Latest news with #NunavikRegionalBoardofHealthandSocialServices
Yahoo
12 hours ago
- Health
- Yahoo
Nunavik's tuberculosis outbreaks are a result of decades of colonial neglect, professor says
Nunavik is on track to set another record number of tuberculosis cases, which one scholar says is unacceptable in this day and age. There have been 56 cases so far this year of tuberculosis reported in the region, according to Quebec's health department. On Monday, the region's 14 mayors released a letter, calling on the Quebec government to declare a public health emergency over the rates of tuberculosis. The Nunavik Regional Board of Health and Social Services has said the incidence of tuberculosis in the region is 1,000 times higher than among non-Indigenous people born in Canada. Health Minister Christian Dubé told CBC News he "will continue to follow the recommendations of public health experts on the subject," though he stopped short of committing to a declaration. Natasha MacDonald, a McGill University professor from Kuujjuaraapik who researches culturally responsive care for tuberculosis in Nunavik, said she doesn't believe Quebec is treating the tuberculosis situation in Nunavik with the same urgency as elsewhere in the province. This interview has been edited for length and clarity. What do you make of this call from the mayors to declare a public health emergency over the tuberculosis situation? It's unfortunate that we are in a time and place where we have to make such calls to action. Under a number of international, national and provincial jurisdictions, including the Viens Commission, the Quebec government has a responsibility to ensure that health care in our communities is adequate and is on par with those of non-Indigenous populations. Because of the urgent situation that Nunavik is in right now, the mayors have had no choice but to unite together as one voice to demand that the government do its job. Why do you think we're seeing this upward trajectory in cases of tuberculosis, in 2025? What's unbelievable is that we are a first world nation in Canada, and we have a third world disease within Canada. It exists in Nunavik in our Inuit communities, and it's the same strain that has been in Nunavik since 1928. Quebec made efforts with the City of Montreal, not that long ago, to stop the spread of tuberculosis. Cases were found, contact tracing was done, people were isolated and medicated. In Nunavik, it has been left to grow and we have outbreaks in six of our 14 communities. This is unacceptable, and it should not happen. We are part of Quebec, we are part of Canada. You've alluded to the damage that tuberculosis has wreaked on families historically, with Inuit being sent south for care. Given that history, what do you believe we, as a society, still don't understand treating tuberculosis in Nunavik? What's happening in Nunavik is a result of decades of systemic colonial neglect. Inuit are expected to adapt to those systems, rather than the government adapting those systems to meet the needs of Inuit. The way the regional health board has been implanted by the provincial government makes it a very program-centred health-care system and not a person-centred health-care program. One of the infectious disease nurses said at one point, in all of Nunavik, they ran out of sputum testing kits. So she had to beg and plead from the province of Manitoba to send over 40,000 sputum testing kits. Quebec didn't have any and it wouldn't procure more. There aren't even X-rays in most of our communities, much less X-ray technicians in those communities. And Inuit feel uncomfortable going to the clinic or hospital because of decades of mistrust in medical care and the systemic and individual racism that exists. One of the calls to action in the mayors' letter is about Inuit health sovereignty. What does that look like? For things to change in our communities, Inuit need to be the ones who determine how our programs and systems run, so that they are tailored to the way we think and work. Inuit are being expected to move around the calendars and schedules of health-care workers, and they are workers are told they should not be going house to house for testing. If it were Inuit leading our organizations, we would have a better understanding on how to do more screening. It's not somebody from Quebec City who should be dictating how much money should be going toward basic equipment, We should be. We're the ones in our communities. We're the ones that know that the X-ray machine is broken in this one town, or that we have a new graduate who's just finished their radiography course who could be hired into a position within their community. What we are talking about here is structural change. Can you compare what the system looks like now with Nunavik's health organizations, to that ideal vision you've just talked about? Systemic change would come when Inuit are able to create a new system altogether, through self-determination or self-government. Or if we can appropriate the system and have an Inuk lead who can hire resources, because we know best on how to allocate our resources and where the needs are. The midwifery program in Nunavik is a perfect example of that. This is a system where Inuit have designed how our mothers want to give birth in a community with support, in an Inuit way, and it is unbelievably successful. This is not rocket science. We also understand that translators are as key as any doctor or nurse. Right now, you have French-speaking nurses and doctors that come into our community, and English is often the lingua franca because most Inuit in Nunavik still speak Inuktitut. When you're translating, for example, with a term like tuberculosis, you have to be very careful to make the difference between tuberculosis, which is a disease that can kill you, and something like bronchitis. You can't just say it's a lung problem. I understand that we have to collaborate with the Ministry of Health in Quebec, but at the same time, they have to understand we are not just another region within Quebec. We are distinct and we have needs that have not been met for decades. It's also an example of systemic racism because Inuit in Nunavik have been ignored, have been left behind, have been left to die for decades, and this is unacceptable. It was unacceptable after the first TB case. It was unacceptable after the first death. It's unacceptable now when our numbers are record high. We have nurses who are burnt out. And if this were anywhere else in Quebec, there would be an outcry and the government would be immediately addressing this, so we are expecting the same.
