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Emergency Department

Camp Bridges 2024: Cold Toes and Warm Hearts

November 21st, 2024, is Children’s Grief Awareness Day, a day dedicated to helping people learn about the ways they can support a grieving child.  In Canada, over 757,000 children will experience the death of someone in their extended family, with 1 in 14 experiencing the death of a parent or sibling. In recognition of Children’s Grief Awareness Day, the Prairie Mountain Health Palliative Care team would like to share information about our children’s grief program, Camp Bridges.

Camp Bridges 2024 began with a surprise late May snowstorm, but that didn’t stop 32 children and youth from attending grief camp. Despite the chilly weather, Campers enjoyed the whole camp experience, including a campfire with smores, staying up late into the night, giggling, and doing fun activities like ziplining and horseback riding.  While their toes were cold, their hearts were warmed with the knowledge that they were not alone in their experience of the death of someone that they love.

Camp Bridges is a children’s bereavement camp organized by the Palliative Care Program at Prairie Mountain Health.  It is open to any child in Manitoba, aged 7-15 years old, who is grieving the death of someone significant in their life. Camp Bridges provides a safe environment where campers can interact and share their feelings with other children in similar circumstances.  While the camp is not designed to provide grief therapy, Campers learn to understand their grief as a normal experience, recognize they are not alone and have the chance to “just be a kid again.”

children walking in a forest.

In 2024, Camp Bridges was hosted at Circle Square Ranch, a beautiful Western-inspired campground with friendly animals and many fun activities.  Upon arrival, Campers were welcomed by smiling volunteers. They had the opportunity to choose from an assortment of donated comfort items, including a hand-made blanket/stuffy from Project Linus, a knitted hug scarf from Palliative Manitoba and a bag of camping goodies from Shine Through The Rain Foundation.  Campers said goodbye to parents and caregivers, who were sent home with a resource package to help them understand and support their child’s grief.

After checking in, Campers head to their cabins to unpack and get to know their cabin mates.  It is astonishing how quickly the children form bonds with each other by sharing their names and why they came to this special camp.  Campers are invited to create a picture frame and display a photo of their person on the Table of Memories.  This activity allows children to talk about the person who died, share favourite memories and form connections with other grieving children.  As they look upon the table, filled with photos of parents, siblings, grandparents, friends and other important people, they know they are not alone in the experience of losing someone special.

Table of pictures of loved ones that have passed away.

Camp Bridges offers everything expected from a summer camp, including ziplining, archery, mess hall meals, horseback riding, outdoor games and lots of laughter and fun.  Thankfully, the weather warmed up, and the Campers could enjoy all the different activities offered.  Sprinkled in alongside are memorial activities that teach children about grief, allow them to acknowledge their loss and find support in one another and camp volunteers. 

Memorial activities include creating a memory box, writing on HOPE stones and sewing a pillow made from their loved one’s clothing.  As an annual Camp Bridges tradition, a memorial service is held where children can light a candle for their special person in a space of shared reflection, empathy and support.  These activities help children maintain a continued connection with the person who died and let them know that death ‘ends life, but not love.’

Pillow and fabric

Campers had the opportunity to participate in sessions to help them with grief, which included dog therapy, movement and breathwork exercises, and take-home coping skills stations. These activities help children connect to their emotions and express them through creative outlets, physical movement and improved grief literacy skills.  Children learn that grief is a natural and normal response to loss and that expressing their feelings can help. 

Finally, it was time to close out Camp Bridges with a butterfly release ceremony.  The sun shone brightly as the Campers and their families gathered in a large circle to release Monarch butterflies.  In that moment of watching the butterflies take flight, one could grasp the profound impact Camp Bridges had on these young grievers and their families.   

Circle of Children releasing butterflies.

Camp Bridges is facilitated by a dedicated group of volunteers who give their time, energy and heart to create a warm, fun-filled atmosphere. Fourteen cabin leaders ensure Campers attend scheduled activities and provide care and guidance throughout the weekend. A second crew of ten volunteers help children sew memory pillows, a treasured keepsake that will comfort them for years to come. Volunteers are trained in recognizing and supporting the unique ways that children grieve. Finally, Camp Coordinators made up of staff from PMH Palliative Care, provide camp oversight and nursing duties for the weekend. If you are interested in volunteering with Camp Bridges 2024, please contact Carla Mitchell at 204-578-2310 or [email protected].  

