It is an incredibly important question and I'm grateful you brought it up.
If you'll permit me, I would say that the figure you referred to earlier was one in four. One in four of our members in the Peel Region Paramedic Services had symptoms of PTSD, depression or anxiety just before the pandemic.
In regard to violence, it's one in two. Over a two-year study period, one in two of our members reported exposure to violence. In our earlier study, fewer than 40% of paramedics who had experienced some form of violence took any action to document it. With the changes we made in our service by introducing a new reporting system that eliminates many administrative barriers, and with the efforts of my colleagues—some of whom are here today, many of whom are not.... By changing the culture within our organization, I am pleased to say that willingness to report has more than doubled.
We've revisited this topic and, because of the changes we have been able to implement, paramedics are much more willing to come forward to report.