Joint Centre for Bioethics / en How should we navigate the next pandemic? 茄子直播 researchers are finding the answers /news/how-should-we-navigate-next-pandemic-u-t-researchers-are-finding-answers <span class="field field--name-title field--type-string field--label-hidden">How should we navigate the next pandemic? 茄子直播 researchers are finding the answers</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/GettyImages-1239582912-crop.jpg?h=afdc3185&amp;itok=v84XslgC 370w, /sites/default/files/styles/news_banner_740/public/GettyImages-1239582912-crop.jpg?h=afdc3185&amp;itok=luysWjJN 740w, /sites/default/files/styles/news_banner_1110/public/GettyImages-1239582912-crop.jpg?h=afdc3185&amp;itok=2842Em7h 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/GettyImages-1239582912-crop.jpg?h=afdc3185&amp;itok=v84XslgC" alt="people walk past a sign that reads &quot;vaccination clinic enter here&quot;"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>Christopher.Sorensen</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2022-11-15T14:43:23-05:00" title="Tuesday, November 15, 2022 - 14:43" class="datetime">Tue, 11/15/2022 - 14:43</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">The Institute for Pandemics, based at 茄子直播's Dalla Lana School of Public Health, is dedicated to&nbsp;preventing, addressing and recovering from pandemics&nbsp;鈥 with a public health focus (photo by Zou Zheng/Xinhua via Getty Images)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/tina-adamopoulos" hreflang="en">Tina Adamopoulos</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/groundbreakers" hreflang="en">Groundbreakers</a></div> <div class="field__item"><a href="/news/tags/institutional-strategic-initiatives" hreflang="en">Institutional Strategic Initiatives</a></div> <div class="field__item"><a href="/news/tags/institute-health-policy-management-and-evaluation" hreflang="en">Institute of Health Policy Management and Evaluation</a></div> <div class="field__item"><a href="/news/tags/dalla-lana-school-public-health" hreflang="en">Dalla Lana School of Public Health</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p style="margin-bottom:11px">COVID-19 is the ninth pandemic, or large-scale epidemic, the world has experienced in the past century 鈥 and it won鈥檛 be the last.</p> <p style="margin-bottom:11px">To help the public and policymakers better navigate the next global outbreak, the University of Toronto has created the<a href="https://www.dlsph.utoronto.ca/pandemics/"> Institute for Pandemics</a>&nbsp;(IFP) based at the Dalla Lana School of Public Health.</p> <p style="margin-bottom:11px">The institute is dedicated to&nbsp;preventing, preparing for, fighting and recovering from pandemics&nbsp;鈥 with a public health focus. It鈥檚 built around three strategic pillars: readiness, recovery and resilience.&nbsp;</p> <div class="image-with-caption right"> <p style="margin-bottom:11px"><img alt src="/sites/default/files/nelson%20lee.jpg" style="width: 300px; height: 323px;"><em>Nelson Lee</em></p> </div> <p style="margin-bottom:11px">鈥淲e want to recover from this current public health crisis 鈥 it鈥檚 not over yet,鈥 says <b>Nelson Lee</b>, interim director of the Institute for Pandemics and a professor at the Dalla Lana School of Public Health who is an expert on emerging infectious diseases, pandemics and epidemics. 鈥淏ut we also want to get ready for the next one in order to make better responses and decisions.</p> <p style="margin-bottom:11px">鈥淭he Institute for Pandemics will take an interdisciplinary approach to better understand transmission, how it's affecting our society and the economy, and how to make better public health decisions by pooling together researchers from social sciences, public health, medicine and pharmacy to engineering, and health economists, computer data scientists and more.鈥&nbsp;</p> <p style="margin-bottom:11px">The IFP is the vision of professor <b>Adalsteinn Brown</b>, dean of the Dalla Lana School of Public Health and co-founder of the Institute.&nbsp;The research areas of the IFP are led by <b>David Fisman</b>, a professor in the school鈥檚 epidemiology division; associate professor <b>Jennifer Gibson</b>, director of the Joint Centre for Bioethics, and <b>Geoffrey Anderson</b>, a professor at the Institute of Health Policy, Management and Evaluation.&nbsp;</p> <p style="margin-bottom:11px">Fisman will lead the Centre for Pandemic Readiness, which is dedicated to research to prevent the next pandemic and limit transmission.&nbsp;Gibson will helm the Centre for Pandemic Resilience, which aims to build equitable health systems that are safeguarded by data-driven, innovative technologies. Anderson will lead the Centre for Pandemic Recovery, which will provide evidence-based understandings of the broader negative socioeconomic impacts of COVID-19 to guide better, fairer policies.</p> <p style="margin-bottom:11px">A 茄子直播<a href="https://isi.utoronto.ca/#:~:text=The%2520Institutional%2520Strategic%2520Initiatives%2520portfolio,industry%252C%2520community%2520and%2520philanthropic%2520partners."> Institutional Strategic Initiative</a>, the IFP will connect researchers across academic disciplines to find accurate, sustainable, and reflective solutions to the multi-layered challenges the COVID-19 pandemic has brought. It will also act as a trusted voice to sort through the information 鈥 and misinformation 鈥 about how to move ahead.&nbsp;</p> <h4 style="margin-bottom: 11px;">The inequities exposed by the pandemic were 鈥榮triking鈥</h4> <div class="image-with-caption left"> <p style="margin-bottom:11px"><img class="migrated-asset" src="/sites/default/files/Prof.-Arjumand-Siddiqi_000020crop.jpg" alt><em>Arjumand Siddiqi</em></p> </div> <p style="margin-bottom:11px"><b>Arjumand Siddiqi</b> is a professor and division head of epidemiology at the Dalla Lana School of Public Health. As a social epidemiologist, Siddiqi studies the impact of economic and social factors 鈥 including race and ethnicity 鈥 that cause unequal health outcomes.&nbsp;&nbsp;</p> <p>Siddiqi鈥檚 work focuses on Canada, the United States and the United Kingdom. She is particularly interested in how wealthy countries use and share their wealth, including the ripple effects of social policy decisions and how the legacies of white-settler colonialism affect diverse societies.&nbsp;&nbsp;</p> <p style="margin-bottom:11px"><img class="migrated-asset" src="/sites/default/files/ArjumandSiddiqi.mp3" alt></p> <p style="margin-bottom:11px">While COVID-19 is an airborne disease that puts everyone at risk, Siddiqi鈥檚 work shows that socioeconomic factors make some communities much more vulnerable than others. This includes people who lack the ability to work from home, live in crowded conditions or share a space with an essential service worker.&nbsp;</p> <p style="margin-bottom:11px">Social epidemiologists trace the patterns of disparities in a health crisis, including the social determinants of health. Compared to previous outbreaks like SARS, Siddiqi describes COVID-19鈥檚 impact on vulnerable communities as striking 鈥 yet predictable.</p> <p style="margin-bottom:11px">鈥淵our social position is a powerful source in dictating what your life is like and whether you have the resources and autonomy to stay healthy or whether you will be made by society to be vulnerable,鈥 says Siddiqi, a Canada Research Chair in Population Health Equity.