Ontario doctors still in the dark on drug database

Remember back when Ontario rolled out an online narcotics-prescription database – one meant to track exactly who is prescribing what to whom? The idea is to prevent “double-doctoring” and ensuring that doctors, pharmacists and Health Ministry officials ensure that people who need drugs are getting them.

The database was in testing phase as of November, 2011 and was supposed to be operational early this year. But the people prescribing the drugs still can’t access it. That means they have no idea what other drugs a potential patient could be taking, or was taking. In some cases, it means patients can’t get the drugs they need.

Toronto doctor Irfan Dhalla said doctors still have no idea when they’re going to get in on this database – but they’d really, really like to.

Ontario crash shines light on Canada’s migrant workers

Photo by John Lehmann/Globe and Mail

Wednesday, February 8, 2012 – Globe and Mail
ANNA MEHLER PAPERNY and DAKSHANA BASCARAMURTY

They pour coffee, care for children, pick berries and wrangle chickens – unglamorous, often low-wage jobs that are vital to Canada’s economy.

The umbrella term “temporary foreign worker” covers upward of a quarter of a million people coming to Canada from 80 countries every year. Many are recruited by private agencies that run the gamut from respected international organizations to tiny operations accused of charging exorbitant fees for the privilege of a short-term, minimum-wage job in Canada.

Monday’s horrific crash in southwestern Ontario, in which 10 migrant workers were killed when the van transporting them smashed into a truck and careened into a building by the side of the road, exposes a growing sector of Canada’s labour market that, despite its size, tends to go unnoticed.

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Ontario election 2011: For Ontario NDP Leader Andrea Horwath, it’s all about connecting

Photo by Anna Mehler Paperny/The Globe and Mail

Saturday, September 24, 2011 – Globe and Mail
ANNA MEHLER PAPERNY

Friday night in North Bay, Ont. The blonde behind the bar is talking up patrons on tax policy.

They aren’t sure who she is or why she’s here; 15 minutes ago, they’d never heard her name. But they are riveted and, for that matter, so is she: Her politely agitated handlers need to pry her away to scrum outside the pub.

“Can you get her to come back?” schoolteacher and pub-goer Val Spivey asks. “We want to ask about her education policy.”

This is what Andrea Horwath does.

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Politics not in the cards for Andrea Horwath’s son. But his mom? “She’d be stoked” to be premier

Photo by Anna Mehler Paperny/Globe and Mail

Friday, September 23, 2011 – Globe and Mail

ANNA MEHLER PAPERNY

Hamilton — Julian Leonetti has a habit of acing his civics exams. But you could argue he has an unfair advantage.

Mr. Leonetti, 18, was raised immersed in a political milieu – tagging along to meetings and putting up signs for his mom, Ontario NDP Leader Andrea Horwath.

He remembers going from day care to Ms. Horwath’s office in Hamilton city hall, where she was a councillor.

“I would hang with her secretaries and meet all the politicians. … It was actually a really, really, really good environment to grow up in,” he says.

Mind you, he wasn’t so sure about that at the time.

“When I was there, I was bored as hell. But when I look back on it, every other kid was sitting at home, watching Arthur on TV. Those kids weren’t learning what I was learning.”

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Database will allow Ontario to clamp down on over-prescribing doctors

Toby Talbot/The Associated Press

Friday, August 12, 2011 – Globe and Mail

ANNA MEHLER PAPERNY

Starting in November, the Ontario government will have the ability to collect information on who’s prescribing how many pills to whom, and where those prescriptions are getting filled.

Regulations attached to the province’s planned prescription database, which has been in the works for months, passed cabinet Wednesday. That means that this fall in theory – and this winter in practice, because that’s when the database will be fully functional – the province can start tracking prescriptions and, eventually, clamp down on what Health Minister Deb Matthews calls an urgent problem with over-prescribed narcotics.

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Green energy plan gives Ontario tourist town the blues

Monday, August 2, 2010 – Globe and Mail
ANNA MEHLER PAPERNY

BALA, ONT. — The view from the teal-tinged, bobbing wooden dock at Purk’s Place is cottage country – bucolic and conflicted.

To the right, Lake Muskoka, dotted with homesteads and holiday places on tiny islands; to the left, a railway bridge, century-old dam and the whoosh of Bala Falls dropping into Moon River.

And a string of neon-orange warning buoys: Dam ahead – keep away.

But what has residents, businesses and cottagers here on edge is not the existing pair of dams, both dating to the late 19th century. It’s a hydroelectric generator to be built metres away from the falls at the centre of town – 4.3 megawatts worth of Ontario’s vaunted goal to become North America’s green energy capital.

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Failure to tap into immigrants’ skills costs billions

Thursday, June 10, 2010
ANNA MEHLER PAPERNY

In Nigeria, he helped design the athletes village for Abuja’s All-Africa Games.

But three years after moving to Canada in 2007 with a pregnant wife and big dreams, Yisola Taiwo has yet to land his first architecture job. His wife, Bunmi Sofoluwe-Taiwo, still hasn’t been able to find work after leaving her career with the Lagos government.

“Last year was terrible,” Mr. Taiwo said. An internship ended; he spent more than a year on employment insurance and working for no pay at a Toronto architecture firm.

