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- OPEN ACCESSChildren and youth flourish in environments that are predictable, safe, and structured. The COVID-19 pandemic has disrupted these protective factors making it difficult for children and youth to adapt and thrive. Pandemic-related school closures, family stress, and trauma have led to increases in mental health problems in some children and youth, an area of health that was already in crisis well before COVID-19 was declared a global pandemic. Because mental health problems early in life are associated with significant impairment across family, social, and academic domains, immediate measures are needed to mitigate the potential for long-term sequalae. Now more than ever, Canada needs a national mental health strategy that is delivered in the context in which children and youth are most easily accessible—schools. This strategy should provide coordinated care across sectors in a stepped care framework and across a full continuum of mental health supports spanning promotion, prevention, early intervention, and treatment. In parallel, we must invest in a comprehensive population-based follow-up of Statistics Canada’s Canadian Health Survey on Children and Youth so that accurate information about how the pandemic is affecting all Canadian children and youth can be obtained. It is time the Canadian government prioritizes the mental health of children and youth in its management of the pandemic and beyond.
- OPEN ACCESSWe pursue an evidence-informed argument that interpersonal relationships in childhood and adolescence are central to achieving learning outcomes and that school closures across various parts of Canada during the COVID-19 pandemic have compromised these critical relationships, jeopardizing educational attainment. We highlight how the centrality of relationships with peers and educators in achieving learning goals is well established in the literature. So too is the importance of peers in creating stable mental health and wellness for children and youth. The pandemic context has drastically interfered with ongoing wellness, exacerbating feelings of loneliness and social isolation, which takes a toll on what children and youth can achieve in the virtual classroom. In the interest of reducing harm, we call on provincial/territorial governments to move quickly to ensure schools are open in the fall and to think carefully and consult effectively before any further closure decisions are made. We understand that safety is paramount and as such offer a framework for planning a safe return where necessary. Now more than ever there is a need to prioritize social–emotional learning opportunities to protect young people from the lasting effects of social isolation and threats to the fundamental need to belong that have been induced or exacerbated by the pandemic.
- OPEN ACCESSAs Canada’s schools reopen, attention to healing the school community is essential. Given the considerable stressors of the COVID-19 pandemic, it is unsurprising that recent studies find Canadian children’s mental health in decline. As social connection is tightly entwined with children’s mental health, supporting school-based spaces for quality social interactions and play will be an important postpandemic recovery strategy. Children will need opportunities to re-establish positive social connections at school, and informal spaces such as recess and lunch are an ideal time to afford these opportunities. Yet many schoolyards have long been challenged by social conflict that can interfere with children’s need to connect with peers. Therefore, efforts should be directed not only at mitigating the effects of social harm, but also toward ensuring social and physical landscapes that are meaningful, inclusive, and engaging for children and adolescents of all ages. Recommendations for postpandemic recovery are provided.
- OPEN ACCESSThe COVID-19 pandemic has engendered a critical moment in education. Questions of equity, engagement, and interaction have been brought into sharper focus as students’ homes became their classrooms. There is a demonstrated need for interdisciplinary thinking, enabling students to work with the resources they have at hand, and helping learners orient themselves in place and time. Defining Moments Canada/Moments Déterminant Canada, using the interdisciplinary framework of curatorial thinking, encourages students to make sense of information, more effectively create a meaningful story, and build a stronger sense of social responsibility and awareness. This framework is operationalized using the S.A.S.S. pedagogy—Selecting, Archiving, Sense-Making, and Sharing—through which students find their personal way into a research question and demonstrate their learning while considering narrative intent, evidence limitations, and their own role as a historical actor. This integrative, critical, and interdisciplinary focus is an approach to a (post)pandemic world that prioritizes creative student responsiveness to upcoming challenges.