&nbsp;</p> <p style="margin-bottom:11px">鈥淭hose consequences of not having resources or autonomy lead to health [issues] in a lot of different ways 鈥 and this time around, it led to increased exposure to the SARS-CoV-2 virus.鈥</p> <p style="margin-bottom:11px">At a July 2020<a href="https://www.ourcommons.ca/DocumentViewer/en/43-1/HESA/meeting-32/evidence"> Standing Committee on Health session</a> in Canada鈥檚 House of Commons, Siddiqi outlined how some neighbourhoods in Toronto were more affected than others by the COVID-19 pandemic. Notably, Black neighbourhoods were 40 times more likely to be at risk of contracting COVID-19 than white, upper-class neighbourhoods, she said.&nbsp;</p> <p style="margin-bottom:11px">At the time, an interactive map of COVID-19 rates per neighbourhood released by Toronto Public Health reported that the city鈥檚 northwest neighbourhoods 鈥 home to predominantly working-class Black communities 鈥 saw COVID-19 infection rates of 450 per 100,000 people. Meanwhile, neighbourhoods located in central Toronto 鈥 and home to higher-income, white residents 鈥 had approximately 15 cases per 100,000 people.</p> <p style="margin-bottom:11px">How do we move forward to build resilient communities? Siddiqi says that, from an institutional perspective, providing information and access to health care is essential 鈥 but ensuring they have the economic power to thrive is crucial.&nbsp;</p> <h4 style="margin-bottom: 11px;">How did lockdown measures affect our mental health?</h4> <p style="margin-bottom:11px">From children attending classes on Zoom to the blurring of parents鈥 work and home lives, COVID-19 lockdown measures had a far-reaching impact on our sense of community and well-being.</p> <div class="image-with-caption left"> <p style="margin-bottom:11px"><img alt src="/sites/default/files/John%20Sina%20Moin.jpeg" style="width: 300px; height: 300px;"><em>John Sina Moin</em></p> </div> <p style="margin-bottom:11px"><b>John Sina Moin</b>, a post-doctoral researcher at the Dalla Lana School of Public Health, is exploring the mental health outcomes that COVID-19 measures had on vulnerable populations 鈥 primarily mothers, children&nbsp;and youth.</p> <p style="margin-bottom:11px">The international study, set for release early next year, compares the socioeconomic challenges and health disparities faced by mothers with young children and young adults living in Toronto and London, England since the pandemic. The study will concentrate on four age-based cohorts: mothers with children who are one to five years old; mothers with children who are six to 12 years old; youth who are 13 to 17 years of age and young adults between the ages of 18 to 24.</p> <p style="margin-bottom:11px">鈥淲hen it comes to children and youth, remote learning largely disrupted their social routine,鈥 Moin says. 鈥淢others carried a heavier burden of taking care of children while balancing work and single-parent families had even more socioeconomic pressures.</p> <p style="margin-bottom:11px">鈥淲e think that this had a detrimental impact on their mental health.鈥</p> <p style="margin-bottom:11px">Moin鈥檚 research shows that mothers of one to five-year-old and mothers with children who are six to 12 years old&nbsp;experienced more strains on their mental health. Moin says that for the latter cohort, this may be due to increased demands to help children with schooling, which was not a factor for mothers with younger kids. As for challenges faced by mothers with babies, he notes that stressors may include social distancing and not being able to get the same level of support from friends and family before the pandemic started. This cohort may also experience anxiety about the future of their children and the rising cost of living.</p> <p style="margin-bottom:11px">Meanwhile, a September 2021 report released by the <a href="https://www150.statcan.gc.ca/n1/daily-quotidien/210927/dq210927a-eng.htm">Survey on COVID-19 and Mental Health (SCMH)</a>, found that one in four Canadians who were 18 or older screened positive for symptoms of depression, anxiety&nbsp;or post-traumatic stress disorder (PTSD). That was up from one in five from the previous year.</p> <p style="margin-bottom:11px">In Moin鈥檚 study, too, teenagers and young adults experienced increased mental health support needs.</p> <p style="margin-bottom:11px">While the shift to remote learning was one of the largest hurdles for all youth cohorts, those between the ages of 18 to 24 lost many rites of passage into adulthood 鈥 including experiencing campus life or living on their own for the first time. They also had difficulty landing part-time jobs to supplement their incomes.</p> <p style="margin-bottom:11px">Moin is continuing to process the data collected in both Toronto and London and will further explore the mental health experiences and impacts on families based on income and other factors such as deprivation score.</p> <h4 style="margin-bottom: 11px;">Leveraging technology for accessible, quality care</h4> <p style="margin-bottom:11px">Virtual doctor visits remain a safe and accessible way to access health care as we recover from the pandemic 鈥 and Moin says the practice may be one of the pandemic鈥檚 silver linings.&nbsp;</p> <p style="margin-bottom:11px">That鈥檚 because virtual care makes it easier for people with physical disabilities or who live in remote areas to access a doctor 鈥 and doesn鈥檛 necessarily require sophisticated technology. Moin, for example, led a study on accessing <a href="https://www.canadianjournalofdiabetes.com/article/S1499-2671(22)00094-6/fulltext">type 2 diabetes care during the pandemic</a> that found, among other things, that 90 per cent of virtual care was delivered by telephone in Ontario.</p> <p style="margin-bottom:11px">Even so, Moin says the province is lagging in its efforts to capitalize on virtual care, including investing in apps or remote technologies to measure blood-sugar levels or high blood pressure, for example.</p> <p style="margin-bottom:11px">Moin says it鈥檚 critical to learn from our collective experience with COVID-19 鈥 including fully embracing innovative, virtual health-care services that are more accessible and don鈥檛 sacrifice patient care 鈥 so we鈥檙e better prepared for future health threats.</p> <p style="margin-bottom:11px">Moin says we must also take the time and effort to understand where we can best leverage technology and where traditional means of delivering care are still most effective. That way, we can improve care for patients by taking advantage of the best means of health care available. This will leave us better prepared for future health threats.</p> <p style="margin-bottom:11px">鈥淲e need to learn from history and everything that has happened with this pandemic,鈥 he says. 鈥淧art of this is being resilient to stop shocks to the system, like future pandemics or other global events.</p> <p style="margin-bottom:11px">鈥淭here are many lessons to be learned to help us in the future.鈥</p> <p style="margin-bottom:11px"><em>This article <a href="/news/tags/groundbreakers">is&nbsp;part of a multimedia series</a>&nbsp;about 茄子直播's Institutional Strategic Initiatives program 鈥 which seeks to make life-changing advancements in everything from infectious diseases to social justice 鈥&nbsp;and the research community that's driving it.