National Immunization Awareness Week | April 22-30, 2024

When Immunize Canada launched National Immunization Awareness Week in the 1990s, it echoed a very successful program that Canada saw in the 1930s. Back then, vaccines were new, and the diseases they prevent were far too common.

Details can be found in back issues of the Canadian Journal of Public Health, the long-running journal of the Canadian Public Health Association.

One of the earliest campaigns, launched in 1931, was Toronto’s Toxoid Week, which focused on diphtheria. Toxoid Week became a stronger initiative after the establishment of the Health League of Canada in 1935. Largely spearheaded by the now-defunct League, the campaign involved schools, radio stations, newspapers, magazines, service clubs, and physicians to get the message out.

In 1942, it was decided that more diseases needed to be included, and the first National Immunization Week was born: a “coast-to-coast program of education directed towards the prevention of smallpox and whooping cough as well as diphtheria”

Much has changed in Canada since the 1930s. In the mid-1970s, the Health League closed its doors. By then, immunization was common, and several important diseases were fading from memory. In the meantime, new vaccines were developed and are widely used. Smallpox – once a health threat worldwide – was eradicated. Canada was certified polio-free in 1994. Many lives have been saved by immunization, and countless illnesses and long-term health problems avoided. Vaccines truly are one of the great public health achievements of the twentieth century – and onward into the twenty-first.

But some things don’t change. Vaccine-preventable diseases are still very much with us. We need to continue to educate Canadians about immunization and promote awareness of its benefits to health with up-to-date information. We need to involve traditional media, health care providers, and social media. And we need to keep vaccinating! Recent outbreaks of mumps and measles remind us that, if immunization rates drop, diseases will reappear. Immunization rates must remain high in order for individuals and communities to stay protected against vaccine-preventable diseases.

National Immunization Awareness Week is a great time to learn more. Visit immunize.ca for reliable information on immunization for all generations.

How to get a copy of your immunization record

You can get your immunization record by submitting a request via the Immunization Update Request Form and it will be mailed to you.

You may also be able to get a copy by:

1. Contacting your local public health office
2. Check if your local medical clinic or physician’s office can provide them to you
3. Asking at a local nursing station or health centre

The Manitoba Immunization registry was started in 1988. Immunizations provided prior to 1988 are unlikely to be included in Manitoba Health’s official registry. Please check for paper records at home or with your local health care provider. Manitoba Health sends out a copy of your immunization record when you turn 7 and 18 years old.

References
National Immunization Week: November 14 – 21. Can Public Health J 1943:34(10):477. Available at: http://www.jstor.org/stable/41978506 (Accessed April 13, 2017).
Bates G. Diphtheria-Toxoid Week in Toronto. Can Public Health J 1938;29(12):578-82. Available at: http://www.jstor.org/stable/41977695 (Accessed March 14, 2017)

Have You ‘Bean’ Checked for Kidney Disease

PMH wants to take additional steps to encourage community members to protect their kidneys. March is kidney awareness month, and PMH encourages everyone to learn more about protecting their ‘beans.’  The PMH Population Health and Wellness Committee has been developing a public awareness campaign to inform PMH residents about the importance of early detection and screening. You may have noticed posters around your community encouraging everyone to self-screen for kidney disease.

Here are a few facts to share:

• The province of Manitoba has the highest incidence and prevalence of kidney failure in Canada
• As many as 1 in 10 adults in Manitoba are living with kidney disease, and most don’t even know it
• Kidneys can lose 80% of their function before any symptoms are felt

What is kidney disease, and why is early testing so important? Chronic kidney disease means your kidneys are damaged and lose their ability to keep you healthy by filtering your blood. People living with kidney disease progressively lose kidney function, often not knowing they have the disease until advancing to the later stages. As kidney disease worsens, wastes can build up in your blood and make you feel sick. You may develop other problems like high blood pressure, anemia, weak bones, poor nutritional health, or nerve damage.

Kidney disease is classified into five stages; stage 1 indicates normal kidney function up to stage 5, which is kidney failure. Because symptoms don’t always show in the early stages, identifying and managing patients with early kidney disease may slow or prevent the progression to end-stage kidney disease. Often, noninvasive treatments, such as drug therapy and lifestyle changes, may be all that’s needed if caught early.  

