Monday, June 24, 2024

 

Surge in fatal opioid overdoses in Ontario shelters, report finds




INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES





Researchers from the Ontario Drug Policy Research Network (ODPRN) at St. Michael’s Hospital and Public Health Ontario analyzed health data from the Office of the Chief Coroner of Ontario and ICES, and found that there were 210 accidental opioid-related toxicity deaths within shelters between January 2018 to May 2022, with the number of deaths more than tripling during the study period (48 before the pandemic versus 162 during the pandemic). 

Statistics Canada data shows that the annual number of emergency beds in Ontario grew by only 15% (6,764 to 7,767) between 2018 and 2022. 

“People who use Ontario’s shelter system are not only facing housing instability, but also have complex healthcare needs and unique barriers to accessing treatment and harm reduction programs,” says lead author Bisola Hamzat, an epidemiologist with the ODPRN. “This report underscores the disproportionate impact of the opioid crisis on this population.” 

Trends in shelters differed from rest of Ontario 

When exploring the circumstances surrounding the overdose and death, the data showed that someone was present and able to intervene for only 1 in 10 opioid-related toxicity deaths within shelters, which is lower than in Ontario overall (approximately 1 in 4). However, naloxone was administered most of the time when someone could intervene within shelters. 

In the week before death, nearly half of people who died within a shelter had contact with the healthcare system, and in the five years prior to death, almost 80% had a hospital visit related for a mental health diagnosis, which is much higher than 56% of people in Ontario overall. 

Several factors remained consistent with the rest of Ontario, including the rise of multiple substances contributing to death (such as benzodiazepines and stimulants), a greater tendency toward smoking and inhalation of drugs, and fentanyl from the unregulated drug supply being the most common driver of deaths. 

In a secondary analysis of hotels and motels, the researchers found that opioid-related overdose deaths followed similar patterns to those in shelters but began to decline toward the end of the study period in 2022. The researchers say that the rise in deaths was likely influenced by the rapid expansion of temporary hotel-based shelters early in the COVID-19 pandemic. 

Urgent need for improved response to crisis 

“Our report highlights the need for improved and expanded harm reduction approaches, overdose response, as well as staff training and supports within shelters,” says co-lead author Tara Gomes, a scientist at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital and ICES, and a principal investigator of the ODPRN.  

“Additionally, improved connection to community-based healthcare, treatment programs, and mental health supports are needed for people experiencing homelessness and housing instability, in combination with efforts to address upstream factors such as more accessible housing, income and employment supports, and community-based social supports across the province.” 

“The report highlights what we have witnessed the last few years in Timmins. It demonstrates the need for comprehensive support across the spectrum of care for unhoused community members, and of the importance of shelter design and management to ensure services are accessible and safe for people who use drugs. An increase in deaths in the Timmins shelter system over the past two years serves as a stark reminder of this importance,” says Jason Sereda, President, Board of Directors: DIY Community Health Timmins. 

The report, “Opioid-related toxicity deaths within Ontario shelters: circumstances of death and prior medication & healthcare use” was published on the ODPRN website

About St. Michael’s 

St. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future health care professionals in more than 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael’s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto. 

 

About the Ontario Drug Policy Research Network 

Established in 2008, the Ontario Drug Policy Research Network (ODPRN) is a research program based out of St. Michael’s Hospital that brings together researchers, people with lived experience, clinicians, and policy-makers to generate evidence to inform effective drug policy development in Ontario. 
 
About Unity Health Toronto 

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. 

 

About Public Heath Ontario 

Public Health Ontario is a Crown corporation dedicated to protecting and promoting the health of all Ontarians and reducing inequities in health. Public Health Ontario links public health practitioners, front-line health workers and researchers to the best scientific intelligence and knowledge from around the world. For the latest PHO news, follow us on Twitter: @publichealthON

 

About ICES 

ICES is an independent, not-for-profit research and analytics institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. ICES leads cutting-edge studies and analyses evaluating healthcare policy, delivery, and population outcomes. ICES knowledge is highly regarded in Canada and abroad and is widely used by government, hospitals, planners, and practitioners to make decisions about healthcare delivery and to develop policy. For the latest ICES news, follow us on X, formerly Twitter: @ICESOntario 

 

