Julie Green

Yes, thank you, Mr. Speaker. Mr. Speaker, to take a step back from that question, the department first needs to learn what services are going to be provided. So in the last fiscal year, the department funded the Northern Birth Work Collective to create an Indigenous doula and birth work training program. And we see a lot of potential in this, and we're looking forward to the results of this training and development. And once that's in place, then the department will be in a better situation to learn what the service model is, how communities are going to access the services, and then make an...

Thank you, Mr. Speaker. Thank you for the question. In February 2019, the Department funded an Indigenous doula maternal support training session that had a number of Indigenous governments as well as the Health and Social Services Authority involved, with a total of 16 participants. The key findings from the participants from this pilot were, first, participants want to support Indigenous women and their families to reclaim their identity, their health, and exercise greater control over their own childbirth and parenting experiences.

Second, doulas and birth work can contribute to the healing...

Yes. Thank you, Mr. Speaker. Mr. Speaker, I appreciate the Member's frustration but what we learned in Yellowknife in the month of May is that everything can change overnight, where one case at a school ultimately became 71 cases with a thousand contacts and 43 households in isolation. The key thing there was we had a large unvaccinated group who are not eligible for vaccines because of their age, and we had 40 percent of the people there, the youth, were asymptomatic. So they didn't know they had COVID. They had no symptoms of it. And another  something like 20 percent had only one symptom...

Yeah, thank you, Mr. Speaker. Mr. Speaker, there's a process laid out in the Public Health Act. The CPHO is an independent health official, a medical doctor. That person evaluates the situation and determines the risk of the disease to the public. That person then creates public health orders that would mitigate that risk. And that advice comes to me, and I declare a state of emergency to give force to the orders that the Chief Public Health Officer has made. So I am taking advice from the Chief Public Health Officer who is looking at the technical risk assessments, which I do not have a level...

Thank you, Mr. Speaker. Mr. Speaker, I'm not aware of the same kind of adverse effects with the Pfizer vaccine as there have been with the AstraZeneca vaccine. They are different kinds of vaccines. And I don't know a lot about how they're different. I just can tell you that they are apples and oranges in terms of vaccines.

But what I can say is that we are very interested in going back to communities and providing more vaccinations. Just as the Member said, this is what we hoped, that people would see that those who got vaccinated did great, they have a lot more freedom, they can isolate for...

Thank you, Mr. Speaker. Mr. Speaker, we've been vaccinating teachers along with the rest of the population, 18 plus, since March. There have been three trips in to Tuktoyaktuk to provide vaccinations. If there are people who still require vaccinations, they should call the health centre and make that need known so that another trip into Tuk can be planned. Thank you.

Yes, thank you, Mr. Speaker. Mr. Speaker, I just want to make the distinction between the Department of Health and Social Services and the Health and Social Services Authorities. The Department of Health and Social Services is the policy arm of the operation. The implementation on the ground in the health centres is the Health and Social Services Authority. I haven't received a request from another health centre for a program audit. But one was done at the health at the Fort Providence health centre on March the 19th. Thank you.

Thank you, Mr. Speaker. Mr. Speaker, again, we're a step back from that. We're trying to develop the model of care for doulas within the existing health and social services system that builds on the work that they're doing now and develops models that support collaboration between different partners in the birthing setting, including, of course, communities, families, and health services. So once that's in place, then how low income people can access this with grants would be the logical next step. Thank you.

Thank you, Mr. Speaker. Mr. Speaker, the short answer is yes, doulas and Indigenous birth workers are welcomed now in the maternity care setting as an important support for expectant parents and families. They're sometimes doulas are members of the family or extended family. Sometimes they are contracted by the parents to be there to provide the support service. So they, it's important to note, are nonmedical personnel. They are not regulated. But they are hugely respected for the role they play with birthing in the North. Thank you.

Yeah, thank you, Mr. Speaker. Mr. Speaker, I think what the Member needs to take a look at, and I'm certainly very interested in seeing as well, is the Emerging Wisely revision. It's my understanding that this is the purpose of that document, is to show us the path forward out of the restrictions that we're in now how do we get there, what are the benchmarks. And so as we know, that's going to come at some point in the first part of June and I certainly hope to see the answers to the Member's question at that time. Thank you.