ARCHIVED - Supplement: Canadian Recommendations for the Prevention and Treatment of Malaria Among International Travellers

 

Appendix IV - Strength and Quality of Evidence Summary

From MacPherson DW. Evidence-based medicine. CCDR 1994;20:145-47
Category Definition
Categories for the strength of each recommendation
A Good evidence to support a recommendation for use
B Moderate evidence to support a recommendation for use
C Poor evidence to support a recommendation for or against use
D Moderate evidence to support a recommendation against use
E Good evidence to support a recommendation against use
Categories for the quality of evidence on which recommendations are made
I Evidence from at least one properly randomized, controlled trial
II Evidence from at least one well-designed clinical trial without randomization; from cohort or case-controlled analytic studies, preferably from more than one centre; from multiple time series; or from dramatic results in uncontrolled experiments
III Evidence from opinions or respected authorities on the basis of clinical experience, descriptive studies, or reports of expert committees

Appendix V - Canadian Malaria Network: Accessing Parenteral Artesunate or Quinine

Contact Information for the Canadian Malaria Nework

The Canadian Malaria Network (CMN ), in collaboration with Health Canada's Special Access Program and the Public Health Agency of Canada, maintains strategically-located supplies of intravenous artesunate and quinine at major medical centres across the country to facilitate rapid access to effective treatment for severe malaria. These life-saving drugs are available 24 hours per day by contacting the pharmacies listed below. Severe malaria is not a common disease in Canada, with an average of 14 cases per year (range 8-20 cases annually from 2001-2008). However, these cases were dispersed across the country, and attest to the need for distribution of these scarce drugs across the country. Please see Chapter 7 for more information on management of malaria. As well, each of the participating centers has a designated physician with experience in treating malaria who is willing to assist in patient care, if needed. For after-hours assistance please contact the infectious disease consultant on call at the respective center. Each treatment dose will be accompanied by dispensing information and surveillance forms (FORM A and FORM B). These forms should be completed by the treating physician at the time of access/request of intravenous artesunate or quinine (FORM A); and at discharge/end of malaria therapy (FORM B). This information is vital to inform policy for distribution of these drugs, and required by the organizations supplying these drugs for notification of any drug related adverse event.

To obtain parenteral artesunate or quinine, please contact the listed pharmacy in your area.

National Program Coordinator

Name: Dr. Anne E. McCarthy
Director of Tropical Medicine and International Health Clinic Division of Infectious Diseases

Address:
Ottawa Hospital (General Campus)
501 Smyth Road
Ottawa, Ontario K1H 8L6

Phone #: (613) 737-8184
Fax #: (613) 737-8682

E-Mail: amccarthy@ottawahospital.on.ca

National Pharmacy Coordinator

Name: Kim Lamont, R. Ph. Tech.

Address:
Ottawa Hospital – General Campus Pharmacy Department
501 Smyth Road,
Ottawa, Ontario K1H 8L6

Phone #: 613-737-8899 (x72276)
Fax #: 613-737-8891

E-mail: canadianmalarianetwork@toh.on.ca

British Columbia
  Designated Physician Designated Pharmacist
Name Dr. William Bowie Dr. Tim Lau (Pharmacist) and
Kaldip Mattu (Pharmacy Technician)
Address Division of Infectious Diseases
Vancouver General Hospital
452D-2733 Heather Street
Vancouver, BC V5Z 3J5
Pharmaceutical Sciences
Vancouver General Hospital
902 West 10th Avenue
Vancouver, BC V5Z 1M9
Phone (604) 875-4147 or
(604) 875-4111
(ID Physician On Call)
(604) 875-4111 or
local 63361 or
local 61571
Fax (604) 875-4013 (604) 875-5267
Email bowie@interchange.ubc.ca tim.lau@vch.ca or kaldip.mattu@vch.ca
Satellite Site 1. Vancouver Island Health Authority, Royal Jubilee Hospital, Tammy Larkin, Phone: (250) 370-8673
2. Interior Health Authority, Kelowna General Hospital, Terry MacLeod,
Phone: (250) 491-6380

