer prices in order to curb the impacts of adverse supply shocks and to mediate demand-side forces. [ABSTRACT FROM AUTHOR]

Background: Throughout the COVID-19 pandemic, youth have experienced substantial stress due to abrupt changes in education, finances, and social life, compounding pre-existing stressors. With youth (ages 15–26) often at critical points in development, they are vulnerable to long-term mental health challenges brought on by pandemic trauma. Methods: To identify youth experiences throughout the pandemic and examine changes over time, we conducted semi-structured interviews among n = 141 youth in two Canadian provinces (Ontario and British Columbia) and across the country of Ireland at three time points over the course of more than one year (August 2020-October 2021). We conducted a qualitative longitudinal analysis using an inductive content approach. Results: Categories identified were (1) coping with hardship; (2) opportunities for growth; (3) adapting to new ways of accessing services; (4) mixed views on the pandemic: attitudes, behaviour, and perception of policy response; (5) navigating COVID-19 information; (6) transitioning to life after the pandemic; and (7) youth-led recommendations for government and service response. The findings also reveal trends in health and wellness in accordance with prolonged periods of lockdown, changes in weather, and return to normalcy after the availability of COVID-19 vaccines. Key recommendations from youth include incorporating youth voice into decision making, communicating public health information effectively to youth, enhancing service delivery post-pandemic, and planning for future pandemics. Conclusions: These results provide insights into the extensive longitudinal impacts of the COVID-19 pandemic on young people across three geographical locations. Actively involving youth in decision making roles for future pandemics or public health emergencies is critical. [ABSTRACT FROM AUTHOR]

Background: While previous studies have examined various platforms that enable providers to connect, Virtual Hallway (VH) stands out with its unique features. The value add is that this online platform connects primary care providers and specialists for synchronous phone-based conversations and aims to reduce referrals and enhance the quality of referrals. VH allows providers to easily log in, select the required specialty, book call times, receive reminders, and have calls documented, ensuring a high connection rate. In May 2022, the provincial health authority in Nova Scotia, a Canadian province, and VH initiated a feasibility study facilitated through the Health Innovation Hub in Nova Scotia. The goal was to enable primary care providers to connect with specialists, thereby reducing wait times and unnecessary referrals, and facilitating timely access to relevant clinical direction for patients. The current evaluation assessed utilization, value for money in economic analysis, and consultation experiences. Methods: The study used post, cross-sectional, and cost-benefit study designs. We collected data through various methods, including administratively recorded utilization, theory-driven surveys, and cost data. Utilization was measured by the number of completed consults and the number of healthcare professionals using the VH platform. We analyzed the data using a combination of descriptive statistics and a cost-benefit analysis, which also involved conducting probabilistic sensitivity analysis. Results: The study found that approximately 84% of the VH consultations avoided needing in-person specialist referrals. The return on investment was 1.8 (95% CI: 0.8 to 3.0), indicating that the monetary value of the measurable benefits associated with VH exceeded the value of the resources invested. The provider experience survey revealed high satisfaction levels with VH across user groups, with 92% of specialists and 96% of primary care providers reporting being satisfied or highly satisfied with their experience. These positive indicators of provider experience were further supported by the fact that 97% of respondents agreed or strongly agreed that they intended to continue to use VH in their practice, and 97% of respondents agreed or strongly agreed that they would recommend VH to a colleague. Conclusions: The study suggests that VH was well-received by users, with high levels of satisfaction reported and a reduced need for in-person referrals. It also represented value for money. Further research could explore how the availability of virtual health services can lead to reduced utilization of healthcare resources among different groups of patients. [ABSTRACT FROM AUTHOR]

Background: COVID-19 added to healthcare provider (HCP) distress, but patterns of change remain unclear. This study sought to determine if and how emotional distress varied among HCP between March 28, 2021 and December 1, 2023. Methods: This longitudinal study was embedded within the 42-month prospective COVID-19 Cohort Study that recruited HCP from four Canadian provinces. Information was collected at enrollment, from annual exposure surveys, and vaccination and illness surveys. The 10-item Kessler Psychological Distress Scale (K10) was completed approximately every six months after March 28, 2021. Linear mixed effects models, specifically random intercept models, were generated to determine the impact of time on emotional distress while accounting for demographic and work-related factors. Results: Between 2021 and 2023, the mean K10 score fell by 3.1 points, indicating decreased distress, but scores increased during periods of high levels of mitigation strategies against transmission of SARS-CoV-2, during winter months, and if taking antidepression, anti-anxiety or anti-insomnia medications. K10 scores were significantly lower for HCP who were male, older, had more children in their household, experienced prior COVID-19 illness(es), and for non-physician but regulated HCP versus nurses. A sensitivity analysis that included only those who had submitted at least five K10 surveys consisted of the factors in the full model excluding previous COVID-19 illness, occupation, and season, after adjustment. Models were also created for K10 anxiety and depression subscales. Conclusions: K10 scores decreased as the COVID-19 pandemic continued but increased during periods of high mitigation and the winter months. Personal and work-place factors also impacted HCP distress scores. Further research into best practices in distress identification and remediation is warranted to ensure future public health disasters are met with healthcare systems that are able to buffer HCP against short- and long-term mental health issues. [ABSTRACT FROM AUTHOR]

Janus Kinase (JAK) inhibitors have emerged as a novel category of medications to treat a variety of immune-mediated conditions. However, limited insight exists regarding the impact of safety concerns on their usage and prescribing practices. Therefore, the objective of this study was to describe the utilization of JAK-inhibitors in Canada, both nationally and within individual provinces. We used data from IQVIA's Compuscript database. We conducted a repeated cross-sectional study of all JAK-inhibitor units dispensed in retail pharmacies (tofacitinib, ruxolitinib, baricitinib, and upadacitinib) within the ten Canadian provinces from July 1, 2016, to June 30, 2022. Throughout Canada, outpatient pharmacies dispensed an estimated total of 26,126,409 JAK-inhibitor units between 2016 and 2022, averaging 9,431 units dispensed per 100,000 population. All provinces had increasing rates of JAK-inhibitor units dispensed over time, whereby between July 2021 to June 2022, New Brunswick exhibited the highest rates (27,696 units per 100,000), and Prince Edward Island demonstrated the lowest rates (10,065 units per 100,000). In this study, utilization of JAK-inhibitors increased in Canada over the study period, evident at both provincial and national levels. Variability in JAK-inhibitor utilization between provinces underscores the necessity for further investigations to ascertain appropriate usage practices. Key Points • From 2016 to 2022, an estimated total of 26,126,409 JAK-inhibitor units were dispensed in retail pharmacies across Canada, with an average rate of 9,431 units dispensed for every 100,000 people in the population. • Tofacitinib was the most dispensed JAK-inhibitor during the entire study period, making up 76% of all units dispensed. Ruxolitinib, upadacitinib, and baricitinib made up 16%, 7.9%, and 1.1% of the JAK-inhibitor units dispensed, respectively. • The variance in provincial adoption of JAK-inhibitors across Canada might be influenced by several factors, including drug coverage availability, disease prevalence, and physician prescribing patterns. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, public health measures were implemented, yet it is unknown whether these measures affected medication access in those with schizophrenia (SCZ). This study aimed to assess whether the antipsychotic utilization in SCZ changed during the pandemic. We used dispensed prescription drug data from the Canadian province of Manitoba in individuals with SCZ using linked administrative data from the Manitoba Population Research Data Repository. The quarterly incident and prevalent dispensation of antipsychotics at two periods were compared with the expected trend (April 1, 2015 to April 1, 2020 and 2021) using linear autoregression. We stratified the primary results by age and sex and examined multiple subgroups. There were 9045 individuals with SCZ in the first fiscal quarter of 2020. The prevalent use of the most common antipsychotics were: olanzapine (206.7/1000), risperidone (190.8/1000), quetiapine (174.4/1000), and clozapine (100.9/1000). The overall prevalent use of antipsychotics remained stable during the pandemic compared with the expected trend. A significant decrease in the incident use in April–June 2020 (estimate: -1.3, 95%CI:-2.2,-0.3) was noted compared with the expected. A significantly higher incidence of atypical antipsychotics (estimate: 1.4, 95%CI: 0.2,2.5) and risperidone separately (estimate: 1.8, 95%CI: 0.2,3.3) was noted in 2021 compared with expected. This study found a decline in the receipt of antipsychotics for people with SCZ during the initial implementation of COVID-19 public health measures, particularly on the overall incidence. Future work on investigating the impact of these trends on SCZ outcomes is needed to inform future pandemic-related policies. [ABSTRACT FROM AUTHOR]

