
Charleigh's case: Disease experts ‘strongly oppose' move to cut rare drug funding
The letter is signed by the Clinical Directors from the U.S. Batten Disease Clinical Centers of Excellence and Batten Disease Clinical Research Consortium and asks the B.C. government to review the current discontinuation criteria.
Pollock has a neurological disorder called Batten disease that leaves her with recurring severe seizures and mobility loss, and will eventually cut her young life short.
On June 18, Charleigh's family was informed that government funding of a drug called Brineura, which her family said has stabilized her condition and radically improved her quality of life since her 2019 diagnosis.
The drug is expensive, carrying an annual bill for the twice-monthly infusions of about $1 million.
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Charleigh's family appealed to the B.C. Ministry of Health to reverse the decision and consider more research and speak to more experts.
However, the decision was not reversed.
2:00
Review of Charleigh Pollock's case finished
The doctors and researchers who wrote the letter say their international colleagues and collaborators Angela Schulz MD and Miriam Nickel MD in Germany were instrumental in developing the clinical outcome measures used to track disease progression in CLN2 disease, which is a type of Batten disease.
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'Drawing from our collective and unparalleled expertise in CLN2 disease, we strongly oppose the decision to withdraw funding for life-sustaining ERT from Charleigh Pollock and call for a review of the current discontinuation criteria,' the letter reads.
Prior to 2017, the late-infantile form of CLN2 disease was universally fatal, however, the introduction of intracerebroventricular ERT, which is the medication Pollock was given, 'fundamentally altered the disease trajectory.'
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The experts said the treatment 'has demonstrably prolonged survival, slowed progression, improved seizure control, and enhanced quality of life.'
The B.C. government has always maintained that the decision to stop funding Charliegh's medication was never about money but a panel of experts decided the drug was not helping Charleigh anymore.
'This is a really awful case,' B.C. Premier David Eby said on Thursday. 'This is a beautiful child and a family facing a horrific diagnosis. Medical experts are disagreeing about the best course of action.
'We received a letter this morning from slightly more than a dozen experts in Batten disease from the United States who wrote to the (health) minister and I expressing that their perspective on this medication is that it would continue to provide benefit for patients, including for Charleigh, that are at the stage that she's at.'
Eby said Health Minister Josie Osborne will likely have more to say on the matter on Friday.
2:15
Langford mom devastated after province pulls funding for daughter's expensive drug
The letter from experts said they are concerned by the clinical and scientific justification used by B.C.'s ministry of health to terminate treatment for Charleigh.
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Andrew McFadyen, executive director of the Issac Foundation in Toronto, which is a patient advocacy organization dedicated to supporting individuals living with rare diseases, was one of the experts who signed the letter to Eby and Osborne.
He said they provided the same information to Osborne when they met with her a few weeks ago and he was appalled the government stopped funding the drug in the first place.
'So while this may not be overly new information, I think the idea that every single Batten disease expert in the world has signed on to say, we're unified, we agree, we're imploring you to change this decision, but we're also imploring you to look at developing new criteria so that this situation doesn't have to take place for other children across the country, but also around the world, like it did here now,' McFayden added.
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Winnipeg Free Press
7 hours ago
- Winnipeg Free Press
In the news today: Jasper fire report cites provincial interference
Here is a roundup of stories from The Canadian Press designed to bring you up to speed… Jasper fire report cites provincial interference A report into a wildfire that devastated the Rocky Mountain resort town of Jasper last summer says crews did their best but command and control was hampered by the Alberta government. The report, issued Thursday, was commissioned by the town and based on surveyed participants and firefighters who battled the wind-whipped blaze that destroyed a third of buildings in the community located in Jasper National Park. While the report says it wasn't meant to assign blame, it notes that town and Parks Canada officials trained together and had an integrated command structure, but things became challenging when the province got involved. It says the Alberta government, while not jurisdictionally responsible to lead the crisis, made things more difficult with regular requests for information and by seeking to exercise decision-making authority. The report says the interference disrupted the focus of incident commanders and forced them to spend precious time managing inquiries and issues instead of fighting the fire and leading the re-entry of residents. Here's what else we're watching… B.C. restores funding for girl with Batten disease The mother of a nine-year-old Vancouver Island girl who has an extremely rare neurodegenerative disease says she's grateful her daughter will get her medication back. The British Columbia government has restored funding for Charleigh Pollock for the drug Brineura, which costs about $1 million a year. Health Minister Josie Osborne said on Thursday she believes health professionals should make decisions about care, and a letter she received from Batten disease experts in the United States detailed