Alberta
  Designated Physician Designated Pharmacist
Name Dr. Stan Houston Wilson Cheng, Pharmacist
Address 2E4.12 WC Mackenzie Health         
Sciences Ctr.
University of Alberta
Edmonton, AB T6G 2B7
University of Alberta Hospital Pharmacy     
WMC OG1, 8440-112 Street
Edmonton, AB T6G 2B7
Phone (780) 407-8035 (780) 407-1586
Fax (780) 407-7137 (780) 407-8848
Email shouston@ualberta.ca wilson.cheng@albertahealthservices.ca
Satellite Site 1. Stanton Territorial Health Authority, Pharmacy, Cheryl Cooper
Phone: (867) 669-4165
Name Dr. Susan M. Kuhn Leah Boulter (Drug Information Pharmacist)
Address Alberta Children's Hospital                 
2888 Shaganappi Tr NW
Calgary, AB T3B 6A8
Alberta Children's Hospital
2888 Shaganappi Tr NW
Calgary, AB T3B 6A8
Phone (403) 955-7553 (403) 955-2999 (or 7204)
Fax (403) 955-3045 (403) 955-2719
Email susan.kuhn
@calgaryhealthregion.ca
leah.boulter@calgaryhealthregion.ca

Saskatchewan
  Designated Physician Designated Pharmacist
Name Dr. Karen McClean Christina Swiatecki, Pharmacist
Address Division of Infectious Diseases
Royal University Hospital
103 Hospital Drive
Saskatoon, SK S7N 0W8
Royal University Hospital Pharmacy
103 Hospital Drive
Saskatoon, SK S7N 0W8
Phone (604) 875-4147 or
(604) 875-4111
(ID Physician On Call)
(604) 875-4111 or
local 63361 or
local 61571
Fax (306) 655-1000
(hospital locating)
(306) 655-2279
Email karen.mcclean@usask.ca christina.swiatecki
@saskatoonhealthregion.ca
Satellite Site Regina

 
Manitoba
  Designated Physician Designated Pharmacist
Name Dr. Pierre Plourde, Medical Officer of Health Luke McKenzie, Pharmacist
Address Winnipeg Regional Health Authority
490 Hargrave Street
Winnipeg MB R3A 0X7
St-Boniface Gen. Hosp. Pharmacy     
409 Avenue Taché
Winnipeg MB R2H 2A6
Phone (204) 940-1683 or
(204) 237-2053
(ID on call Physician)
(204) 237- 2166
Fax (204) 956-4494 (204) 237-2165
Email pplourde@wrha.mb.ca lmckenzie@sbgh.mb.ca

 

Ontario
  Designated Physician Designated Pharmacist
Name Dr. Kevin C. Kain Tamara Rumsey, C. Ph. Tech.       
Address Toronto General Hospital                             
200 Elizabeth Street
Eaton North 13-214
Toronto ON M5G 2C4
Toronto General Hospital                      
University Health Network
200 Elizabeth Street. ENB-310
Toronto ON M5G 2C4
Phone (416) 340-3535 (416) 340-4800 ext. 3499
Fax (416) 595-5826 (416) 340-3685
Email kevin.kain@uhn.on.ca tamara.rumsey@uhn.on.ca
  Designated Physician Designated Pharmacist
Name Dr. Anne E. McCarthy          Kim Lamont, R. Ph. Tech.
Address Director of Tropical Medicine and International Health Clinic
Division of Infectious Diseases Ottawa Hospital (General Campus)
501 Smyth Road      
Ottawa ON K1H 8L6
Pharmacy Department
Ottawa Hospital (General Campus)
501 Smyth Road
Ottawa ON K1H 8L6
Phone (613) 737-8184 (613) 737-8899 ext. 72276
Fax (604) 875-4013 (604) 875-5267
Email amccarthy@ottawahospital.on.ca klamont@toh.on.ca
Satellite Site 1. Ottawa Hospital (Civic Campus), Candace Teakles
Phone: (613)737-8899 ext.16642
2. Children's Hospital of Eastern Ontario (CHEO), Mary Malcomson
Phone: (613) 737-222
3. Kingston General Hospital, Susan McKenna,
Phone: (613) 549-6666 ext. 6286 (alternate: Chris Gray ext. 3654)
4. Hull Hospital (CSSS Gatineau), Alain Parenteau
Phone: (819) 595-6006
5. Thunder Bay Regional Health Science Centre, Jeff Chan
Phone: (807) 684-6327
6. North Bay General Hospital, Patti Euler
Phone: (705) 474-8600 ext. 2098
  Designated Physician Designated Pharmacist
Name Dr. Shariq Haider Gita Sobhi, Pharmacist
Address Microbiology & Infectious Diseases
Room 3V51B
McMaster University Medical Centre
1200 Main Street West
Hamilton ON L6M 3Z8
McMaster University Pharmacy
1200 Main Street W
Hamilton ON L8S 4J9
Phone (905) 521-2100 ext. 26287
after hours: (905) 521-5030 pager 8020
(905) 521-2100 ext. 73447
Fax (905) 521-4971  
Email haider@univmail.cis.mcmaster.ca sobhi@hhsc.ca