Identifying optimal maintenance policies for transportation infrastructure such as bridges, is a challenging task that requires taking into account many aspects relating to budget availability, resource allocation and traffic rerouting. In practice, it is difficult to accurately quantify all of the aforementioned factors; accordingly, it is equally difficult to obtain network-scale optimal maintenance policies. This paper presents an approach to evaluate the costs associated with deviations from optimal bridge-level maintenance policies, specifically focusing on delays in maintenance actions. Evaluating the cost of maintenance delays is performed using a reinforcement learning (RL) approach that relies on a probabilistic deterioration model to describe the deterioration in the structural components. The RL framework provides estimates for the total expected discounted maintenance costs associated with each maintenance policy over time, allowing comparison of maintenance policies where maintenance actions are delayed against an optimal maintenance policy. The comparisons are performed by probabilistically quantifying the ratio of expected costs associated with each maintenance policy. This ratio represents the trade-offs between performing or delaying maintenance actions over time. Moreover, the proposed approach is scalable, making it applicable to bridges with numerous structural elements. Example of application using the proposed framework is demonstrated using inspection data from bridges in the Quebec province of Canada. [ABSTRACT FROM AUTHOR]

Introduction: This study evaluated the effect of the COVID-19 pandemic on temporal trends in mental health and addiction--related inpatient hospitalization rates among youth (aged 10--17 years) in Canadian provinces and territories (excluding Quebec) from 1 April 2018 to 5 March 2022. Methods: We conducted an interrupted time series analysis across three periods: T0 (pre-pandemic: 1 April 2018 to 15 March 2020); T1 (early pandemic: 15 March 2020 to 5 July 2020); and T2 (later pandemic: 6 July 2020 to 5 March 2022). Results: Pre-pandemic mental health and addiction--related hospitalization rates had significant regional variability, with weekly rates from 6.27 to 85.59 events per 100 000 persons in Manitoba and the territories combined, respectively. During T1, the national (excluding Quebec) weekly hospitalization rate decreased from a pre-pandemic level of 12.82 (95% CI: 12.14 to 13.50) to 5.11 (95% CI: 3.80 to 6.41) events per 100 000 persons. There was no statistically significant change in the mental health and addiction--related hospitalization rate across provinces and territories in T2 compared to T0. However, there was a significant increase in the rate of self-harm--related hospitalizations among females Canada-wide and in most provinces during this period. Conclusion: Although several Canadian studies have reported increases in mental health and addiction--related outpatient and emergency department visits among youth during the COVID-19 pandemic, this did not correspond to an increase in the inpatient hospital burden, with the notable exception of self-harm among young females. [ABSTRACT FROM AUTHOR]

Given the increasing damage effect of climate change, the Canadian government has taken a further step to ensure that carbon pricing is implemented in all provinces to reduce its GHGs emissions as a means of addressing climate change. Thus, this paper examines the effect of carbon pricing on energy consumption which is the main source of CO2 emission to enhance our understanding beyond carbon-pricing effects on households and revenue recycling in the prior research. Our study analyzes the energy efficiency of Canada using the province-level data between 2000 and 2021, by developing an SFA production model to understand the drivers of energy consumption and then compute the total factor energy efficiency index while controlling for the role of carbon pricing. Our empirical results reveal that increased labor input, as well as output, mitigate the rising capital-induced energy consumption, while carbon pricing policy plays no significant role in influencing energy consumption. However, the effectiveness of carbon pricing is found in reducing province-level energy efficiency. This striking evidence suggests that policymakers should consider a labor-oriented energy saving scheme and conduct a comprehensive review of the current carbon pricing policy in order to align with energy efficiency interventions toward the achievement of Canada's Paris Agreement targets. [ABSTRACT FROM AUTHOR]

Background Income-related food insecurity is an important determinant of health. This study aimed to provide an update on the food security status of Canadian households using the most recent available data from a health-oriented national-level survey. This study also examined trends in food insecurity since 2017, and how these have tracked with changes in price inflation. Data and methods Data on household food security status in the 10 Canadian provinces came from five annual cycles of the population-representative cross-sectional Canadian Community Health Survey (CCHS): 2017, 2018, 2020 (September to December), 2021, and 2022. The Household Food Security Survey Module was used to categorize household food security status during the previous 12 months as food secure or marginally, moderately, or severely insecure. Results Before 2019, approximately 1 in 10 households had experienced some level of food insecurity in the previous 12 months (9.6% in 2017 and 11.6% in 2018). Household food insecurity prevalence was slightly lower and stable during the COVID-19 pandemic years (8.5% in fall 2020 and 9.1% in 2021) and increased to 15.6% in 2022. Levels of household food insecurity generally tracked with changes in consumer price inflation. Compared with 2021, there were notable increases in levels of moderate and severe food insecurity in 2022 among one-parent households with children, renters, and those reliant on government financial assistance. Interpretation The prevalence of household food insecurity in the CCHS was relatively stable from 2017 to 2021, increased in 2022, and generally tracked with changes in price inflation. Monitoring levels of household food insecurity will continue to be important as price inflation eases but the cost of living remains high. [ABSTRACT FROM AUTHOR]