- OPEN ACCESSThe COVID-19 pandemic has demonstrated that although learning can and sometimes does occur without teaching, on any significant scale, and especially among the most marginalized and vulnerable children, a lot of learning does not occur when children are deprived of teachers and teaching. Any questions of learning loss in the short term and learning transformations in the long run cannot therefore be addressed in any meaningful way without examining the short- and longer-term impacts of the pandemic on losses, gains, and transformations in teachers and teaching. This article analyzes actual and likely pandemic consequences of and insights deriving from remote access, digitally based interactions, and physical distancing in relation to three core characteristics of teaching and teacher quality. These are the development of “teacher expertise”, the nature of teaching as an “emotional practice” in which the well-being of students and teachers is reciprocally interrelated, and the ways in which external changes either enrich or deplete teacher’s “professional capital”, especially their “social capital”. Beyond post-pandemic narratives of educational doom on the one hand and of jubilant celebrations of bright spots and silver linings on the other, the article concludes that the future of teaching after COVID-19 will actually be complex, uncertain, and contingent on the policy decisions and professional directions that are set out in the recommendations to this report.
- OPEN ACCESSDefined as the ability to think and move quickly and easily, the importance of agility as an essential element in the move forward for leaders of schools and systems postpandemic, as a result of the impact of COVID-19 on children, is examined. The smartness of a leader’s continuous interactions with the multi-faceted features of their environment, the very nature of the ever-evolving educational landscape of today, is of tremendous value for the leadership of tomorrow. Through the prioritization of strategic objectives in balanced measure, connectivity through relationships and partnership building, proactivity for effective change management, ingenuity in the optimization of resources over time, and the cultivation of systemness throughout the organization—as aspects of agility—educational leaders have the bona fide chance of a lifetime to transform school systems in the pursuit of achievement, equity, and well-being for the benefit of all students, staff, and school communities. Additional considerations, including barriers to agility, are also addressed as are recommendations for leaders of schools and systems as they navigate the shifts in organizational terrain caused by the disruption.
- OPEN ACCESS
- A. Bryndum-Buchholz,
- K. Boerder,
- R.R.E. Stanley,
- I. Hurley,
- D.G. Boyce,
- K.M. Dunmall,
- K.L. Hunter,
- H.K. Lotze,
- N.L. Shackell,
- B. Worm, and
- D.P. Tittensor
Climate change and biodiversity loss are twin crises that are driving global marine conservation efforts. However, if unaccounted for, climate change can undermine the efficacy of such efforts. Despite this, integration of climate change adaptation and resilience into spatial marine conservation and management has been limited in Canada and elsewhere. With climate change impacts becoming increasingly severe, now is the time to anticipate and reduce impacts wherever possible. We provide five recommendations for an inclusive, proactive, climate-ready approach for Canada’s growing marine conservation network: (1) integrating climate-resilience as a universal objective of the Canadian Marine Conservation Network, creating and implementing (2) national transdisciplinary working groups with representation from all knowledge holders and (3) necessary tools that integrate climate change into conservation design, (4) defining operational and climate-relevant monitoring and management objectives, and (5) strengthening communication and increasing knowledge exchange around the roles and benefits of protected areas within government and towards the public. Canada’s extensive marine and coastal areas reflect national and international responsibility to engage on this issue. Canada is well positioned to assume a leading role in climate change adaptation for marine conservation and help accelerate progress towards international commitments around mitigating ongoing biodiversity loss and climate change. - OPEN ACCESS
- Sharon E. Straus,
- Brian Hutton,
- David Moher,
- Shannon E. Kelly,
- George A. Wells, and
- Andrea C. Tricco
