FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ...

FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ... FNHC Infobulletin Volume 2 Issue 1 | March 2009 - First Nations ...

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F i r s t N a t i o n s H e a l t h C o u n c i l infobulletin Volume 2 Issue 1 / March 2009 Our Vision Healthy, self-determining and vibrant BC First Nations children, families and communities >INSIDE > Tripartite Injury Prevention p.2 > 2009 Wellness Diary Launched p.5 > Food Skills for Families p.8 > Research and Data p.9 > Gathering Wisdom III p.11 Photo: Boothroyd Band- Hearts at work event

F i r s t N a t i o n s H e a l t h C o u n c i l<br />

infobulletin<br />

<strong>Volume</strong><br />

2 <strong>Issue</strong> 1 / <strong>March</strong> <strong>2009</strong><br />

Our Vision Healthy, self-determining and vibrant BC <strong>First</strong> <strong>Nations</strong> children, families and communities<br />

>INSIDE<br />

> Tripartite Injury Prevention p.2<br />

> <strong>2009</strong> Wellness Diary Launched p.5<br />

> Food Skills for Families p.8<br />

> Research and Data p.9<br />

> Gathering Wisdom III p.11<br />

Photo: Boothroyd Band- Hearts at work event


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 2<br />

Tripartite Injury Prevention- Keeping Our Children Safe<br />

Tripartite injury prevention<br />

Tripartite partners will be working<br />

with BCAA Traffic Safety Foundation<br />

to develop practical tools and tips that<br />

can help families and communities be<br />

safer on our roads.<br />

The Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan calls<br />

on the parties to: “Develop an informational<br />

campaign to increase awareness about seatbelt<br />

use and safe driving.”<br />

Recognizing that child car seats protect<br />

our cherished young family members, the<br />

<strong>First</strong> <strong>Nations</strong> Health Council, along with our<br />

tripartite partners, has developed a partnership<br />

with the BCAA Traffic Safety Foundation.<br />

For over 100 years the BCAA TSF has been<br />

helping drivers and their families. Now they<br />

will be working with the Tripartite Injury<br />

Prevention Working Group to develop practical<br />

tools and tips that can help families and<br />

communities be safer on our roads.<br />

Training will occur in communities to<br />

increase the awareness of the importance<br />

of using infant, child or booster seats.<br />

Additionally, options will be explored to<br />

increase access to seats within communities<br />

and expertise to guide safe installation. An<br />

interactive DVD workshop for parents and<br />

family members of teen drivers is also in<br />

development.<br />

If you would like more information about<br />

the programs offered by BCAA TSF, please<br />

visit: www.bcaatsf.com<br />

If you would like more information about<br />

child car seats, please visit: www.ChildSeat-<br />

Info.com to access a wide range of easy-touse<br />

resources.<br />

Community members and health care workers will be trained in installing child car seats<br />

and in developing car seat loaner programs.<br />

Tripartite injury prevention working group<br />

Ministry of Healthy Living and Sport<br />

Matt Herman<br />

Director, Injury Prevention & Healthy Built<br />

Environment Chronic Disease/Injury Prevention<br />

and Built Environment Branch Population<br />

and Public Health Division<br />

email: Matt.Herman@gov.bc.ca<br />

Robin Yates<br />

Injury Prevention Analyst<br />

Ministry of Healthy Living and Sport<br />

email: robin.yates@gov.bc.ca<br />

Health Canada<br />

Randal Defant<br />

Injury Prevention Coordinator<br />

<strong>First</strong> <strong>Nations</strong> & Inuit Health, Pacific Region.<br />

