GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review

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GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
GLOBAL GOALS, LOCAL ACTION:
   Kelowna’s Voluntary Local Review

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW   1
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
GLOBAL GOALS, LOCAL ACTION:
                                                    KELOWNA’S VOLUNTARY LOCAL REVIEW
                                                                                                            MARCH 2021

The British Columbia Council for International Cooperation (BCCIC) is a network of civil society organizations and individuals
moving toward a better world based in British Columbia, Canada. By compiling this report, BCCIC hopes to contribute to the
critical debate on Canada’s role in developing and achieving the Sustainable Development Goals (SDGs).

The Global Empowerment Coalition of the Central Okanagan (GECCO) is a Chapter of the BCCIC, working in partnership and
participating in initiatives, programming and services.

For more information on BCCIC or this publication, go to: bccic.ca or contact us:
322-268 Keefer St., Vancouver, BC, V6A 1X5
Phone: 604.899.4475

The vast majority of this project was conducted through the dedication of passionate volunteers. Some of the research was
funded through a few programs. BCCIC receives support from the Government of Canada, provided through Global Affairs. This
project also received support from Economic and Social Development Canada’s Career Launch SDG Impact Funding, and the
Sustainability Scholars Program at the University of British Columbia.

All intellectual content including omissions and errors remains the responsibility and property of the BC Council for Internation-
al Cooperation and Global Empowerment Coalition of the Central Okanagan.

Cover page Photo Credits: Kolby Milton (Unsplash)

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                     2
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
ACKNOWLEDGMENTS

This report was prepared in partnership with the British Columbia Council for International Cooperation (BCCIC) and Global
Empowerment Coalition of the Central Okanagan (GECCO). We would like to extend a personal thanks to all the contributors
who spent countless hours researching, writing, and editing various parts of this report and without whom this report would
not have been made possible.

PROJECT MANAGEMENT TEAM                                          CORE PROJECT TEAM

•   Wijesekera, Kusum - Author and Project Manager, GECCO        •   Anwar, Nimrah - Lead Technical Researcher, BCCIC
•   Muir-Owen, Sara - Coauthor, PICS at UBC                      •   Collis, Amy - Lead Policy Researcher, BCCIC
•   Wayne-Nixon, Laurel - Project Coordinator, BCCIC             •   Erickson, Jonah - Researcher, BCCIC
•   Harris, Dan - Project Coordinator, BCCIC                     •   Hillis, Laura - Researcher, BCCIC
                                                                 •   James, Emma - Writer, BCCIC
                                                                 •   Kwok, Alex - Researcher, BCCIC
                                                                 •   McLean, Simmone - Researcher, BCCIC
                                                                 •   Neubauer, Sarah - Lead Economics Researcher, BCCIC
                                                                 •   Schiller, Antonia - Researcher, BCCIC
                                                                 •   Tang, Ann - Researcher, BCCIC

The Global Goals cover a broad range of topics and issues, and experts in different fields were relied upon to share their
insights into the work being done throughout the province and locally in the Kelowna region, to review content, make goal
linkages, and provide constructive feedback. We are grateful for their input and wish to thank and acknowledge the following
organizations:

•   BCIT
•   BC Centre for Disease Control, Provincial Health Services Authority
•   City of Kelowna
•   Community Energy Association
•   Elizabeth Fry Society
•   First Nations Health Authority
•   Interior Health
•   International Institute for Sustainable Development
•   Kelowna CAT
•   Ki-Low-Na Friendship Society
•   Ministry of Environment and Climate Change Strategy
•   Pacific Institute for Climate Solutions
•   PROOF Food Insecurity Policy Research
•   Regional District of the Central Okanagan
•   UBC Sustainability Initiative
•   Vancouver School of Economics at UBC
•   John Ecker, Director of Research & Evaluation - Canadian Observatory on Homelessness
•   Marika Albert, Policy Director - BC Non-Profit Housing Association

These, among numerous other organizations, have been instrumental in the formation of this report.

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                   3
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
NOMENCLATURE

BCCIC		       British Columbia Council for International Cooperation
BCIT		        British Columbia Institute for Technology
BI		          Basic Income
BIPOC		       Black, Indigenous, Person of Colour
BOMA		        Building Owners and Managers Association
CAAQS		       Canadian Ambient Air Quality Standards
CAD		         Canadian Dollar
CAT		         Kelowna Community Action Team
CERB		        Canadian Emergency Response Benefit
CFIB		        Canadian Federation of Independent Business
CMA		         Census Metropolitan Area
CO		          Carbon Monoxide
CO2		         Carbon Dioxide
CSD		         Census Subdivisions
CSO		         Civil Society Organization
C&D		         Construction and Demolition
DES		         District Energy System
DNU		         Do Not Use
EC3		         Embodied Carbon Construction Calculator
EPD		         Environmental Product Declaration
EV		          Electric Vehicle
FLIR		        Forward Looking Infrared
FNESC		       First Nations Education Steering Committee
FNHA		        First Nations Health Authority
GECCO		       Global Empowerment Coalition of the Central Okanagan
GHG		         Greenhouse Gas
HFI		         Household Food Insecurity
ICBC		        Insurance Corporation of British Columbia
IH		          Interior Health
iOAT		        Injectable Opioid Agonist Treatment
IPCC 		       Intergovernmental Panel on Climate Change
JHS		         Journey Home Society
kWh		         Kilowatt-hour
LCA		         Life Cycle Assessment
LEED		        Leadership in Energy and Environmental Design
LICO		        Low Income Cut Off
LIM		         Low Income Measure

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                 4
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
MBM 		        Market Based Measure
MDMA		        Methyl​enedioxy​methamphetamine
MMIWG         Missing and Murdered Indigenous Women and Girls
MOU		         Memorandum of Understand
MURB		        Multi-Unit Residential Building
NEET		        Not in Education, Employment or Training
NOx		         Nitrogen Oxides
OAT		         Opioid Agonist Treatment
OWMO 		       Organic Waste Management Options
PACT		        Police and Crisis Team
PICS		        Pacific Institute for Climate Solutions
PM 2.5		      Particulate Matter 2.5
RCMP		        Royal Canadian Mounted Police
RDCO		        Regional District of Central Okanagan
RNG		         Renewable Natural Gas
SDG		         Sustainable Development Goals
SHARP		       Synchronized Hybrid Ambient Real-time Particulate
SOV		         Single Occupant Vehicle
TEOM		        Tapered Element Oscillating Microbalance
TRC		         Truth and Reconciliation Commission
UN		          United Nations
VLR		         Voluntary Local Review
VOC		         Volatile Organic Compound
2SLGBTQQIA    Two-Spirit, lesbian, gay, bisexual, transgender, queer, questioning, intersex and asexual

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                              5
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
TABLE OF CONTENTS

        Executive Summary ������������������������������������������������������������������������������������������������������������������������������7
        Analysis Of The Goals ��������������������������������������������������������������������������������������������������������������������������8

        Introduction .........................................................................................................................................10
           Population & Demographics������������������������������������������������������������������������������������������������������������11
           Geography........................................................................................................................................12
           Leave No One Behind - Indigenous Approach ���������������������������������������������������������������������������������13

        Goal 1: No Poverty ������������������������������������������������������������������������������������������������������������������������������15
        Goal 2: Zero Hunger ����������������������������������������������������������������������������������������������������������������������������17
        Goal 3: Good Health And Well-Being ������������������������������������������������������������������������������������������������19
        Goal 4: Quality Education �������������������������������������������������������������������������������������������������������������������22
        Goal 5: Gender Equality ����������������������������������������������������������������������������������������������������������������������24
        Goal 6: Clean Water And Sanitation ��������������������������������������������������������������������������������������������������26
        Goal 7: Affordable And Clean Energy �������������������������������������������������������������������������������������������������28
        Goal 8: Decent Work And Economic Growth ������������������������������������������������������������������������������������30
        Goal 9: Industry, Innovation And Infrastructure �������������������������������������������������������������������������������32
        Goal 10: Reduced Inequalities������������������������������������������������������������������������������������������������������������34
        Goal 11: Sustainable Cities And Communities ���������������������������������������������������������������������������������36
        Goal 12: Responsible Consumption And Production ������������������������������������������������������������������������40
        Goal 13: Climate Action ����������������������������������������������������������������������������������������������������������������������42
        Goal 14: Life Below Water ������������������������������������������������������������������������������������������������������������������44
        Goal 15: Life On Land �������������������������������������������������������������������������������������������������������������������������45
        Goal 16: Peace, Justice And Strong Institutions ��������������������������������������������������������������������������������46
        Goal 17: Partnership For The Goals ���������������������������������������������������������������������������������������������������48

        Conclusion............................................................................................................................................50

        Appendix A - Low-Income Measure Overview (Goal 1) ��������������������������������������������������������������������52
        Appendix B - Homelessness Overview (Goal 1) ��������������������������������������������������������������������������������54
        Appendix C - Household Food Insecurity Overview (Goal 2) ���������������������������������������������������������������57
        Appendix D - Household Energy Use Overview (Goal 7) ������������������������������������������������������������������60
        Appendix E - Waste Per Capita Overview (Goal 12) ��������������������������������������������������������������������������62
        Appendix F - Climate Action Overview (Goal 13) ������������������������������������������������������������������������������64
        Appendix G - Kelowna VLR Methodology �����������������������������������������������������������������������������������������68

        Endnotes ..............................................................................................................................................69

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                                                        6
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
EXECUTIVE SUMMARY

In 2015, the international communi-        strates the intersectionality of the goals
ty adopted the United Nations 2030         and indicators, while also attempting        Change takes time. Progress requires
Agenda for Sustainable Development,        to account for the multijurisdictional       understanding the problem, and then
a global strategy that outlines 17 am-     nature and complexities amongst the          measuring the solutions accordingly:
bitious, interconnected and universal      goals, and the collaborations and part-      what’s measured, matters. Quantifiable
Global Goals that, implemented togeth-     nerships necessary to achieve them.          progress is not always easy to achieve
er, can create a more liveable, equita-                                                 or even adequate in providing a true
ble world by 2030. These Sustainable       The year 2020 was marked by two key          analysis; qualitative results are also
Development Goals (SDGs) provide a         events, COVID-19 and the Black Lives         required to share insight, gain under-
framework to address environmental,        Matter movement, forcing the world to        standing and brainstorm solutions. This
social, economic and security challeng-    face the extent of inequalities experi-      report was created with shared knowl-
es faced by nations and communities        enced by marginalized groups. Canada         edge from numerous organizations
worldwide. While originally conceived      is not immune to these inequalities          throughout and beyond the community
as country-level goals, and Canada         that have been harboured in a history        of Kelowna, in an attempt to capture
pledging commitment to implemen-           of colonization, systemic racism, and        the voices of different groups that are
tation, success will largely depend on     discrimination. Many Indigenous Peo-         often left behind, and to also challenge
provinces and municipalities also work-    ples continue to live with trauma due        our preconceived ideas around viable
ing together on the ground, so to say,     to the legacies of forced displacement       solutions. However, there is still much
to implement and measure progress          from traditional territories, residential    work to be done; more quantifiable and
towards achieving the SDGs.                school experiences of abuse and ne-          qualitative measurements to be made.
                                           glect, and the disruption of traditional     We can do better. We must do better!
Voluntary Local Reviews (VLRs), are        culture and practices. Furthermore,
sub-national reviews of SDG implemen-      African, Caribbean and Black Canadians
tation and are increasingly being adopt-   live with the history of slavery, racism
ed by municipalities. This Kelowna VLR     and discrimination that still persists
has been greatly shaped through close      today. Many of the rules that govern
consultation with municipal, regional,     society and too many of our social and
provincial and federal government          economic policies reflect bias and dis-
agencies, civil society organizations      crimination (both conscious and uncon-
(CSO), academics, and Indigenous           scious), reinforcing the false premise
organizations. With 169 targets and        that some people are better or more
232 indicators, it is overwhelming and     deserving than others. Such policies
virtually impossible for municipalities    and governance structures are failing
— alone — to comprehensively imple-        marginalized people and impacting
ment the SDGs. As such, this VLR fo-       access and availability of the resources
cuses on 28 community-level indicators     and opportunities necessary to support
that are outcome based, quantifiable       well-being.1 This stark reality has
and measurable, and localized to the       been made evermore apparent during
geographical and cultural context. For     the COVID-19 pandemic. Inclusive
the selected 28 indicators, trends are     solutions require us to reflect on our
shown, and challenges and progress are     personal biases, our lack of knowledge
highlighted through examples from the      and understanding about inequality,
City of Kelowna, the Regional District     and to commit to creating an equitable
of Central Okanagan (RDCO), Province       platform where people, regardless of
of B.C., Indigenous organizations, and     their background, can share their voice
CSOs working throughout the commu-         on the issues and solutions, and be          Kelowna Waterfront
nity. The review of progress demon-        listened to.                                 Photo Credits: Adam Ruby Photography

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                   7
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
ANALYSIS OF THE GOALS

This report analyzed and narrowed the      province. Included at the end of each         and complexities amongst the goals,
UN’s 169 targets and 232 indicators        subsection is an illustration on the inter-   and the intergovernmental and civil
down to 28 community-level indicators      connectedness and interdependency of          society organizations collaborations
relevant to Kelowna. The indicators as     the goals and their indicators. The goal      and partnerships necessary to achieve
related to each goal are summarized in     summaries can stand alone, each can           them.
Table 3.                                   be read and referred to independently,
                                           while taken together they form a more         Although there is much more to discuss,
Each section of the report covers one of   complete, integrated report on the            this report only touches the surface on
the 17 goals; with each section describ-   SDGs for the community of Kelowna. In         the issues and potential solutions. A se-
ing trends of selected indicators for      many cases, the SDG indicators chosen         lect few indicators have been discussed
each goal in context of the community      for this VLR are multijurisdictional,         further in Appendices A through F to
of Kelowna. Also highlighted are the       spanning municipal, regional, provincial      elaborate on programs already under-
challenges and progress currently being    and First Nations’ government bound-          way, as well as recommendations at the
made towards achieving each goal,          aries. This VLR attempts to account for       municipal, provincial and federal levels.
through work by various organizations      the multijurisdictional nature of these
throughout the community and the           indicators, as well as the interrelations

