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Des médecins réclament une meilleure couverture des traitements pour cesser de fumer

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Un texte de Solveig Miller

Au Québec, l’aide pharmaceutique − qu’il s’agisse de timbres de nicotine, de tablettes de médicaments ou de pastilles − n’est subventionnée que pour une seule tentative de sevrage par année.

S’il y a rechute, le fumeur doit attendre l’année suivante pour pouvoir acheter un traitement qui sera remboursé.

Selon le groupe de médecins, les règles de remboursement des thérapies de remplacement de la nicotine sont peu adaptées aux réalités de la dépendance et aux connaissances scientifiques sur la cessation, qui démontrent que l’aide pharmacologique triple le taux de succès à long terme.

« Actuellement, on n’a que 12 semaines par année pour le traitement de remplacement de nicotine et 24 semaines pour un traitement comme le Champix », dit le directeur du programme de cessation tabagique au CUSM, le pneumologue Sean Gilman.

On a besoin d’enlever les limites qui empêchent les fumeurs de faire un deuxième ou un troisième essai dans l’année.

Dr Sean Gilman, CUSM
Un médecin parle avec un patient dans un bureauLe Dr Sean Gilman parle avec un patient à la clinique du programme de cessation tabagique au CUSM. Photo : Radio-Canada

Fumer ou arrêter de fumer est aussi une question financière

À la clinique du programme de cessation tabagique, l’infirmière clinicienne Siobhan Carney suit de près tous les grands fumeurs aux prises avec de sérieux problèmes de santé. Son rôle est de les aider à maintenir leur motivation d’arrêter de fumer.

L’argument qu’il en coûte plus cher de fumer que de se payer les médicaments ne tient pas la route selon elle, car sa clientèle fume souvent au rabais.

« 200 cigarettes [non-commerciales] peuvent coûter entre 10 $ et 20 $, déplore l’infirmière. Quand on est dépendant à un produit, on va trouver les moyens de payer. »

Elle explique que d’utiliser un timbre de nicotine ne donne pas la même satisfaction qu’une cigarette.

« Il faut avoir de la compassion », ajoute Siobhan Carney.

La difficulté d’arrêter de fumer

Pour Joanne Campbell, qui a commencé à fumer à l’âge de 12 ans, abandonner la cigarette n’est pas facile.

Souffrant aujourd’hui d’emphysème et d’asthme, elle a souvent tenté d’écraser pour de bon.

J’essaie, j’essaie, j’essaie… Il y a une fois où j’ai arrêté [pendant] deux ans, mais j’ai rencontré mon mari et il est un fumeur. Alors j’ai recommencé.

Joanne Campbell, fumeuse

Elle indique débourser 80 $ par semaine pour acheter ses timbres de nicotine et ses pastilles avec sa maigre paie de caissière à temps partiel dans un dépanneur.

Mme Campbell raconte avoir fait une rechute et devoir maintenant attendre jusqu’au printemps pour se faire rembourser ses traitements par l’assurance maladie.

Une infirmière et une patiente dans un bureauL’infirmière clinicienne Siobhan Carney avec la patiente Joanne Campbell Photo : Radio-Canada

Elle pense que le gouvernement devrait donner deux chances par année à ceux qui essaient de se libérer de l’emprise du tabac.

Les taxes sur le tabac permettent au gouvernement québécois d’ajouter près de 1 milliard de dollars dans ses coffres par année. Seul 1,7 % de cette somme est injecté pour donner un coup de pouce à ceux qui veulent abandonner le tabac.

Une situation qui n’est pas acceptable, selon le Dr Sean Gilman.

Le ministère de la Santé et des Services sociaux s’est fixé comme objectif de faire baisser le nombre de fumeurs à 10 % de la population d’ici 2025. On en compte encore 18 %.

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Ottawa Book Expo 2020 – Authors, Publishers look forward to a top-notch Canadian book fair

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Diversity has always been a complex issue, no matter where you look.Case in point, world-famous writer, Stephen King, has recently come under criticism for his views on diversity. The best-selling author had stated, “I would never consider diversity in matters of art, only quality. It seems to me that to do otherwise would be wrong.” Many criticized the novelist as being out of touch and “ignorant,” but one cannot deny that King’s opinions on diversity, mirror the thoughts of a whole lot of people in the creative industry.