We are at a critical moment for assessment in schools. Teachers are called to navigate advances in classroom assessment research, top‐down assessment policies, and lingering effects of the COVID‐19 pandemic on teaching and learning. Embedded in this context are also systemic challenges to teachers’ assessment practice. This paper analyses these challenges to characterise the current context for teachers’ assessment work and considers teachers’ innovative responses to these challenges. Data are drawn from 168 qualitative responses to a baseline assessment innovation survey across 10 Canadian provinces and territories as well as 10 other international jurisdictions. Eight themes were identified related to teachers’ assessment challenges and innovations, including: negating innovation, the emotions of assessment, grade obsession and the gradeless spectrum, conflicting orientations towards assessment, the use of ‘assessment talk’, data overload, equitable assessment and actions that make learning and assessment visible. These findings directly support the widespread goal of implementing assessments that effectively and consistently serve student learning. The paper concludes with a discussion on how teachers move from facing assessment challenges to engaging in assessment innovations. [ABSTRACT FROM AUTHOR]

Background: Examining support for substance use policies, including those for harm reduction, among the general public and policy influencers is a fundamental step to map the current policy landscape and leverage policy opportunities. Yet, this is a knowledge gap in Canada. Our paper identifies the level of support for substance use policies in two provinces in Canada and describes how the level of support is associated with intrusiveness and sociodemographic variables. Methods: Data came from the 2019 Chronic Disease Prevention Survey. The representative sample included members of the general public (Alberta n = 1648, Manitoba n = 1770) as well as policy influencers (Alberta n = 204, Manitoba n = 98). We measured the level of support for 22 public policies concerning substance use through a 4-point Likert-scale. The Nuffield Council on Bioethics Intervention Ladder framework was applied to assess intrusiveness. We used cumulative link models to run ordinal regressions for identification of explanatory sociodemographic variables. Results: Overall, there was generally strong support for the policies assessed. The general public in Manitoba was significantly more supportive of policies than its Alberta counterpart. Some differences were found between provinces and samples. For certain substance use policies, there was stronger support among women than men and among those with higher education than those with less education. Conclusions: The results highlight areas where efforts are needed to increase support from both policy influencers and general public for adoption, implementation, and scaling of substance use policies. Socio-demographic variables related to support for substance use policies may be useful in informing strategies such as knowledge mobilization to advance the policy landscape in Western Canada. [ABSTRACT FROM AUTHOR]

Climate change is one of the most important issues of our time. However, its diffuse and complex nature makes it difficult to find global and effective solutions, as these require multi-scale contributions. Although the international climate regime primarily involves states, actors from other levels of government also have active international climate agendas. This is certainly true of several Canadian provinces. The objective of this study is to provide a comprehensive portrait of the paradiplomatic actions that Canadian provinces have undertaken around climate change. The comparative analysis presented here is based on a conceptual framework that distinguishes three types of paradiplomatic instruments: institutionalization, the use of intra-state routes, and the use of extra-state routes. Our analysis shows that Canadian provinces pursue similar paradiplomatic strategies, but that their intensity and sustainability vary widely according to the availability of economic and human resources, as well as political will. [ABSTRACT FROM AUTHOR]

The data from thirty-one climate stations in the Canadian Prairie provinces of Alberta, Saskatchewan, and Manitoba are analyzed using a number of day-to-day thermal variability metrics. These are used to classify each climate station location using a decision tree developed previously. This is the first application of the decision tree to identify stations as having rural, urban, peri-urban, marine, island, airport, or mountain climates. Of the thirty-one, eighteen were identified as peri-urban, with fourteen of these being airports; six were identified as marine or island; four were identified as rural; one as urban was identified; and two were identified as mountain. The two climate stations at Churchill, Manitoba, located near the shores of Hudson Bay, were initially identified as peri-urban. This was re-assessed after adjusting the number of "winter" months used in the metric for identifying marine and island climates (which, for all other analyses, excluded only December, January, and February). For Churchill, to match the sea ice season, the months of November, March, April, and May were also excluded. Then, a strong marine signal was found for both stations. There is a potential to use these thermal metrics to create a sea ice climatology in Hudson Bay, particularly for pre-satellite reconnaissance (1971). Lake Louise and Banff, Alberta, are the first mountain stations to be identified as such outside of British Columbia. Five airport/non-airport pairs are examined to explore the difference between an airport site and a local site uninfluenced by the airport. In two cases, the expected outcome was not realized through the decision tree analysis. Both Jasper and Edmonton Stony Plain were classified as peri-urban. These two locations illustrated the influence of proximity to large highways. In both cases the expected outcome was replaced by peri-urban, reflective of the localized impact of the major highway. This was illustrated in both cases using a time series of the peri-urban metric before and after major highway development, which had statistically significant differences. This speaks to the importance of setting climate stations appropriately away from confounding influences. It also suggests additional metrics to assess the environmental consistency of climate time series. [ABSTRACT FROM AUTHOR]

This study assesses the likely economic impact of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) on Saskatchewan's (a Canadian province) economy in 2030 by building a subnational computable general equilibrium (CGE) model. The approach was based on splitting Canada into two regions: Saskatchewan and the Rest of Canada (RoC). Saskatchewan was treated as a separate trading entity with interprovincial and international trade flows. Saskatchewan exports were estimated to increase by 0.81% but imports to increase by 1.75% under the CPTPP. The analysis showed evidence that trade agreements may have different impacts on regions within a country. [ABSTRACT FROM AUTHOR]

In this paper, I study how interprovincial migration impacts interprovincial trade in the wake of several provincial agreements and re-examine the extent and pattern of interprovincial trade barriers in Canada. For estimation, I use a migration augmented gravity model of trade and panel data on interprovincial trade and migration flows during 2000-2016. I find that while most agreements increased trade in goods and services respectively, albeit to different extents, between member provinces, others did not. I also find that the interprovincial barriers to trade are remarkably smaller than have been previously estimated and that the barriers are larger for trade in services than goods. However, over the last two decades in Canada trade barriers have decreased by 17 percent for services but increased by 52 percent for goods flows across provinces. [ABSTRACT FROM AUTHOR]

Using examples drawn from letters written by rural youth from the western Canadian province of British Columbia during the interwar period, I explore three interrelated interpretive strategies or dispositions for amplifying young peoples' contributions to history: empathic inference, relational agency, and the axiom that children are heirs to the future. The letters are part of a larger archival collection of the province's Elementary Correspondence School, the first of its kind in Canada, and provide historians with uniquely valuable child and youth focused perspectives on schooling, family, work, and other aspects of their lives. Supported by examples from the letters, I argue that young peoples' contributions to historical change are most clearly legible when interpretive strategies, including the historical methods and methodological dispositions historians adopt, reject traditional conceptions of history as exclusively or mainly adult driven. [ABSTRACT FROM AUTHOR]

Group and collective rights are human rights, but such rights emerge when the members of a group are discriminated against in order to protect the group temporarily or in perpetuity, depending on how long the discrimination lasts. Studies investigating urban issues from the lens of a group right or collective right are almost non-existent. Using Kymlicka's rights framework and relying on empirical work in the French-speaking Quebec province in Canada, the research concludes that Québec municipalities are fraught with tensions between individual and group rights and collective rights, resulting in issues related to places of worship, land development and commercial signage. [ABSTRACT FROM AUTHOR]