a 'significant disagreement' over the drug. Charleigh's mother Jori Fales posted a video on social media, saying she was 'overwhelmed' by the decision from the province. The government had cut off the funding last month, saying an expert committee determined that the drug was no longer helping to slow the progress of the girl's disease. Federal UFO data analysis needed, report says Systematic government collection and analysis of data about mysterious sightings in the sky could help Canada better prepare for incidents like the sudden appearance of several high-altitude balloons over North America two years ago, says a report from the federal science adviser. One of the balloons, which wafted above western Canada in early 2023 before being shot down off the U.S. coast, apparently originated from China and carried sophisticated equipment. The balloon episodes generated intense public speculation before fading from the headlines. The final report of the science adviser's Sky Canada Project says the incidents highlight the importance of government investigation of what appears in the sky and how difficult it is to distinguish between natural occurrences, common technological devices and potential security concerns. The report, released this week, says Ottawa should assign a federal department or agency to manage public data on celestial sightings and set up a service to collect testimonies, investigate cases and release analyses. Open the door to cheaper European EVs: advocates The federal government has stopped the world's cheapest electric vehicles — made in China — from coming into Canada with a 100 per cent tariff, so advocates are pushing to make it easier for automakers to bring in cheaper ones from Europe. 'Right now, there is a blockage, saying that for safety reasons they cannot let these cars in,' said Daniel Breton, head of Electric Mobility Canada. He's pushing to have the federal government rule that EVs deemed safe by European regulators don't need to be re-certified and modified for Canadian standards. The potentially costly process can be a barrier to bringing more compact and affordable EVs to the Canadian market, though demand might be the bigger hurdle. Attempts to lower the barriers to cheaper vehicles comes as EV sales have been disrupted by the abrupt end of government rebate programs, while tariffs and U.S. moves to end EV supports and mandates are further destabilizing the market. Breton said that allowing a more open flow of vehicles from Europe would fit in well with a push to strengthen and diversify trade ties with the region, as Prime Minister Mark Carney has said he hopes to do, but Transport Canada says it's not so simple. Vancouver's urban orcas create community Chatchawan Jaksuwong says he used to feel empty when he looked at the ocean. But after encounters with whales in the urban waters of Vancouver the photographer now feels a deep sense of connection, and he's found community with fellow enthusiasts. Jaksuwong is among a growing community of whale fans who track and share the surging number of sightings around Vancouver. Experts say the return of orcas, humpbacks and other marine mammals has been decades in the making, following the end of commercial whaling in British Columbia in the late 1960s along with the wind-down of the large-scale culling of seals and sea lions, the primary food for certain killer whales. Andrew Trites, who leads the Marine Mammal Research Unit at the University of B.C., says whales are the 'ambassadors of the Salish Sea,' and their recovery is an opportunity to boost public awareness and encourage protections for their habitat. This report by The Canadian Press was first published July 18, 2025.


CBC
8 hours ago
- CBC
Debate on forced mental health treatment continues as one woman's costs top $800K
The price of inadequate mental health care 14 minutes ago Duration 3:06 Social Sharing In the fight to better help people with severe and persistent mental illness in Ontario — which can sometimes result in costly detention in jails and hospitals — two opposing camps are lobbying the Ministry of Health in very different directions. On one side are those who think unwell patients are given too much freedom to reject treatment, putting them at risk of having their mental illnesses progress and become entrenched. On the other side are the patient advocates who say there are already enough mechanisms to force treatment on people, that giving patients the help they ask for leads to better outcomes, and that insufficient community support is the real problem. Meanwhile, health and justice systems as they exist today can spend much to achieve little. In one woman's ongoing case, a CBC News analysis estimates the costs since 2018 at $811,600 — and counting. She has bipolar I disorder, characterized by episodes of extreme emotional highs that last at least a week, followed by depression. Yet despite Barbara Cleary's dozens of stints in hospital psychiatric wards, emergency housing, jail cells and living rough — as well as brief periods of stability and several months in an assisted living facility last year — today the 76-year-old is again unhoused, living in a tent encampment in Cornwall, Ont., continuing the cycle. 