In 2009, the Canadian Institutes of Health Research, Health Canada, and other stakeholders established the Drug Safety and Effectiveness Network (DSEN) to address the paucity of information on drug safety and effectiveness in real-world settings. This unique network invited knowledge users (e.g., policy makers) to submit queries to be answered by relevant research teams. The research teams were launched via open calls for team grants focused in relevant methodologic areas. We describe the development and implementation of one of these collaborating centres, the Methods and Application Group for Indirect Comparisons (MAGIC). MAGIC was created to provide high-quality knowledge synthesis including network meta-analysis to meet knowledge user needs. Since 2011, MAGIC responded to 54% of queries submitted to DSEN. In the past 5 years, MAGIC produced 26 reports and 49 publications. It led to 15 trainees who entered industry, academia, and government. More than 10 000 people participated in courses delivered by MAGIC team members. Most importantly, MAGIC knowledge syntheses influenced practice and policy (e.g., use of biosimilars for patients with diabetes and use of smallpox vaccinations in people with contraindications) provincially, nationally, and internationally. - OPEN ACCESS
- Samira Mubareka,
- John Amuasi,
- Arinjay Banerjee,
- Hélène Carabin,
- Joe Copper Jack,
- Claire Jardine,
- Bogdan Jaroszewicz,
- Greg Keefe,
- Jonathon Kotwa,
- Susan Kutz,
- Deborah McGregor,
- Anne Mease,
- Lily Nicholson,
- Katarzyna Nowak,
- Brad Pickering,
- Maureen G. Reed,
- Johanne Saint-Charles,
- Katarzyna Simonienko,
- Trevor Smith,
- J. Scott Weese, and
- E. Jane Parmley
Given the enormous global impact of the COVID-19 pandemic, outbreaks of highly pathogenic avian influenza in Canada, and manifold other zoonotic pathogen activity, there is a pressing need for a deeper understanding of the human-animal-environment interface and the intersecting biological, ecological, and societal factors contributing to the emergence, spread, and impact of zoonotic diseases. We aim to apply a One Health approach to pressing issues related to emerging zoonoses, and propose a functional framework of interconnected but distinct groups of recommendations around strategy and governance, technical leadership (operations), equity, education and research for a One Health approach and Action Plan for Canada. Change is desperately needed, beginning by reorienting our approach to health and recalibrating our perspectives to restore balance with the natural world in a rapid and sustainable fashion. In Canada, a major paradigm shift in how we think about health is required. All of society must recognize the intrinsic value of all living species and the importance of the health of humans, other animals, and ecosystems to health for all. - OPEN ACCESS
- Gail Tomblin Murphy,
- Tara Sampalli,
- Lisa Bourque Bearskin,
- Nancy Cashen,
- Greta Cummings,
- Annette Elliott Rose,
- Josephine Etowa,
- Doris Grinspun,
- Esyllt W. Jones,
- Mélanie Lavoie-Tremblay,
- Kathleen MacMillan,
- Cindy MacQuarrie,
- Ruth Martin-Misener,
- Judith Oulton,
- Rosemary Ricciardelli,
- Linda Silas,
- Sally Thorne, and
- Michael Villeneuve
Nurses represent the highest proportion of healthcare workers globally and have played a vital role during the COVID-19 pandemic. The pandemic has shed light on multiple vulnerabilities that have impacted the nursing workforce including critical levels of staffing shortages in Canada. A review sponsored by the Royal Society of Canada investigated the impact of the pandemic on the nursing workforce in Canada to inform planning and implementation of sustainable nursing workforce strategies. The review methods included a trend analysis of peer-reviewed articles, a jurisdictional scan of policies and strategies, analyses of published surveys and interviews of nurses in Canada, and a targeted case study from Nova Scotia and Saskatchewan. Findings from the review have identified longstanding and COVID-specific impacts, gaps, and opportunities to strengthen the nursing workforce. These findings were integrated with expert perspectives from national nursing leaders involved in guiding the review to arrive at recommendations and actions that are presented in this policy brief. The findings and recommendations from this policy brief are meant to inform a national and sustained focus on retention and recruitment efforts in Canada. - OPEN ACCESS
- R.T. Noel Gibney,
- Cynthia Blackman,
- Melanie Gauthier,
- Eddy Fan,
- Robert Fowler,
- Curtis Johnston,
- R. Jeremy Katulka,
- Samuel Marcushamer,
- Kusum Menon,
- Tracey Miller,
- Bojan Paunovic, and
- Teddie Tanguay
The COVID-19 pandemic has exposed the precarious demand-capacity balance in Canadian hospitals, including critical care where there is an urgent need for trained health care professionals to dramatically increase ICU capacity.The impact of the pandemic on ICUs varied significantly across the country with provinces that implemented public health measures later and relaxed them sooner being impacted more severely. Pediatric ICUs routinely admitted adult patients. Non-ICU areas were converted to ICUs and staff were redeployed from other essential service areas. Faced with a lack of critical care capacity, triage plans for ICU admission were developed and nearly implemented in some provinces.Twenty eight percent of patients in Canadian ICUs who required mechanical ventilation died. Surviving patients have required prolonged ICU