Human rights are inalienable rights we each possess by virtue of being human. The Atlantic provinces in Canada are the least studied with respect to understanding how much their cities and towns fulfill constitutional and quasi-constitutional human rights obligations in their land use bylaws. This paper aims to answer this question: what are the critical human rights challenges confronting zoning bylaws of Atlantic Canadian cities? Using a mixed methods approach, the study concludes that despite some potential violations of human rights in the region, Atlantic Canadian municipalities are advancing positively on the human rights front, with a number of encouraging developments. [ABSTRACT FROM AUTHOR]

Background: Healthcare providers (HCP) continue to provide patient care during the COVID-19 pandemic despite the known risks for transmission. Studies conducted early in the pandemic showed that factors associated with higher levels of distress among HCP included being of younger age, female, in close contact with people with COVID-19, and lower levels of education. The goal of this study was to determine if level of patient contact was associated with concern for post-traumatic stress disorder (PTSD) as measured by the Impact of Event Scale-Revised (IES-R). Methods: This cross-sectional study, embedded within a prospective cohort study, recruited HCP working in hospitals in four Canadian provinces from June 2020 to June 2023. Data were collected at enrolment and annually from baseline surveys with the IES-R scale completed at withdrawal/study completion. Modified Poisson regression was used to determine the association between level of patient contact and concern for PTSD (i.e., IES-R scores ≥24). Results: The adjusted rate ratio (RR) associated with concern for PTSD among HCP with physical contact/direct patient care was 1.19 (95% confidence interval (CI) 1.03, 1.38) times higher than for HCP with no direct contact. In fully adjusted linear regression models, physical care/contact was associated with higher avoidance and hyperarousal scores, but not intrusion scores. Conclusions: Administrators and planners need to consider the impact of heightened and ongoing stress among HCP by providing early screening for adverse emotional outcomes and delivery of tailored preventive strategies to ensure immediate and long-term HCP health. [ABSTRACT FROM AUTHOR]

Introduction: Residents of rural regions may have higher and unique suicide risks. Newfoundland and Labrador (NL) is a Canadian province replete with rural regions. Despite an abundance of rural suicide research, heterogeneity in rural regions may preclude amalgamating findings to inform prevention efforts. Thus, exploring the unique needs of NL is needed. Importantly, health care providers (HCP) may afford unique perspectives on the suicide-related needs or concerns of rural life. We asked HCPs of residents of rural NL their perceived suicide risk factors, concerns, and needs for rural NL. Method: Twelve HCPs of rural residents of NL completed virtual semi-structured interviews. Interviews were analysed using reflexive thematic analysis [13,14]. Results: HCPs noted individual, psychological, social, and practical factors linked to rural-suicide risk and subsequent needs. Findings highlight the unique challenges of residing and providing health care in rural NL and inform prevention and intervention efforts. [ABSTRACT FROM AUTHOR]

Background: Federal deregulation of opioid agonist therapies are an attractive policy option to improve access to opioid use disorder care and achieve widespread beneficial impacts on growing opioid-related harms. There have been few evaluations of such policy interventions and understanding effects can help policy planning across jurisdictions. Methods: Using health administrative data from eight of ten Canadian provinces, this study evaluated the impacts of Health Canada's decision in May 2018 to rescind the requirement for Canadian health professionals to obtain an exemption from the Canadian Drugs and Substance Act to prescribe methadone for opioid use disorder. Over the study period of June 2017 to May 2019, we used descriptive statistics to capture overall trends in the number of agonist therapy prescribers across provinces and we used interrupted time series analysis to determine the effect of this decision on the trajectories of the agonist therapy prescribing workforces. Results: There were important baseline differences in the numbers of agonist therapy prescribers. The province with the highest concentration of prescribers had 7.5 more prescribers per 100,000 residents compared to the province with the lowest. All provinces showed encouraging growth in the number of prescribers through the study period, though the fastest growing province grew 4.5 times more than the slowest. Interrupted time series analyses demonstrated a range of effects of the federal policy intervention on the provinces, from clearly positive changes to possibly negative effects. Conclusions: Federal drug regulation policy change interacted in complex ways with provincial health professional regulation and healthcare delivery, kaleidoscoping the effects of federal policy intervention. For Canada and other health systems such as the US, federal policy must account for significant subnational variation in OUD epidemiology and drug regulation to maximize intended beneficial effects and mitigate the risks of negative effects. [ABSTRACT FROM AUTHOR]

Of all cancers in female Canadians, the most rapidly increasing incidence is that of cervical cancer. The objective of this pilot study was to assess how HPV self-sampling might improve cervical cancer screening participation in both urban and rural settings in Saskatchewan, one of the most sparsely populated provinces in Canada. Study groups consisted of n = 250 participants to whom self-swabbing kits were mailed with instructions and n = 250 participants to whom kits were handed out in 6 urban and rural clinics. The inclusion criteria selected subjects aged 30–69 years who were Saskatchewan residents for at least 5 years with valid health coverage, had a cervix, and had no record of cervical cancer screening in 4 years. The returned samples were analyzed for specific HPV strains using the Roche Molecular Diagnostics Cobas 4800® System. The overall response rate was ~16%, with the response to the handout distribution being roughly double that of the mailout. While HPV positivity did not differ across the distribution groups, participants at a specific inner-city clinic reported significantly higher positivity to at least one HPV strain as compared to any other clinic and all mailouts combined. For this high-risk population, in-person handout of self-sampling kits may be the most effective means of improving screening. [ABSTRACT FROM AUTHOR]

Potato and tomato are grown in all Canadian provinces and contribute billions of dollars in exports and sales. Late blight, caused by Phytophthora infestans, is a destructive disease of potato and tomato worldwide and is responsible for millions of dollars in losses annually. Changes in pathogen strains were reported to be associated with late blight epidemics in several regions and pose challenges to late blight management. In British Columbia (BC), diverse strains of P. infestans were reported. Using multiplex microsatellite or simple sequence repeat (SSR) markers, we identified the new genotype US17 of P. infestans from samples of potato and tomato with late blight in BC. All isolates were of the A1 mating type. One, five, and one isolates were sensitive, moderately resistant, and highly resistant to metalaxyl-m, respectively. This is the first report of the occurrence of the US17 genotype in BC and Canada. The US17 strain was also able to cause tuber rot and foliar blight symptoms in potato in pathogen-inoculated assays. [ABSTRACT FROM AUTHOR]