</em></p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Tue, 15 Nov 2022 19:43:23 +0000 Christopher.Sorensen 178144 at Medical students collect personal protective gear for front line health-care workers, donate through 茄子直播 /news/medical-students-collect-personal-protective-gear-front-line-health-care-workers-donate-through <span class="field field--name-title field--type-string field--label-hidden">Medical students collect personal protective gear for front line health-care workers, donate through 茄子直播</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/EUeTPDOXgAE-rZU-crop.jpg?h=afdc3185&amp;itok=9qFKMPZm 370w, /sites/default/files/styles/news_banner_740/public/EUeTPDOXgAE-rZU-crop.jpg?h=afdc3185&amp;itok=qmESmAsm 740w, /sites/default/files/styles/news_banner_1110/public/EUeTPDOXgAE-rZU-crop.jpg?h=afdc3185&amp;itok=nJzFDpDU 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/EUeTPDOXgAE-rZU-crop.jpg?h=afdc3185&amp;itok=9qFKMPZm" alt="&quot;&quot;"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>geoff.vendeville</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2020-04-06T11:58:58-04:00" title="Monday, April 6, 2020 - 11:58" class="datetime">Mon, 04/06/2020 - 11:58</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">Yezarni Wynn and Justin Boyle sit among the boxes of personal protective equipment the student-led initiative has collected for health-care workers at local hospitals and long-term care homes (photo courtesy of Yezarni Wynn)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/geoffrey-vendeville" hreflang="en">Geoffrey Vendeville</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/coronavirus" hreflang="en">Coronavirus</a></div> <div class="field__item"><a href="/news/tags/faculty-medicine" hreflang="en">Faculty of Medicine</a></div> <div class="field__item"><a href="/news/tags/global" hreflang="en">Global</a></div> <div class="field__item"><a href="/news/tags/graduate-students" hreflang="en">Graduate Students</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/undergraduate-students" hreflang="en">Undergraduate Students</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><strong>Yezarni Wynn</strong>, a medical student at the University of Toronto, is&nbsp;just months away from starting his residency.&nbsp;In the meantime,&nbsp;he doesn鈥檛&nbsp;plan to sit on the sidelines of the COVID-19 crisis while health-care workers put their own lives at risk to treat the sick.&nbsp;</p> <p>On Twitter and Instagram, Wynn saw his friends in residency posting about how they were limited to 鈥渙ne or two masks鈥 and only a few pairs of gloves for the duration of a 12-hour shift.</p> <p>鈥淪eeing that circulated on social media kind of scared me because it was a lot of my friends and colleagues who were putting themselves at risk in order to see patients potentially with COVID-19,鈥 Wynn says.&nbsp;</p> <p>Meanwhile, Thulasie Manokaran, a third-year medical student at Western University, had been reading harrowing news reports out of Italy and other parts of Europe where doctors and nurses have gotten sick and died because they lacked equipment to protect themselves on the job.&nbsp;</p> <p>Acting separately, the pair saw an opportunity to help and soon found each other through Twitter. They put their heads together to launch a collection drive to amass gloves, masks, hand sanitizer and other urgently needed supplies for health-care workers&nbsp;in hospitals and long-term care homes.</p> <p>Next,&nbsp;Wynn, Manokaran&nbsp;<a href="http://ppeforhcpsto.ca/#about">and the rest of their team</a>, which consists of students from other Ontario universities 鈥&nbsp;<strong>Calvin Diep,</strong>&nbsp;<strong>Sophia&nbsp;Duong </strong>and&nbsp;<strong>Mia Kibel</strong>,&nbsp;all at 茄子直播, and Ali Goodbaum and Rida Tul-Zahra, both from the University of Ottawa 鈥&nbsp;recruited volunteers to canvas businesses across the Greater Toronto Area for donations of essential supplies. They called dentists, tattoo parlours, veterinary clinics and salons, eventually collecting about 83,600 pairs of gloves in unopened boxes, 2,700 surgical masks and hundreds of N95 respirators, a type of mask designed to block almost all airborne particles.&nbsp;</p> <p><img class="migrated-asset" src="/sites/default/files/2020-04-02-COVID%20Supply%20Dropoff_37.jpg" alt></p> <p><em>Supplies collected by 茄子直播 are delivered to Mount Sinai Hospital on Friday (photo by Johnny Guatto)</em></p> <p>茄子直播 is helping the students transfer half of the supplies they have collected&nbsp;to&nbsp;the Toronto Academic Health Science Network. Including&nbsp;the students鈥 contribution, 茄子直播 has collected more than 312,000 pairs of gloves, about 9,800 surgical and other types of masks and nearly 8,000 N95 respirators.&nbsp;The university is using guidelines developed by the Joint Centre for Bioethics to ensure the supplies are being shared equitably.</p> <h3><a href="/news/u-t-donates-masks-gowns-and-other-critical-supplies-help-health-care-workers-combat-covid-19">Read more about 茄子直播鈥檚 effort to donate badly needed supplies to local hospitals</a></h3> <p>In addition to the gear collected from labs and departments across the three campuses, 茄子直播 has co-ordinated the donation of even more supplies to hospitals 鈥 including thousands more masks 鈥 from Shanghai Jiao Tong University and the&nbsp;Huazhong University of Science and Technology, among others.&nbsp;</p> <p>鈥淚t鈥檚 important for our donors, our volunteers and us that the equipment gets to where it needs to be ASAP,鈥 Manokaran&nbsp;said. 鈥淐OVID鈥檚 evolving day by day. There may be people going without equipment today or tomorrow. We don鈥檛 want to sit on this equipment for a week.鈥</p> <p>In addition to their collection drive, <a href="https://www.gofundme.com/f/gfmeTO-ppe?utm_medium=copy_link&amp;utm_source=customer&amp;utm_campaign=p_lico+share-sheet">the students started a GoFundMe campaign</a> to buy personal protective equipment for health-care workers and have so far raised over $5,000.</p> <p>Wynn and Manokaran&nbsp;said they have set aside the other half of their inventory for staff in long-term care and assisted living facilities, where the virus has shown the potential to spread rapidly among vulnerable residents. More than 40 deaths in nursing and retirement homes in Ontario have been linked to COVID-19, <a href="https://www.cbc.ca/news/canada/toronto/ontario-deaths-covid-19-long-term-care-nursing-homes-1.5516801">CBC reported last week.</a></p> <p>Countries around the world are looking to acquire personal protective equipment as they grapple with the pandemic. The federal government announced this week that it would spend $2 billion on protective gear.&nbsp;</p> <p><img class="migrated-asset" src="/sites/default/files/composite-1.jpg" alt></p> <p><em>Half of the inventory collected by the students will go to staff in long-term care and assisted living facilities, organizers say&nbsp;(photos courtesy of ppeforhcpsto.ca)</em></p> <p><strong>Anna Kulikov</strong>, senior manager, business improvement and strategic initiatives at 茄子直播, says the safety gear collected by the students is in high demand among the university鈥檚 hospital partners.</p> <p>鈥淚t鈥檚 incredible how the community is coming together,鈥 she says. 鈥淲hat I鈥檝e seen is a number of people from different perspectives getting very excited to lend their support,鈥 from the physics department, which contributed boxes of medical-grade gloves, to campus movers who are transporting the supplies to hospitals.