Email: randal_defant@hc-sc.gc.ca<br />

<strong>First</strong> <strong>Nations</strong> Health Council<br />

Tania Moore<br />

Policy Analyst<br />

tmoore@fnhc.ca<br />

Derina Peters<br />

Jr. Policy Analyst<br />

dpeters@fnhc.ca<br />

Tara R. Nault<br />

A/Director, Aboriginal Health<br />

Ministry of Healthy Living and Sport<br />

email: Tara.nault@gov.bc.ca<br />

Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 3<br />

A Message from the Health Council<br />

<strong>First</strong> <strong>Nations</strong> Health Society:<br />

Interim Operating<br />

Structure<br />

The Tripartite <strong>First</strong> <strong>Nations</strong> Health<br />

Plan references the four pillars of<br />

the future governing structure for<br />

<strong>First</strong> <strong>Nations</strong> Health in BC which<br />

include: A <strong>First</strong> <strong>Nations</strong> Health<br />

Governing Body, A <strong>First</strong> <strong>Nations</strong><br />

Health Council, A Tripartite<br />

Provincial Advisory Committee<br />

on <strong>First</strong> <strong>Nations</strong> Health, and an<br />

Association of Health Directors.<br />

Work is underway toward the<br />

creation of a <strong>First</strong> <strong>Nations</strong> Health<br />

Society (FNHS) which will serve<br />

as operational arm of the <strong>First</strong><br />

<strong>Nations</strong> Health Council. It is<br />

important to note that, the<br />

creation of the FNHS does not<br />

preclude governance discussions<br />

through the <strong>First</strong> <strong>Nations</strong> Interim<br />

Health Governance Committee<br />

(FNIHGC) focussed on the creation<br />

of the new structure to govern<br />

<strong>First</strong> <strong>Nations</strong> Health Services in<br />

BC.<br />

Board of Directors<br />

Selection Process<br />

The new FNHS Board of Directors<br />

(BoD) will consist of seven<br />

directors selected by the current<br />

<strong>First</strong> <strong>Nations</strong> Health Council. The<br />

current health council (Chief Lydia<br />

Hwitsum, Chief Fabian Alexis,<br />

Debbie Abbott, Chief William<br />

Starr, Chief Jennifer Bobb, Grand<br />

Chief Doug Kelly & Grand Chief<br />

Edward John (ex-officio) are the<br />

members of the <strong>First</strong> <strong>Nations</strong><br />

Health Society. On the FNHS<br />

board, three out of seven seats on<br />

the will be reserved for BC <strong>First</strong><br />

<strong>Nations</strong>. The term for BoD seats is<br />

three years.<br />

The <strong>FNHC</strong> expects to complete<br />

the BoD selection process by mid-<br />

<strong>March</strong>. An introduction to the<br />

new Board will be featured in the<br />

June infobulletin.<br />

Gathering Wisdom III<br />

The 3rd Annual Gathering Wisdom<br />

for a Shared Journey Forum will<br />

be held May 19-21st, <strong>2009</strong>. <strong>FNHC</strong><br />

is excited to add a third day to this<br />

year’s forum and to separate the<br />

dialogue into three distinct areas.<br />

• Day one- Health Governance<br />

• Day two- Tripartite Health<br />

Actions Updates<br />

• Day three- Health Directors<br />

Based on feedback from past<br />

forums, there is a strong<br />

community interest in having<br />

more reporting from our tripartite<br />

partners. Day two of this year’s<br />

forum will see <strong>First</strong> <strong>Nations</strong><br />

Inuit Health, Ministry of Health<br />

Services, Ministry of Healthy<br />

Living and Sport, and <strong>First</strong> <strong>Nations</strong><br />

Health Council staff providing joint<br />

reporting on progress made in the<br />

implementation of the Tripartite<br />

Plan during 2008. Potential topic<br />

areas include Maternal and<br />

Child Health, Mental Wellness<br />

and Substance Misuse, eHealth,<br />

Research and Data, Health Human<br />

Resources, and Health Advocacy.<br />

Leadership Challenge<br />

<strong>FNHC</strong> is launching a Leadership<br />

Challenge to all <strong>First</strong> <strong>Nations</strong><br />

communities in BC during the<br />

upcoming Union of BC Indian<br />

Chiefs and <strong>First</strong> <strong>Nations</strong> Summit<br />

forums. The Leadership Challenge<br />

asks communities to set and meet<br />

3 health goals. The Challenge is an<br />

initiative of <strong>First</strong> <strong>Nations</strong> Act Now,<br />

and requires political leadership<br />

(Chief or Council member) to sign<br />

up their communities to meet<br />

personal, organizational, and<br />

community-wide health goals.<br />

Those communities who meet<br />

the challenge become eligible for<br />

$1000 dollar prize packages. So<br />

don’t delay, sign up today!<br />

Sincerely,<br />

<strong>First</strong> <strong>Nations</strong> Health Council<br />

Health Council Members (l-r) Chief Jennifer Bobb (Spuzzum <strong>First</strong> Nation), Chief<br />

Fabian Alexis (Okanagan Indian Band) and Health Council Co-Chair Debbie Abbott,<br />

sign the FN Health Society constitution.<br />

Call for BC <strong>First</strong> <strong>Nations</strong> Directors<br />

The <strong>First</strong> <strong>Nations</strong> Health Council is seeking 3 BC <strong>First</strong> <strong>Nations</strong> Directors<br />

RESPONSIBILITIES<br />

Under the direction of the <strong>First</strong> <strong>Nations</strong> Health<br />

Society Members, the Board of Directors will be<br />

responsible for the following key activities:<br />

• Develop the strategic plan with input from<br />

the FNHS members<br />

• Select, monitor and annually review the<br />

Executive Directors performance against<br />

the agreed upon objectives<br />

• Provide input to the Executive Director for<br />

the development of the operational plan<br />

• Approve annual action plans, operating and<br />

capital budgets<br />

• Monitor progress towards the FNHS<br />

strategic objectives and performance<br />

against operating and capital plans as well<br />

as budgets<br />

• Power to delegate both decision-making<br />

and signing authority by resolution to<br />

Directors, Officers or others (e.g. Exec<br />

Director)<br />

• Guide and oversee the development,<br />

implementation and maintenance of a<br />

reporting system that accurately measures<br />

the FNHS performance against its strategic<br />

plans and action plans<br />

• • Participate on sub-committees as<br />

required<br />

FIRST NATIONS HEALTH COUNCIL<br />

The role of the <strong>First</strong> <strong>Nations</strong> Health Council<br />

is to support and assist BC’s diverse <strong>First</strong><br />

<strong>Nations</strong> by:<br />

• Serving as an advocacy voice of BC<br />

<strong>First</strong> <strong>Nations</strong> in achieving their health<br />

priorities and objectives;<br />

• Conducting health-related policy<br />

analysis and research;<br />

• Participating in policy and program<br />

planning processes related to <strong>First</strong><br />

<strong>Nations</strong> health; and<br />

• Providing leadership in the<br />

implementation of the Transformative<br />

Change Accord; <strong>First</strong> <strong>Nations</strong> Health<br />

Plan, and the Tripartite <strong>First</strong> <strong>Nations</strong><br />

Health Plan.<br />

TIME COMMITMENT<br />

It is anticipated that the Board of Directors<br />

will be required to attend a minimum of 4<br />

meetings per year with additional meetings<br />

called as required. In addition, Members of<br />

the Board of Directors are required to attend<br />

the FNHS annual general meeting. The term<br />

of office for the Board of Directors will be<br />

three years.<br />

DEADLINE for applications: <strong>March</strong> 6th, <strong>2009</strong> | For more information please visit: www.fnhc.ca |


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 4<br />

Health Careers Recruitment<br />

Recruiting<br />

It has been a busy winter season for health<br />

recruiters Erin Mearns and Steve Sxwithultxw.<br />

The “Strengthening Connections<br />

Tour” was a major success. Our <strong>First</strong> <strong>Nations</strong><br />

approach to recruiting initiatives is gaining<br />

momentum as we travel across the province<br />

promoting all of the employment and career<br />

opportunities in health care.<br />

Recently the recruiters attended a very<br />

intimate career fair in Sumas <strong>First</strong> Nation<br />

near Abbotsford, BC. Although just 30 youth<br />

attended, it was a great opportunity to talk<br />

with community members about the role of<br />

Health Careers Recruitment Officers within<br />

the overall health human resources strategy<br />

of the <strong>First</strong> <strong>Nations</strong> Health Council.<br />

In January, Steve attended a recruiting fair in<br />

Bella Bella and in Bella Coola. In Bella Coola,<br />

approximately 50 youth and adults attended<br />

a detailed presentation. In a videotaped<br />

message from Dr. Evan Adams and Lieutenant<br />

Governor Steven Point the attendees<br />

heard valuable key messages about the<br />

importance of health education and health<br />

careers. At the Bella Bella fair, students and<br />

exhibitors were honoured when local Chiefs<br />

performed a traditional song and dance<br />

for the group. Over 100 students attended<br />

breakout sessions with all in attendance,<br />

learning the values of education.<br />

Erin recently attended the All Native Basketball<br />

tournament in Prince Rupert BC. Several<br />

thousand <strong>First</strong> Nation youth attended.<br />

“Strengthening Connections” toured the<br />

north attending towns like Terrace, Hazelton,<br />

Prince George, and Smithers. The tour<br />

is over a week long and is targeting as many<br />

<strong>First</strong> <strong>Nations</strong> as possible within that time.<br />

