Background

Background

Hemophilia patients, especially those with severe or moderately severe disease, are at risk of developing arthropathy related to recurrent hemarthrosis.[1,2] The most commonly affected joints are the knees, ankles, and elbows.[1] Arthropathy can result in major morbidity, including chronic joint pain, loss of joint function, and long-term disability.[2] Orthopaedic surgical intervention can include joint debridement, joint replacement, and arthrodesis.[3]

The Washington Department of Fish and Wildlife, in collaboration with the Center for Urban Waters (University of Washington Tacoma), reported detecting contaminants of emerging concern (CECs) in transplanted mussels collected in 2012/2013 from locations near urbanized areas around Puget Sound.

BC’s health care system is undergoing changes that will connect more patients with primary care and enable physicians to help patients access additional services and support. This involves increasing team-based health care through the creation of patient medical homes (PMHs) in family practices and forming primary care networks (PCNs) in communities that support longitudinal care provided by PMHs. As of June 2019, nine divisions of family practice have announced plans to form PCNs in their communities.

In July 2012, WorkSafeBC amended the Workers Compensation Act to more clearly define coverage for work-related mental illness. In April 2018, the provincial government introduced presumptive legislation for five groups of first responders in the province, and a year later, expanded the eligible occupations to include: