-Organization of care

Service provision, health systems, interventions

Illustration of three supervised consumption booths

The impact of supervised drug consumption services (SCS)

-+*Download pdf Questions  Key take-home messages The issue and why it’s important Supervised drug consumption sites or services (SCS) refer to spaces where individuals can use pre-obtained illicit substances in the presence of trained health professionals (19, 20). A model of care based on harm reduction, SCS are an evidence-based intervention (21–24) aiming to reduce …

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doxycycline pills

Doxycycline prophylaxis for the prevention of bacterial sexually transmitted infections (STIs)

-+*Download pdf Questions  Key take-home messages The issue and why it’s important In Canada, bacterial STIs are a significant public health concern as incidence rates have risen markedly since 2010 (21). Between 2010 and 2019, the number of reported cases of chlamydia, syphilis, and gonorrhea all increased, by 33.1%, 393.1%, and 181.7%, respectively (21). One …

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The use of electronic medical records to prompt HIV testing

-+*Download pdf Question What are the best practices to prompt HIV testing using electronic medical records in health care settings?  Key take-home messages Canada has met The Joint United Nations Programme on HIV/AIDS (UNAIDS) goal of testing 90% of all people living with HIV; however, an estimated 6,950 people living with HIV remain undiagnosed (1, …

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Cost-effective strategies of testing for HIV and sexually transmitted infections (STIs)

-+*Download pdf What are the best practices of cost-effective testing for HIV and bacterial STIs (chlamydia, gonorrhea, syphilis and trichomoniasis)?  Key take-home messages Rates of chlamydia, gonorrhea, and infectious syphilis have risen in Canada from 2015 to 2019 (1). An observed decrease in HIV cases has been detected recently, however a reduction in testing services …

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A review of supervised inhalation services in Canada

-+*Download pdf Questions What supervised inhalation services are available in Canada and what are their characteristics? What are the best practices that provide evidence supporting supervised inhalation services as a harm reduction approach?  Key take-home messages Reports from different Canadian provinces (British Columbia, Ontario, and Alberta) indicate that more individuals overdose by inhaling opioids (including …

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Best practices to increase the uptake of HIV and HCV testing among people who use drugs

-+*Download pdf Questions What are best practices to increase the uptake of HIV and HCV testing among people who use drugs?  Key take-home messages Interventions that provide HIV and/or HCV testing have been offered in a variety of settings. These include community settings such as outpatient drug treatment clinics (1–5), mobile clinics (6), harm reduction …

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Two computers on a table with a document in between with a man holding a pencil

An overview of Patient Advisory Councils and Community Advisory Councils in health care

-+*Download pdf Questions What are the best practices, lessons learned, and limitations of Patient Advisory Councils and Community Advisory Councils in health care settings?  Key take-home messages Patient Advisory Councils and Community Advisory Councils promote patient engagement and the development of strategies and interventions to benefit the delivery of patient care; these collaborative councils are …

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A hand on a mouse with a computer nearby

A review of internet-based testing services for HIV and sexually transmitted infections (STIs)

-+*Download pdf Questions What are the examples of providing internet-based HIV/STI testing services in high-income settings (both publicly and privately funded)? What is the uptake of such services and which population groups benefit from them? What are the implications of these services for access, standard of practice, quality of care, and costs?  Key take-home messages …

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A doctor's notepad that says diagnosis syphillis with some coloured pills on the page

Interventions and best practices to address increasing rates of syphilis transmission

-+*Download pdf Questions What are the effective interventions and best practices to reduce syphilis transmission among various population groups?  Key take-home messages Infectious and congenital syphilis rates have seen a sharp growth in Canada since 2016 (1). The COVID-19 pandemic impact on syphilis rates is undetermined: some studies have shown that there are observed decreases …

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Microscopic image of a virus

Low-level HIV viremia: Definitions, predictors, mechanisms, and clinical outcomes

-+*Download pdf Questions What are the factors associated with low-level HIV viremia? What are its possible mechanisms and clinical outcomes?  Key take-home messages The definitions of optimal viral suppression, low-level viremia, blips, virologic failure, and recommended management approaches to low-level viremia vary greatly across studies and clinical guidelines. There is controversy regarding the clinical implications …

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