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  • OPEN ACCESS
    Providing valid evidence for decision-making: the Drug Safety and Effectiveness Network Methods and Applications Group in Indirect Comparisons (DSEN MAGIC)
    FACETS • Vol. 7 • pp. 809 - 821
    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
    Protecting expert advice for the public: promoting safety and improved communications
    FACETS • Vol. 7 • pp. 482 - 508
    The drivers of the harassment and intimidation of researchers are complex, widespread, and global in their reach and were being studied across many disciplines even before COVID-19. This policy briefing reviews some of the scholarship on this wide-ranging problem but focuses on what can be done to help ensure that Canadians fully benefit from the work of Canada’s researchers while also preserving the security and safety of those researchers. It identifies policies and actions that can be implemented in the near term to gather information on the problem, better frame public research communications, and ensure that mechanisms are readily available to support researchers who are threatened. The policy briefing is concerned with researchers, but these behaviours are also harming journalists, politicians, public health communicators, and many others more fully in the public eye than researchers. Some recommendations here may help to address this wider problem.
  • OPEN ACCESS
    Strengthening a One Health approach to emerging zoonoses
    FACETS • Vol. 8 • pp. 1 - 64
    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
    Investing in Canada’s nursing workforce post-pandemic: A call to action
    FACETS • Vol. 7 • pp. 1051 - 1120
    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
    COVID-19 pandemic: the impact on Canada’s intensive care units
    FACETS • Vol. 7 • pp. 1411 - 1472
    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 ACCESS
    From plant biology research to technology transfer and knowledge extension: improving food quality and mitigating environmental impacts
    FACETS • Vol. 7 • pp. 1028 - 1050
    Academic 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
    Wastewater Surveillance for SARS-CoV-2 RNA in Canada
    FACETS • Vol. 7 • pp. 1493 - 1597
    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 ACCESS
    Balancing privacy with access to information for commercial fisheries data: A critical review of Fisheries and Oceans Canada’s “rule of five” policy
    FACETS • Vol. 8 • pp. 1 - 11
    Although 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.
  • OPEN ACCESS
    A prospective framework to support climate-adaptive fisheries in Canada
    FACETS • Vol. 8 • pp. 1 - 15
    Climate change affects virtually all marine life and is increasingly a dominant concern for fisheries, reinforcing the need to incorporate climate variability and change when managing fish stocks. Canada is expected to experience widespread climate-driven impacts on its fisheries but does not yet have a clear adaptation strategy. Here, we provide an overview of a project we are developing, the Climate Adaptation Framework for Fisheries, to address this need and support climate adaptation in Canadian marine fisheries. The framework seeks to quantitatively and flexibly evaluate species, fishing infrastructure, and the management and operation of fisheries to assess climate vulnerability comprehensively and provide outputs that can support climate adaptation planning across different sectors, agencies, and stakeholders. This new framework should allow future climate scenarios to be evaluated and identify actionable climate vulnerabilities related to the management of fisheries, creating a systematic approach to supporting climate adaptation in Canada’s fisheries.