Gabriel Fabreau MD, MPH, FRCPC

📣 Share it.
📣 Teach it.
📣 Use it.
This is our chance to shape systems that serve everyone.

#HealthEquity #HealthJustice @refugeehealth.bsky.social
@unhcr.org @who.int @ucalgarymed.bsky.social @msf.ca @uwmedicine.bsky.social @unil.bsky.social @mcgill.ca

fin

The Halifax Declaration: protecting health, dignity, and human rights in an era of forced displacement

Whether you’re a policymaker, provider, researcher, or advocate—this Declaration is for you.
Use it to inform practice, policy, education, and reform.
🗣️ It’s free & open-access: sciencedirect.com/science/arti...
#HalifaxDeclaration #HealthEquity

4/5

What makes it unique?

✅ Grounded in lived experience
✅ Guided by frontline and global experts
✅ Backed by research & global consensus
✅ Endorsed by the
@RefugeeSociety
, Lancet Migration Regional Hub Europe
✅ Written by a truly global all-star co-author team

3/5

Co-created by ~300 delegates from many countries, at the International Refugee and Migration Health Conference in #Halifax, it outlines 11 urgent principles & recommendations to build health systems that protect dignity, rights & health of displaced populations globally.

2/5

The Halifax Declaration: protecting health, dignity, and human rights in an era of forced displacement

🚨 NEW in The Lancet Regional Health – Europe:
The Halifax Declaration—a global call to action for refugee and migrant health—has been published.
📄 Read here: sciencedirect.com/science/arti...

🧵👇
@TheLancet

On Feb. 15, José Manuel Ramos Bastidas called his wife from inside a Texas immigration detention facility.

He asked her to record a message, “just in case something happens to me.”

Thread 👇

Thank you @gabefabreau.bsky.social and Yasir Essar for sharing this powerful Opinion piece with us. We will continue to shine a spotlight on this throughout the year...

Measles 'out of control,' experts warn, as Alberta case counts surpass 1,000 | CBC News Alberta's measles outbreaks have now eclipsed the 1,000 case milestone and infectious diseases specialists are warning the virus is likely "impossible to contain," given the current level of transmiss...

The current state of #publichealth in #AB has gone backwards by 50yrs.

"The risk, right now, of your child getting #measles in Alberta if they're not immunized is pretty high."

There will be child deaths & permanent disability. All preventable.

#ableg #abpoli

www.cbc.ca/news/canada/...

Thank you kindly for sharing @madhupai.bsky.social. So very proud of and inspired by @yasiressar.bsky.social

#WorldRefugeeDay

"Refugees share the same aspirations for safety, belonging and opportunity as others. Yet structural barriers persistently prevent them from rebuilding their lives and contributing fully..."

@yasiressar.bsky.social & @gabefabreau.bsky.social @plosmentalhealth.org

journals.plos.org/mentalhealth...

🌍 Today is #WorldRefugeeDay.
122M+ people are forcibly displaced, and youth are hardest hit.

So proud of Yasir Essar:
“Community as a Superpower” in @plosmentalhealth.org

Yasir’s story—from Kabul to Canadian academia—shows the power of inclusion, education, & mentorship.
doi.org/10.1371/jour...

After a 3yr nightmare of #COVID19 we have learned absolutely nothing about #publichealth in #AB…

“Alberta's #measles surge is so dramatic, the last time case counts were higher Calgary did not have an NHL team, O Canada was not yet the official national anthem…”

www.cbc.ca/news/canada/...

Opinion: What does it mean to be Albertan in Canada? Lessons from refugee resettlement our strength lies not in anger or exclusion, but in the opportunities we extend to others who come as refugees, who then thrive.

Our latest op-ed in the @calgaryherald.com

Taking care of the world’s refugees brings out the best in all Albertans

#Alberta #refugees #Canada #refugeeswelcome

calgaryherald.com/opinion/colu...

1/7 ⛔ ALBERTA CRIPPLING RENEWABLE ENERGY INVESTMENT ⛔

"Renewable cleanup rules making Alberta less competitive for investment: report"

Alberta now has the MOST COSTLY reclamation rules of 27 jurisdictions studied.

The province that should lead is falling behind.
#Alberta #ABpoli #RenewableEnergy

Albertan nurses, paramedics, and teachers have been fighting for higher pay, better working conditions, and more staff for years. But the province has shifted its attention from the workers it already has to the ones it aims to attract from afar. thewalrus.ca/alberta-is-strug...

This is extremely important. Take a moment to read the article.👇
A physician has been intimidated and harassed simply for advocating for better care for pts.
There are no meaningful whistleblower protections across many provinces…

buff.ly/zWDC8VK

1/12 🇨🇦 ALBERTA SEPARATION REALITY CHECK 🇨🇦

"It would be a messy, drawn-out divorce with no certain future"

UBC political scientist Stewart Prest reveals what would actually happen if Alberta voted to leave Canada.
#AlbertaSeparation #CDNpoli #ABpoli

Our latest op-ed in the @calgaryherald.com

Taking care of the world’s refugees brings out the best in all Albertans

#Alberta #refugees #Canada #refugeeswelcome

pressreader.com/article/2816...