In April 2020, the British Columbia Utilities Commission released the Final Report of its Indigenous Utilities Regulation Inquiry. The Inquiry was tasked with determining the regulatory environment for Indigenous utility providers across the Canadian province. We analyse the Inquiry as a colonial encounter between Indigenous nations and the settler state, arguing that technical bodies like the Commission represent a sort of security professional working to depoliticize the reproduction of settler sovereignty, highlighting the operations of non-traditional security professionals in settler colonial contexts. Through the Inquiry, security comes through providing certainty for existing energy infrastructure and institutions as 'colonial beachheads', legitimizing the settler colonial political-economic order. However, the Inquiry also demonstrates that such processes offer opportunities for Indigenous nations to contest that order. Indeed, Indigenous nations used the Inquiry to both contest the legitimization of settler sovereignty and accumulation, and press for the capacity to build their own infrastructure and institutions, thereby enacting their decision-making authority. We explore this tension in the context of the contemporary reconciliation discourse, finding the Inquiry's final recommendations represent an attempt to reify settler sovereignty, while also deepening settler insecurity through the possibilities opened for greater Indigenous self-determination. [ABSTRACT FROM AUTHOR]

Introduction: Individuals on the autism spectrum (ASD) often experience poor mental health and coping strategies compared to their peers due to social exclusion and co-occurring conditions. Resiliency has been identified as a key factor in preventing adverse outcomes and promoting mental health. Therefore, it is important to determine what strategies can be used to build resiliency among autistic individuals. The current paper is one of the first studies that aims to collect information from autistic individuals and their caregivers on potential strategies to enhance resiliency. Methods: We interviewed 18 participants from various provinces in Canada, comprising of 13 autistic individuals and 5 parents. We used thematic analysis to identify patterns in the data. Results: Thematic analysis revealed three themes to indicate strategies that could be used to enhance resiliency, including: (a) self-reliant strategies, (b) using community-based facilities, and (c) contextual and individual characteristics. Conclusion: Although the body of literature on resiliency is evolving, this paper provides a unique perspective as it is one of the few studies that considers the experiences of individuals on the spectrum. In addition, this study focuses on identifying and describing specific strategies that can be used to enhance resiliency and mental health, which consequently can help address the existing gaps in knowledge and practice. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic posed unheralded challenges to people, business, government at all levels (federal, provincial, regional), and society at large. In addition to the direct consequences of taking care of infected people, which in some countries led to a virtual collapse of the healthcare system, the pandemic strained eldercare, employment, economic growth, and exacerbated mental health and social problems. During the first year of the pandemic, researchers' and policy makers' main focus was on 'flattening the curve,' and on predictive modeling of infections and deaths. In this paper we present a non-parametric data-driven descriptive analysis based on Data Envelopment Analysis to assess COVID-19 in ten Canadian provinces over the two year period 2020 to 2021. The objective is to derive worst- and best-case intra-provincial benchmarks to assess if and to what extent the situation could have been worse respectively better. To take account for any indirect socio-economic impact our analysis incorporates official monthly unemployment rates and a stringency index reflecting the level of social policy restrictions imposed by the provincial governments. A major contribution of the model framework is that it provides a mechanism for measuring the impact of the two main strategies in curbing the pandemic, namely vaccination and social policy restrictions. As a robustness check, the bench-mark results are compared against bias-corrected efficiency measures. [ABSTRACT FROM AUTHOR]

Reducing the carbon intensity of human well-being (CIWB) is a potential form of climate action. We conduct a preliminary analysis of the effects of economic growth and income inequality on the CIWB of Canada's provinces, and find that both increase CIWB in this sub-national context. We also find that their effects are symmetrical, meaning that positive and negative changes in economic growth and income inequality result in the same proportional changes in CIWB. Therefore, and while incredibly difficult to do, it is possible that efforts to reduce income inequality and economic growth are potential pathways to reducing CIWB. [ABSTRACT FROM AUTHOR]

Policing faces increased accountability measures, influencing officers to engage in "covering your ass" and over-documentation. In this qualitative study of police officers across three Canadian provinces, we unpack the "covering your ass" mentality by exploring the paperwork burden as an unintended consequence of movements toward greater policing accountability. We find that covering your ass leads officers to complete paperwork to protect themselves from personally being investigated. They use paperwork to ensure they overcome any legal vulnerabilities by justifying their actions and explaining their interpretations of other officers' actions. We present policy implications of these findings tied to police accountability, the impacts of covering your ass, and the resulting paperwork burden. [ABSTRACT FROM AUTHOR]

Purpose: This pan-Canadian study examines the information practices of STEM-trained immigrant women to Canada as they navigate workfinding and workplace integration. Our study focuses on a population of highly skilled immigrant women from across Canada and uses an information practice lens to examine their lived experiences of migration and labour market integration. As highly trained STEM professionals in pursuit of employment, our participants have specific needs and challenges, and as we explore these, we consider the intersection of their information practices with government policies, settlement services and the hiring practices of STEM employers. Design/methodology/approach: We conducted a qualitative study using in-depth interviews with 74 immigrant women across 13 Canadian provinces and territories to understand the nature of their engagement with employment-seeking in STEM sectors. This article reports the findings related to the settlement and information experiences of the immigrant women as they navigate new information landscapes. Findings: As immigrants, as women and as STEM professionals, the experiences of the 74 participants reflect both marginality and privilege. The reality of their intersectional identities is that these women may not be well-served by broader settlement resources targeting newcomers, but neither are the specific conventions of networking and job-seeking in the STEM sectors in Canada fully apparent or accessible to them. The findings also point to the broader systemic and contextual factors that participants have to navigate and that shape in a major way their workfinding journeys. Originality/value: The findings of this pan-Canadian study have theoretical and practical implications for policy and research. Through interviews with these STEM professionals, we highlight the barriers and challenges of an under-studied category of migrants (the highly skilled and "desirable" type of immigrants). We provide a critical discussion of their settlement experiences and expose the idiosyncrasies of a system that claims to value skilled talent while structurally making it very difficult to deliver on its promises to recruit and retain highly qualified personnel. Our findings point to specific aspects of these skilled professionals' experiences, as well as the broader systemic and contextual factors that shape their workfinding journey. [ABSTRACT FROM AUTHOR]

It is trite to say that provinces and territories in Canada need to comprehensively regulate operations and organizations that are involved in the care, control, and breeding of companion animals throughout their jurisdictions; most specifically, the highly exploitative operations commonly known as puppy “mills” or kitten “mills,” “backyard breeders,” and the like. Little attention, however, has been paid to the absence of regulations which govern companion animal rescue operations. Despite needing to alter laws throughout the country which ubiquitously treat animals as real property, new laws and regulations are needed to adequately govern companion animal rescue operations to precipitate and manifest better overall rescue practices and out comes for both animal and human persons. The authors of this article set out a possible tri-part regulatory regime that could realistically be implemented within the Canadian jurisdictional framework to achieve these legislative amendments and improvements: creation of a “Best Interests of the Companion Animal” standard; (2) adoption and implementation of the standard within breeding facilities, rescue organizations, and the like at the provincial/territorial level; and, (3) ongoing implementation governmental regulation and enforcement of the standard. [ABSTRACT FROM AUTHOR]

