Archive for the ‘Health’ Category

Transparency (Hopefully) Coming To Clinic Inspections

- January 30th, 2013

The College of Physicians and Surgeons of Ontario is holding a special meeting Thursday to decide if there should be more transparency in its out-of-hospital inspection program.

Here’s the full report for the college’s council.

Basically, the council will decide if it should post results of those clinics that fail inspections on its website. The executive committee has already agreed to the move.

There’s plenty of mystery surrounding the new out-of-hospital inspection program. The college doesn’t really talk about the aftermath of an inspection, leaving patients asking questions that aren’t answered.

It hits home in Ottawa since an endoscopy clinic failed an inspection almost two years ago and there has been no update since then.

Seems like a no-brainer to me.

Public Health’s Farazli Correspondence

- January 17th, 2013

I have spent several days going through a stack of internal communications related to the Ottawa public health response to the investigation of Dr. Christiane Farazli.

You’ll remember that Farazli has been under review by the College of Physicians and Surgeons of Ontario after her endoscopy clinic failed an inspection in May 2011. The college says the clinic wasn’t properly cleaning equipment between patients. That prompted public health to notify about 6,800 of Farazli’s patients about the inspection.

The email trail between public health, the college, the Ministry of Health and Public Health Agency Ontario is what you would expect when a major health problem pops up — there’s back and forth about responsibilities and how to communicate the issue to patients and the public.

There’s nothing in the documents — which I received through access to information and which were partially blanked out, citing legal/privacy reasons — that tell us much more than what we already know about the investigation.

One thing is for certain: This was a first for the public health unit. It had to dip into literature and research to determine how they would measure the risk to patients. “This is new work for us, as we have never conducted a risk assessment such as the one required for this situation,” program manager Brenda MacLean told a manager at Public Health Agency Ontario in August 2011.

Indeed, as Dr. Isra Levy, the city’s medical officer of health, has already suggested, public health had its hand forced by the media — particularly, it appears, the Sun and CBC — who were sniffing around the story before it went public. Sensing the story was about to break, Levy called a snap press conference on a Saturday to make sure the facts were out there without panicking the city.

“I decided to move to contain the story as much as possible with accurate information because I judged this approach to be wiser than the other options to the interests of potentially affected patients and to the overall public interest objectives that have motivated me in this matter,” Levy told health professionals, including Ontario’s chief medical officer of health Dr. Arlene King, in an email on Oct. 16, 2011, a day after that first press conference.

It’s worth noting that although we haven’t heard much from Farazli about the whole ordeal, the documents suggest she was co-operative with public health. Interestingly, she says in one email to public health that her Carling Ave. endoscopy suite in question is “permanently closed.”

A lawsuit by her patients is still sitting in court (the allegations haven’t been tested). As for the college’s investigation, it’s been quietly ongoing ever since the inspection.

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Follow City Hall reporter Jon Willing on Twitter at @JonathanWilling and at ottawasun.com.

Downtown Pub’s “Lifeline” Is Smokers

- January 31st, 2012

I caught up to Alex Munro today to ask him about the city’s proposal to ban smoking on restaurant patios. I was particularly interested in his thoughts since he’s the VP of the Heart and Crown Irish Pubs group, which owns James Street Pub, at the corner of Bank St. in Centretown.

I have been a customer of the pub and noticed the patio is incredibly popular with smokers. For whatever reason, it seems there’s more smoking happening on that patio than any other in the neighbourhood. Munro agreed the patio is a magnet for smokers and he suggested there’s a high demographic of blue-collar workers who come to the pub.

Smokers, Munro said, are the “lifeline” of that particular pub. He suggested the city’s no-smoking proposal for patios could sink the establishment completely.

Of course, we don’t really know what’s going to happen until the bylaw comes into force and the summer hits. But I can see how Munro would be concerned about patrons smoking on the sidewalk and leaning over the railing for a sip of their drinks. Liquor inspectors would certainly swoop in.

As an aside, talking to Munro also gave me the opportunity to ask him about rumours that the pub was being turned into condos. The rumours, as it turns out, were true, but Munro said those plans have been shelved. The idea was to keep the pub on the ground floor of a condo building.

Smoking Ban For Housing Units Might Go Too Far: Blais

- January 4th, 2012

Ottawa Community Housing is looking into strict smoking bans for its residences, so I was naturally interested in hearing what Cumberland Coun. Stephen Blais thought about the idea.

Blais has positioned himself as a vocal anti-smoking advocate on council after winning support to have public health research a smoking ban for beaches, parks and restaurant patios.

After reading today’s story, Blais isn’t sure OCH should police smoking in individual units.

“My initial reaction is I think it infringes on personal space,” Blais said.

“If you’re in the privacy of your own home, your behaviour is only affecting you and your guests.”

He said he only reasonable argument to banning smoking in existing OCH buildings is if the smoke is damaging the units, which are essentially city property, but that’s “even a stretch.”

Blais said he’s encouraged OCH is committing to a full consultation as part of its year-long study.

Backyard Chicken Debate Re-Hatched

- December 2nd, 2011

The chicken-champions are flocking to councillors again looking for support to allow backyard hens in Ottawa.

Some councillors have received a letter from Urban Hens Ottawa (UHO) asking for support to amend a city bylaw to allow people to keep egg-producing chickens.

“Our growing number of supporters believe that responsible urban chicken ownership is a vital part of sustainable urban agriculture and is a valuable component of ways that Ottawa residents can regain greater control over their food sources,” the letter says.

Allowing backyard hens would make Ottawa one of the “forward-thinking” North American cities, the group says.

Of course, the backyard hens debate hatched last year in Ottawa. The last group promoting the idea (Canadians Liberating Urban Chickens Klub, or CLUCK) even had former councillor Alex Cullen bring a motion to committee to try a one-year pilot project. The motion was withdrawn because the group wasn’t ready yet.

It appears CLUCK has morphed into UHO after some kind of meeting last June.

I don’t know if the website is up-to-date, but UHO’s proposal is here.