admission, hospitalization and extensive ongoing rehabilitation. Family members of patients were not permitted to visit, resulting in additional psychological stresses to patients, families, and healthcare teams. ICU professionals also experienced extreme psychological stresses from caring for such large numbers of critically ill patients, often in sub-standard conditions. This resulted in large numbers of health workers leaving their professions.This pandemic is not yet over, and it is likely that new pandemics will follow. A review and recommendations for the future are provided. - OPEN ACCESSAcademic scientists face an unpredictable path from plant biology research to real-life application. Fundamental studies of γ-aminobutyrate and carotenoid metabolism, control of Botrytis infection, and the uptake and distribution of mineral nutrients illustrate that most academic research in plant biology could lead to innovative solutions for food, agriculture, and the environment. The time to application depends on various factors such as the fundamental nature of the scientific questions, the development of enabling technologies, the research priorities of funding agencies, the existence of competitive research, the willingness of researchers to become engaged in commercial activities, and ultimately the insight and creativity of the researchers. Applied research is likely to be adopted more rapidly by industry than basic research, so academic scientists engaged in basic research are less likely to participate in science commercialization. It is argued that the merit of Discovery Grant applications to the Natural Sciences and Engineering Research Council (NSERC) of Canada should not be evaluated for their potential impact on policy and (or) technology. Matching industry funds in Canada rarely support the search for knowledge. Therefore, NSERC Discovery Grants should fund basic research in its entirety.
- OPEN ACCESS
- Steve E. Hrudey,
- Heather N. Bischel,
- Jeff Charrois,
- Alex H. S. Chik,
- Bernadette Conant,
- Rob Delatolla,
- Sarah Dorner,
- Tyson E. Graber,
- Casey Hubert,
- Judy Isaac-Renton,
- Wendy Pons,
- Hannah Safford,
- Mark Servos, and
- Christopher Sikora
Wastewater surveillance for SARS-CoV-2 RNA is a relatively recent adaptation of long-standing wastewater surveillance for infectious and other harmful agents. Individuals infected with COVID-19 were found to shed SARS-CoV-2 in their faeces. Researchers around the world confirmed that SARS-CoV-2 RNA fragments could be detected and quantified in community wastewater. Canadian academic researchers, largely as volunteer initiatives, reported proof-of-concept by April 2020. National collaboration was initially facilitated by the Canadian Water Network.Many public health officials were initially skeptical about actionable information being provided by wastewater surveillance even though experience has shown that public health surveillance for a pandemic has no single, perfect approach. Rather, different approaches provide different insights, each with its own strengths and limitations. Public health science must triangulate among different forms of evidence to maximize understanding of what is happening or may be expected. Well-conceived, resourced, and implemented wastewater-based platforms can provide a cost-effective approach to support other conventional lines of evidence. Sustaining wastewater monitoring platforms for future surveillance of other disease targets and health states is a challenge. Canada can benefit from taking lessons learned from the COVID-19 pandemic to develop forward-looking interpretive frameworks and capacity to implement, adapt, and expand such public health surveillance capabilities. - OPEN ACCESSAlthough Canada’s oceans are a public resource, commercial fisheries data are routinely withheld from researchers and the general public by Fisheries and Oceans Canada (DFO) due to privacy obligations. However, data can be released if considered sufficiently de-personalized through an internal guideline called the “rule of five,” under which data sources are aggregated to a threshold of five to allow for data publication or disclosure. This article provides an overview of the “rule of five,” summarizes key legislative provisions that have bearing on the “rule” and potential for its reform, and discusses the findings from two tools used to collect information on the “rule” and its use in Canada: (1) an Access to Information and Privacy request and (2) an anonymous survey conducted to evaluate the impacts of the “rule” on various stakeholders. The “rule of five” is not mandatory but rather represents a conservative approach to access to information that can be detrimental to independent researchers and the public interest in transparent fisheries data. The article concludes with recommendations to further a rebalancing of privacy and access to information, including emphasizing existing legislative exemptions that could allow for data disclosure when the “rule of five” is not met.