c a r i b o u h... t h e

the
caribou heard
2014, April
In this Issue
Your link to and from the North
Volume 12, No. 1
Ten Years in Garden Hill
Announcements��������������3
Photo Ops.....................4
Blast from the Past........6
Library Services to
the Kivalliq Region &
Sanikiluaq.....................8
A copy of this and
past Newsletters
are on our website
at the following
URL:
http://tiny.cc/nmu_
news/
Google: J.A. Hildes Northern
Medical Unit
T
en years ago this June, a
ribbon cutting ceremony was
held at the Island Lake Regional
Renal Health Unit; the first nonhospital based Dialysis Unit in
Canada.
The following January (2005) Elder,
Luke Harper and Nurse, Mirasol
Salacup said blessings as the
first five patients who had been
repatriated from Winnipeg to their
home communities began treatment
at the new Unit.
Before the Program was in Garden
Hill patients would have to move to
Winnipeg for dialysis, which meant
that children would often have
to also move. Some individuals
would choose not to use dialysis or
discontinue because of the need
to leave home. Uprooting patients
and their families from their homes,
culture, and social networks in order
...continued next page
University of Manitoba, Faculty of Medicine,
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
the caribou heard
2014, April
Volume 12, No. 1
Island Lake Regional Renal Health Program
continued from Page 1
to access treatment can have serious health
and social consequences.
Through the collaborative work between First
Nation Communities, Four Arrows Regional
Health Authority, Manitoba Health, Manitoba
Renal Program, University of Manitoba, Health
Canada (FNIHB), and Indian and Northern
Affairs Canada, the establishment of the
Program has made a substantial improvement
in the lives of the dialysis patients. Those
dependent on dialysis no longer have to
uproot their families and move to Winnipeg.
And, in conjunction with the educational and
prevention programs in the communites, there
is hope that future generations will enjoy better
health.
Background and Stats
•
•
•
Since 1991 the number of patients requiring
dialysis services in Manitoba had increased
dramatically with First Nations people and
residents in the Island Lakes region having
one of the highest incidences of renal
disease in Manitoba
The Unit serves the communities of Garden
Hill, Red Sucker Lake, St. Theresa Point,
and Wasagamach
The region has a population of
approximately 10,000 people, about the
Page 2
•
•
•
size of Portage la Prairie.
The Unit provides six dialysis treatment
stations
On average the Unit treats 14 to 18
permanent patients plus transients and
also supports a few patients on home
haemodialysis annually
Over the past ten years the Unit has
performed treatment on 80 individual
patients, permanent (long or short term) and
transient.
Highlights
•
A dietitian worked with local stores to
improve the availability of fresh foods
appropriate for people with kidney disease
• Integration with a community program
that supports the development of home
vegetable gardens
• Participation in a region-wide primary
prevention strategy funded by the Manitoba
Department of Healthy Living
• Initiation of a school-based screening
program to identify children at high risk of
developing kidney disease
• Twice in 10 years arranging the evacuation
of patients during forest fires, their escorts,
and dialysis medical staff (approx 30
people); and locating facilities elsewhere in
the province where patients can be dialysed
and availability of hotel rooms. s
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
2014, April
the caribou heard
Volume 12, No. 1
Announcements
Mo.
We welcome Mo's
replacement, Amanda Abel
who hails from Thompson
where she was with the local
RHA for many years. Since
coming to Winnipeg she has
worked for the WRHA and is
well chuffed to now be with
us.
S
adly on
the 4th of
January 2014,
Dr. Marco
Terwiel, family
physician,
passed away.
Dr. Terwiel
began with us
back in 2002;
traveling to
Dr. Marco Terwiel, photo credit:
Rankin Inlet
http://www.canadianachievers.com/
from his home
columns/Dr-Marco-Terwiel.php
in Maple Ridge
BC. Recently retired then, he stopped by our
booth at a medical convention and after his first
visit to Nunavut, he caught "the northern bug".
He writes of his personal and professional
experiences in Nunavut on his blog:
http://www.marcoterwiel.ca
Welcome to Makena Jo-
Anne, 2nd daughter for Dr.
Marcia Anderson-Decoteau.
Makena was born on the 4th
of February 2014. Makena
weighed in at 8lbs 9oz and
was 21 inches long.
Also, congratulations to
Kirsten Bourgue and partner
Ross on the birth of their 2nd
child, Daphne, born on the
2nd of April. Kirsten is one of
our former Diabetic Foot Care
Nurses.
Dr. Marcia
Anderson-Decoteau
and Makena JoAnne
At the beginning of the year
we welcomed Mohamad
Kadhim as our new Hospital
Based Physician Coordinator.
Fortunately for Mohamad, but
unfortunately for us, he has
since been accepted to Dental
School at Trinity College in
Mohamad Kadhim
Dublin, Ireland. Fare the well
We also welcomed Hai
Nguyen as our new Finance
Officer. Hai comes to us
from the Dean's office and
we are thrilled to have him
aboard.
Another new kid on the
block is our new Diabetic
Foot Care Nurse, Tannayce
Cook. Tannayce comes
to us from AMC (Assembly
Manitoba Chiefs) where she
was working on a business
case for diabetic foot care.
She will be taking the wound
care on-line course and be
under the tutelage of our
current foot care nurse, Avy
Halpin.
We have also welcomed
a new Nurse Practitioner,
Angela Bedard, and two
new Clinical Assistants to
the staff at Norway House,
Soujanya Chavali, and
Pushpika Karunatilake.
Congratulations to Dr.
Faranak Mehrabi who
completed her Geriatric
training this past December.
Dr. Mehrabi had been in the
Fly-In Program since 2010
and is now a part of the
Consultant Program. She
will be going to Churchill,
Hodgson, and Norway House.
Amanda Abel
Hai Nguyen
Tannayce Cook
Angela Bedard
Send us your announcements: [email protected]
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
Page 3
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2014, April
Volume 12, No. 1
Photo Ops
C
ongratulations to Dr. Bruce
Martin who was awarded
an Award of Excellence by the
Manitoba College of Family
Physicians. The Award is presented
to family physicians who have made
outstanding contributions to the
discipline of Family Medicine.
Bruce was recognised for his many
contribtions to the health of people
living in Northern Manitoba for his
many years as a northern physician
and as the Director of the NMU.
Busy Workers at Chemewawin Nursing Station
Left: Lorilee McKay, Receptionist
Right: Michelle Mink, Nurses Assistant (on call worker). Michelle is very busy booking patient appointments for the
visiting specialists and community physician, arranging for the drivers to pick up the patients for their appointments. She
pulls patient charts and is also responsible for the autoclaving and maintenance of the autoclave, among other duties at the
Nursing Station.
Page 4
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
2014, April
Volume 12, No. 1
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Keeping Everything Running at Grand Rapids
Nursing Station
Grand Rapids Nursing Station
Veronica Mercredi has been keeping busy these
last 24 years as a Nurse's Assistant (on call
worker), community healh worker, triage for the
nurses pre visit, maintenance of the autocalve and
autoclaving, administration of the TB meds, and
numerous other jobs around the Nursing Station
Allison Valentine Nurse in Charge
Standing: Audrey Ballantyne, Nurse's Assistant (on call
worker) and Support Worker for Home Care
Sitting Agnes Mercredi, Receptionist, Nursing Assistant
(on call worker) booking patient appointments for the
visiting specialists and community physician, arranging for
the drivers to pick up the patients for their appointments.
She pulls patient charts and is also responsible for the
autoclaving and maintenance of the autoclave, among
other duties at the Nursing Station.
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
Page 5
the caribou heard
2014, April
Volume 12, No. 1
Blast from the Past
Originally published in Canadian Geographic, 1985
Manitoba's 'flying doctor'
Text by Larry Krotz with photos by Robert Tinker
We came across a copy of Canadian
Geographic from 1985 with an article featuring
our former Dr. Joe Dooley and the provision of
health care to Little Grand Rapids. Here is an
excerpt:
"When the Nursing Station was built in 1954,
it was staffed by one nurse. Before that, a
doctor came to the community once a year on
Treaty Days. He did examinations and took
X-rays and sent people with tuberculosis to
sanatoriums. "Other than that," says Helen
Moar, housekeeper at the nursing station,
"people who were sick used Indian medicine."
Helen's baby, in 1957, was the first to be born at
the nursing station."
"In the past, infectious diseases were the
foremost concern in native health. Children
died of pneumonia and tuberculosis was a
plague. These are now less of a problem as
living conditions, public health, and water quality
improve. Infant mortality rates among Indians
are still 60% higher than national average, but
they are much lower than in the past. The shift
in medical attention in recent years has been
from a concern with infections to a concern with
chronic diseases, and this is similar, says Dr.
Dooley, to the way things have happened in the
rest of society."
The Medical Staff of Little Grand Rapids Nursing Station
— Marlene Goldhawk (front), Dr. Joe Dooley and Arlene
Monkman (centre and right, second row) — pose with the
people who help keep the station running smoothly. Do you
know the names of the other people? If so please let us
know.
Aerial view of the current Nursing Station and Residence
Page 6
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
2014, April
Volume 12, No. 1
ITA YATAI: A
Symposium on
Traditional Knowledge
Yellowknife, NWT
Start:09/19/2014
End:09/21/2014
Timezone: Canada/Pacific
The Tłı̨chǫ Government, the
Government of the Northwest
Territories and Canadian Polar
Commissi,on are co-hosting a multievent symposium to advance the use of
Traditional Knowledge.
Overview
The symposium will comprise four
companion events Friday though
Sunday:
• A kick-off event in Behchokǫ̀ in
honor of Aboriginal elders, with
invitations to leaders, symposium
VIPs, major sponsors, and key
presenters
• One-day scholarly symposium at the
Explorer Hotel
• “TEDx Tłı̨chǫ”: a one-day TEDx
podium event at the Explorer Hotel
• A companion Traditional Knowledge
Festival incorporating booth
displays, cultural demonstrations,
and a book fair
For More Information:
http://nativemaps.org/node/3905
the caribou heard
INIHKD & Manitoba
NEAHR Conference
2014
5 - 10 October 2014
This conference builds on the INIKHD’s
international gathering held every two
years that is dedicated to improving the
lives of Indigenous peoples globally
through Indigenous and community-led
research, health services and workforce
development. This year’s conference
will include a focus on Indigenous health
research in true collaboration, and
mentoring new investigators and graduate
students.
In October, 2014 this gathering will be
taking place in Winnipeg, Manitoba,
Canada. An estimated 600 people
including health service providers,
Indigenous community members,
researchers, and policy formulator
attendees will share in the showcasing
and honouring of Indigenous-led
knowledge development in research,
education & training, and health service
models. http://inihkd2014-neahr2014.com
Manitoba Continuing Professional
Development
Information on ATLS, ACLS, PALS,
Registration,
Forms, and more.
Check out the MCPD
website for Events,
Programs, and Courses.
http://manitobacpd.com
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
Page 7
the caribou heard
2014, April
Volume 12, No. 1
Library Services to the Kivalliq Region &
Sanikiluaq
Submitted by: Janice Linton
Aboriginal Health Librarian and Liaison Librarian for Community Health Sciences
New Subject Guide for Medical
Rehabilitation Staff Working in
the Kivalliq Region
Toby Cygman is a librarian who was
working at the Neil John Maclean Health
Sciences Library for several months in
early 2014. Toby created two subject
guides to assist staff working in the Kivalliq
Region of Nunavut.
Subject guide for Med Rehab staff is at:
http://libguides.lib.umanitoba.ca/kivalliq/
medrehab
Clinical Practice Guidelines for Primary
Care when working with First Nations,
Metis & Inuit patients
http://libguides.lib.umanitoba.ca/aboriginal/
guidelines
Toby also identified more clinical practice
guidelines that we have sent to the
health centres in the Kivalliq Region and
Sanikiluaq. She posted the guidelines
in a subject guide on the UM Health
Sciences Libraries website. These
guidelines will be of interest to people working
with patients from First Nations, Metis and Inuit
communities. The guidelines are from various
organisations and have been brought together to
form a unique resource for healthcare providers in
Canada. Please let us know if you have additional
guidelines to recommend for primary care.
Diana Saunders is the Library Assistant who has
been shipping new books to health care providers
in the region.
Contact Janice Linton, Aboriginal Health
Librarian & Liaison Librarian for Community
Health Sciences, for information on Kivalliq Library
Services [email protected]
Conference Update
ICCH 15 Proceedings
Page 8
Proceedings of the 15th International Congress on
Circumpolar Health (held in Fairbanks 2012) are
online as a supplement of the International Journal
of Circumpolar Health at:
http://www.circumpolarhealthjournal.net/public/
journals/32/chs/CHS_2013_10.pdf
ICCH 16 will be held in Finland
SAVE THE DATE: 16th International Congress on
Circumpolar Health, Focus on Future Health and
Wellbeing, will be arranged in Oulu, Finland on
June 8 – 12, 2015
http://icch16.oulu.fi/
INIHKD/Manitoba NEAHR 2014
The International Network in Indigenous Health
Knowledge and Development (INIHKD) in
partnership with Manitoba Network Environment
for Aboriginal Health Research (NEAHR)
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
2014, April
Volume 12, No. 1
the caribou heard
are proud to host the upcoming International
Indigenous Health Conference in 2014 to be held
in Winnipeg October 5 - 10, 2014
http://inihkd2014-neahr2014.com/
Books and Other Publications Available
in the High North Database
This database has a wealth of information on
circumpolar communities and history. It provides
access to many publications that were once held
only in print in academic libraries.