In May, he started a two-month contract at the Diebold Company of Canada, working with architectural drawings to design building security systems in Mississauga. It’s not a bad gig, but he longs for something in his field.

The Toronto region has long boasted about its role as Canada’s diversity hub. But Toronto is doing a worse job of integrating immigrants than it was two decades ago, and it’s costing the economy estimated billions of dollars a year, according to a report being released Thursday by the city’s Board of Trade.

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Power plant in the Greenbelt

Tuesday, April 6, 2010
ANNA MEHLER PAPERNY

TORONTO — The province is selling out vaunted green space that Premier Dalton McGuinty vowed to protect, argues a community taking on a proposed gas-fired power plant in the middle of Ontario’s Greenbelt.

And tiny King township is using the province’s own Greenbelt legislation in a last-ditch attempt to fight the generator.

“I find it completely ironic that we’re having to defend provincial legislation and provincial rules and regulations against another provincial ministry,” said Jamie Reaume, head of the Holland Marsh Growers Association.

He represents farmers in Holland Marsh – the bowl-like flood plain, vegetable patch of Ontario and what he calls one of the most heavily regulated pieces of land in the province.

It’s also 500 metres away from the proposed 350-megawatt gas-fired power plant the Ontario Power Authority wants to see completed by 2014. That peak power is needed – immediately – to satisfy a growing, energy-thirsty population in northern York Region, the power authority argues.

But the plant would also be the first in Ontario’s Greenbelt, whose fifth anniversary the province celebrated this year. And its vocal opponents argue the province isn’t following its own strict rules designed to preserve that increasingly rare green space. So they have to.

A hearing at the Ontario Municipal Board, a provincial mediator that normally settles development disputes between local governments and third parties, starts today. The board will determine whether the power plant’s site plan should go ahead and, more crucially, whether the plans contravene the province’s own Greenbelt legislation.

The OPA argues that there’s nowhere else to put what they say is a much-needed “peaker” generator.

The relatively clean gas-fired technology is becoming increasingly popular as the province tries to make good on its vow to eliminate coal-fired generators. .They’re also a significant part of the Green Energy Act.

King township’s mayor Margaret Black argues that the plant won’t help her residents and could indeed go elsewhere. Moreover, she argues the proposal would violate the province’s own Greenbelt plan, which has strict criteria for the kind of infrastructure development allowed to encroach on the protected rural and agricultural areas.

But environmental lawyer David Donnelly says whether or not the plant violates the law of Ontario’s Greenbelt, it violates the principle of keeping a small part of southern Ontario wild.

“Every time you nibble at the footprint of the Greenbelt, you undermine its integrity. This plant won’t destroy the Greenbelt, but it undermines the sacred principle that we preserve outright a very small part of southern Ontario called the Greenbelt. And this violates that. And, worse, it’s unnecessary.”

King Township has been opposed to the very idea of building in the Greenbelt since the province put out a request for proposals in January, 2008.

Ontario Power Authority spokesman Ben Chin said the only thing standing in the way of construction is the building permit the city has refused to grant.

The provincial Greenbelt plan stipulates that any infrastructure built in a designated area must serve the local community and economy, minimize negative effects and must be without viable alternatives.

Ms. Black said that’s not the case now: If the region needs a power plant that badly, she argues, it should be in an existing industrial area.

But Mr. Chin said the northern York Region’s population is growing faster than the rest of the province, and the power authority has no leeway when it comes to picking a location.

“The northern York Region is below international standards in terms of system security or reliability in terms of their transmission lines. … When you have a local area that’s not stable it puts the entire area around it at risk,” he said.

Challenges to restrictive Greenbelt legislation aren’t new, either. But this case is different, Mr. Donnelly said: In those cases, the province stepped in to defend the preserved parkland.

“If you can put a gas-fired plant in the Greenbelt, then what about a waste transfer station? What about an EMS emergency station? It emboldens future regimes that might not be as sympathetic to the Greenbelt to point to this as an instance where people were willing to compromise something the public certainly felt was untouchable.”

Ottawa’s sale clouds the future of Chalk River

Friday, December 18, 2009 – Globe and Mail
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So it’s official: After hinting at it for years, Ottawa’s selling off the family reactor business.

But what happens to the other part of Atomic Energy of Canada Ltd. – the multi-purpose facility in Chalk River, Ont., that was once one of the world’s nuclear leaders but has more recently been plagued by technical difficulties that have given Canada a black eye in the world of nuclear medicine?

Hard to say.

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Painkiller deaths double in Ontario

Tuesday, December 8, 2009 – Globe and Mail
ANNA MEHLER PAPERNY

Painkillers are causing twice the number of overdose deaths they were two decades ago, a new study has revealed. And most of those who died obtained the medications through a doctor’s prescription and had seen a physician within the last month of their life.

The increase mirrors a dramatic rise in prescriptions for oxycodone. The potent opiate, found in OxyContin and Percocet, has proliferated in an epidemic of chronic pain turning Canadians into a nation of pill-poppers – using more prescription opioids per capita than any country but the United States and Belgium.

It’s an indication that many doctors have underestimated the power and complexity of prescription opioids, and their ability to harm as well as help, said Irfan Dhalla, a doctor at St. Michael’s Hospital in Toronto and the report’s primary author.

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