Mentorship<br />

The <strong>FNHC</strong> is currently developing a mentorship<br />

program and are seeking names of professionals<br />

in the health field who are willing<br />

to work with adult learners and youth who<br />

are embarking on a health career. Although<br />

this initiative is just beginning we are hoping<br />

health workers will step forward in their<br />

communities and assist us with this exciting<br />

Health Careers Recruiter Erin Mearns shares information with interested youth at the Prince<br />

Rupert All-Native basketball tournament.<br />

program. The benefits of this program to<br />

those mentored will be tremendous.<br />

If you are interested in mentoring in the<br />

future please let us know by contacting us at<br />

our office.<br />

contact us:<br />

If you would like us to come to your school<br />

or community, please let us know...we<br />

would be happy to attend!<br />

Erin (emearns@fnhc.ca)<br />

Steve (steves@fnesc.ca)<br />

Or call the <strong>First</strong> <strong>Nations</strong> Health Council at<br />

604-913-2080<br />

UVIC Aboriginal Career Fair<br />

- <strong>March</strong> 6, <strong>2009</strong>, Victoria<br />

BC Aboriginal Youth<br />

Conference - <strong>March</strong> 17-20,<br />

<strong>2009</strong>, Kelowna<br />

Heritage Woods Secondary<br />

Health Career Presentation<br />

- April 2, <strong>2009</strong>, Port Moody<br />

Spring Recruitment Trips


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 5<br />

<strong>2009</strong>/2010 Wellness Diaries<br />

Health and Wellness Diary<br />

Dr. Rosalin Hanna, Physical Activity Specialist<br />

Making sure physical activity is a part of your<br />

schedule is the only way to make sure it is a<br />

part of your day.<br />

This year, the Health Council will offer three<br />

tools to support people to be motivated daily:<br />

1) the <strong>2009</strong> Wellness Diary; 2) a downloadable<br />

diary file that can be personalized by the<br />

community; and 3) MS Outlook health tips and<br />

prompts.<br />

The <strong>2009</strong> / 2010 Health and Wellness diary<br />

has been improved to better meet community<br />

needs. It will be available April 1 st , <strong>2009</strong> for<br />

communities to start recording their steps,<br />

their minutes of activity, and to set physical<br />

activity goals. We will also have an online file<br />

copy available for communities to utilize to<br />

develop and personalize their own calendars.<br />

To order a wellness diary email: info@fnhc.ca<br />

The other new and exciting addition to our<br />

calendar production is the development of a<br />

file that can be downloaded in Outlook to offer<br />

daily tips or prompts related to physical activity,<br />

nutrition and traditional wellness. This<br />

will be a great way to remind those people<br />

tethered to blackberries to make health and<br />

wellness a part of their daily schedule.<br />

To date the Fitness Knowledge course has<br />

been a great success. Six students from various<br />

locations are committed to completing<br />

the course by <strong>March</strong> 3 rd in Prince Rupert. They<br />

have been. I am proud of each of them for<br />

communicating where they are at and at what<br />

type of help they need to complete the course<br />

successfully. This course builds knowledgeable<br />

fitness leaders for our communities,<br />

which then builds our capacity to develop<br />

more ways to prevent disease through physical<br />

activity.<br />

I look forward to presenting on <strong>March</strong> 18th<br />

at Gathering Our Voices on “Enviro-Active : A<br />

Discussion on Be Physically Active by Restoring<br />

Our Land”. I will also be present on <strong>March</strong><br />

10th at the BC Aboriginal Diabetes Conference<br />

on “Pedometer Challenge- Using them to your<br />

Benefit”. Keep health and stay active!<br />

All my Relations,<br />

Dr. Rosalin Hanna, phact@fnhc.ca<br />

Visit the <strong>FNHC</strong> website for resources to support your community with physical activity initiatives:<br />

http://www.fnhc.ca/index.php/initiatives/community_health/physical_activity/<br />

Mary’s NIHB Corner<br />

Ambulance services (billing process)<br />

It is a little known fact that Status Card<br />

information can and should be presented<br />

upfront for billing purposes when acessing<br />

ambulance services. In the midst of a<br />

medical emergency, payment becomes less<br />

of a priority than the health, safety and well<br />

being of the patient.<br />

In the event that the Status Card is not<br />

presented to the paramedics, an ambulance<br />

bill will be sent to the patient who received<br />

care. It is imperative that the bills be dealt<br />

with as soon as possible to avoid future<br />

problems such as accumulating interest<br />

charges and additional collection efforts.<br />

Ultimately, the debt can impact the<br />

patient’s wages, bank account, and delay<br />

processing income tax refunds and GST<br />

credit.<br />

To resolve billing issues contact:<br />

Revenue Canada<br />

Call toll free at 1.866.361.5050 and provide<br />

your account number, legal name as it<br />

appears on your BC Care Card and Status<br />

Number.<br />

Non- Insured Health Benefits (NIHB)<br />

Call toll free at 1.800.317.7878 and listen to<br />

the prompts for Ambulance Services<br />

Mary Knox-Guimont<br />

Health Benefits Policy Analyst<br />

1-866-417-1139<br />

mguimont@fnhc.ca<br />

Allison Ducharme<br />

Health Advocate<br />

Toll Free: 1-866-913-0033<br />

aducharme@fnch.ca


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 6<br />

NEWS IN BRIEF<br />

Youth Suicide Prevention Camps<br />

Action Item 9 of the Transformative Change<br />

Accord <strong>First</strong> <strong>Nations</strong> Health Plan states:<br />

The <strong>First</strong> <strong>Nations</strong> Leadership Council and<br />

the province will host a forum for all health<br />

authorities (Aboriginal Health Leads and<br />

Executive members) and <strong>First</strong> <strong>Nations</strong><br />

Elders and youth to support and encourage<br />

learning about <strong>First</strong> <strong>Nations</strong>’ heritage,<br />

cultures and spirituality, and to develop<br />

models for youth suicide prevention.<br />

In partnership with Regional Health<br />

Authorities, and <strong>FNHC</strong>, <strong>First</strong> <strong>Nations</strong><br />