Use the High North database highnorth.uit.no
to look up the phrase “thule expedition” to get
full text original publications, like Across Arctic
America: Narrative of the Fifth Thule Expedition,
published in 1927.
Across Arctic America
The record in the High North database will link
you to the free copy of the book on the internet,
which you can then download and have ready for
reading right away or save to have on hand when
when you’re travelling.
Free copy on internet is at http://babel.hathitrust.
org/cgi/pt?id=inu.39000005918904;view=1up;s
eq=9
Selected list of recent journal articles
published on Indigenous health
(1) Cunsolo Willox A, Harper SL, Ford JD, Edge
VL, Landman K, Houle K, et al. Climate
change and mental health: An exploratory
case study from Rigolet, Nunatsiavut,
Canada. Clim Change 2013;121(2):255-270.
(2) Do MT, Fréchette M, McFaull S, Denning B,
Ruta M, Thompson W. Injuries in the North
- Analysis of 20 years of surveillance data
collected by the Canadian Hospitals Injury
Reporting and Prevention Program. Int J
Circumpolar Health 2013;72(1).
(3) Gates M, Hanning RM, Gates A, Isogai
A, Tsuji LJS, Metatawabin J. A pilot
comprehensive school nutrition program
improves knowledge and intentions for
intake of milk and milk alternatives among
youth in a remote First Nation. Journal
of Nutrition Education and Behavior
2013;45(5):455-459.
(4) Gone JP. Redressing First Nations
historical trauma: Theorizing mechanisms
for indigenous culture as mental health
treatment. Transcultural Psychiatry
2013;50(5):683-706.
(5) Kant S, Vertinsky I, Zheng B, Smith PM.
Social, cultural, and land use determinants
of the health and well-being of Aboriginal
peoples of Canada: A path analysis. J Public
Health Policy 2013;34(3):462-476.
(6) Maar M, Burchell A, Little J, Ogilvie G,
Severini A, Yang JM, et al. A qualitative
study of provider perspectives of structural
barriers to cervical cancer screening among
First Nations women. Womens Health
Issues 2013;23(5):e319-e325.
(7) Mead EL, Gittelsohn J, Roache C,
Corriveau A, Sharma S. A CommunityBased, Environmental Chronic Disease
Prevention Intervention to Improve Healthy
Eating Psychosocial Factors and Behaviors
in Indigenous Populations in the Canadian
Arctic. Health Education and Behavior
2013;40(5):592-602.
(8) Medved MI, Brockmeier J, Morach J,
Chartier-Courchene L. Broken heart
stories: Understanding Aboriginal women's
cardiac problems. Qual Health Res
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
Page 9
the caribou heard
Library Services
continued from Page 9
2013;23(12):1613-1625.
(9) Moffatt J, Mayan M, Long R. Sanitoriums
and the Canadian colonial legacy: The
untold experiences of tuberculosis treatment.
Qual Health Res 2013;23(12):1591-1599.
(10) Osiowy C, Simons BC, Rempel JD.
Distribution of viral hepatitis in Indigenous
populations of North America and the
circumpolar Arctic. Antivir Ther (Lond )
2013;18(3 PARTB):467-473.
(11) Sareen J, Isaak C, Bolton S-, Enns MW,
Elias B, Deane F, et al. Gatekeeper training
for suicide prevention in First Nations
community members: A randomized
controlled trial. Depress Anxiety
2013;30(10):1021-1029.
(12) Sharma S, Hopping BN, Roache C, Sheehy
T. Nutrient intakes, major food sources and
dietary inadequacies of Inuit adults living
in three remote communities in Nunavut,
Canada. Journal of Human Nutrition and
Dietetics 2013;26(6):578-586.
(13) Sinha V, Trocmé N, Fallon B, MacLaurin
B. Understanding the investigation-stage
overrepresentation of First Nations children
in the child welfare system: An analysis of
the First Nations component of the Canadian
Incidence Study of Reported Child Abuse
and Neglect 2008. Child Abuse Neglect
2013;37(10):821-831.
(14) Stewart M, King M, Blood R, Letourneau
N, Masuda JR, Anderson S, et al. Health
inequities experienced by Aboriginal children
with respiratory conditions and their parents.
Canadian Journal of Nursing Research
2013;45(3):6-27.
(15) Tollefson D, Bloss E, Fanning A, Redd JT,
Barker K, McCray E. Burden of tuberculosis
in Indigenous peoples globally: A systematic
review. International Journal of Tuberculosis
and Lung Disease 2013;17(9):1139-1150.