Anyone can get kidney disease, but some people have a higher probability because they have one or more risk factors. Diabetes and high blood pressure are the most common reasons for kidney disease among adults. Other risk factors include obesity, smoking, having heart disease, frequent use of kidney-damaging drugs, or a family history of kidney disease. Having a risk factor does not mean you will get kidney disease, but it increases your chance and makes early screening more important. A simple blood or urine test is all that is needed to learn if your kidneys are healthy.

Talk to your healthcare provider about kidney disease. To learn more about kidney disease and to take a self-screen test to see if you are at risk, visit www.kidney.ca. Don’t underestimate the importance of early testing for kidney disease. Ask yourself, have you ‘bean’ checked? 

We are Dietitians!

Highlighting Dietitian work in Prairie Mountain Health for Nutrition Month in March

In Primary Care

Feeling confused with what you are reading about nutrition online? Primary care dietitians are master myth-busters and trustworthy sources of nutrition information personalized to you. From chronic disease prevention to management, dietitians in primary care are here to help! Meeting with a Registered Dietitian can help you manage irritable bowel syndrome, inflammatory bowel disease, nutrient deficiencies, malnutrition, diabetes, heart disease, disordered eating, pediatric picky eating and more. You can request an appointment by calling 1-877-509-7852 or talking to your primary care provider about a referral at your next visit.

In the Community

Prairie Mountain Health Community Dietitians believe that healthy does not have to be fancy. We promote healthy eating that is enjoyable, nutritious, accessible, and culturally appropriate. This could include food from local grocery stores, farmers’ markets, your backyard (or farm), or from the wild.

Community Dietitians work with communities, organizations, and groups rather than individual clients. They promote healthy eating, focusing on nutrition and food skills education, food security initiatives, and healthy food environments. You might see Community Dietitians working in schools, health fairs, daycares, seniors’ centers, healthy baby programs, cooking classes, community centers, and more!

What does this look like in PMH? Dietitians are part of Neepawa Eats Healthy, a group of dedicated partners representing local organizations and community members working together to improve healthy eating outcomes in the community. The partnership includes the Salvation Army, the Town of Neepawa, HyLife, Prairie Mountain Health, and community members. The committee works together on many food-related projects in the community. Currently, we are partnering with local grocery stores to promote a monthly quick, easy and healthy recipe, with classrooms competing to win a catered lunch featuring the Meal in 30 recipes. To see what else Neepawa Eats Healthy is up to, follow them on social media @neepawa.eats.healthy. A Community Dietitian is also involved with the BAG (Better Access to Groceries) program in Camperville and Sapotaweyak Cree Nation, where people order a bag of fresh produce at a reasonable cost to pick up in their community. Some Community Dietitians also facilitate community programs such as Craving Change, Strive to Thrive, and Get Better Together.  

Contact the Community Dietitians by sending an email to [email protected]

In Long Term Care and Acute Care

Every healthcare facility in Prairie Mountain Health has a Registered Dietitian who attends the facility and sees the clients. Registered Dietitians work as part of the healthcare team to ensure clients receive the best care. Clients are seen for various reasons in these settings, including malnutrition, inadequate oral intake, enteral feeding (tube feeds), bowel care, diabetes management and texture-modified diets, to name a few. Registered Dietitians are part of the Menu committee for the facilities and work with the Nutrition Services team to make a menu that meets everyone’s nutritional needs.

Dietitians are here to help ensure our clients are nourished. If you have a loved one in a personal care home or acute care setting, you can request that they see a Registered Dietitian.

Please contact Lisa Fugleberg [email protected] for more information regarding acute and long-term care dietitian services.

Looking for nutrition information? Check out these great sites for some great tips and recipe ideas!

Home – Unlock Food

Home & Family (homefamily.net)

Cookspiration

Sexual Health Week | February 12-16, 2024

What is Sexual Health Week?

Sexual Health Week is Action Canada for Sexual Health and Rights’ signature public health campaign. For over 20 years, this time has been dedicated to raising awareness on key issues in sexual health, education, and health care.

