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Archive for November, 2019

recent CBC News series featured heart-breaking stories of violence — physical, psychological and sexual — inflicted on students in today’s schools. All of this came hard on the heels of the horrendous stabbing death of 14-year-ol Devan Bracci-Selvey in front of Hamilton’s Sir Winston Churchill Secondary School.

Raising our consciousness about the dangers students face is much easier than grappling with why Canadian schools are falling short in addressing the chronic problem of violence, bullying, and sexual harassment in the first place. That challenge has confronted us for more than a decade since the release of Julian Falconer’s massive January 2008 report The Road to Health, which looked at tackling student violence in the Toronto District School Board.

School authorities from province to province, we learned from the CBC investigation, still collect incident reports on student violence in vastly different ways. The result is a crazy-quilt patchwork of data with far too many schools and regions that file no reports at all. Only two of the provinces, Ontario and Nova Scotia, require schools to share their school violence statistics with their education ministries. Even so, in the case of Ontario, that data was found to be incomplete and inaccurate.Given the paucity of reliable statistics, it’s next to impossible to analyze this disturbing social trend in our schools.

To get to the bottom of the problem, CBC’s Marketplace commissioned a nationwide survey of 4,000 young people, ages 14 to 21, in September of this year. The results were startling: Two out of five (41 per cent) of boys reported being physically assaulted in high school; one in four girls (26 per cent) experienced unwanted sexual contact at school; and one in four students first experienced sexual harassment or assault before Grade 7 in elementary school.

Five key factors can be identified, based upon the CBC investigation and credible research on violence in schools:

  • ‘Head-in-the-sand’ denial: Much of the school violence experienced by students is treated by officials as isolated incidents, or events requiring too much time-consuming investigation in order to assign blame or responsibility. In the absence of required reporting, it goes unacknowledged and, all too often, is swept under the rug.
  • Ineffective oversight: Even where reporting of student violence incidents is expected or required, it’s often not deemed a priority unless or until a publicized incident hits the media and arouses parental unrest. School-by-school reports may be filed, as in Ontario, but oversight is weak or non-existent and the absence of reports is not questioned, even in some cases when it involves incidents featured in local media reports.
  • Under-reporting: Many principals and administrators under-report the number of actual school violence incidents, as revealed when compared with student-reported data. In American states, where student violence reporting is more established, data generated from the victims is incorporated into the official statistics.
  • Fear of reputational risk: School administrators are often protective of a school’s reputation and reluctant to report higher counts, which might result in them being labelled a “dangerous school” if their numbers are high or rising from year to year.
  • Feeble public accountability: Educational oversight by elected school boards and district educational councils is woefully inadequate.

Illustrating that last point, Manitoba provincial school boards association president Alan Campbell says that maintaining “a safe learning environment” is the “No. 1 priority.” However, public disclosure of data is non-existent there, and levels of sexual harassment and hateful name-calling are higher than any other province in Canada. Why elected boards do not insist upon full public disclosure is hard to fathom, especially when it’s their responsibility to identify critical needs and allocate district resources.

Much can be learned from American school research, which includes critical analysis of how Ontario has collected violence statistics over the past eight years. UCLA Professor Ron Avi Astor, co-author of Bullying, School Violence, and Climate in Evolving Contexts: Culture, Organization, and Time, has published more than 200 academic studies on violent behaviour in schools. In the CBC News series, he confirmed that Canada has no real system at all for collecting data, exemplified by uneven provincial policies, lack of consistent definitions for offences, varying collection systems, and inaccurate or incomplete statistics.

StudentViolenceCBCGraphOntario deserves credit for requiring mandatory reporting, but the system does not stand up to close scrutiny. The most recent data documented 2,124 violent incidents in 2018-19, averaging about 10 incidents province-wide each day. That simply does not stack up, because 18 of Ontario’s 76 school boards have reported zero incidents for several years, eight show radical variations from year to year, and four boards are in non-compliance for having failed to file reports at all for some years.

While the CBC News report documented serious levels of violent incidents in the province when it surveyed students, more than three-quarters (77 per cent) of Ontario schools reported having no incidents of violence during the previous year.

Negligence in reporting and underreporting simply compounds the problem. When the violence statistics go unreported or are full of zeros, it becomes guesswork when allocating resources — not just funds, but counsellors, psychologists, and social workers to rectify school problems with student behaviour. Transparency in identifying problems is, after all, the critical first step in developing more effective, evidence-based harm reduction policies and in implementing school-level programs that work in reducing the incidence of student violence.

Why does the stubborn problem of student violence persist in our schools?  How can such school challenges be addressed when the data on student violence is either unreported or concealed from parents and the public?  When we do identify the extent of the problem, how well are we responding with harm reduction programs?  

Re-posted commentary, originally published on CBC’s Opinion section on November 10, 2019. 

