Alberta
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.”
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.”
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.
From the Fraser Institute
By Tegan Hill
According to the recent mid-year update tabled Thursday, the Smith government projects a $4.6 billion surplus in 2024/25, up from the $2.9 billion surplus projected just a few months ago. Despite the good news, Premier Smith must reduce spending to avoid budget deficits.
The fiscal update projects resource revenue of $20.3 billion in 2024/25. Today’s relatively high—but very volatile—resource revenue (including oil and gas royalties) is helping finance today’s spending and maintain a balanced budget. But it will not last forever.
For perspective, in just the last decade the Alberta government’s annual resource revenue has been as low as $2.8 billion (2015/16) and as high as $25.2 billion (2022/23).
And while the resource revenue rollercoaster is currently in Alberta’s favor, Finance Minister Nate Horner acknowledges that “risks are on the rise” as oil prices have dropped considerably and forecasters are projecting downward pressure on prices—all of which impacts resource revenue.
In fact, the government’s own estimates show a $1 change in oil prices results in an estimated $630 million revenue swing. So while the Smith government plans to maintain a surplus in 2024/25, a small change in oil prices could quickly plunge Alberta back into deficit. Premier Smith has warned that her government may fall into a budget deficit this fiscal year.
This should come as no surprise. Alberta’s been on the resource revenue rollercoaster for decades. Successive governments have increased spending during the good times of high resource revenue, but failed to rein in spending when resource revenues fell.
Previous research has shown that, in Alberta, a $1 increase in resource revenue is associated with an estimated 56-cent increase in program spending the following fiscal year (on a per-person, inflation-adjusted basis). However, a decline in resource revenue is not similarly associated with a reduction in program spending. This pattern has led to historically high levels of government spending—and budget deficits—even in more recent years.
Consider this: If this fiscal year the Smith government received an average level of resource revenue (based on levels over the last 10 years), it would receive approximately $13,000 per Albertan. Yet the government plans to spend nearly $15,000 per Albertan this fiscal year (after adjusting for inflation). That’s a huge gap of roughly $2,000—and it means the government is continuing to take big risks with the provincial budget.
Of course, if the government falls back into deficit there are implications for everyday Albertans.
When the government runs a deficit, it accumulates debt, which Albertans must pay to service. In 2024/25, the government’s debt interest payments will cost each Albertan nearly $650. That’s largely because, despite running surpluses over the last few years, Albertans are still paying for debt accumulated during the most recent string of deficits from 2008/09 to 2020/21 (excluding 2014/15), which only ended when the government enjoyed an unexpected windfall in resource revenue in 2021/22.
According to Thursday’s mid-year fiscal update, Alberta’s finances continue to be at risk. To avoid deficits, the Smith government should meaningfully reduce spending so that it’s aligned with more reliable, stable levels of revenue.
Author:
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.”
“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.”
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.”
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
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