communities will host regional youth suicide<br />

prevention camps.<br />

The focus of these camps will be addressing<br />

high risk youth suicide prevention. Camp<br />

objectives include:<br />

1) The development of Promising Practices<br />

in youth suicide prevention. One camp<br />

from each HA region will be highlighted<br />

as a Promising Practice at the Provincial<br />

Youth Suicide Prevention forum (<strong>2009</strong>).<br />

2) To build a foundation for <strong>First</strong> <strong>Nations</strong><br />

youth to become our next leaders.<br />

The deadline for applications to host<br />

camps was Feb. 27, <strong>2009</strong>. Partnership<br />

and collaboration between <strong>First</strong> <strong>Nations</strong><br />

communities was highly encouraged in the<br />

development of these camps.<br />

Youth Suicide Prevention Camps must be<br />

completed by July 31st, <strong>2009</strong>.<br />

Vision Screening Training<br />

Action Item 10 of the Transformative Change<br />

Accord <strong>First</strong> <strong>Nations</strong> Health Plan states:<br />

Aboriginal children under age six (on and<br />

off-reserve) will receive hearing, dental and<br />

vision screening.<br />

The first round of vision screening training<br />

was successfully completed November 4th,<br />

2008. The second round of will be conducted<br />

by Dr. Barry Lester, April 2nd in Vancouver.<br />

After the training session, community<br />

representatives will:<br />

• Have a clear understanding of eye<br />

anatomy<br />

• Understand refractive errors and visual<br />

acuities and the role they play in vision<br />

screening<br />

• Understand vision irregularities that are<br />

relevant to the screening program<br />

• Have a general understanding of<br />

screening tools and how they are relevant<br />

to the screening program<br />

• Be confident in starting the second phase<br />

of the vision screening training which<br />

includes review of the<br />

• provincial vision screening manual and<br />

conducting vision screening on preschool<br />

children<br />

• Be comfortable in proceeding with the<br />

objectives of the BC Provincial vision<br />

screening manual<br />

You’re Invited<br />

Aboriginal Vision Screening<br />

Training<br />

April 2nd, <strong>2009</strong><br />

Vancouver, BC<br />

Space is limited, so please submit your<br />

name to Marilyn Ota:<br />

mota@fnhc.ca or 604.913.2080<br />

DEADLINE TO APPLY: Friday <strong>March</strong> 23, <strong>2009</strong><br />

Health Directors Association<br />

The Tripartite <strong>First</strong> <strong>Nations</strong> Health Plan<br />

states:<br />

An association of health directors and other<br />

health professionals will create and implement<br />

a comprehensive capacity development<br />

plan for the management and delivery<br />

of community-based services and support<br />

<strong>First</strong> <strong>Nations</strong> and their mandated health<br />

organizations in training, program development<br />

and knowledge transfer.<br />

Toward the fulfillment of this action item,<br />

and building upon the work of BC <strong>First</strong> <strong>Nations</strong><br />

Health Directors conducted in September<br />

2008:<br />

1. A Health Directors Coordinator is in the<br />

process of being hired.<br />

2. The 2008 Health Directors Forum<br />

summary report will be available in late<br />

<strong>March</strong>.<br />

3. Day three of the Gathering Wisdom<br />

Forum in May has been set aside to<br />

continue working with Health Directors.<br />

For more information on the Health Directors<br />

Association please visit: http://www.fnhc.ca/<br />

index.php/community_engagement/health_directors_association/<br />

Call for Participants<br />

Maternal and Child Health Expert Working Group<br />

Deadline: <strong>March</strong> 23, <strong>2009</strong><br />

<strong>FNHC</strong> is seeking <strong>First</strong> <strong>Nations</strong> experts in<br />

Maternal and Child Health from the Northern,<br />

Interior, Vancouver Coastal and Fraser health<br />

authority regions to join our Provincial<br />

Committee.<br />

If you are interested in joining this expert<br />

working group, please send a resume and cover<br />

letter describing why you would like to be<br />

involved.<br />

For more information please contact Marilyn Ota<br />

604.913.2080 / mota@fnhc.ca


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 7<br />

Health Governance Update<br />

Submitted by: Grand Chief Doug Kelly, Grand<br />

Chief Ed John, and Chief Wayne Christian,<br />

<strong>First</strong> <strong>Nations</strong> Interim Health Governance<br />

Committee Co-Chairs<br />

BACKGROUND: The Regional Caucus Sessions<br />

serve to establish meaningful dialogue<br />

with BC <strong>First</strong> <strong>Nations</strong> Leadership and Senior<br />

Health Leads.<br />

Session participants examined the development<br />

of a caucus within each of the North,<br />

Interior, Fraser, Vancouver Coastal, and Vancouver<br />

Island regions. They considered the<br />

selection of members for the <strong>First</strong> <strong>Nations</strong><br />

Interim Health Governance Committee, and<br />

each caucus determined how to communicate<br />

and work together.<br />

<strong>First</strong> <strong>Nations</strong> are working together to<br />

consider a negotiations mandate for the<br />

Committee to develop a governance<br />

framework, as detailed in the Tripartite<br />

<strong>First</strong> <strong>Nations</strong> Health Plan. This framework<br />

is critical to the overall success of the <strong>First</strong><br />

<strong>Nations</strong> Health Council, the Association of<br />

Health Directors, and the Provincial Advisory<br />

Committee on <strong>First</strong> <strong>Nations</strong> Health.<br />

CURRENT STATUS: In each region participants<br />

engaged in two days of dialogue and<br />

considered a community process to move<br />

forward. Key outcomes were:<br />

--------------------------------------------------------<br />

NORTH<br />

Prince George (Oct 22/23, 2008),<br />

Terrace (Oct 27/28, 2008),<br />

Vancouver (Nov 24/25, 2008)<br />

Prince George (Jan 15/16, <strong>2009</strong>)<br />

Participants confirmed their Northern<br />

members to the <strong>First</strong> <strong>Nations</strong> Interim Health<br />

