elders with the keewatin tribal council tobacco...

MAY 2017 Newsletter

THE NATIONAL ABORIGINAL DIABETES ASSOCIATION ENVISIONS DIABETES-FREE HEALTHY COMMUNITIES

ELDERS WITH THE KEEWATINTRIBAL COUNCIL TOBACCOREDUCTION PROGRAM

ICARE STUDY PARTICIPANTADVISORY COMMITTEE

THE DIABETES INTEGRATIONPROJECT

FOOD SECURITY FOR ALL:THE PEGUIS COMMUNITYGARDEN

CULTURAL SAFETY IN COUNSELLING PSYCHOLOGYEDUCATION

NORTHERN MANITOBA FOOD, CULTURE ANDCOMMUNITY COLLABORATIVE

TSESHAHT SENIOR BEATSTYPE 2 DIABETES

NATIONAL ABORIGINALDIABETES AWARENESS DAYMAY 5 2017

2 • The National Aboriginal Diabetes Association Newsletter • www.nada.ca

FEATURES04 Elders with the Keewatin Tribal Council Tobacco Reduction Program

05 iCARE Study Participant Advisory Committee

06 Preventing Amputations Among First Nations People in the Manitoba Region

10 Cultural Safety in Counselling Psychology Education: Is It Time for a Paradigm Shift?

LIFESTYLE08 Tseshaht Senior Beats Type 2 Diabetes with Diet and Exercise

12 Food Security for All - Peguis Community Garden

13 Karen Graham Health News

23 Northern Manitoba Food, Culture and Community Collaborative 2016 Story Sharing

EVENTS

14 National Aboriginal Diabetes Awareness Day Event in Winnipeg

15 Diabetes Canada Lace Up for Diabetes Winnipeg

20 Kahnawake Schools Diabetes Prevention Project


NADA newsletters are distributed on a bi-monthly basis. Submissions are due the first friday of the month of distribution. The NADA newsletter will feature a regular recipe section starting with the next issue. We welcome submissions!

The next newsletter will be July 2017, with submission date of June 16, 2017.

Please send submissions to [email protected]

The National Aboriginal Diabetes Association Newsletter • www.nada.ca • 3

BOARD:

Roslynn BairdBoard Director

Dr. Agnes CoutinhoChair Person

Robert FentonElder / Board Director Wendy McNabBoard Director

Virgil E. NathanielSecretary

Melita PaulBoard Director

Troy PaulTreasurer

Leon SimardBoard Director

Kerry SpenceYouth Rep / Board Director

Catherine TurnerPast Chairperson STAFF:

Cat RossCommunity EngagementCoordinator

Jeff LaPlanteExecutive Director

Message from the Executive Director

BOARD & STAFF

Aniin Tansi Boozhoo!!

Happy spring everyone! As you may know, in 1999 then AFN National Chief Phil Fontaine declared the first Friday in May to be National Aboriginal Diabetes Awareness Day. This year NADA is hosting an interactive and engaging event at the Circle of Life Thunderbird House in Winnipeg. We encourage communities and organizations to host events and raise awareness about diabetes prevention and management.

We are also excited to attend the National Aboriginal Physical Activity and Wellness Conference at the University of Guelph-Humber from May 10 to 12, 2017. At this conference we will be presenting and announcing our new Physical Activity resource, a series of video testimonials by Indigenous Peoples living with diabetes who manage their diabetes through exercise, which will supplement St. Elizabeth Healthcare’s “Benefits of Physical Activity for First Nation, Inuit and Métis Communities: Sharing Knowledge and Community Leading Practices”.

Also keep an eye out for our continuing webinar series. We have great plans for the next year’s worth of webinars and are very much looking forward to sharing them with everyone.

We are also beginning work with a local publisher on a series of healthy living-themed colouring books for children and youth, designed to raise awareness and educate about prevention of type 2 diabetes. This series promises to be innovative, inspiring and enjoyable.

Lastly, we would like to invite everyone to submit stories for the newsletter. NADA would love to showcase diabetes-prevention and -management stories from individuals, communities and organizations. Please share your stories with us so we may share them with others.

All my relations,

Jeff LaPlanteExecutive Director


Elders with The Keewatin Tribal Council Tobacco Reduction ProgramBy Ken Bighetty

Elders Marie Adele Dettanikkeaze 73, and Jullian Dettanikkeaze 79 from Lac Brochet, Manitoba have become the poster models for the Keewatin Tribal Council Tobacco Reduction program. Both live the traditional lifestyle and the family still lives off their ancestral Dene Land in northern Manitoba.

Marie Adele Dettanikkeaze prepares all her hides, and then makes the shoes including the intricate beadwork. She is fluent in Dene, Cree and English; Jullian only speaks Dene. For my visit it was listening to her weave through all three languages and different in tone for me in Cree, English and for her husband in Dene. It was wonderful to sit and be able to share some customs, I’m glad I started visiting Elders long ago.

All the snow is shovelled off the entire yard, which is fenced in. The whole community is fenced in due to the bears that wander into the community.

The story I heard is during the fall, when the snow, iced covered floor of the tundra; and if caribou hoofs hit the ice it can be heard. The entire community air, feeling, a sensation, a wonderful vibe spreads. To community members they say it’s hard to explain.

“If you don’t drink and don’t smoke you will live a long and healthy life”

This moto is a testament to their lifestyle; it encompasses everything that is about knowledge keepers and tobacco reduction lifestyle.

Check out Ken and his brothers’ YouTube page, Cree Puppets Mathias & Marcel: https://www.youtube.com/channel/UCoaOc9LWl8KR9hLT41Gjg9g


iCARE Study Participant Advisory CommitteeBy Jackie McKee

The iCARE (improving renal Complications in Adolescents with type 2 diabetes through REsearch) study participant a d v i s o r y committee was

established in February 2015 and consists of youth and parents of youth, who are or who were seen in the past by the The Diabetes Education Resource for Children and Adolescents (DER-CA) pediatric clinic at the Children’s Hospital in Winnipeg. Doctors, Researchers and Psychologists from the University of Manitoba also serve as resources for this committee. Our committee is multicultural, however an Indigenous representation is predominant, which is reflective of the type 2 diabetes clinic population in Manitoba.

