“The rich & powerful want us to believe there’s never enough to go around. This is a fallacy”
As a doctor, I know cutting health care for refugees hurts us all
via @yipengge.bsky.social #publichealth #healthequity
breachmedia.ca/as-a-doctor-...
@sandrasmiley.bsky.social
Smiley by name, smiley by nature | Resident physician @ubcpublichealth.bsky.social | Board @msf.ca | Co-host/producer @justmedicinepod.bsky.social | Posts about public health & social medicine | Opinions mine
“The rich & powerful want us to believe there’s never enough to go around. This is a fallacy”
As a doctor, I know cutting health care for refugees hurts us all
via @yipengge.bsky.social #publichealth #healthequity
breachmedia.ca/as-a-doctor-...
#Measles in an ICE facility is a public health failure.
In my latest for @statnews.com, I argue this outbreak was avoidable and the result of policy choices that concentrate risk without basic prevention. V This is both a health and human rights failure.
www.statnews.com/2026/02/04/m...
"Evidence regarding the massive scale of the crackdown is now trickling out and there must be no impunity for the extreme violence being inflicted upon protesters and the health care workers tending to them across the country.” - Physicians for Human Rights phr.org/news/physici... #Iran
30.01.2026 18:45 — 👍 1 🔁 1 💬 0 📌 0
‘Disturbing’ scenes, record overdoses, as powerful sedative hits B.C. drug supply
via Nono Shen @cdnpress.bsky.social #publichealth #healthequity #medetomidine #toxicdrugs #harmreduction
vancouver.citynews.ca/2026/01/29/b...
Health officials are warning that drug poisonings are on the rise across B.C., with a new single-day record for most drug poisonings attended by paramedics being set last week.
www.cbc.ca/news/canada/...
The deafening silence: A diaspora’s grief in the age of internet blackouts
via @healthydebate.bsky.social #Iran #SDoH #publichealth #mentalhealth
healthydebate.ca/2026/01/topi...
BC warns of increase in drug poisonings, shifts in unregulated supply Vancouver - The BC Centre for Disease Control’s (BCCDC) Harm Reduction and Substance Use Services Team is warning the public of a recent increase in drug poisonings across BC. Novel substances in the unregulated drug supply are putting people who use substances at greater risk province-wide. Opioids like fentanyl are now often mixed with medetomidine, a potent sedative used primarily by veterinarians, that can cause low heart rate (bradycardia), changes to blood pressure and prolonged sedation. It can also potentially make people feel very sleepy or go unconscious, increasing the risk of drug poisoning. As a response, BCCDC has issued a province-wide drug alert BC has experienced high and increasing paramedic-attended overdoses in recent months. At the same time, detections of medetomidine have increased in drug checking samples and law enforcement seizures. Medetomidine was detected in 38 per cent of opioid samples tested by the BC Centre on Substance Use (BCCSU) in November 2025. Non-fatal drug poisoning can cause brain injury from lack of oxygen and other harms. Even though the BC Coroners Service data shows that deaths are not increasing, the increase in non-fatal drug poisoning is a cause for serious concern.
Responding to a drug poisoning If you are responding to a drug poisoning or overdose event: Call 9-1-1 A drug poisoning or overdose is a medical emergency. Stay with the person and follow instructions from the 9-1-1 call-taker. Follow the SAVE ME steps to respond to an opioid poisoning (overdose). Check for breathing and give breaths if the person is not breathing normally. Brain injury can happen within minutes without oxygen. Giving breaths provides oxygen until the person can breathe on their own. Use naloxone Naloxone only works on opioids but is safe to give even if the overdose is caused by other substances like medetomidine, which is a non-opioid depressant. Since medetomidine is usually found with opioids, giving naloxone can restore breathing and will not cause harm. If at any time there is no pulse, start CPR with rescue breathing and compressions. Use an automated external defibrillator (AED) if available. Safer substance use If you use substances, there are things you can do to be safer: The safest option is to avoid unregulated opioids, as they may contain medetomidine. Ask a health care provider about opioid agonist therapy (OAT) and use drug checking services. Don’t use alone. Visit an overdose prevention site or take turns with a buddy so there is someone who can respond in the event of an emergency. If you do use alone, consider using the Connect app by Lifeguard. It prompts you to turn off an alarm and sends a notification to BCEHS dispatch if you don’t. Carry naloxone and know how to use it. Sign up for drug alerts by texting the word JOIN to 253787 (ALERTS).
The BC Centre for Disease Control is warning of an increase in drug poisonings across B.C. due to changes in drug supply.
My story from Dec on veterinary sedative medetomidine, detected in 38% opioid samples tested by BCCSU in Nov (gift link)
www.theglobeandmail.com/gift/1ce6625...