2014, April
Volume 12, No. 1
16th International Congress
on Circumpolar Health
Oulu, Finland
8 - 12 June 2015
The congress will focus on human
health and well-being in the Arctic
and northern areas. It is open for
everyone interested in Arctic issues,
especially scientists, researchers,
health care professionals, policy
analysts, government agency
representatives, and community
leaders.
The congress is organised by the
Thule Institute, University of Oulu in
collaboration with the International
Union of Circumpolar Health (IUCH),
the Nordic Society for Circumpolar
Health, the Society of Arctic Health
and Biology, and the Rokua Health &
Spa.
The InternationaI Congress on
Circumpolar Health (ICCH) series
are arranged every three years in
Arctic countries or countries related
to Arctic issues. First congress of
the series was arranged in 1967, and
it was previously hosted by Oulu in
1971.
For more information: http://icch16.oulu.fi
Facebook: https://www.facebook.com/
icch16
(16) Tousignant M, Vitenti L, Morin N. Aboriginal
youth suicide in Quebec: The contribution
of public policy for prevention. Int J Law
Psychiatry 2013;36(5-6):399-405.
Page 10
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
2014, April
We are on
Facebook
J
the caribou heard
Volume 12, No. 1
You can view our page at:
https://www.facebook.com/pages/JA-Hildes-NorthernMedical-Unit/100114110078688?ref=ts&fref=ts
or do a search for:
facebook j.a. hildes northern medical unit
ust a reminder that we are on Facewbook.
Please view our page and "like" us. If you do not
have a facebook account you can still "view" our page
- you just won't be able to make comments or receive
our updates.
The facebook page is a place for us to share
news, announce upcoming events and courses,
and share photos with you. We encourage past
and present employees and friends to share their
stories, post photos and videos, and share events
happening in the communities where they work.
Celebrating Easter at Percy E. Moore, Crystal Woloshyn, RN and Dr. Martin Nguetsop
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication
Page 11
the caribou heard
Advanced Trauma
Life Support®
Course for Doctors
This Course fills up
Fast - Register Early
The Advanced Trauma Life
Support® Course is publshed
by the American College of
Surgeons and provides a
framework for the management of the injured patient. It
is intended to allow the single doctor in a rural hospital
to effectively assess and manage multiple trauma.
The Course teaches a systematic approach for the
effective assessment and resuscitation of the severely
traumatised patient. The 2 day course consists of:
• pre-course test
• didactic and interactive core content
lectures
• practical skill stations
• surgical skill station
• triage scenarios
• initial assessment and management skill
station
• post-course test
Upon completion of the course physicians should feel
confident in the concepts and principles of primary
and secondary assessment, establishing management
priorities, initiating resuscitative measures and
demonstrating the practical skills used in the initial
assessment and management of patients with multiple
injuries.
A verification card is provided upon successful
completion of the course and is valid for 4 years from
the date of issue. a student refresher course must then
be taken to maintain ATLS® provider status.
The next advanced Trauma Life Support® Provider/
Refresher Courses will be held:
2013
- May 23-24 and 24-25
- September 12-13 and 13-14
- November 14-15 and 15-16
Please contact ATLS Department of Surgery:
AE402 - 840 Sherbrook Street
Winnipeg MB R3A 1S1
Phone: 787-2394
Fax: 787-4618
Email: [email protected]
Page 12
2014, April
Volume 12, No. 1
Send us Your
Announcements, Photos, and
Stories
Please send us your announcements:
accomplishments, births, marriages,
engagements, and community events
Photos of staff (administrative and health
care providers) for the newsletter would be
greatly appreciated as well as photos of the
communities you work.
Also, if you have a story or experience you
would like to share in the Newsletter please
send it in.
When you submit a photo it is with the
understanding it might be put in the
newsletter and we do not require written
permission to use it. If we would like to use
it for promotional materials (eg: brochures)
a photo release form must be signed.
Photos of patients in a medical context and
children are not used without the subject/
guardian(s) written permission.
Julie Creasey:
[email protected]
the
caribou heard
The Caribou Heard is published by the J. A. Hildes
Northern Medical Unit, Section of First Nations, Métis,
and Inuit Health of the Department of Community
Health Sciences at the University of Manitoba.
Submissions can be made to Julie Creasey at T162770 Bannatyne Avenue, Winnipeg MB, R3E 0W3,
[email protected]
Phone: 204-789-3510
Fax: 204-774-8919
Opinions expressed on these pages may or may not
be the opinions of the Editors.
Faculty of Medicine, University of Manitoba
Section of First Nations, Métis and Inuit Health, J.A. Hildes Northern Medical Unit Publication