&nbsp;</p> <p>While the need for PPE in Canada and around the world to combat COVID-19 is vast, the students say every little bit counts. Says Manokaran:&nbsp;鈥淚f we can get one mask to one doctor or one nurse for one shift, that鈥檚 huge.鈥&nbsp;</p> <p>&nbsp;</p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Mon, 06 Apr 2020 15:58:58 +0000 geoff.vendeville 163961 at 茄子直播 donates masks, gowns and other critical supplies to health-care workers combatting COVID-19 /news/u-t-donates-masks-gowns-and-other-critical-supplies-help-health-care-workers-combat-covid-19 <span class="field field--name-title field--type-string field--label-hidden">茄子直播 donates masks, gowns and other critical supplies to health-care workers combatting COVID-19</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/0327PPEDonation011.jpg?h=afdc3185&amp;itok=rvQ2AVL5 370w, /sites/default/files/styles/news_banner_740/public/0327PPEDonation011.jpg?h=afdc3185&amp;itok=-w9S-HAg 740w, /sites/default/files/styles/news_banner_1110/public/0327PPEDonation011.jpg?h=afdc3185&amp;itok=2EeCizbO 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/0327PPEDonation011.jpg?h=afdc3185&amp;itok=rvQ2AVL5" alt="A worker lifts boxes of personal protective equipment supplies amidst stacks of other boxes"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>geoff.vendeville</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2020-03-30T12:35:12-04:00" title="Monday, March 30, 2020 - 12:35" class="datetime">Mon, 03/30/2020 - 12:35</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">茄子直播 has so far collected more than 250,000 pairs of gloves and nearly 12,000 masks and respirators to donate to its hospital partners (photo by Nick Iwanyshyn)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/geoffrey-vendeville" hreflang="en">Geoffrey Vendeville</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/coronavirus" hreflang="en">Coronavirus</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/u-t-mississauga" hreflang="en">茄子直播 Mississauga</a></div> <div class="field__item"><a href="/news/tags/u-t-scarborough" hreflang="en">茄子直播 Scarborough</a></div> <div class="field__item"><a href="/news/tags/vivek-goel" hreflang="en">Vivek Goel</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The University of Toronto is scouring labs across its three campuses for masks, gloves and other badly-needed protective equipment to donate to health-care workers on the front lines of the COVID-19 crisis.</p> <p>The university has so far collected more than 250,000 pairs of gloves and nearly 12,000 masks and respirators&nbsp;to give to its hospital partners in&nbsp;<a href="http://www.tahsn.ca/Members.aspx">the Toronto Academic Health Science Network</a>.</p> <p>The supplies are being distributed according to an&nbsp;<a href="http://jcb.utoronto.ca/news/documents/Ethical-Framework-for-the-Allocation-of-Personal-Protective-Equipment-2020.pdf">ethical framework developed by 茄子直播鈥檚 Joint Centre for Bioethics</a>, which prioritizes health-care providers who face the highest risk of exposure.&nbsp;</p> <p>鈥淭here鈥檚 a lot of eagerness to help wherever possible,鈥 said&nbsp;<strong>Vivek Goel</strong>, 茄子直播鈥檚 vice-president, research and innovation, and strategic initiatives. 鈥淚f we have excess supplies anywhere in the city or in the province, we should really be working to get those to front-line workers so they are protected.</p> <p>鈥淭hey are literally putting their lives on the line;&nbsp;we have to do whatever we can to support them.鈥</p> <p>The World Health Organization has warned about a global shortage of protective gear caused by rising demand, panic buying and hoarding. Health-care workers in some hard-hit countries are already being forced to treat colleagues who become infected during marathon shifts of treating COVID-19 patients. In Italy, for example, the National Federation of Orders of Doctors and Dental Surgeons&nbsp;<a href="http://portale.fnomceo.it/elenco-dei-medici-caduti-nel-corso-dellepidemia-di-covid-19/">has published a list of doctors who have died on the job</a>, with more than 60 names and counting, while in Spain, health-care workers represent 14 per cent of confirmed coronavirus cases, according to the&nbsp;<em>New York Times</em>.</p> <p><img class="migrated-asset" src="/sites/default/files/0327PPEDonation008_0.jpg" alt></p> <p><em>(photo by Nick Iwanyshyn)</em></p> <p>In Canada, front-line staff are running low on protective equipment just as they prepare for a surge of COVID-19 patients.&nbsp;In response, <a href="https://twitter.com/JustinTrudeau/status/1242577360055963650">Prime Minister Justin Trudeau has called on universities</a>&nbsp;and other post-secondary institutions&nbsp;across the country to donate&nbsp;masks and ventilators, and the provincial government is urging local businesses to help where they can to address shortages.&nbsp;</p> <p>At 茄子直播, individual researchers and departments across the three campuses, in fields as varied as dentistry, chemistry and ecology and evolutionary biology, have made available boxes of much-needed protective equipment.</p> <p>茄子直播 Mississauga鈥檚 department of chemical and physical sciences has pitched in with 5,200 pairs of gloves while the department of biology has set aside surgical masks, N95 masks and more than 30,000 gloves from teaching and research labs.</p> <p>茄子直播 Scarborough, meanwhile, has collected tens of thousands of medical supplies including masks, gloves, gowns and paper towels.&nbsp;</p> <p>鈥淚t鈥檚 just the beginning of the pandemic and our hospitals are having trouble keeping critical safety supplies in stock,鈥 said&nbsp;<strong>Holly Yuen</strong>, 茄子直播 Scarborough鈥檚 environmental health and safety manager.</p> <p>鈥淚t鈥檚 encouraging to see our community coming together during these extraordinary times to show that we care for and support our essential medical workers who are on the front line fighting against COVID-19.鈥</p> <p><img class="migrated-asset" src="/sites/default/files/0327PPEDonation009.jpg" alt="stacks of boxes with one box with the writing bio/toronto mask item n95 on the side"></p> <p><em>(photo by Nick Iwanyshyn)</em></p> <p>Some protective equipment is being kept in reserve by 茄子直播 for researchers who are <a href="/news/new-federal-funding-u-t-researchers-aid-global-effort-understand-and-control-covid-19">undertaking critical work related to COVID-19</a> or other time-sensitive research. That includes everything from developing COVID-19 medicines and better testing methods to modelling disease transmission.</p> <p>Some equipment is also being preserved for residence staff, cleaning staff, environmental health and safety workers, campus police and health and wellness employees so they can continue their work safely.</p> <p>Other Canadian universities, including McGill and McMaster, have also collected medical supplies for local hospitals, as have universities in the U.S. including the Massachusetts Institute of Technology.&nbsp;</p> <p><img class="migrated-asset" src="/sites/default/files/IMG_8663%20%281%29.jpg" alt></p> <p><em>(photo by Patrick Lam)</em></p> <p>茄子直播鈥檚 donation is just one element of its larger effort to limit the toll of the deadly virus, which has infected more than 750,000 people around the world, according to Goel.</p> <p>He noted the university has dramatically changed the way in which it works to help 鈥渇latten the curve鈥 of the pandemic by cancelling in-person classes and moving to online or remote learning.