SUMMER MEALS - LET'S EAT OUTSIDE! - COVID-19 VACCINES FAQ PLANNING AHEAD FOR RETIREMENT
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
inside: five-year anniversary of the drug poisoning crisis | primary care networks explained | research live your healthiest life COVID-19 VACCINES FAQ PLANNING AHEAD FOR RETIREMENT SUMMER MEALS – LET’S EAT OUTSIDE! Free Publication Summer 2021 Issue
island health has staff in over 150 facilities caring for your health and wellness needs—everything from acute care, seniors care and mental health and substance use to environmental services, food services and daycare licensing. To find contact information for our various MESSAGE FROM THE programs and services, visit islandhealth.ca. con tact us FOLLOW US facebook.com/vanislandhealth twitter.com/vanislandhealth flickr.com/photos/islandhealth youtube.com/vanislandhealth @vanislandhealth A shadow has clouded our nation and school to Indian Hospitals – including across the province with the roll out we are filled with sadness with the the Nanaimo Indian Hospital, where of BC’s Restart Plan. In this edition of instagram.com/vanislandhealth/ discovery of the remains of 215 chil- the systemic racism and abuse contin- Island Health Magazine, you will find dren on the grounds of a Kamloops ued. For them, the two experiences information about vaccination against residential school. These institutions are the same. COVID-19. It’s important all those are the lived experience of Indigenous eligible for a vaccine register by visiting CONTACT US people. For non-Indigenous Canadians, In Island Health, we recognize access- getvaccinated.gov.bc.ca or calling 1-833- ing care in an institution has not been Island Health Magazine it is time to be aware and understand the 838-2323. Please see the article on page 6 a safe experience for Indigenous peo- — magazine@viha.ca dark mark of residential schools and the for more information. We are one step ple. It is an experience layered with the individual and systemic changes neces- closer to the end of this pandemic because feelings and encounters of discrimina- General Enquiries sary across all institutions. In this region, of the care you have taken to keep each tion and judgment and continues to — 250.370.8699 (toll-free 1.877.370.8699) there were five residential schools: contribute to poor health outcomes. other and our health system safe. — info@viha.ca — Alberni Indian Residential I hope each of you is able to enjoy I know I speak for our Island Health Compliments or Complaints School – Port Alberni (1917 – 1973) summer in our beautiful region – and family when I say we are committed — Ahousaht Indian Residential while you are taking in the activities — 250.370.8323 (toll-free 1.877.977.5797) to working in partnership with School – Ahousaht (1901 – 1950) and stunning surroundings we are so — patientcarequalityoffice@viha.ca — Christie Residential School – Indigenous patients, clients and blessed to live in, join me in offering communities to build a culturally Meares Island (1900 – 1983) gratitude to the Coast Salish, Nuu- safe health care system. When we — Kuper Island Indian Residential Chah-Nulth and Kwakwaka’wkaw acknowledge culture and honour each School – Penelakut Island cultural families, whose relationship HEALTHLINK BC other, we strengthen relationships. (1890 – 1975) with these lands remains unbroken. Contact HealthLink BC for health information on — St Michaels Residential Despite the dark shadow cast by this With heartfelt good wishes, over 5,000 topics. School – Alert Bay (1929 – 1975). gruesome discovery and the challenges we have experienced as we have grappled — Dial 8.1.1 or visit healthlinkbc.ca Many elders have shared stories with COVID-19 over the past many about going directly from residential Kathy MacNeil. Island Health celebrates Nursing Week 2021 months, there is a glimmer of hope #IslandHealthMag summer 2021 3
CONTRIBUTORS Shawna Cadieux is a Communications Andrea Zeelie-Varga works in Island Shannon Marshall acknowledges with Advisor with Island Health’s Communications, Health’s Research Department to respect the privilege to live in the unceded Partnerships and Primary Care Strategy team. enhance education, engagement, and territory of the Coast Salish people. She is of Shawna has a background in broadcast funding opportunities across the region. Indigenous descent through Mother’s lineage journalism and communications. She and Andrea is grateful to live, work, and with ancestral connections to the Leidhl’I her family – her husband, two teens and learn in Coast Salish territory. Tenneh. Shannon is a retired Communications spoiled Goldendoodle – are honoured to live, professional; she now provides consulting 10 16 22 work and play on the traditional and unceded services, most recently working on the men’s territory of the Cowichan Tribes people. harm reduction campaign. FROM THE EDITOR There is a lot going on in our world and this issue of Island Health magazine covers a wide range of topics. 6 COVID-19 VACCINES 14 HEARTFELT WORDS 24 PRIMARY CARE First, in her column Island Health CEO Kathy MacNeil acknowledges the devastating EXPLAINER From two of Island Health’s NETWORKS EXPLAINED discovery of the remains of 215 children on the grounds of the Kamloops residential Dispelling concerns about Harm Reduction team members. Bringing care resources and school and reiterates Island Health’s commitment to building a culturally safe COVID-19 vaccines. strengthening support to our region. 16 IT’S SUMMER – LET’S health care system. 10 THE DRUG-POISONING EAT OUTSIDE! 26 PLANNING FOR CRISIS Tips and recipes for outdoor dining. RETIREMENT This issue includes an extensive feature on the drug poisoning crisis in our region At the five-year anniversary, Thinking about more than finances along with a summary of some of the priority projects taking place as part of an in-depth look at the crisis 22 HOT FUN IN when looking ahead to retirement. Island Health’s overdose response initiative. Included in this feature are heartfelt and some of the projects THE SUMMERTIME messages shared by two members of Island Health’s Harm Reduction team—you taking place as part of Island Having fun at home. 31 ISLAND HEALTH can’t read their words and not be moved. Health’s response. RESEARCH Contact Identification— We also address a number of concerns raised about COVID-19 vaccines. We hope keeping patients and staff safe. that this information will answer any questions and encourage those who have not received their first vaccination to register today and get vaccinated. With great respect and humility, Island Health acknowledges the Coast Salish, Nuu-Chah-Nulth and Kwakwaka’wkaw cultural families; Susan Evans whose relationship with these lands remains unbroken; whose homelands Island Health occupies. In making this acknowledgement, I enjoyed writing the article on planning for retirement and the opportunity to Editor, Island Health magazine we commit to walk softly on this land and work to uphold self determination of the health of Indigenous peoples. interview a number of people who have already joined the ranks of the retired— magazine@viha.ca something I am considering myself. Island Health magazine is an award winning free publication, produced in-house by Island Health’s Communications and Public Relations Department. EDITOR Susan Evans. PRINT Mitchell Press. No part of this publication may be reproduced without the written consent of Island Health. The information On a much lighter note, we also cover summer food and fun—there is much in this magazine is not meant to be a substitute for professional medical advice. Always seek the advice of your physician or a qualified health professional to look forward to in coming months and I wish you and your family a safe before starting any new treatment. We welcome all feedback about Island Health magazine at: magazine@viha.ca. and happy summer. 4 Island Health magazine #IslandHealthMag summer 2021 5
