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Toronto mayor calls for national summit to tackle mental health crisis

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Toronto – Canada’s mental health crisis demands a national summit with representation from all levels of government, Toronto Mayor John Tory said Wednesday, claiming a lack of provincial and federal support is offloading responsibilities onto “ill-equipped” municipalities.

In a statement Wednesday morning, Tory called for a summit that would see mayors, ministers, premiers and the prime minister discuss how better to support people living with mental health and addictions challenges.

Coming out of the COVID-19 pandemic, Tory said the lack of spending on mental health is “painfully clear on the streets” of Canadian municipalities.

“This summit must be the moment we start treating mental health care as health care. That we clearly decide on who has responsibility to do what, and to get on with doing much more together,” he said.

The mayor has routinely linked with issues of mental health support with recent random violent attacks on Toronto public transit. The city’s transit system has seen three incidents in the past four days alone.

After a woman was stabbed to death during a random attack on a subway in mid-December, Tory said more mental health investments were required to ensure people in crisis had places to go other than the transit system.

“When the federal and provincial governments don’t fully and adequately fund mental health care, the responsibility is offloaded to ill-equipped municipalities across Canada,” he said in Wednesday’s statement.

“It is offloaded to our shelters, to our police services, to our transit systems, and to hospital emergency departments.”

The best evidence of the ongoing mental health crisis is issues related to substance abuse, Tory said, noting the thousands of people who have died from opioid overdoses.

Tory says he first made the proposal for a national mental health summit directly to Prime Minister Justin Trudeau in December.

“Three years ago, we confronted the COVID-19 pandemic and in that moment all governments worked together to help people and to help each other get through those tough times,” Tory said in the statement.

“Now we are facing a mental health crisis that requires that same level of dedication, co-operation and commitment.”

This report by The Canadian Press was first published Jan. 25, 2023.

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Job opportunities: Red Deer Primary Care Network hiring a Support Nurse and a Pharmacist

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Please forward these postings to potential applicants

Support Nurse
(Panel Manager/Practice Facilitator)
Temporary Full Time Position (1 year with possibility to extend)

Our Support Nurses are excited about being part of an innovative organization that puts patients first. Continuous quality improvement is in our DNA.

A day in the life of a Support Nurse at the Red Deer Primary Care Network includes:

 Identifying patient panels with physicians and clinic staff
 Collaborating with a team of RDPCN family physicians and other health care professionals to engage, encourage and support patient health
 Prevention and health promotion through routine screening according to guidelines

If you:

 are a Licensed Practical Nurse
 hold membership in good standing with CLPNA,
 have experience with excel and word,
 Mandatory COVID-19 immunization policy in effect.

Act Now. APPLY

See our website for full job description. Submit your curriculum vitae to [email protected] or by fax to 403.342.9502

Only candidates selected for an interview will be contacted. Open until suitable candidate is found

Pharmacist
(0.8 – 1.0 FTE Permanent)

We are seeking a qualified Pharmacist with exceptional communication skills to fill a permanent 0.8-1.0 FTE. The Pharmacist will enhance primary care through the provision of services for patients in the patient’s medical home. Within the generalist pharmacist role, you will provide pharmacy services to the population of patients seen by the family physician. Areas of focus include structured medication reviews relating to chronic pain management and geriatric assessment, as well as other medication.

We are looking for someone who has:

 A multidisciplinary team philosophy.
 Recent complex care clinical experience
 Must have strong values towards teamwork and interpersonal skills.
 Excellent knowledge of community resources.
 Current professional registration
 Mandatory COVID-19 immunization policy in effect.

Act Now and Apply

Submit your curriculum vitae to [email protected] or by fax to 403.342.9502

Only selected candidates for an interview will be contacted.

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Health

What to know about new research on coffee and heart risks

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A worker prepares a coffee drink at a shop in Overland Park, Kan., Thursday, Aug. 14, 2008. In a study published in the New England Journal of Medicine on Wednesday, March 22, 2023, healthy volunteers who were asked to drink coffee or skip it on different days showed no signs of an increase in a certain type of heart rhythm after sipping the caffeinated drinks, although they did walk more and sleep less. (AP Photo/Orlin Wagner)

By Jonel Aleccia

Coffee lovers — and their doctors — have long wondered whether a jolt of java can affect the heart. New research published Wednesday finds that drinking caffeinated coffee did not significantly affect one kind of heart hiccup that can feel like a skipped beat.

But it did signal a slight increase in another type of irregular heartbeat in people who drank more than one cup per day. And it found that people tend to walk more and sleep less on the days they drank coffee.

Coffee is one of the most common beverages in the world. In the U.S., two-thirds of Americans drink coffee every day, more than bottled water, tea or tap water, according to the National Coffee Association, a trade group. Coffee contains caffeine, a stimulant, which is widely regarded as safe for healthy adults at about 400 milligrams per day, or roughly the equivalent of four or five cups brewed at home.

Coffee has been associated with multiple health benefits and even a lower risk of dying, based on large studies that observed participants’ behavior. Despite research that has shown moderate coffee consumption doesn’t raise the risk of heart rhythm problems, some professional medical societies still caution against consuming caffeine.

The latest research:

THE EXPERIMENT

Researchers outfitted 100 healthy volunteers with gadgets that continuously monitored their heart function, daily steps, sleep patterns and blood sugar. The volunteers, who were mostly younger than 40, were sent daily text messages over two weeks instructing them to drink or avoid caffeinated coffee on certain days. The results were reported Wednesday in the New England Journal of Medicine.

This type of study, which directly measures the biological effects of drinking or not drinking caffeinated coffee in the same people, is rare and provides a dense array of data points, said study co-author Dr. Gregory Marcus, a cardiologist at the University of California, San Francisco, who specializes in treating heart arrhythmias.

THE FINDINGS

Researchers found that drinking caffeinated coffee did not result in more daily episodes of extra heartbeats, known as premature atrial contractions. These extra beats that begin in the heart’s upper chambers are common and typically don’t cause problems. But they have been shown to predict a potentially dangerous heart condition called atrial fibrillation.

They also found slight evidence of another kind of irregular heartbeat that comes from the lower heart chambers, called premature ventricular contractions. Such beats are also common and not usually serious, but they have been associated with a higher risk of heart failure. The researchers found more of these early beats in people on the days they drank coffee, but only in those who drank two or more cups per day.

The volunteers logged about 1,000 more steps per day on the days they drank coffee — and they slept about 36 minutes less, the study found. There was almost no difference in blood sugar levels.

One interesting result: People with genetic variants that make them break down caffeine faster experienced less of a sleep deficit, while folks with variants that lead them to metabolize caffeine more slowly lost more sleep.

WHAT IT MEANS FOR YOU

Because the study was performed in a small number of people over a short period of time, the results don’t necessarily apply to the general population, said Dr. Dave Kao, a cardiologist and health data expert at the University of Colorado School of Medicine, who was not involved in the study. However, the study is consistent with others that have found coffee is safe and it offers a rare controlled evaluation of caffeine’s effect, Kao added.

Co-author Marcus cautions that the effects of drinking coffee can vary from person to person. He said he advises his patients with heart arrhythmias to experiment on their own to see how caffeine affects them.

“They’re often delighted to get the good news that it’s OK to try coffee and drink coffee,” he said.

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