HEALTH

How B.C. Could Shift Sexual Health Care to Better Support Young People

A new report from UBC and Options for Sexual Health outlines how B.C. can improve youth sexual health care, education, and confidential community services.

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Pilot Projects to Test Non-Clinical Delivery Spaces

Two new pilot projects will launch this fall to deliver sexual health care within multi-use settings rather than traditional clinical environments. The initiative follows research from Options for Sexual Health and the University of British Columbia, funded by the Canadian Institutes of Health Research, which examined how to improve services for individuals aged 15 to 29 across B.C.

Researchers surveyed 47 providers alongside 91 young people, concentrating on underserved, rural, remote, and mixed urban-rural areas. Despite recent provincial advancements—such as cost-free prescription contraceptives, mail-order cancer screening, expanded abortion medication access, and confidential online STI testing—the study highlights ongoing challenges. Rates of sexually transmitted infections, early parenting, unexpected pregnancies, and sexual violence remain disproportionately elevated in equity-deserving and rural communities.

Barriers to Confidentiality and Reliable Information

Young participants described feeling overwhelmed by internet misinformation and social media anecdotes that distort perspectives on sexual health. Furthermore, youth knowledge levels have not advanced compared to previous decades. In smaller towns, navigating transportation and maintaining privacy pose significant obstacles, especially when local clinic or pharmacy staff are personally known to the patient.

To protect confidentiality, health-care providers can meet patients in community spaces using pop-up clinics when physical examinations are not required. Nicole Pasquino, clinical director at Options for Sexual Health, noted that B.C. has no set age requirement for medical consent. Instead, practitioners determine whether a minor demonstrates the capacity for informed decision-making, allowing access to care without parental permission.

Youth Demand Specialized Educators and Integrated Care

School-based sexual health education remains inconsistent across the province because teacher training programs do not mandate sex education preparation. The report found that youth overwhelmingly prefer receiving instruction from specialized external educators who offer inclusive, age-appropriate lessons. Options for Sexual Health provides certified educators to school districts that elect to fund them.

Rachel Bergen, sexual health evaluation project lead at UBC, emphasized that minor adjustments to existing delivery models can greatly increase accessibility. Successful examples include public health nurses visiting high schools and youth clinics weekly in the Comox Valley. Youth consulted across regions including Fernie, Vernon, Whistler, Maple Ridge, Salt Spring Island, Clayoquot Sound, and the Lower Mainland expressed a clear preference for integrated, one-stop-shop services combining primary, mental, and sexual health care.

BC STORIES

What 5 Neurologist Resignations Mean for Regional Health Care at Interior Health

Five Interior Health neurologists have resigned following expanded regional on-call demands, adding to previous physician departures in the B.C. region.

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Five Specialists Step Down Following Regional On-Call Mandate

Five neurologists have resigned from their positions with Interior Health after being required to expand their on-call coverage across the entire health authority region via internet and telephone services. According to Doctors of B.C. president Adam Thompson, the mandate served as a tipping point after physicians expressed that the arrangement was not viable, citing concerns over workload levels.

Pattern of Physician Departures Across Regional Facilities

The decision marks another instance of staff departures within the health authority. Previous incidents include the resignation of all obstetricians and gynecologists at Kamloops’ Royal Inland Hospital last October due to workload, alongside four psychiatrists leaving Vernon Jubilee Hospital that same month. Furthermore, seven pediatricians resigned from Kelowna General Hospital between 2023 and 2025, which led to an internal report highlighting a decline in trust between physicians and administration.

Calls for Collaboration and Health Authority Response

Thompson stressed that health authority administrators must listen to and collaborate with frontline physicians to address ongoing service issues across provincial specialties. In response, Dr. Kirstie McLelland, executive medical director of clinical operations for Interior Health South, stated that election-period communication rules limited detailed comment, but affirmed that the authority remains committed to working with neurologists to meet staff rules and bylaws while delivering required care. She added that members of the public should not hesitate to seek neurology services if needed.

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BC STORIES

B.C. Faces an Early and Hard-Hitting Flu Season as Symptoms Intensify

B.C. flu season arrives early as Health Canada reports elevated activity. Learn about the dominant H1N1 strain, severe symptoms, and vaccine availability.

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Early Arrival and Severe Symptoms

Influenza activity in British Columbia has surged earlier than usual this year, bringing illness that health professionals describe as particularly intense. According to Health Canada data, flu test positivity across the province is running above average for this time of year, departing from the typical pattern where cases climb slowly toward a holiday peak.

Pharmacists note that the current wave is taking a heavier toll on patients compared to last year. Pharmasave pharmacist Fairuz Siraj stated, “This year it’s hitting hard. We’re seeing a lot of cases of people coming down, feeling ill, and taking more time to recover. A lot more severe type of illness than what we saw last year.”

Dominant Strain and Vaccine Alignment

Data from the Public Health Agency of Canada and the BC Centre for Disease Control show that B.C. registered a “moderate” flu activity level during the first week and a half of October, with wastewater indicators rising at multiple monitoring locations. Meanwhile, other Canadian provinces continue to report “low” or “very low” activity.

The dominant virus strain in circulation is H1N1, a form of Influenza A. On Oct. 7, B.C. Provincial Health Officer Dr. Bonnie Henry announced the launch of the provincial vaccination campaign 10 days ahead of the usual schedule. Because scientists anticipated that H1N1 would lead cases this season, the current vaccine was formulated specifically to target it. Dr. Brian Ward, a scientist at the McGill University Health Centre, noted that “so far, so good,” though he cautioned that flu viruses can mutate as the season progresses. Ward added it remains too early to know if mid-season mutations will occur and stated he is unaware of any predicted mutations that would reduce vaccine efficacy.

Vaccine Access Details

Free influenza immunizations are currently accessible to B.C. seniors and individuals in high-risk categories. Siraj advised that members of the general public seeking early protection may check walk-in clinics for availability or wait for their individual booking notification links, which are expected in late October or early November.

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HEALTH

Coquihalla Highway Reopens Near Merritt Following Morning Crash That Injured Four

The Coquihalla Highway north of Merritt has reopened following a Saturday morning vehicle crash that resulted in four people being taken to the hospital.

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Traffic Resumes Following Serious Morning Incident

Four people were hospitalized, including three in critical condition, after a motor vehicle incident occurred north of Merritt on Saturday morning, October 17.

DriveBC reported that the Coquihalla Highway was reopened in both directions from Exit 290 to Exit 315 at approximately 4:00 p.m., following the earlier closure.

Emergency Responders Deploy Air Ambulances

BC Emergency Health Services dispatched multiple resources after receiving a call at approximately 8:35 a.m. The response included two air ambulances, three primary care paramedic ambulances, one advanced care paramedic ambulance, and a paramedic supervisor.

According to BCEHS, crews provided emergency medical care at the scene. Two of the three critically injured patients were flown to the hospital via air ambulance, while a fourth patient was taken to the hospital in stable condition.

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