SPACE

First of its kind detection made in striking new Webb image



NASA/GODDARD SPACE FLIGHT CENTER
Serpens Nebula (NIRCam) 

IMAGE: 

IN THIS IMAGE OF THE SERPENS NEBULA FROM NASA’S JAMES WEBB SPACE TELESCOPE, ASTRONOMERS FOUND A GROUPING OF ALIGNED PROTOSTELLAR OUTFLOWS WITHIN ONE SMALL REGION (THE TOP LEFT CORNER). SERPENS IS A REFLECTION NEBULA, WHICH MEANS IT’S A CLOUD OF GAS AND DUST THAT DOES NOT CREATE ITS OWN LIGHT, BUT INSTEAD SHINES BY REFLECTING THE LIGHT FROM STARS CLOSE TO OR WITHIN THE NEBULA.

 

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CREDIT: NASA, ESA, CSA, K. PONTOPPIDAN (NASA’S JET PROPULSION LABORATORY) AND J. GREEN (SPACE TELESCOPE SCIENCE INSTITUTE).




For the first time, a phenomenon astronomers have long hoped to directly image has been captured by NASA’s James Webb Space Telescope’s Near-Infrared Camera (NIRCam). In this stunning image of the Serpens Nebula, the discovery lies in the northern area (seen at the upper left) of this young, nearby star-forming region.

Astronomers found an intriguing group of protostellar outflows, formed when jets of gas spewing from newborn stars collide with nearby gas and dust at high speeds. Typically these objects have varied orientations within one region. Here, however, they are slanted in the same direction, to the same degree, like sleet pouring down during a storm.

 

The discovery of these aligned objects, made possible due to Webb’s exquisite spatial resolution and sensitivity in near-infrared wavelengths, is providing information into the fundamentals of how stars are born.

“Astronomers have long assumed that as clouds collapse to form stars, the stars will tend to spin in the same direction,” said principal investigator Klaus Pontoppidan, of NASA’s Jet Propulsion Laboratory in Pasadena, California. “However, this has not been seen so directly before. These aligned, elongated structures are a historical record of the fundamental way that stars are born.”

So just how does the alignment of the stellar jets relate to the rotation of the star? As an interstellar gas cloud crashes in on itself to form a star, it spins more rapidly. The only way for the gas to continue moving inward is for some of the spin (known as angular momentum) to be removed. A disk of material forms around the young star to transport material down, like a whirlpool around a drain. The swirling magnetic fields in the inner disk launch some of the material into twin jets that shoot outward in opposite directions, perpendicular to the disk of material.

In the Webb image, these jets are signified by bright clumpy streaks that appear red, which are shockwaves from the jet hitting surrounding gas and dust. Here, the red color represents the presence of molecular hydrogen and carbon monoxide.

“This area of the Serpens Nebula – Serpens North – only comes into clear view with Webb,” said lead author Joel Green of the Space Telescope Science Institute in Baltimore. “We’re now able to catch these extremely young stars and their outflows, some of which previously appeared as just blobs or were completely invisible in optical wavelengths because of the thick dust surrounding them.”

Astronomers say there are a few forces that potentially can shift the direction of the outflows during this period of a young star’s life. One way is when binary stars spin around each other and wobble in orientation, twisting the direction of the outflows over time.

Stars of the Serpens

The Serpens Nebula, located 1,300 light-years from Earth, is only one or two million years old, which is very young in cosmic terms. It’s also home to a particularly dense cluster of newly forming stars (~100,000 years old), seen at the center of this image. Some of these stars will eventually grow to the mass of our Sun.

“Webb is a young stellar object-finding machine,” Green said. “In this field, we pick up sign posts of every single young star, down to the lowest mass stars.”

“It’s a very complete picture we’re seeing now,” added Pontoppidan.

So, throughout the region in this image, filaments and wisps of different hues represent reflected starlight from still-forming protostars within the cloud. In some areas, there is dust in front of that reflection, which appears here with an orange, diffuse shade.

This region has been home to other coincidental discoveries, including the flapping “Bat Shadow,” which earned its name when 2020 data from NASA’s Hubble Space Telescope revealed a star’s planet-forming disk to flap, or shift. This feature is visible at the center of the Webb image.

Future Studies

The new image, and serendipitous discovery of the aligned objects, is actually just the first step in this scientific program. The team will now use Webb’s NIRSpec (Near-Infrared Spectrograph) to investigate the chemical make-up of the cloud.