Governance Committee with Band Council<br />

Resolutions by January 23, 2008 at 5 pm.<br />

o Northwest: (Far North) Feddie Louie,<br />

(North Coast) Chief Willard Wilson, (Central<br />

Northwest) Chief Marjorie McRae<br />

o Northern Interior: Warner Adam, Justa<br />

Monk and Anne Marie Sam<br />

o Northeast/ Treaty 8: Dorris Ronnenberg<br />

They also considered a North-specific Health<br />

Coordinator and Secretary/Support Staff<br />

and created an Interim Working Committee<br />

to develop a Northern Region Caucus draft<br />

model by February <strong>2009</strong> to advise on Servicing,<br />

Delivery and Programming.<br />

Participants agreed to a Northern Region<br />

Caucus Meeting to introduce the Northern<br />

Region Committee members and to review<br />

the draft model of the Northern Region Caucus<br />

on <strong>March</strong> 26-27, <strong>2009</strong> in Prince George.<br />

--------------------------------------------------------<br />

INTERIOR<br />

Kamloops (Oct 14/15, 2008),<br />

Kamloops (Nov 20, 2008),<br />

Kamloops (Jan 22/23, <strong>2009</strong>)<br />

Chief Shane Gottfriedson and Chief Joe Dennis<br />

have been confirmed as members for the<br />

Committee at a follow-up meeting on January<br />

15 and 16, <strong>2009</strong> in Kamloops.<br />

Participants held group discussions on the<br />

Interior Caucus structure and committed<br />

to bring the information back to their own<br />

communities and schedule another followup<br />

meeting to discuss and/or confirm the<br />

Interior Caucus structure, and any other<br />

nominations for representatives for the <strong>First</strong><br />

<strong>Nations</strong> Interim Health Governance Committee.<br />

They are considering a tribal grouping<br />

approach for the Interior Caucus structure.<br />

They also discussed tentative dates for the<br />

next Interior Region Caucus Meeting in Merritt,<br />

BC on Feb 19/20, <strong>March</strong> 18/19, <strong>March</strong><br />

19/20 and <strong>March</strong> 24/25.<br />

--------------------------------------------------------<br />

Vancouver Island<br />

Nanaimo (17/18, 2008),<br />

Duncan (Dec 11, 2008)<br />

Campbell River (Dec 12, 2008),<br />

Port Alberni (Dec 16, 2008)<br />

Each nation, the Nuuchahnulth, the Coast<br />

Salish, and the Kwakiutl determined to meet<br />

with their respective nations in December<br />

2008 and January <strong>2009</strong>.<br />

Duncan, (Dec 11, 2008) Participants determined<br />

that one member per nation for the<br />

Committee would an acceptable minimum<br />

for the Vancouver Island Region for a<br />

potential total of three. They considered a<br />

Health Coordinator to provide support to<br />

the Vancouver Island Region Caucus and the<br />

Vancouver Island Region members of the<br />

Committee.<br />

Campbell River, (Dec 12, 2008) - Participants<br />

agreed to meet with the other two nations<br />

in <strong>March</strong> <strong>2009</strong>.<br />

Port Alberni, (Dec 16, 2008) – Nuuchahnulth<br />

met and discussed the role of the Committee<br />

and forwarded recommendations to the<br />

NTC Board of Directors.<br />

The three <strong>Nations</strong> of the Coast Salish, the<br />

Kwakiutl, and the Nuuchahnulth have<br />

agreed to a follow-up meeting on <strong>March</strong><br />

11/12/13, <strong>2009</strong> to determine and confirm<br />

members for Committee and to establish a<br />

Vancouver Island Regional Caucus.<br />

--------------------------------------------------------<br />

FRASER<br />

Chilliwack (Nov 4/5, 2008)<br />

Participants determined to select one<br />

member for the Committee and established<br />

a Selection Committee. Nominations were<br />

put forward from each sub-region within the<br />

Fraser in December 2008 and January <strong>2009</strong>.<br />

The Selection Committee will determine a<br />

member for the Committee by <strong>March</strong> <strong>2009</strong>.<br />

--------------------------------------------------------<br />

Vancouver Coastal<br />

Vancouver (Nov 12/13, 2008),<br />

Vancouver (Nov 25, 2008)<br />

Participants determined two members to<br />

the Committee at a follow-up meeting on<br />

November 25, 2008. Charles Nelson has<br />

been confirmed as a member to the Committee<br />

and the second member has yet to<br />

be determined.<br />

If you have any questions or require further<br />

information please contact:<br />

Derek Thompson,<br />

Health Governance Coordinator at<br />

604.913.2080 or DThompson@fnhc.ca.


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 8<br />

Increasing Food Security-Food Skills for Families<br />

Food Security in BC <strong>First</strong><br />

<strong>Nations</strong><br />

A community enjoys food<br />

security when all people at all<br />

times have access to nutritious,<br />

safe, personally acceptable and<br />

culturally appropriate foods,<br />

which are gathered, hunted,<br />

fished and produced in ways<br />

that are environmentally sound<br />

and socially just.<br />

<strong>First</strong> <strong>Nations</strong> often look at<br />

food security differently as we<br />

consider factors that are unique<br />

to us such as geographic isolation,<br />

high food costs, poverty<br />

and preference or reliance on<br />

traditional foods as well as the<br />

responsibility as stewards of the<br />

lands and water which support<br />

our access to food.<br />

The gathering of health statistics<br />

and information is starting to<br />

quantify the disproportionate<br />

degree of food insecurity in our<br />

communities.<br />

A recent national<br />

health survey reported<br />

that 1 in 3 off-reserve<br />

aboriginal households<br />

were experiencing<br />

food insecurity and<br />

that just under half of<br />

these households were<br />

also the homes of<br />

children.<br />

In community we know this to<br />

be true when we have had to<br />

provide a breakfast, snack or<br />

lunch for children who have arrived<br />

at school without food, as<br />

well as other examples.<br />

Gathering Wisdom 2008 identified<br />

many actions that we could<br />

take to improve <strong>First</strong> Nation<br />

peoples’ access to healthy<br />

(L-R) Suzanne<br />

Johnson (<strong>FNHC</strong>);<br />

Brenda Wilson<br />

(Office of<br />

Wetsuweten);<br />

Sandra Dryden<br />

(Revelstoke);<br />

Sandy Terbasket<br />

(LSIB/OFC);<br />

Lana Lamb<br />

(School District<br />

67 - Penticton);<br />

Shannon Sollows<br />

(Ktunaxa<br />

Kinbasket)<br />

foods. One action directed<br />

towards increasing knowledge<br />

involved the concept of peers<br />

teaching peers. This year the<br />

Canadian Diabetes Association<br />

has rolled out an innovative<br />

program that meets this action<br />

and the <strong>FNHC</strong> and Aboriginal<br />

Diabetes Initiative (FNIH) has<br />

had the opportunity to increase<br />

access to this program in <strong>First</strong><br />

<strong>Nations</strong> communities.<br />

Food Skills For Families<br />

Training In <strong>First</strong> <strong>Nations</strong><br />

Communities<br />

Cooking healthy food at home<br />

that is tasty and appealing is not<br />

always easy.<br />

Food Skills for Families is a new<br />

and exciting initiative that has<br />

the recipe for success. Food<br />

Skills for Families is being led by<br />

the Canadian Diabetes Association<br />

(CDA) and is one of the<br />

Healthy Eating Strategies supported<br />

by the BC Healthy Living<br />

Alliance (BCHLA) with funding<br />

from the Ministry of Health.<br />

The <strong>First</strong> <strong>Nations</strong> Health Council<br />

and the Aboriginal Diabetes<br />

Initiative (FNIH) have had the<br />

opportunity to partner with the<br />

Canadian Diabetes Association<br />

to make the training for this<br />

program available to more <strong>First</strong><br />

<strong>Nations</strong> communities. In the<br />

past 6 months <strong>First</strong> <strong>Nations</strong><br />

trainings have include participants<br />

from Alexis Creek, Lillooet,<br />

Ktunaxa Kinbasket, Ooknakane<br />

Friendship Centre, School District<br />

67 (Penticton), Office of the<br />

Wet’suwet’en, Quatsino, Fort<br />

Rupert, Gwa’Sala-’Naxwaxda’xw,<br />

Whe-la-la-U, and Alert Bay.<br />

Several other nations have been<br />

involved in training through the<br />

Canadian Diabetes Association.<br />

Participants gained core cooking<br />

and nutrition skills to facilitate a<br />

once weekly, six week program<br />

in their respective communities.<br />

The program includes recipes<br />

and resources that have been<br />

designed to meet the needs of<br />

Aboriginal and low income families<br />

giving a ‘hands-on’ cooking<br />

experience.<br />

“Every one of us<br />

learned so much and<br />

had a really great time.<br />

We really enjoyed the<br />

opportunity to get to<br />

know one another and<br />

see the possibilities of<br />

working together to<br />

make things happen.”<br />

“Karen was a wonderfully<br />

knowledgeable lady who taught<br />

us all so much with her great<br />

facilitation skills. I am looking<br />

forward to facilitating the Food<br />

Skills for Families program in my<br />

region! Again, on behalf of everyone<br />

that participated, thank<br />

you. Your organization made it<br />

possible for community members<br />

to get the skills necessary<br />

to build community capacity! “<br />

Gilakas’la,<br />

Sharon Gordon Community<br />

Development Leader Vancouver<br />

Island North


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 9<br />

<strong>First</strong> <strong>Nations</strong> Research and Data<br />

<strong>First</strong> <strong>Nations</strong> Regional Health<br />

Survey (RHS)<br />

PHASE 2: 2008-09 “NOW IN BC FIRST<br />

NATIONS COMMUNITIES”<br />

The FIRST NATIONS REGIONAL<br />

LONGITUDINAL HEALTH SURVEY (RHS) is the<br />

most complete study of <strong>First</strong> nations health<br />

and living conditions in Canada.<br />

The RHS survey collects data on our adult,<br />

youth and children population in <strong>First</strong><br />

Nation Communities<br />

The RHS is the only national survey owned,<br />

controlled, and carried out by <strong>First</strong> <strong>Nations</strong><br />