public health “I got vaccinated because last season my hockey team only played five games and no one from my family was allowed to watch. If everyone gets the shot we can have a full and fun season next year.” — Jake, 15, Saanich – Hockey Player “I got vaccinated because my dad is 97 years old, and I want to be able to visit with him safely.” — Nic, no age given, Victoria – Paramedic COVID-19 VACCINES “The COVID vaccines are what we were WHAT’S HOLDING YOU BACK? CONCERN: The vaccines are too new. I public-health/services/video/vac- waiting for and we have the data to show It isn’t fair to jump to the conclusion that think I will wait and see how this goes for cine-safety and read more about that they are effective,” said Dr. Richard someone is an “anti-vaxxer” if they don’t others before getting the vaccine myself. adverse events and side effects here: ARE EFFECTIVE Stanwick, Chief Medical Health Officer. immediately get in line for a vaccine. Most https://health-infobase.canada.ca/ FACTS: In Canada, before any vaccine “I encourage everyone to get registered often, their decision has nothing to do covid-19/vaccine-safety/. is approved for use, all clinical data is and get vaccinated as soon as you can. with a distrust in science or data. Below reviewed and then rigorous independent CONCERN: I’m worried about the side Our progress in Island Health is good, we’ll look at some key reasons why people testing is completed to make sure it is effects – I can’t take time off work. but we have a fair way to go to get may decide to wait or bypass the vaccine, safe and effective. By the time a vaccine people fully vaccinated.” and we offer some factual information to FACTS: Like any medication or supple- reaches the public, a safety profile for When the World Health Organization was to follow recommended protective support encouraging conversations. ment, vaccines can cause side effects and BC’s vaccination effort kicked off in common adverse events (i.e. vaccination declared the COVID-19 pandemic on measures to keep ourselves, our fami- reactions. After being vaccinated, it’s earnest in early 2021, targeting key CONCERN: If the majority of people site reactions or mild symptoms) is well March 12, 2020, people around the lies and communities safe. common and normal to have temporary priority populations before moving into are getting vaccinated, then I don’t known and shared with each individual. globe knew very little about the virus. side effects. These usually last from a few Over the past 16 months, the health the general population in April. By the have to worry about it. The vaccine is then continually monitored We wanted to know exactly how it hours to a few days. This is natural and and safety mandates and recommenda- first week in June, 70 percent of eligi- by health agencies and regulators to was transmitted, how it attacked the FACTS: While it is important to look means the body is working hard to build tions have evolved as we learned more ble Island Health residents (aged 12 report and track any medical occurrences body, who was most susceptible, and at our vaccination numbers right across immunity against the disease. Most side about COVID-19 and experience showed and older) had been vaccinated with that are severe or unexpected. Of the what impacts it would have on our Island Health, vaccination rates in effects don’t disrupt daily activities and us what works and what doesn’t. Without one dose, and 5.5 percent were fully 23 million doses of COVID vaccine communities and our lives. What was communities really matter. Lower levels you can take medicine to help with any a vaccine or an effective treatment, these vaccinated. While these numbers show administered in Canada by the end becoming very clear, through daily of vaccine uptake in specific geographic pain or feelings of sickness. Known safety measures were all that we had. And that we’re well on our way – and there of May 2021, 0.006% reported serious announcements from health officials regions can lead to pockets of resur- symptoms can include: then, with the introduction of approved is increasing optimism that widespread adverse events following immunization, and media reports, was how fast the gence. Not getting the COVID vaccine — Pain, redness or swelling COVID-19 vaccines in late December and lasting immunity can be achieved which makes it clear that the risks of virus was spreading and how critical it puts the individual at risk, and it puts at the injection site 2020, the path forward shifted. through COVID-19 vaccination – not all getting COVID disease far outweigh people who can’t get the vaccine or who — Tiredness communities have high vaccination rates. any risks of the COVID vaccine. Watch don’t have a strong immune response — Flu-like symptoms (i.e. chills, joint pain, Health Canada’s video about vaccine to the vaccine at risk for the disease. headache, mild fever, muscle aches) safety here: www.canada.ca/en/ 6 Island Health magazine #IslandHealthMag summer 2021 7
who do get COVID-19 after vaccination, maintain all safety measures until your their likelihood of becoming very sick or body has had time to produce immunity. dying is also extremely low. Consider the CONCERN: I am afraid of needles. first dose a primer for your immune system and the second dose as the TIPS: Don’t let a fear of needles stop you long-lasting barrier of protection. from getting protection from COVID. Together they will protect you and Speak with any of the clinic staff at your your community from COVID-19. scheduled appointment to let them know you have anxiety around needles. This CONCERN: Will I get COVID from the is a common fear and our experienced COVID vaccine? teams have strategies to support you “I chose to get FACTS: None of the approved vaccines and make your experience better. It can vaccinated because contain the live virus that causes help to stay hydrated and eat before your I want to help my COVID-19. This means that a COVID- appointment. You can numb an upper 19 vaccine cannot make you sick with arm (needle site) with some over-the- community.” COVID-19. It takes a few weeks for the counter lidocaine cream to eliminate “I got vaccinated — Harmony, 38, body to build immunity after vaccination, pain. You can distract yourself by looking to keep my baby Duncan – Law Student so it is possible that you could be infected around the room or humming your daughter safe.” with the COVID-19 virus just before or favorite song. Tensing your muscles — Kelly, 36, Cowichan – Teacher just after vaccination and still get sick. can also help to raise your blood pres- This is why it is important that you sure and counteract feeling lightheaded. For more information about the COVID-19 vaccines, visit