Alberta seeing spike in syphilis cases

Rates of syphilis in Alberta on the rise

Infectious and congenital syphilis rates have escalated across the province over the past five years, with a sharp increase in 2018.

The rapid increase in syphilis cases has spurred Alberta’s chief medical officer of health, Dr. Deena Hinshaw, to declare a provincial outbreak and encourage Albertans to get tested and protect themselves.

“We need to emphasize for all Albertans: Sexually Transmitted Infections (STIs) are a risk to anyone who is sexually active, particularly people who have new sex partners and are not using protection. I encourage anyone who is sexually active to get tested regularly. Anyone in Alberta can access STI testing and treatment for free.”

Dr. Deena Hinshaw, Chief Medical Officer of Health

In response to the sharp rise in 2018, a provincial outbreak coordination committee composed of Alberta Health, Alberta Health Services (AHS) and other provincial health officials has been activated. Over the next three months, the committee will develop a coordinated strategy and determine concrete actions to increase STI testing, promote public awareness and reduce the overall number of syphilis cases in Alberta.

“Sexual health is an important part of overall health. We are working with community partners to remove stigma and increase awareness about STI testing services throughout Alberta. If you are sexually active, make regular STI testing part of your health routine.”

Dr. Laura McDougall, Senior Medical Officer of Health, AHS

A total of 1,536 cases of infectious syphilis were reported in 2018 compared to 161 in 2014, almost a tenfold increase. The rate of infectious syphilis has not been this high in Alberta since 1948.

Congenital syphilis, which occurs when a child is born to a mother with syphilis, is a severe, disabling and life-threatening disease. While congenital syphilis cases were rare before the outbreak, there were 22 congenital syphilis cases between 2014 and 2018, one of which was stillborn.

Consistent and correct condom use is important protection against STIs such as syphilis. Like other STIs, the symptoms of syphilis may not be obvious. Health experts recommend sexually active people, regardless of gender, age or sexual orientation, get tested every three to six months if they:

have a sexual partner with a known STI
have a new sexual partner or multiple or anonymous sexual partners
have previous history of an STI diagnosis

have been sexually assaulted

Prenatal care including syphilis testing is available for all Albertans. It is critical that anyone who is pregnant seeks early prenatal care and testing for syphilis during pregnancy.

Anyone experiencing STI-related symptoms should seek testing through their local health-care provider. Call Health Link at 811, visit a STI or sexual health clinic or speak to a family doctor to find testing and treatment options.

Quick facts

2018 case counts for infectious syphilis by AHS zone:
- South Zone: 31 cases, an increase of 138.5 per cent compared to 2017
- Calgary Zone: 206 cases, an increase of 7.3 per cent compared to 2017
- Central Zone: 88 cases, an increase of 266.7 per cent compared to 2017
- Edmonton Zone: 977 cases, an increase of 305.4 per cent compared to 2017
- North Zone: 208 cases, an increase of 324.5 per cent compared to 2017
For further breakdown of STI 2018 numbers, see the 2018 STI and HIV Summary Report.
Alberta Health works with AHS and community organizations towards prevention, health promotion, outreach testing, education, harm reduction, and addressing stigma. Previous actions include:
- Grants to the Alberta Community Council on HIV to support community organizations across the province to prevent and reduce STIs, reduce harm associated with the non-medical consumption of substances and support health in their own geographic locations.
- Alberta Health has provided three one-time grants totalling a combined $2 million since 2017 to combat the rising rates of STI, including syphilis, focusing on raising awareness and education, reducing stigma and increasing testing and treatment.
- Since 2016, Alberta Health Services and Alberta Health have been working with over 100 provincial partners to develop innovative approaches to increasing access to STI services across the province.

Related Topics:feature Government of Alberta syphilis syphilis rates up

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Premier Smith says Auto Insurance reforms may still result in a publicly owned system

Published on November 21, 2024

Government of Alberta

Better, faster, more affordable auto insurance

Alberta’s government is introducing a new auto insurance system that will provide better and faster services to Albertans while reducing auto insurance premiums.

After hearing from more than 16,000 Albertans through an online survey about their priorities for auto insurance policies, Alberta’s government is introducing a new privately delivered, care-focused auto insurance system.

Right now, insurance in the province is not affordable or care focused. Despite high premiums, Albertans injured in collisions do not get the timely medical care and income support they need in a system that is complex to navigate. When fully implemented, Alberta’s new auto insurance system will deliver better and faster care for those involved in collisions, and Albertans will see cost savings up to $400 per year.

“Albertans have been clear they need an auto insurance system that provides better, faster care and is more affordable. When it’s implemented, our new privately delivered, care-centred insurance system will put the focus on Albertans’ recovery, providing more effective support and will deliver lower rates.”

Danielle Smith, Premier

“High auto insurance rates put strain on Albertans. By shifting to a system that offers improved benefits and support, we are providing better and faster care to Albertans, with lower costs.”

Nate Horner, President of Treasury Board and Minister of Finance

Albertans who suffer injuries due to a collision currently wait months for a simple claim to be resolved and can wait years for claims related to more serious and life-changing injuries to addressed. Additionally, the medical and financial benefits they receive often expire before they’re fully recovered.

Under the new system, Albertans who suffer catastrophic injuries will receive treatment and care for the rest of their lives. Those who sustain serious injuries will receive treatment until they are fully recovered. These changes mirror and build upon the Saskatchewan insurance model, where at-fault drivers can be sued for pain and suffering damages if they are convicted of a criminal offence, such as impaired driving or dangerous driving, or conviction of certain offenses under the Traffic Safety Act.

