See related article at A crisis of communicable diseases is unfolding in North America, just as Canada’s health systems’ responses are being hampered by the dismantling of public health and research ...

Iron deficiency and iron deficiency anemia are common during pregnancy and are associated with adverse outcomes Prenatal iron deficiency occurs in more than 30% of pregnancies in Canada. 1 It has been ...

KEY POINTS Genitourinary syndrome of menopause (GSM) is common and can be treated with over-the-counter vaginal lubricants or supplementation with vaginal estrogen. Vaginal energy devices (such as CO2 ...

A pregnant, primiparous 32-year-old woman at 28 weeks’ gestation presented for a routine prenatal visit. Blood work showed thrombocytopenia with platelet count of 60 (reference range 130–380) × 109/L.

KEY POINTS Multifactorial early-pregnancy screening for preeclampsia can identify most patients at risk, particularly of early-onset, severe disease. Prophylaxis with acetylsalicylic acid (ASA) can ...

A meta-analysis of 20 000 people from the general population who were patch tested confirmed a 20% prevalence of contact allergy, with nickel being the most common allergen (11.4%). 1 Prevalence is ...

As a specialist in internal medicine, Brian Harley explores the intricate terrain of the human body. But as a writer and amateur historian, he turns his attention to the rugged landscape of the place ...

KEY POINTS Institutional betrayal is a phenomenon in which institutions uphold anti-Black racism by explaining it away as other phenomena, thereby betraying Black members of an organization who bring ...

Turtle Lodge — an example of an Indigenous-led model for wellness In restoring traditional Indigenous knowledge and practising self-determination in community health, the Turtle Lodge has built a ...

Background: Rates of gestational diabetes are reported to be increasing in many jurisdictions, but the reasons for this are poorly understood. We sought to evaluate the relative contribution of ...

Background: Respiratory syncytial virus (RSV) vaccines could reduce disease burden and costs in older Canadian adults, but vaccination program cost-effectiveness is unknown. We evaluated the ...

Exposure to wildfire smoke is associated with adverse health outcomes Wildfire seasons are getting longer and more severe in Canada. Wildfire smoke caused 710 emergency department visits for ...