The committee has two co-chairs, one representing the youth and one representing the parents. We try to meet every three months. The purpose of our committee is to gain input from youth participants and their parents on research in the area of diabetes in youth and to develop and promote awareness of the increasing rates of type 2 diabetes among youth in Manitoba. We are one of the first committees of this type to include youth and parent advisors in type 2 diabetes health research in Canada.

Very noticeable at the inception of our committee was the importance of the establishment of trust and compassion among the participants and research team. This common theme was also noted as being important to the participants when seeking medical treatment for their disease. The mental health treatment of this disease was noted by members as being equally as important to them as the other medical treatments they received. Based on this information from the patient advisory committee, the iCARE research project revised a portion of the protocol to

include measures of mental health in these youth to see if, and how it affects physical health and complications.

Another accomplishment from this group came from the committee members voicing strong concern regarding misconceptions that the general population has regarding type 2 diabetes among youth. As a result, youth members produced a video that highlights some of their experiences and various stigmas they face while attempting to debunk some commonly held myths. This video was debuted at the 5th Annual DREAM Symposium at the University of Manitoba in November of 2016. Since its debut, it has been well received and there have been many requests to share the video. The video can be seen at (https://youtu.be/S9Xi0OZmMDI). Our hope is to share this video widely with as many people and communities that we can reach.

We plan to continue working in the pursuit of improving clinical care for children with diabetes. This group will play a large role in determining how to effectively share the findings of the research with communities, the general public, and the research community. We are currently recruiting new members to the advisory committee in order to have a well-represented voice from parents and children living with the daily struggles this disease has. If you are interested in learning more about this group please email [email protected].


Preventing Amputations Among First Nations People With Diabetes In The Manitoba RegionBy Nanaandawewigamig - Diabetes Integraion Project (DIP)

The Challenge of the High Rate of Amputations

The need for a Basic Foot Care Nursing Program in First Nation communities is well established in the Manitoba Region. It is well known that First Nation people have the highest rate of diabetes (four times the Canadian average), and the amputation rates mirror this disparity. Foot ulcers and amputations are major causes of complications and disability for people with diabetes, and an enormous financial burden to the health care system. “Both foot ulcers and amputations result in decreased function, lowered quality of life, and increased health care costs” (Wrobel, Charns, Diehr, Robbins, Reiber, Bonacker, et al 2003, p. 3042). The rate of amputations amongst Manitoba Registered First Nations between 1994/95 and 1998/99 was approximately 18% higher than for all other Manitobans (Martens, Martin, O’Neil, & MacKinnon, 2007). However, foot complications are the most common preventable complications from diabetes. Indeed,

“the provision of self-care e d u c a t i o n , routine foot care, and p r o t e c t i v e f o o t w e a r reduced the rate of lower rate a m p u t a t i o n s by 48% in the C h i p p e w a

Nation; a reduction occurring when the rate of diabetic LEAs (lower extremity amputations) was increasing nationally” (Rith-Najarian, et al, 1998).

Foot Care and Chronic Disease Funding

In the fiscal year 2010-2011, Aboriginal Diabetes Initiative (national) provided $4.4 M per year for five years to provide training and capacity development for nurses working in First Nations communities. The objective was to build capacity

in First Nations to meet the need for nursing foot care and chronic disease management for Home and Community Care clients. T h e D i a b e t e s Integration P r o j e c t (DIP) was given the m a n d a t e to conduct the foot care and c h r o n i c d i s e a s e c a p a c i t y building with two major deliverables: delivery of a Certified Basic Foot Care Program for Home and Community Care Nurses and the purchase of basic foot care supplies/equipment required for the delivery of foot care services.

In partnership with the Manitoba First Nations Diabetes Leadership Committee (MFNDLC), the First Nations Health and Social Secretariat of Manitoba/Diabetes Integration Project and First Nations and Inuit Health Branch (FNIHB, MB Region), the strategy is to build basic foot care nursing capacity to decrease the rate of amputations from diabetes. Our target audience is the First Nation community Home and Community Care Program nurses. In the fiscal year 2010/11, the Diabetes Integration Project Foot Care and Chronic Disease deliverables included completion of a Community Foot Care Needs Assessment; development of a Basic Foot Care Standards, Policies and Procedures Manual; development of a Foot Care Evaluation Framework; delivery of a Certified Basic Foot Care Program, and the purchase of basic foot care supplies and equipment for all First Nation communities including a Doppler, a blood pressure hand held-aneroid, and toe pressure cuffs.


Preventing Amputations Among First Nations People With Diabetes In The Manitoba Region

By Nanaandawewigamig - Diabetes Integraion Project (DIP)

A Comprehensive Foot Care Proposal

It was envisioned by the First Nation leadership that the prevention of amputations experienced by First Nations from diabetes can be addressed, in major part, by a program which offers preventive foot care to First Nation people diagnosed with diabetes. “The First Nations Basic Foot Care Program. A Solution to Reduce Diabetes Foot Complications and Amputation Rates” initially developed in 2008, was revised and resubmitted to the First Nation and Inuit Health Branch, Manitoba Region in October, 2016.

Basic Foot Care Training and Capacity Development – 2016 Graduates

Top Row, L to R: Debra Braun, Chemawawin Cree Nation; Carol Ann Thorlacius, Little Grand Rapids First Nation; Jasmine Colucci, Bloodvein First Nation; Kim Beam, Dakota Plains Wahpeton Nation; Michelle Beaulieu, Sandy Bay First Nation; Micheline Berard, Dakota Tipi First Nation; Bottom row L to R: Adele Sweeny, Keewatin Tribal Council (KTC); Lisa Demas, Canupawakpa Dakota First Nation; Elaine Little, KTC; and Agnes Denechezhe, KTC.

Ankle Brachial Pressure Index Training: Through a collaborative effort between DIP and FNIHB Enterostomal Therapy Nurse, additional training was provided to assess lower e x t r e m i t y circulation.

REFERENCES

Diabetes Integration Project, Inc. (2011). Basic Foot Care Standards, Policies and Procedures Manual-“A Holistic Approach to First Nation Foot Care.” Diabetes integration Project. Winnipeg, Manitoba.

Diabetes Integration Project Inc. (2013). Manitoba First Nation Assessment of foot Care Service Provision. Diabetes Integration Project, Winnipeg, Manitoba.

First Nation and Inuit Health. (2011). First Nations and Inuit Home and Community Care Program: 2011 Report. Health Canada. Ottawa Ontario. Page 1, & 7.

First Nation and Inuit Health Branch. (2012). Directive. FINHBHCCP. Manitoba Region, Winnipeg, MB.

Martens, P., Martin, B., O’Neil, J., MacKinnon, M. M. (2007). Diabetes and adverse outcomes in a First Nations population. Association s with healthcare access, and socioeconomic and geographical factors. Canadian Journal of Diabetes. 31 (3) 223-232 Rith-Nijarian, S., Branchard, C., Beaulieu,O., Gohdes, D., Simonson, G. & Mazze, R., (1998). Reducing lower-extremity amputations due to diabetes. Application of the Staged Diabetes Management approach in a primary care setting. Journal of Family Practice, 47,127-132.

Winnipeg Regional Health Authority: Ankle Brachial Pressure Index Guidelines.

Wrobel, J., Charns, M., Diehr, P., Robbins, J., Reiber, G., Bonacker, K., Haas, L., & Pogach, L. (2003). The relationship between provider coordination and diabetes-related foot outcomes. Diabetes Care (26) 11, p. 3042-3047.


Port Alberni, British Columbia — Ron Dick Sr. recently logged his best-ever time at the Vancouver Sun Run, but that’s just another highlight in a six-year quest to improve his personal health and fitness.

Now 62, the retired forest worker is not only leaner and fitter since he set out to change his entire lifestyle, he has also fended off the symptoms of Type 2 diabetes to the point where he is now entirely free of the debilitating disease.

“I was first diagnosed with Type 2 diabetes about 20 years ago,” Dick said.

Six years ago, he found himself suffering from numbness in his hands and feet, and his eyesight was deteriorating.

“I was really heavy. I weighed 286 pounds,” he said. When his family physician told him his diabetes had reached a life-threatening stage, Dick said he became very afraid.

“I didn’t know what it meant. They said they were going to put me in a hospital. They sent me to dieticians. But at that point, my granddaughter jumped on the ship.”

His granddaughter, Leisa (Fred) Hassall, was convinced that a change of diet and lifestyle, along with regular exercise, could reverse much of the damage that Dick had incurred by ignoring

the symptoms of his diabetes as they increased.

Leisa also realized that her grandfather would not be able to do it alone, he added.

“She started our whole family on a Health Challenge.”

Dick said while he was advised to avoid certain foods, the biggest dietary change he was required to make was in portion control.

“I went to see the dieticians at the hospital and they showed me the recommended portions. I said, ‘You’ve got to be kidding!’”

Dick said as well as overeating, he was also drinking a lot of beer.

“I gave it up for that first year, and then re-introduced it in moderation,” he said, adding, “I also stay away from white bread.”

That first year, Dick said he was hungry all the time. Following the recommendations of health columnist, Dr. Art Hister, he also drank a lot of coffee. By the end of that first year, his appetite had diminished and, as he later discovered, his ability to overeat had disappeared.

“Within a year—exactly—I lost 134 pounds,” Dick said. “And with the weight loss, my diabetes was under control. That’s when my granddaughter said, ‘Let’s try running a marathon.’”

While it is not a full distance marathon, the 10-kilometre Vancouver Sun Run seemed like a realistic challenge for the slimmed-down grandfather. That first year—2009—Dick ran with a full family delegation of 12, and he has run it each year since.

“Each year after that, more family members joined, then friends. This year it was family and friends.”

Tseshaht Senior Beats Type 2 Diabetes With Diet And Exercise By Shane Morrow(Originally published April 29, 2015, in HA-SHILTH-SA - http://www.hashilthsa.com/news/2015-04-29/tseshaht-senior-beats-type-2-diabetes-diet-and-exercise)


Tseshaht Senior Beats Type 2 Diabetes With Diet And Exercise By Shane Morrow

(Originally published April 29, 2015, in HA-SHILTH-SA - http://www.hashilthsa.com/news/2015-04-29/tseshaht-senior-beats-type-2-diabetes-diet-and-exercise)

This year’s Sun Run took place on April 19, and Dick ran his best time yet.

“My first year, I was just under two hours. Each year, my time just kept getting better.”

Sun Run organizers keep track of individual runners by clipping an electronic tag on one shoe. The tag triggers the timer when the runner crosses the starting line and records the runner’s time at the finish line.

“This was the first time I could hear my name being called at the finish line: ‘Here comes Ronald Francis Dick Senior of Port Alberni, with a time of one hour and 24 minutes.’”

Dick’s son-in-law, Boyd Fred (Leisa’s father), was the fastest in the family group, crossing the finish line with a time of 1:10.

After a great team effort in Sun Run 2015, Dick and his family have now decided to take it to the next level.

“We’re planning to do the [Victoria] Times-Colonist Marathon next year. It takes place the week after the Sun Run. I’m going to run the whole marathon and they’ll probably do the full marathon, walking.”

Perhaps surprisingly, Dick said he does not run regularly to train for race events.

“I have a regular exercise routine—mostly walking. I have a regular route that I walk in the morning: Hector Road, then Bell Road and all the way around McCoy Lake Road. It takes about an hour and 20 minutes and it’s all uphill.”

Dick said he often walks with his wife of 45 years, Marlene, when she is not working.

For many years, Dick played fastball, until the

sport more or less disappeared in the Alberni Valley, and he never took up slo-pitch. But now he needed a sport to get the adrenaline flowing and build back his reflexes.

“I never realized slo-pitch was so much fun,” he said. “That is also thanks to my granddaughter.”

Dick’s recovery has been amazing.

“I used to take insulin. No more. I beat it: I am not diabetic any more. I have no numbness in my fingers or in my feet. I have all the feeling back in my hands and feet and my eyesight is back to 20/20. After I got it all back, I upgraded my diver’s license from Class 4 to Class 1, so I can drive the big rigs.”

Dick worked for 40 years in the forest industry, in a succession of roles. He had acquired the Class 4 chauffeur’s license to drive the crew trucks known as crummies.

Since upgrading his driver’s license, Dick has worked numerous driving jobs on a contract basis. Last year, he drove for Hub City in Nanaimo. Currently, he’s on call to drive a 24-passenger bus for Tseshaht elders. The next scheduled trip is to Cedar, outside of Nanaimo. In July, it’s an Elder’s Conference in East Saanich.

But he still has a desire to drive the big logging trucks, now that he’s licensed and physically fit.

“I just missed a logging truck job by a few weeks last year,” he said.

Last year, he had the opportunity to meet Dr. Art Hister at Athletic Hall, and the two sat down for a long discussion.

“He was amazed that I am symptom-free,” Dick said. “I told him I had been reading his column for years and was following his advice.”


Cultural Safety in Counselling Psychology Education: Is it time for a paradigm shift?By Erin Steen, Anoushka Moucessian, M.Ed, & Lucie Lévesque, PhD

Indigenous communities and individuals require culturally relevant mental health support (Allan et al., 2009; Gone, 2013), yet it is unclear if current postsecondary education in Ontario is adequately preparing health professionals to meet these needs. In fact, research shows that mental health professionals educated in a Western paradigm currently face barriers to providing culturally competent and safe support (e.g., lack of knowledge about colonization, about Indigenous community services, networks and available cultural supports (Shahid et al., 2013; Woolley et al., 2013)). As next generation researchers in the health field who support the Truth and Reconciliation Commission (TRC; 2015) calls to action for health professionals, we undertook a project to explore institutional readiness to respond to recommendation 23 (iii), which calls on governments and institutions to provide “cultural competency training for all healthcare professionals” (p.164).

Cultural safety education can help bridge gaps in the delivery of mental health services by encouraging individual clinicians to understand that their own cultural position is a result of historical and societal factors (Ramsden, 2002). For clients, cultural safety represents a power shift from practitioner to client that allows the client to decide whether the support received is culturally safe or not. As two cultures interact, culturally safe practice centers around sharing respect, meaning, knowledge and the experience of learning together (Williams, 1999). For example, with culturally safe diabetes care, a client-counsellor discussion about self-care may be more productive, as the counsellor would understand that there are many ways in which self-care can be defined. The counsellor trained in cultural safety would not simply steer the discussion towards diet or physical activity, but rather, try to recognize how the client defines their own wellness and self-care based on their own culture, social determinants of health and worldview. A siloed view of health and

wellness that focuses on “healthy behaviours” without addressing the balance of emotional, physical, spiritual and mental wellbeing within the personal and cultural context of each client is limiting. To prevent harm and to promote benefit we need to identify and address current gaps in training of mental health professionals.

We conducted an environmental scan of major postsecondary institutions that provide the basic curriculum required to become certified to practice as a mental health professional through the Canadian Counselling and Psychotherapy Association (CCPA). The environmental scan examined six post-secondary institutions in Ontario; University of Western Ontario, University of Toronto, University of Ottawa, University of Guelph, St. Paul’s University and Wilfred Laurier University. Our findings showed that there are currently no cultural safety courses specifically required or offered in the counselling psychology curricula at these universities. Although several courses included themes of Indigenous culture and/or colonial perspectives, most of these were not required courses. Therefore, it cannot be assumed that all students within these programs are receiving education to be a culturally safe mental health professional. An important point worth highlighting is that three of the available programs did not include any courses with modules to inform aspiring counsellors on what it means to engage in cross-cultural counselling.

Despite the clear need to recognize the mental health needs of Indigenous communities in Canada, and despite recommendation 23 (iii) of the TRC, postsecondary training about how to provide culturally appropriate support to Indigenous peoples seeking care is lacking. Our preliminary results suggest that Ontario Universities that offer accredited counselling psychology programs through the CCPA are not actively addressing the TRC recommendations. A more in-depth investigation of this issue is currently underway with a view to provide


Cultural Safety in Counselling Psychology Education: Is it time for a paradigm shift?

By Erin Steen, Anoushka Moucessian, M.Ed, & Lucie Lévesque, PhDrecommendations and develop solutions to enhance cultural safety training for future mental health professionals in Ontario.

REFERENCES

Allen, J., Mohatt, G., Fok, C. C. T., Henry, D., Team, P. A., & Allen, J. (2009). Suicide prevention as a community development process: understanding circumpolar youth suicide prevention through community level outcomes. International journal of circumpolar health, 68(3), 274.

Brascoupé, S., & Catherine Waters BA, M. A. (2009). Cultural safety: Exploring the applicability of the concept of cultural safety to Aboriginal health and community wellness. International Journal of Indigenous Health, 5(2), 6.

Gone, J. P. (2013). Redressing First Nations historical trauma: Theorizing mechanisms for indigenous culture as mental health treatment. Transcultural Psychiatry, 50(5), 683- 706.

Nguyen, H. T. (2008). Patient centred care: cultural safety in Indigenous health. Australian Family Physician, 37(12), 990.

Ramsden, I. (2002). Cultural safety and nursing education in Aotearoa and Te Waipounamu. PhD thesis, Victoria University, Wellington.

Shahid, S., Bessarab, D., van Schaik, K. D., Aoun, S. M., & Thompson, S. C. (2013). Improving palliative care outcomes for Aboriginal Australians: service providers’ perspectives. BMC Palliative Care, 12(1), 26.

Truth and Reconciliation Commission of Canada. (2015). Honouring the truth, reconciling for the future: Summary of the final report of the Truth and Reconciliation Commission of Canada.

Williams, R. (1999). Cultural safety. . . what does it mean for our work practice? Australian and New Zealand Journal of Public Health, 23(2), 213-214.

Woolley, T., Sivamalai, S., Ross, S., Duffy, G., & Miller, A. (2013). Indigenous perspectives on the desired attributes of medical graduates practising in remote communities: A Northwest Queensland Pilot study. Australian Journal of Rural Health, 21(2), 90-96.


Food Security for All - Peguis Community Garden (2011)By Carl McCorrister, Supervisor, Peguis Community Garden

After many years of living under a reserve system that included colonial rule, loss of culture and heritage, and the infamous Residential School system, some First Nations have come together to regain those things lost. Here at Peguis First Nation, we have recognized the need to return to the land and seek the vision of Food Security. It has become a reality since 2011. A community initiative with a large community garden was started and it has grown considerably to present.

The Garden project is in its seventh year and has successfully maintained about seven acres of

land producing a variety of v e g e t a b l e s that provides healthy foods to community m e m b e r s t h r o u g h o u t the summer. With help from various sponsors that includes

Tides Canada, TLE Trust, Northern Healthy Foods, and some fund raising, the community garden has been a show case to other communities throughout the province. In 2014, the Peguis garden project received the Golden Carrot Award for its community and education component from the province of Manitoba. In 2015, the workers estimated that the garden produced about 11,000 lbs. of potatoes along with a great crop of beets, carrots, tomatoes, and beans. These vegetables were given out to the local food bank and the many visiting elders of the community. The garden is organic, and so is a good source of fighting diabetes and other toxic diseases that so many First Nation peoples suffer from.

The Peguis Community garden has become a source of pride for many, and we have about five workers along with a few volunteers as well as elders helping out in the garden throughout the summer. Another component of our vision is to address the Truth and Reconciliation Commission’s recommendations along with the healing of our community. It has been a challenge and will take more time to recover those things we lost after a hundred and fifty years of colonialism. It has become a form of healing along with providing fresh food for our community. We also have expanded to helping many families start their own gardens, with about thirty now spread throughout the community. With hard work, and the right resources, First Nations can regain their heritage and culture of Food Security. It is time.


Nettles will be growing in the wild soon. If you aren’t sure where to collect it in your area talk to an elder familiar with this nutritious and traditionally eaten plant. As nettles sting and can cause rash, make sure you wear protective gloves when collecting and preparing.

NETTLE SOUP

Stinging nettles are not only delicious in recipes, they have been used medicinally for centuries to treat allergies, arthritis, internal bleeding, kidney stones and urinary tract infections. Blanching the nettles removes their sting.

Salt 2 tsp. 10 mLFresh nettles 1 lb. 454 gOlive oil 2 tbsp. 30 mLShallots, finely chopped 1/4 cup 60 mLOnion, finely chopped 1/4 cup 60 mLGarlic clove, minced 2 2Celery, chopped 1/2 cup 125 mLPotato, peeled and diced 1 lb. 454 gChicken broth 6 cups 1.5 LBay leaf 1 1Thyme, chopped 1 tbsp. 15 mLCream 3 tbsp. 45 mLPepper 1/2 tsp. 2 mLSalt 1/4 tsp. 1 mLHard boiled eggs, chopped, as a garnish 2 2

1. Add salt to large pot filled with water and bring to a boil. Add nettles and cook for 1 to 2 minutes, until softened. Remove nettles from boiling water, and place immediately into ice bath. Drain in colander, and trim off and discard any coarse stems, then roughly chop nettles.

2. In large pot, heat oil over medium. Add next 4 ingredients and cook until soft, about 5 minutes.3. Add next 4 ingredients. Bring to a boil, then reduce heat and simmer for 15 minutes. Add

nettles. If necessary, add enough water to cover nettles. Bring soup back to a simmer and cook until potatoes and nettles are tender, about 15 minutes.

4. Remove bay leaves. Puree soup in batches in blender (or use immersion blender). Return to pot. Stir in cream, salt and pepper.

5. Garnish with chopped egg. Serves 4.

1 serving: 250 Calories: 9 g Total Fat (6 g Mono, 1 g Poly, 2.5 g Sat); 10 mg Cholesterol; 36 g Carbohydrates; 10 g Fibre; 4 g Sugar; 27 g Protein; 1350 mg Sodium

Source: First Nations Recipes published by Eschia Inc. publisher. Photographs and Recipe used with permission. This recipe and many more are available in First Nation Recipes book sold through Paper Birch Publishing.

[email protected] www.karengraham.ca

K A R E N G R A H A M RD, CDE

HEALTH NEWS

Photo courtesy of sowandso.com


NATIONAL ABORIGINAL

DIABETES AWARENESS

DAY

The Manitoba Diabetes Integration Project (DIP) will have a station set

up. DIP is a mobile diabetes screening program that uses specially trained

nurses and a dietitian.

INFORMATION BOOTHS:

ABORIGINAL HEALTH AND WELLNESS CENTRE

WINNIPEG ABORIGINAL FILM FESTIVAL

ABORIGINAL YOUTH MENTORSHIP PROGRAM

Manitoba DEVelOpmenTal Origins of chronic diseases In children Network

(DEVOTION)

NATIONAL ABORIGINAL DIABETES ASSOCIATION

DIABETES CANADA

NORWEST CO-OP COMMUNITY HEALTH CENTRE FOOT CARE CLINIC

CHILD NUTRITION COUNCIL OF MANITOBA

SPIRIT PHARMACEUTICALS

Circle of LifeThunderbird House715 Main St Winnipeg, MB MAY 5, 2017

12:00PM - 3:00PM*FREE*12:00PM

Wabanakwut KinewOpening Remarks and Round Dance Song

Ko’ona Cochrane Opening Prayer

Sherry Copenace Water Ceremony

Keewatin Otchitchak Traditional Women’s Drum GroupTraditional Women’s Song

Audrey Logan Three Sisters Soup and Teachings

12:30PMSpiritFusion Yoga Session (bring your mat!)

1:15PMAboriginal Youth Mentorship ProgramScreaming Eagle Game and Others

1:30PMKiana Fontaine Jingle Dress Dance Teaching

2:15PM Jasmine Tara Talk on Food Security and Cooking Demonstration

2:45PMKeewatin Otchitchak Traditional Women’s Drum Group Travelling Song


Almost everyone knows someone with diabetes–

support them todAy!sunday, June 4, 20178:00 a.m. startAssiniboine park ConservatorySanctioned by: manitoba runners’ Association

events• 10 km timed • 5 km walk/run • 3 km walk/run • Kids fun run

Fun information• Prizes for the top 3 fundraisers • T-shirts • Medals • Games and activities for the entire family ! • Corporate teams encouraged! • Food and beverage tent for participants

Visit www.events.runningroom.com/site/?raceId=13948 to register and to learn more about other fundraising awards ! For more information or to request a paper registration form, contact [email protected] or call 204-925-6193 !

for Diabetes!

Sunday, June 4, 2017

Lace upWinnipeg


This will be good for our community.- Pikwitonei Community Member

We will save a lot of money if it is started. – Thicket Portage Community Member

This will be good, it will benefit the elders and children. – Thicket Portage Community Member

PHOTO DETAILS[1] Pauline, xxxxx, Joanne, Jennell, Marie and Carol at SE workshopThompson. [2] Train Station in Ilford. [3] Panorama of Ilford. [4] Bayline Food Buying Co-op Banner [5] Carol, Danny and Becky on HMLFI trip

> LOCATION

The communities of Wabowden, Thicket Portage, Pikwitonei, Ilford and War Lake First Nation are located along the Hudson’s Bay Railway. Wabowden is located 111 km southwest of Thompson on Highway 6. Thicket Portage, Pikwitonei, Ilford and War Lake First Nation are not serviced by all season roads but are connected to Thompson by the railway.

To increase access to healthy foods, decrease the cost of accessing food, and to make the communities stronger.

> OBJECTIVES

ORDER WEEK

Pikwitonei

THOMPSON

Thicket Portage

Wabowden

Ilford

War LakeFirst Nation

N

Provincial Truck Highway 2 Lane, PavedProvincial Roads - 2 Lane, PavedProvincial Roads - GravelWinter Roads Winter access only and weather dependent – Routes may not be as shown.

Community LocationPublic AirportHospitalFirst NationsRailway

LEGEND

COMMUNITY STORIES 2016 / 9

34

NFMCCC funding

2015

2016

2017

ü

ü

>

The Bayline Food Buying Co-op was first conceived in 2012. Most communities along the Bayline (rail line) do not have year-round road access or local grocery stores. They have to travel by train, boat, or winter road to do their grocery shopping and this is very expensive. A Food Buying co-op will provide a regular shipment of pre-ordered foods to community members in partnership with Via Rail. It will reduce the time and money involved in grocery shopping and accessing good foods.

Since the project started there has been lots of work done, including a pre-feasibility study and many meetings. The project is spearheaded by Carol Sanoffsky as part of her role as Administrator for the Bayline Regional Round Table, but many other community leaders and members are helping with the work.

We started out 2016 with community surveys to find out which types of food people would want to get, to learn about people’s interest and understanding of the food buying program and to get suggestions on how to run the program. The community champions in Thicket Portage and Pikwitonei, Marie Brightnose and Pauline

Cordell, led the survey work and we learned a lot to help guide the program planning.

We have made partnerships with many organisations that are helping us to get the program off the ground. Just a few are the community councils of Thicket Portage, Pikwitonei and Iford, War Lake First Nation Chief and Council, VIA Rail, Frontier School Division and Dwyer’s Store in Wabowden.

We talked to people from the Fort Albany Food Security Committee who help run a fresh food market in Fort Albany on the James Bay coast. They have worked through challenges and are making the market work. For awhile they had to ship food by truck, to a train and to a plane to get the food from Toronto to Fort Albany, but now they source their food from Thunder Bay which cuts down the transit time considerably. They had a lot of good insights to share with us about the logistics of running a food buying group and potential challenges we might face.We also visited a group of Manitoba farmers who sell and package their meat or produce to sell directly to consumers. On

the trip we got some good ideas about how to organise the orders and package the food for each ‘customer’.

With all the work going into getting the co-op up and running we brought on Donna Sanoffsky as the Wabowden-based coordinator to help support community champions and to coordinate the program start. Donna has done loads of work organising even more meetings, visiting the communities to share information, getting all the paperwork sorted out for starting the program and purchasing equipment we will need when we start.

We took huge steps forward in 2016 and are almost ready to start our first shipment. Our final step before we kick-off the program is holding a training session for all the community champions in Thompson so they can get more familiar with the ordering and order checking processes.

WABOWDEN, THICKET PORTAGE, PIKWITONEI, ILFORD & WAR LAKE FIRST NATION:

Bayline Food Buying Co-op

2#STORY

8 / NMFCCC

1 2

5


This will be good for our community.- Pikwitonei Community Member

We will save a lot of money if it is started. – Thicket Portage Community Member

This will be good, it will benefit the elders and children. – Thicket Portage Community Member

PHOTO DETAILS[1] Pauline, xxxxx, Joanne, Jennell, Marie and Carol at SE workshopThompson. [2] Train Station in Ilford. [3] Panorama of Ilford. [4] Bayline Food Buying Co-op Banner [5] Carol, Danny and Becky on HMLFI trip

> LOCATION

The communities of Wabowden, Thicket Portage, Pikwitonei, Ilford and War Lake First Nation are located along the Hudson’s Bay Railway. Wabowden is located 111 km southwest of Thompson on Highway 6. Thicket Portage, Pikwitonei, Ilford and War Lake First Nation are not serviced by all season roads but are connected to Thompson by the railway.

To increase access to healthy foods, decrease the cost of accessing food, and to make the communities stronger.

> OBJECTIVES

ORDER WEEK

Pikwitonei

THOMPSON

Thicket Portage

Wabowden

Ilford

War LakeFirst Nation

N



LEGEND

COMMUNITY STORIES 2016 / 9

34

NFMCCC funding

2015

2016

2017

ü

ü

>

The Bayline Food Buying Co-op was first conceived in 2012. Most communities along the Bayline (rail line) do not have year-round road access or local grocery stores. They have to travel by train, boat, or winter road to do their grocery shopping and this is very expensive. A Food Buying co-op will provide a regular shipment of pre-ordered foods to community members in partnership with Via Rail. It will reduce the time and money involved in grocery shopping and accessing good foods.

Since the project started there has been lots of work done, including a pre-feasibility study and many meetings. The project is spearheaded by Carol Sanoffsky as part of her role as Administrator for the Bayline Regional Round Table, but many other community leaders and members are helping with the work.

We started out 2016 with community surveys to find out which types of food people would want to get, to learn about people’s interest and understanding of the food buying program and to get suggestions on how to run the program. The community champions in Thicket Portage and Pikwitonei, Marie Brightnose and Pauline

Cordell, led the survey work and we learned a lot to help guide the program planning.

We have made partnerships with many organisations that are helping us to get the program off the ground. Just a few are the community councils of Thicket Portage, Pikwitonei and Iford, War Lake First Nation Chief and Council, VIA Rail, Frontier School Division and Dwyer’s Store in Wabowden.

We talked to people from the Fort Albany Food Security Committee who help run a fresh food market in Fort Albany on the James Bay coast. They have worked through challenges and are making the market work. For awhile they had to ship food by truck, to a train and to a plane to get the food from Toronto to Fort Albany, but now they source their food from Thunder Bay which cuts down the transit time considerably. They had a lot of good insights to share with us about the logistics of running a food buying group and potential challenges we might face.We also visited a group of Manitoba farmers who sell and package their meat or produce to sell directly to consumers. On

the trip we got some good ideas about how to organise the orders and package the food for each ‘customer’.

