Thank you, Mr. Chairman and committee members. We're honoured to be able to present today to your committee.
The Brain Injury Association of Canada, BIAC, was founded in 2002 by a group of eight family members of survivors of brain injury. Just nine years later, we serve 1.4 million brain injury survivors across Canada.
Our board of directors has grown to include representatives from across the country, with board members from Vancouver to St. John's and a strong national presence. We advise MPs interested in the topic, and have been called to Parliament Hill to advise on the creation of private members' bills on our topic.
Our Internet site receives more than 5,000 visits per month, ranking third in North America for information with regard to brain trauma or acquired brain injury. We action more than 75 requests for information from Internet and telephone requests per week.
We count among our front-line advisers the late Dr. Jane Gillett, pediatric neurologist; Dr. Raquel del Carpio, associate director of radiology at the MUHC; Dr. Angela Colantonio, researcher for Toronto Rehab; Dr. Charles Tator, neurosurgeon; Dr. Nora Cullen, physiatrist; Dr. Paul Echlin, neurologist; and Dr. Michael Vassilyadi, pediatric neurosurgeon.
We sit on the NCAA, the Global Road Safety Committee, and the International Brain Injury Association. Our members also sit on the Atlantic Collaborative for Injury Prevention, and we advise across the country on ways to prevent brain injury.
One of our strongest messages is that the only cure for brain injury is prevention.
BIAC is in partnership with the Canadian Chiropractic Association, the Office for Disability Issues with Human Resources Canada, the Canadian Medical Association, the CFL Alumni Association, Stop Concussions in hockey, in Toronto, as well as grassroots and support networks across our country.
Neurological Health Charities Canada was given $15 million for research initiatives from the Government of Canada. When we were invited to the table, we were able to advise those researchers on inadequacies across the country in areas of research, including pediatric and childhood brain injuries, as well as focusing on the topic of women and ABI.
BIAC has an excellent working relationship with the Ontario Neurotrauma Foundation, and we're working closely with ONF toward a national brain injury research strategy.
Our annual conference attracts specialists from around North America. Our conference is well received by topic specialists, but also has a strong stream of support as it is attended by both survivors and their support networks.
We've managed to attract the interest of our Governor General, His Excellency David Johnston, and Mrs. Sharon Johnston as patrons.
There are huge inadequacies in what is available in terms of care across our country. The stories of people at our conference from the east coast were particularly poignant in comparison to what we've heard from others across Canada. That came up in our focus groups.
There are huge numbers of people affected and huge costs. Brain injury is more common than breast cancer, HIV/AIDS, spinal cord injury, and multiple sclerosis combined. Also, if people got more treatment up front, they would be more productive in the long term, as would their families.
Brain injury tends to affect individuals early in life. As such, they may have to live for decades with a disability. Among long-term brain injury survivors, the leading cause of death is depression and suicide. Return to work after a moderate to severe injury is only about 40%. In a recent study, the lifetime prevalence among homeless participants was 53% for traumatic brain injury and 12% for moderate to severe traumatic brain injury. For 70% of the respondents, their first traumatic brain injury occurred before the onset of their homelessness.
After adjustment for demographic characteristics and lifetime duration of homelessness, a history of moderate to severe traumatic brain injury was associated with a significantly increased likelihood of seizures, mental health problems, drug problems, poor physical health status, and poor mental health status.
There's a high prevalence of brain injury history among persons in prison. Many of these people have a history that would likely not have been there had they had proper support or behavioural interventions from the onset.
There is a focus on prevention. We need to educate families and providers about concussion management to prevent any negative secondary effects from concussions. Traumatic brain injury, or TBI, is a leading cause of death and disability globally, and thus is of major public health importance. TBI is more common than breast cancer, spinal cord injury, HIV/AIDS, and multiple sclerosis in a 2:5 ratio.
Across Canada, approximately 18,000 hospitalizations annually are associated with TBI diagnosis.