One of many troubling trends in neonatal and maternal health in the US. I thought the multi-faceted nature of this issue was particularly interesting. Some regions are still testing but not...
One of many troubling trends in neonatal and maternal health in the US. I thought the multi-faceted nature of this issue was particularly interesting. Some regions are still testing but not getting treatment to patients, others have had testing resources gutted.
Thank you for the link. This is particularly tragic. It was nearly not a problem, but despite modern years and advances and more wealth, it became a new and huge problem. But. What about Canada,...
Thank you for the link.
Syphilis was nearly eliminated in the United States about 20 years ago,
This is particularly tragic. It was nearly not a problem, but despite modern years and advances and more wealth, it became a new and huge problem.
But. What about Canada, where we have free health care and free pre/post natal care and a much longer maternity leave?
Cases shot up 1346% in one province and fell 55% in another, while some have so few cases it wasn't even included in the infographic. It doesn't seem to divide cleanly across poor vs rich provinces either: one of the territories are doing terrible while others seem fine; one of the Maritimes isn't like the other; what makes SK so much worse than the other prairies?
We've been having Dr shortage crisis for years (along with housing and affordability et al). In particular, the Maritimes are so desperately poor and without, and dealing with much older population with more needs, and yet from this map it seems they're doing the most alright: only NB saw 43% increase while other provinces actually decreased. We saw this strange effect as well during the pandemic where we had the Maritimes Bubble, where folks did alright comparatively. Which is even stranger given their well known hospitable and friendly culture. For example, in cape Breton at least, trick or treating kids are expected to come right inside the house and get candy in the kitchen as opposed to waiting at the door. Climate doesn't explain this either: they're way warmer than the prairies or even Ontario.
So ..... Cutting services can't help. But it doesn't seem to be the only thing either. Could it be also in part a breaking down of public trust in the western medicinal health system?
Not knowing CA as well, does the increase map to First Nations populations? I found this article https://maphealth.ca/syphilis-in-babies-skyrocket-in-canada That suggests that causal effects are...
Not knowing CA as well, does the increase map to First Nations populations?
That suggests that causal effects are access to health care by indigenous people and general increase in methamphetamine use.
While trust in the medical system has gone down, I wonder if it's also about who has been able to staff their medical system, who's cut access to national healthcare. Even a wealthy area might reprioritize money from a "non problem" to a "new problem"
That's a very interesting read. They pointed to indigenous communities and drug use as causes. That's news to me but makes sense: when infrastructure is failing, they don't fail to the same degree...
That's a very interesting read. They pointed to indigenous communities and drug use as causes. That's news to me but makes sense: when infrastructure is failing, they don't fail to the same degree to everyone, it's disadvantaged populations that get hit first and harder.
I also found this PubMed study on how much money we can save if we tackle this correctly:
The cost of applying three-time prenatal syphilis screening to all 16,800 yearly pregnancies in Manitoba equalled CAD $139,608.00 per year. The direct short-term cost of treating one uncomplicated case of congenital syphilis was $18,151.40. As 81 cases of congenital syphilis were treated in Manitoba in 2021, the short-term direct cost of treating congenital syphilis in Manitoba in 2021 was $1,470,263.40. Applying screening costs to the 125 adequately prevented cases of congenital syphilis in 2021, the screening program is associated with a cost-avoidance ratio of 16.25. If no prenatal syphilis program existed in Manitoba, an expanded screening program would be associated with a cost-avoidance ratio of 26.8.
One of many troubling trends in neonatal and maternal health in the US. I thought the multi-faceted nature of this issue was particularly interesting. Some regions are still testing but not getting treatment to patients, others have had testing resources gutted.
Gifted link.
Thank you for the link.
This is particularly tragic. It was nearly not a problem, but despite modern years and advances and more wealth, it became a new and huge problem.
But. What about Canada, where we have free health care and free pre/post natal care and a much longer maternity leave?
Canada isn't doing so well either. statistic Canada infographic
Cases shot up 1346% in one province and fell 55% in another, while some have so few cases it wasn't even included in the infographic. It doesn't seem to divide cleanly across poor vs rich provinces either: one of the territories are doing terrible while others seem fine; one of the Maritimes isn't like the other; what makes SK so much worse than the other prairies?
We've been having Dr shortage crisis for years (along with housing and affordability et al). In particular, the Maritimes are so desperately poor and without, and dealing with much older population with more needs, and yet from this map it seems they're doing the most alright: only NB saw 43% increase while other provinces actually decreased. We saw this strange effect as well during the pandemic where we had the Maritimes Bubble, where folks did alright comparatively. Which is even stranger given their well known hospitable and friendly culture. For example, in cape Breton at least, trick or treating kids are expected to come right inside the house and get candy in the kitchen as opposed to waiting at the door. Climate doesn't explain this either: they're way warmer than the prairies or even Ontario.
So ..... Cutting services can't help. But it doesn't seem to be the only thing either. Could it be also in part a breaking down of public trust in the western medicinal health system?
Not knowing CA as well, does the increase map to First Nations populations?
I found this article
https://maphealth.ca/syphilis-in-babies-skyrocket-in-canada
That suggests that causal effects are access to health care by indigenous people and general increase in methamphetamine use.
While trust in the medical system has gone down, I wonder if it's also about who has been able to staff their medical system, who's cut access to national healthcare. Even a wealthy area might reprioritize money from a "non problem" to a "new problem"
That's a very interesting read. They pointed to indigenous communities and drug use as causes. That's news to me but makes sense: when infrastructure is failing, they don't fail to the same degree to everyone, it's disadvantaged populations that get hit first and harder.
I also found this PubMed study on how much money we can save if we tackle this correctly: