Maamuu Nakaahehtaau Together, we can build a healthy future for Eastmain

Transcription

1 Maamuu Nakaahehtaau Together, we can build a healthy future for Eastmain Presentation by the regional Public Health team of the Cree Health Board Eastmain, February 23, 2011

2 Maamuu Nakaahehtaau Team in Eastmain Solomon Awashish Katherine Morrow Catherine Godin Wally Rabbitskin George Diamond Other partners who were present: Ashlee Pigford, University of Alberta Celina Wapachee, JBCCS Betsy Longchap, CBC North

3 Program February 23 10:00-10:15 Introductions and review of the agenda 10:15-11:00 Story Circles 11:00-11:15 Break 11:15-11:30 Diabetes in Eastmain 11:30-12:30 Q&A 1:15-2:00 Q&A continued 2:00 3:00 Open Space February 24, 1:15-1:45 Community report back

4 Story Circle Tell a story about a time when people in Eastmain came together to make something good happen for the community.

5 Preparing for the Spring hunt by Edward Gilpin and Daniel Moses Good old days Traditional lifestyle = physical lifestyle No modern conveniences Physical lifestyle all year round Women huge role in camp Respect for the environment Moving camps winter and spring camps Loss of traditional activities = diabetes Spring hunt stories goose hunting Sharing duties and responsibilities

6 Walk for the Arena by Henry Moses In 96 or 97, 7 people walked 710 km from Val d Or to Eastmain to raise awareness of need for new arena Many people supported the walk Many hoped for a positive outcome Motivated by community support Chief was involved from beginning to end Local women plus 2 women from Chisasibi Youth at the beginning From km 10 to the finish many youth and children joined the walk Elders also joined the walk Community feast and celebration dance an all-nighter!! There was support and encouragement from different people in different ways along the way A committed support team that followed the walkers Prayer circle together every morning Fundraising involved

7 Long Ago, before phone and internet by Florence Cheezo and Eva Louttit 1. Summer/Winter Games Who was involved: recreation, volunteers, community Long ago, before phone, internet Gathering of families Prizes were household items Physical activities/competitions (games) Men, women, children, even babies! Culturally oriented Dances until dawn and still had to stay up to do daily chores

8 Long Ago, before phone and internet by Florence Cheezo and Eva Louttit 2. Arena Complex Who was involved: Recreation, volunteers, etc. Hockey game for women (one of the first games) a lot of fun! More use of fitness room Hockey: men, youth, children no more women s games Broomball

9 Long Ago, before phone and internet by Florence Cheezo and Eva Louttit 3. Physical Wellness (before diabetes) Who was involved: Families Gathering boughs for teepee Sawing and chopping wood Getting water (women and children) Hunting and trapping (walking) Children played outside all day Running down to the plane (2x/day) Eating mostly bush food Dancing until dawn

10 Community Involvement by Roger Weapinacappo In the old days Hunter/trapper makes a kill (moose, bear, geese etc.) Shared his kill with the community Community connected together to prepare feast for the whole community Encouraging one another Back then, people did not expect anything in return Communication was efficient even though there were no phones Community square dancing for everybody Shared laughter Storytelling along the shore Community gathered around Hudson s Bay store and shared stories, game of checkers waiting for Austin Airways

11 Diabetes in Eastmain State of the situation

12 106 Eastmain Eeyouch living with Diabetes Almost 28% of all adults over 20 years old More than 1 out of every 4 adults Almost half were diagnosed before the age of 40

13 % of adults in Eastmain with diabetes 1984 to % 27.5% 25.0% 21.5% 20.0% 15.0% 14.1% 10.0% 8.6% 5.0% 3.9% 1.5% 0.0%

14 Prevalence (%) of diabetes among Crees aged 20 years old or more, with trendline to

15 Together, we can build a healthy future

16 Johnny and Charlotte Husky Swallow, Emma Coon Come, Minnie Awashish, Joseph and Laurie Loon, Bella Loon Petawabano, William and Emma Matoush, Pierre Haddad, Alain Cuerrier, Timothy Johns, Steffany Bennett, John Thor Arnason, Brian Foster, Matthew Coon Come, Gerry Wapachee, Monique Laliberté, Aissatou Bah, Rusty Cheezo, Johnny Tomatuk, Melissa Natachequan, Bella Moses Petawabano, Kathleen Wooton, Christine Connors, Bernadette Shields, Roger Weapinacappo, Florence Cheezo, Eva Louttit, Henry Moses, George Diamond, Edward Gilpin and Daniel Moses.

