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Comprehensive Strategy A First For Ontario TORONTO, Feb. 22 /CNW/ - The McGuinty government is launching Ontario's first osteoporosis strategy to help prevent the disease through education and early diagnosis, announced Health and Long-Term Care Minister George Smitherman today. "Half a million Ontarians are suffering from osteoporosis and as our population ages and grows, that number is expected to increase," said Smitherman. "Our plan is to help prevent osteoporosis and the painful bone fractures it causes by investing in better prevention, better diagnosis and better treatment." The osteoporosis strategy will be supported with a $5 million annual investment. The strategy has five components: - Helping prevent the onset of osteoporosis by educating seniors and school children about bone health - Improving early diagnosis by ensuring the appropriate use of bone-density testing - Integrating services to provide enhanced treatment, including creation of a province-wide fracture clinic program to improve diagnosis and prevention of future fractures - Tools to help practitioners use clinical practice guidelines - More research to increase knowledge about osteoporosis "Today's announcement by Minister Smitherman is great news for those suffering from, or at risk for, osteoporosis in Ontario," said Maureen McTeer, former National Spokesperson for the Osteoporosis Society of Canada. "It marks the culmination of more than two years of hard work by the Osteoporosis Society of Canada, their scientific advisory board, volunteers and members of the minister's department. The McGuinty government's financial commitment today will make Ontario a world leader in osteoporosis education, diagnosis and future treatment." Osteoporosis affects approximately 530,000 Ontarians. One in four women and one in eight men over the age of 50 suffer from the disease. There are more than 57,000 osteoporosis-related bone fractures every year in Ontario, with a resulting cost to the health care system of some $500-million in hospitalization and long-term care. "The strategy being launched today will be a strong ally in the fight against osteoporosis," said Karen Ormerod, President and CEO of the Osteoporosis Society of Canada. "Ontarians will benefit greatly from the government's commitment to help prevent osteoporosis and to provide better care for those suffering from it." This news release, along with other media materials, such as reprintable articles and audio clips on other subjects, are available on our website at: http://www.health.gov.on.ca under the News Media section. For more information on achievements in health care, visit: www.resultsontario.gov.on.ca. Version française disponible Backgrounder ------------------------------------------------------------------------ ONTARIO OSTEOPOROSIS STRATEGY On February 22, the McGuinty government launched Ontario's first comprehensive osteoporosis strategy. The strategy is aimed at preventing osteoporosis, improving treatment, and reducing fractures that are common among those suffering from the disease. The strategy will be supported with an annual investment of $5 million. It features five components: Increased awareness and better health promotion. Public education will improve early recognition of osteoporosis, and emphasize the importance of physical activity as well as calcium and vitamin D intake for bone health. Early diagnosis. Primary care doctors and other health professionals will be given tools to determine when a person should get a bone mineral density test, making earlier diagnosis possible. Best practices. Medical professionals will also be given tools to help them use clinical practice guidelines to ensure a consistent province-wide level of care. Research. More research will expand the knowledge base about osteoporosis, improving both prevention and treatment in the future. Improved treatment. The quality of care received by osteoporosis sufferers will be enhanced through the integration of services in the system, including: - Integration of osteoporosis care throughout the various stages of treatment -- primary care, post-fracture, rehabilitation -- to ensure that patients receive the right care at the right time, by the right person - Creation of a province-wide fracture clinic intervention program to improve patient referrals for diagnosis, care, treatment, and prevention of future re-fractures - Development of self-management programs and resources to help patients manage their disease and prevent its progression; and, - Establishment of interdisciplinary teams in academic health science centres across the province to provide better integrated care for complex osteoporosis cases. The osteoporosis strategy has been developed with work undertaken by the Ontario Women's Health Council, who submitted a report entitled "A Framework and Strategy for the Prevention and Management of Osteoporosis." In 2001, the ministry established a committee including the Osteoporosis Society of Canada and other stakeholders to develop an action plan with specific, feasible recommendations to advance osteoporosis prevention and care. The osteoporosis strategy is based on that action plan. What is Osteoporosis? Osteoporosis is a weakening of the bones, which increases risk of fractures. The disease is usually associated with the aging process, and is much more prevalent in women over 50. The disease especially affects women who have reached menopause. Because women in general have 30 per cent less bone mass than men, they're more at risk. After menopause, when the hormone estrogen stops being produced by the ovaries, women's bone mass deteriorates more quickly. By the age of 65 to 70 years, men and women experience the same deterioration of bone mass. Osteoporosis Prevention Prevention is by far the best strategy to fight osteoporosis, and that means keeping bones strong. The Osteoporosis Society of Canada recommends 1,000 milligrams elemental calcium daily for men and women between the ages 19 and 49 years, and 1,000 milligrams to 1500 milligrams for men and women over the age of 50 years. Post-menopausal women not taking hormone replacement therapy should have 1,500 milligrams elemental calcium daily. Vitamin D, in daily doses of 400 International Units to 800 International Units, is also recommended in the treatment of osteoporosis. Vitamin D is necessary so the body can utilize calcium properly. The Osteoporosis Society of Canada also recommends doing regular weight-bearing exercise, and maintaining a healthy lifestyle by not smoking or drinking alcohol to excess. Response to today's announcement Jane Pepino, Chair of the Ontario Women's Health Council (OWHC): "Osteoporosis affects one in four women, and one in eight men, over 50, so I am pleased to see the government making this disease a provincial priority. The strategy launched today builds on the recommendations made in our report, A Framework and Strategy for the Prevention and Management of Osteoporosis. It will help improve the lives of the Ontario women and men who are affected by this debilitating disease." Dr. Earl Bogoch, Orthopaedic Surgeon, St. Michael's Hospital: "Ontarians suffer more than 57,000 fractures each year as a result of osteoporosis. Today's announcement means for the first time ever, substantial efforts and funding will be dedicated to reducing osteoporosis and preventing related fractures, especially devastating ones of the hip." Dr. Alexandra Papaioannou, Associate Professor, Hamilton Health Sciences and McMaster University: "If ever there is a good time to invest in a strategy aimed at preventing osteoporosis and related fractures among Ontarians 45 years and older, now is the time. I have treated too many patients whose fractures could have been prevented so it makes sense to have a comprehensive strategy in place to address osteoporosis as Ontarians age."
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For further information: Members of the media: Eva Lannon, Minister's Office, (416) 327-4320; David Jensen, Ministry of Health and Long-Term Care, (416) 314-6197; Members of the general public: (416) 327-4327, or (800) 268-1154
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