Camp Bridges is thankful to all the special people who make this camp possible!  Due to the generous donations received, we can offer Camp Bridges free of charge for 40 campers each year.  In 2024, the number of applications received exceeded the available spots, highlighting the continued need for children’s bereavement support services.  We are grateful to the individuals, organizations, community service groups and palliative care volunteer committees who contributed financially.  If you want to donate to Camp Bridges, please contact Melissa Peters at 204-578-2340 or [email protected].  Income tax receipts are issued for donations.

Camp Bridges Leaders adn Campers group photo.

To learn more about Camp Bridges or to find additional resources to support grieving children, visit our website.  Please note: Camp Bridges 2025 applications will be available in January 2025.

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November is Falls Prevention Month

"Spot the Hazards" activity where a simulated room with multiple "risks" was put in place for staff to "spot."
***The picture above depicts a room and is NOT an actual patient/resident.***

November is Falls Prevention Month; however, fall prevention is a priority all year long. Prairie Mountain Health has a Regional Falls Prevention and Management committee that works together to promote, create and educate on fall interventions and injury reduction strategies.  The team consists of managers, nurses, and staff from hospitals, personal care homes, home care, primary care programs, and members from therapy services, pharmacy, and Indigenous Health. 

Over the past few months, this team has been working hard to promote and educate staff on various ways to incorporate fall prevention into everyday life.  Through educational materials and fun activities, the region has been improving communication.  Neepawa Hospital, Shoal Lake Health Centre and Sandy Lake Personal Care Home were three facilities that participated in a fun “Spot the Hazards” activity where a simulated room with multiple “risks” was put in place for staff to “spot.” 

Staff working on a project around a table.

Staff at Sandy Lake PCH participated in a fall prevention activity called “Spot the Hazard” (pictured above).  Our rehabilitation aide and recreation worker arranged the activity.  All staff were encouraged to participate, and the response was great.  This was a fun learning exercise in which the staff could discuss with each other regarding how falls could be prevented.  There were two donated prizes, and the participants’ names were entered in the draw for the prize. 

Roberta and Pam winners of prizes
Roberta and Pam, winners of the ‘Spot the Hazards’ activity.

How can you “spot the hazards” at home? Check out the Prevent Falls Check-Up – This online questionnaire helps you learn what puts you at risk of falling.  After answering each question, you will learn about your personal risk factors and what you can do to prevent falls and reduce injuries related to falls! For more information on falls prevention and resources such as checklists, videos, and exercises, check out PMH’s Falls Prevention Page!

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National Grief and Bereavement Day: Remember, Reflect and Connect

graphic talking on phone

The third Tuesday in November marks National Grief and Bereavement Day in Canada. Throughout November, culminating on November 19th, the Canadian Hospice Palliative Care Association promotes the resources available to help Canadians on their grief journeys.  National Grief and Bereavement Day is an opportunity for Canadians to remember, reflect and connect around something we all experience – grief.   

Remember

Grief is the natural and normal response to the loss of something or someone important to you.  Although grief is a common experience we all share, we rarely acknowledge it in society.  A recent survey found that 53% of Canadians said their grief was largely unrecognized, and 50% felt inadequately supported in their grief.  It can be difficult to know what to say to someone who is grieving; some helpful ways to start a conversation might be “I’m sorry this happened to you” or “I won’t pretend to know what you’re going through or how you feel, but I’m here for you.”

Reflect

Grieving is the necessary process of acknowledging the loss, coping with the many changes it creates and adapting to life as it moves forward.  It is important to understand that grief differs for everyone, and it is not something a person can “get over” or “fix.”  Take time to reflect on how you can support someone else in grief.  83% of survey respondents identified being asked about their loss as helpful.  Some ways to start a conversation might include “Just letting you know I am thinking of you,” or “Whatever you’re feeling is alright,” or “If you would like to talk about (the loss), I’m here to listen.”

