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Canadian Paediatric Society

Ratings for Nunavut

Province/Territory2012 status2016 statusRecommended actionsComments
Immunization

Fair

Fair

Add a second dose of varicella vaccine.
Implement a central immunization e-registry.

Nunavut does not have a rotavirus immunization program in place. The CPS acknowledges that this decision is based on disease epidemiology and that surveillance is underway to detect cases and assess need.
 

Electronic medical records are being centralized gradually and are available in at least one community in each of the three regions.

Prevent smoking among youth

Good

Poor

Implement legislation on smoking in cars with minors present. Implement a province-wide ban on smoking in outdoor public places. Implement legislation on e-cigarettes and flavoured tobacco products.

Breastfeeding promotion (as per the WHO’s Baby-friendly Initiative)

Not assessed

Fair

Implement a BFI policy or strategy, with a designated BFI coordinator and a breastfeeding education strategy. Provide incentives that encourage and support health facilities to become BFI-certified. Track breastfeeding initiation, duration and exclusivity rates. Provide free province-wide access to lactation consultants in person or by phone/email.

All sick or premature infants are transported out of the territory to sites that offer banked breast milk.

Newborn hearing screening

Poor

Poor

Implement a universal newborn hearing screening and intervention program. 

The CPS appreciates that having a scattered population and limited access to centralized testing and corrective services pose significant challenges.

An enhanced 18-month well-baby visit

Poor

Excellent

Meets all CPS recommendations.

Bicycle helmet legislation

Poor

Poor

Enact legislation that requires all age groups to wear helmets.

Booster seat legislation

Poor

Poor

Enact booster seat legislation.

The CPS recognizes that few people own cars in Nunavut.

Child and youth death review

Not assessed

Fair

Implement a child death review committee* and a structured process to review all child and youth deaths – not just cases in care. Process should include reporting protocols, a linkable database for meaningful data collection, consolidation and dissemination, and an evaluative mechanism.

A death review committee is being established. The CPS will monitor progress.

Management of type 1 diabetes in school

Not assessed

Poor

Develop comprehensive policy on managing type 1 diabetes in school, consistent with CPS/CPEG and CDA recommendations.

Province/Territory2012 status2016 statusRecommended actionsComments
 ATVsSnowmobiles   
Off-road vehicle safety legislation (all-terrain vehicles and snowmobiles)

Fair

Fair

Fair

Prohibit off-road vehicle operation for children/youth under 16 years old. Institute mandatory safety training.

Province/TerritoryHighlights of provincial/territorial response to Jordan’s Principle
Jordan’s Principle

The population of Nunavut is approximately 85% Inuit. “The Government of Nunavut is interested in any discussions regarding the inclusion of Inuit children under the protections of Jordan’s Principle.”