for <strong>First</strong> nations.<br />

We are currently conducting Data collector<br />

interviews in communities that participated<br />

in Phase 1: 2002-02 of the RHS . Data<br />

collection training sessions have been<br />

held in Vancouver Coastal and Vancouver<br />

Island regions. The data collectors at these<br />

sessions have returned to their home<br />

communities and are now beginning to<br />

conduct surveys. We are now seeing data<br />

collection results coming in.<br />

The RHS team is preparing for data<br />

collection training sessions for the Northern,<br />

Interior and Fraser Regions. Once the<br />

returning communities from the 2002-<br />

03 RHS communities data collection is<br />

underway ata collection with an additional<br />

38 NEW communities will begin.<br />

The RHS will provide a snapshot of health<br />

and living conditions in our communities<br />

such as housing, employment, income,<br />

education, community development and<br />

effects of residential schools.<br />

<strong>First</strong> <strong>Nations</strong> Health Council<br />

Research Analyst<br />

Research & Data Analyst<br />

RHS 2002/03 RHS data, and be writing<br />

reports for the Province of BC, and the<br />

following health authorities – Vancouver<br />

Coastal, Vancouver Island, Interior Health<br />

and Northern Health. This project will be<br />

completed by the end of <strong>March</strong> <strong>2009</strong>. To<br />

follow up the reports, presentations will be<br />

made to the communities within the four<br />

Health Authorities. If you have any thoughts<br />

on the kind of research or data tools that<br />

are needed in your communities let us begin<br />

the dialogue.<br />

Tripartite Data quality and sharing<br />

agreement<br />

The purpose of this agreement is to establish<br />

a protocol through which the Government of<br />

Canada, the Government of British Columbia<br />

Heather Morin, Research Analyst<br />

Heather Morin is a Cree woman from Saddle Lake, Alberta,<br />

happily married to her husband Jerry. Heather continually<br />

practices her traditions and helps to instill them in her<br />

children, Kyle and Robyn, and her grandson, Sincere.<br />

In 1996, she received a History degree from the University<br />

of Regina, and then earned a Bachelor of Education –<br />

Elementary (Indian Education) from the Saskatchewan<br />

Indian Federated College in 1999. Her previous work<br />

includes representing Aboriginal students at the postsecondary<br />

level, as well as teaching.<br />

Heather has worked for both the Aboriginal Education<br />

Enhancements Branch Ministry of Education and the<br />

Ministry of Aboriginal Relations as a Senior Policy Advisor.<br />

To her current role at the Health Council Heather brings<br />

a love of data and research to ensure that <strong>First</strong> <strong>Nations</strong><br />

are well equipped with the knowledge they need to move<br />

forward in a healthy way.<br />

and the <strong>First</strong> <strong>Nations</strong> Leadership Council can<br />

share, develop and promote culturally appropriate<br />

usage of the data required for the<br />

monitoring of <strong>First</strong> <strong>Nations</strong> health.<br />

Once established, this protocol will provide<br />

an essential foundation for the development<br />

of <strong>First</strong> <strong>Nations</strong> health information.<br />

The implementation of this agreement will<br />

be based on principles outlined in the Tripartite<br />

<strong>First</strong> <strong>Nations</strong> Health Plan:<br />

(1) respect and recognition;<br />

(2) commitment to action;<br />

(3) nurture the relationship; and<br />

(4) transparency.<br />

The Tripartite Data Quality and Sharing<br />

Agreement (TDQSA) is currently undergoing<br />

a final legal review.<br />

Heather Morin was hired in December of<br />

2008 in the position of Research Analyst.<br />

The research analyst is currently assisting<br />

the RHS team with recruiting the New<br />

Sample of <strong>First</strong> <strong>Nations</strong> communities to<br />

participate in the RHS for 2008/09. The<br />

Research Analyst is working on correlating<br />

the 2002/03 Ecological data with the<br />

For more information on Research and Data please contact:<br />

David Clellamin, BSW<br />

FN RHS Coordinator<br />

dclellamin@fnhc.ca<br />

Amanda Williams<br />

Assistant RHS Coordinator<br />

awilliams@fnhc.ca<br />

Heather Morin<br />

Research Analyst<br />

hmorin@fnhc.ca


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 10<br />

Technology & Data Management<br />

INFORMATION MANAGEMENT<br />

In the last Bulletin we explored how information<br />

management is a central function of<br />

e-Health. That is, that e-Health is ultimately<br />

about improving health through enabling<br />

improved information management and<br />

communications in health services. Ideally,<br />

e-Health can assist <strong>First</strong> Nation Health Centres<br />

in their effort to provide quality service<br />

to their members and service population.<br />

What are the information management<br />

needs of <strong>First</strong> <strong>Nations</strong> Health Centres across<br />

the province? Who defines or gives voice to<br />

these requirements?<br />

HUMAN RESOURCES<br />

Readers of this Bulletin may be involved<br />

either directly or indirectly in the delivery,<br />

management or governance of <strong>First</strong><br />

<strong>Nations</strong> community health services, and<br />

will therefore know that one of the biggest<br />

challenges is simply not having the human<br />

resource capacity to answer these questions<br />

fully let alone develop strategies to meet<br />

these needs. How many health centres have<br />

staff devoted to information management<br />

for their organizations? Not very many.<br />

REPORTING CHALLENGES<br />

The other challenge is that currently<br />

most information management needs at<br />

the health centre level are driven by the<br />

funder’s reporting requirements. Reporting<br />

requirements, both to community and<br />

to funders, is an important aspect of the<br />

information management needs of a health<br />

centre. However, the danger lies in the<br />

historical tendency where reporting requirements<br />

blur the distinction between information<br />

needed for accountability and health<br />

information needed for quality service and<br />

planning.<br />

COLLABORATION<br />

Collective work and collaboration has to be<br />

undertaken to better understand and map<br />

Photo courtesy Seabird Island Health Services<br />

What are the information management<br />

needs of <strong>First</strong> <strong>Nations</strong> Health Centres<br />

across the province? Who defines or gives<br />

voice to these requirements?<br />

out the range of information management<br />

needs of Health Centres in <strong>First</strong> <strong>Nations</strong><br />

across the province. As these requirements<br />

become better understood and documented,<br />

the potential of e-Health to provide<br />

meaningful solutions in this respect will<br />

greatly increase.<br />

The <strong>First</strong> <strong>Nations</strong> Health Council is committed<br />

to leveraging <strong>First</strong> <strong>Nations</strong>, provincial<br />

and federal capacity and expertise to<br />

advance this agenda. Together we can<br />

more effectively meet our shared interest<br />

in ensuring Health Centres have access to<br />

information management tools that meet<br />

their unique needs.<br />

Foundational steps in this effort are the<br />

creation of a Tripartite Strategy Council for<br />

<strong>First</strong> <strong>Nations</strong> e-Health, a Tripartite Technical<br />

Working Group for <strong>First</strong> <strong>Nations</strong> e-Health,<br />

and a <strong>First</strong> <strong>Nations</strong> e-Health Centre of Excellence.<br />

While all three are in the very early<br />

stages of formation, ultimately the processes<br />

and forums they enable will greatly assist<br />

Health Centres in having access to tools that<br />

will work for them.<br />

For more information on e-Health contact:<br />

Mark Sommerfeld - msommerfeld@fnhc.ca


<strong>First</strong> <strong>Nations</strong> Health Council | <strong>March</strong> <strong>2009</strong> <strong>Infobulletin</strong> | page 11<br />

III<br />

9<br />

MAY 19-21, <strong>2009</strong> | 9 A.M. - 5 P.M. | MARRIOTT PINNACLE DOWNTOWN<br />

