IT IS 18 DEGREES CELSIUS
        
        
          below freezing as night falls on
        
        
          inner-city Toronto. A group of men sink deep into their tat-
        
        
          tered fleeces as they struggle to stay warm. An icy January
        
        
          wind cuts into their faces. Some are seriously ill or addicts.
        
        
          Others have fallen on hard times and are simply home-
        
        
          less. Welcome to the heartland of St Michael’s Hospital, a
        
        
          remarkable Canadian institution that is part social worker,
        
        
          part doctor and part research scientist. Whether it is offer-
        
        
          ing a hot meal, a shower and a clean, safe bed or long-term
        
        
          research into kidney disease, the Urban Angel, as it is known
        
        
          throughout the city, is part of Toronto’s human safety net.
        
        
          “We go into parts of the city and provide health care services
        
        
          where other people do not want to go,” said Jeffrey Lozon, the
        
        
          hospital’s President and CEO. “And we have been doing it for
        
        
          nearly 120 years and have never turned anyone away. People
        
        
          know us. They trust us. We are a haven for people whose home
        
        
          is the street or the park bench. People who are
        
        
          outside the system with no medical insurance
        
        
          and no money can come to us. We deal with both
        
        
          human and health problems without judging the
        
        
          circumstances people find themselves in. We are
        
        
          unique. We combine the compassion of a value-
        
        
          based organisation with the science of the teach-
        
        
          ing hospital.”
        
        
          St Michael’s is a teaching hospital affiliated with
        
        
          the University of Toronto. It has more than 5,000
        
        
          staff, with 600 doctors teaching 1,600 students.
        
        
          Impressive numbers but what makes the hospital
        
        
          so special is its work with the city’s most vulnerable citizens,
        
        
          the victims of homelessness, poverty, disease, drug abuse, men-
        
        
          tal illness and violence. The hospital, founded in 1892 during a
        
        
          diptheria epidemic, is recognised globally as a research leader
        
        
          in inner-city health.
        
        
          This makes it a worthy recipient of a CAD25 million
        
        
          (USD21.7 million) donation from the Li Ka Shing (Canada)
        
        
          Foundation. The gift will be used to establish the Li Ka Shing
        
        
          Knowledge Institute, which will bring together the worlds of
        
        
          research, education and patient care. The institute will be the
        
        
          first of its kind to bridge the gulf of understanding separating
        
        
          education from research and research from front line health
        
        
          care. The gift is the largest single donation ever received by the
        
        
          teaching hospital and construction of the institute is scheduled
        
        
          for completion in 2009.
        
        
          “The Knowledge Institute is a new idea,” saidMr Lozon. “It will
        
        
          allow us to create an incubator of knowledge. It will
        
        
          take the scientists out of the lab and put them in
        
        
          the front line so they see, feel and touch the people
        
        
          who are afflicted by a range of diseases. We will be
        
        
          able to attract the best and brightest in a wide range
        
        
          of disciplines. We are creating a living laboratory
        
        
          that can be both a molecular lab and a lab in the
        
        
          street. This will allow us to get the science to the pa-
        
        
          tient faster. Think how many lives you might save.
        
        
          It’s a very exciting project. We are deeply grateful
        
        
          for the confidence being placed in us.”
        
        
          The existing Centre for Research on Inner
        
        
          PHOTO ABOVE: THE GLOBE AND MAIL
        
        
          SPHERE
        
        
          13
        
        
          
            The Knowledge
          
        
        
          
            Institute will
          
        
        
          
            take the
          
        
        
          
            scientists out
          
        
        
          
            of the lab and
          
        
        
          
            put them in
          
        
        
          
            the front line
          
        
        
          
            St Michael’s works with the city’s
          
        
        
          
            most vulnerable citizens.
          
        
        
          
            Facing page:
          
        
        
          
            The statue of St Michael
          
        
        
          
            the Archangel symbolises the
          
        
        
          
            hospital’s spirit and commitment.