As to where those statistics come from, I have the privilege of belonging to a group called HEAL, which is basically in the U.S., and that's where that data comes from. Unfortunately, in Canada we don't have such data. It's research of survivors through U.S.-based research. Sometimes those statistics can range. Certainly the highest is 84%. The lowest I've seen is 24%.
That information becomes relevant because we're noting that people who are experiencing trafficking at the time they are being held in captivity are coming to access health care. Part of what I want to bring forward to this committee is that, as health care professionals, we're not necessarily educated on how to identify and how to intervene. Oftentimes, when health care providers are looking for something, they're looking for what's called a validated screening tool, and in Canada we don't currently have one. Oftentimes survivors will voice that they feel that when they access health care, they're not being seen for who they are. They might be seen for that presenting complaint, like the example I've given of a broken bone, but capturing the essence of why they're there, the complexity of why it is they're there, and their circumstance of trafficking aren't being identified.
The best example I can give you is that there's no diagnosis, or what we would call an ICD code, for human trafficking. There's no way for me to code an individual as this being their circumstance. I have to, then, code it as the sore throat, the broken bone, etc., or what might be there.
For health care providers to be able to intervene, they need to have these tools for themselves. They need to be taught to ask questions and to go with that gut instinct that they might have to further delve into this person's life and realize what choice they have with regard to their employment, what choice they have with regard to finances, life, etc., which we call a social history screen.