This week is a celebration of people’s amazing work to improve sexual health access and services across Canada and worldwide! Together, we’re highlighting essential resources and programs, all building towards improving sexual health outcomes for everyone. 

Sexual Health is for Everyone

Sexual health is an important part of our overall well-being, just like physical and mental health. Sexual health is connected to more than just pregnancy or sexually transmitted infections – sexual health includes things like how we feel about our bodies, consent, social relationships, pleasure, our identities, who we’re attracted to, and more!

Since sexual health is connected to so many aspects of our lives, there are many different sexual health support services in our communities! Sexual Health Week is a chance for all of us to celebrate the amazing services, resources, and organizations working to improve sexual health outcomes so we can all live fuller, healthier, and happier lives.

From February 12-16, 2024, we invite everyone to talk about how sexual health is important in our lives. You can participate by getting STBBI tested and learning about a new sexual health topic, for example, a new birth control method. You can learn how to communicate about your feelings, explore your sexuality, or maybe you want to learn more about how to give consent and listen for consent. Perhaps you are a parent or guardian who wants to start having conversations with your teen about sexuality. Whether you are 17 years old and learning about sex for the first time or 67 years old and entering the dating world again, there is something for all of us to learn! This week is a chance to tell people about the tools and groups that help us better understand sexual health and help us envision a healthier, inclusive, sex-positive future for everyone – because sexual health is for everyone!

If you are interested in STBBI testing, please check out the following locations or contact your local public health nurse or primary care provider:  

• Brandon: Helping Hands – 111 7^th Street, Feb. 14 from 1:00 pm-4:00 pm
• Swan River: Legion Room 119 6^th Ave. North (located at the back of the building) Feb. 14, 1:00 pm-4:00 pm 
• Dauphin: Dauphin Friendship Centre – 210 1 Ave. NE, Feb. 16, 1:00 pm-3:00  

You can find your local public health nurse or primary care provider by visiting our website.

Adapted from https://www.actioncanadashr.org/campaigns/sexual-health-week-2024

Eating Disorders Awareness Week 2024

February 1-7 is Canada’s Eating Disorders Awareness Week (EDAW). Every year, the National Eating Disorder Information Centre (NEDIC) collaborates with organizations across Canada on a campaign for EDAW. This year’s theme is Breaking Barriers, Facilitating Futures.

There are immense barriers when it comes to accessing the proper treatment for an eating disorder. Research around eating disorders is underfunded in Canada compared to other mental health conditions, leading to inadequate funding and resources for prevention and treatment. Wait times for publicly-funded eating disorder treatment in Canada can be up to two years, meaning many people seeking treatment have to wait while they are suffering. Some private eating disorder treatment is available but is inaccessible financially for many and may not be adequate for those needing higher levels of care.

In the healthcare field, eating disorders are often seen as a “niche” practice, meaning only some healthcare providers will see patients with eating disorders. However, this view is harmful, as eating disorders affect people of all ages, genders, racial and ethnic identities, sexual orientations, socioeconomic backgrounds, and body sizes. Eating Disorders are severe; they have the highest overall mortality rate of any mental illness in Canada. Healthcare providers need to recognize that they will be working with patients with eating disorders, no matter where they work, and be trained to detect eating disorders. People with eating disorders in our culture may be mistaken for being “well-disciplined” with food, and a healthcare provider not well-versed in eating disorders may inadvertently congratulate and encourage eating disorder behaviours. This creates a barrier to recognizing that treatment is needed and finding the appropriate help.  

Some under-recognized barriers to eating disorder treatment highlighted in the EDAW campaign include food insecurity, trauma, co-occurring mental health conditions, as well as gender-affirming care. The EDAW campaign includes social media materials for people with living and lived experience of an eating disorder, as well as people supporting them, the general public, and healthcare providers. As part of the campaign, there are also community rooms, where people with living and lived experience with an eating disorder will connect and work together to map out their journey to accessing help. 

