International

To improve primary care, ‘think globally, act locally’

Primary care is the foundation not only for individual but also for collective health, and we must mobilize more family physicians to improve it.

Co-payments ‘a step backward’ for refugees and the health-care system

It’s imperative we protect access to health care for refugees and asylum claimants. There is no compromise when it comes to equitable health care.

What Canada can learn from Costa Rica’s primary care system

Costa Rica is a middle-income country that is achieving health outcomes that far exceed what its resources would predict. But what is at the heart of their success?

The deafening silence: A diaspora’s grief in the age of internet blackouts

For the Iranian diaspora, this is not a debate about policy reform; it's about survival. We need our governments and institutions to do more.

Entschuldigung, ich spreche kein Deutsch! A reflection on my clinical exchange

One medical student's exchange in Berlin taught her not only about German culture, but how language and other support services can be offered in Canadian hospitals.

Climate change fuelling the spread of tuberculosis

With floods in Pakistan, cyclones in Madagascar and droughts in Somalia, it is crucial that we learn to recognize the critical links between climate change and disease.

The Czardom of Kevin Brosseau, first of his name 

In a (failed) attempt to avoid tariffs, the Canadian government agreed last month to invest heavily in border security. Who is the man tasked with securing the border? Newly appointed Fentanyl Czar and former Mountie, Kevin Brosseau.

The urgent need for reception centres for refugees in Ontario

Delays in the opening of reception centres for refugees are significantly impacting the health of refugees and wellbeing of local communities.

Reflections on the COP28 UAE Declaration on Climate and Health. Where it fails

For the first time in 30 years, the UN's annual COP28 Climate Conference had a day devoted to health. But world ministers, including Canada's, could not bring themselves to take a bold stance.

Turning back the tide: The challenge of antimicrobial resistance and its impact on our health

As antimicrobial stewardship clinicians, we implement system-level interventions and engage with prescribers to promote behaviour change in antimicrobial use. It's not too late to turn back the tide on antimicrobial resistance, but we must start now.

‘I unapologetically choose love’: A queer Ethiopian-Jewish woman’s view of the Israeli-Gaza conflict

The Israeli-Palestinian conflict is undoubtedly complex, but the path forward is not as convoluted as it may seem. The solution is simple (perhaps too simple for those in power who aim to confuse us): Stop killing children and lead with love for children while upholding their rights under international law.

Health-care lessons from the field: Think bottom-up and local, not sexy

An ER physician recalls how a junkyard of broken donated medical devices behind a Ugandan hospital illustrates a key issue in existing global health initiatives.

Could Australia’s recent radiation scare happen in Canada?

The recent massive search in Western Australia for a highly radioactive ceramic disc that had fallen off a truck drew worldwide attention. Amazingly, the tiny capsule was found. But could a similar incident happen in Canada?

Shopping for care. Is medical tourism a benefit or risk to our health-care system?

Medical tourism (MT) is a fast-growing global market and it’s not going away. But while some argue that MT might alleviate the Canadian health-care system's wait times, it also comes at a price.

Ontario taxpayers bearing the burden of ‘OHIP for all’ policy

Ten days into the COVID-19 pandemic, Ontario's public health insurance policy was expanded to include all uninsured patients, like temporary workers and tourists. But more sustainable solutions are needed in place of “OHIP for All.”

Malnourishment by design

Colonial attitudes and policies, now recognized as powerful social determinants of health, have led to mass hunger and preventable diseases.

‘Our planet, our health’ – Making peace with nature

The theme for World Health Day reflects a growing global concern with the health impacts of massive and rapid human-driven ecological changes. While climate change is front of mind, having been recognized as “the single biggest health threat facing humanity” by the WHO as far back as 2008, the changes and challenges we face are far greater than that.

A recipe for hope: How to vaccinate the world and end the pandemic

Researchers have developed a new COVID-19 vaccine, and they have no intention of filing a patent. Instead, they have concrete plans for large-scale manufacturing in the Global South. This is what global vaccine equity looks like.

We need to do more: Advocating for refugee health after arrival in Canada

Canada is considered a “world destination” for refugees, but are we doing enough to support their unique health needs?

‘For the virus, one person is the entire environment’: The emergence of Omicron

Some virologists hypothesize that Omicron and other variants of concern emerged after mutating within an immunosuppressed person. The solution, they say, is to get vaccines to under-vaccinated countries.