The Toronto Book Expo is coming back in 2020, with a multi-cultural concept that aims to include marginalized authors.  The Expo intends to celebrate literary works of diverse cultural backgrounds, and the entire literary community in Canada is expectant. Book-lovers and writers alike, are invited to three days of uninhibited literary celebration where diverse cultural works will be prioritized. At the event, authors will be allowed to share their culture with a broad audience. The audience will be there specifically to purchase multi-cultural works.

Multicultural literary expos do not come every day. In Canada, there is a noticeable lack of literary events celebrating other cultures. This leads to a significantly lower amount of cultural diversity in the industry. The Toronto Book Expo would aim at giving more recognition to these marginalized voices. Understandably, more recognizable work will be prioritized.

The Toronto Book Expo is making a statement that diversity is needed in the literary community. The statement is truly motivating, especially if you consider the fact that this could mean more culturally diverse works of literature.

There is a lot of noticeable cultural ignorance in literature. This is an issue that needs to be addressed and books are one of the best means of improving multi-cultural diversity in literature. The Toronto Book Expo is going to fully utilize books to fight ignorance in the literary industry.

Real progress cannot be made if there is a substantial amount of ignorant people in the industry. In spite of advancements made in education in recent years, there is still a considerable percentage of adults who remain unable to read and write.The Toronto Book Expo aims to bring awareness to social literacy issues such as illiteracy.

It is important to uphold high literacy levels in the community and to support those who are uneducated. A thriving society cannot be achieved if the community is not able to read their civil liberties and write down their grievances.

The major foundation of a working and dynamic society is entrenched in literature. Literature offers us an understandingof the changes being made to our community.

The event would go on for three days at three different venues. Day 1 would hold at the York University Student & Convention Centre at 15 Library Lane on March 19. Day 2 would be held at the Bram and BlumaAppel Salon Facility on the second floor of the main Toronto Reference Library near Yonge and Bloor Streets in downtown Toronto on March 21 and day 3 of the expo would take place at the internationally famous Roy Thomson Hall.

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A Week In Ottawa, ON, On A $75,300 Salary

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Welcome to Money Diaries, where we’re tackling what might be the last taboo facing modern working women: money. We’re asking millennials how they spend their hard-earned money during a seven-day period — and we’re tracking every last dollar.Attention, Canadians! We’re featuring Money Diaries from across Canada on a regular basis, and we want to hear from you. Submit your Money Diary here.Today: a biologist working in government who makes $75,300 per year and spends some of her money this week on a bathing suit. Occupation: Biologist
Industry: Government
Age: 27
Location: Ottawa, ON
Salary: $75,300
Paycheque Amount (2x/month): $1,930
Gender Identity: Woman

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Ottawa doctor pens nursery rhyme to teach proper handwashing

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An Ottawa doctor has turned to song to teach kids — and adults, for that matter — how to wash their hands to prevent the spread of germs.

Dr. Nisha Thampi, an infectious disease physician at CHEO, the area’s children’s hospital, created a video set to the tune of Frère Jacques and featuring the six-step handwashing method recommended by the World Health Organization.

Thampi’s 25-second rendition, which was co-authored by her daughter and Dr. Yves Longtin, an infectious disease specialist at the Jewish General Hospital in Montreal, is featured in the December issue of The BMJ, or British Medical Journal. 

Thampi said as an infectious disease physician and a mother of two, she thinks a lot about germs at home and school.

“I was trying to find a fun way to remember the stuff,” she said. “There are six steps that have been codified by the World Health Organization, but they’re complex and hard to remember.” 

Thampi said she came up with the idea to rewrite the lyrics to the nursery rhyme on World Hand Hygiene Day in May, when she was thinking about how to help people remember the technique. 

She said studies have shown that handwashing is effective in reducing the risk of diarrhea-related illnesses and respiratory diseases. 

“So I’d say it’s one of the most important and easiest things we can do.”

The video includes such often-overlooked steps as “wash the back,” “twirl the tips around” and “thumb attack,” which pays special attention to the first digit.

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