'An extremely high cost to the system' "It is an extremely high cost to the system when people are unwell," said Dr. Karen Shin, chief of psychiatry at St. Michael's Hospital for Unity Health Toronto and chair of the Ontario Psychiatric Association. "And you have to remember, she's one person. If you went in and reached out to any psychiatrists in the system that are working in a hospital, they can tell you numerous people they care for that have a similar story." Cornwall police say they're dealing with 20 people like Cleary on a daily basis. The force picked five individuals from that group and found each averaged 53 occurrences requiring police response in 2024. So, what to do? Shin founded and co-leads the Ontario Psychiatric Association's mental health and law reform task force, which is calling on the province to expand forced treatment in certain circumstances. From her organization's perspective, some forced care protects the right to health for vulnerable people whose illnesses can cause delusional thinking. "Choice is extremely important, but that choice has to be a capable choice, and a capable choice needs to include that there's an understanding of the symptoms of the illness and the consequences of saying, 'No, I don't want treatment,'" Shin said. The task force wants the province to: Permit treatment during a patient's court appeal after the Consent and Capacity Board upholds a finding that they're incapable of making a decision. Remove the requirement that people have had to respond to treatment in the past from involuntary admission criteria under the Mental Health Act. Extend a first involuntary admission from 14 days to up to 30 days. An organization called the Empowerment Council takes an opposing view. It says medication comes with risks that not every patient can tolerate, including the possibility of neurological damage, and that the trauma of having something forced into the body and mind can interrupt therapeutic relationships and scare people into avoiding it altogether. "Why not exhaust providing the services that evidence shows help people, rather than spending a half a million dollars on your more carceral responses?" said Jennifer Chambers, the council's executive director. "Instead, people are just in and out, in and out, and it makes no sense." Cleary spent a few months in an assisted living facility last year after CBC first covered her story. She was removed last August by police after her illness deteriorated. In late October she was arrested and charged by Cornwall police for the 23rd time, according to court records — this time for breaching probation and trespassing at her former apartment building. She spent a month and a half in jail getting back on medication before she pleaded guilty in December. She was sentenced to the time she had already served, bringing her total time in jail since 2018 to about 347 days. Near her tent encampment on Wednesday, she recalled being removed from the assisted living facility and being strapped down on a bed in an anteroom of the hospital's emergency department for half a day. "Then they admitted me for 12 days. The doctor released me onto the street again," she said. Asked what she thinks she needs, Cleary said Cornwall has only one psychiatrist and requires more, and that she needs to live with someone who can help her with things like getting around and getting dressed. Many people in the unhoused community help her out on a daily basis, she said, though in the past she has been taken advantage of by some. She wants housing, but in light of her history since 2018 it's unclear how long it would last. Chambers said Ontario used to be a leader in peer support, but that it's been first on the chopping block with funding constraints. And a transitional support system would help people adjust after being released from institutions like hospital and jail. "Peers can be really creative and supportive with just where people are, rather than concentrating so much on wrenching them into a different space against their will," she said. 'So much has changed' Shin agrees that more wrap-around social supports and services are necessary. But she also thinks Ontario's Mental Health Act needs beefing up. "So much has changed with our knowledge of mental health care, the importance of access to treatment, the concerns around repeated episodes of illness and how that leads to more intractable illness, how it can lead to medications not working as well," she said. "Most jurisdictions consider the potential risks and harms related to treatment refusal. They have legislative safeguards to ensure involuntary admission is with treatment, so that people get the treatment they need and are not indefinitely detained untreated." The provincial ministries of health and the attorney general, which oversees the justice system, have not responded to repeated requests for comment. Where our numbers come from According to a patient cost estimator run by the Canadian Institute for Health Information, which the Cornwall Community Hospital said was the best data to use, it has cost about $210,000 to hospitalize her on an inpatient basis for a total of 120 days since 2018. The estimate includes overhead costs as well as direct billing for treatment. It does not include her dozens of emergency room visits. According to figures provided by the Cornwall hospital about how much it costs to run its short-term crisis housing program ($100,000 per bed, per year), it cost about $14,600 to fund her bed for seven weeks this past winter. The Ministry of the Solicitor General said it cost about $349 per day in 2024 to house someone in an Ontario jail. Adjusted to inflation, it has cost an estimated $121,000 to keep Cleary in jail for a total of 347 days, according to a complete criminal history obtained by CBC. (Statistics Canada's daily average cost for Ontario is higher, resulting in an estimated total of about $127,000). The Ministry of the Attorney General does not keep track of or estimate costs on a case-by-case basis. Using estimated granular data from a small number of studies contained in a 2016 report on the costs of crime and criminal justice responses for Public Safety Canada, it has cost about $90,000 to shepherd her criminal cases through the Ontario Court of Justice, adjusted to inflation. The ministry said the 2016 report is the latest data available. According to statistics kept by the Department of Justice, which show Legal Aid has cost an average of about $1,200 per case from 2017 to 2023, it's cost an estimated $12,000 to pay for her defence. Policing costs, such as costs for time in court, are hard to nail down on an individual basis. Cornwall police say the lowest number of calls per year among its frequent fliers was 32 in 2024, and the highest was 