Connect

Finding connection through loss can be a powerful tool for those who are grieving.  Survey respondents identified that the most important sources of support are family and friends, grief counsellors, community grief programs or peer support groups.  Some helpful ways of offering support include: “Would you like some company?”; “We could go for a walk together”; “Would it be okay if I brought you dinner or mowed your lawn?”; “I am going to phone you again in a few days” or “We don’t have to talk, we can just be together.”

The Prairie Mountain Health Regional Palliative Care Program is marking National Grief and Bereavement Day by educating the public about the importance of supporting one another and sharing the grief support available in our health region.  Below is a listing of telephone lines, peer support groups and online resources:

Telephone Support Lines

  • Province-Wide Bereavement Phone Line (Palliative Manitoba): 1-800-539-0295
  • Hope for Wellness Line (Indigenous peoples): 1-855-242-3310
  • Kids Help Phone: 1-800-668-6868
  • Prairie Mountain Health Crisis Services: 1-866-332-3030 (North) and 1-888-379-7699 (South)
  • Winnipeg Humane Society Pet Loss Support Line: 1-204-988-8804

Grief Support Groups and Seminars

  • Brandon and Area Suicide Bereavement Support Group (SPIN): 1-204-761-4083
  • Brockie Donovan Funeral Services Grief Seminars (Brandon): 1-204-727-0697
  • Compassionate Friends of SW Manitoba (Brandon and areas): 1-855-727-1823
  • Dauphin Way United Methodist Church Grief Groups (Dauphin): 1-251-378-7524
  • GriefShare Support Group (Dauphin): 1-204-648-7053
  • GriefShare Support Group (Russell): 1-204-773-6963
  • Healing Hearts Substance Use Bereavement Support Group (Brandon): 1-204-573-0188
  • Memories Chapel Journey Through Grief Support Group (Brandon): 1-204-727-0330
  • Palliative Manitoba Kids and Teens Grieve Too! Support Group (virtual): 1-800-539-0295
  • Paull Funeral Home Grief Recovery Program (Swan River): 1-204-293-9661
  • Peer Connections Manitoba (Dauphin) 1-431-345-0353
  • Prairie Mountain Health Camp Bridges (Children 7-15): 1-204-578-2340
  • Westman Mood Disorders Association of Manitoba Grief Groups (Brandon) 1-204-721-2174

Helpful Websites

If you would like more information about grief support, please reach out to the Palliative Care Volunteer and Bereavement Coordinator, Carla Mitchell, at 204-578-2310 or [email protected].

Submitted by:

Carla Mitchell, MSW/RSW

Regional Palliative Care Program

References:

National Public Consultation on Grief Executive Summary https://www.canadiangriefalliance.ca/media/r25humkl/2024-05-16-cga-grief-survey-executive-summary_fin.pdf

Ideas to Support Someone Who is Grieving https://www.canadiangriefalliance.ca/media/tjcoyzig/supporting-someone-en.pdf

Grief Is…. https://www.canadiangriefalliance.ca/media/q4te13py/finding-the-words-grief-infographic_p2.pdf

CHPCA National Grief and Bereavement Day Toolkit https://www.chpca.ca/awareness/national-grief-and-bereavement-day/

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World Antimicrobial Resistance (AMR) Awareness Week | Nov 18-24

World AMR Awareness Week is a global campaign to raise awareness and understanding of antimicrobial resistance and is celebrated from November 18-24 every year. 

Antimicrobial resistance is one of the top global health threats, yet most don’t recognize its impact. 

Antimicrobial resistance happens when microorganisms change in ways that make medications used to cure the infections they cause ineffective.  When a microorganism becomes resistant to most antimicrobials, they are often referred to as “superbugs.”

Antimicrobial resistance is not new.  Alexander Fleming won a Nobel Prize for his discovery of penicillin; he worried that AMR would make penicillin ineffective.  Since then, bacterial resistance has been discovered in every antibiotic ever marketed.

Thanks to antibiotics, people no longer die due to uncomplicated infections.  Surgery is possible, life expectancy has increased, and infant mortality rates have decreased.  But if we don’t slow the rate of AMR, we may be pushed back into an era where uncomplicated infections become significant health threats.

sorry, but no amount of antibiotics will get rid of your cold.

When we use antibiotics to treat infection, they kill susceptible bacteria, leaving behind resistant bacteria that can multiply to take their place.  We know that one of the biggest risk factors for the development of AMR is the use and misuse of antibiotics for people and animals.