What is medetomidine and why is it showing up in B.C.'s unregulated drug supply?
via @tiffycrawford.bsky.social @vancouversun.bsky.social #publichealth #toxicdrugs #harmreduction #bcpoli
vancouversun.com/news/what-is...
New @msf.ca report says that 81% of incidents of violence against health care in 2024 were attributed to states
#notatarget #humanitarian
www.doctorswithoutborders.ca/record-level...
Toronto hospital to double housing program that reduces ER visits
via Liam Casey @cdnpress.bsky.social #publichealth #healthequity #housing
www.cbc.ca/news/canada/...
"Support from international governments & agencies to the South Sudanese health system has dwindled in recent years. The international community must renew its commitment: donor fatigue cannot define 2026."
via @msf.ca #SouthSudan #cdnpoli
www.doctorswithoutborders.ca/the-dire-sit...
“Global health assistance should be guided by public health need — not political calculations, economic extraction, or ideological coercion”
How US policies are reshaping global health & #humanitarian aid, one year later
via @doctorswithoutborders.org
www.doctorswithoutborders.org/latest/how-u...
B.C. health authorities tried to allow purchase of regulated heroin without prescriptions, court hears
via @andreawoo.bsky.social @theglobeandmail.com #publichealth #healthequity #harmreduction #bcpoli #cdnpoli
www.theglobeandmail.com/canada/artic...
What my sister Ellen taught me about dignity and the importance of being seen
www.theglobeandmail.com/opinion/arti...
B.C. First Nations groups say they were shut out of decision to end drug #decriminalization pilot
via @andreawoo.bsky.social @theglobeandmail.com #publichealth #healthequity #harmreduction
www.theglobeandmail.com/canada/artic...
If not now, when? (Hillel the Elder) or when does health and human rights as a field become politically inconvenient?
My latest with @eric-reinhart.com on institutional and moral integrity as well as the future of global health.
www.thelancet.com/journals/lan...
'Superagers' reveal how to stay sharp as you get older
#publichealth #brainhealth
www.cbc.ca/news/health/...
"The sudden rise of #scabies: ‘I wouldn’t wish it on my worst enemy’ - These microscopic mites, which burrow under your skin and cause ferocious itching, are incredibly hard to get rid of – and cases in the UK have soared. What is causing the outbreak, and is there anything we can do about it?"
18.01.2026 18:53 — 👍 2 🔁 2 💬 0 📌 0
Alberta to change the way it screens for cervical cancer
#publichealth #HPV #cervicalcancer
www.cbc.ca/lite/story/9...
Many Indigenous mothers must travel hundreds of kilometres to give birth. Meet the midwives changing that
via @michellecyca.com @thewalrus.ca #publichealth #healthequity #longreads #cdnpoli
thewalrus.ca/indigenous-m...
Life expectancy in #Canada nearly back to pre-pandemic levels: StatCan
via @udayrana.bsky.social @globalnews.ca
#publichealth #COVID #influenza
globalnews.ca/news/1161131...
What has three years of #decriminalization of drug possession yielded in B.C.?
via @picardonhealth.bsky.social @theglobeandmail.com
#publichealth #healthequity #harmreduction #bcpoli
www.theglobeandmail.com/opinion/arti...
University of Manchester researchers tracked 25,000 teenagers over three school years.
Study of 25,000 teens says social media time does not increase teenagers' mental health problems https://www.theguardian.com/media/2026/jan/14/social-media-time-does-not-increase-teenagers-mental-health-problems-study
News and analysis ⇢ canadahealthwatch.ca/featured
Drôle à mourir: Le gaz hilarant, perçu comme inoffensif, peut devenir nocif et même mortel. Cette drogue devient à la mode chez les jeunes consommateurs, par Mayssa Ferah www.lapresse.ca/actualites/g... via @lapresse.ca
14.01.2026 17:45 — 👍 2 🔁 2 💬 0 📌 0
B.C. won't extend its drug #decriminalization project, health minister announces
#publichealth #healthequity #substanceuse #harmreduction #bcpoli
www.cbc.ca/news/canada/...
A mining town scattered residents, and asbestos, to the wind
via @amandafollett.bsky.social @thetyee.ca #publichealth #occupationalhealth #healthequity #bcpoli
thetyee.ca/News/2026/01...
Gaza war leads to 41% fall in births prompting allegations of reproductive violence
14.01.2026 15:36 — 👍 70 🔁 38 💬 13 📌 5In this Open Canada article, Phaedra Henley explores why Canada should leverage #OneHealth as a strategic asset in global diplomacy, i.e. via stronger Global South partnerships, reciprocal exchange, and institutional investment: opencanada.org/one-health-c...
14.01.2026 14:08 — 👍 3 🔁 2 💬 0 📌 1
The town that asbestos built. The cancer it left behind
via @amandafollett.bsky.social @thetyee.ca #publichealth #occupationalhealth #healthequity
thetyee.ca/News/2026/01...