Table 3: Summary of Kelowna’s Indicators

   GOALS           LOCAL COMMUNITY INDICATORS
                   •   Low Income. Number of persons in low income measure (LIM)
                   •   Chronic Homelessness. Number of persons living in chronic homelessness conditions

                   •   Active Farmland. Percent land base actively farmed
                   •   Food Insecurity. Percent of persons in households who are food insecure (marginal, moderate and
                       severe)

                   •   Chronic Diseases. Mortality rate attributed to cardiovascular disease, diabetes, and chronic lower
                       respiratory diseases
                   •   Illicit Drugs. Illicit drug mortality rate per 100,000 population
                   •   Suicide Rates. Illicit suicide mortality rate per 100,000 population

                   •   Post Secondary Education. Highest certificate, diploma or degree obtained

                   •   Gender-based Violence. Rate of sexual assaults per 100,000 by sex of victim

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                     8
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
GOALS       LOCAL COMMUNITY INDICATORS
               •   Water Advisories. Person-days on advisory

               •   Electricity Usage. Average household electricity and use
               •   Gas Consumption. Average household gas consumption

               •   Unemployment Rates. Unemployment rates
               •   Youth NEET. Population aged 15 to 29 Not in Education, Employment or Training (NEET)

               •   Sustainable Transportation. Main mode of commuting to work
               •   EV Stations. Number of electric vehicle charging (EV) stations around community locations, residential
                   areas and commercial areas

               •   Household Income. Median household income relative to average household income

               •   Vacancy Rates. Rental vacancy rate
               •   Housing Affordabiity. Percent of renters spending over 30% and 50% of income on shelter
               •   Air Quality (PM 2.5). Fine particulate matter (PM 2.5) annual, 3-year average
               •   Air Quality (O₃). Ozone levels annual 4th highest daily 8-hour maximum, 3-year average
               •   Green Space. Percent of residents that live within 400m of a park

               •   Waste Generation. Per capita waste disposal rate
               •   Burn Permits. Number of burning permits issued

               •   Community Emissions. Total annual GHG emissions from community activities

               •   Riparian Area. Total riparian area permanently protected

               •   Green Space. Percentage of green space protected from development

               •   Crime Rate. Crime rate per 100,000 population

               •   SDG-related Work. Number of non-profit organizations working on the SDGs in domestic and interna-
                   tional frameworks

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                9
GLOBAL GOALS, LOCAL ACTION: Kelowna's Voluntary Local Review
INTRODUCTION

In 2015, the international communi-           and stimulating economic growth, all         corporations should they engage in do-
ty adopted the United Nations 2030            while developing local level goals, tar-     ing so, can support the achievement of
Agenda for Sustainable Development, a         gets and policies for climate action and     the SDGs through “bottom up” action.
global strategy that outlines 17 am-          sustainable development.
bitious, interconnected and universal                                                      A Voluntary Local Review (VLR) is an
Global Goals that together can develop        The Province of British Columbia (B.C.)      emerging process by which subnational
a more liveable, equitable world by           has a long history of setting progres-       governments can evaluate and report
2030. They address five key themes re-        sive social and environmental policy         on local level progress towards achiev-
lated to people, the planet, prosperity,      including the adoption of many sustain-      ing the SDGs, enabling a community’s
peace and partnerships, adhere to five        ability and climate related action plans     accountability and transparency. A com-
key principles: inclusivity, universality,    at the local government level. When          mon framework enables cities to com-
integration, technology driven, and are       aligned with existing planning and policy    pare progress in achieving the SDGs,
locally focused.                              frameworks, the interrelatedness of the      identify areas where priorities may need
                                              goals can improve planning and help          to be realigned and/or strengthened,
Today’s world has the highest level of        align outcomes at the local, provincial,     and provide evidence to support com-
urban growth and urban migration than         national and global scale. For mayors,       munities’ partnerships and advocacies
ever before, with more than half of the       policy-makers, and planners working to       with other agencies and organizations
world’s current population living in cities   improve quality of life in local communi-    for necessary funds and resources to
and 86% of British Columbians living in       ties, this set of integrated targets, when   address gaps in achieving a common
urban and suburban areas. Urbanization        localized, can help achieve a commu-         sustainability agenda. In the process of
brings with it the risk of increased con-     nity-wide vision that can be pursued         developing this VLR for the community
centration and severity of many social,       irrespective of policy cycles. Localizing    of Kelowna, close consultation with the
economic and environmental issues. Yet        the SDGs refers to the manner in which       City of Kelowna, as well as regional, pro-
it also offers an enormous potential to       local governments and policy-makers          vincial and federal government agen-
advance sustainable development ob-           adapt, implement, and monitor the            cies, CSOs, academics, and Indigenous
jectives, with international governance       Global Goals at the local level.2 It takes   organizations was required. For details
continuing to recognize cities as central     into account local settings to develop       on the Kelowna VLR methodology, refer
drivers for sustainable development. In       suitable proxy targets, means of imple-      to Appendix G. This project can offer
recent years we have seen local govern-       mentation, and appropriate indicators,       examples to other Canadian cities and
ments and municipalities increasingly         to identify and measure how local and        regions seeking ways to participate in,
focusing on creating healthy commu-           regional governments, universities, civil    and help the world to achieve the global
nities, encouraging resource efficiency,      society organizations (CSO) and private      agenda.

Figure 1: UN Sustainable Development Goals

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                      10
Kelowna as viewed from Knox Mountain
Photo Credits: Amanda Schauerte

POPULATION & DEMOGRAPHICS                 Disaggregated demographic informa-           income level, and race to support evi-
                                          tion is key to understanding the nature      dence-based, equitable policy solutions.
The population and demographic            of Kelowna’s population including age
patterns in Kelowna are an important      ranges, income levels, and race. Those       While Kelowna’s population is projected
factor when localizing and aligning the   who are most vulnerable and most             to grow 23% by 2030 as compared to
SDGs. Urbanization is a continuously      affected by certain policies and pro-        2015 (refer to Table 1), the most sig-
increasing trend across the Province      grams are largely driven by systemic         nificant growth will be occurring in the
of B.C. and cities including Kelowna      differences in how various age groups,       20-39 and 65+ age groups as shown in
are subject to encounter the issues       class and races are treated. In order to     Table 2. Age demographics are import-
associated with this trend, including     effectively meet communities’ needs,         ant to identify and project when eval-
restrained economic resources, higher     cities must understand the makeup            uating progress towards achieving the
cost of living and the varying needs of   of the communities they are trying to        SDGs. The growth in aging populations
a changing population. It is impera-      help and prioritize equity in policy and     tied with varying socioeconomic and
tive that demographic patterns of the     services that reflect the needs of the       racial factors highlight the importance
population are identified to set up the   different groups. The Chief Public Health    of collecting demographic information
community for success when handling       Officer (CPHO) of Canada states “while       to understand the varying needs of the
future challenges and to a leader in      the COVID-19 pandemic affects us all,        population and offer a myriad of solu-
sustainable development. Actual and       the health impacts have been worse           tions to address these specific needs.
projected population for Kelowna and      for seniors, essential workers, racialized   There are other marginalized and vul-
Kelowna CMA is outlined in Table 1.       populations, people living with disabil-     nerable groups (e.g. disabled bodies or
                                          ities and women”.5 Yet there remain          members of 2SLGBTQQIA) who may not
Table 1 - Actual and Projected Popula-    large gaps in the collection of racial and   be explicitly factored into data collec-
tion for Kelowna and Kelowna CMA3 4       ethnic data in Canada.6 It is impossible     tion but may still face different experi-
                                          to eliminate systematic economic, social     ences from both the issue and solution
                                          and health issues without a full picture     standpoint. The data gaps must be
              2015           2030         of who is impacted and how. The pan-         considered to shed light on the impacts
              (actual)     (projected)
                                          demic, Black Lives Matter movement,          faced by all citizens and to ensure no
 Kelowna     128,769        157,468       and climate crisis all point to underlying   one is left behind when implementing
 Kelowna     197,759        242,259       social inequalities that require, at a       the SDGs in Kelowna.
   CMA                                    very minimum, the breakdown of data
                                          at the community scale based on age,

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                 11
Table 2: Projected age distribution data      comprised of nutrient and mineral-rich       Country; Indian Reserve communities,
for the City of Kelowna 7                     soils; the bedrock of the Okanagan           including Duck Lake 7, Tsinstikeptum 10
                                              Valley’s crucial agricultural economy.       and Tsinstikeptum 9; and two regional
   Age                                        The Okanagan Valley is the second-most       electoral districts within the Central
             2010       2020       2030       important agricultural region in British     Okanagan. Kelowna’s VLR indicators are
 Bracket
                                              Columbia, with the majority of BC’s fruit    limited to the data available at the city
   0-19       20%       18.2%      16.6%
                                              trees being grown in the Valley. The first   level (Kelowna, City; CSD) or regionally
  20-39      25.1%      25.8%      26.3%      apple trees were planted in Kelowna in       (Central Okanagan, Region; Kelowna
  40-64      33.9%      32.7%      31.5%      1862.8 By the 1930s, irrigation systems      CMA) to ensure statistical relevance and
   65+        21%       23.3%      25.6%      transformed this semi-desert into a          to reflect accurate trends.
                                              premier fruit-growing location. Today,
                                              grapes grown in the valley support both      The First Peoples of the Central Okana-
GEOGRAPHY                                     local and coastal wineries, and the re-      gan district are the Syilx/Okanagan.
                                              gion’s thriving wine industry has been a     BCCIC and GECCO, we would like to
                                              major contributor to the area’s growing      acknowledge that this VLR covers the
Kelowna is one of the largest metro-          tourism sector.9                             traditional, ancestral and unceded ter-
politan areas in the province of British                                                   ritories of the Syilx / Okanagan Peoples.
Columbia. The city is located in the          The data to support the indicators out-      The Syilx People of the Okanagan Nation
Okanagan Valley in British Columbia’s         lined in Kelowna’s VLR data is gathered      is made up of seven member commu-
Southern Interior. Much of this region        from two key geographical data sources,      nities North of the Canada/US border:
is forested with dry, open, largely pine      Statistics Canada’s census subdivision       the Okanagan Indian Band, the Osoyoos
forests. Dry grasslands prevail in the        (CSD) and Census Metropolitan Area           Indian Band, the Penticton Indian Band,
arid lower altitudes of the basin, while      (CMA) data. The CSD matches the city’s       the Upper Nicola Band, the Upper and
in the southern Okanagan Valley, the          geographical boundaries, while the CMA       Lower Similkameen Indian Bands, and
climate is dry enough to be classified as     encompasses the surrounding Central          the Westbank First Nation.10 Members
a semi- desert. The city itself lies rough-   Okanagan region. The CMA is multi-           share the same Nsyilxcən language,
ly midway along Okanagan Lake, the            jurisdictional, comprised of the cities,     culture, and customs, with deep con-
largest lake (roughly 120 km by 3.5km)        Kelowna and West Kelowna; the district       nections to the unique land, flora, and
in the Okanagan valley. The valley is         municipalities of Peachland and Lake         fauna of the valley.11

Figure 2: Map of Kelowna and Surrounding Regions in the Province of B.C.

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                     12
through aggressive assimilation policies.

                                                                                            Historical and ongoing policies of colo-
                                                                                            nization and assimilation as well as sys-
                                                                                            temic racism are the root causes for the
                                                                                            current situation that Indigenous Peo-
                                                                                            ples in Canada experience today. The
                                                                                            1876 Indian Act, which is still in effect
                                                                                            today, and the residential school sys-
                                                                                            tem, ending only in 1996, are examples
                                                                                            of some of the most damaging elements
                                                                                            of Canada’s colonial history. Designed
                                                                                            to ‘re-educate’ Indigenous children,
                                                                                            Canada forcibly removed children from
                                                                                            their families and forbade them from
                                                                                            acknowledging their heritage, language
                                                                                            and culture. In 2015, The Truth and Rec-
                                                                                            onciliation Commission concluded these
                                                                                            policies amounted to a cultural geno-
                                                                                            cide. The physical and mental trauma
                                                                                            experienced by residential school sur-
                                                                                            vivors continue to reverberate through
The sacred spirit of Lake Okanagan is known as N-ha-ha-itk by the Syilx Peoples             Indigenous communities, having been
but was renamed as Ogopogo in the 1920s by folk singers.
Photo Credits: Amanda Schauerte                                                             passed down.

                                                                                            While the process of this VLR attempts
LEAVE NO ONE BEHIND -                          nation that results in unequal outcomes      to reflect and act on what reconciliation
INDIGENOUS APPROACH                            for disadvantaged populations and to         can look like, there is still significant
                                               take action to help the furthest behind      work to be done. This is not a one-time
This VLR covers the traditional, ances-        first”. 12                                   commitment, but a continuous and and
tral and unceded territories of the Syilx                                                   on-going effort to learn about Indige-
/ Okanagan Peoples. We at BCCIC and            In Canada, considerable disparities in       nous history, challenge stereotypes, and
GECCO, recognize our obligation to             social and economic conditions con-          consult with Indigenous organizations.
redress the current unequal power dy-          tinue to persist between Indigenous          Though no formal partnerships with
namics that emanate from the historical        groups (First Nations, Metis and Inuit)      Indigenous-led organizations were able
and ongoing consequences of colonial-          and the general population.13 In par-        to be established for this VLR, the team
ism, as recorded in Truth and Reconcilia-      ticular, Indigenous Peoples face worse       consulted the local urban Indigenous
tion Commission of Canada’s (TRC) final        health outcomes, a poorer standard of        organization, Ki-Low-Na Friendship
report. We acknowledge that our efforts        housing, less access to adequate food        Society. This VLR also reflects the team’s
to incorporate Indigenous perspective          and higher levels of incarceration than      insight and learnings from the First
and TRC: Calls To Action in this VLR           non-Indigenous Peoples. It is important      Nations Health Authority (FNHA) and BC
process are only a starting point, and         to acknowledge that this has not always      First Nations Justice Council, among oth-
there is still significant work to be done     been the case. Indigenous Peoples            er First Nations programs and initiatives
in order to forge a new relationship           have existed on Turtle Island﹘what is        underway. Through this VLR process it
centred around Indigenous engagement           now understood as North America﹘for          was learned that access to and collec-
and perspectives, and on honour and            centuries before colonial settlers arrived   tion of data on Indigenous Peoples must
respect.                                       in 1491. Existing in great numbers,          be carried out in collaboration with
                                               Indigenous groups spanned from Alaska        Indigenous-led organizations and may
Underpinning the success of the SDGs           down into South America and had their        also require approval from the local
is the commitment to leave no one be-          own economic trade routes, systems of        First Nations Government. Furthermore,
hind. Essentially, if the lives of the poor-   permaculture and agriculture, education      interpretations of this data, including
est and most marginalized segments             systems, sanitation and systems of gov-      issues and impacts affecting Indige-
of society do not improve, the goals           ernance. However, in the centuries after     nous populations, must be made with
will not be achieved. In practice, this        the arrival of European settlers, Indig-     Indigenous Peoples’ and Indigenous-led
commitment translates to “a three-part         enous Peoples were forcibly displaced        organizations. Undoubtedly, there is still
imperative: end absolute poverty in all        from their land, stripped of basic human     much learning to be done.
its forms, to stop group-based discrimi-       rights and dehumanized and devalued

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                       13
Kelowna originates from the word ki?lawna? from the Nsyilxcən language, spoken by the Syilx People, meaning grizzly bear.
Photo Credits: Amanda Schauerte

Partnerships take time, intention,          of the physical, emotional, mental and
dedication and commitment in order to       spiritual realities”.15
build trust. We recommend for future
VLRs in Canada, such partnerships serve     The Journey Home Strategy (Goal 1) and
as the foundation to the report and be      Kelowna Community Action Team (Goal
initiated in the early phases.              3) are examples of where the City of
                                            Kelowna, CSOs and Indigenous groups
In Canada, to achieve the SDGs,             have and continue to work collabora-
recognizing and disrupting the inter-       tively to achieve the SDGs. Throughout
generational trauma experienced by          this report, the team highlights ways the
Indigenous Peoples through holistic and     community is working with Indigenous
multifaceted approaches and programs        organizations to make progress towards
rooted in Indigenous cultures is vital to   the goals, and identifies opportuni-
improving their health and well-being.14    ties for working together through the
The Ki-Low-Na Friendship Society iden-      future. However, there is still much
tifies the medicine wheel (Figure 3) as a   work to be done. Further relationship       Figure 3: An Example of a Medicine
core framework to transforming health       building and collaboration is necessary     Wheel as Provided by Ki-Low-Na Friend-
among Indigenous Peoples, and central       to build on essential work underway.        ship Society
to tackling current social issues such      This VLR recognizes the importance of
as homelessness. Medicine wheels are        traditional Indigenous knowledge in
culture-specific and come in more than      solving the pressing challenges faced
one form, yet they all “represent the       today, and in achieving the SDGs.
alignment and continuous interaction

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                14
NO POVERTY
                                       Local Community Indicators:
                                           • Low Income. Number of persons in low income measure (LIM)
                                           • Chronic Homelessness. Number of persons living in chronic homelessness conditions

SDG 1 aims to end poverty in all its                             KELOWNA TRENDS                                         64 cohort is a broad age range, exhibit-
forms everywhere. At the local level,                                                                                   ing differences in lifestyles, education,
Kelowna’s progress towards achieving                             In 2017, nearly 30,000 people in the                   and work experience. Differentiating the
this global goal lies in collective local                        Kelowna CMA were living in LIM, as                     group into 0-24; 25-64; and 65+ age cat-
action, partnerships and programs                                shown in Figure 1.1. The LIM poverty                   egories would help to better determine
for all persons and families with low                            threshold in Canada is 50% of median                   important characteristics of the cohorts,
incomes, and by alleviating, and                                 income, with the poverty rate defined                  such as financial needs of these unique
eventually eliminating, homelessness                             as the proportion of households living                 categories. Further recommendations
throughout the community. Poverty                                on less than half of the median in-                    for age and demographic breakdowns
is not exclusive to low income and                               come.16 For the Kelowna CMA, the total                 can be found in Appendix A.
homelessness. It is also tied to many                            number of people in LIM increased by
other SDGs, such as food insecurity                              8% from 2013-2017, while the percent-                  Homelessness can be described as,
(Goal 2) and good health and well-                               age of the population within LIM has                   “the situation of an individual, family or
being (Goal 3). Successful measures                              remained relatively the same at 15%                    community without stable, permanent,
and targets for Goal 1: No poverty will,                         for this same period due to population                 appropriate housing, or the immediate
by default, ensure progress is being                             growth.17 The 0-17 years age group has                 prospect, means and ability of acquiring
made in many other SDGs. This report                             fallen by about 14% from 6,910 people                  it…”.18 “Point in Time (PiT) Counts” in
provides data on two local community                             in 2013 to 5,970 in 2017; while the 65+                Canada help identify a minimum num-
indicators for Goal 1:                                           cohort saw nearly an 80% increase,                     ber of individuals experiencing home-
                                                                 from 2,570 to 4,580. Those aged 18-64                  lessness on a given night in a communi-
•     Number of persons in low income                            comprise about 65% of the total num-                   ty. While this provides a snapshot of the
      measure (LIM)                                              ber of low-income individuals, at 19,040               number of people living “on the street”
•     Number of persons living in chronic                        people. This group experienced about a                 and in homelessness situations on that
      homelessness conditions                                    7% increase from 2013 to 2017. The 18-                 day, it often underestimates the severity
                                                                                                                        of the situation by failing to account for
                                                                                                                        the hidden homeless population (e.g.
Figure 1.1: Number of Persons in Low Income (after tax) in all Family Units, By Age                                     people who “couch-surf” with friends,
Groups                                                                                                                  family and acquaintances), and those
                                                                                                                        cycling in and out of homelessness.
                                                0-17 years old           18-64 years old            65+ years old
30,000                                                                                                                  Figure 1.2 illustrates the number of
                  2,570                 3,080                 3,810                 4,080                  4,580        people living in chronic homelessness
25,000
                                                                                                                        conditions (both absolute and tempo-
20,000                                                                                                                  rary situations) according to Kelowna
                                                                                                                        PiT counts, which have shown a 20%
15,000           17,840                18,520                18,800                 18,970                19,040
                                                                                                                        increase from 2016 to 2018. Kelowna’s
10,000
                                                                                                                        Journey Home strategy reveals approx-
                                                                                                                        imately 2,000 people in Kelowna will
 5,000
                  6,910
                                                                                                                        experience homelessness during the
                                        6,690                 6,570                 6,170                  5,970
                                                                                                                        course of a year.19 Furthermore, 26% of
      0
                                                                                                                        the homeless population in 2018 were
                  2013                  2014                  2015                   2016                  2017
                                                                                                                        Indigenous Peoples, though they only
Data level: Kelowna CMA
SourceStatistics Canada. Table 11-10-0018-01 After-tax low income status of tax filers and dependants based on Census
                                                                                                                        comprise 4.4% of Kelowna’s popula-
Family Low Income Measure (CFLIM-AT), by family type and family type composition                                        tion.20 21 For further information on how

