Abstract

Sexually transmitted and blood-borne infections (STBBI)-which include HIV, hepatitis B and C, chlamydia, gonorrhea, syphilis and human papillomavirus-remain significant public health issues both nationally and globally. In 2018, a Pan-Canadian STBBI Framework for Action (the Framework) was released by federal, provincial and territorial governments to provide an overarching and comprehensive approach to addressing STBBI for all those involved. This includes all levels of government, First Nations, Inuit and Métis communities and leadership, frontline service providers, clinicians, public health practitioners, non-governmental organizations and researchers. The Framework includes strategic goals, guiding principles and pillars for action to address STBBI in Canada. In response, the Government of Canada released its own action plan in July 2019: Accelerating Our Response - Government of Canada Five-Year Action Plan on Sexually Transmitted and Blood-Borne Infections (the Action Plan). This document identifies seven priority areas for federal action on STBBI over the next five years: 1) moving toward truth and reconciliation with First Nations, Inuit and Métis Peoples; 2) stigma and discrimination; 3) community innovation-putting a priority on prevention; 4) reaching the undiagnosed-increasing access to STBBI testing; 5) providing prevention, treatment and care to populations that receive health services or coverage of health care benefits from the federal government; 6) leveraging existing knowledge and targeting future research; and 7) measuring impact-monitoring and reporting on trends and results. The Government of Canada is currently working with provincial and territorial governments, First Nations, Inuit and Métis partners, and other stakeholders to develop STBBI indicators and targets for the Canadian context that are appropriate, feasible and measurable against the shared strategic goals of the Framework and the Action Plan. In addition, the Government of Canada has also committed to reporting annually on its progress in implementing the priority areas laid out in the Action Plan.

Highlights

  • Transmitted and blood-borne infections (STBBI)—which include HIV, hepatitis B and C, chlamydia, gonorrhea, syphilis and human papillomavirus—remain significant public health concerns in Canada

  • Rates of sexually transmitted infections in Canada rose dramatically between 2008 and 2017: chlamydia rose by 39%, gonorrhea by 109% and syphilis by 167% [1]

  • LGBTQ2 Secretariat of the Privy Council Office In July 2019, the Government of Canada (GoC) released its own plan outlining key federal priorities to reduce the public health impacts of Sexually transmitted and blood-borne infections (STBBI) in Canada and advance the work of the Framework from 2019 to 2024. This plan, entitled Accelerating Our Response: Government of Canada Five-Year Action Plan on Sexually Transmitted and Blood-Borne Infections [9] takes a whole-of-government approach and involves ten federal departments whose mandates and activities address aspects of STBBI and/or who are responsible for providing prevention, treatment and care or coverage of health care benefits to specific populations

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Summary

Introduction

Transmitted and blood-borne infections (STBBI)—which include HIV, hepatitis B and C, chlamydia, gonorrhea, syphilis and human papillomavirus—remain significant public health concerns in Canada. In July 2019, the Government of Canada (GoC) released its own plan outlining key federal priorities to reduce the public health impacts of STBBI in Canada and advance the work of the Framework from 2019 to 2024 This plan, entitled Accelerating Our Response: Government of Canada Five-Year Action Plan on Sexually Transmitted and Blood-Borne Infections (hereafter called the Action Plan) [9] takes a whole-of-government approach and involves ten federal departments whose mandates and activities address aspects of STBBI and/or who are responsible for providing prevention, treatment and care or coverage of health care benefits to specific populations. The GoC will support First Nations, Inuit and Métis Peoples’ priorities in relation to STBBI, improve availability and accessibility of community level data on STBBI outcomes, and invest in culturally safe and responsive initiatives for STBBI prevention, education, awareness, and ongoing care and support

Stigma and discrimination
Community innovation—putting a priority on prevention
Reaching the undiagnosed—increasing access to STBBI testing
Leveraging existing knowledge and targeting future research
Measuring impact—monitoring and reporting on trends and results
Findings
Conclusion and next steps
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