Given there are only two urban hospitals in Nova Scotia where all surgery is performed. It's kind of significant that one of them is in this state.

I worked in that building just prior to this article coming out.

Let's be clear, this is the only place to receive care for many conditions in Nova Scotia, and
- the water is toxic
- patients complain of sleeping with rodents

the article indicates that these problems were first identified in the 80s (so 30 years ago)