A study of antibiotic use in Manitoba, “Antibiotics: too Much of a Good Thing?” showed that many people were prescribed antibiotics for infections that cannot be effectively treated with antibiotics or were prescribed inappropriate antibiotics.  These practices can lead to AMR.

What can we do to reduce the risk of AMR?

Antibiotics are ineffective for viral infections, such as colds, uncomplicated otitis media (ear infections) or most cases of sinusitis.  We can decrease antibiotic use by ensuring that antibiotics are not prescribed when unnecessary.  We can also reduce the risk of AMR by using narrow-spectrum antibiotics for the shortest length of time needed to treat the infection.

Choosing Wisely Canada has some excellent resources on their Using Antibiotics Wisely and Using Antibiotics Wisely in Primary Care pages.  The Manitoba AMR Alliance also has valuable resources.

Read Mary’s story, How antibiotic resistance impacts lives – Canada.ca, to see how AMR can profoundly affect our ability to effectively treat infection.

Just for fun: take the quiz – Which Antibiotic Are You?

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The Importance of Gender-Affirming Care

Prairie Mountain Health has been proud to offer a Trans Health Clinic since 2015. Trans Clinic is excited to announce that our name has been changed from Trans Clinic to The Gender Affirming Care Clinic. This name change encompasses the diversity of our clients and their individual needs under the gender-affirming care umbrella.

Dr. Kelby Treloar and Public Health Nurse Carly Druwe RN (AP) continue to provide monthly clinics at Brandon Public Health in The Town Center on Rosser Ave.

Our clinic is targeted for clients 18 years of age and older. For clients under 18 years of age, we offer support, resources and/or referral to GDAAY or Klinic.

 Clients can self-refer to The Gender Affirming Care Clinic by calling 204-578-2500.

Healthcare providers wanting to send a referral can fax 204-578-2824.

Gender affirming care saves lives

The Importance of Gender-Affirming Care

Gender-affirming care is essential for the well-being and mental health of many individuals. This type of care supports people in aligning their physical appearance, social identity, and overall lifestyle with their gender identity. For transgender, nonbinary, and gender-diverse individuals, gender-affirming care can make a crucial difference in their quality of life, enhancing their confidence, safety, and connection to the community.

Studies show that gender-affirming care has numerous benefits, including improved mental health, lower rates of depression and anxiety, and reduced suicide risk. For many individuals, accessing care such as hormone therapy, counselling, or surgeries can be life-saving. It allows individuals to live authentically, fostering a sense of belonging and acceptance that strengthens resilience against the unique challenges they may face.

Unfortunately, there are still significant barriers to accessing this care. From financial limitations and healthcare discrimination to a lack of specialized providers, many people are unable to get the care they need. That’s why community support and advocacy for gender-affirming care is essential. Supporting policies and initiatives that expand access to these services and educating ourselves and others about the importance of inclusive care can help ensure everyone receives the support they need.

Gender-affirming care is about respecting and supporting each person’s right to define and live as their authentic self. By advocating for greater access and understanding, we can help build a more inclusive, compassionate society where everyone has the opportunity to thrive. Thank you for your referrals to our program to help support our shared clients.

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Empowered Eating

A weight-neutral approach to a healthier relationship with food

two ladies eating lunch in a restaurant

Prairie Mountain Health is offering a new free group program called Empowered Eating. Empowered Eating is a weight-neutral approach to developing a healthier relationship with food.

This program was created by Registered Dietitians and Mental Health professionals to help you embrace self-compassion, challenge food and diet rules, and help you nourish and take care of your body. If you struggle with feeling guilty about your eating, feel you are an emotional eater, or want to stop the diet cycle and feel more empowered in your eating, this program is for you.

Empowered Eating has four weekly sessions and is offered in different communities in Prairie Mountain Health and virtually (online). Join us for the upcoming sessions in Swan River at the Swan Valley Health Center on November 7, 14, 21, and 28 from 6:30 pm to 8:30 pm. To register call 1-877-509-7852, or email [email protected]

Find a poster for the upcoming session here and follow PMH on social media for more upcoming sessions.

