In case you think fax is now ancient history, there are tens of millions of faxes still crossing the PSTN every day. Fax is alive and well!
I'm not sure if you can get native DSx/SONET backhaul in Canada from one end of the country to the next, but I know it's a similar situation there with end offices. Bell also operates a pretty extensive network of DMS-250s, so a lot of telecommunications traffic hits circuit switches regardless of its destination.
The same thing scanned and sent over email? Many not so much.