Jackson C, Tremblay G
Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Can Commun Dis Rep. 2019 Dec 5;45(12):323-326. doi: 10.14745/ccdr.v45i12a04.
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 (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: (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.
性传播和血源感染（包括艾滋病毒、乙型和丙型肝炎、衣原体、淋病、梅毒和人乳头瘤病毒）在全国乃至全球范围内仍是重大的公共卫生问题。2018年，联邦、省和地区政府发布了一项《框架》，为所有相关方应对性传播和血源感染提供全面综合的方法。这包括各级政府、原住民、因纽特人和梅蒂斯社区及领导层、一线服务提供者、临床医生、公共卫生从业者、非政府组织和研究人员。该《框架》包括应对加拿大性传播和血源感染的战略目标、指导原则和行动支柱。作为回应，加拿大政府于2019年7月发布了自己的行动计划：《行动计划》。该文件确定了未来五年联邦在性传播和血源感染方面采取行动的七个优先领域：1）与原住民、因纽特人和梅蒂斯人走向真相与和解；2）耻辱感和歧视；3）社区创新——优先预防；4）发现未确诊者——增加性传播和血源感染检测的可及性；5）为从联邦政府获得医疗服务或医保福利覆盖的人群提供预防、治疗和护理；6）利用现有知识并确定未来研究方向；7）衡量影响——监测和报告趋势及结果。加拿大政府目前正与省和地区政府、原住民、因纽特人和梅蒂斯伙伴以及其他利益相关者合作，制定适合加拿大国情、符合《框架》和《行动计划》共同战略目标且可行、可衡量的性传播和血源感染指标及目标。此外，加拿大政府还承诺每年报告其在实施《行动计划》所列优先领域方面的进展情况。