 

Quebec
  Designated Physician Designated Pharmacist
Name Dr. Louise Côté Luc Bergeron, Msc, Pharmacist
Address Microbiology & Infectious Diseases
Centre hospitalier universitaire de Québec
Pavillon CHUL
2705, boul. Laurier, PL S-413
Sainte-Foy PQ G1V 4G2
Département de pharmacie
Centre hospitalier universitaire de Québec
Pavillon CHUL
2705, boul. Laurier, R-1720
Sainte-Foy PQ G1V 4G2
Phone (418) 656-4141 ext. 7882 (418) 656-4141 ext. 47916
Fax (418) 654-2147 (418) 654-2775
Email micro.pchul@chuq.ulaval.ca luc.bergeron@chuq.qc.ca
  Designated Physician Designated Pharmacist
Name Dr. Brian Ward Denise Kalyvas, Pharmacist
Address The Montreal General Hospital
1650 Cedar Avenue
Room D7-153
Montreal PQ H3G 1A4
The Montreal General Hospital - Pharmacy
1650 Cedar Avenue
Room C1-200
Montreal PQ H3G 1A4
Phone (514) 921-6953 or
(514) 934-8075 (hospital locating)
(514) 934-1934 ext. 44933
Fax (514) 934-8347  
Email brian.ward@mcgill.ca denise.kalyvas@muhc.mcgill.ca
Satellite Site 1. Jewish General Hospital (Montreal), Caroline Robitaille
Phone: (514) 340-8222 ext 2825
2. Fleurimont Hospital (Sherbrooke), Sylvie Cloutier
Email: pharmaciecrc@chus.ssss.gouv.qc.ca
3. Amos

 

Nova Scotia
  Designated Physician Designated Pharmacist
Name Dr. David Haldane Patti Gallant, Pharmacy Research Technician     
Address Microbiology Laboratory
Mackenzie Building
VG Site, QE II HSC
5788 University Avenue
Halifax NS B1H 1V8
Pharmacy Department
Attn: Patti Gallant, Rm #2042
VG Site, QE II HSC
1276 South Park St.
Halifax NS B3H 2Y9
Phone (902) 473-6624 (902) 473-6601
Fax (902) 473-4432 (902) 473-1606
Email david.haldane@cdha.nshealth.ca patrice.gallant@cdha.nshealth.ca

 

Newfoundland
  Designated Physician Designated Pharmacist
Name Dr. Chau Nguyen Frank Pinsent, Pharmacist        
Address Division of Infectious Diseases, General Hospital
The Health Care Corporation
300 Prince Philip Drive
St. John's NL A1B 3V6
Department of Pharmacy
Health Science Centre
300 Prince Philip Drive
St. John's NL A1B 3V6
Phone (709) 777-8437                     (709) 777-6455
Fax (709) 777-7655 (709) 777-8120
Email eskinner@mun.ca hcc.pinf@hccsj.nf.ca

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