Category: News

Supporting infant feeding by parents living with HIV in Canada

For parents living with HIV, the decision about whether to breast/chest feed can be difficult, and it can be even more challenging if a family surveillance system is involved. In this blog post, we discuss family surveillance and the current guidelines on breast/chest feeding and HIV, and we offer practical steps that community and healthcare workers can take to provide families with compassionate, evidence-based support that honours and uplifts parental autonomy. Family surveillance, sometimes referred to as family policing, refers to systems that are often framed as child protection or child welfare but can monitor families in ways that impact...

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National numbers don’t tell the whole story: Nova Scotia’s overdose deaths are rising

In 2024, the number of opioid-related deaths in Canada dropped by 17% compared with the previous year. Some factors contributing to the decline include changes in the unregulated toxic drug supply, naloxone availability and a decrease in the size of the population at risk of overdose. However, it’s crucial to recognize that although this national figure is encouraging, too many lives are still being lost. The number of opioid-related deaths remains extremely high compared with the period before synthetic opioids became widespread in the drug supply. These synthetic opioids include fentanyl and nitazenes, which are often mixed with synthetic benzodiazepines....

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Exploring new recommendations for doxyPEP

You may have heard of doxyPEP, which stands for doxycycline post-exposure prophylaxis. It involves taking an antibiotic called doxycycline after having sex without a condom. This can help prevent certain bacterial sexually transmitted infections (STIs), such as chlamydia, syphilis and possibly gonorrhea. This prevention strategy is relatively new but has been gaining attention across the country as another way to help reduce high rates of STIs. Although interest in using doxyPEP is growing, there is no global standard for its use. This prompted the Public Health Agency of Canada (PHAC) to publish recommendations that give health professionals evidence-based advice to...

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DoxyPEP and antibiotic resistance: What have we learned so far?

Studies have found that the antibiotic doxycycline, when taken after sexual exposure, can significantly reduce the risk of some bacterial sexually transmitted infections like chlamydia and syphilis. However, it is generally less effective at reducing the risk of gonorrhea. Some researchers are concerned that over the long term, widespread use of doxycycline as post-exposure prophylaxis (doxyPEP) may diminish the antibiotic’s effectiveness, or even weaken the efficacy of some other antibiotics. Is this concern realistic? And if so, are the benefits worth the risk? Clinical trials The initial clinical trial of doxyPEP in San Francisco and Seattle found low rates of...

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Estimating how many people in Canada inject drugs

People who inject drugs that are not prescribed to them often experience complex health challenges and have a difficult time accessing healthcare. To make sure we can provide the services and resources that better support this community, we first need to know how big the community is and where they live. That’s why the Public Health Agency of Canada has created the report, Estimating the population size of people who inject drugs in Canada, which estimates, in 2021: The process for creating these estimates involved several steps, so let’s review them in greater detail. How we estimate the number of...

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Advancing awareness: Canadian Positive People Network’s U=U Task Force and the fight against HIV stigma

At the Canadian Positive People Network (CPPN), we strive to end HIV stigma. We also recognize that people living with HIV provide the movement’s strongest guiding voices. That’s why our U=U Task Force is led by people living with HIV and is dedicated to sharing one of the most groundbreaking messages in public health: Undetectable = Untransmittable. U=U means that when a person living with HIV is on effective treatment and has an undetectable viral load, they cannot transmit the virus to their sexual partners. It’s a message that transforms lives, dismantles stigma and redefines what it means to live...

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