17 Open space question: Based on what we talked about, what does Eastmain need to do to build a healthier community?

18 OPEN SPACE: Traditional food Facilitator: Roger Weapinacappo and Daniel Moses Traditional food (cooked open fire) Growing natural vegetables (carrots, lettuce, potatoes) in the reserve All kinds (traditional) Wild berries (all kinds), herbal plants Control of blood sugar level Healthier (healthy eating) Healthy diet Less sickness, medical problems (less chemicals) Food can be used as traditional medicine Preservation (fruits and food) No preservatives (artificial sweeteners)

19 OPEN SPACE: MIND Daniel Mark-Stewart, Celina Wapachee Living in fear of diabetes Afraid of getting tested Living in denial Worrying all the time Getting tired after many years of taking medication No end in sight - does the medicine really work? Physical activity and positive thinking can help With age, worries increase More follow-up and support for patients - Patients lose motivation due to lack of check-up Nurse (diabetes specialist) The ability to comprehend diminishes with age Cooking, preparing traditional food requires a lot of salt CHR needed in Eastmain Lack of physical activity will only increase diabetes rate Nutritional food and information should be widely available

20 OPEN SPACE: FOOD Facilitators: Leslie Tomatuk, Juliet Weapinacappo, Priscilla Weapinacappo CON S Poor selection of healthy food It is cheaper to buy junk food than healthy food Lack of access to traditional food Changing of traditional roles (working women do not have time to prepare meals) Quicker to prepare processed than traditional food Prices are too high to eat healthy Decreased food quality due to transportation (too long to get the food to the community)

21 PRO S OPEN SPACE: FOOD Traditional food programs that would incorporate physical activity like hunting, teepee making, wood cutting and traditional food preparation Blueberry program Teaching traditional food preparation Ask local stores to advertise more healthy display, and have junk food in the back aisle, to sale a larger variety of fruits and vegetables Traditional classes & school lunch program to promote healthy eating among our children Awareness workshops on processed food Start early awareness in school for our children Ask cooperation from the restaurants to cut down poutine and all fast food Restaurant not to serve poutine for lunch (supper only) Ask local stores not to serve junk food to children during lunch hours

22 OPEN SPACE: PHYSICAL ACTIVITY Facilitators: Wally Rabbitskin, Bessie Tomatuk Giving up old habits Lack of physical activity Young Trappers Program (CTA, CHB, Band) All year round Negotiate with employers for one not to lose wages Walking/bike/snowshoeing/cross country skiing trails Short/long canoe expeditions Role models Portage Teach the young about woodcutting During diabetes month, plan various physical activities for the community Family activities (family day(s))

23 OPEN SPACE: PHYSICAL ACTIVITY Cultural camps for traditional teachings, demonstrations, cooking No vehicle day(s) - once a week Traditional teachings will be lost if we do not practice Dance lessons - square, hip, line At no cost activities, as much as possible Local (sports leagues for all ages) Challenges - local, regional Invite a qualified trainer to train local people Groups - biking, walking, scouts, etc. At work - physical activity time, witnessed, start 3 times/week and gradually increase Different individuals to plan and organize activities, to have variety

24 OPEN SPACE: PHYSICAL ACTIVITY Make use of facilities/resources that are available Different organizations/entities organize activity once a week Sacrifice (people have to make sacrifice to do physical activity) No procrastination Bingo - seek a way to make it physical (i.e.bury bingo balls and people will seek for it) CHB to be role models/trainers; educate public about the importance of physical activity Traditional triathlon, annually, for all age groups

25 Next steps Send a report to the Chief and Council With the support of the Chief and Council, we will begin working toward forming a local Health/Wellness committee. A team from the University of Alberta will be here in April to consult with community members about food.

26 Any questions or concerns? Solomon Awashish Cell: (418) Katherine Morrow Cell: (438) Our boss: Paul Linton, Head of Chishaayiyuu, Public Health Pimuhteheu, CHB Mistissini