&nbsp;</p> <p><a href="/news/u-t-launches-action-fund-support-high-impact-research-battle-against-covid-19">茄子直播 also launched a fund last week</a>&nbsp;to support research that鈥檚 likely to make a rapid and tangible contribution to the fight against the virus.</p> <p><em>Note: This story was updated on March 31, 2020 with new figures about the number&nbsp;of gloves and masks collected.</em></p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Mon, 30 Mar 2020 16:35:12 +0000 geoff.vendeville 163904 at 茄子直播 researchers identify four types of opioid stigma contributing to the current crisis /news/u-t-researchers-identify-four-types-opioid-stigma-contributing-current-crisis <span class="field field--name-title field--type-string field--label-hidden">茄子直播 researchers identify four types of opioid stigma contributing to the current crisis</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/GettyImages-959406872.jpg?h=afdc3185&amp;itok=OhGbXLCi 370w, /sites/default/files/styles/news_banner_740/public/GettyImages-959406872.jpg?h=afdc3185&amp;itok=7ecZ3tWs 740w, /sites/default/files/styles/news_banner_1110/public/GettyImages-959406872.jpg?h=afdc3185&amp;itok=uafPHKnf 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/GettyImages-959406872.jpg?h=afdc3185&amp;itok=OhGbXLCi" alt="vial of methadone and needle"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>Christopher.Sorensen</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2019-12-02T11:37:25-05:00" title="Monday, December 2, 2019 - 11:37" class="datetime">Mon, 12/02/2019 - 11:37</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">Methadone and other types of opioid agonist therapy can be an effective way to treat an opioid use disorder, but researchers found patients face stigma because of methadone's association with heroin use (photo by Hailshadow via Getty Images)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/nicole-bodnar" hreflang="en">Nicole Bodnar</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/opioids" hreflang="en">Opioids</a></div> <div class="field__item"><a href="/news/tags/dalla-lana-school-public-health" hreflang="en">Dalla Lana School of Public Health</a></div> <div class="field__item"><a href="/news/tags/graduate-students" hreflang="en">Graduate Students</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/research-innovation" hreflang="en">Research &amp; Innovation</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Researchers from the University of Toronto&nbsp;have identified four types of opioid-related stigma that depend on a variety of factors, including the context of opioid use, the social identity and networks of the person who is consuming the opioid, and what type of opioid is being consumed, including prescribed opioids.&nbsp;</p> <p>Each type requires targeted strategies to address the unique stigmas and reduce health inequities, the researchers say.&nbsp;The <a href="https://www.sciencedirect.com/science/article/pii/S0955395919302798?via%3Dihub#!">study was&nbsp;published</a>&nbsp;in the December 2019 edition of the&nbsp;<em>International Journal of Drug Policy.</em></p> <p>鈥淲e know that stigma is both a driver and consequence of the current overdose crisis, but opioid-related stigma is poorly understood,鈥 said <strong>Daniel Buchman</strong>, an&nbsp;assistant professor at the Dalla Lana School of Public Health and a senior author of the paper.</p> <p>North America is in the grips of an opioid-related overdose crisis and stigma, discrimination&nbsp;and prejudice are major contributors. Substance use in general is highly stigmatized, but stigma is a complex concept. Researchers say that there鈥檚 a lack of good evidence on the specific sources of opioid stigma, how it manifests in various contexts and its impact on affected groups.</p> <p>Buchman worked with a research team to conduct a review of publications on opioid-related stigma. The team identified more than 8,500 papers of which 51 were analyzed. Four main themes emerged: interpersonal and structural stigma toward people accessing opioid agonist therapy, which involves taking long-acting opioid medications like methadone and&nbsp;buprenorphine to prevent withdrawal symptoms; stigma related to opioids for the treatment of chronic pain; stigma in health-care settings; and self-stigma.</p> <p>鈥淟abels like 鈥榓ddict,鈥 鈥榙rug-seeker鈥&nbsp;and 鈥榡unkie鈥&nbsp;are barriers to accessing treatment and many people who use opioids internalize these labels and report feelings of self-blame, loathing, despair, shame and moral weakness,鈥 said <strong>Melissa McCradden</strong>, first-author on the paper and a master of health science student at the 茄子直播 Joint Centre for Bioethics.</p> <p>Opioid agonist therapy is the gold standard of treatment for&nbsp;opioid use disorders, but researchers found that individuals receiving this treatment face stigma from multiple angles.</p> <p>For example, methadone鈥檚 association with heroin use stigmatizes the medication and the people who use it. The literature suggests that some physicians refuse to prescribe opioid agonist therapy out of fear of being stigmatized by their colleagues. Some patients who are prescribed opioids for cancer pain feel compelled to disclose their identity as a 鈥榗ancer patient鈥 at the pharmacy in order to differentiate themselves from people on methadone and avoid barriers in accessing their medications.</p> <p>Stigma in health-care settings was another theme identified by the research team, both in the perception of physicians, nurses and pharmacists toward people who use opioids, as well as within health care鈥檚 bureaucratic systems. For example, excessive regulation, paperwork and requirements specific to prescribing opioids may intensify the stigma experienced by people who use opioids.</p> <p>鈥淭he literature suggests that some health-care professionals will make a distinction between patients with legitimate&nbsp;pain who have 鈥榣egitimate鈥 reasons for accessing opioids, and patients with 鈥榠llegitimate鈥 pain who do not have legitimate reasons for accessing opioids,鈥 said McCradden.</p> <p>鈥淭his makes a harsh moral distinction between so-called 鈥榙eserving鈥 and 鈥榰ndeserving鈥 patients. It entrenches stigma.鈥&nbsp;</p> <p>Ultimately, researchers say that a paradigm shift is needed to address the structural forms of stigma 鈥 including social and economic determinants, laws&nbsp;and public attitudes 鈥 in order to have an impact at the individual level.</p> <p>鈥淪tigma is considered a fundamental cause of population health inequalities and an independent social determinant of health,鈥 said Buchman, who is also a bioethicist at the University Health Network.</p> <p>The social determinants of health are the conditions in which people live that are shaped by the distribution of money, power and resources. Social disadvantages 鈥 such as poverty, housing instability and discrimination 鈥 often occur simultaneously and can intensify stigma toward&nbsp;those who use opioids. This further marginalizes individuals, exacerbates health inequities and perpetuates stigma.</p> <p>Buchman and McCradden say that evidence-based strategies to address stigma and its long-term impact on population health are critical to curb the overdose crisis.