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Cranberries

Cranberries are round, red berries grown on short shrubs. These vibrant-coloured berries have an acidic taste, and can be enjoyed in many different ways such as juice, sauce, jam, dried, and fresh. Most of the world’s production of cranberries comes from Canada, the United States, and Chile. In Canada cranberries are grown in Quebec and British Columbia.  

Cranberries in a wooden bowl.

Cranberry sauce is often served alongside turkey at Thanksgiving or Christmas dinners in Canada, the United States, and the United Kingdom. Dried cranberries are sweetened and can be added to salads, trailmix, baking, roasted vegetables, and more. Cranberry juice is often mixed with other fruit juices and sold as cranberry juice cocktail, as the other fruit juices add sweetness to the tart taste of cranberries. Fresh cranberries can be used in baking, roasted with vegetables, in smoothies, in ice cream, dips, and more.

In the past, cranberry beds were constructed in wetlands, now cranberry beds are constructed in areas with a shallow water table. Soil is used to build up dykes around the perimeter of the cranberry beds, and clean sand is hauled in to a depth of 10 to 20 cm to cover the ground. During the growing season, the cranberry beds are irrigated regularly to maintain moisture, however they are not flooded until harvest time.

In the Autumn, when the cranberries develop their deep red colour, the beds are flooded after the first frost to facilitate harvest. A harvester is driven through the beds which loosens the berries from the vines, and the cranberries float to the top. The cranberries are then moved to one corner of the bed and pumped out. They are then taken to receiving stations to be cleaned, sorted, and sent to be packaged or processed. Cranberries can also be harvested when they are still white, before they turn red, and they are turned into white cranberry juice.

The majority of cranberries are harvested through flooding, however there are some crops in the United States that are dry-picked. Dry picking means less bruising, and these cranberries can be sold fresh, instead of being processed into other forms.

Raw cranberries are made up of 87% water, and contain carbohydrates, vitamin C, and fiber. Dried cranberries lose their vitamin C content and are sweetened. Cranberries and cranberry products may have an anticoagulant effect, and people that take anticoagulant medication such as warfarin should consult their healthcare provider before consuming cranberry products.

Many people claim that cranberry products can reduce the risk of urinary tract (bladder) infections, especially for people that suffer from recurring urinary tract infections. However there is not much evidence to support this claim, cranberry is not well tested as a treatment for urinary tract infections. If you would like to try cranberry juice to prevent urinary tract infections, try drinking pure, unsweetened cranberry juice instead of cranberry juice cocktail.

Check out these delicious ways to enjoy cranberries:

Thyme-Roasted Brussels Sprouts with Fresh Cranberries Recipe (allrecipes.com)

Butternut Squash and Cranberry Muffins Recipe (allrecipes.com)

Broccoli-Cranberry-Salad-FINAL.pdf (bccranberries.com)

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PMH participates in Family Medicine Residents’ Retreat

Prairie Mountain Health (PMH) continues collaborative efforts to recruit physicians to the region.  One of the signature events the region attends on an annual basis is the University of Manitoba Family Medicine Residents’ Retreat. First and second-year residents gather each year to participate in what serves as continuing medical education, networking, and, essentially, a job/career fair, which is held to promote potential employment opportunities once their education is complete. This year, the Interlake Health Region hosted the event in Gimli from September 20-22. Approximately 110 Family Medicine Physician Residents attended the retreat, along with their families. 

Prairie Mountain Health Table display

PMH Physician and Recruitment Coordinators Darlene Gray and Tamara Kemp-Boulet represented the region and enjoyed extoling the virtues of living and working within rural settings.

“Besides the many medical practice opportunities available in our region, we heavily promote lifestyle choices. There are many lakes, golf courses, community recreation centres, provincial parks and the Riding Mountain National Park within our large geographical area.  Each community celebrates uniquely with arts and other special events, festivals, spiritual and cultural activities and many other volunteer-driven, family-friendly initiatives.

So, any chance we get to promote our region’s ‘good nature,’ we take it.”

Gray added, “We are also very proud to have provincial Residency Programs collaborating and educating students within our Region: Brandon’s Satellite Residency Unit, the Parkland Family Practice Residency Unit, and most recently, a Residency Program operating in Neepawa, which are tremendous mentoring opportunities. We have had much success keeping students here after graduation and hope to achieve even more success in the coming years.”