With all the work going into getting the co-op up and running we brought on Donna Sanoffsky as the Wabowden-based coordinator to help support community champions and to coordinate the program start. Donna has done loads of work organising even more meetings, visiting the communities to share information, getting all the paperwork sorted out for starting the program and purchasing equipment we will need when we start.

We took huge steps forward in 2016 and are almost ready to start our first shipment. Our final step before we kick-off the program is holding a training session for all the community champions in Thompson so they can get more familiar with the ordering and order checking processes.

WABOWDEN, THICKET PORTAGE, PIKWITONEI, ILFORD & WAR LAKE FIRST NATION:

Bayline Food Buying Co-op

2#STORY

8 / NMFCCC

1 2

5


A major accomplishment was everyone’s hard

work and weeding that we accomplished a good harvest this

year. We increased our knowledge on how to garden thanks to

Peggy and Stan. Our kids loved the pumpkin patch so much

that we are putting a pumpkin patch on our yard this year.

After we increased the gardens the kids have been getting

more enthusiastic.

- Sheryl Crane, GardenerSASK

ATC

HEW

AN

N

OspaskwayakCree Nation THE PAS

FLIN FLON



LEGEND

Learning how to grow the vegetables gave me the confidence to know that I can do this. Now

that I have a hand in gardening I want to try more things and the fruit side and see just how far we can go with this. It feels like we are getting started and

can do much more. – Noreen Singh, Gardener

PHOTO DETAILS

[1] [2] [3] Families working

at the Big Eddy Garden.

[4] Youth helping out at the

Main Garden. [5] [6] Honey

extraction at Peggy and Stan’s.

[7] Mabel and her grandaughter

harvesting carrots. [8] Northern

lights over the Main Garden.

> LOCATION

Opaskwayak Cree Nation is adjacent to the Saskatchewan River and The Pas, Manitoba. OCN has year round road access, and a population of about 3,200 on reserve.

We are Opaskwaya Inniwak (Opaskwayak Cree). We were a healthy nation with our own gardens and a healthy hunting and fishing culture until processed foods, sedentary lifestyles, and dependency moved in. Now 65% of our population has diabetes and as many are obese and sickly. We want to change. We want to return to our roots of strength, physical prowess and harmony with the earth.

> OBJECTIVE

2016 / 29

6

NFMCCC funding

2014

2015

2016

2017

ü

ü

ü

>

OPASKWAYAK CREE NATION:

Opaskwayak Culture & Healthy Living Initiatives

28 / NMFCCC COMMUNITY STORIES

3 4 521

7 8

We have 5 big gardens, a summer kitchen, bee hives, a turtle mound herb garden, pumpkin patch, and will soon build our clay oven. People bring their kids and grandkids and it is good to see families getting together in the gardens. We set days aside (Tuesday night and Thursday night) for each garden so that people would go and work in the gardens. Part of that is because socializing is just as important as anything else. People go there and visit as they work.

In 2013 we began our journey by planting 55 fruit trees. Unfortunately, that year our potential orchard was flooded. But we didn’t give up. We started again; “…if at first you don’t succeed, etc…”.

We started over again and we planted. In 2014 38 families signed up to take part in a community vegetable and berry garden. For the main garden, we chose a high ridge of land beside an old creek bed, in the center of the settlement so that everyone would have access by walking to the site. Preparing the Site: Wa weni kani wak. Because there was no topsoil, we had to scrape the top layer, remove all the rocks, haul in topsoil and level the area; an

expensive and labour intensive job. The OCN Recreation and Beautification Team helped a lot with this work. The soil came from across the river from a farmer and took most of our budget. The soil came from the land that is our traditional territory.

Planting and seeding: Kistiganiwak. In two separate gardens we planted 87 fruit trees: apples, crabapples, plums, chokecherries, raspberries and cherries. Then we focused on the vegetable garden. Each worker took a tree home to plant in their own yard. We had to re-learn all those necessary things that go into making a garden (and a family) grow. I had forgotten that garden work requires continuous attention, endless patience all those things that go into a healthy happy family. To build community and get kids involved with adults, we held a birdhouse making competition. It was a huge success and helped us wait as the seedlings took root and began to sprout.

Growing: Nitawigin. The excitement of seeing new plants –and learning the difference between weeds and

vegetables and weeding and weeding, and weeding…

Harvesting Moonay Kaniwak. The food from the garden is shared with everyone who helps out. Some of it goes to feasts and community events. The kitchen will helps us learn to cook and use the all of the foods grown.

What we learned: It’s good for the Elders to get moving again, instead of thinking they have to stop living at 50. We need to prepare and plant the garden together but after that we need an individual weeding schedule so everyone does it regularly. Everyone has to help out or else it is too much work for a few people. Having students can help, but it is a lot of work to manage them. Peggy and Stan need successors so that the major

load is shared, we have been working to get more people involved in the

leadership of the garden. People really like beets! We need less seeds and we need to take more

care in planting; space the seeds further apart and thin

the plants sooner.

ü


17-02-14

WORKSHOP ANNOUNCEMENT

WORKSHOP GIVEN IN ENGLISH Mobilisation communautaire pour les modes de vie sains & prévention du diabète

15-18 mai 2017 au Territoire Mohawk de Kahnawake La mobilisation communautaire pour les modes de vie sains & formation de prévention diabète partage les expériences réussies de la modèle de promotion de la santé de Kahnawake Schools Diabetes Prevention Project (KSDPP) avec les organisations et personnes qui travaillent avec les communautés autochtones. Cet atelier fournit des informations & compétences, facilite la discussion et engage les participants au plan d’actions communautaires de modes de vie sains.

À l’issue de la formation de mobilisation communautaire, les participants pourront : 1. comprendre les bases théoriques pour des modes de vie sains réussies de programmation. 2. Apprenez à identifier les valeurs de la communauté en ce qui concerne les modes de vie sains. 3. Apprenez à développer une vision communautaire partagée pour les modes de vie sains. 4. comprendre le travail d’équipe, construire des coalitions communautaires & travailler avec des bénévoles. 5. apprendre l’analyse de l’environnement afin d’identifier les objectifs & objectifs de programmation des modes de vie sains. 6. apprendre l’intervention planification d’activités, calendriers de communauté et d’évaluation. 7. Renseignez-vous sur les relations publiques et élaborer un programme de diffusion d’informations.