Yahoo
12 hours ago
- Health
- Yahoo
Quebec 'closely monitoring' tuberculosis in Nunavik, minister says, as doctors call for more resources
Quebec's health minister says the province's public health service is "closely monitoring" the tuberculosis situation in Nunavik, in the wake of a letter from the mayors of the region's 14 Inuit communities calling for the declaration of a public health emergency. "We take this situation very seriously," Health Minister Christian Dubé's office told CBC News. "We will continue to follow the recommendations of public health experts on this subject." Public health experts who spoke with CBC News said they are facing resource shortages and need help in order to adequately address the rising numbers of active tuberculosis cases in the region. Six Nunavik communities currently have outbreaks of tuberculosis, and the region is on track to set a grim record for the third year in a row on the number of cases in the region, said Yassen Tcholakov, the clinical lead on infectious diseases for the Nunavik Regional Board of Health and Social Services. "We have rates that are comparable to the countries with the most [tuberculosis]. If you take certain communities in isolation, those rates are comparable to the most dire setting in countries that have extremely minimal health resources," he said. He said tuberculosis, while treatable, kills most infected patients within a few years if left untreated. Those who are treated are sometimes left with lifelong problems like scarring on their lungs. If nothing changes, he expects the number of cases in Nunavik to keep growing. "When I hear people calling for a public health emergency, I hear a cry for help — and an observation that the health system is not reaching the expectation of what the population would like to see," Tcholakov said. In a separate statement to CBC News, the Ministère de la Santé et des Services sociaux du Québec said it has mobilized teams to determine the best way to follow up on the requests mayors made on Monday. It said that as of June 7, there have been 56 cases so far this year of tuberculosis reported in Nunavik — even higher than the 40 cases the region's mayors referenced in their letter. Neither the minister nor the department committed in their statements to declaring a public health emergency. The department wrote that it is taking "the time to carefully analyze the situation" before acting. "We are aware that the increase in tuberculosis cases adds to the already numerous challenges [Nunavik] faces regarding access to quality, continuous and safe care and services," the department stated. Faiz Ahmad Khan, a respirologist at the McGill University Health Centre who also works at the health centres in the Nunavik communities of Puvirnituq and Kuujjuaq, said there has been a "chronic shortage" of medical resources in general in Nunavik for years — an issue that also impacts the tuberculosis response. "I think the mayors have raised a very legitimate demand," he said, with regard to the call for a public health emergency. Such a declaration would give health centres the ability to request the resources they need, he said. Khan said resource shortages mean that sometimes entire families have to fly out just to get screened for the disease. In some communities, people also have to fly just to get an x-ray in order to be diagnosed. All of that delays treatment. "Sadly, I'm very worried that there could be more deaths on the horizon from [tuberculosis] — which is totally unacceptable in Quebec in 2025," he said.
