Indigenous Health Authority to Monitor Coroner’s Inquest on Fungal Deaths

The Sioux Lookout First Nations Health Authority (SLFNHA) will observe a coroner’s inquest into the deaths of five residents of the Constance Lake First Nation resulting from a fungal infection known as blastomycosis. The inquest, set to begin on October 15, 2023, follows the deaths of these individuals between November 19, 2021, and January 23, 2022. The deceased include Luke Moore (43), Lorraine Shaganash (47), Lizzie Sutherland (56), Mark Ferris (67), and Douglas Taylor (60).

The coroner’s office in the northern region of Ontario has announced that this inquest aims to shed light on the circumstances surrounding the outbreak of blastomycosis in the community near Hearst. All victims died in hospital on different dates during this period, prompting concerns about the alarming rates of infection.

Health Authorities Respond to Rising Infection Rates

Statistics from the Northwestern Health Unit indicate that the annual incidence of blastomycosis in the area is significantly higher than the provincial average. In 2022, the rate was reported at 52.4 cases per 100,000 people, and it remained the same in 2023, while the figure dropped to 41.4 in 2024. In contrast, the incidence rate across Ontario during these years was consistently below 1 per 100,000. This discrepancy highlights a pressing public health issue, particularly for Indigenous communities.

According to Lloyd Douglas, SLFNHA’s public health physician, the authority will closely monitor the inquest to gather insights that could help improve health promotion and education efforts. “We would like to understand, as best as possible, what happened,” he stated. “Whatever we can learn will aid us in providing appropriate health messaging and ongoing education.”

Within the SLFNHA’s jurisdiction, the community of Lac Seul reported 18 cases of blastomycosis from 2022 to 2024, despite having a population of just over 900, according to data from Indigenous Services Canada. Other communities, including Pikangikum and Eagle Lake, have also documented cases over recent years.

Understanding Blastomycosis and Its Impact

Blastomycosis is caused by inhaling spores from the Blastomyces fungus, often found in disturbed soil, decaying wood, and leaves. Symptoms can take a considerable time to appear, ranging from three weeks to three months after exposure. When they do occur, they can resemble other illnesses, such as influenza or COVID-19, which complicates diagnosis during the flu season.

Douglas emphasized the importance of healthcare providers being aware of blastomycosis when patients present respiratory symptoms. “We have worked extensively with the Northwestern Health Unit and Indigenous Services Canada to provide information sessions and education for healthcare providers,” he said. “They must consider blastomycosis as part of the differential diagnosis.”

Once diagnosed, blastomycosis can be treated effectively with antifungal medications. Nonetheless, Douglas noted the need for balance in public messaging. “We don’t want people to avoid outdoor activities,” he remarked. “We still encourage individuals to enjoy the land and engage in traditional practices such as hunting, fishing, and communal play.”

The upcoming inquest will last approximately 25 days and is expected to hear testimonies from around 30 witnesses. As the SLFNHA prepares to monitor the proceedings, the focus remains on understanding the outbreak and enhancing public health strategies to prevent future occurrences.