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                                                   15
Figure 1.2: Number of persons living in chronic homelessness conditions                         tation; Goal 10 household income; Goal
                                                                                                11 affordable housing). Some programs
800                                                                                             already underway or that could be con-
                                                               Absolute Homeless Count          sidered to assist in reducing poverty in
                                                               Living in Temporary Housing      Kelowna and beyond, include:
600
                                                                    319                         •   Journey Home, a five-year, local
                                                                                                    level strategic plan to address
                          273                                                                       homelessness throughout the
400                                                                                                 community.

                                                                    286
                                                                                                •   A Regional Poverty Reduction Strat-
200                        233                                                                      egy informed by the Central Okana-
                                                                                                    gan Community Wellness Analysis,
                                                                                                    which was prepared in 2020 by the
  -                                                                                                 Central Okanagan Poverty Reduc-
                          2016                                     2018                             tion Committee.
Data level: Kelowna
Source: Central Okanagan Foundation, Point In Time Counts                                       •   Basic Income province-wide study,
                                                                                                    released in January 2021 provides
                                                                                                    65 recommendations for reforming
                                                                                                    B.C.’s income and social support
Canada’s colonial legacy has placed                and other appropriate solutions for              system. The timing of this report
Indigenous populations at a greater risk           those under the LIM poverty level will           prohibited analysis of the suite of
for homelessness throughout Canadian               serve those most vulnerable to home-             recommendations in this VLR, but
cities, as well as potential solutions to          lessness. Disaggregated demographic              offers opportunity for Kelowna to
address this disparity, refer to                   information is critical for the successful       review this important study as part
Appendix B.                                        development of programs and policies             of future projects.
                                                   geared at combating poverty. Elimi-
CHALLENGES AND                                     nating homelessness, and developing          •   Living Wage Canada, which calcu-
COMMUNITY PROGRESS                                 solutions to end poverty will require            lates a living wage across Canada
                                                   the support and implementation of                and offers certification programs for
Those under LIM are at a higher risk of            programs from various levels of gov-             companies to join.
becoming homeless. When you become                 ernment including municipal, provincial
homeless, you lose all sense of security           and federal; CSOs; and industry as it has    For further details on these strategies
and privacy; your life becomes gravely             many intersectional elements that are        and linkages to other goals, refer to
exposed and even criminalized (Goal                linked to many other SDGs (e.g. Goal 2       Appendix A and Appendix B.
16). Targeting prevention techniques               Hunger; Goal 3 Health; Goal 9 Transpor-

Goal 1 Interrelations

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                              16
ZERO HUNGER
                                 Local Community Indicators:
                                     • Active Farmland. Percent land base actively farmed
                                     • Food insecurity. Percent of persons in household who are food insecure (marginal,
                                         moderate, and severe)

Addressing the goal of zero hunger is            •    Percent land base actively farmed     reduction. Identifying Kelowna’s farmed
tied to ensuring healthy and sustainable         •    Percent of persons in households      land by crop type can further help to
food for all, through strategies to                   who are food insecure (marginal,      determine the degree of benefits of
increase food security, reduce hunger                 moderate and severe)                  actively farmed land as well as possible
and support sustainable and local                                                           issues or impacts, such as water
agriculture. Locally, Kelowna’s 2030            KELOWNA TRENDS                              contamination from livestock and/
Official Community Plan defines food                                                        or pesticide use (Goal 6). Finally, an
security as “All community residents             Figure 2.1 identifies the percent of       increase in locally produced food can
[having] access to sufficient, safe,             Kelowna’s land base that is actively       offer residents greater access to fresh
healthy and culturally acceptable foods          farmed. This has remained relatively       and healthy local products should they
produced in a manner that promotes               consistent (33-35%) since 2012,            have the means to purchase.
health, protects the environment and             however there was a decline in 2018
adds economic and social value to                due to crop switching (e.g. cattle to      Figure 2.2 displays household food
communities”. For the community of               tree farm; apples to grapes). B.C.         insecurity levels in Kelowna’s census
Kelowna, part of ensuring access to              Assessment does not deem land              metropolitan areas from 2007 to 2018.
healthy foods means also ensuring                actively farmed unless farm revenue is     The trend over this time period has not
adequate farmland, and promoting                 being generated.22 Once these recent       changed much and indicates that over
local food production and purchase.              crop transitions are complete and          10% — more than 15,300 individuals
From an Indigenous perspective,                  the farms begin generating revenue         in 2017/18 — struggle to afford a basic
access to foods means access to lands            again, Kelowna’s “actively” farmed         healthy diet.
to practice harvesting in traditional            land indicator should rise. Benefits of
ways. These are important strategies             active farmland include reducing heat      CHALLENGES AND
to address zero hunger. This report              island effect; flood control; and carbon   COMMUNITY PROGRESS
provides data on two local community
indicators for Goal 2:
                                                                                            Food insecurity impacts the physical
                                                                                            and mental health and well-being of
Figure 2.1: Percent Land Base Actively Farmed                                               families and individuals (Goal 3). For
40%                                                                                         further details on the impacts and
                                                                                            costs to the healthcare system as well
35%                                                                                         as mental health outcomes related to
                                                                                            food insecurity, refer to Appendix C. The
30%                                                                                         root cause of household food insecurity
                                                                                            is often an issue of inadequate
25%                                                                                         income, especially given rising costs of
                                                                                            housing, alongside limited supply of
20%                                                                                         affordable housing (Goal 11). Policies
                                                                                            and programs focused on improving
15%                                                                                         household incomes (Goal 10) will assist
                                                                                            in reducing food insecurity levels.
10%                                                                                         Finally, although the food insecurity
            2012          2013      2014       2015       2016       2017        2018       indicator used for this report does not
Data level: Kelowna
                                                                                            account for Indigenous Peoples on
Source: City of Kelowna                                                                     reserve communities, or reflect food

