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any event/access (i.e., leisure access card, golf<br />

course access, etc.), lowering gas prices<br />

• Determine what are the Best Practices and<br />

promote them (e.g. How do other <strong>First</strong> <strong>Nations</strong><br />

communities succeed? more training that is<br />

culturally appropriate - e.g. FKC)<br />

• Increase awareness of mainstream funding and<br />

grants<br />

• Provide promotional materials (e.g. brochures,<br />

DVDs, and “cool stuff” for kids)<br />

• A number of ideas suggest the need to develop<br />

a broader strategy around physical activity that<br />

includes:<br />

• famous athletes and speakers in materials (i.e.,<br />

NHL)<br />

• all-native hockey tournament<br />

• women’s soccer players highlighted<br />

• support for organized sport-paid coaches for<br />

soccer and basketball<br />

• update facilities and equipment<br />

• help with wildlife programs<br />

ActNow: Nutrition<br />

Nutrition and physical activity are seen to<br />

go hand in hand in many respects, and this is<br />

particularly true in terms of work within the<br />

Aboriginal Diabetes Initiative. When asked<br />

to provide guidance on how best to promote<br />

healthy eating in <strong>First</strong> <strong>Nations</strong> communities the<br />

participants stressed that it will be important to<br />

address issues and actions in the areas of access,<br />

traditional foods, education/awareness, and school<br />

based approaches:<br />

Access:<br />

• Lack of resources to purchase healthy foods.<br />

• Cost (isolated communities).<br />

• Traditional Food Promotion:<br />

• Seasonal traditional food preparation.<br />

• Researching nutritional value (i.e. Ca2+).<br />

• Food security.<br />

• Food safety preparation (legislation).<br />

• School-based Policies and Promotion:<br />

• <strong>Health</strong>y menu development.<br />

• Serving traditional foods.<br />

• Serving healthy foods.<br />

• Education:<br />

• Small, gradual steps to sustainability.<br />

• multi-media.<br />

• Practical activity sheets.<br />

• Community-based training.<br />

Injury Prevention<br />

The TFNHP sets as one of its goals the<br />

establishment of appropriate programs to assist<br />

<strong>First</strong> <strong>Nations</strong> to deal with the most pressing health<br />

promotion and disease and injury prevention<br />

issues affecting their communities, so that the<br />

incidence of preventable diseases and injuries in<br />

the <strong>First</strong> <strong>Nations</strong> population becomes comparable<br />

to that of other British Columbians. The input<br />

from the 2007 Gathering encouraged that ‘injury<br />

prevention’ be reframed to include a wider<br />

number of injuries than the initial items identified<br />

in the TFNHP. Consistent with that, the participants<br />

at the 2008 Gathering defined effective injury<br />

prevention within a tripartite process in broader<br />

terms focusing on a wide variety of ‘risks’:<br />

Injury prevention is seen to include:<br />

Suicide:<br />

• Alcohol, copycats, bullying, self-harm, intent to<br />

self-injure.<br />

• motor Vehicle:<br />

• Car seat, booster seat, drugs, alcohol.<br />

Alcohol:<br />

• Water safety, domestic violence, family<br />

violence.<br />

• Home Safety:<br />

• Access to cleaning agents, fire, electrical.<br />

Child Safety:<br />

• Young age drinking.<br />

• Trapped in old fridges and cars.<br />

• Playground equipment.<br />

• Bike safety.<br />

Effective Strategies include:<br />

• NAYSPS/ASCIRT/FAST.<br />

• Education.<br />

• media.<br />

• Enforcement.<br />

• Community ownership.<br />

• Holistic approach – include arts, contemporary,<br />

traditional.<br />

• Traditional intergenerational teaching.<br />

• Community based activities such as clean-ups,<br />

and funding workshops.<br />

FNHC can address injury prevention within the<br />

TFNHP by emphasizing:<br />

• Culture.<br />

• Dedicated funding.<br />

• Surveillance.<br />

• Database.<br />

• Getting funding where needed.<br />

• Youth involvement at tripartite level.<br />

• more human resources.<br />

• Offering solutions rather than just presenting<br />

statistics.<br />

• Experiential messages from people who<br />

survived.<br />

• media campaign.<br />

Traditional Medicine<br />

Reduced access to traditional lifestyles, food<br />

and medicine has contributed directly to the<br />

diabetes epidemic in <strong>First</strong> <strong>Nations</strong> communities.<br />

19<br />

VANCOUVER, bC • mAY 20 - 21 , 2008

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