Quebec policy leaves Indigenous children anxious and alone on medical flights, doctors say

A young girl wakes up in the Montreal Children's Hospital, fearful and alone. She triesto escape and return home.

A toddler, flown to the hospital without his parentsfrom northern Quebec,falls from a bassinet in the emergency room.

These are among the harrowing stories cited by three Quebec pediatricianscalling on the province to lift a policy that blocks family members from accompanying minors on air ambulance flights.

The Challenger jetused for medical evacuationsisn't set up to take extra passengers.As a result, loved ones are required to take a commercial flight, andsometimes only arrive at the hospital the next day.

"This has been a policy in place for decades,"Dr.SamirShaheen-HussaintoldCBCMontreal'sDaybreak.

"I have to admit that I'm almost embarrassed that I didn't do anything earlier."

For Shaheen-Hussain, the turning point was this summer, when he treated a young boy from northern Quebec who had fallen off an ATV.

Alone in the emergency room, the boybegan to cry. Shaheen-Hussain worried he had suffered head trauma.

It was only after the hospital found anInuktitutinterpreter that they were able to understand why he was so upset: hemissed his mother.

In 2016, a total of 146 children were transported from the Cree Territory of James Bay to the Montreal Children's, while 146 were transported from Nunavik. Others are taken to Sainte-JustineHospital or to hospitals inQuebec City.

It's unclear exactly how many of those were flown without a family member, but the number is considerable, the doctors say.

In preparing theircase,Shaheen-Hussainsaid the doctors could find no other province that has similar restrictions in place.

Health minister cites security concerns

In an interview, Quebec Health Minister GatanBarrette said he understands the situation and "the emotion that comes with it, which is really reasonable and understandable."

However, he said, "there are also issues of security that are imposed by our Transport Ministry, and those are to be taken into consideration."

There are only four sitting places on the Challenger and those must be reserved for medicalpersonnel, he said.

Barrette pointed out the province pays for the family member's commercial flight.Later Wednesday, Barrette told reportershe would work to see if commercial flights from northern Quebec could be better co-ordinatedso that parents would be able to fly at the same time as their child.

Policy brings with practical concerns

But the policy is not only painful for families and traumatizing for children, it also presents a host of more practical concerns,Shaheen-Hussainsaid.

Those include being able to understand a fearful young patient not comfortable in English, and getting parental consent before performing surgery.

"If ever the child does require surgery for whatever reason, we require consent, but it's hard to reach them because they are on the plane," he said.

"It's absurd in 2018 to have this situation that's ongoing."

Dr. SaleemRazack, another pediatricianwho signed the letter, said the policy change would"correct a historical wrong."

He pointed out the Children's at the new McGill University Health Centrehas a room available to parents when a child is in intensive care. It's a shame it can't be used more often, he said.

Tunu Napartuk, the mayor ofKuujjuaq, the largest village in Nunavik, said the situation is "very painful to accept."

"The only way in and out ofNunavikis by plane. It's a two-hour flight direct fromKujjuaqto Montreal," he told Daybreak.

"Quite frankly, I find it very unfair."