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                      17
Figure 2.2: Household Food Insecurity                                                                                        security from an Indigenous perspec-
                                                                                                                             tive, such data is available through
    50%
                                                                                                                             FNHA’s First Nations Regional Health
    40%                                                                                                                      Survey.† Obtaining this data requires
                                                                                                                             developing partnerships with local and
    30%
                                                                                                                             neighbouring Nations, which can in
    20%                                                                                                                      turn help provide a community-wide
                                                                                                                             approach towards evaluating and
    10%                                                                                                                      monitoring food security in Kelowna.
                                                                                                                             Appendix C includes a discussion on the
    0%
                                                                                                                             importance and value of Indigenous
                 2007-2008                  2011-2012                    2015-2016                   2017-2018
                                                                                                                             Peoples’ traditional food and possible
Data level: Kelowna CMA                                                                                                      solutions to overcome barriers to access
Source: PROOF (2014), PROOF (2017/2018) and Statistics Canada, Canadian Community Health Survey                              such foods in settler society (Canadian)
Note 1: For the years 2007-2008 and 2011-2012, use with caution (coefficient of variation 16.6% to 33.3%).
Note 2: People living in Aboriginal settlements and full-time members of the Canadian Forces are excluded from the survey.   systems such as food banks.

Goal 2 Interrelations

†         First Nations Health Authority About Us available at https://www.fnha.ca/Documents/FNoteNHA_AboutUS.pdf. Note: The FNHA is part of a
          unique health governance structure that includes political representation and advocacy through the First Nations Health Council, and technical
          support and capacity development through the First Nations Health Directors Association. The First Nations health governing structure works
          in partnership with BC First Nations to achieve a shared vision.

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                                                      18
GOOD HEALTH AND WELL-BEING
                                      Local Community Indicators:
                                          • Chronic Diseases. Mortality rate attributed to cardiovascular disease, diabetes, and chronic
                                              lower respiratory diseases
                                          • Illicit Drugs. Illicit drug mortality rate per 100,000 population
                                          • Suicide Rates. Illicit suicide mortality rate per 100,000 population

Goal 3 aims to ensure healthy lifestyles                       Mental Health                                           CHALLENGES AND
and well-being for everyone at all                                                                                     COMMUNITY PROGRESS
ages through preventative measures                             •      Illicit drug mortality rate per
to avoid illness and disease, and                                     100,000 population                               Understanding these complexities,
provide modern, efficient healthcare                           •      Illicit suicide mortality rate per               as well as lifestyles and preventative
for everyone. Maintaining good health                                 100,00 population                                measures tied to socioeconomic
and well-being must factor in both                                                                                     status, are important considerations
physical and mental health — and                               PHYSICAL HEALTH                                         when addressing chronic disease and
from an Indigenous perspective, FNHA                                                                                   mortality rates, and in measuring
well-being also includes healthy spirit,                                                                               health and well-being throughout
heart, mind and body. As the world                             KELOWNA TRENDS
                                                                                                                       the community. The BC Centre for
continues to face the COVID-19 global                                                                                  Disease Control will be releasing a
health crisis, the need for whole mind                         Of the three chronic conditions
                                                                                                                       finalized “Healthy Social Environments
and body well-being is becoming                                illustrated in Figure 3.1 cardiovascular
                                                                                                                       Framework” in early 2021, which
more evident. For Kelowna, progress                            disease yields the highest mortality
                                                                                                                       provides a health-based framework
towards achieving good health and                              rate in both Kelowna and B.C. All three
                                                                                                                       towards supporting socially
well-being, especially in context of an                        diseases exhibit lower mortality rates
                                                                                                                       connected and resilient communities.
aging population, is measured by three                         in Kelowna as compared to rates in the
                                                                                                                       Socioeconomic determinants influence
physical and mental health indicators:                         Province. Attributing mortality rates
                                                                                                                       chronic disease rates, including food
                                                               to chronic conditions is complex and
                                                                                                                       insecurity, limited access to health
Physical Health                                                challenging. For instance, diabetes
                                                                                                                       services, reduced employment
                                                               mortality rates, although the lowest
                                                                                                                       opportunities (Goal 8), and lower
•        Mortality rate attributed to                          of the three chronic diseases, may be
                                                                                                                       incomes (Goals 1 and 10). People who
         cardiovascular disease, diabetes,                     underreported as the main cause of
                                                                                                                       suffer from household food insecurity
         and chronic lower respiratory                         death as complications can lead to
                                                                                                                       have higher rates of chronic diseases,
         diseases                                              cardiovascular and kidney disease.
                                                                                                                       including heart disease, diabetes and
                                                                                                                       cancer when compared to food secure/
Figure 3.1: Mortality Rate Attributed to Diabetes, Cardiovascular Diseases and                                         higher income earners (see Goal 2 and
Chronic Lower Respiratory Diseases                                                                                     Appendix C). The 2020 health crisis
                                                                                                                       from COVID-19 has further highlighted
 160
                                                                                                                       the gravity of socioeconomic inequities
                                                                   155.5               Kelowna      Province of B.C.
 140                                                                                                                   in relation to higher rates of chronic
 120
                                                     137.6                                                             disease, including higher risks of
                                                                                                                       COVID-19 related complications
 100                                                                                                                   and mortality.23 Understanding and
    80                                                                                                                 analyzing demographic data to account
                                                                                                                       for socioeconomic determinants and
    60                                                                                                                 inequities as they relate to chronic
    40                                                                                                                 disease is essential in determining
                             33.41                                                                   33.18
                                                                                                                       preventative measures, supporting
    20
                 25.52                                                                   25.99                         healthy lifestyles and managing modern
    0                                                                                                                  healthcare systems to enhance physical
                     Diabetes                    Cardiovascular Diseases           Chronic Lower Respiratory           and mental health and well-being
                                                                                            Diseases                   for all. More information about First
Data level: Kelowna
Source: Interior Health, Data to Support Sustainability Development Indicator Report for the City of Kelowna           Nations social determinants and health
Note: Due to low counts, the age standardized rates provided are for the aggregated time period of 2013-2017.          can be found in the memorandum