Configurators have recently emerged as essential tools in the construction industry to enable builders to offer a wide range of customizable designs. Due to significant challenges in information integration between construction suppliers and clients, existing configurator systems often lack crucial usability and supply chain information, presenting barriers to wider adoption among residential communities, especially in single-family residence development that requires a high degree of customization. To address this challenge in the design and construction supply chain, this study presents a lightweight cloud-based modular home configuration methodology as a robust unified platform solution to integrate parametric design options with a certified kit-of-parts library to meet local design codes. The configurator prototype developed under this framework seamlessly integrates essential design and supply chain information by leveraging (1) a generative layout design with pre-approved blueprints, (2) a knowledge-based recommender system to link the design process with certified material catalogs, and (3) a user-friendly web interface to present possible designs. The implementation of a single-family housing design adhering to the building codes in the British Columbia Province of Canada illustrates the benefits of the proposed configurator functionalities and efficient supplier data integration. Lightweight and automated, the proposed configurator has substantial potential to be scaled and adopted across different communities. [ABSTRACT FROM AUTHOR]

The concept of national boundaries has been employed extensively in the social sciences, with most research focusing on the host society's perspective. This study innovates by measuring immigrants’ perceptions of how boundaries of their host nation are drawn and examining how such perceptions impact their national identifications in a multinational context, more specifically in the province of Quebec in Canada. It relies on a stratified sample of first- (n = 1129) and second-generation immigrants (n = 1286) as well as non-immigrants (n = 1472). We show that boundary perceptions impact the availability and attractiveness of different identity options, including identification with Quebec, the country of origin, and Canada. First, while perceptions of ascriptive boundaries to Quebec push first- and second-generation immigrants away from Quebec identity, the reactive effect of strengthening identification with the country of origin and Canada is limited. Second, although the second generation perceives Quebec boundaries as more ascriptive than the first generation, it is not more strongly impacted by their boundary perceptions in their identifications. Third, perceptions of attainable boundaries promote all three national identifications, but only for the first generation. Finally, we demonstrate that attention to boundary perceptions adds important explanatory leverage beyond the impact that discrimination has on national identifications. [ABSTRACT FROM AUTHOR]

Introduction: Homophobia is well-documented as key to social regulation of masculine behavior and practices in Western settings. Yet, empirical data from a number of Western settings has shown a decline in overt homophobic attitudes in the past decade, leading some to suggest that the nature of masculinities is also changing. However, theorizing on the changing nature of masculinities among adolescents has received limited quantitative attention. Research is needed to better understand shifts in adolescent masculinities in contemporary Western settings. Methods: In this paper, we investigate the application of one newer approach to explore masculinities in context – hybrid masculinities – in a sample of cisgender, heterosexual, mid-adolescent boys in one province in Western Canada (N  = 873, mean age (SD)  =  14.39 (0.37)). Data were collected from nine cohorts of grade 9 youth over a 10-year period (2013–2022) as part of the baseline survey of an ongoing evaluation of a gender-transformative healthy relationships program. Results and discussion: We hypothesized that if the ideas of hybrid masculinities held in our sample, we would find that overt homophobic attitudes and adherence to related patriarchal norms (e.g., avoidance of femininity) would decline over this period, but that the use of homophobic name-calling would remain differentiated in terms of to whom it was directed (e.g., a friend, someone they thought was gay). We did find a significant decline in homophobic attitudes and norms related to emotional restriction and avoidance of femininity over the 10-year period, but also found that homophobic name-calling remained differentiated, with significantly higher name-calling toward a friend than toward someone the youth thought was gay. Thus, our hypotheses were supported. We discuss the implications of our findings for future theory and research on understanding adolescent masculinities in context. [ABSTRACT FROM AUTHOR]

In the westernmost Canadian province of British Columbia, fishers (Pekania pennanti) occur in low-elevation forested ecosystems in the central and northern portions of the province, with several substantial mountain ranges and rivers bisecting this distribution. The effect of these geographic features on gene flow and population structuring is unknown and may contribute to fishers differentiating into 2 or more populations within the province. To better understand population structuring within the range of fishers in British Columbia, we collected tissue samples from 491 fishers from throughout the province and evaluated variation of neutral genetic markers using a 385-base pair section of the mitochondrial DNA control region and 13 microsatellite loci. Fishers appeared to be genetically structured as hierarchical stepping-stone populations where an upper hierarchical level of genetic partitioning resulted in 2 populations at the provincial scale, with 3 subpopulations occurring in the central interior region. We observed gene flow of 2 to 5 migrants per generation between the 2 upper populations, which was substantially less than the 90 migrants per generation estimated as needed to maintain genetic homogeneity. This resulted in differentiated upper populations (haplotype F ST = 0.272, microsatellite F ST = 0.049) characterized by relatively low N e (Columbian population = 252, 95% CI = 185 to 332; Boreal population [British Columbia only] = 136, 95% CI = 92 to 234). The consequence of low gene flow and resultant population structuring is that the Columbian population likely receives relatively little genetic and demographic support from other populations and, combined with precipitous recent declines in its numbers, puts this population at heightened conservation risk. As a result, swift and effective actions are needed to conserve this vulnerable population of fishers. [ABSTRACT FROM AUTHOR]

Niraparib was recently funded in Canada for the maintenance treatment of ovarian cancer following platinum-based chemotherapy. However, the drug's safety profile in the real world remains uncertain. We conducted a cohort study to describe the patient population using niraparib and the proportion that experienced adverse events between June 2019 and December 2022 in four Canadian provinces (Ontario, Alberta, British Columbia [BC], and Quebec). We used administrative data and electronic medical records from Ontario Health, Alberta Health Services, and BC Cancer, and registry data from Exactis Innovation. We summarized baseline characteristics using descriptive statistics and reported safety outcomes using cumulative incidence. We identified 514 patients receiving niraparib. Mean age was 67 years and most were initiated on a daily dose of 100 or 200 mg/day. Grade 3/4 anemia, neutropenia, and thrombocytopenia occurred in 11–16% of the cohort. In Ontario, the three-month cumulative incidence of grade 3/4 thrombocytopenia was 11.6% (95% CI, 8.3–15.4%), neutropenia was 7.1% (95% CI, 4.6–10.4%), and anemia was 11.3% (95% CI, 8.0–15.2%). Cumulative incidences in the remaining provinces were similar. Initial daily dose and proportions of hematological adverse events were low in the real world and may be related to cautious prescribing and close monitoring by clinicians. [ABSTRACT FROM AUTHOR]

