For many years, I have been bringing my concerns forward about the diabetes epidemic which is raging in Manitoba. I have felt like a broken record, speaking out again and again for the need to treat the type 2 diabetes situation in Manitoba as the epidemic that it is, to address it vigorously and to turn the tide of this awful epidemic - an epidemic which has been referred to as a "tsunami", a "storm" or a "hurricane. It is good to see Doug
Speirs efforts in Saturday's Free Press. Our Liberal approach to diabetes, see below, is "
Saving lives; Saving dollars"
Sadly, the
NDP approach has been largely neglect and incompetence, one of losing lives and wasting dollars. The
NDP should be thrown out of office for their incompetence on this file alone, let alone the many others areas where they have done poorly. Let me start with some history.
1996: Diabetes declared an epidemic in Manitoba: "In June of 1996, Manitoba's Minister of Health declared diabetes to be both a major public health issue and an epidemic among Aboriginal people and the elderly of all populations." This quote is from the 1998 document "Diabetes: A Manitoba Strategy." It is also referenced on Manitoba Health's web site. The 1996 declaration was based on the 1992 Diabetes Burden of Illness Study.
1998: Diabetes: A Manitoba Strategy was released: This document was, for its time, a well written and well researched document. The problem was that it was never properly implemented, either by the Conservatives or the NDP, and has not been updated. The result has been that instead of properly addressing the diabetes epidemic in Manitoba, instead of turning the tide of the rising epidemic and instead of achieving a decrease in the incidence of type II diabetes in Manitoba, we have seen a progressive worsening of the diabetes epidemic and its consequences.
2004-2005: Failure to Implement the Diabetes Strategy becomes very painfully apparent: From 1998, to 2004-2005 the number of people in Manitoba who developed type 2 diabetes continued to grow. In the government's Throne Speech November 22, 2004, the government, forgetting it had a diabetes strategy, indicated that the "government will launch a diabetes prevention strategy." In statements by Minister of Health Tim Sale, it became clear the government had never implemented the 1998 diabetes strategy, and had essentially forgotten about it. If there ever was a new diabetes prevention strategy, it must have gone undercover, or perhaps emerged five years later in the document "Diabetes in Manitoba: A Call to Action." Today, on the government's web site, the only diabetes strategy presented is the 1998 strategy. That the 1998 diabetes strategy has never been properly implemented became increasingly apparent during 2005 and since. On April 25
th, 2005, I asked the Minister of Health for up to date numbers for the incidence of diabetes in Manitoba. The Minister could not answer the question. On May 2, after several days, the Minister was forced to admit "I do not have numbers more recent than 2004." Can you imagine this. We have a major, devastating and costly epidemic in Manitoba, and the information on which the government is working is more than two years old! One of the major goals of the 1998 strategy was to "Provide data to monitor and evaluate diabetes prevention". Another was to "provide current, comprehensive culturally- and community-appropriate information regarding all facets of diabetes prevention." Clearly the government was failing to deliver on these major goals. Sadly, the quick availability of up to date information on the number of new cases of diabetes in Manitoba is not much better now than in 2005.
The Situation Today:
As the headline in the Winnipeg Free Press indicated we should
"Be Concerned, Be Very Concerned" about diabetes in Manitoba. As Doug
Speirs writes - this is about "type 2 diabetes, the fastest growing chronic disease in Canada, a
multibillion-dollar crisis that threatens to not o
nly swamp our health system, but drain our economy." And, "diabetes is a killer on a grand scale. The most recent figures from Statistics Canada rank it as the sixth leading cause of death in the country, claiming 7,394
people in 2007." And, continuing. "the real story is much more alarming. It's not the diabetes that kills you; it's the complications. And there are a lot of them. It's the leading cause of blindness, kidney failure and amputations, and a driving factor behind strokes and heart attacks."
And what has the provincial response been. As the epidemic has worsened, as the tragedies of individual lives and family stories have increased, the
NDP government has been neglectful and incompetent. There should have been a major emphasis on addressing the diabetes epidemic in the 2009 and 2010 throne speeches and the 2010 and 2011 budgets. Indeed I called for this repeatedly. But, diabetes was not even mentioned once in these documents which set the government's priorities. Diabetes should be the number one issue, or at least in the top three issues, in public health in Manitoba. Yet, today, as I write this when one goes to the Manitoba Health Department web site and checks out Public Health A-Z, diabetes is not even mentioned. Where has this government been? Neglect and incompetence are mild words compared to what one might use.
Indeed, the real measure of effectiveness, or lack of effectiveness, in addressing the diabetes epidemic lies in the number of people with diabetes in Manitoba.
In the last ten years, as Doug Speirs points out, "In Manitoba, the number of confirmed diabetics soared to 94,000 in 2010 from 53,000 in 2000." This is a 77% increase - hardly an effective strategy.
The Liberal Commitment: "Saving Lives and Saving Dollars"
Manitoba Liberals have been talking about the need to address the diabetes epidemic for years. Our 2005 report "
Six Lost Years: Its Time for Action" emphasized the vital importance of addressing the diabetes epidemic in Manitoba. We pointed out that "if the Doer government had even stabilized the incidence of diabetes at 1999 levels, there would have been 5,000 fewer people with diabetes in Manitoba [by 2005]. The numbers of dollars involved [in health care costs] are staggering." In our report, we recommended comprehensive action be undertaken and referenced the fact that "interventions in adults who are predisposed to the development of type 2 diabetes have already shown it is possible to reduce the number of people who develop diabetes by 58%."
Manitoba Liberals commit to immediate action on the diabetes epidemic if elected. Effective action to reduce diabetes will save lives and improve the quality of people's lives, it will also save precious health care dollars. Treating people with diabetes who need dialysis, heart surgery, amputations is very costly. More details of our approach will be coming in the days ahead.