www.immunizebc.ca/covid-19-vaccine-frequently-asked-questions. “I registered for my vaccine because I want to travel and work on some exciting If you or someone in your care experiences and trends and are working on strategies video projects overseas. I also have family members that I want to hug again.” any unusual symptoms after vaccination, to better reach people in communities — Mark, 33, Comox – Professional Mtn. Biker call your doctor or nurse practitioner, where better access is required. HealthlinkBC at 811, or a local health Please know that the process to regis- unit to report it and seek advice. ter is very easy. You can register online If you are concerned about needing time at www.getvaccinated.gov.bc.ca or by away from work due to side-effects, try to phone at 1-833-838-2323 (7am-7pm). schedule your appointment before your Translators are available and/or you can regular days off so that you have a few days dial 7-1-1 for the deaf or hard of hear- to adjust. It is also important to consider ing. At our clinics, we are scheduling that the side effects of the vaccine are far people at intervals to maintain physical less severe than symptoms of virus, and distancing and appointments generally will result in much less time off work. run 20 minutes from start to finish. CONCERN: I can’t get to an immuniza- CONCERN: If we get good coverage “I’ve been vaccinated tion site easily and the process is from the first dose, why do I need to inconvenient for me. get the second dose? so that I can hug FACTS: These are very valid concerns FACTS: After the first dose, antibody my friends and for many. Island Health has delivered levels (immunity) will go down over family again as vaccines at mass immunization sites, time. The second dose (booster) will soon as possible.” in whole communities, in care and give the highest-level of protection for correctional facilities, in easy-access a much longer period. Canada’s sur- — Shannon, 40, Cowichan – Massage Therapist sites for targeted populations and in veillance data continues to indicate the homes of people who are home- very low rates of COVID-19 infection bound. We continue to monitor stats following full vaccination. For those 8 Island Health magazine #IslandHealthMag summer 2021 9
public health REACHING THOSE PARTNERSHIP WITH VANCOUVER ISLAND WHO USE ALONE CONSTRUCTION ASSOCIATION Last year, an average of six people died In 2020, 263 people died from toxic drug Across North America, workers in the “The stakeholder engagement included every single week in Island Health from poisoning in Island Health. The major- construction and transport industries are 21 one-on-one interviews with mem- poisoned drugs, giving 2020 the dubi- ity of those people were male, aged over-represented among those who lose bers of the construction industry on ous distinction of being the worst year 30–59 years, who died alone in a private their lives to overdose. In recognition of Vancouver Island, the vast majority of in history for lives lost to drug poison- residence and were found to have had this loss and concern for all members of whom have lived/living experience of ing. Sadly, it would appear this year will previous encounters with health care our community, Island Health partnered substance use,” said Emily Percival- see even greater numbers as we mourn resources. The “Using Alone” project with the Vancouver Island Construction Paterson, VICA’s Harm Reduction the loss of 72 people in Island Health sought input through interviews and Association (VICA) to develop resources Project Manager. “Many of the inter- during the first three months of 2021. an online survey from a number of and education material for employees and views were emotional and included sources across the health care system, employers in trades and affiliated pro- incredible stories of resilience and often The crisis is the result of an unpredict- including people with lived and living fessions, such as aquaculture or logging. honoured someone who has been lost.” able, highly toxic drug supply, and it experience of drug use as well as care continues to have a staggering impact VICA undertook a stakeholder Percival-Paterson went on to say that after and service providers. Findings indi- on individuals, families and communi- engagement campaign that led to the years in activist roles, they have seen too cated the following opportunities for ties across the province. development of a “Tailgate Toolkit” that many projects and programs get created better reaching people who use alone: will feature four components: Toolbox without input from the people they are While the origins of the epidemic are education and training to the entire Talks for onsite introductory conversa- aiming to serve. “We refused to do that complex, there has been an awareness workforce, including outside of health tions around substance use, mental here. I’m really proud of and extremely switch over the past several years due to care (e.g., hospitality, construction/ health and harm reduction; a training humbled by the members of the construc- who is affected. Thirty years ago, many trades); access points for services that module for supervisors on mental health tion industry on Vancouver Island who people believed addiction to be a dis- enable clients/people to be anonymous; first aid, naloxone and referral to ser- shared their stories and their ideas with us.” ease of choice. We now know that is normalize asking about drug use along- vices; print and online resources for not the case, and addiction has been side other health questions; resources VICA will now be turning its attention both employees and employers to redefined as a disease of the brain—a and support for family and friends of to building out the toolkit, starting Diving deep increase links to services; and an chronic illness not unlike diabetes or people who use drugs; and prevention the training programs, and getting industry-specific support group. heart disease. and early interventions for youth. the support group up and running. It’s an epidemic fuelled by an aggressive into the drug marketing campaign by big pharma that promoted widespread use of opi- oids to treat pain and minimized the poisoning crisis risk of addiction. Prescription opioids include Oxycontin, Vicodin, Percocet, Demerol, Dilaudid, Codeine and Fentanyl, to name a few. Prescribing by Shannon Marshall practices, though perhaps well inten- tioned, have inadvertently contributed to the crisis as people sought treatment Today—maybe even as you sit reading this article— for pain following an injury or surgery. one person in the Island Health region will die from Island Health continues its efforts toxic drug poisoning. to respond to this public health crisis. Through a series of opioid response It’s been five years since the Provincial Health Officer declared a public initiatives, and through the hard work, health emergency in response to the significant rise in opioid-related drug dedication and compassion of our care poisonings and deaths in BC. Since then, we’ve lost more than 7,500 people providers, key partners and commu- in the province to toxic drug poisonings, and thousands more have felt the nity action teams across the region, the devastating impact in their own lives. Toxic drug poisoning is the leading goal is to build a network of services MULTI-PLATFORM MEDIA CAMPAIGN cause of unnatural death in BC, surpassing the combined total of deaths that will help connect people to treat- Based on data provided by the BC Who Use Alone work, this campaign launched in early May and ran for eight from motor vehicle collisions, suicides and homicides. ment, save lives and end stigma. Coroners Service and information was aimed at men, primarily those weeks in a variety of media including Here’s a summary of some of the priority gleaned from the partnership with who use alone and who may be radio, social media, streaming platforms projects taking place as part of Island the Vancouver Island Construction employed in trades/transport and and display ads in transit shelters. Health’s overdose response initiative. Association and the Reaching Those affiliated industries. The campaign 10 Island Health magazine #IslandHealthMag summer 2021 11