AHS Update V201 ~ 2025-06-01 *NEW* AHS Update V.201 (Of 2025!) - ICU - No Updates since May 20th, 2025.

It's Sunday! You know what that means!.. Yes Tomorrow is Monday.... But the AHS Update V201 is now LIVE on substack! ED Closures, OBGYN & OR Closures, Measles Alerts & Much much more! Check out the ever growing dumpster fire here! 8+ Hr ED waits in Central AB! open.substack.com/pub/frazzleh... /1

Empowering refugee voices: Using Nominal Group Technique (NGT) with a diverse refugee Patient Advisory Committee (PAC) to identify health and research priorities in Calgary, Canada Background Despite rising forced displacement globally, refugees’ health and research priorities are largely unknown. We investigated whether a diverse refugee committee could utilize participatory me...

Our latest study just published in PLOS, to our knowledge, for the first time, shows that a multi-country committee of resettled #refugees set their own #Health #Research & #Healthcare priorities.

Led by #refugees, for refugees

#healthequity #CBPR @plosone.org

journals.plos.org/plosone/arti...

A Community-Engaged Public Health Research and Outreach Program for Migrant and Racialized Workers in Meat Processing to Mitigate COVID-19 Inequities Objective: COVID-19 has disproportionately impacted migrant workers in meat processing industries, causing mass outbreaks and fatalities. Implementing community-based participatory research (CBPR) met...

Our new CBPR study preprint ! We co-developed a Community Scholars model with multicultural leaders, helping lead #Canada's largest on-site occupational COVID-19 #vaccine clinics in #AB meatplants. A story of trust, equity, & impact.

medrxiv.org/content/10.1...
#CBPR #COVID19 #publichealth #equity

Canadian Medical Association files legal challenge to protect the rights of patients and families to make medical decisions Today, the Canadian Medical Association (CMA), along with three Alberta doctors, will file a constitutional challenge to Alberta’s Bill 26, to protect the relationship between patients, their families...

“the Canadian Medical Association (CMA), along with 3 #Alberta doctors, will file a constitutional challenge to Alberta’s Bill 26, to protect the relationship between patients, their families & doctors when it comes to making treatment decisions.”

Bravo!
#abpoli #ableg

www.cma.ca/about-us/wha...

Alberta auditor general argues government's questioning of Mentzelopoulos could undermine his investigation The Alberta government is appealing to ask the former AHS head about what she shared with the auditor general and RCMP.

“It argues that questioning would, in essence, be an indirect way for the government and AHS to get an early heads-up on what documents Mentzelopoulos has provided to the auditor general.”

#abpoli #ableg #cdnpoli

edmontonjournal.com/news/politic...

Canadian Medical Association files legal challenge to protect the rights of patients and families to make medical decisions Today, the Canadian Medical Association (CMA), along with three Alberta doctors, will file a constitutional challenge to Alberta’s Bill 26, to protect the relationship between patients, their families...

“Canadian Medical Association files legal challenge to protect the rights of patients and families to make medical decisions”

Here we go!

#abpoli #ableg #cdnpoli

www.cma.ca/about-us/wha...

Alberta’s Regulator Met with Northback Before Reversal. Why? | The Tyee The Tyee learned of the meeting and contacted AER, who refused to answer key questions.

"Two weeks before a substantial decision approving coal mining exploration in the Eastern Slopes, the AER met with the company behind the project. It's another example of how the AER is not independent. Albertans are clear - no coal mining on the Eastern Slopes!"
thetyee.ca/News/2025/05...

@albertaucp.bsky.social promises to fix #healthcare in 90days, ~3 years ago as their election promise.

#abpoli #ableg #cdnpoli

“Hospitals are already running at >110% as routine and #healthcare system is in complete chaos from ‘re-structuring’.

We have an authoritarian prov gov following Trump playbook who are anti-vax, anti-science…

Sorry, you should be worried. Pls don’t come until she’s vaccinated w 1st dose”
#abpoli

A good friend w new baby girl asked me: “How worried should we be about #measles in #Alberta?”

My response:
“We now have a ~2-3 week doubling time and just at inflection point of real exponential growth. We have uncontrolled community spread, Vax rates of ~40% in S. #AB and only ~70% in #YYC…”

Measles cases in Alberta have officially blown past the 600 mark.

And those are just the confirmed ones.

A reminder, it didn’t have to be this way.

#abpoli #ableg #cdnpoli

The UCP’s incompetent response to the measles outbreak has been a complete failure.

Alberta’s case count has tripled in May. South of the border, states with a similar population to ours are reporting case counts in the single digits, or no cases at all.