The astronomers are interested in determining how volatile chemicals survive star and planet formation. Volatiles are compounds that sublimate, or transition from a solid directly to a gas, at a relatively low temperature – including water and carbon monoxide. They’ll then compare their findings to amounts found in protoplanetary disks of similar-type stars.

“At the most basic form, we are all made of matter that came from these volatiles. The majority of water here on Earth originated when the Sun was an infant protostar billions of years ago,” Pontoppidan said. “Looking at the abundance of these critical compounds in protostars just before their protoplanetary disks have formed could help us understand how unique the circumstances were when our own solar system formed.”

These observations were taken as part of General Observer program 1611. The team’s initial results have been accepted in the Astrophysical Journal.

The James Webb Space Telescope is the world's premier space science observatory. Webb is solving mysteries in our solar system, looking beyond to distant worlds around other stars, and probing the mysterious structures and origins of our universe and our place in it. Webb is an international program led by NASA with its partners, ESA (European Space Agency) and CSA (Canadian Space Agency).

U$ Teachers report worse pay and well-being compared to similar working population



 NEWS RELEASE 

RAND CORPORATION




With more working hours and lower average base pay, the well-being of U.S. teachers continues to be worse than that of similar working adults – a consistent pattern since 2021, according to a new RAND survey.

Managing student behavior, low salary and administrative work outside of teaching were the top-ranked sources of stress for teachers in 2024. Teachers reported working an average of 53 hours per week; 15 of these hours – or roughly one quarter of their working hours – were outside of their contracts. This compares to 44 hours per week for similar working adults. Only 36% of teachers said their base pay was adequate compared with 51% of similar working adults.

The RAND State of the Teacher survey is a nationally representative, annual survey of K-12 public school teachers across the U.S. The 2024 survey focuses on teacher well-being and high-interest factors related to job retention: sources of job-related stress, pay, hours worked and intentions to leave. Teacher data is presented in comparison to a separate 2024 American Life Panel companion survey, a nationally representative survey of working adults.

“This is RAND’s fourth consecutive year collecting data that raise concerns about high stress and low pay in the teacher workforce,” said Sy Doan, lead author of the report and a policy researcher at nonprofit, nonpartisan RAND. “Although teacher well-being seems to have stabilized at pre-pandemic levels, our data raise questions about the sustainability of the profession for Black teachers and female teachers in particular.”

Black teachers reported working significantly more hours per week, on average, and were less likely to report satisfaction with their weekly working hours than their peers. They were also less likely to say their base pay was adequate than their peers, to report significantly lower base pay, and to say they intended to leave their job.

Female teachers reported significantly higher rates of frequent job-related stress and burnout than male teachers, a consistent pattern since 2021. Female teachers also reported significantly lower base pay than their male peers but no differences in the number of hours they work per week. 

Teachers who considered their current base salaries inadequate desired a roughly $16,000 increase in base pay, on average, to consider their salary to be completely adequate.

This survey also indicates teachers are about as likely to report intending to leave their as working adults; 22% compared with 24% working adults.

The State of the American Teacher survey was supported by the National Education Association and the American Federation of Teachers.

Other authors of “Teacher Well-Being and Intentions to Leave: Findings from the 2024 State of the American Teacher Survey” are Elizabeth D. Steiner and Rakesh Pandey.

RAND Education and Labor, a division of RAND, is dedicated to providing objective research and analysis that improves social and economic well-being through education and workforce development. The division does research on early childhood through postsecondary education programs, workforce development, programs and policies affecting workers, entrepreneurship, and financial literacy and decision making.

Disney accused of duping workers to move to Florida


Cinderella Castle is decorated with gold ribbons, blue banners, a 50th-anniversary sign and EARidescent embellishment at Magic Kingdom Park during "The World's Most Magical Celebration" - the 50th anniversary of Walt Disney World Resort! on September 30, 2021 in Orlando, Florida. Fil photo by John Angelillo/UPI | License Photo

June 22 (UPI) -- A proposed class action lawsuit accuses Disney of inducing workers to sell their California homes and move to Florida to work there as part of an eventually canceled project.