“We can make it easier for people to get support by letting them know they are not alone and that substance use does not define who they are. Every person lost to overdose was someone’s child: forever loved, forever remembered. They matter—and we owe it to them, and to ourselves, to dig deep into our hearts to see and remember them with compassion, not judgement.” LOUD IN THE ED A TIME TO PAUSE The Learning about Opioid Use Disorder of stigma faced by people who use The drug poisoning crisis continues in the Emergency Department (LOUD substances by some health care provid- to devastate too many families and too in the ED) collaborative is a provincial ers, and how we ensure people who many communities across our region. quality improvement project focused use substances are not treated differ- It’s important to pause to honour and on emergency department care for ently than people who present for remember those who have died as a people who use opioids. The initiative other health issues. result of this crisis and to gain some was led by the BC Patient Safety & Quality Council in partnership with CASCADE OF CARE – understanding of the complexities of the Overdose Emergency Response STRENGTHENING addiction. Every single person lost to RETENTION FOR THOSE drug poisoning has a story. Nobody Centre and the BC Centre on Substance ON OPIOID AGONIST starts out wanting to become addicted Use to shift how emergency depart- THERAPIES (OAT) to opioids. Addiction is a disease that ments care for people who use opioids knows no boundaries. It is a treatable and improve the experience of care for Opioid agonist treatment provides medical condition, not a choice. both patients and care providers. people who are addicted to opioids with a prescribed daily medication We also recognize the health care The project will expand access to peers, (e.g., methadone or suboxone) to providers who have been impacted by starting in the Campbell River Hospital help with withdrawal and cravings. this public health crisis and who con- Emergency Department, by including Research tells us the discontinuation tinue to show up at work and do their people with lived and living experience of therapy puts a person at higher risk very best to provide compassionate in the development of education and of death from overdose. The Cascade of care despite having their own experi- service design, and will work to Care work is aimed at better under- ences of loss when the people they strengthen partnerships with peer- standing why people “drop off” OAT, serve die in this tragic way. based community organizations. what approaches might be most effec- Family members, beloved friends, CHART REVIEW tive in reducing drop-off rates and neighbours, co-workers, employees, The medical charts of 101 men between strategies to support individuals to teammates, health care providers— the ages of 20 and 64 who died in a remain on service. thousands of individuals have been private residence due to drug toxicity PEER ENGAGEMENT impacted and experience all too pain- between January 1 and November 30, FRAMEWORK fully the devastation of this public 2020, received an in-depth review and health crisis in their own lives. People with lived and living analysis to advance understanding of experience need to be recognized and We can make it easier for people to get missed opportunities for service deliv- engaged as partners throughout the support by letting them know they are ery, coordination, follow-up care and design and delivery of health services. not alone and that substance use does links to services. The chart review has Island Health is developing a Peer not define who they are. Every person resulted in a number of recommenda- Employment Framework as a resource lost to overdose was someone’s child: tions, including how to ensure patients for increasing equity, safety, autonomy forever loved, forever remembered. with substance use disorders are iden- and inclusion of people with lived They matter—and we owe it to them, tified and more closely followed through and living experience in diverse and to ourselves, to dig deep into our their care encounters. A question that employed roles. hearts to see and remember them with has woven itself throughout the pro- cess of the chart review is the concept compassion, not judgement. 12 Island Health magazine #IslandHealthMag summer 2021 13
Griffin Russell works for Island Health as the who use substances are all someone’s Sheena Campbell was Island Health’s Regional Harm Reduction Coordinator for beautiful child—their baby boy, their original Harm Reduction Coordinator. Central Island. He has been in this position baby girl—and they matter. She’s rejoined the team as Regional Harm since October 2014, working throughout the Reduction Coordinator, North Island. I could hardly imagine another health entire drug poisoning crisis. Along with her experience with Island care crisis where five people dying a day Health, Campbell also brings a wealth Russell has over 20 years’ experience in (in BC) would be allowed to persist for of experience from her time as a Harm mental health and substance use services, this long in our country. Yet, because this Reduction Coordinator with Vancouver and he is both deeply passionate and is about substances, the crisis continues Coastal Health. fiercely committed towards safe access to to be plagued by ignorance and misunder- health care for all people, believing that it is standing, and perpetuated by 100+years I have worked in the field of Harm the greatest responsibility accompanying the of drug policy rooted in prohibition. Reduction in both Vancouver and on beautiful privilege of working in health care. Vancouver Island and have watched How many of us understand the history drug use cycles in our communities At times there is a pain in my chest, a of Canadian drug policies or the racist for the last 25 years. weight making it difficult to breathe; motivations underpinning them? How the weight is often accompanied by a many of us understand the historical I don’t see this as simply an overdose lump in my throat and watering in my underfunding of substance use services, crisis—overdoses have consistently eyes, making it difficult to see. resulting in a scarcity of specialized happened amongst people who use resources, an over reliance of non-profit substances. What is happening today The gravity of the enduring drug-poison- organizations, volunteer-based 12 step is an unrelenting drug poisoning