88 calls. The force doesn't track costs per call or person, and said calls vary so widely in complexity and length that any estimate would be a wild guess. Using estimated granular data from a small number of studies contained in the 2016 report for Public Safety Canada, which pegs the average cost of a single police contact at about $1,400 in 2014 Canadian dollars, and using the lowest number of calls per person per year in Cornwall among its folks in Cleary's situation (32), it has cost about $364,000 to police her, adjusted to inflation. Mental health resources Do you need help, or does someone you know need help? Here are some mental health resources in the province, which differ depending on where you are: 211 Ontario maintains a database of services. You can search by topic (mental health/addictions) and your specific location. Live chat is available Monday to Friday from 7 a.m. to 9 p.m. ET, and a chatbot is available 24/7. You can also text 211, call 211 or email gethelp@


The Province
12 hours ago
- The Province
B.C. backtracks and restores rare drug coverage for 10-year-old Charleigh Pollock
The provincial government reversed course on Thursday after a public outcry and criticism from medical experts around the world Jori Fales with daughter Charleigh Pollock, 9. Charleigh has a rare, progressive, and fatal neurodegenerative disorder known as Batten disease. Photo by Jori Fales In a dramatic reversal of a controversial announcement last month, the B.C. Ministry of Health confirmed Thursday that it would reinstate the drug coverage for 10-year-old Charleigh Pollock, a girl on Vancouver Island who suffers from a rare neurodegenerative degeneration called Batten disease. This advertisement has not loaded yet, but your article continues below. THIS CONTENT IS RESERVED FOR SUBSCRIBERS ONLY Subscribe now to read the latest news in your city and across Canada. Exclusive articles by top sports columnists Patrick Johnston, Ben Kuzma, J.J. Abrams and others. Plus, Canucks Report, Sports and Headline News newsletters and events. Unlimited online access to The Province and 15 news sites with one account. The Province ePaper, an electronic replica of the print edition to view on any device, share and comment on. Daily puzzles and comics, including the New York Times Crossword. Support local journalism. SUBSCRIBE TO UNLOCK MORE ARTICLES Subscribe now to read the latest news in your city and across Canada. Exclusive articles by top sports columnists Patrick Johnston, Ben Kuzma, J.J. Abrams and others. Plus, Canucks Report, Sports and Headline News newsletters and events. Unlimited online access to The Province and 15 news sites with one account. The Province ePaper, an electronic replica of the print edition to view on any device, share and comment on. Daily puzzles and comics, including the New York Times Crossword. Support local journalism. REGISTER / SIGN IN TO UNLOCK MORE ARTICLES Create an account or sign in to continue with your reading experience. Access articles from across Canada with one account. Share your thoughts and join the conversation in the comments. Enjoy additional articles per month. Get email updates from your favourite authors. THIS ARTICLE IS FREE TO READ REGISTER TO UNLOCK. Create an account or sign in to continue with your reading experience. Access articles from across Canada with one account Share your thoughts and join the conversation in the comments Enjoy additional articles per month Get email updates from your favourite authors Pollock was denied continuing coverage for treatment last month of the fatal disease, with the government citing the cost of the drug Brineura — reportedly costing $1M per year — in its decision. But pressure quickly mounted on the provincial government as it was learned the Langford native was the lone child in Canada to be denied coverage for the drug, and after a dozen experts of the disease signed a letter to Premier David Eby and Health Minister Josie Osborne, the government reversed course Thursday. The government had previously argued that the decision was guided by an expert-driven process 'that is essential to providing fair treatment to all patients.' 'I spoke to Charleigh's family earlier this evening. I confirmed to them that I have reinstated Charleigh's Brineura coverage and that coverage will be available to them for as long as the treating physician and the family deem it appropriate,' Osborne said in a statement. Essential reading for hockey fans who eat, sleep, Canucks, repeat. By signing up you consent to receive the above newsletter from Postmedia Network Inc. Please try again This advertisement has not loaded yet, but your article continues below. 'I continue to strongly believe that decisions about care should be made by health experts to ensure they are based on the best available evidence. The letter I received today from Batten disease experts confirms there is significant disagreement between health experts on Brineura, and it is not acceptable that Charleigh and her family suffer as a result of that disagreement about the use of Brineura for Batten Disease.' Charleigh's mother, Jori Fales, expressed the family's relief in a social media post on Thursday night. 'It's over,' said a tearful Fales. 'I just got off the phone with minister Osbourne and it's over. Charleigh is getting her medication back. 'I have so many things I want to say but I am so overwhelmed. I am so grateful to everybody that has supported our family. 'Charleigh, we love you, we love you and we are so happy. 'Thank you so much.' This advertisement has not loaded yet, but your article continues below. Brineura is intended to slow — but cannot stop — the decline in patients' ability to walk and talk until they reach the end stage of the disease. After funding was cut off, a crowdfunding effort raised $69,892 for Pollock, allowing her to receive her first infusion on Thursday at Victoria General Hospital. With a file from Mike Raptis Read More Vancouver Canucks News Crime Local News Sports