Registration information will be sent<br />

soon, so please save these dates!<br />

By attending Gathering Wisdom III, you will have<br />

the chance to:<br />

• Participate in a continued conversation<br />

among <strong>First</strong> <strong>Nations</strong> and stakeholders to<br />

ensure that the Tripartite <strong>First</strong> <strong>Nations</strong><br />

Health Plan is responsive to changing needs.<br />

• Recieve Tripartite updates on Health Actions<br />

from <strong>First</strong> <strong>Nations</strong> Health Council, Health<br />

Canada (FNIH), Ministry of Health Services,<br />

and Ministry of Healthy Living and Sport.<br />

• Participate in Health Governance discussions.<br />

• Network, liaise and contribute to the<br />

creation of a BC <strong>First</strong> <strong>Nations</strong> Health<br />

Directors Association.<br />

DAY 1- Health Governance<br />

BC <strong>First</strong> <strong>Nations</strong> Health<br />

Governance discussion.<br />

DAY 2- Health Actions<br />

Tripartite updates on Health<br />

Initiatives under the Tripartite<br />

Health Plan.<br />

DAY 3 - Health Directors<br />

BC <strong>First</strong> <strong>Nations</strong> Health<br />

Directors and managers will<br />

come together to continue<br />

work on the creation of a<br />

BC <strong>First</strong> <strong>Nations</strong> Health<br />

Directors Association.<br />

Contact: info@fnhc.ca | Website: www.fnhc.ca<br />

This three-day forum will be informative and engaging. We hope you take the<br />

opportunity to attend. Additional information about the forum can be found on<br />

the <strong>First</strong> <strong>Nations</strong> Health Council website at: www.fnhc.ca


F i r s t N a t i o n s H e a lt h C o u n c i l<br />

| Spring <strong>2009</strong> Update |<br />

Community Engagement<br />

Community Developer Liaison- Interior Health<br />

The Community Developer Liaison position<br />

with Interior Health Authority was established<br />

in September 2008. The purpose of<br />

this position is to provide a wide range of<br />

community and organizational development<br />

skills to assist <strong>First</strong> <strong>Nations</strong> either independent<br />

or in a community engagement hub<br />

to plan, collaborate and communicate with<br />

<strong>FNHC</strong>. As well the Community Developer<br />

will assist <strong>First</strong> Nation communities in the<br />

development of community health plans<br />

and work plans.<br />

The Community Developer Liaison will also<br />

act as a liaison between Interior Health, <strong>First</strong><br />

<strong>Nations</strong> and <strong>First</strong> <strong>Nations</strong> Health Council.<br />

UPDATE<br />

In five short months, the Community Developer<br />

Liaision (CDL) has been engaged in the<br />

following work:<br />

• Present to communities regarding the<br />

<strong>First</strong> <strong>Nations</strong> Health Council’s roles and<br />

responsibilities in respect to the TCA:<br />

<strong>First</strong> <strong>Nations</strong> Health Plan, and Tripartite<br />

<strong>First</strong> <strong>Nations</strong> Health Plan. Also provide<br />

information, encourage and support<br />

the development of Community Engagement<br />

Hubs.<br />

• Worked with developing Community<br />

Engagement Hubs by presenting at<br />

strategic sessions and assisting in the<br />

creation of their work plans.<br />

• Participated in Interior Health’s development<br />

of a Rural Health Plan. Since<br />

<strong>First</strong> <strong>Nations</strong> communities represent<br />

a large portion of the rural populations<br />

the CDL will ensure that they are<br />

engaged appropriately.<br />

• Met with <strong>First</strong> <strong>Nations</strong> Inuit Health<br />

regarding community health plans and<br />

where the CDL can assist communities.<br />

Other Activities<br />

• Participated in Interior Health Aboriginal<br />

Health Network staff meetings<br />

• Represented the <strong>FNHC</strong> locally in various<br />

community groups - Providing basic<br />

information and contacts<br />

• Forwarded <strong>First</strong> <strong>Nations</strong> concerns and<br />

issues to the <strong>First</strong> <strong>Nations</strong> Health Council<br />

or Interior Health.<br />

Community Developer Liaision<br />

Interior Health Region<br />

Mark Matthew<br />

mmatthew@fnhc.ca<br />

Upcoming Events<br />

<strong>March</strong><br />

UVIC Aboriginal Career Fair<br />

<strong>March</strong> 6, <strong>2009</strong>, Victoria<br />

BC Aboriginal Youth Conference<br />

<strong>March</strong> 17-20, <strong>2009</strong>, Kelowna<br />

April<br />

Interior Region Caucus Meeting<br />

April 8-9, 2008, Williams Lake<br />

Heritage Woods Secondary Health<br />

Career Presentation<br />

April 2, <strong>2009</strong>, Port Moody<br />

May<br />

Gathering Wisdom III<br />

May 19-21st, <strong>2009</strong><br />

Marriott Pinnacle<br />

Visit us online at: www.fnhc.ca<br />

Interested in becoming a Community Engagement hub?<br />

How do we get involved?<br />

> Step 1: Submit your letter of intent to<br />

become a hub, include a list of communities<br />

who will be a part of your hub.<br />

> Step 2: Attend a training session with<br />

the <strong>First</strong> <strong>Nations</strong> Health Council. Receive<br />

development dollars for your work<br />

planning process.<br />

> Step 3: Submit your work plan to the<br />

<strong>First</strong> <strong>Nations</strong> Health Council for approval.<br />

> Step 4: Receive funds to carry out work plan.<br />

To find out more about Community<br />

Engagement hubs connect with our<br />

regional representatives:<br />

Interior > Mark Matthew<br />

mmatthew@fnhc.ca<br />

Northern > Victoria Russell<br />

vrussell@fnhc.ca<br />

Vancouver, Vancouver Island &<br />

Fraser > Marilyn Ota<br />

mota@fnhc.ca<br />

Or visit our website: www.fnhc.ca<br />

Contact Us<br />

This infobulletin is a publication of the <strong>First</strong><br />

<strong>Nations</strong> Health Council. All rights reserved.<br />

<strong>First</strong> <strong>Nations</strong> Health Council<br />

1205-100 Park Royal South<br />

WEst VAncouver, BC<br />

V7t 1a2<br />

telephone: (604) 913.2080<br />

info@fnhc.ca<br />

http://www.fnhc.ca

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