crisis. ing crisis on Vancouver Island, and across programs, and fee-for-service treatments? British Columbia, is with me regularly. Today, people reliant on substances must I have shed many tears at my desk, in How many of us understand the preva- assess the likelihood of being fatally poi- my truck or while sitting near the ocean, lence of trauma driving this health care soned by their substances. As soon as we wondering how it is possible for this issue, the stain of stigma propagating the learn how to manage one contaminant tragedy to continue on in the ways it has. public’s perspectives in much the same (Fentanyl), a new, cheaper contaminant hateful and harmful ways as systemic is used, many with heinous results The pain is deeply personal. I cry for racism? Stigma and shame around the (e.g., Etizolam). As service providers, my dear friend who lost her brother. use of substances was and continues to we try to adjust, but we can’t contend I cry for the mothers whom I have sat be a major driver in this crisis. with the current reality—an unregulated with in their pain, a pain as a parent and unpredictable supply chain. I hope to never know. I cry for the people Three years ago, I sat on a panel at I hold dear who are no longer here. I cry the University of Victoria, alongside The results are obvious—we are in for the passionate people trying their a prominent epidemiologist who had year five of an emergency response. damnedest to signal safety, to build trust, worked at the highest spheres of public Despite our best efforts, people whose and to offer anything and everything of health, supporting a Provincial Health substances are illicit continue to die at value to people living this tragedy out. Officer. We were asked what the hard- an alarming rate. est part of our careers had been. I cry for all the children who have lost We need a safe supply that meets the On the anniversary of the opioid a parent, a grandparent, an aunt or This wise, solid, and esteemed man got a needs of the patient/client. The research crisis, Island Health employees uncle. I cry for those who watch help- quivering in his lower lip, a misting in his related to pharmaceutical alternatives to lessly as their friends and community eyes, and he said something along the the toxic drug supply is overwhelmingly working in Harm Reduction share die these preventable deaths. I cry as a lines of, “The hardest part for me has positive. Key social determinants of their heartfelt thoughts. man, knowing this crisis is killing four been to witness time and time again health are addressed and people’s lives men every day in British Columbia. I people separating themselves from social are markedly improved. cry as a father for fear my twin boys will issues, like the overdose crisis, as though We have choices that many do not, suffer in such ways. I cry because some the people who are suffering such social so we must use our voices to raise days it seems like it will never end. ills somehow deserve it, like they made this issue. I hope you will join me the wrong choices, as though the social “Substance use is a health care issue, often occurring alongside other health Substance use is a health care issue, determinants of health don’t matter, as in using your voice to compel our issues, such as loneliness and isolation, homelessness and poverty, pain and often occurring alongside other health governments to move forward though access to health care, gender, pain, issues, such as loneliness and isolation, with the policy changes and actions trauma, racism and stigma. People who use substances are all someone’s poverty, race, stigma and trauma don’t homelessness and poverty, pain and needed to provide a safe supply matter. They matter. These people matter. beautiful child—their baby boy, their baby girl—and they matter.” — Griffin Russell trauma, racism and stigma. People Context and circumstances matter.” and to decriminalize drug use. 14 Island Health magazine #IslandHealthMag summer 2021 15
healthy eating Let's eat outside! Eating outdoors is one pandemic trend — Salads are great for picnics. Choose by Susan Evans — Bug spray, sunscreen, hats and a oil-soaked paper towel: hold it with from other raw foods like vegetables WIRE GRILL BRUSH ALERT that might linger. Over the past few options like pasta, potato or quinoa first aid kit. Nothing ruins a picnic tongs and rub it over the rack. (Do and fruit during storage. Pack foods Canadian surgeons are warning months, I’ve met inside-the-bubble salads as they hold up better than faster than itchy bug bites or a sun- not use cooking spray on a hot grill.) for your cooler in leak-proof plastic against the use of wire grill brushes. friends at our local park with takeout leafy greens. Check out our recipe burn. Be sure to prepare for the — Marinating does more than infuse bags or airtight containers, placing coffee and muffins; had brunch with my section for a couple of salad recipes. sun and for unexpected mishaps. food with flavour; it also inhibits The thin, sharp wires can come off meat in the bottom of the cooler first. family at our favourite restaurant on their — Think about grilling skewers of the formation of potentially carcino- the brushes, stick to barbecue grills newly-installed patio and even had some chicken or salmon ahead of time and One of the joys of summer is not only KEEP IT COLD and cling to food without being genic HCAs (heterocyclic amines) eating outside but cooking outside as Keep cold food cold—at or below 4°C noticed. If swallowed, it can cause of our ‘safe-six’ over for socially distanced serve cold with tzatziki. Buy a rotisserie which form when cooking meat at well. Grilling on the deck or in the back- (40°F). Use an insulated cooler with damage to the mouth, throat and drinks on our deck. My 20-something son chicken from the supermarket—you a high temperature like on a grill. yard is a great way to prepare a delicious freezer packs or blocks of ice to store even the stomach. has turned our backyard into a vegetable can often find chilled roasted chickens According to the American Institute meal without messing up the kitchen. perishable foods. Be sure to throw garden and we are spending more time in the deli section. for Cancer Research (AICR), mari- If you choose to use a wire brush, Here are a few tips for grilling success. away any perishable foods that are in the yard, enjoying watching vegetables — Fill containers with cut veggies, nating can reduce HCA formation. there are things you can do to keep it left in your cooler once freezer packs (instead of dandelions) grow. Eating with olives and pickles, and then chill. USING A GRILL? — The best way to know if protein is fully in good condition: or ice have melted. friends and family in the great outdoors — For dessert, try fresh fruit or bake — Preheat your grill 15 to 25 minutes cooked is to research the optimum — Inspect the brush each time you use has become a welcome new habit. good-for-you cookies or squares. before you start cooking to make sure internal temperature for safety for the COOK PROPERLY it and look for loose bristles. If the it reaches the right temperature (and type of meat you are cooking (tempera- If you are grilling, make sure meat bristles look worn down or clogged Most Vancouver Islanders love nature EATING AWAY FROM HOME? REMEMBER TO BRING: to kill any