KAHNAWAKE SCHOOLS DIABETES PREVENTION PROJECT Center for Research & Training in Diabetes Prevention

P.O. Box 989, Kahnawake Mohawk Territory Quebec, Canada J0L 1B0

Tel: (450) 635-4374 Fax: (450) 635-7279 E-mail: [email protected]

Daily Physical Activity, Healthy Eating Habits & a Positive Attitude Can Prevent Diabetes


You are invited to join us and other leaders in sharing best practices in promoting physical activity and wellness in Aboriginal communities across Canada at the University of Guelph. This is the nation’s largest conference on physical activity for First Nations, Métis and Inuit people. The focus of this conference is for those who are interested in sports, recreation, fitness, traditional activity who may be band council members; health directors, health practitioners; counselors or social workers; federal, provincial or municipal health employees; academics; researchers; recreation workers; coaches; fitness instructors; cultural leaders; community members; and all others interested in the promotion of health and wellness through physical activity in Aboriginal communities.

This conference will provide a networking and education opportunity for Aboriginal organizations and mainstream businesses through physical activity sessions, keynote speakers and related tradeshows.

LOCATION

Seminars and workshops will be held at the University of Guelph Summerlee Science Complex, Alexander Hall and the newly renovated Mitchell Athletics Centre. This centre was recently renovated to accommodate the many talented athletes.

MAY 10-12, 2017


Confirmed speakers for the 2017 NAPAW Conference

KEYNOTE SPEAKERS

ALLAN DOWNEY, Quebec. Assistant Professor at McGill University

Theme: Truth and Reconciliation and Youth Development

LILA BRUYERE, Ontario. Residential School Survivor

Theme: Truth and Reconciliation and Community Development

IAN MOSBY, Ontario. Historian of food health and colonialism

Theme: Truth and Reconciliation and Community Development

SAM MCCRACKEN, Oregon, USA. General Manager of Nike N7 and Chairman of the N7 Fund

Theme: Physical Activity & Wellness

SESSION SPEAKERS

Peter Jensen – Food and NutritionJeff Carmichael – Leadership and Collective ImpactScott McRoberts – Sport DevelopmentJocelyn Cheechoo – Health & WellnessTania Cameron & Andy Rickard – Aboriginal Sport & Wellness Council of Ontario’s Far North StrategyMichael Cvtikovic – Impact of North American Indigenous Games (NAIG)Marcia Trudeau & Keir Johnston – NAIG LegacyClay Melnike & Judy Pike – Ontario sport systemDavid Letteney – Volunteerism for multisport gamesHelen Stoumbos – Ontario Girls & Women InitiativeDwayne Roberts – FitNation in British ColumbiaRob Newman – 2018 International Aboriginal Masters GamesProvincial Aboriginal Sport Ministry updateFederal Aboriginal Sport Ministry update

PANEL SESSIONS

Youth PanelHigh Performance Athlete PanelCoaching Panel at the Grassroots LevelGraduated Guelph Athlete PanelWomen’s Athlete PanelAboriginal Research at the University Level PanelGovernment Policy Around Truth & Reconciliation Panel

POW-WOW

On May 11th, the Johnston Green will host a Pow-Wow where delegates can celebrate traditional food, watch drummers and dancers perform, and purchase various items from our crafters and vendors

SOCIAL GATHERING

Networking opportunities and cultural activities such as indigenous dances will flow throughout the conference. Many activities such as conservation Areas, the Toronto Premium Outlet Mall and Elora Gorge are located close to the city of

Guelph.

For more information and to register for the 2017 NAPAW Conference, please visit our

website athttp://aswco.ca/napawc-2017/

See you there!


103-90 Garry Street Winnipeg, Manitoba

Canada R3C 4H1 204.927.1224

This year’s “Your Health Matters” Calendar is a product of partnership between the National Aboriginal Diabetes Association and the Aborig-inal Nutrition Network of the Dietitians of Canada.

The calendar features Haudenosaunee and Mi’Kmaq-related recipes using traditional foods and traditional means of preparation, along with traditional teachings that inform the procurement of and respect for the plants and animals. As a means of preventing diabetes and other chronic disease, consumption of traditional and less-processed foods provides essential nutrients and healthier ways of eating, as well as connecting to culture and honouring our ancestors.

The calendar starts in February, to reflect the “new year” in Haude-nosaune culture, February is the time of year when we honour our ancestors and their knowledge passed on to us to help us survive another year through the winter season. We look forward to the spring season upon us and gather to share food, song and ceremony. Ogwaya’dadohehsdoh: in the Cayuga language means “It Aligns Our Body” representing the balance that each season provides for us and our relationship with food and water. The seasonal food guide is a Haudenosaunee representation of how you can choose to eat and harvest foods in your Nations. Think about the foods and ceremonies that are happening in your Nations and map them out in a seasonal fashion utilizing the four directions, medicines, life cycles and food availability. You can focus your monthly events or outings to honor one or two of the prominent foods in your Nation.

As with previous NADA calendars, each day on the calendar has three spots to record blood sugar levels if you are a person living with diabetes and conducting regular tests. Self-testing your blood sugar (blood glucose) can be an important tool in managing your treat-ment plan and preventing long-term complications of diabetes.

YOUR HEALTH MATTERS CALENDAR ORDER FORMTo order, please complete the form and mail with cheque payable to

NATIONAL ABORIGINAL DIABETES ASSOCIATION

Proceeds from the sale of calendars will go towards funding nutritition and traditional foods-related initiatives with NADA and partners.

Your Health Matters2017/18 SEASONAL FOOD GUIDE CALENDAR

ABORI

GINA

L NUTRITION NETW

ORK

ABORI

GINA

L NUTRITION NETW

ORK

www.dietitians.ca/aboriginalnutrition

QUANTITY:

10 CALENDARS$75

25 CALENDARS$175

50 CALENDARS$300

NAME:

ADDRESS:

PROVINCE/TERRITORY:

EMAIL:

ORGANIZATION:

TITLE:

CITY/TOWN:

POSTAL CODE:

MOBILE FRIENDLY

NADA.CAG A I N I N F O R M A T I O N O N T H E G O

elders with the keewatin tribal council tobacco...

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