 

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Measles outbreaks in the spring of 2019 in the American Pacific Northwest and British Columbia were part of a global revival of an infectious disease that had already affected thousands in Asia, Africa and Eastern Europe. In the wake of that outbreak, the BC Ministry of Health under Adrian Dix acted to require all parents to provide local public health units with their child’s immunization record before beginning school in September 2019. Twelve measles cases in Saint John, New Brunswick, in June 2019, prompted the Chief Medical Officer of Health Dr. Jennifer Russell to intervene to protect as many as 2,000 people exposed to the disease, ordering up 20,000 more doses of MMR vaccine, protection against measles, mumps and rubella.

Lagging childhood immunization rates are emerging as a major public health concern.  Periodic outbreaks of measles and mumps have alerted the public to the fact that childhood diseases, once virtually eradicated by vaccines, are reappearing in and around schools.

Vaccines remain one of the safest and most effective tools we have to protect ourselves, our families and our communities from infectious diseases. Those are not my words, but those of the Public Health Agency of Canada. The current reality is that we are not meeting our national immunization goals and too many children as well as adults remain unprotected and liable to experience illnesses from vaccine-preventable diseases that can cause serious health complications, some of which carry a risk of death.

Each year in April Health Canada raises the alarm during National Immunization Awareness Week and education programs are announced in an attempt to raise vaccination rates. Our Chief Medical Officer of Health, Dr. Robert Strang, makes regular appeals, most recently in August of 2019, to encourage parents to keep their children’s immunization records up-to- date.

The current strategy is not working in Nova Scotia where only 71 per cent of 7- year-olds are immunized for measles and mumps, some 15 per cent lower than the national provincial average and ranking last among the provinces. In New Brunswick, where it’s considered a “crisis,” the measles and mumps coverage rate at age 7 is 92.3 per cent.

While provincial health and school authorities in New Brunswick, British Columbia and Ontario are tackling it head on, Alberta and Nova Scotia are still vacillating on how to improve its abysmal childhood immunization rates. While Health Minister Randy Delorey dithered, PC Leader Tim Houston introduced a private member’s bill to try to force the government’s hand.

Sparked by the spring 2019 measles scare in the Saint John region, New Brunswick Education Minister Dominic Cardy has championed legislation that would make vaccinations mandatory for children without medical exemptions in provincial schools and day cares.

Taking a proactive approach to combating the resurgence of childhood diseases is becoming common right across Canada. Three years ago, Ontario introduced stricter childhood vaccination regulations and in British Columbia legislation requires the reporting of immunization records. Ontario has far higher rates of reported childhood immunization at age 7 than Nova Scotia. Yet, since 2016, that province has required student vaccinations be up to date unless a parent or guardian can provide medical, religious or philosophical reasons why their child has not received a vaccine. Even when exemptions are granted, families are required to watch a 30-minute video on the importance of vaccines and then sign a document saying they viewed the presentation.

Public health authorities hold sway in Nova Scotia, unlike in New Brunswick, where a proactive Education Minister is leading the charge to meet childhood immunization targets so schools do not become sources of contagion.

Nova Scotia Health Minister Delorey may be deterred by fears of stirring-up the radical anti-vaxxers and setting back the cause. He should be taking his cue from New Brunswick’s courageous Education Minister. Confronting a posse of opponents, Cardy called out the group as conspiracy theorists who “influence, mislead and deceive” parents into thinking their children are at risk if they are vaccinated.

Prominent among the N.B. protesters were former Halifax chiropractor Dena Churchill who recently lost her licence to practice because of her anti-vax campaigning, and California pediatrician Dr. Bob Sears, a well-known anti-vax advocate funded by Vaccine Choice Canada.

Vaccine adverse reactions do happen, but, on balance, immunizing children prevents far worse harms caused by the unchecked spread of childhood infectious diseases. School attendance is compulsory and, in that context, so should immunization aimed at safeguarding children’s health.

Minister Cardy stood his ground defending his legislative changes aimed at achieving the goal of 95 per cent coverage. Growing anti-vaccination sentiment, he claimed, was being fed by social media, and threatened to discourage parents from vaccinating their children, reducing immunization rates below a critical threshold that allows a community to resist an outbreak.

Playing nice does not seem to be working at raising childhood immunization rates. Scare stories spread by anti-vaxxers should not go unchallenged. Claims that vaccines are harmful, in Cardy’s words, are “not supported in fact.” “If you believe in evidence-based decision-making, you have to look at the evidence and the evidence is incontrovertible.”

Childhood diseases such as measles, mumps, diphtheria, pertussis, and rubella can do great harm if left unchecked by regular vaccination. With childhood infectious diseases making a comeback, is now the time to be vacillating on child immunization? Does the school system have some responsibility to ensure that immunization rates are high enough to prevent mass outbreaks in the community?  Should it all fall on provincial and local health authorities? 

  • An earlier version of this research commentary appeared in The Chronicle Herald, October 31, 2019.

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