bacteria). Your grill should tures can vary depending on the meat) and poultry are fully cooked by using a with grease, replace the brush. and are embracing the idea of moving — Items to eat with and on. Bring plates, be 400-450°F for high, 350-400°F and then check the internal tempera- digital instant-read food thermometer. — If the brush looks ok, grill maker mealtime outdoors. Set up dinner at cutlery and drinkware (if using for medium-high, 300-350°F for ture with an instant-read thermometer. Place it in the thickest part of the meat Weber suggests taking a pair of a picnic table at the park, head to the medium and 250-300°F for low heat. for a correct reading, and cook to the pliers and tugging on a bristle beach and pull up a log, fire up the grill disposable, aim to buy recyclable FOOD SAFETY FIRST items), napkins, serving utensils following temperatures: about as hard as you would pull in your backyard and spread a blanket REMEMBER—always open the lid Your main goal is outdoor fun so be on the grass—the possibilities are and a bottle opener. Wrap any on your gas grill before turning it on. sure to follow these food safety tips from GROUND MEAT / 71°C (160°F) on a blade of grass. If the bristle endless. And whether you are planning breakables in tea towels. Health Canada to keep everyone safe. GROUND POULTRY / 74°C (165°F) comes out, it’s a sign it’s time to — If you are going to a beach or park — It’s easier to remove debris when the replace the brush. an elaborate meal or grabbing takeout WHOLE MEAT CUTS / 71°C (160°F) without picnic tables, bring something grill is hot, so after preheating, use KEEP IT CLEAN — After scrubbing with a brush, from your local food truck, here are a for Medium a (carefully inspected) long-handled Always wash your hands, cooking sur- wipe the grill with a damp cloth few tips and ideas for picnic perfection. to sit on. Folding camp chairs are WHOLE POULTRY / 82°C (180°F) wire grill brush or other type of grill faces and utensils well with soap and to get rid of any loose bristles that perfect, along with a blanket or LEFTOVERS / 74°C (165°F) WHAT TO EAT? tablecloth to spread on the ground— scraper on your grill rack to clean hot water before and you handle food, may have been missed. The most important thing to keep in off charred debris from prior meals. especially raw meat, poultry and seafood, For a full list of doneness temperatures — Don’t leave your brush outdoors a red-checked tablecloth still sets mind is to follow safe food handling Scrape again immediately after use. or raw vegetables and fruit. Wash and visit: www.canada.ca/en/health-can- since it will wear down faster the mood for eating outdoors. rules. When planning your menu, See sidebar for tips to ensure your sanitize your cooler before using it. Use a ada/services/general-food-safety-tips/ when exposed to the elements. — Hand wipes and sanitizer. Soap and think about preparing foods in advance wire brush is safe to use. clean, safe source of water for washing. safe-internal-cooking-temperatures.html — If you’d prefer to ditch the brush running water are best for washing that are easy to handle and don’t need — Even on a clean grill, lean foods altogether, there are nylon and your hands, but if not available, these SEPARATE FOODS Learn more about safe food handling at cooking. Chill cold foods before put- items will come in handy for cleaning may stick when placed directly on stainless steel pads, and scrubbing Keep raw foods like meat, poultry and www.canada.ca/en/health-canada/ser- ting them in your cooler. hands before and after eating—and the rack. Reduce sticking by oiling blocks available too. seafood (and their juices) separate vices/general-food-safety-tips.html. for the inevitable bathroom breaks. your hot grill rack with a vegetable 16 Island Health magazine #IslandHealthMag summer 2021 17
Rainbow Potato Salad Makes 5 servings INGREDIENTS: Chicken Souvlaki with Dill Tzatziki 1½ lbs (680 g) multicolour Makes 4 servings baby potatoes INGREDIENTS: DIRECTIONS: Kosher salt 1 lb (500 g) boneless, skinless 1. Cut chicken breasts crosswise into 1-inch (2.5 cm) strips and cut ⅓ cup (80 mL) 2% Greek yogurt chicken breasts each strip into 1½-inch (3.5 cm) chunks. Place in bowl. Add oregano, ⅓ cup (80 mL) olive oil mayonnaise, 1 tbsp (15 mL) dried oregano leaves garlic, lemon rind, lemon juice and pepper and stir to coat well. or light mayonnaise 2 large cloves garlic, minced Cover and refrigerate for up to 30 minutes. 1 tsp (5 mL) yellow mustard ½ tsp (2.5 mL) grated lemon rind 2. Meanwhile, in bowl, stir together yogurt, cucumber, garlic, dill and 1½ tsp (7.5 mL) fresh dill, divided 3 tbsp (45 mL) lemon juice lemon rind until combined. Cover and refrigerate for up to 24 hours. freshly ground black pinch freshly 3. Preheat broiler to high, or if using grill, preheat grill to medium high. pepper, to taste ground pepper 4. Skewer chicken onto 4 metal or soaked wooden skewers (see tip 1 dill pickle spear, TZATZIKI: below). If broiling, place on foil-lined baking sheet and place sheet finely chopped ⅔ cup (160 mL) 0% Greek yogurt in oven, about 6 inches (15 cm) from broiler. Broil, turning once, for 1 medium celery stalk, ⅓ cup (80 mL) shredded cucumber, about 8 minutes or until golden brown and no longer pink inside. finely chopped squeezed dry 5. If grilling, place skewers on greased grill over medium heat for 2 small green 1 small clove garlic, minced about 10 minutes. Turn once. onions, chopped 1 tbsp (15 mL) chopped fresh dill 6. Serve with tzatziki. 1 tbsp (15 mL) pickle juice ½ tsp (2 mL) grated lemon rind TIP: Soak wooden or bamboo skewers in water for about 15 minutes DIRECTIONS: before using to reduce flareups. 1. Place potatoes in a large pot of salted water and bring to a boil. Boil for 10–15 minutes, or until fork-tender. Drain and set aside to cool. 2. Meanwhile, in a small bowl, combine the yogurt, mayonnaise, mustard, 1 tsp (5 mL) dill, pinch of salt and pepper. Set aside. 3. When potatoes are cool enough to handle, set aside half. Peel the other half by gently pinching the skin and pulling it away. Place peeled potatoes in a medium bowl and mash with a potato masher. Dice the remaining potatoes into 1-inch (2.5-cm) cubes and add to the bowl with the mashed potatoes. 4. Add pickle, celery, ¼ tsp salt, pepper and all but 1 tbsp (15 mL) of the green onion. Add the yogurt mixture and pickle juice to the potatoes and toss gently to evenly coat. Garnish with remaining dill and green onion. Recipe adapted from Skinnytaste.com Recipe adapted from the Heart and Stroke Foundation 18 Island Health magazine #IslandHealthMag summer 2021 19