Yahoo
2 days ago
- Health
- Yahoo
Quebec 'closely monitoring' tuberculosis in Nunavik, minister says, as doctors call for more resources
Quebec's health minister says the province's public health service is "closely monitoring" the tuberculosis situation in Nunavik, in the wake of a letter from the mayors of the region's 14 Inuit communities calling for the declaration of a public health emergency. "We take this situation very seriously," Health Minister Christian Dubé's office told CBC News. "We will continue to follow the recommendations of public health experts on this subject." Public health experts who spoke with CBC News said they are facing resource shortages and need help in order to adequately address the rising numbers of active tuberculosis cases in the region. Six Nunavik communities currently have outbreaks of tuberculosis, and the region is on track to set a grim record for the third year in a row on the number of cases in the region, said Yassen Tcholakov, the clinical lead on infectious diseases for the Nunavik Regional Board of Health and Social Services. "We have rates that are comparable to the countries with the most [tuberculosis]. If you take certain communities in isolation, those rates are comparable to the most dire setting in countries that have extremely minimal health resources," he said. He said tuberculosis, while treatable, kills most infected patients within a few years if left untreated. Those who are treated are sometimes left with lifelong problems like scarring on their lungs. If nothing changes, he expects the number of cases in Nunavik to keep growing. "When I hear people calling for a public health emergency, I hear a cry for help — and an observation that the health system is not reaching the expectation of what the population would like to see," Tcholakov said. In a separate statement to CBC News, the Ministère de la Santé et des Services sociaux du Québec said it has mobilized teams to determine the best way to follow up on the requests mayors made on Monday. It said that as of June 7, there have been 56 cases so far this year of tuberculosis reported in Nunavik — even higher than the 40 cases the region's mayors referenced in their letter. Neither the minister nor the department committed in their statements to declaring a public health emergency. The department wrote that it is taking "the time to carefully analyze the situation" before acting. "We are aware that the increase in tuberculosis cases adds to the already numerous challenges [Nunavik] faces regarding access to quality, continuous and safe care and services," the department stated. Faiz Ahmad Khan, a respirologist at the McGill University Health Centre who also works at the health centres in the Nunavik communities of Puvirnituq and Kuujjuaq, said there has been a "chronic shortage" of medical resources in general in Nunavik for years — an issue that also impacts the tuberculosis response. "I think the mayors have raised a very legitimate demand," he said, with regard to the call for a public health emergency. Such a declaration would give health centres the ability to request the resources they need, he said. Khan said resource shortages mean that sometimes entire families have to fly out just to get screened for the disease. In some communities, people also have to fly just to get an x-ray in order to be diagnosed. All of that delays treatment. "Sadly, I'm very worried that there could be more deaths on the horizon from [tuberculosis] — which is totally unacceptable in Quebec in 2025," he said.
Yahoo
2 days ago
- Health
- Yahoo
Nunavik's 14 mayors call for public health emergency over tuberculosis cases
The mayors of 14 Inuit communities in northern Quebec are demanding the provincial government declare a public health emergency as tuberculosis cases in Nunavik reach the highest reported level in recent history. In a letter Monday to Quebec Health Minister Christian Dubé, the mayors wrote that two issues precipitated the demand: an "unprecedented surge" in tuberculosis cases, and what they say is a plan by the province to cut back on infectious disease resources for Nunavik. CBC News wasn't immediately able to verify the cuts in question. Last year, the region's health board reported 95 cases of tuberculosis. To date in 2025, the mayors wrote, 40 cases have been reported. "These statistics are a direct reflection of colonial systemic racism that continues to dictate health policy and resource allocation in Quebec," the mayors wrote. "Inuit in Nunavik are not treated as equal citizens under Quebec's health system." In March, the Nunavik Regional Board of Health and Social Services said in a news release that six out of the 14 communities were experiencing active outbreaks. Aside from being the highest case count, it was also the highest number of simultaneous outbreaks they had recorded. The situation is "out of control," said Adamie Kalingo, the mayor of Ivujivik, a Nunavik village with about 400 residents. "Now we have a very high rate of tuberculosis cases, which we think could have been avoided if the health system could have worked with us more rapidly," Kalingo said. The mayors listed nine calls to action for the Quebec government, including sending emergency medical resources to the region. They are also calling for urgent investment in water, housing and utility infrastructure, as tuberculosis can spread more easily among overcrowded households. "It's difficult to gauge who has it or who hasn't. It's a very difficult situation, and it is all that much more dangerous for children, for elders that get a lot of [visits] from friends and relatives," Kalingo said. "So there is the matter of spreading it freely among friends and relatives. It's very hard to try to stop it." The mayors collectively described the state of Nunavik's health services as "abhorrent," alleging there aren't enough qualified staff, there are high levels of burnout and turnover, and basic health resources for tuberculosis, like testing kits and lab services, aren't readily available — if they're available at all. "Medical resources currently in place are insufficient to maintain regular large-scale screening needed to slow the spread," the mayors wrote. They pointed to the quick response of the health-care system when dealing with recent outbreaks in Montreal as an example of what Nunavik needs. "Inuit from Nunavik have died of TB in very recent years, and according to physicians working in the region, we will see more severe cases and more deaths unless the crisis is addressed with the resources needed," they wrote. CBC News has reached out to Dubé and the Quebec health department, as well as the Nunavik health board for comment.