&nbsp;</p> <p>鈥淭he more familiar you are with a person, the less likely you are to stigmatize them, so there鈥檚 tremendous value in including and amplifying the voices of people who use opioids in health policy-making,鈥 said Buchman.</p> <p>鈥淗umanizing people who use drugs and moving towards decriminalization of all drugs are key to a cultural shift in re-thinking substance use and redressing opioid-related stigma.鈥</p> <p>&nbsp;</p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Mon, 02 Dec 2019 16:37:25 +0000 Christopher.Sorensen 161078 at 茄子直播 experts and Friesen Prize winner debate gene editing, AI and other disruptive medical technologies /news/u-t-experts-and-friesen-prize-winner-debate-gene-editing-ai-and-other-disruptive-medical <span class="field field--name-title field--type-string field--label-hidden">茄子直播 experts and Friesen Prize winner debate gene editing, AI and other disruptive medical technologies</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/2019-10-17-Friesen%20Prize%20Lecture%20%282%29.jpg?h=afdc3185&amp;itok=Qc3DmxUt 370w, /sites/default/files/styles/news_banner_740/public/2019-10-17-Friesen%20Prize%20Lecture%20%282%29.jpg?h=afdc3185&amp;itok=Tqiwb6mP 740w, /sites/default/files/styles/news_banner_1110/public/2019-10-17-Friesen%20Prize%20Lecture%20%282%29.jpg?h=afdc3185&amp;itok=l-eyf9nW 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/2019-10-17-Friesen%20Prize%20Lecture%20%282%29.jpg?h=afdc3185&amp;itok=Qc3DmxUt" alt="Bartha Knoppers adresses the audience at the Freisen Prize lecture"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>geoff.vendeville</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2019-10-21T11:50:23-04:00" title="Monday, October 21, 2019 - 11:50" class="datetime">Mon, 10/21/2019 - 11:50</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">McGill University's Bartha Knoppers, winner of the 2019 Henry G. Friesen International Prize in Health Research, delivers a lecture at an event co-sponsored by 茄子直播's Schwartz Reisman Institute for Technology and Society (photo by Johnny Guatto)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/geoffrey-vendeville" hreflang="en">Geoffrey Vendeville</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/schwartz-reisman-institute-technology-and-society" hreflang="en">Schwartz Reisman Institute for Technology and Society</a></div> <div class="field__item"><a href="/news/tags/artificial-intelligence" hreflang="en">Artificial Intelligence</a></div> <div class="field__item"><a href="/news/tags/awards" hreflang="en">Awards</a></div> <div class="field__item"><a href="/news/tags/cifar" hreflang="en">CIFAR</a></div> <div class="field__item"><a href="/news/tags/david-naylor" hreflang="en">David Naylor</a></div> <div class="field__item"><a href="/news/tags/faculty-arts-science" hreflang="en">Faculty of Arts &amp; Science</a></div> <div class="field__item"><a href="/news/tags/faculty-law" hreflang="en">Faculty of Law</a></div> <div class="field__item"><a href="/news/tags/faculty-medicine" hreflang="en">Faculty of Medicine</a></div> <div class="field__item"><a href="/news/tags/genomics" hreflang="en">Genomics</a></div> <div class="field__item"><a href="/news/tags/hospital-sick-children" hreflang="en">Hospital for Sick Children</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/massey-college" hreflang="en">Massey College</a></div> <div class="field__item"><a href="/news/tags/women-s-college-hospital" hreflang="en">Women's College Hospital</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Gene editing represents a promising new pathway to treat disease-causing mutations and other medical conditions.&nbsp;But as with other powerful emerging technologies, it also raises&nbsp;many ethical and legal concerns.&nbsp;</p> <p>On Thursday, a&nbsp;panel of distinguished University of Toronto experts and McGill University鈥檚 Bartha Knoppers, a world-leading expert on the issues surrounding biomedical research in genetics and genomics, grappled with the ethical dilemmas posed by gene editing and other disruptive new&nbsp;technologies, as well as their potential to revolutionize medicine.&nbsp;</p> <p>Knoppers said gene editing raises difficult questions involving the rights of children and future generations&nbsp;鈥 questions that erupted into public consciousness last year&nbsp;after a Chinese scientist claimed to have used the powerful gene-editing tool, Crispr, to alter human embryos, which were then implanted in the womb of a woman who gave birth to twin girls.</p> <p>News of the experiment,&nbsp;intended to protect the girls 鈥 whose father is HIV-positive 鈥 from the virus, was greeted with outrage and even calls for a moratorium&nbsp;on gene editing research.&nbsp;</p> <p>But Knoppers said a ban would be the wrong approach since it would 鈥渟ilence debate鈥 and wouldn鈥檛 cover 鈥渙utlier鈥 scientists.&nbsp;Instead, she argued for emphasizing the rights of children and patients, while taking&nbsp;into account existing laws and international obligations.</p> <p>鈥淟et鈥檚 see whether there鈥檚 some sort of road map for translation as we move to perhaps one day having germline editing under certain conditions,鈥 she said.&nbsp;</p> <p>Knoppers, the winner of the 2019 Henry G. Friesen International Prize in Health Research, made the remarks during a Friesen Prize lecture at Women鈥檚 College Hospital&nbsp;that was co-sponsored by 茄子直播鈥檚 Schwartz Reisman Institute for Technology and Society, <a href="/news/landmark-100-million-gift-university-toronto-gerald-schwartz-and-heather-reisman-will-power">a new interdisciplinary home for scholars studying the impact of technology and innovation on society</a>. Other sponsors included&nbsp;茄子直播鈥檚 Joint Centre for Bioethics, Massey College and&nbsp;Friends of the Canadian Institutes of Health Research.&nbsp;&nbsp;</p> <p>In the panel discussion that followed experts, including 茄子直播 President Emeritus <strong>David Naylor,&nbsp;</strong>picked up on the theme of disruptive technologies and their impact on medicine, focusing on big data and artificial intelligence.&nbsp;</p> <p>Panelist <strong>Gillian Hadfield</strong>, <a href="/news/gillian-hadfield-appointed-inaugural-director-u-t-s-schwartz-reisman-institute-technology">i</a><a href="/news/gillian-hadfield-appointed-inaugural-director-u-t-s-schwartz-reisman-institute-technology">naugural director of the Schwartz Reisman Institute for Technology and Society</a><a href="/news/gillian-hadfield-appointed-inaugural-director-u-t-s-schwartz-reisman-institute-technology">,</a> as well as a 茄子直播 professor of economics and law, remarked on the role of universities in developing governance systems for introducing algorithmic decision-making in all kinds of fields, including&nbsp;health care.&nbsp;</p> <p><strong>Alan Bernstein</strong>, president and CEO of CIFAR (the Canadian Institute for Advanced Research)&nbsp;spoke about AI鈥檚 untapped potential to provide new diagnostic tools and treatments.</p> <p>Meanwhile, <strong>Ronald Cohn</strong>, the president and CEO of the Hospital for Sick Children and chair of 茄子直播鈥檚 department of paediatrics in the Faculty of Medicine, described how AI and data are already being used in the hospital鈥檚 intensive care unit to save young lives. The unit gathers millions of data points every second 鈥 鈥渢he amount of data we collect per patient, per second, is the same amount that falls down, in terms of water, Niagara Falls,鈥 Cohn said.