Ground ice maps at small scales offer generalized depictions of abundance across broad circumpolar regions. In this paper, the effect of surficial geology mapping scale on modelled ground ice abundance is examined in the Slave Geological Province of the Canadian Shield, a region where the geological and glacial legacy has produced a landscape with significant variation in surface cover. Existing model routines from the Ground ice map of Canada (GIMC) were used with a 1:125000 -scale regional surficial geology compilation and compared to the national outputs, which are based on surficial geology at a 1:5000000 scale. Overall, the regional-scale modelling predicts much more ground ice than the GIMC due to greater representation of unconsolidated sediments in the region. Improved modelling accuracy is indicated by comparison of the outputs to empirical datasets due to improved representation of the inherent regional heterogeneity in surficial geology. The results demonstrate that the GIMC significantly underestimates the abundance and distribution of ground ice over Canadian Shield terrain. In areas with limited information on ground ice, regional-scale modelling may provide useful reconnaissance-level information to help guide the field-based investigations required for planning infrastructure development. The use of current small-scale ground ice mapping in risk or cost assessments related to permafrost thaw may significantly influence the accuracy of outputs in areas like the Canadian Shield, where surficial materials range from bedrock to frost-susceptible deposits over relatively short distances. [ABSTRACT FROM AUTHOR]

The orange wheat blossom midge, Sitodiplosis mosellana (Géhin) (Diptera: Cecidomyiidae), is a significant wheat pest in the Prairie Provinces of Canada and northern regions of the USA. Wheat phenology plays a critical role in wheat midge oviposition. We hypothesized that S. mosellana oviposition behaviour is influenced by volatile organic compounds (VOCs) emitted by wheat at two adjacent wheat growth stages: preanthesis and postanthesis. A higher number of S. mosellana eggs laid on preanthesis than postanthesis spikes in an oviposition choice experiment using the susceptible spring wheat cultivar 'Roblin'. In preanthesis, wheat emitted higher amounts of Z-3-hexenyl acetate (Z3-06:OAc) than at the postanthesis stage. Higher amounts of methyl ketones such as 2-tridecanone, 2-pentadecanone, and 2-undecanone were emitted by wheat in the postanthesis stage and these VOCs were sensitive to S. mosellana antennae used in the Gas Chromatography-Electroantennographic Detection. Females were attracted to synthetic Z3-06:OAc but were deterred by 2-tridecanone relative to the solvent control in the vertical Y-tube olfactometer. 2-Undecanone and 2-pentadecanone did not show any attractiveness or deterrence. In a no-choice oviposition experiment, fewer eggs were laid in preanthesis wheat exposed to a synthetic VOC blend of Z3-06:OAc, 2-undecanone, 2-tridecanone, and 2-pentadecanone at the concentrations released by postanthesis spikes. This study shows that the reduction of Z3-06:OAc, in the VOC mix, and possibly the increase in 2-tridecanone, are likely responsible for the reduction in oviposition on postanthesis wheat. These results elucidate for the first time the role of specific VOCs mediating S. mosellana oviposition in preanthesis and postanthesis wheat. [ABSTRACT FROM AUTHOR]

Background: Patients with chronic hepatitis C (CHC) can be cured with the new highly effective interferon‐free combination treatments (DAA) that were approved in 2014. However, CHC is a largely silent disease, and many individuals are unaware of their infections until the late stages of the disease. The impact of wider access to effective treatments and improved awareness of the disease on the number of infections and the number of patients who remain undiagnosed is not known in Canada. Such evidence can guide the development of strategies and interventions to reduce the burden of CHC and meet World Health Organization's (WHO) 2030 elimination targets. The purpose of this study is to use a back‐calculation framework informed by provincial population‐level health administrative data to estimate the prevalence of CHC and the proportion of cases that remain undiagnosed in the three most populated provinces in Canada: British Columbia (BC), Ontario and Quebec. Methods: We have conducted a population‐based retrospective analysis of health administrative data for the three provinces to generate the annual incidence of newly diagnosed CHC cases, decompensated cirrhosis (DC), hepatocellular carcinoma (HCC) and HCV treatment initiations. For each province, the data were stratified in three birth cohorts: individuals born prior to 1945, individuals born between 1945 and 1965 and individuals born after 1965. We used a back‐calculation modelling approach to estimate prevalence and the undiagnosed proportion of CHC. The historical prevalence of CHC was inferred through a calibration process based on a Bayesian Markov chain Monte Carlo (MCMC) algorithm. The algorithm constructs the historical prevalence of CHC for each cohort by comparing the model‐generated outcomes of the annual incidence of the CHC‐related health events against the data set of observed diagnosed cases generated in the retrospective analysis. Results: The results show a decreasing trend in both CHC prevalence and undiagnosed proportion in BC, Ontario and Quebec. In 2018, CHC prevalence was estimated to be 1.23% (95% CI:.96%–1.62%),.91% (95% CI:.82%–1.04%) and.57% (95% CI:.51%–.64%) in BC, Ontario and Quebec respectively. The CHC undiagnosed proportion was assessed to be 35.44% (95% CI: 27.07%–45.83%), 34.28% (95% CI: 26.74%–41.62%) and 46.32% (95% CI: 37.85%–52.80%) in BC, Ontario and Quebec, respectively, in 2018. Also, since the introduction of new DAA treatment in 2014, CHC prevalence decreased from 1.39% to 1.23%,.97% to.91% and.65% to.57% in BC, Ontario and Quebec respectively. Similarly, the CHC undiagnosed proportion decreased from 38.78% to 35.44%, 38.70% to 34.28% and 47.54% to 46.32% in BC, Ontario and Quebec, respectively, from 2014 to 2018. Conclusions: We estimated that the CHC prevalence and undiagnosed proportion have declined for all three provinces since the new DAA treatment has been approved in 2014. Yet, our findings show that a significant proportion of HCV cases remain undiagnosed across all provinces highlighting the need to increase investment in screening. Our findings provide essential evidence to guide decisions about current and future HCV strategies and help achieve the WHO goal of eliminating hepatitis C in Canada by 2030. [ABSTRACT FROM AUTHOR]

Infertility is a common diagnosis: in its original, heteronormative definition, it is known to impact about 1 in 6 couples worldwide. Governments across Canada and beyond have been increasingly providing support for those undergoing fertility treatment, and BC is the most recent province to announce funding, beginning in 2025. As the amount of proposed funding is not sufficient to cover treatment for all who seek it, we look to examples from other provinces and countries to guide us in forming criteria that balance fair access with likelihood of successful treatment. A majority of Canadian provinces currently provide publicly funded fertility care, albeit with highly variable models. Quebec previously introduced a model with generous coverage, including up to three cycles of in vitro fertilization (IVF), along with medications, associated procedures, and embryo transfers for each live birth. Due to high costs, this funding was removed and reintroduced in 2021 with a more restrictive model, as well as age cutoffs for IVF and embryo transfers. In Ontario, the current funding model was introduced in 2015 and covers intrauterine insemination cycles and one cycle of IVF in patients younger than 43 years of age. Other provinces have offered a fertility treatment tax credit. While the BC announcement stated that one cycle of IVF with medications will be covered, the details on how this finite resource will be distributed are still unclear. We hope BC will consider the lessons learned from other provinces and countries and implement a program that is fair and accessible to those who need it. [ABSTRACT FROM AUTHOR]