Work on this new auto insurance system will require legislation in the spring of 2025. In order to reconfigure auto insurance policies for 3.4 million Albertans, auto insurance companies need time to create and implement the new system. Alberta’s government expects the new system to be fully implemented by January 2027.

In the interim, starting in January 2025, the good driver rate cap will be adjusted to a 7.5% increase due to high legal costs, increasing vehicle damage repair costs and natural disaster costs. This protects good drivers from significant rate increases while ensuring that auto insurance providers remain financially viable in Alberta.

Albertans have been clear that they still want premiums to be based on risk. Bad drivers will continue to pay higher premiums than good drivers.

By providing significantly enhanced medical, rehabilitation and income support benefits, this system supports Albertans injured in collisions while reducing the impact of litigation costs on the amount that Albertans pay for their insurance.

“Keeping more money in Albertans’ pockets is one of the best ways to address the rising cost of living. This shift to a care-first automobile insurance system will do just that by helping lower premiums for people across the province.”

Nathan Neudorf, Minister of Affordability and Utilities

Quick facts

Alberta’s government commissioned two auto insurance reports, which showed that legal fees and litigation costs tied to the province’s current system significantly increase premiums.
A 2023 report by MNP shows

Alberta

Alberta fiscal update: second quarter is outstanding, challenges ahead

Published on November 21, 2024

Government of Alberta

Alberta maintains a balanced budget while ensuring pressures from population growth are being addressed.

Alberta faces rising risks, including ongoing resource volatility, geopolitical instability and rising pressures at home. With more than 450,000 people moving to Alberta in the last three years, the province has allocated hundreds of millions of dollars to address these pressures and ensure Albertans continue to be supported. Alberta’s government is determined to make every dollar go further with targeted and responsible spending on the priorities of Albertans.

The province is forecasting a $4.6 billion surplus at the end of 2024-25, up from the $2.9 billion first quarter forecast and $355 million from budget, due mainly to higher revenue from personal income taxes and non-renewable resources.

Given the current significant uncertainty in global geopolitics and energy markets, Alberta’s government must continue to make prudent choices to meet its responsibilities, including ongoing bargaining for thousands of public sector workers, fast-tracking school construction, cutting personal income taxes and ensuring Alberta’s surging population has access to high-quality health care, education and other public services.

“These are challenging times, but I believe Alberta is up to the challenge. By being intentional with every dollar, we can boost our prosperity and quality of life now and in the future.”

Nate Horner, President of Treasury Board and Minister of Finance

Midway through 2024-25, the province has stepped up to boost support to Albertans this fiscal year through key investments, including:

$716 million to Health for physician compensation incentives and to help Alberta Health Services provide services to a growing and aging population.
$125 million to address enrollment growth pressures in Alberta schools.
$847 million for disaster and emergency assistance, including:
- $647 million to fight the Jasper wildfires
- $163 million for the Wildfire Disaster Recovery Program
- $5 million to support the municipality of Jasper (half to help with tourism recovery)
- $12 million to match donations to the Canadian Red Cross
- $20 million for emergency evacuation payments to evacuees in communities impacted by wildfires
$240 million more for Seniors, Community and Social Services to support social support programs.

Looking forward, the province has adjusted its forecast for the price of oil to US$74 per barrel of West Texas Intermediate. It expects to earn more for its crude oil, with a narrowing of the light-heavy differential around US$14 per barrel, higher demand for heavier crude grades and a growing export capacity through the Trans Mountain pipeline. Despite these changes, Alberta still risks running a deficit in the coming fiscal year should oil prices continue to drop below $70 per barrel.

After a 4.4 per cent surge in the 2024 census year, Alberta’s population growth is expected to slow to 2.5 per cent in 2025, lower than the first quarter forecast of 3.2 per cent growth because of reduced immigration and non-permanent residents targets by the federal government.

Revenue

Revenue for 2024-25 is forecast at $77.9 billion, an increase of $4.4 billion from Budget 2024, including:

$16.6 billion forecast from personal income taxes, up from $15.6 billion at budget.
$20.3 billion forecast from non-renewable resource revenue, up from $17.3 billion at budget.

Expense

Expense for 2024-25 is forecast at $73.3 billion, an increase of $143 million from Budget 2024.

Surplus cash

After calculations and adjustments, $2.9 billion in surplus cash is forecast.

$1.4 billion or half will pay debt coming due.
The other half, or $1.4 billion, will be put into the Alberta Fund, which can be spent on further debt repayment, deposited into the Alberta Heritage Savings Trust Fund and/or spent on one-time initiatives.

Contingency

Of the $2 billion contingency included in Budget 2024, a preliminary allocation of $1.7 billion is forecast.

Alberta Heritage Savings Trust Fund

The Alberta Heritage Savings Trust Fund grew in the second quarter to a market value of $24.3 billion as of Sept. 30, 2024, up from $23.4 billion at the end of the first quarter.

The fund earned a 3.7 per cent return from July to September with a net investment income of $616 million, up from the 2.1 per cent return during the first quarter.

Debt

Taxpayer-supported debt is forecast at $84 billion as of March 31, 2025, $3.8 billion less than estimated in the budget because the higher surplus has lowered borrowing requirements.