</p> <p>The wealth of data has helped the hospital create an algorithm predicting with 75 per cent accuracy whether a child will have a cardiac arrest, according to Cohn. 鈥淚f you have an algorithm in place that tells you five minutes ahead of time the worst case scenario, you鈥檙e at least all assembled around the bed and you can act when it happens 鈥 or maybe you can actually prevent it from happening.鈥</p> <p><img class="migrated-asset" src="/sites/default/files/2019-10-17-Friesen%20Prize%20Lecture%20%2815%29.jpg" alt></p> <p><em>茄子直播 President Emeritus David Naylor, an expert in health-care policy, said the university has the 鈥渇irepower鈥 to lead multidisciplinary debates 鈥渁bout where science and society are going, and how health care will evolve鈥&nbsp;(photo by Johnny Guatto)</em></p> <p>For his part, Naylor, an expert in health-care policy who served as 茄子直播鈥檚 president from 2005 to 2013, said we now 鈥渓ive in a very different era鈥&nbsp;鈥&nbsp;one in which ethical, regulatory and governance issues will cause people to rethink how they do science.&nbsp;</p> <p>Just over a year ago, he teamed up with 茄子直播鈥檚 <strong>Geoffrey Hinton</strong>, a pioneer of the sub-field of AI known as deep learning,&nbsp;to write companion pieces for the world鈥檚 most widely circulated medical journal<a href="/news/recipe-save-lives-geoffrey-hinton-and-david-naylor-call-physicians-embrace-ai"> about how AI can be harnessed to improve health care.</a></p> <p>Naylor, who received the Friesen Prize last year, said Thursday鈥檚 panel discussion is exactly the kind of conversation that needs to continue to generate ideas and policy recommendations.</p> <p>鈥淲e have the firepower 鈥 between the Joint Centre for Bioethics and the [Schwartz Reisman] Institute and all of the people who are interested in these issues in the city 鈥 to begin to have these important multidisciplinary debates about where science and society are going, and how health care will evolve,鈥 he said.</p> <p>&nbsp;</p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Mon, 21 Oct 2019 15:50:23 +0000 geoff.vendeville 159772 at 茄子直播's Joint Centre for Bioethics partners with charity on ethical AI for health /news/u-t-s-joint-centre-bioethics-partners-charity-ethical-ai-health <span class="field field--name-title field--type-string field--label-hidden">茄子直播's Joint Centre for Bioethics partners with charity on ethical AI for health</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/2019-03-05-Photo%20by%20geralt%20via%20Pixabay-resized.jpg?h=afdc3185&amp;itok=B6iSfgbk 370w, /sites/default/files/styles/news_banner_740/public/2019-03-05-Photo%20by%20geralt%20via%20Pixabay-resized.jpg?h=afdc3185&amp;itok=idJH4NiN 740w, /sites/default/files/styles/news_banner_1110/public/2019-03-05-Photo%20by%20geralt%20via%20Pixabay-resized.jpg?h=afdc3185&amp;itok=nATypXu8 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/2019-03-05-Photo%20by%20geralt%20via%20Pixabay-resized.jpg?h=afdc3185&amp;itok=B6iSfgbk" alt="Image via Pixabay"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>noreen.rasbach</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2019-03-05T13:40:30-05:00" title="Tuesday, March 5, 2019 - 13:40" class="datetime">Tue, 03/05/2019 - 13:40</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">(Image by geralt via Pixabay)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/nicole-bodnar" hreflang="en">Nicole Bodnar</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/our-community" hreflang="en">Our Community</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/institute-health-policy-management-and-evaluation" hreflang="en">Institute of Health Policy Management and Evaluation</a></div> <div class="field__item"><a href="/news/tags/artificial-intelligence" hreflang="en">Artificial Intelligence</a></div> <div class="field__item"><a href="/news/tags/dalla-lana-school-public-health" hreflang="en">Dalla Lana School of Public Health</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/research-innovation" hreflang="en">Research &amp; Innovation</a></div> </div> <div class="field field--name-field-subheadline field--type-string-long field--label-above"> <div class="field__label">Subheadline</div> <div class="field__item"> </div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A new partnership with AMS Healthcare, a Canadian charitable organization,&nbsp;is supporting the University of Toronto Joint Centre for Bioethics (JCB) to increase research and inform practice on ethical artificial intelligence (AI) in health care.</p> <p>&nbsp;鈥淲e are thrilled to partner with AMS Healthcare in exploring how AI may be a force for good to improve health and health care, particularly from the perspective of patients and providers,鈥 said <strong>Jennifer Gibson</strong>, director of JCB, based at the Dalla Lana School of Public Health.</p> <p>The gift is supporting JCB鈥檚 AI and the Future of Caring initiative, one of four priority themes in its Ethics and AI for Good Health strategy. The other three priority areas are: Public Trust of AI for Health, Ethical Governance of AI for Health and Equity and the Digital Divide.</p> <p>AI and related digital health technologies hold promise for promoting healthy behaviours, enabling prevention, diagnosis and treatment of disease, and addressing equity gaps in health policy and planning.</p> <p>However, there are important ethical questions about what impact AI-enabled health care and related technologies will have on patient-provider relationships and on public trust. For example, will AI tools replace tasks performed by health-care professionals and impact compassionate care delivery?</p> <p><img alt class="media-image attr__typeof__foaf:Image img__fid__10375 img__view_mode__media_large attr__format__media_large" src="/sites/default/files/2019-03-05-Jennifer-Gibson-resized.jpg" style="width: 300px; height: 336px; margin: 10px; float: left;" typeof="foaf:Image">鈥淭his gift will enable us to ensure ethics and social innovation keep pace with the increasing spread of AI technologies in health, and that ethical concerns are addressed proactively, systematically and by design,鈥 said Gibson (pictured left), who is the Sun Life Financial Chair in Bioethics and associate professor in the Institute of Health Policy, Management and Evaluation.</p> <p>The JCB-AMS Healthcare partnership will support interdisciplinary research, scholarship, knowledge creation and translation activities, including pilot studies, seed grant funding and trainee opportunities. It will also build ethics capacity for research and practice of AI in health care by training and mentoring a new generation of ethics researchers and scholars, and integrate ethics knowledge into policy and practice.</p> <p>鈥淲e鈥檙e committed to projects that support compassionate, equitable care. Together with the JCB, we will address ethical issues in the use of AI technologies in health care, particularly their potential impact on the patient-provider relationship and the caring environment,鈥 said Gail Paech, CEO of AMS Healthcare, a nurse and Ontario鈥檚 former assistant deputy minister of health and long-term care.</p> <p>AMS Healthcare aims to promote health-care innovation by supporting leadership development and advancing research in both the humanities and health, ultimately to improve the health of all Canadians.