Corn Tomato Avocado Salad Makes 4 servings INGREDIENTS: Fudgy Flourless Crinkle Brownie Cookies with Sea Salt 1 cup corn kernels from 1 large Makes 18 cookies (9 servings) steamed corn on the cob 5 oz (140 g) diced avocado, INGREDIENTS: 2 large egg whites 5. Refrigerate 2–3 hours or overnight (the dough must from 1 medium ¾ cup (175 mL) raw sugar be chilled before baking). 1½ cup (350 mL) diced baby cucumbers, 1 tsp (5 mL) vanilla extract 6. Preheat the oven to 350°F (175°C). Line 2 cookie about 3 small 1 cup plus 2 tbsp trays with parchment. 1 cup (250 mL) halved cherry tomatoes (250 mL + 30 mL) finely ground almond meal, 7. Working with 1 dough ball at a time (leave the other 2 tbsp (30 mL) diced red onion such as Bob’s Red Mill in the fridge), roll the dough into balls, about 2 level 2 tbsp (30 mL) fresh lemon juice, ½ cup (125 mL) unsweetened cocoa powder tbsp (30 mL) or about 1 oz (30 g) each. Flatten the from 1 medium lemon 1 tsp (5 mL) baking soda dough slightly into a round. 2 tsp (10 mL) extra virgin olive oil ¼ tsp (1.25 mL) kosher salt 8. Place 2” (5 cm) apart on the prepared baking ¼ tsp (1.25 mL) kosher salt ¾ cup (175 mL) chocolate chips sheet and sprinkle with flaky salt, if desired. fresh black pepper, to taste flaky sea salt, such as Maldon, 9. Bake for 10–11 minutes, until just set on the edges. DIRECTIONS: as needed 10. Let the cookies cool on the baking sheet at least 1. Toss all ingredients together and serve 15 minutes. They will continue to cook slightly immediately. Enjoy! DIRECTIONS: 1. In a medium bowl, whisk the egg whites, sugar as they sit on the baking sheet. Recipe adapted from Skinnytaste.com and vanilla with a mixer until frothy, 1½–2 minutes. 11. Eat warm or let cool and store in an airtight container 2. In a large bowl, whisk together the almond meal, for up to 4 days. Refrigerate up to 7 days. cocoa powder, baking soda and salt. TIP: If the dough softens, stick it in the freezer for 3. Add the egg white mixture and stir with a spatula Avocado and Beet Wrap until combined. Fold in the chocolate chips. a few minutes to re-chill it. Cookies may turn out flat Makes 1 serving if the dough is not chilled enough. Chilling also makes 4. With a spatula, roll into 2 balls, then wrap each dough less sticky and easier to work with. INGREDIENTS: with plastic. 1 multigrain wrap 1 red beet ¼ cup (60 mL) feta cheese 1 avocado 2 tbsp (30 mL) lemon juice 1 tbsp (15 mL) sunflower seeds handful of arugula pinch of sea salt ground pepper, to taste DIRECTIONS: 1. Pour water into a pot and bring to boil. Add salt and cook the beet until tender. Cooking time will vary depending on the size of the beet. Recipe adapted from Skinnytaste.com Once the beet is well cooked, take out of the pot and let cool on a cutting board before peeling. 2. Mix beet with feta cheese in a food processor until smooth and set aside. 3. Spread beet purée on the wrap. NUTRITIONAL INFORMATION | Recipe images do now show exact recipe. 4. Cut avocado in quarters lengthwise and brush Rainbow Potato Salad Corn Tomato Avocado Salad Avocado and Beet Wrap Chicken Souvlaki with Fudgy Flourless Crinkle Brownie with lemon juice to prevent discolouration. (per svg): (per svg): (per svg): Dill Tzatziki (per svg): Cookies with Sea Salt (per svg): Calories 178 Calories 128 Calories 613 Calories 166 Calories 207 5. Arrange avocado quarters, sunflower seeds, Protein 4g Protein 2.5 g Protein 18.5 g Protein 32 g Protein 6g Fat 7g Fat 8.5 g Fat 40 g Fat 2g Fat 12 g and arugula on the wrap. Cholesterol 7 mg Saturated Fat 1g Saturated Fat 9.9 g Saturated Fat 1g Saturated Fat 3g 6. Season with salt and pepper to taste before Carbohydrate 24 g Carbohydrate 14 g Cholesterol 35 mg Cholesterol 73 mg Carbohydrate 30 g Fibre 3g Fibre 4g Carbohydrate 53.2 g Carbohydrate 4g Fibre 8g rolling up. Sugars 2g Sugars 3.5 g Fibre 16.2 g Fibre 0g Sugars 16.5 g Sodium 373 mg Sodium 83 mg Sugars 9.3 g Sugars 2g Sodium 189 mg Recipe adapted from Cookspiration.com Sodium 853 mg Sodium 78 mg 20 Island Health magazine #IslandHealthMag summer 2021 21
wellness Hot fun in the summertime by Susan Evans While the outlook for this summer is positive, it does look like many of us will be sticking course). There is something to be — Check out parks you haven’t visited there’s something for everyone said for entertaining without having before—look for play parks in differ- – mountain biking in Nanaimo, close to home again this year. to clean your house first. ent neighbourhoods or regional Cumberland and behind the Hartland parks with easy hiking trails. landfill and extended road cycling I’m not going to use the word “staycation” — Grow your own veggies or flowers in available for your phone to help iden- COMMUNITY ACTIVITIES — Head to the beach but try a different trips from Metchosin to Sidney and because we’ve heard that too often the your backyard. Or get involved with tify birdsong. Install a hummingbird There will be some community activities time of day—go for a picnic dinner beyond. Check online for route past few months. Instead let’s celebrate your local community gardens. feeder (remember to keep it filled). available this summer and many are free or first thing in the morning with ideas to hit the pavement and trails. the fact that we live on Vancouver — Set up outdoor games that kids and — Camping: set up a tent and have a or very inexpensive. Check your local your coffee. — When allowed, how about a road Island, one of the most beautiful places parents can play together like bocce family sleepover in your own back- community guide and look for things like: — Go berry-picking then head home trip? Whether for a weekend or a on earth and a holiday destination for ball, croquet and badminton. yard. Make it feel like camping—eat — Outdoor movie nights. to bake a pie. couple of weeks, explore our beauti- people around the world—all available — Try setting up your very own out- outside, use flashlights in the dark — Free concerts—in parks ful province and make family by just walking out our own front door. door movie theatre. Use a projector and tell (not too) scary stories. ENJOY THE GREAT OUTDOORS and urban centres. memories that you will talking Let’s make the most of our “backyard” unit and hang a sheet for a screen. — Sprinklers, Slip ‘N Slides and water — Hiking, kayaking and canoeing are — Free days at local museums about for years to come. this summer. — Have a picnic. Instead of eating at tables – this one is probably geared all great outdoor activities that allow your patio table, throw a blanket on more to little kids but who doesn’t love and art galleries. for social distancing. At the time of writing, BC residents START AT HOME the grass and bring a picnic basket. a good Super Soaker on a hot day? — Visit the farmers market—find will soon be allowed to travel around — Vancouver Island has an abundance Summer is all about doing stuff out- one new food to try. — Learn about birds and bird calls and — Host an impromptu backyard pot- of beautiful and varied cycling routes. the province. There are many interest- side and what better place to be than — Go for a drive and an ice cream cone explore your neighbourhood listening luck with neighbours and friends From a short jaunt on a dedicated trail ing places to visit—find information on your own backyard. after dinner. Especially fun if little and looking. There are (free) apps (within public health guidelines of to a 100km tour of Greater Victoria, Tourism BC’s website at hellobc.com ones get to go in their PJs. 22 Island Health magazine #IslandHealthMag summer 2021 23
