Systematic news media scanning and synthesis: creating a dataset of emergent initiatives and localized responses to public washroom provision in Canada during the COVID-19 pandemic. / Revue systématique et synthèse des articles de presse : création d'un ensemble de données sur les initiatives émergentes et les interventions locales concernant l'offre de toilettes publiques au Canada durant la pandémie de COVID-19.

News media are an underused source of localized information on complex and structural public health issues that are neglected in policy and unaccounted for in mainstream data collection. We applied systematic review search methods to online news media and developed a dataset highlighting municipal reactions and initiatives in response to public washroom pressures during the first year of the COVID-19 pandemic. Reliance on consumer-based models of washroom access "became news" amid the closures and lockdowns. Our results showed that many municipalities were grappling with the issue, but overwhelmingly responding with temporary and pandemic-specific measures that did not address the needs of marginalized groups.

Systematic news media scanning offers a different way to connect the disconnected for issues neglected in policy and unaccounted for in mainstream data collection. Public washrooms are critical public health infrastructure, yet they are scarce and there is little data on their provision. We adapted systematic review search methods to online news media to capture municipal responses to public washroom pressures during the first year of the pandemic. The resulting dataset showed that 33 unique municipalities across all provinces were represented in news coverage; responses to public washroom pressures were overwhelmingly temporary, pandemicspecific and lacked consideration for needs of diverse user groups.

La revue systématique des articles de presse offre une manière différente d'établir des liens lorsque des questions ne sont pas abordées dans les politiques ni prises en compte dans la collecte de données courantes. Les toilettes publiques sont des infrastructures de santé publique essentielles, mais elles sont peu nombreuses et les données sur l'offre en la matière sont limitées. Nous avons adapté des méthodes de revue systématique aux articles de presse en ligne pour connaître les interventions des municipalités face au problème du manque de disponibilité de toilettes publiques durant la première année de la pandémie. L'ensemble de données ainsi produit a révélé que 33 municipalités réparties dans plusieurs provinces ont fait l'objet d'articles de presse et que la vaste majorité des interventions face aux problèmes liés aux toilettes publiques étaient temporaires et relatives à la pandémie, ne tenant pas compte des besoins des divers groupes d'utilisateurs.

Road safety, health equity, and the built environment: perspectives of transport and injury prevention professionals in five Canadian municipalities.

BACKGROUND: Concerns regarding health equity (HE) and the built environment (BE) are well established in the Canadian urban context. Transport and injury prevention professionals across sectors, such as transportation and public health, are involved in designing and implementing BE interventions that enhance the safety of vulnerable road users (VRUs). Results from a larger study examining barriers and facilitators to BE change are used to illustrate how transport and injury prevention professionals perceive HE concerns in their work in five Canadian municipalities. Broadening our understanding of how HE influences the professional BE change context is crucial when advocating for modifications that enhance the safety of equity-deserving VRUs and groups who experience marginalization. METHODS: Interview and focus group data were gathered from transport and injury prevention professionals working in policy/decision-making, transport, police services, public health, non-profit organizations, schools/school boards, community associations, and private sectors across five Canadian urban municipalities: Vancouver, Calgary, Peel Region, Toronto, and Montréal. Data were analyzed using thematic analysis (TA) to illustrate how equity considerations were perceived and applied in participants' BE change work. RESULTS: The results of this study illustrate transport and injury prevention professionals' awareness of the varying needs of VRUs, as well as the inadequacies of current BEs in the Canadian urban context and consultation processes utilized to guide change. Participants emphasized the importance of equitable community consultation strategies, as well as specific BE changes that would support the health and safety of VRUs. Overall, the results highlight how HE concerns inform transport and injury prevention professionals' BE change work in the Canadian urban context. CONCLUSION: For professionals working in urban Canadian transport and injury prevention sectors HE concerns influenced their perspectives of the BE and BE change. These results illustrate a growing need for HE to guide BE change work and consultation processes. Further, these results contribute to ongoing efforts in the Canadian urban context to ensure that HE is at the forefront of BE policy change and decision-making, while promoting existing strategies to ensure that the BE, and related decision-making processes, are accessible and informed by a HE lens.