To learn more about these barriers and the EDAW campaign, check out https://nedic.ca/edaw/

Where to get help:

• Call the National Eating Disorder Information Centre (NEDIC) helpline at 1-866-633-4220
• (18+ only) Call Women’s Health Clinic in Winnipeg for information and referrals at 1-866-947-1517 ext. 137
• (All ages) Make an appointment with your family doctor and ask for a referral to the Health Sciences Centre Eating Disorder Program
• Register for Body Peace, a FREE online program for anyone in Canada 14+. Whether you’re living with an eating disorder or are concerned about your relationship with food, your body, and/or exercise
• To see a Registered Dietitian in PMH call 1-877-509-7852
• To see a Mental Health professional in PMH visit our website to find the Access Guide

National Non-Smoking Week 2024 – Keeping Children and Youth Nicotine-Free

National Non-Smoking Week, including Weedless Wednesday, began over 40 years ago as a way to raise awareness about the risks of smoking and to encourage smokers to quit smoking. The collective efforts of many health agencies, non-profits and governments have seen substantial reductions in smoking rates from roughly 50% of Canadians smoking in 1965 to about 10-15% today[1]. 

Since the mid-2000s, the tobacco industry has been trying to harness a new group of customers to maintain and even grow their bottom line. Naturally, their target audience is children and youth to maximize their long-term purchasing potential. Cigarette smoking amongst 15-19-year-olds has declined from roughly 11% a decade ago to about 4% today; however, the overall nicotine use in this age group has stayed relatively stable, hovering around 15-17%[2]. The percentage of never-smokers using nicotine products has jumped from 9% in 2013 to 19% in 2023, with an obvious increase occurring the year after vaping was legalized and heavily marketed in Canada. This suggests that youth who were not likely ever to smoke have become addicted to nicotine via vapes and other nicotine delivery systems such as nicotine pouches (i.e., Zonnic). Most would agree that these candy-flavoured products are being marketed directly to children and youth under the guise of tools to help smokers quit.

Vaping is not harmless, and evidence of harm continues to mount against these products, especially for children, youth and other non-smokers. A 2019 article from Physicians for a Smoke-Free Canada suggests that instead of comparing the harms of vapes to the harms of cigarettes, they should be considered “differently harmful.” There is good evidence to suggest that vaping causes harm to the lungs and cardiovascular system. Additionally, there is growing evidence that nicotine has negative effects on teen brain development. We must continue to work collectively to ensure youth are aware of these harms and fight back against Big Tobacco’s nasty tricks to market their harmful products to children and youth.

Staff in PMH continue to work on smoking and vaping prevention efforts with presentations in schools and the community, as well as working with staff in education to get the message out to youth. The target age of these prevention efforts is students in grades 5-8.

What can parents or others who work with youth do?

• Familiarize yourself with the risks of vapes or other emerging nicotine products such as nicotine pouches. Health Canada Tip Sheet
• Find the right moment and start the conversation. 
• Recognize how tobacco companies market these products to young people and point them out to youth.

For people wanting to quit vaping, check out these apps and websites

• App: Stop Vaping Challenge
• App: Crush the Crave – Vape Edition
• App: Quash – Quit Vaping
• Website: www.smokershelpline.ca  / Call: 1-877-513-5333 / Text: iQuit to 123456
• Website: https://teen.smokefree.gov/quit-vaping (US-based)

References:
1. https://uwaterloo.ca/tobacco-use-canada/adult-tobacco-use/smoking-canada/historical-trends-smoking-prevalence

2. https://smoke-free.ca/2023/CTNS-CTADS%20-%20Any%20Nicotine%20Use.pdf

3. https://smoke-free.ca/wp-content/uploads/2020/04/health-effects-of-vaping-2019-11-11a-2.pdf

During Veteran’s Week we pause to remember

We pause to remember the sacrifices and efforts of those who have supported and protected our families, friends, neighbours and our nation.

Indigenous Veteran’s Day

November 8th is National Indigenous Veterans Day. The First Nations, Inuit and Métis of Canada have a long and proud tradition of military service to our country. Learn more.

Remembrance Day

On November 11th, it is important to take time to remember, honour and thank all veterans – At home, around the world and across generations. Read more.