island health We know that PCNs are meant to support high priority which means that no Care Network helps PCN stakeholders One of the biggest challenges that healthcare, but what are they and how one PCN is the same as another. to engage in learning about Indigenous- people report is finding a doctor or can they help to create healthier outcomes specific racism and implement practices nurse practitioner to provide ongoing These services might include: for Island Health residents? and processes that are experienced as care – approximately 18 per cent of — increased access to primary culturally safe by First Nations, Inuit British Columbians don’t have a pri- PCNS WILL OFFER care supports; and Métis peoples. mary care provider and for those who TEAM-BASED CARE — increased attachment to a do, fewer than half are able to get a PCNs are not buildings made of bricks primary care provider; “My work supports Indigenous patients, same-day or next-day appointment. and mortar. Rather, they are geographi- — increased access to urgent care; family and community by recognizing cally-based networks of resources and — improved access to mild to moder- the impacts of colonization,” he says. In each PCN, health care professionals providers that plan and deliver the ate mental health and substance “I also advocate for health provider have been or are being hired to provide primary care needs of a community or use services; and relationships that are patient and family people with better access to primary region. PCNs include existing family — better co-ordinated services for fami- centred, promote culturally safe engage- care. At some clinics, patients are doctor offices, nurse practitioners, ser- lies and seniors who are frail and ments and are trauma informed.” ‘attached’ to a physician or nurse practi- vices offered at health authority facilities, people with complex health issues. tioner. As PCN services continue to PCNS WILL REDUCE THE expand and more care providers are community health service organizations BURDEN ON HOSPITALS PCNS WILL OFFER hired at clinic sites, attachment will and more. And, within each PCN are CULTURALLY SAFE SUPPORT By linking people with primary care continue to grow, as well. groups of teams located throughout the network whose members work together FOR INDIGENOUS PATIENTS providers and making it easier to What all PCNs have in common is the access care, PCNs are helping people TRANSFORMING PRIMARY to understand their patients’ needs and commitment to providing culturally safe to avoid unnecessary hospital visits, CARE IN BC AND ON provide the most appropriate care. primary care for Indigenous people. including to emergency departments. VANCOUVER ISLAND Team-based care offers a patient and Indigenous partners, including commu- To summarize, Primary Care Networks Some PCNs include urgent and pri- family-centred model where patients nity leaders, have been involved in the mean that patients: mary care centres (UPCCs), which are receive care from a strong and con- development of primary care networks, — who do not have a doctor or nurse open to all patients and offer improved nected interdisciplinary team of health from planning to governance, and advise practitioner will be able to get one access to same-day, urgent but care providers who are also able to link on the implementation of primary care. by calling HealthLinkBC at 8-1-1 non-emergency health care, including Primary Care patients within the network to other to find a primary care provider in All PCNs on Vancouver Island will during evenings and weekends. People services they may need, such as specialty their community; employ Indigenous liaisons who work who require medical attention within or surgical services. Your team might — once attached, will have an ongoing with Indigenous patients and the com- 12-24 hours for sprains, minor cuts or include your doctor and/or nurse practi- relationship with their primary Networks munity to provide access to culturally burns or other conditions can visit an tioner as well as other providers like care provider; safe services. For other services within a urgent and primary care centre. Indigenous health professionals, mental — will get access to faster, more conve- health counsellors and social workers. PCN such as urgent and primary care “As a working parent with young children, nient care from their doctor or nurse centres, community health centres and Explained the Nanaimo Urgent & Primary Care practitioner and the care team; “We are excited to be one of the first First Nation-led primary care centres, Centre has been an invaluable resource. — will be provided and connected clinics in the area to really embrace complementary providers such as Whether dealing with potential mastitis, with a range of appropriate and by Shawna Cadieux team based care and the Primary Care traditional wellness providers are a strep test, suspicious rashes, or various accessible services and supports; Network model,” says Dr. Matthew Ward, included in team-based care delivery. injuries, there are so many things that — will be informed about all aspects Medical Director, Eagle Creek Medical have come up that cannot wait for an of their care including services Primary Care Network. It’s a term we are hearing more Clinic, a primary care clinic that belongs “My role is to ensure we apply an appointment with our family physician, Indigenous lens to all aspects of our within their community; and often as government transforms everyday health care to the Western Communities PCN. strategic priorities, planning, direction but also aren’t severe enough to require — will know where to go to get the for communities across British Columbia by establish- “Our clinic is going to serve as an and activities carried out by the PCN,” an ER visit,” says Caitlin Boutin. care they need, even during example, a blueprint, of how team says Amy Rosborough, Indigenous evenings and weekends. ing Primary Care Networks or PCNs. Here on Vancouver based care can evolve and flourish “Being able to deal with a matter urgently Leader with the Cowichan Primary without a lengthy wait is such a relief PCNs bring together a variety of part- Island, PCNs have been formed in several communities in the Western Communities.” Care Network. when also having to juggle so many other ners who are committed to supporting including Saanich Peninsula, Western Communities, Co- PCNS WILL INCREASE ACCESS “Most importantly, my role is to honour family responsibilities. In one instance, better health and wellness journeys for wichan, Oceanside, and the Comox Valley and over time TO PRIMARY CARE and consistently lend voice to our I realized my son had an angry sore throat people, families, and communities. By PCNs provide a full range of accessible, Indigenous stakeholders, patients and at dinnertime, was able to have him seen working in partnership, we are discover- will bring additional resources and strengthened support by a doctor and was home with antibiot- ing how to provide team-based care to everyday health services that will better families to ensure we consistently to our region. These PCNs are a result of a partnership support patients and providers. The deliver high quality services to all ics for his strep throat by bedtime.” meet the health and care needs of Island between the Ministry of Health, Island Health, Divisions networks were developed to better meet patients we may serve”. Health residents - including vulnerable PCNS WILL MAKE IT EASIER patients and those with complex health the specific needs of the community and of Family Practice, and local Indigenous partners. Alex Jules, an Indigenous Wellness TO GET ATTACHED TO A conditions – faster and closer to home. to strengthen services identified as Liaison within the Comox Primary PRIMARY CARE PROVIDER 24 Island Health magazine #IslandHealthMag summer 2021 25
You can also read