Some other highlights of the weekend retreat included:

  • Educational breakout sessions on Pharmacy Basics, EKGs for Family Physicians, Family Medicine Plus and Billing, Financial Literacy, Musculoskeletal Injections, Ultrasound, Casting, and Women’s Health.  The luncheon guest speaker was a physician from Nunavut.
  • Over 30 tables, including PMH, participated in the job fair on Friday night.

The resident retreat rotates among rural, regional health authorities as hosts. PMH is set to host the next event in September 2025. The region last hosted the event in 2022.

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September 2024 Donations for PMH

7th Annual Memorial Ride raises funds for DRHC

John Dulewich (JDS Laundromat), Greg Thompson, Dauphin Hospital Foundation Chairman and Tony Shewchuk (Tony’s Auto Electric).
Pictured from left: John Dulewich (JDS Laundromat), Greg Thompson, Dauphin Hospital Foundation Chairman and Tony Shewchuk (Tony’s Auto Electric) .

Nearly 50 motorcyclists, car enthusiasts and supporters took part in the 7th Annual Memorial Ride on August 17, 2024 and through their support, helped contribute towards needs at the Dauphin Regional Health Centre (DRHC).

This year, the Memorial Ride, spearheaded by Tony’s Auto Electric and JDS Laundromat in Dauphin, made its way through the Parkland including the Shoal Lake and Minnedosa areas this year.

The 300 kilometre return trip raised a total of $3,000 that was donated to the health centre, through the Dauphin Hospital Foundation.

The Memorial Ride is held in loving memory for those who have lost a loved one or friend. It aims to bring people together in celebrating and recognizing the lives of those lost and doesn’t matter if people rode a vehicle or just purchased tickets. The goal was to enjoy the day, visit with people, share memories and contribute to a worthy cause!

Organizers were very pleased with the support of communities and individuals along the way. The Dauphin Hospital Foundation and Dauphin Regional Health Centre sincerely thank the organizers, participants and all who contributed to this worthy cause.


Portable Ultrasound for Deloraine Health Centre

Jamie Denbow (CRN), Grace Fletcher, Dr. McKinnon, Alyssa Villavicencio
Pictured L-R: Jamie Denbow, Grace Fletcher, Dr. McKinnon, Alyssa Villavicencio

Thank you to Ashton Bell, Deloraine Health Auxiliary and the Deloraine Palliative Care Committee for your contributions to purchase a Portable Ultrasound machine for Deloraine Health Centre.

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Breastfeeding Week | October 1-7, 2024

In Canada, we celebrate World Breastfeeding Week from October 1 to 8.  World Breastfeeding Week is a time to celebrate the role breastfeeding plays in providing children with the healthiest start in life.

Breast milk has just the right amount of fat, vitamins, protein, carbohydrates and minerals for optimal infant growth.  Breast milk also contains antibodies and other immune factors to help protect against infections and disease.  Breastfeeding benefits mothers’ short- and long-term health and will strengthen the special relationship between mother and baby.

World Breast Feeding Week logo.  Red circle with family inside.

This year’s theme is “Closing the Gap: Breastfeeding Support for All.”  This year’s theme will focus on increasing awareness of the inequalities in breastfeeding support and relevance.   Breastfeeding saves lives and is the key intervention to promote both mother and baby’s health, survival and wellbeing.  Breastfeeding promotes both short and long-term health, good nutrition and food security in normal and emergency situations.

Between 2015 and 2021, the global rate of exclusive breastfeeding of infants in the first six months has steadily increased from 38% to 48% and is on track to reach the 50% target of 2025. 

Although progress is happening, it is unequal and insufficient.  Differences in breastfeeding rates occur not only between regions and countries but also within countries.  Structural, organizational, interpersonal and community determinates of infant feeding choices drive the inequity of breastfeeding.  Failing to rectify these inequities will result in a widening gap, even if the overall breastfeeding trend is positive.  Therefore, investment in breastfeeding to address these inequities is vital and can help alleviate the social inequalities.  It is time to inform and engage in actions to help ensure breastfeeding support for all to close the gap of breastfeeding inequalities. 

Brandon Manitoba has many resources to help families during their breastfeeding journey.  These include the following:

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