Maria De La Cruz and George Fong in a lawsuit filed Tuesday in Los Angeles County Superior Court say Disney officials in July 2021 told them and about 250 other workers at the Disney park, experiences and product team to choose between moving to Lake Nona in central Florida and losing their jobs.

Both did as part of a planned Disney campus project costing $1 billion in Lake Nona that was canceled after the workers relocated there in 2022. Disney planned to bring 2,000 jobs to the Orlando area, which includes Disney World. Disneyland is located in Anaheim, Calif.

Fong is a Disney creative director and says he sold his family home in Los Angeles, which had been in his family for decades, and stayed in a hotel in Florida while his new home in Orlando was readied.

Pixar announces largest layoff in animation studio's history

De La Cruz is a Disney vice president of product design, and says she sold her home in Altadena and moved her family to Florida.

After both relocated, along with other Disney workers, the company canceled the project and told the group of workers to move back to California.

Disney in May 2023 notified workers that "considerable changes have occurred since the announcement of this project, including new leadership and changing business conditions."

Those changes included replacing former Disney CEO Bob Chapek, who announced the Lake Nona campus project. New CEO Bob Iger canceled the Lake Nona project.

Fong says they were given the notice to move back to California within six months of him selling his California home and paying for a new one in Florida.

He says he was forced to sell the Florida home, which was virtually unsellable at first and took four months to find a buyer.

De La Cruz is undergoing the moving process to return to California to resume working at Disney's office in Glendale.

Given the current housing market in California, De La Cruz and Fong say they were forced to buy homes whose qualities are less than they had before the induced selling of their old homes.

They also are paying higher interest rates for their new mortgages.

Fong and De La Cruz accuse Disney of concealment and misrepresentation and say the company's eventual compensation offers were much less than the actual costs.

The plaintiffs want other Disney workers to join the lawsuit to create a class action.
Cyberattack cripples U.S. auto dealerships' operations

By Allen Cone

 Dealersbhips deal with hacking. WDIV.

June 22 (UPI) -- Thousands of car dealers in the United States are struggling to handle virtually all areas of their business, including sales and services, because their software vendor was hacked this week.

CDK Global, a company that provides auto dealerships software for managing sales and other services, was shut down for a third straight day Friday after cyberattacks crippled the platform.

Bloomberg reported a group claiming to have hacked the system is demanding tens of millions of dollars, and the company intends to pay the amount but discussions are subject to change. A Bloomberg source said the hack is believed to be based in eastern Europe.

Roughly 15,000 car dealers depend on CDK's dealer management software to run their businesses. That includes payroll, inventory, customer relations and office operations. Dealers also line up with financing and insurance with the system.

The computer system includes agreements involving rebates and incentives.

WDIV business editor Rod Meloni said "they're flying blind."

CDK has not indicated when its systems will be back up and running. But it could take days, according to PC Mag.

"We are actively investigating a cyber incident," a CDK spokesperson told CBS News. "Out of an abundance of caution and concern for our customers, we have shut down most of our systems and are working diligently to get everything up and running as quickly as possible."

Dealerships on Reddit are sharing that they were relying on spreadsheets and sticky notes to sell customers small parts and make repairs, but no large transactions are being done.

Jeff Ramsey, an executive with Ourisman Auto Group headquartered in Maryland, told CNN the shutdown could cost his dealerships some business. Customers could just find a dealer nearby that's not having these issues and buy a new vehicle there, instead.

"My selling team can hand-write a buyer's order," Brian Benstock, general manager of Paragon Honda and Paragon Acura in Long Island City, New York, told CNN.

Ford is providing assistance to its dealers, including Lincoln.

"Although there is an industry-wide system outage for some dealers who use CDK, Ford and Lincoln customers are able to receive sales and service support due to alternative processes available to our dealers," the company said.

Vehicle repair/mainteenance servucs also are affected.

Tom Maoli, whose dealerships are based out of New Jersey, told Fox Business, his group "has to do everything manually," including putting together the repair order "so they can pay it."

"And then what happens is, when there's parts that need to be used to repair the vehicle, there's an inventory system within CDK and those parts are not being deducted from our systems so when we use parts out of our inventory, alerts won't automatically go to the manufacturers to replenish us with those parts," he said, "They're not getting those alerts so the entire supply chain system is being shut down."

Brookfield Business Partners, a Toronto-based private equity firm, acquired the company in 2022 for more than $8 billion.