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                                                19
of understanding (MOU): Tripartite                   KELOWNA TRENDS                              in Figure 3.3, suicides in the Central
Partnership To Improve Mental Health                                                             Okanagan have remained relatively
and Wellness Services and Achieve                    With the sharp increases in drug related    consistent from 2013 to 2017, except
Progress on the Determinants of Health               overdose deaths (Figure 3.2) — most         for an unexplained hike in 2016 (also
and Wellness established by the First                of which are linked to fentanyl (a toxic    observed in illicit drug mortality rates,
Nations Health Council, the Province of              synthetic opioid) — an ongoing public       Figure 3.2).
British Columbia and the Government                  state of emergency has been declared
of Canada, with First Nations Health                 by B.C.’s Provincial Health Officer since   CHALLENGES AND
Authority as a supporter.24 Although                 2016. Additionally, between 2017-2020,      COMMUNITY PROGRESS
not analyzed in this report, it is                   more than 80% of illicit drug deaths in
recommended that Kelowna review                      B.C. had fentanyl detected.26 Even more     Acting on illicit drug mortality rates
this MOU as a foundation to future                   concerning is the higher rate of illicit    requires a greater understanding of
health and wellness projects and                     drug mortality in Kelowna compared          mental health and substance use
programs. Finally, mortality indicators              to the Province of B.C. This disparity      disorders. Stigma and discrimination
aren’t necessarily the most effective                should be further investigated to           from the general public as well as
measure of wellness for communities in               identify and improve understanding of       amongst first responders, health
Canada. Future reporting may wish to                 contributing factors. Since the COVID-19    care professionals and government
include and evaluate other measures of               pandemic began, data from BC Centre         representatives create barriers, often
wellness.                                            for Disease Control and FNHA indicate       preventing people who use drugs and/
                                                     B.C. has experienced yet another surge      or who have substance use disorders
MENTAL HEALTH                                        in illicit drug deaths, due to increased    from accessing the support and
                                                     drug toxicity and more people using         treatment they need.29 Many people
Like chronic disease rates, poverty                  alone due to physical distancing and        view drug use as a “choice”, believing it
(Goal 1), and food insecurity (Goal 2)               stay-at-home measures.27 28                 is only used among people with flawed
can also contribute to poor mental                                                               character and/or those who lack self-
health outcomes. Studies show anxiety,               In B.C., suicide continues to be one        control, which is not only inaccurate,
major depression and suicidal thoughts               of the leading causes of death for          but also extremely damaging.
increase as food insecurity increases (as            young people. Since 2013, for reasons       Many Canadians use some form of
shown in Figure C.1 in Appendix C). In               unknown, the Central Okanagan               psychoactive substances, including
Canada, over 90% of people who took                  has had higher rates of suicide than        prescription and nonprescription
their own life were suffering from a                 the province. Investigation into this       “drugs” and some end up suffering
mental health problem or illness.25                  difference is recommended. As shown         from addiction due to reliance on them
                                                                                                 for treatment of chronic physical and/
                                                                                                 or mental pain, loss of or uncertain
Figure 3.2: Illicit Drug Mortality Rate per 100,000 Population                                   employment, exposure to abuse and
                                                                                                 trauma, and other stressful events.30
 50
                                                                                                 Further, it has been found that in B.C.,
                                                    Central Okanagan          Province of B.C.   Indigenous Peoples suffer higher rates
                                                                                                 of drug addiction due to multiple
 40                                                                                              issues such as food insecurity (Goal 2),
                                                                                                 poverty (Goal 1), poor access to housing
                                                                                                 (Goal 11), and systemic racism, further
 30                                                                                              amplifying the stigmatization of drug
                                                                                                 use.31 32 A recent study in B.C. indicates
                                                                                                 negative stereotypes of Indigenous
 20
                                                                                                 Peoples are pervasive in the healthcare
                                                                                                 system; this racism negatively affects
 10                                                                                              an individual’s health and well-being
                                                                                                 and limits access to proper medical
                                                                                                 treatment: “all forms of racism
  0                                                                                              experienced by Indigenous Peoples
             2013                 2014              2015               2016            2017      leads to avoidance of care in large
 Data level: Central Okanangan (Local Heath Area)                                                part because Indigenous Peoples seek
 Source: BC Coroners Service                                                                     to avoid being stereotyped, profiled,
                                                                                                 belittled and exposed to prejudice.”33

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                             20
Figure 3.3: Suicide Rate per 100,000 Population                                                        of specially trained police officer and a
25                                                                                                     mental health nurse to work together
                                                    Central Okanagan          Province of B.C.         to apply non-violent de-escalation
                                                                                                       techniques to assist the person in
20
                                                                                                       distress, while potentially reducing
                                                                                                       trauma experienced by the person in
15                                                                                                     crisis and the person responding to the
                                                                                                       crisis.
10
                                                                                                       To effectively address the structural
                                                                                                       factors that give rise to illicit drug use
    5                                                                                                  and suicide, programs and services
                                                                                                       aimed towards ending poverty (Goal
    0                                                                                                  1), zero hunger (Goal 2), reducing
             2013                 2014              2015               2016             2017
                                                                                                       inequalities (Goal 10); and improving
                                                                                                       physical and mental health are a key
 Data level: Central Okanangan (Local Heath Area)
 Source: BC Coroners Service
                                                                                                       priority. Alongside such programs
                                                                                                       and services, greater attention needs
As reducing illicit drug mortality                         •   First Nations Health Authority is       to be given the complexities and
requires multifaceted solutions around                         implementing culturally relevant        stigmatizations of illicit drug use and
harm reduction, the community has                              programs such as land-based             suicide. Stigma, discrimination and
been creative in developing programs                           healing services.                       racism need to be addressed so those
and less stigmatizing and more                                                                         that require health care services are
accessible means of dispensing harm                        Stigmatization also influences the          provided supportive preventative
reduction kits and safe supply, such as:                   complexities around emergency               measures, and the respect and
                                                           response to those in crisis. First          treatment they deserve. The TRC
•       The creation of Kelowna                            responders such as police and               Calls to Actions 18-24 focus on closing
        Community Action Team (CAT); a                     paramedics play a vital role in suicide     the gap in health outcomes between
        knowledge hub, actively developing                 prevention — especially when                Indigenous and non-Indigenous Peoples
        strategies for Kelowna and the                     responding to mental health calls           in areas such as chronic diseases,
        surrounding region, to take action                 — but can also be at higher risk of         suicide, and mental health. Continued
        on the overdose crisis. Kelowna                    suicide due to the exposure of trauma       efforts amongst local, provincial and
        CAT is made up of people with                      experienced in their work. Kelowna’s        federal governments, working with First
        lived and living experiences,                      Police and Crisis Team (PACT) seeks to      Nations and CSOs on the collection,
        and representatives from law                       connect those in crisis with the services   use of data, information and resources
        enforcement, health authorities,                   they need as well as reduce stigmas         (including demographic information,
        local governments, Indigenous                      associated with both those in crisis and    on gender, age, race, etc. that
        organizations and CSOs among                       those responding to the crisis. Formed      respects privacy) will be critical to the
        others.                                            in 2017, this partnership between IH        development of successful policy and
•       Interior Health (IH) and numerous                  and Kelowna RCMP supports a team            programs for Goal 3.
        CSOs throughout Kelowna,
        such as The Bridge and Urban
        Health Centre, are working to                      Goal 3 Interrelations
        distribute naloxone kits, which
        can quickly reverse the effects of
        an overdose from opioids (e.g.
        heroin, methadone, fentanyl and
        morphine).
•       Providing readily accessible and
        free vending machine delivery of
        harm reduction supplies.
•       For those with severe substance
        use disorder, an effective treatment
        option, injectable Opioid Agonist
        Treatment (iOAT), is being
        administered at an IH centre in
        downtown Kelowna.

GLOBAL GOALS, LOCAL ACTION: KELOWNA’S VOLUNTARY LOCAL REVIEW                                                                                   21
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