</p> <p>鈥淏y creating a vibrant hub of ethics innovation and practice in a rapidly evolving health environment, this partnership between the JCB and AMS Healthcare demonstrates how our school is at the forefront of change in health,鈥 said Professor <strong>Adalsteinn Brown</strong>, dean of Dalla Lana.</p> <p>&nbsp;</p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Tue, 05 Mar 2019 18:40:30 +0000 noreen.rasbach 154855 at Handing out naloxone doesn't fix opioid crisis: 茄子直播 researchers /news/handing-out-naloxone-doesn-t-fix-opioid-crisis-u-t-researchers <span class="field field--name-title field--type-string field--label-hidden">Handing out naloxone doesn't fix opioid crisis: 茄子直播 researchers</span> <div class="field field--name-field-featured-picture field--type-image field--label-hidden field__item"> <img loading="eager" srcset="/sites/default/files/styles/news_banner_370/public/2018-02-13-naloxone-resized.jpg?h=afdc3185&amp;itok=xWQp0jU6 370w, /sites/default/files/styles/news_banner_740/public/2018-02-13-naloxone-resized.jpg?h=afdc3185&amp;itok=jlrePXYf 740w, /sites/default/files/styles/news_banner_1110/public/2018-02-13-naloxone-resized.jpg?h=afdc3185&amp;itok=1F4DT6Dc 1110w" sizes="(min-width:1200px) 1110px, (max-width: 1199px) 80vw, (max-width: 767px) 90vw, (max-width: 575px) 95vw" width="740" height="494" src="/sites/default/files/styles/news_banner_370/public/2018-02-13-naloxone-resized.jpg?h=afdc3185&amp;itok=xWQp0jU6" alt="Photo of naloxone kit"> </div> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span>noreen.rasbach</span></span> <span class="field field--name-created field--type-created field--label-hidden"><time datetime="2018-02-14T00:00:00-05:00" title="Wednesday, February 14, 2018 - 00:00" class="datetime">Wed, 02/14/2018 - 00:00</time> </span> <div class="clearfix text-formatted field field--name-field-cutline-long field--type-text-long field--label-above"> <div class="field__label">Cutline</div> <div class="field__item">(photo by Jeff Anderson via Flickr)</div> </div> <div class="field field--name-field-author-reporters field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/authors-reporters/nicole-bodnar" hreflang="en">Nicole Bodnar</a></div> </div> <div class="field field--name-field-topic field--type-entity-reference field--label-above"> <div class="field__label">Topic</div> <div class="field__item"><a href="/news/topics/city-culture" hreflang="en">City &amp; Culture</a></div> </div> <div class="field field--name-field-story-tags field--type-entity-reference field--label-hidden field__items"> <div class="field__item"><a href="/news/tags/dalla-lana-school-public-health" hreflang="en">Dalla Lana School of Public Health</a></div> <div class="field__item"><a href="/news/tags/health" hreflang="en">Health</a></div> <div class="field__item"><a href="/news/tags/joint-centre-bioethics" hreflang="en">Joint Centre for Bioethics</a></div> <div class="field__item"><a href="/news/tags/research-innovation" hreflang="en">Research &amp; Innovation</a></div> </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>In the midst of a national opioid crisis, take-home naloxone programs have expanded rapidly, with Ontario鈥檚 Minister of Health and Long-Term Care Dr. Eric Hoskins recently announcing that naloxone kits will be provided to fire and police departments across the province.</p> <p>University of Toronto&nbsp;researchers are questioning whether naloxone distribution might distance people from health-care services or worsen health inequities.</p> <p>鈥淗aving naloxone on hand saves lives. It also brings power back into the hands of people who need it most, including people at risk of opioid poisoning or overdose,鈥 says <strong>Dr. Daniel Buchman</strong>, a bioethicist at the 茄子直播 Joint Centre for Bioethics and one of the lead authors of <a href="https://academic.oup.com/phe/advance-article/doi/10.1093/phe/phy001/4837138">an article published on Feb. 3 in <em>Public Health Ethics</em></a>.</p> <p>鈥淲e also wonder whether naloxone distribution will improve health equity or if it might unintentionally keep people from accessing the health care they need and deserve.鈥</p> <p>Buchman and co-authors explore the history of take-home naloxone, showing that the intervention was developed to avoid the stigma of opioid addiction and overdose.&nbsp;They argue that sidestepping stigma and marginalization doesn鈥檛 always overcome those problems.</p> <p>鈥淧eople are dying from opioid overdose in part because the health-care system has failed to serve them. Handing out naloxone doesn鈥檛 fix that on its own,鈥 says Dr. <strong>Aaron Orkin</strong>, an emergency and public health physician and clinical public health fellow at the Dalla Lana School of Public Health.&nbsp;</p> <p>"We need a seamless and inviting system of care. A system where 911 and paramedicine, hospitals, clinics and emergency departments are the safest, most open and destigmatizing environments for everyone to get care, especially for people who use drugs."</p> <h3><a href="http://gicr.utoronto.ca/support-the-report/">Interested in publicly funded research in Canada? Learn more at 茄子直播鈥檚 #supportthereport advocacy campaign</a></h3> <p>Take-home naloxone programs have expanded quickly in Canada since the opioid antidote became available without a prescription in 2016.&nbsp; In Ontario, naloxone is available for free at many retail pharmacies. Public health units and authors agree that it is an important part of the response to the opioid crisis. It may, however, be considered a Band-Aid&nbsp;solution because the intervention is reactive rather than preventing emergencies, but there are so few interventions that health-care providers can deploy to reduce opioid-related deaths.</p> <p>鈥淲e know that communities where naloxone distribution is commonplace have had fewer opioid-related deaths than communities with less distribution, so that's a pretty amazing Band-Aid,鈥 said Orkin.</p> <p>The trouble is why naloxone distribution is necessary in the first place 鈥 because people who use drugs often cannot access emergency-care systems, for many reasons, including fear of arrest and stigma. Unless naloxone distribution programs are carefully implemented, authors argue that they might reinforce barriers to care experienced by people who use drugs and the resulting health inequities.</p> <p>鈥淲e want to make sure that people have naloxone and the skills to use it,鈥 said Orkin. 鈥淎t the same time, it would be tragic if take-home naloxone programs sent the message that overdose is not a real emergency health-care problem or that people who overdose don't deserve to get care from capable and empathetic providers.鈥</p> <p>Drs. Buchman and Orkin were co-authors on the paper with Professors <strong>Carol Strike</strong> and <strong>Ross Upshur</strong> from the Dalla Lana School of Public Health.</p> <p>Research for the article was supported by the&nbsp;Canadian Institutes of Health Research, the Schwartz/Reisman Emergency Medicine Institute and the University of Toronto department of family and community medicine.</p> <h3><a href="https://academic.oup.com/phe/advance-article/doi/10.1093/phe/phy001/4837138">Read the article&nbsp;in <em>Public Health Ethics</em></a></h3> <p>&nbsp;</p> </div> <div class="field field--name-field-news-home-page-banner field--type-boolean field--label-above"> <div class="field__label">News home page banner</div> <div class="field__item">Off</div> </div> Wed, 14 Feb 2018 05:00:00 +0000 noreen.rasbach 129379 at