Frostbite amputations reached new high in Edmonton, decreased in Calgary last winter

Last winter, Edmonton experienced a significant increase in frostbite-related amputations, with 110 cases reported—the highest in over a decade. In contrast, Calgary recorded a decline for the second consecutive year, with amputations around one-third of Edmonton’s numbers. This divergence is attributed to differing city policies: Edmonton’s aggressive encampment eviction strategy and Calgary’s implementation of a more effective frostbite treatment protocol in its emergency departments.

Doctors note that homelessness and substance abuse contribute to these trends, but the contrasting approaches to frostbite care are crucial. Calgary has utilized an aggressive treatment method since 2019, including the off-label use of iloprost, which may reduce amputation risk, while Edmonton’s use of this medication remains rare.

Despite similar winter weather conditions, Edmonton’s health statistics showed a 55% increase in frostbite amputations, particularly among unhoused individuals, reflecting a growing public health crisis. Advocates argue that encampment evictions exacerbate exposure risks, while city officials claim that sheltering individuals in tents is insufficient. Moving forward, better access to treatment protocols like iloprost in Edmonton may be necessary to address this alarming trend.

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