Holocene quartz-rich sands such as in the Orinoco River of Venezuela and Columbia, develop under a unique set of conditions including tectonic stability, intense weathering and long-term storage of sediment prior to burial. This review paper proposes that a similar set of conditions existed on the Mesoarchaean Earth by 3.0 Ga. Compositionally and texturally mature quartz arenites are present in the Mesoarchaean Hospital Hill Subgroup and correlative lower Mozaan Group, in the cover rocks of the Beitbridge Complex in the Limpopo Belt and at Buhwa in southern Zimbabwe as well as the Neoarchaean Manjeri Formation of Zimbabwe. These quartz arenites are interpreted as first-cycle and developed following the formation of stable cratons under conditions of slow subsidence (<10 cm/1 000 years), intense weathering in a hostile chemical environment related to the ambient carbon dioxide-rich atmosphere, long-distance intrabasinal transport by tides and/or waves and microbial processes that influenced the local chemical environment. Similar examples of Mesoarchaean quartz arenites are documented from the Yilgarn Block in Western Australia, the Slave and Superior provinces in Canada and the Dharwar and Singhbhum cratons in India. On a global scale, cratonisation was diachronous with the Kaapvaal Craton stabilised on a regional scale by 3.0 Ga whereas microcontinents existed over the remainder of Earth. [ABSTRACT FROM AUTHOR]

During the past 30 years, research on policy analytical capacity's multidimensional nature and the evolution of policy advisory systems (PASs) has both increased knowledge of these processes and structures and opened new avenues of inquiry. While it is clear that changes in PASs in many countries have occurred ‐ featuring processes such as the increased externalisation and politicisation of policy advice ‐ studies of changes among the roles played by core policy professionals in advice provision have lagged. One aspect of this question concerns the nature and extent of changes in this 'forgotten fundamental' of advice systems related to how these professionals are arrayed within 'policy shops'—that is organisational units identified in the 1960s and 1970s as the main organisational home of policy professionals in government. Whether or not such shops have changed from the central‐integrated model identified in early studies and, if so, how, remain outstanding and foundational questions. Recent research in Canada has mapped the distribution of policy professionals at the central and provincial level and found more types of analysts and venues than in earlier eras— which range from the 'classical' integrated policy shops of the 1960s and 1970s which remain in central agencies and single‐purpose line departments to the much more 'distributed' patterns found in many departments dealing with multiple or complex controversial issues. Using Canadian data, this study outlines the development of these organisational types and their distribution in government and discusses the implications of these changes for better understanding the work, and needs, of core professionals in policy advice systems.. Points for practitioners: 'Policy professionals' or public employees specifically tasked with policy analysis in government are key players in policy advisory systems despite the addition of more external and internal actors in policy advice systems in recent years.How these advisors and analysts are organised in government, whether they work in clusters or small groups, and how they interact with other civil servants and policy‐makers are a key determinant of their activities and influence in policy‐making.In the policy sciences, work in the 1960s and 1970s established 'the policy shop', that is relatively small centrally located organisational units employing mainly policy analysts, as the main home of policy professionals in government. These units often enjoyed a monopoly in analysis and played a key role in policy‐making. However, research on these organisations has not kept up with changes in advisory relations within and outside of governments and the impact such changes have had on the influence and activities of core professionals.Recent work by the authors looking at the large Canadian province of Ontario has identified more than a single type of arrangement of analysts in the current era. This paper expands this analysis to both small and large jurisdictions in Canada, including the federal government, and develops two detailed case studies of the current organisation of policy professionals in smaller central agencies like Ministries of Justice as well as in larger omnibus Ministries of the Environment.The study finds a 'distributed' model of policy shops—in which multiple policy units exist throughout the agency—to be dominant in both cases and in all the governments examined and suggests this is now the new normal, replacing the dominance of the older more integrated central shop model. The predominance of the distributed model contributes to the fragmentation of policy advice already underway in government due to the growth in the number of external advisors such as consultants and think tanks, and internal ones such as political staffers. [ABSTRACT FROM AUTHOR]

• Canadian E-waste recycling data from 2012 to 2020 are systematically assessed. • Regression and Mann-Kendall analyses are used to quantify the temporal trends. • Both collection points and stewardship organizations have grown exponentially. • The role of public awareness on e-waste recycling varied between provinces. • Operational expenditure and revenue on stewardship resilience should be monitored. Electronic waste recycling companies have proliferated in many countries due to valuable materials present in end-of-life electronic and electrical equipment. This article examined the business characteristics and management performance of Electronic Products Recycling Association (EPRA), a Canadian nationwide electronic product stewardship organization. The organization's annual performance reports, from 2012 to 2020, for nine Canadian provinces in which it currently operates were aggregated and analyzed. Temporal analysis using regression and Mann-Kendall tests were employed, and five characteristics of EPRA's business were analyzed, including e-waste products collected, number of drop-off locations, efforts to build public awareness, operating expenses, and growth of e-waste stewardship. Results show a decline in the amount of e-waste collected across the provinces, except in New Brunswick, which started its program in 2017. The Mann-Kendall test revealed declining temporal trends in most provinces. Although the collection/drop off sites and stewardship organizations increased astronomically over the study period in Canada, the amounts of e-waste collected decreased. We found that public awareness generally did not increase the amount of e-waste collected, and these campaigns only appeared to be effective in jurisdictions with good accessibility of e-waste recycling. Processing cost accounted for the majority of the e-waste management budget in Canada, and different factors affected the financial success of the stewards differently. [ABSTRACT FROM AUTHOR]

This review paper investigates the landscape of wildfire-related studies with a focus on infrastructure and evacuations across Canadian provinces, revealing a predominant focus on Alberta, particularly after the 2016 Fort McMurray wildfire. The aftermath of this event has heightened attention to the unique challenges faced during evacuations, emphasizing the urgent need for heightened awareness and preparedness, especially in the vulnerable northern communities of Alberta. Studies beyond Alberta contribute to understanding Canadian wildfire dynamics. However, a noticeable research gap in British Columbia raises concerns about research prioritization and resource allocation despite heightened wildfire activity. The fact that some provinces are contributing less than 4.2%, such as Quebec, Saskatchewan, Ontario, Northwest Territories, Yukon, and the Prairies, might be attributed to regional variations influenced by historical wildfire frequency and population density. Thematic analysis categorizing studies into "community support/resilience", "evacuation efficiency", and "infrastructure protection/raising awareness" provides nuanced insights. The dominance of the "community support/resilience" category, comprising over 40% of studies, signifies a societal shift towards proactive community engagement. Balanced representation in the "evacuation efficiency" and "infrastructure protection/raising awareness" categories, each contributing over 29%, reflects a collective effort to glean lessons from past evacuations and enhance community preparedness. Temporal trends and thematic analyses spotlight a commitment to continuous improvement, adaptability to emerging challenges, and a growing recognition of the multifaceted aspects of wildfire management. The evolving emphasis on community involvement, responsiveness to changing evacuation dynamics, and heightened awareness of infrastructure protection underscores the proactive stance of the research community, providing insights for shaping future research priorities, policy frameworks, and community resilience strategies in the face of evolving wildfire threats in Canada. [ABSTRACT FROM AUTHOR]